| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,821,214 |
1,274,644 |
$154.78M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
735,694 |
546,096 |
$75.54M |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
186,711 |
159,045 |
$46.47M |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
125,322 |
74,516 |
$27.14M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
314,916 |
217,174 |
$23.86M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
301,591 |
211,567 |
$23.55M |
| 96127 |
|
185,284 |
127,946 |
$21.13M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
143,184 |
135,385 |
$21.00M |
| 90837 |
Psychotherapy, 53 minutes with patient |
130,611 |
71,860 |
$20.26M |
| 90791 |
Psychiatric diagnostic evaluation |
63,199 |
56,468 |
$19.54M |
| 92551 |
|
220,887 |
207,228 |
$18.93M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
231,890 |
164,240 |
$17.41M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
187,258 |
135,179 |
$13.81M |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
149,925 |
56,800 |
$13.44M |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
58,491 |
37,106 |
$12.82M |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
8,435 |
7,479 |
$12.31M |
| 99215 |
Prolong outpt/office vis |
93,236 |
74,231 |
$11.31M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
135,512 |
96,387 |
$11.15M |
| 90834 |
Psychotherapy, 45 minutes with patient |
81,108 |
50,398 |
$10.75M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
103,193 |
38,596 |
$10.64M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
65,506 |
60,921 |
$9.86M |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
12,695 |
11,203 |
$8.24M |
| 96161 |
|
61,469 |
57,758 |
$7.25M |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
5,120 |
4,565 |
$6.46M |
| J3490 |
Unclassified drugs |
247,165 |
110,739 |
$6.27M |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
89,834 |
38,745 |
$5.94M |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
4,572 |
3,888 |
$5.33M |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
55,689 |
25,672 |
$5.18M |
| D7140 |
Extraction, erupted tooth or exposed root |
7,802 |
6,666 |
$4.41M |
| 90832 |
Psychotherapy, 30 minutes with patient |
44,308 |
29,565 |
$4.03M |
| 36512 |
|
2,123 |
1,633 |
$3.44M |
| 41899 |
Unlisted procedure, dentoalveolar structures |
4,719 |
4,271 |
$3.32M |
| G0378 |
Hospital observation service, per hour |
38,973 |
16,839 |
$3.26M |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
3,186 |
3,071 |
$2.95M |
| 83655 |
|
111,575 |
104,108 |
$2.84M |
| 90839 |
|
15,340 |
13,496 |
$2.79M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
18,430 |
17,079 |
$2.76M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
6,032 |
5,422 |
$2.52M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
15,443 |
13,636 |
$2.34M |
| 67311 |
|
825 |
636 |
$2.28M |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
5,711 |
5,125 |
$2.26M |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
4,945 |
4,163 |
$2.20M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,878 |
2,067 |
$2.15M |
| 97803 |
|
24,728 |
22,262 |
$2.15M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
460,396 |
422,077 |
$1.94M |
| 42830 |
|
1,669 |
1,367 |
$1.91M |
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
1,240 |
1,134 |
$1.89M |
| 64643 |
|
3,703 |
3,133 |
$1.83M |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
8,569 |
7,779 |
$1.76M |
| 96130 |
|
6,502 |
5,771 |
$1.72M |
| 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 |
8,352 |
8,198 |
$1.70M |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
11,734 |
7,160 |
$1.64M |
| 76770 |
|
6,967 |
6,520 |
$1.61M |
| 95782 |
|
1,813 |
1,755 |
$1.61M |
| J1569 |
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg |
1,194 |
427 |
$1.60M |
| D1351 |
Sealant - per tooth |
4,484 |
3,733 |
$1.57M |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
720 |
572 |
$1.47M |
| 90686 |
|
198,720 |
175,693 |
$1.43M |
| 44970 |
|
406 |
309 |
$1.38M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
4,369 |
4,103 |
$1.38M |
| 90648 |
|
100,159 |
93,780 |
$1.36M |
| Q5103 |
Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg |
1,619 |
1,124 |
$1.34M |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
7,443 |
4,971 |
$1.33M |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
5,571 |
4,115 |
$1.29M |
| 30802 |
|
828 |
677 |
$1.28M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40,014 |
38,936 |
$1.27M |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
48,756 |
47,304 |
$1.24M |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
107,686 |
95,533 |
$1.11M |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
9,492 |
8,357 |
$1.11M |
| 96156 |
|
4,015 |
3,524 |
$1.09M |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
4,645 |
3,944 |
$1.07M |
| 92523 |
|
10,673 |
9,897 |
$994K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18,938 |
18,247 |
$980K |
| 93325 |
|
9,616 |
8,677 |
$897K |
| D2390 |
|
3,421 |
2,872 |
$880K |
| A0434 |
Specialty care transport (sct) |
5,270 |
4,644 |
$877K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
968 |
786 |
$842K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
7,934 |
6,217 |
$839K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
2,134 |
1,791 |
$805K |
| 81229 |
|
1,339 |
1,197 |
$794K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,834 |
1,583 |
$789K |
| 01922 |
|
3,255 |
2,520 |
$785K |
| 92567 |
|
22,659 |
21,350 |
$724K |
| 92587 |
|
6,445 |
5,943 |
$712K |
| 90670 |
|
103,103 |
96,777 |
$689K |
| 90633 |
|
63,541 |
58,655 |
$684K |
| H2020 |
Therapeutic behavioral services, per diem |
4,322 |
703 |
$682K |
| 36416 |
|
69,974 |
62,783 |
$678K |
| 97167 |
|
4,748 |
4,348 |
$663K |
| 97162 |
|
6,846 |
6,297 |
$660K |
| 90849 |
|
4,771 |
2,089 |
$650K |
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
2,984 |
289 |
$634K |
| 97161 |
|
7,390 |
6,651 |
$620K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
2,300 |
1,370 |
$617K |
| 92511 |
|
1,597 |
1,568 |
$614K |
| 95819 |
|
2,621 |
2,495 |
$572K |
| 96158 |
|
7,720 |
5,419 |
$555K |
| 97802 |
|
5,319 |
4,814 |
$545K |
| 80053 |
Comprehensive metabolic panel |
35,463 |
29,413 |
$541K |
| A0425 |
Ground mileage, per statute mile |
8,569 |
7,487 |
$539K |
| J3535 |
Drug administered through a metered dose inhaler |
14,092 |
11,334 |
$535K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
8,033 |
6,920 |
$509K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
10,163 |
9,704 |
$507K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
3,402 |
1,166 |
$505K |
| 29075 |
|
2,987 |
2,810 |
$505K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
2,016 |
1,679 |
$505K |
| 80061 |
Lipid panel |
38,445 |
35,048 |
$485K |
| A0436 |
Rotary wing air mileage, per statute mile |
1,213 |
1,111 |
$485K |
| 96415 |
|
1,087 |
716 |
$484K |
| D1208 |
Topical application of fluoride, excluding varnish |
34,939 |
34,585 |
$482K |
| P9016 |
Red blood cells, leukocytes reduced, each unit |
2,318 |
1,779 |
$477K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,920 |
1,745 |
$476K |
| 97535 |
Self-care/home management training, each 15 minutes |
9,162 |
6,060 |
$473K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,020 |
723 |
$472K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
580 |
419 |
$450K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
29,850 |
26,559 |
$441K |
| 90651 |
|
44,112 |
40,109 |
$437K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
4,806 |
4,055 |
$434K |
| 87650 |
|
13,860 |
13,508 |
$427K |
| 64642 |
|
4,406 |
3,796 |
$406K |
| 99243 |
|
13,132 |
12,717 |
$404K |
| 54161 |
|
431 |
339 |
$403K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
10,952 |
4,960 |
$401K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,579 |
2,424 |
$400K |
| 92526 |
|
4,182 |
2,452 |
$397K |
| 36415 |
Collection of venous blood by venipuncture |
140,747 |
125,899 |
$395K |
| 95715 |
|
342 |
289 |
$392K |
| 96116 |
|
1,266 |
1,175 |
$390K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,326 |
1,119 |
$386K |
| 90620 |
|
14,411 |
12,302 |
$384K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
29,841 |
26,547 |
$383K |
| J2997 |
Injection, alteplase recombinant, 1 mg |
965 |
372 |
$382K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,086 |
3,036 |
$371K |
| 54640 |
|
188 |
156 |
$371K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,540 |
1,370 |
$370K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
385 |
317 |
$368K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
282,831 |
225,249 |
$341K |
| 97166 |
|
2,929 |
2,710 |
$340K |
| 31622 |
|
532 |
389 |
$337K |
| 71046 |
Radiologic examination, chest; 2 views |
21,398 |
18,889 |
$331K |
| 84439 |
|
25,483 |
23,315 |
$330K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
56,757 |
47,967 |
$329K |
| 95812 |
|
275 |
258 |
$322K |
| S9485 |
Crisis intervention mental health services, per diem |
1,206 |
687 |
$317K |
| 92552 |
|
6,703 |
6,175 |
$317K |
| 17110 |
|
1,790 |
1,390 |
$312K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
115,632 |
102,985 |
$307K |
| J1439 |
Injection, ferric carboxymaltose, 1 mg |
620 |
444 |
$306K |
| 29405 |
|
1,840 |
904 |
$301K |
| 96167 |
|
6,383 |
4,723 |
$300K |
| 99381 |
|
8,598 |
8,370 |
$299K |
| 74018 |
|
12,707 |
11,077 |
$296K |
| 99188 |
|
22,664 |
21,389 |
$292K |
| D2330 |
|
1,731 |
1,436 |
$290K |
| 42821 |
|
232 |
199 |
$285K |
| 49452 |
|
828 |
694 |
$282K |
| 90723 |
|
68,936 |
64,428 |
$277K |
| 96132 |
|
1,009 |
917 |
$273K |
| 96138 |
|
5,940 |
5,327 |
$272K |
| 82728 |
|
20,201 |
17,810 |
$270K |
| 36430 |
|
626 |
320 |
$267K |
| 99205 |
Prolong outpt/office vis |
3,862 |
3,733 |
$260K |
| 93976 |
|
1,806 |
1,579 |
$259K |
| 85018 |
|
62,203 |
56,237 |
$257K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
811 |
753 |
$257K |
| 90681 |
|
41,260 |
38,424 |
$254K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
23,937 |
21,479 |
$248K |
| 90677 |
|
21,396 |
20,113 |
$246K |
| V5261 |
Hearing aid, digital, binaural, bte |
194 |
186 |
$244K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
48,264 |
44,305 |
$243K |
| 24538 |
|
62 |
53 |
$241K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
70,603 |
53,630 |
$238K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
43,120 |
39,734 |
$229K |
| 90619 |
|
21,823 |
18,398 |
$229K |
| 92508 |
Group treatment of speech, language, voice, communication, and/or auditory processing disorder |
2,087 |
724 |
$226K |
| 95816 |
|
984 |
911 |
$225K |
| 97165 |
|
1,675 |
1,526 |
$225K |
| 92579 |
|
3,468 |
3,211 |
$224K |
| 87507 |
|
2,222 |
2,016 |
$223K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
719 |
583 |
$222K |
| 29065 |
|
1,227 |
1,140 |
$216K |
| S9482 |
Family stabilization services, per 15 minutes |
1,419 |
534 |
$212K |
| 95076 |
|
690 |
536 |
$211K |
| 97116 |
|
5,295 |
2,706 |
$208K |
| 97542 |
|
2,241 |
2,053 |
$207K |
| 92630 |
|
2,490 |
1,294 |
$202K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
24,254 |
21,816 |
$201K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
623 |
502 |
$200K |
| 97750 |
|
3,412 |
2,941 |
$193K |
| 93243 |
|
1,190 |
1,120 |
$193K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
69,206 |
57,713 |
$192K |
| 96102 |
|
1,140 |
1,001 |
$191K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
19,919 |
17,386 |
$191K |
| 85027 |
|
41,822 |
34,324 |
$187K |
| 87070 |
|
13,299 |
11,787 |
$183K |
| 96131 |
|
7,180 |
5,483 |
$180K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
56,281 |
46,945 |
$179K |
| 76536 |
|
1,412 |
1,263 |
$177K |
| 84443 |
Thyroid stimulating hormone (TSH) |
22,973 |
21,015 |
$173K |
| 90840 |
|
4,275 |
3,838 |
$169K |
| 10060 |
|
705 |
617 |
$162K |
| 74240 |
|
751 |
691 |
$159K |
| 90700 |
|
17,576 |
15,351 |
$157K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,051 |
936 |
$156K |
| 96450 |
|
376 |
232 |
$156K |
| 93226 |
|
976 |
913 |
$153K |
| 72141 |
|
748 |
617 |
$151K |
| 90697 |
|
24,429 |
23,165 |
$146K |
| 29085 |
|
780 |
726 |
$146K |
| 86140 |
|
20,120 |
17,165 |
$146K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
1,113 |
854 |
$143K |
| 76885 |
|
956 |
881 |
$143K |
| 36573 |
|
304 |
164 |
$141K |
| J2704 |
Injection, propofol, 10 mg |
51,748 |
44,047 |
$140K |
| 17250 |
|
631 |
546 |
$139K |
| 12011 |
|
775 |
660 |
$139K |
| 20680 |
|
70 |
57 |
$139K |
| 30930 |
|
527 |
422 |
$138K |
| 90696 |
|
15,429 |
13,564 |
$136K |
| 90715 |
|
17,803 |
15,382 |
$136K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
113,361 |
100,868 |
$135K |
| 86850 |
|
5,225 |
3,963 |
$134K |
| 93304 |
|
354 |
287 |
$132K |
| 95700 |
|
691 |
583 |
$130K |
| 83020 |
|
10,402 |
7,471 |
$129K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14,995 |
12,115 |
$128K |
| 76000 |
|
2,922 |
2,322 |
$126K |
| D1510 |
|
606 |
502 |
$126K |
| 76882 |
|
1,189 |
1,025 |
$125K |
| 74230 |
|
864 |
779 |
$124K |
| 11981 |
|
542 |
422 |
$124K |
| 92555 |
|
4,233 |
3,889 |
$123K |
| 70543 |
|
261 |
216 |
$122K |
| 93308 |
|
313 |
267 |
$121K |
| 92553 |
|
1,464 |
1,345 |
$120K |
| 12001 |
|
570 |
480 |
$117K |
| 97124 |
|
1,631 |
595 |
$115K |
| H2000 |
Comprehensive multidisciplinary evaluation |
1,611 |
1,480 |
$109K |
| 92557 |
|
1,011 |
934 |
$107K |
| 81479 |
Unlisted molecular pathology procedure |
971 |
706 |
$105K |
| 90716 |
|
20,854 |
18,396 |
$104K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
4,523 |
4,495 |
$102K |
| 81243 |
|
812 |
710 |
$102K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
8,114 |
6,577 |
$101K |
| 72170 |
|
6,005 |
5,459 |
$101K |
| 86920 |
|
3,221 |
2,465 |
$101K |
| 97156 |
|
464 |
256 |
$100K |
| 92582 |
|
1,796 |
1,639 |
$100K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
2,844 |
2,595 |
$98K |
| 86480 |
|
2,995 |
2,699 |
$97K |
| J0741 |
Injection, cabotegravir and rilpivirine, 2mg/3mg |
14 |
12 |
$96K |
| 70486 |
|
553 |
488 |
$95K |
| 84460 |
|
25,384 |
22,400 |
$95K |
| 92524 |
|
1,359 |
1,268 |
$94K |
| 99383 |
|
2,252 |
2,228 |
$94K |
| D2335 |
|
411 |
333 |
$93K |
| 71250 |
|
518 |
459 |
$93K |
| 97163 |
|
873 |
775 |
$91K |
| 82248 |
|
15,992 |
11,327 |
$91K |
| 81425 |
|
157 |
134 |
$91K |
| 72082 |
|
4,497 |
4,195 |
$90K |
| 76825 |
|
708 |
662 |
$90K |
| 83540 |
|
10,414 |
9,316 |
$90K |
| 99384 |
|
1,731 |
1,710 |
$88K |
| 99417 |
Prolong home eval add 15m |
5,846 |
4,699 |
$87K |
| 97763 |
|
900 |
741 |
$86K |
| 87486 |
|
2,656 |
2,595 |
$86K |
| 92610 |
|
1,009 |
937 |
$85K |
| 94010 |
|
7,401 |
6,606 |
$85K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,967 |
2,299 |
$84K |
| 85007 |
|
16,059 |
11,497 |
$84K |
| 86364 |
|
6,990 |
6,314 |
$83K |
| 67312 |
|
27 |
16 |
$83K |
| 81001 |
|
14,615 |
12,500 |
$81K |
| 90707 |
|
18,945 |
16,449 |
$81K |
| 87581 |
|
8,395 |
8,213 |
$81K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
258 |
195 |
$79K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
657 |
519 |
$79K |
| 86900 |
|
5,511 |
4,190 |
$78K |
| 95716 |
|
76 |
63 |
$78K |
| 80069 |
|
4,502 |
3,382 |
$78K |
| 90734 |
|
11,763 |
11,520 |
$76K |
| 93247 |
|
472 |
446 |
$76K |
| 82784 |
|
9,347 |
7,643 |
$76K |
| L1832 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
322 |
308 |
$76K |
| 67808 |
|
65 |
42 |
$76K |
| 83550 |
|
9,861 |
8,818 |
$75K |
| 90710 |
|
17,664 |
15,642 |
$74K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
888 |
751 |
$72K |
| 81408 |
|
596 |
393 |
$72K |
| 97158 |
|
225 |
35 |
$72K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
612 |
591 |
$72K |
| 87077 |
|
10,018 |
8,726 |
$71K |
| 81405 |
|
637 |
488 |
$71K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
2,656 |
2,595 |
$70K |
| 92652 |
|
1,471 |
1,222 |
$70K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
4,261 |
3,629 |
$70K |
| 81406 |
|
672 |
513 |
$70K |
| 90656 |
|
11,376 |
11,326 |
$70K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
1,536 |
1,365 |
$69K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,330 |
2,534 |
$69K |
| 99245 |
|
1,153 |
1,078 |
$68K |
| 81025 |
|
28,669 |
24,321 |
$67K |
| 73070 |
|
3,341 |
2,760 |
$67K |
| 54150 |
|
94 |
92 |
$66K |
| L3807 |
Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
601 |
589 |
$66K |
| 73610 |
|
4,962 |
4,394 |
$66K |
| 80197 |
|
2,778 |
1,492 |
$65K |
| D2331 |
|
533 |
453 |
$64K |
| 92060 |
|
1,299 |
1,170 |
$63K |
| 76800 |
|
406 |
380 |
$63K |
| 87497 |
|
1,919 |
1,049 |
$63K |
| 49450 |
|
206 |
177 |
$63K |
| 92522 |
|
626 |
574 |
$62K |
| D2332 |
|
321 |
270 |
$62K |
| 72081 |
|
3,420 |
3,159 |
$61K |
| 83735 |
|
14,261 |
10,109 |
$61K |
| J0475 |
Injection, baclofen, 10 mg |
68 |
63 |
$61K |
| 11900 |
|
345 |
289 |
$60K |
| 97760 |
|
557 |
512 |
$60K |
| 51726 |
|
166 |
151 |
$59K |
| 87799 |
|
2,320 |
1,319 |
$59K |
| 86922 |
|
2,428 |
1,940 |
$59K |
| 11982 |
|
252 |
189 |
$58K |
| V5264 |
Ear mold/insert, not disposable, any type |
2,521 |
1,608 |
$58K |
| 90785 |
|
2,253 |
1,834 |
$57K |
| 73560 |
|
3,048 |
2,626 |
$57K |
| 82947 |
|
20,797 |
14,856 |
$57K |
| 81404 |
|
619 |
392 |
$56K |
| 97533 |
|
716 |
337 |
$56K |
| 85652 |
|
19,782 |
17,058 |
$55K |
| 54300 |
|
28 |
25 |
$54K |
| 92201 |
|
818 |
664 |
$53K |
| 85610 |
|
8,069 |
6,365 |
$53K |
| 77080 |
|
792 |
734 |
$53K |
| 96139 |
|
6,021 |
5,309 |
$52K |
| 88307 |
|
601 |
418 |
$52K |
| 77072 |
|
1,685 |
1,543 |
$52K |
| 94621 |
|
380 |
338 |
$52K |
| 92015 |
Determination of refractive state |
3,865 |
3,685 |
$52K |
| V5160 |
Dispensing fee, binaural |
209 |
188 |
$51K |
| 86592 |
|
6,833 |
6,017 |
$50K |
| 81403 |
|
425 |
321 |
$50K |
| 73630 |
|
4,273 |
3,820 |
$50K |
| 83993 |
|
2,001 |
1,845 |
$48K |
| 73590 |
|
3,527 |
2,928 |
$48K |
| 81407 |
|
400 |
343 |
$47K |
| 74183 |
|
176 |
146 |
$47K |
| 10120 |
|
220 |
190 |
$46K |
| 70480 |
|
229 |
203 |
$46K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
6,616 |
5,766 |
$46K |
| 76827 |
|
709 |
663 |
$46K |
| 31624 |
|
46 |
31 |
$45K |
| 81003 |
|
44,875 |
40,391 |
$45K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,491 |
784 |
$45K |
| 73552 |
|
2,116 |
1,806 |
$45K |
| 74019 |
|
3,134 |
2,725 |
$45K |
| 82977 |
|
7,179 |
5,942 |
$44K |
| 92611 |
|
843 |
769 |
$44K |
| 73090 |
|
4,995 |
4,105 |
$43K |
| 74455 |
|
291 |
247 |
$43K |
| 86664 |
|
1,761 |
1,549 |
$43K |
| 73140 |
|
4,286 |
3,758 |
$43K |
| 96136 |
|
4,145 |
3,696 |
$42K |
| 97016 |
|
952 |
317 |
$42K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
85 |
67 |
$41K |
| 87536 |
|
3,301 |
3,043 |
$41K |
| 12051 |
|
305 |
253 |
$40K |
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
2,114 |
675 |
$40K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,046 |
4,584 |
$40K |
| 87186 |
|
8,595 |
7,435 |
$39K |
| 93975 |
|
354 |
316 |
$38K |
| 82610 |
|
4,158 |
3,586 |
$38K |
| 92250 |
|
746 |
679 |
$38K |
| 91200 |
|
239 |
234 |
$37K |
| 97164 |
|
444 |
398 |
$37K |
| 00400 |
|
964 |
646 |
$37K |
| 80051 |
|
5,992 |
4,801 |
$37K |
| 94060 |
|
1,039 |
853 |
$37K |
| 86355 |
|
2,787 |
2,378 |
$36K |
| 84450 |
|
8,485 |
7,399 |
$36K |
| 99382 |
|
895 |
890 |
$36K |
| 82565 |
|
11,792 |
9,692 |
$36K |
| 95117 |
|
730 |
347 |
$36K |
| J7999 |
Compounded drug, not otherwise classified |
4,403 |
3,560 |
$36K |
| 86003 |
|
2,597 |
2,249 |
$35K |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
481 |
160 |
$35K |
| 87088 |
|
6,064 |
5,296 |
$34K |
| 92626 |
|
358 |
332 |
$34K |
| 84100 |
|
12,917 |
9,229 |
$33K |
| 85014 |
|
4,911 |
4,069 |
$33K |
| 86832 |
|
536 |
419 |
$33K |
| 82533 |
|
1,576 |
1,286 |
$33K |
| 85045 |
|
12,204 |
9,657 |
$32K |
| 93320 |
|
5,735 |
5,125 |
$32K |
| 81267 |
|
166 |
107 |
$32K |
| 80076 |
|
3,300 |
2,790 |
$32K |
| 96367 |
|
333 |
238 |
$31K |
| 29345 |
|
170 |
154 |
$31K |
| 86901 |
|
5,514 |
4,190 |
$31K |
| 88262 |
|
225 |
174 |
$31K |
| 86803 |
|
4,279 |
3,699 |
$31K |
| 49591 |
|
21 |
15 |
$31K |
| 83970 |
|
2,004 |
1,723 |
$31K |
| 96101 |
|
141 |
134 |
$31K |
| 00160 |
|
547 |
427 |
$30K |
| 82570 |
|
7,193 |
5,916 |
$30K |
| 88341 |
|
411 |
274 |
$29K |
| 91320 |
|
2,930 |
2,484 |
$29K |
| 73130 |
|
2,565 |
2,316 |
$29K |
| 96133 |
|
1,266 |
990 |
$28K |
| D2999 |
|
25 |
25 |
$28K |
| 84146 |
|
1,612 |
1,426 |
$28K |
| 92082 |
|
412 |
381 |
$28K |
| 82247 |
|
5,434 |
4,240 |
$27K |
| 29450 |
|
162 |
79 |
$27K |
| 83516 |
|
2,363 |
2,061 |
$26K |
| 92133 |
|
475 |
443 |
$26K |
| 81329 |
|
191 |
154 |
$26K |
| 87522 |
Neg quan hep c or qual rna |
1,385 |
1,313 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28,029 |
27,628 |
$26K |
| 73718 |
|
76 |
64 |
$25K |
| 75561 |
|
64 |
52 |
$25K |
| 87338 |
|
1,089 |
1,007 |
$25K |
| 96112 |
|
138 |
99 |
$25K |
| 83525 |
|
892 |
767 |
$25K |
| 87340 |
|
3,522 |
3,062 |
$24K |
| 73100 |
|
3,786 |
3,161 |
$24K |
| 85240 |
|
1,363 |
1,172 |
$24K |
| 75573 |
|
44 |
39 |
$24K |
| 82785 |
|
2,675 |
2,406 |
$24K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
24,390 |
19,790 |
$24K |
| 51784 |
|
166 |
151 |
$23K |
| 71555 |
|
78 |
66 |
$23K |
| 90675 |
|
161 |
90 |
$23K |
| 96160 |
|
429 |
262 |
$23K |
| 31575 |
|
191 |
188 |
$23K |
| 72100 |
|
1,355 |
1,221 |
$22K |
| 90687 |
|
2,149 |
2,137 |
$22K |
| 82607 |
|
1,884 |
1,677 |
$22K |
| 84403 |
|
2,420 |
2,159 |
$22K |
| 86706 |
|
1,896 |
1,689 |
$21K |
| 24640 |
|
59 |
54 |
$21K |
| 85245 |
|
1,238 |
1,082 |
$21K |
| 86902 |
|
1,237 |
964 |
$21K |
| 86665 |
|
2,399 |
1,559 |
$20K |
| 86833 |
|
538 |
421 |
$20K |
| 76870 |
|
995 |
867 |
$20K |
| 84311 |
|
3,917 |
2,385 |
$20K |
| 96152 |
|
187 |
126 |
$20K |
| 70544 |
|
78 |
70 |
$20K |
| 72040 |
|
1,316 |
1,167 |
$20K |
| 96376 |
|
2,264 |
1,290 |
$19K |
| J8501 |
Aprepitant, oral, 5 mg |
1,259 |
817 |
$19K |
| 93296 |
|
507 |
444 |
$19K |
| 86360 |
|
2,625 |
2,249 |
$19K |
| 00731 |
|
2,339 |
1,674 |
$19K |
| D9222 |
|
15,717 |
13,980 |
$19K |
| 87529 |
|
1,312 |
1,187 |
$19K |
| 86359 |
|
2,632 |
2,251 |
$19K |
| 86357 |
|
2,626 |
2,251 |
$19K |
| 87510 |
|
4,520 |
4,065 |
$19K |
| 93886 |
|
73 |
67 |
$19K |
| 76506 |
|
141 |
131 |
$19K |
| 72070 |
|
935 |
845 |
$19K |
| 73110 |
|
1,250 |
1,103 |
$19K |
| 92556 |
|
1,870 |
1,745 |
$19K |
| 85576 |
|
942 |
843 |
$18K |
| 86038 |
|
1,231 |
1,100 |
$18K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
15,145 |
11,319 |
$18K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
393 |
353 |
$18K |
| 82330 |
|
5,101 |
2,660 |
$18K |
| 85246 |
|
1,401 |
1,187 |
$18K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
133 |
113 |
$18K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
1,082 |
997 |
$18K |
| 70491 |
|
62 |
43 |
$18K |
| 84520 |
|
9,781 |
8,154 |
$18K |
| 81268 |
|
157 |
90 |
$18K |
| 83001 |
|
1,948 |
1,728 |
$17K |
| 87205 |
|
6,292 |
5,417 |
$17K |
| 84305 |
|
1,558 |
1,400 |
$17K |
| 72197 |
|
39 |
38 |
$17K |
| 89230 |
|
289 |
257 |
$17K |
| 82024 |
|
624 |
536 |
$17K |
| 43762 |
|
141 |
123 |
$17K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,391 |
3,165 |
$16K |
| 00300 |
|
1,241 |
938 |
$16K |
| J1815 |
Injection, insulin, per 5 units |
1,042 |
337 |
$16K |
| 80195 |
|
787 |
510 |
$16K |
| 82803 |
|
4,019 |
3,164 |
$16K |
| 73030 |
|
1,124 |
997 |
$16K |
| 16020 |
|
184 |
147 |
$15K |
| 81426 |
|
64 |
63 |
$15K |
| 93242 |
|
1,175 |
1,080 |
$15K |
| 93225 |
|
1,140 |
1,016 |
$15K |
| 73221 |
|
46 |
40 |
$15K |
| 83880 |
|
1,246 |
1,016 |
$15K |
| 81415 |
|
41 |
29 |
$15K |
| 84270 |
|
1,846 |
1,672 |
$15K |
| P9040 |
Red blood cells, leukocytes reduced, irradiated, each unit |
51 |
26 |
$15K |
| 99170 |
|
37 |
28 |
$15K |
| 86704 |
|
1,614 |
1,429 |
$15K |
| 86999 |
|
2,799 |
1,101 |
$15K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
13,778 |
12,303 |
$15K |
| 83002 |
|
1,593 |
1,422 |
$15K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
531 |
436 |
$15K |
| 01999 |
|
75 |
70 |
$15K |
| 73564 |
|
1,533 |
1,427 |
$14K |
| 83520 |
|
1,211 |
830 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
1,629 |
1,299 |
$14K |
| 92583 |
|
1,661 |
1,531 |
$14K |
| 74022 |
|
752 |
663 |
$14K |
| 86308 |
|
1,582 |
1,382 |
$14K |
| D2933 |
|
83 |
68 |
$13K |
| 82550 |
|
2,376 |
1,923 |
$13K |
| 88184 |
|
215 |
160 |
$13K |
| A4467 |
Belt, strap, sleeve, garment, or covering, any type |
903 |
774 |
$13K |
| 90474 |
|
41,147 |
38,267 |
$13K |
| 87147 |
|
3,685 |
3,286 |
$13K |
| 84510 |
|
691 |
507 |
$12K |
| 87480 |
|
4,523 |
4,065 |
$12K |
| 87040 |
|
2,653 |
2,083 |
$12K |
| 87660 |
|
4,536 |
4,078 |
$12K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
81 |
62 |
$12K |
| 97168 |
|
86 |
78 |
$12K |
| 67314 |
|
16 |
12 |
$12K |
| 82670 |
|
1,014 |
903 |
$12K |
| 73060 |
|
1,209 |
1,023 |
$12K |
| 51600 |
|
291 |
247 |
$12K |
| 73660 |
|
1,100 |
960 |
$12K |
| 72146 |
|
678 |
554 |
$12K |
| 93786 |
|
97 |
97 |
$12K |
| 76981 |
|
166 |
151 |
$12K |
| 86880 |
|
601 |
480 |
$12K |
| 84030 |
|
849 |
634 |
$12K |
| 69210 |
|
838 |
724 |
$11K |
| 90713 |
|
2,804 |
2,464 |
$11K |
| L3060 |
Foot, arch support, removable, premolded, longitudinal/ metatarsal, each |
341 |
333 |
$11K |
| 90480 |
|
2,180 |
2,109 |
$11K |
| 85730 |
|
3,788 |
3,166 |
$11K |
| 84145 |
|
1,712 |
1,371 |
$11K |
| 88230 |
|
110 |
94 |
$11K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,296 |
2,784 |
$11K |
| 90380 |
|
1,594 |
1,503 |
$11K |
| 10160 |
|
33 |
32 |
$11K |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
26,641 |
23,632 |
$11K |
| 83615 |
|
3,626 |
2,905 |
$11K |
| 86256 |
|
1,059 |
901 |
$11K |
| 90381 |
|
2,155 |
1,962 |
$11K |
| 84295 |
|
2,292 |
1,418 |
$10K |
| 85384 |
|
2,660 |
2,223 |
$10K |
| 99242 |
|
480 |
471 |
$10K |
| 84156 |
|
3,576 |
2,765 |
$10K |
| V5257 |
Hearing aid, digital, monaural, bte |
12 |
12 |
$10K |
| 86160 |
|
1,385 |
1,047 |
$10K |
| 73000 |
|
947 |
832 |
$10K |
| 80164 |
|
496 |
438 |
$10K |
| 86800 |
|
703 |
636 |
$10K |
| 88185 |
|
146 |
102 |
$10K |
| 80377 |
|
644 |
519 |
$10K |
| V5241 |
Dispensing fee, monaural hearing aid, any type |
50 |
50 |
$10K |
| L0626 |
Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
200 |
194 |
$10K |
| 86376 |
|
1,009 |
907 |
$9K |
| 94644 |
|
435 |
305 |
$9K |
| 83690 |
|
4,136 |
3,460 |
$9K |
| Q4012 |
Cast supplies, short arm cast, pediatric (0-10 years), fiberglass |
443 |
425 |
$9K |
| 87631 |
|
50 |
43 |
$9K |
| 94664 |
|
2,601 |
2,201 |
$9K |
| 70360 |
|
502 |
434 |
$9K |
| 82627 |
|
938 |
847 |
$9K |
| 86231 |
|
620 |
556 |
$9K |
| 87177 |
|
405 |
313 |
$9K |
| 90744 |
|
1,821 |
1,621 |
$9K |
| 93971 |
|
88 |
78 |
$9K |
| 82310 |
|
2,110 |
1,593 |
$9K |
| 0297T |
|
41 |
41 |
$9K |
| 73620 |
|
920 |
823 |
$9K |
| 00120 |
|
739 |
554 |
$8K |
| 82272 |
|
770 |
689 |
$8K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
1,474 |
1,036 |
$8K |
| P9073 |
Platelets, pheresis, pathogen-reduced, each unit |
38 |
14 |
$8K |
| 72142 |
|
208 |
177 |
$8K |
| 74270 |
|
50 |
43 |
$8K |
| 80050 |
General health panel |
622 |
560 |
$8K |
| 83498 |
|
907 |
814 |
$8K |
| C1751 |
Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) |
109 |
67 |
$8K |
| 85660 |
|
890 |
833 |
$7K |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
641 |
616 |
$7K |
| 76641 |
|
42 |
40 |
$7K |
| 82010 |
|
1,267 |
671 |
$7K |
| 84238 |
|
832 |
648 |
$7K |
| 69209 |
|
2,804 |
2,441 |
$7K |
| 77081 |
|
115 |
115 |
$7K |
| 29125 |
|
605 |
539 |
$7K |
| 91321 |
|
5,297 |
4,472 |
$7K |
| 88289 |
|
61 |
53 |
$7K |
| 87496 |
|
253 |
223 |
$7K |
| 87533 |
|
621 |
280 |
$7K |
| 76010 |
|
799 |
711 |
$7K |
| J0134 |
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
1,730 |
1,454 |
$7K |
| 84480 |
|
641 |
564 |
$6K |
| 86039 |
|
815 |
732 |
$6K |
| 82043 |
|
2,721 |
2,359 |
$6K |
| 77073 |
|
1,131 |
1,072 |
$6K |
| 72147 |
|
208 |
177 |
$6K |
| 83605 |
|
937 |
702 |
$6K |
| 72149 |
|
209 |
178 |
$6K |
| 87101 |
|
1,161 |
944 |
$6K |
| 96137 |
|
3,080 |
2,715 |
$6K |
| V5266 |
Battery for use in hearing device |
2,862 |
2,711 |
$6K |
| 30901 |
|
94 |
77 |
$6K |
| 73562 |
|
356 |
325 |
$6K |
| 82438 |
|
531 |
252 |
$5K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
15,663 |
13,917 |
$5K |
| 82340 |
|
702 |
602 |
$5K |
| 82105 |
|
722 |
639 |
$5K |
| J1610 |
Injection, glucagon hydrochloride, per 1 mg |
32 |
26 |
$5K |
| 76391 |
|
13 |
13 |
$5K |
| 87428 |
|
2,917 |
2,873 |
$5K |
| 86618 |
|
465 |
421 |
$5K |
| 49446 |
|
13 |
12 |
$5K |
| 88342 |
|
1,474 |
1,122 |
$5K |
| 82465 |
|
558 |
480 |
$5K |
| 88313 |
|
791 |
516 |
$5K |
| 90717 |
|
26 |
26 |
$5K |
| Q4008 |
Cast supplies, long arm cast, pediatric (0-10 years), fiberglass |
244 |
239 |
$5K |
| 99173 |
|
2,559 |
2,359 |
$5K |
| 94726 |
|
172 |
162 |
$5K |
| 87209 |
|
391 |
305 |
$5K |
| 51741 |
|
12 |
12 |
$5K |
| 29105 |
|
553 |
495 |
$5K |
| 84075 |
|
1,794 |
1,477 |
$4K |
| 00813 |
|
624 |
452 |
$4K |
| D2931 |
|
16 |
13 |
$4K |
| 80143 |
|
1,020 |
853 |
$4K |
| 84630 |
|
473 |
427 |
$4K |
| 82157 |
|
302 |
267 |
$4K |
| 86341 |
|
367 |
310 |
$4K |
| P9047 |
Infusion, albumin (human), 25%, 50 ml |
16 |
12 |
$4K |
| 87181 |
|
1,427 |
1,177 |
$4K |
| 84590 |
|
802 |
732 |
$4K |
| 86709 |
|
768 |
662 |
$4K |
| 86787 |
|
626 |
548 |
$4K |
| 00635 |
|
446 |
289 |
$4K |
| 76604 |
|
59 |
54 |
$4K |
| 84703 |
|
1,394 |
1,188 |
$4K |
| P9011 |
Blood, split unit |
15 |
13 |
$4K |
| 96409 |
|
937 |
538 |
$4K |
| 86356 |
|
529 |
345 |
$4K |
| 74712 |
|
12 |
12 |
$4K |
| J0295 |
Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm |
438 |
143 |
$4K |
| 97810 |
|
208 |
127 |
$4K |
| 84478 |
|
1,222 |
1,023 |
$4K |
| 00126 |
|
3,468 |
2,984 |
$4K |
| 82746 |
|
603 |
555 |
$4K |
| 82525 |
|
379 |
346 |
$4K |
| 58300 |
|
29 |
26 |
$4K |
| 74181 |
|
42 |
36 |
$4K |
| 86317 |
|
1,022 |
374 |
$4K |
| 73080 |
|
100 |
84 |
$4K |
| 70250 |
|
429 |
357 |
$4K |
| 82040 |
|
564 |
428 |
$4K |
| 86431 |
|
391 |
345 |
$4K |
| 84550 |
|
948 |
814 |
$3K |
| 86258 |
|
188 |
166 |
$3K |
| 84446 |
|
748 |
676 |
$3K |
| 84484 |
|
537 |
362 |
$3K |
| 86611 |
|
323 |
220 |
$3K |
| 93246 |
|
182 |
156 |
$3K |
| 81321 |
|
30 |
28 |
$3K |
| 82172 |
|
164 |
161 |
$3K |
| 85520 |
|
186 |
128 |
$3K |
| 87081 |
|
3,668 |
1,700 |
$3K |
| 84702 |
|
342 |
278 |
$3K |
| 84132 |
|
1,680 |
1,151 |
$3K |
| 36593 |
|
18 |
12 |
$3K |
| 93321 |
|
790 |
670 |
$3K |
| J7510 |
Prednisolone oral, per 5 mg |
10,865 |
8,715 |
$3K |
| 00840 |
|
781 |
611 |
$3K |
| 90732 |
|
405 |
295 |
$3K |
| 29130 |
|
168 |
150 |
$3K |
| 86015 |
|
317 |
282 |
$3K |
| 81416 |
|
25 |
14 |
$3K |
| 92604 |
|
260 |
238 |
$3K |
| J3489 |
Injection, zoledronic acid, 1 mg |
584 |
473 |
$3K |
| 84155 |
|
545 |
375 |
$3K |
| 12002 |
|
20 |
15 |
$3K |
| 96118 |
|
12 |
12 |
$3K |
| 88304 |
|
2,594 |
2,217 |
$3K |
| 86648 |
|
374 |
326 |
$3K |
| 82150 |
|
675 |
567 |
$3K |
| 81323 |
|
28 |
27 |
$3K |
| 86774 |
|
409 |
359 |
$3K |
| 85670 |
|
1,155 |
1,039 |
$3K |
| 88271 |
|
16 |
13 |
$3K |
| 80047 |
|
594 |
444 |
$3K |
| 83695 |
|
228 |
213 |
$3K |
| 81382 |
|
32 |
29 |
$2K |
| 95115 |
|
91 |
66 |
$2K |
| 82077 |
|
733 |
623 |
$2K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
39 |
33 |
$2K |
| 87184 |
|
562 |
491 |
$2K |
| 82139 |
|
231 |
186 |
$2K |
| 77074 |
|
285 |
261 |
$2K |
| 90672 |
|
301 |
284 |
$2K |
| 93298 |
|
64 |
61 |
$2K |
| 86235 |
|
399 |
318 |
$2K |
| 95251 |
|
749 |
714 |
$2K |
| 90473 |
|
4,003 |
3,942 |
$2K |
| 82017 |
|
130 |
118 |
$2K |
| 97811 |
|
234 |
127 |
$2K |
| 82390 |
|
531 |
480 |
$2K |
| J0612 |
Injection, calcium gluconate, not otherwise specified, 10 mg |
1,976 |
572 |
$2K |
| 82542 |
|
309 |
268 |
$2K |
| 87420 |
|
193 |
182 |
$2K |
| 75565 |
|
352 |
302 |
$2K |
| 80179 |
|
969 |
820 |
$2K |
| J7121 |
5% dextrose in lactated ringers infusion, up to 1000 cc |
2,191 |
1,464 |
$2K |
| 86060 |
|
93 |
87 |
$2K |
| 72110 |
|
26 |
25 |
$2K |
| 83921 |
|
355 |
312 |
$2K |
| 82140 |
|
211 |
147 |
$2K |
| 87015 |
|
411 |
317 |
$2K |
| 84402 |
|
230 |
183 |
$2K |
| 74220 |
|
29 |
27 |
$2K |
| 80349 |
|
301 |
242 |
$2K |
| 76942 |
|
73 |
41 |
$2K |
| 87045 |
|
80 |
74 |
$2K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
26,932 |
23,147 |
$2K |
| 00140 |
|
1,454 |
1,167 |
$2K |
| 51798 |
|
135 |
133 |
$2K |
| 86762 |
|
352 |
306 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
16 |
12 |
$2K |
| 84244 |
|
108 |
98 |
$1K |
| 87899 |
|
173 |
158 |
$1K |
| 51701 |
|
158 |
132 |
$1K |
| 88346 |
|
27 |
25 |
$1K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
8,380 |
5,702 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
3,919 |
2,712 |
$1K |
| 89051 |
|
328 |
199 |
$1K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
177 |
56 |
$1K |
| 86337 |
|
145 |
124 |
$1K |
| 76937 |
|
93 |
51 |
$1K |
| 96381 |
|
2,388 |
2,265 |
$1K |
| 82103 |
|
271 |
240 |
$1K |
| 94729 |
|
72 |
68 |
$1K |
| 86682 |
|
80 |
62 |
$1K |
| 87106 |
|
377 |
321 |
$1K |
| 80305 |
|
1,228 |
998 |
$1K |
| 85379 |
|
288 |
245 |
$1K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
5,853 |
3,986 |
$1K |
| 87206 |
|
738 |
486 |
$1K |
| 96159 |
|
3,835 |
2,427 |
$1K |
| 88312 |
|
756 |
529 |
$1K |
| 84436 |
|
156 |
137 |
$1K |
| 94760 |
|
1,117 |
1,075 |
$1K |
| 90691 |
|
58 |
57 |
$1K |
| 64644 |
|
45 |
40 |
$1K |
| 72158 |
|
34 |
26 |
$1K |
| 82657 |
|
313 |
250 |
$1K |
| 82085 |
|
330 |
275 |
$966.81 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
29,032 |
24,526 |
$959.79 |
| 82239 |
|
70 |
66 |
$953.14 |
| 87046 |
|
80 |
74 |
$932.12 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
392 |
383 |
$924.42 |
| 82950 |
|
445 |
396 |
$898.28 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
4,338 |
2,464 |
$894.56 |
| 90660 |
|
128 |
128 |
$866.51 |
| 82653 |
|
73 |
68 |
$858.31 |
| 92202 |
|
16 |
15 |
$855.72 |
| 86780 |
|
128 |
118 |
$852.24 |
| 86644 |
|
71 |
50 |
$842.50 |
| 83935 |
|
111 |
96 |
$824.47 |
| 80400 |
|
16 |
12 |
$802.28 |
| 87493 |
|
12 |
12 |
$787.63 |
| 00930 |
|
131 |
101 |
$784.30 |
| 82810 |
|
315 |
112 |
$773.64 |
| 84681 |
|
84 |
57 |
$765.57 |
| 87102 |
|
561 |
409 |
$755.97 |
| 86008 |
|
103 |
98 |
$743.59 |
| Q4031 |
Cast supplies, long leg cast, pediatric (0-10 years), plaster |
33 |
12 |
$740.80 |
| 87116 |
|
423 |
296 |
$723.73 |
| 84134 |
|
70 |
60 |
$716.85 |
| J0736 |
Injection, clindamycin phosphate, 300 mg |
429 |
228 |
$674.98 |
| 82397 |
|
49 |
39 |
$664.22 |
| J7799 |
Noc drugs, other than inhalation drugs, administered through dme |
262 |
150 |
$651.04 |
| 92504 |
|
510 |
477 |
$641.31 |
| 00920 |
|
1,096 |
899 |
$630.20 |
| 81291 |
|
12 |
12 |
$596.66 |
| 84481 |
|
54 |
51 |
$589.42 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
972 |
685 |
$583.58 |
| D1120 |
Prophylaxis - child |
30 |
30 |
$580.00 |
| J9370 |
Vincristine sulfate, 1 mg |
818 |
463 |
$578.51 |
| 90739 |
|
12 |
12 |
$573.69 |
| 82104 |
|
206 |
182 |
$567.88 |
| 72220 |
|
41 |
40 |
$557.56 |
| 69200 |
|
40 |
38 |
$554.11 |
| 99201 |
|
29 |
28 |
$553.95 |
| 86703 |
|
301 |
261 |
$551.67 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
2,445 |
1,934 |
$535.36 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
4,146 |
3,151 |
$528.05 |
| 89050 |
|
634 |
436 |
$518.51 |
| 87498 |
|
43 |
40 |
$502.60 |
| 84445 |
|
15 |
14 |
$493.31 |
| 85250 |
|
87 |
66 |
$492.63 |
| 86708 |
|
103 |
86 |
$488.33 |
| 87230 |
|
29 |
25 |
$483.37 |
| 71101 |
|
43 |
40 |
$468.90 |
| 85347 |
|
259 |
105 |
$466.54 |
| 95012 |
|
90 |
85 |
$465.37 |
| D1206 |
Topical application of fluoride varnish |
32 |
32 |
$465.00 |
| 72157 |
|
34 |
24 |
$461.53 |
| 31231 |
|
14 |
14 |
$447.47 |
| 01926 |
|
28 |
13 |
$445.16 |
| 73600 |
|
58 |
57 |
$434.88 |
| A4565 |
Slings |
73 |
72 |
$418.54 |
| 87400 |
|
410 |
403 |
$414.84 |
| 95873 |
|
207 |
193 |
$398.39 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
457 |
283 |
$395.78 |
| 83010 |
|
92 |
49 |
$386.81 |
| J1720 |
Injection, hydrocortisone sodium succinate, up to 100 mg |
130 |
85 |
$379.50 |
| 92602 |
|
45 |
44 |
$375.69 |
| 93244 |
|
23 |
23 |
$358.96 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
1,789 |
1,188 |
$355.34 |
| 93227 |
|
18 |
16 |
$352.17 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
681 |
529 |
$349.18 |
| 86617 |
|
28 |
17 |
$321.76 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
720 |
539 |
$311.61 |
| 85220 |
|
15 |
15 |
$311.16 |
| 93248 |
|
16 |
16 |
$310.71 |
| 0296T |
|
26 |
25 |
$310.26 |
| 99241 |
|
26 |
26 |
$304.80 |
| 80230 |
|
376 |
276 |
$297.26 |
| 88142 |
|
291 |
255 |
$296.77 |
| 87107 |
|
144 |
124 |
$291.97 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
14 |
14 |
$290.96 |
| 70260 |
|
13 |
12 |
$272.68 |
| J1644 |
Injection, heparin sodium, per 1000 units |
5,360 |
2,264 |
$271.05 |
| 80145 |
|
14 |
12 |
$263.31 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
741 |
616 |
$253.57 |
| 86663 |
|
66 |
57 |
$231.20 |
| 96168 |
|
3,037 |
2,069 |
$226.58 |
| D0272 |
Bitewings - two radiographic images |
22 |
22 |
$220.00 |
| 76881 |
|
14 |
12 |
$210.15 |
| 86147 |
|
29 |
24 |
$208.43 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
3,459 |
2,580 |
$202.33 |
| 87185 |
|
189 |
156 |
$188.58 |
| J0834 |
Injection, cosyntropin, 0.25 mg |
19 |
12 |
$185.30 |
| J3480 |
Injection, potassium chloride, per 2 meq |
769 |
385 |
$180.14 |
| 86162 |
|
36 |
26 |
$175.16 |
| 84300 |
|
30 |
25 |
$163.02 |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
20 |
17 |
$152.78 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
261 |
194 |
$151.83 |
| J0735 |
Injection, clonidine hydrochloride, 1 mg |
17 |
13 |
$145.75 |
| 84207 |
|
12 |
12 |
$141.85 |
| 83003 |
|
32 |
25 |
$139.55 |
| 83937 |
|
33 |
24 |
$134.23 |
| 88108 |
|
529 |
342 |
$134.16 |
| 92226 |
|
487 |
425 |
$131.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
839 |
612 |
$124.69 |
| 83930 |
|
20 |
13 |
$122.56 |
| 83721 |
|
12 |
12 |
$108.38 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,847 |
1,107 |
$107.93 |
| 86215 |
|
12 |
12 |
$93.11 |
| 87210 |
|
335 |
282 |
$90.83 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
606 |
578 |
$87.22 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
281 |
220 |
$76.92 |
| 86812 |
|
15 |
12 |
$69.80 |
| 77076 |
|
12 |
12 |
$68.16 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
1,122 |
794 |
$62.74 |
| 96154 |
|
229 |
205 |
$57.22 |
| J1756 |
Injection, iron sucrose, 1 mg |
117 |
60 |
$48.30 |
| 96040 |
|
373 |
372 |
$47.70 |
| J2060 |
Injection, lorazepam, 2 mg |
149 |
91 |
$47.31 |
| J0610 |
Injection, calcium gluconate (fresenius kabi), per 10 ml |
1,704 |
826 |
$47.17 |
| J1836 |
Injection, metronidazole, 10 mg |
324 |
260 |
$46.96 |
| 87220 |
|
26 |
25 |
$43.54 |
| 87075 |
|
77 |
51 |
$43.06 |
| 85290 |
|
16 |
14 |
$40.40 |
| J0137 |
Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg |
59 |
34 |
$35.36 |
| 87176 |
|
208 |
157 |
$33.29 |
| J9250 |
Methotrexate sodium, 5 mg |
256 |
110 |
$29.85 |
| J1597 |
Injection, glycopyrrolate (glyrx-pf), 0.1 mg |
119 |
117 |
$25.79 |
| J1630 |
Injection, haloperidol, up to 5 mg |
24 |
14 |
$13.05 |
| 70300 |
|
22 |
16 |
$12.96 |
| J2004 |
Injection, lidocaine hcl with epinephrine, 1 mg |
444 |
435 |
$12.50 |
| J1940 |
Injection, furosemide, up to 20 mg |
55 |
42 |
$6.44 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
215 |
179 |
$6.38 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
19 |
14 |
$0.92 |
| Q0163 |
Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen |
295 |
260 |
$0.56 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
267 |
255 |
$0.47 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
442 |
422 |
$0.00 |
| 88300 |
|
106 |
94 |
$0.00 |
| 00320 |
|
41 |
41 |
$0.00 |
| C1769 |
Guide wire |
17 |
13 |
$0.00 |
| 01730 |
|
103 |
86 |
$0.00 |
| 01400 |
|
145 |
118 |
$0.00 |
| V5299 |
Hearing service, miscellaneous |
21 |
13 |
$0.00 |
| 85397 |
|
13 |
12 |
$0.00 |
| C1819 |
Surgical tissue localization and excision device (implantable) |
27 |
27 |
$0.00 |
| 96121 |
|
46 |
42 |
$0.00 |
| 88311 |
|
44 |
37 |
$0.00 |
| 01480 |
|
77 |
57 |
$0.00 |
| 96411 |
|
140 |
70 |
$0.00 |
| 96150 |
|
26 |
26 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
424 |
401 |
$0.00 |
| J9260 |
Injection, methotrexate sodium, 50 mg |
149 |
92 |
$0.00 |
| G0390 |
Trauma response team associated with hospital critical care service |
24 |
17 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
163 |
151 |
$0.00 |
| 00520 |
|
86 |
68 |
$0.00 |
| 94645 |
|
19 |
12 |
$0.00 |
| 92225 |
|
13 |
13 |
$0.00 |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
39 |
39 |
$0.00 |