| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
21,914 |
19,070 |
$42.76M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
100,630 |
89,393 |
$23.73M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
52,550 |
45,752 |
$22.14M |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
7,571 |
6,359 |
$15.13M |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
2,838 |
2,685 |
$14.46M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
83,765 |
75,034 |
$11.37M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
92,916 |
33,336 |
$6.89M |
| J3380 |
Injection, vedolizumab, intravenous, 1 mg |
1,586 |
1,088 |
$6.87M |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
5,598 |
5,332 |
$5.41M |
| G0379 |
Direct admission of patient for hospital observation care |
2,065 |
1,835 |
$4.45M |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
46,693 |
24,284 |
$4.29M |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
84,103 |
32,222 |
$4.18M |
| 42830 |
|
1,492 |
1,421 |
$4.02M |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
3,896 |
3,683 |
$3.48M |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
9,727 |
7,743 |
$3.03M |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
6,320 |
5,719 |
$2.88M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
5,876 |
5,419 |
$2.85M |
| 95782 |
|
2,810 |
2,719 |
$2.81M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
4,422 |
4,079 |
$2.77M |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
19,435 |
16,747 |
$2.40M |
| 44970 |
|
443 |
405 |
$2.20M |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
12,244 |
9,624 |
$2.18M |
| 93304 |
|
3,814 |
3,327 |
$1.93M |
| 92587 |
|
7,081 |
6,727 |
$1.92M |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14,778 |
12,557 |
$1.91M |
| G0330 |
Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room |
1,361 |
1,238 |
$1.90M |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
14,701 |
12,235 |
$1.71M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
11,898 |
10,048 |
$1.70M |
| 71046 |
Radiologic examination, chest; 2 views |
24,198 |
21,051 |
$1.68M |
| 92523 |
|
7,034 |
6,649 |
$1.67M |
| J1569 |
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg |
731 |
446 |
$1.66M |
| 92579 |
|
12,995 |
12,327 |
$1.50M |
| 54161 |
|
1,082 |
1,014 |
$1.47M |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
3,443 |
3,177 |
$1.44M |
| 76770 |
|
12,824 |
11,837 |
$1.39M |
| 93975 |
|
7,268 |
6,193 |
$1.39M |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
8,211 |
7,238 |
$1.21M |
| 41899 |
Unlisted procedure, dentoalveolar structures |
4,836 |
4,313 |
$1.20M |
| 94010 |
|
8,829 |
8,234 |
$1.15M |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,179 |
1,048 |
$1.10M |
| 92552 |
|
8,854 |
8,228 |
$858K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
10,811 |
9,938 |
$831K |
| 92610 |
|
3,795 |
3,510 |
$823K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
3,643 |
3,062 |
$787K |
| 92526 |
|
8,054 |
5,428 |
$727K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
16,322 |
11,779 |
$723K |
| 92582 |
|
5,529 |
5,220 |
$719K |
| 97161 |
|
9,475 |
8,795 |
$694K |
| 94060 |
|
2,495 |
2,338 |
$686K |
| 97162 |
|
9,394 |
8,551 |
$669K |
| 36430 |
|
2,038 |
1,287 |
$647K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
34,431 |
30,501 |
$633K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
13,078 |
6,937 |
$596K |
| 95812 |
|
2,228 |
2,078 |
$586K |
| 95716 |
|
626 |
555 |
$559K |
| 97165 |
|
6,457 |
5,966 |
$552K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
7,909 |
6,808 |
$522K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
4,378 |
4,042 |
$521K |
| 96415 |
|
7,538 |
6,605 |
$516K |
| 49452 |
|
952 |
542 |
$494K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
11,739 |
8,799 |
$439K |
| 73100 |
|
5,527 |
4,028 |
$425K |
| 72170 |
|
4,421 |
4,068 |
$423K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,934 |
3,435 |
$417K |
| 92553 |
|
3,085 |
2,864 |
$408K |
| 73610 |
|
8,485 |
7,016 |
$383K |
| 72197 |
|
518 |
480 |
$380K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
4,562 |
3,095 |
$373K |
| 95819 |
|
1,430 |
1,329 |
$371K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,587 |
1,435 |
$361K |
| 77072 |
|
3,614 |
3,359 |
$354K |
| 96409 |
|
1,616 |
1,033 |
$348K |
| 93308 |
|
1,589 |
1,425 |
$347K |
| 92611 |
|
1,524 |
1,413 |
$345K |
| 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 |
4,471 |
3,933 |
$345K |
| C9399 |
Unclassified drugs or biologicals |
6,313 |
3,678 |
$340K |
| 95951 |
|
424 |
353 |
$338K |
| 76825 |
|
641 |
601 |
$327K |
| 73564 |
|
4,946 |
4,418 |
$279K |
| 95700 |
|
1,479 |
1,370 |
$275K |
| 72081 |
|
4,464 |
4,160 |
$269K |
| 92652 |
|
1,158 |
1,036 |
$268K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
489 |
239 |
$260K |
| 73090 |
|
5,098 |
3,624 |
$249K |
| 74240 |
|
1,724 |
1,591 |
$232K |
| 24538 |
|
46 |
37 |
$231K |
| 97166 |
|
2,765 |
2,519 |
$230K |
| 74230 |
|
1,575 |
1,442 |
$227K |
| V5090 |
Dispensing fee, unspecified hearing aid |
443 |
370 |
$223K |
| 73070 |
|
2,848 |
2,218 |
$216K |
| 73140 |
|
4,857 |
4,090 |
$215K |
| 73630 |
|
5,968 |
4,913 |
$214K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,827 |
4,380 |
$213K |
| 72082 |
|
2,038 |
1,879 |
$212K |
| 92585 |
|
891 |
812 |
$202K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
4,723 |
4,095 |
$202K |
| 73590 |
|
4,599 |
3,516 |
$197K |
| 76536 |
|
2,930 |
2,671 |
$193K |
| 73080 |
|
4,111 |
3,196 |
$191K |
| 76885 |
|
2,419 |
2,262 |
$186K |
| 31526 |
|
110 |
109 |
$179K |
| 73560 |
|
3,506 |
2,829 |
$177K |
| 54640 |
|
67 |
64 |
$170K |
| 76506 |
|
1,686 |
1,560 |
$169K |
| 76881 |
|
1,527 |
1,306 |
$153K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
452 |
419 |
$148K |
| 95714 |
|
307 |
289 |
$142K |
| 71045 |
Radiologic examination, chest; single view |
2,611 |
2,189 |
$140K |
| 73110 |
|
3,659 |
3,023 |
$140K |
| 86900 |
|
4,343 |
3,035 |
$138K |
| 77073 |
|
1,541 |
1,445 |
$136K |
| 74018 |
|
3,844 |
3,366 |
$131K |
| 92508 |
Group treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,851 |
680 |
$121K |
| 75561 |
|
218 |
183 |
$113K |
| P9016 |
Red blood cells, leukocytes reduced, each unit |
307 |
258 |
$111K |
| 95816 |
|
454 |
430 |
$111K |
| 73130 |
|
3,501 |
2,917 |
$109K |
| 97116 |
|
2,163 |
1,218 |
$107K |
| 25605 |
|
113 |
69 |
$107K |
| 97113 |
|
1,636 |
575 |
$106K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,075 |
3,591 |
$105K |
| 96367 |
|
2,009 |
1,496 |
$99K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
731 |
659 |
$94K |
| 96450 |
|
313 |
255 |
$94K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
10,834 |
10,001 |
$81K |
| 72100 |
|
1,371 |
1,241 |
$78K |
| 74183 |
|
544 |
499 |
$77K |
| 76870 |
|
2,916 |
2,450 |
$77K |
| 73521 |
|
1,681 |
1,518 |
$75K |
| 73030 |
|
1,954 |
1,692 |
$75K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13,297 |
10,829 |
$74K |
| 72141 |
|
238 |
206 |
$73K |
| 73552 |
|
1,982 |
1,674 |
$71K |
| V5264 |
Ear mold/insert, not disposable, any type |
1,679 |
1,497 |
$71K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
21,939 |
7,780 |
$69K |
| 73000 |
|
1,387 |
1,237 |
$68K |
| 93017 |
|
302 |
275 |
$67K |
| 73562 |
|
1,144 |
951 |
$61K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
39,151 |
29,816 |
$58K |
| 74019 |
|
9,989 |
8,725 |
$58K |
| 92522 |
|
242 |
234 |
$57K |
| 92557 |
|
485 |
442 |
$56K |
| 82947 |
|
16,229 |
13,888 |
$51K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
500 |
454 |
$49K |
| V5261 |
Hearing aid, digital, binaural, bte |
71 |
62 |
$48K |
| 97533 |
|
688 |
342 |
$45K |
| 10060 |
|
261 |
229 |
$45K |
| 0001A |
|
1,188 |
1,087 |
$42K |
| 92555 |
|
16,926 |
15,832 |
$40K |
| 0002A |
|
1,051 |
999 |
$39K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
208 |
192 |
$39K |
| 97542 |
|
595 |
548 |
$38K |
| 20680 |
|
14 |
14 |
$37K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
798 |
718 |
$35K |
| 85246 |
|
1,461 |
1,161 |
$34K |
| 94667 |
|
704 |
670 |
$33K |
| 92567 |
|
24,694 |
23,206 |
$32K |
| 51784 |
|
368 |
246 |
$29K |
| 82728 |
|
3,954 |
3,484 |
$29K |
| 73060 |
|
788 |
618 |
$28K |
| 95811 |
|
28 |
27 |
$28K |
| 90375 |
|
19 |
12 |
$27K |
| G0378 |
Hospital observation service, per hour |
16,695 |
13,479 |
$27K |
| 76800 |
|
251 |
244 |
$26K |
| 67311 |
|
13 |
13 |
$26K |
| 97535 |
Self-care/home management training, each 15 minutes |
5,132 |
2,673 |
$23K |
| 92651 |
|
113 |
106 |
$23K |
| 80053 |
Comprehensive metabolic panel |
10,294 |
8,046 |
$23K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
608 |
520 |
$22K |
| 73660 |
|
618 |
528 |
$20K |
| 70360 |
|
627 |
574 |
$20K |
| 87631 |
|
5,427 |
5,025 |
$19K |
| 24640 |
|
84 |
79 |
$19K |
| 77077 |
|
222 |
212 |
$19K |
| 73620 |
|
620 |
420 |
$18K |
| 76000 |
|
602 |
385 |
$18K |
| 71250 |
|
171 |
164 |
$18K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,953 |
1,744 |
$17K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,957 |
1,747 |
$17K |
| 86902 |
|
101 |
88 |
$16K |
| 95813 |
|
54 |
54 |
$14K |
| 82962 |
|
16,421 |
13,576 |
$14K |
| 29105 |
|
89 |
82 |
$13K |
| 83550 |
|
2,394 |
2,140 |
$13K |
| 85240 |
|
1,145 |
1,027 |
$13K |
| 76641 |
|
193 |
133 |
$13K |
| 97014 |
|
290 |
166 |
$12K |
| 76857 |
|
144 |
115 |
$11K |
| 74455 |
|
46 |
43 |
$11K |
| 92593 |
|
663 |
601 |
$10K |
| 83540 |
|
2,469 |
2,203 |
$10K |
| 74210 |
|
41 |
41 |
$9K |
| 85045 |
|
5,202 |
4,285 |
$9K |
| 74220 |
|
55 |
51 |
$7K |
| 86923 |
|
882 |
692 |
$7K |
| 95953 |
|
12 |
12 |
$7K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
134 |
122 |
$6K |
| 72156 |
|
26 |
25 |
$6K |
| 94664 |
|
48 |
48 |
$6K |
| 72040 |
|
252 |
220 |
$5K |
| 85730 |
|
6,119 |
5,264 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,352 |
2,044 |
$5K |
| V5257 |
Hearing aid, digital, monaural, bte |
18 |
14 |
$5K |
| 0071A |
|
121 |
118 |
$5K |
| 72070 |
|
128 |
119 |
$5K |
| J3490 |
Unclassified drugs |
284,454 |
110,332 |
$4K |
| 0072A |
|
102 |
102 |
$4K |
| 64615 |
|
13 |
13 |
$4K |
| 83021 |
|
463 |
397 |
$4K |
| 73600 |
|
68 |
49 |
$4K |
| 70491 |
|
12 |
12 |
$4K |
| 82784 |
|
958 |
767 |
$4K |
| J0134 |
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
11,305 |
5,523 |
$4K |
| 90675 |
|
14 |
12 |
$4K |
| 72157 |
|
40 |
38 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
422 |
375 |
$4K |
| 92586 |
|
27 |
26 |
$4K |
| 85610 |
|
6,353 |
5,410 |
$3K |
| 96411 |
|
39 |
25 |
$3K |
| 93325 |
|
13,215 |
11,704 |
$3K |
| 74712 |
|
13 |
13 |
$3K |
| 85250 |
|
275 |
263 |
$3K |
| 77080 |
|
41 |
28 |
$3K |
| 83735 |
|
7,062 |
5,258 |
$3K |
| 94726 |
|
28 |
27 |
$3K |
| 76826 |
|
12 |
12 |
$3K |
| 85384 |
|
590 |
530 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
7,854 |
5,848 |
$3K |
| 12001 |
|
1,337 |
1,269 |
$3K |
| 72158 |
|
41 |
41 |
$2K |
| 76010 |
|
1,171 |
1,076 |
$2K |
| 92591 |
|
76 |
67 |
$2K |
| 12011 |
|
2,114 |
1,999 |
$2K |
| 0012A |
|
142 |
87 |
$2K |
| 72146 |
|
44 |
36 |
$2K |
| 85027 |
|
2,378 |
2,093 |
$2K |
| J2704 |
Injection, propofol, 10 mg |
28,268 |
24,329 |
$2K |
| 83615 |
|
2,466 |
2,098 |
$2K |
| 92602 |
|
14 |
13 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
76 |
63 |
$2K |
| 76820 |
|
1,130 |
1,025 |
$2K |
| 94644 |
|
1,337 |
1,036 |
$2K |
| 81003 |
|
27,398 |
20,185 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,163 |
1,029 |
$2K |
| 14040 |
|
52 |
49 |
$2K |
| 86780 |
|
155 |
145 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,207 |
1,054 |
$2K |
| 77074 |
|
13 |
13 |
$2K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
8,927 |
4,496 |
$2K |
| 84439 |
|
1,767 |
1,526 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
6,342 |
5,471 |
$1K |
| 92556 |
|
1,434 |
1,339 |
$1K |
| 86140 |
|
14,308 |
11,748 |
$1K |
| 88342 |
|
1,448 |
1,278 |
$1K |
| 72083 |
|
12 |
12 |
$1K |
| 84100 |
|
7,132 |
5,290 |
$1K |
| 85652 |
|
5,727 |
4,812 |
$1K |
| 81025 |
|
17,527 |
15,226 |
$1K |
| 80047 |
|
803 |
516 |
$1K |
| 73700 |
|
16 |
12 |
$1K |
| 70486 |
|
13 |
13 |
$1K |
| 97163 |
|
15 |
14 |
$1K |
| 97167 |
|
14 |
12 |
$1K |
| 76604 |
|
42 |
41 |
$1K |
| 85007 |
|
852 |
749 |
$1K |
| 82330 |
|
11,459 |
9,709 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
4,944 |
4,686 |
$1K |
| 85270 |
|
70 |
67 |
$974.70 |
| 76821 |
|
1,136 |
1,031 |
$967.53 |
| 0111A |
|
59 |
25 |
$920.00 |
| 95012 |
|
1,052 |
963 |
$899.41 |
| 97032 |
|
14 |
12 |
$882.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,226 |
3,556 |
$864.61 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
22,092 |
15,003 |
$859.17 |
| 82248 |
|
2,601 |
2,064 |
$849.33 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
1,501 |
1,385 |
$781.01 |
| 90686 |
|
201 |
188 |
$761.20 |
| 80076 |
|
5,057 |
4,253 |
$743.22 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
41,548 |
35,048 |
$731.94 |
| J7050 |
Infusion, normal saline solution, 250 cc |
37,085 |
22,411 |
$703.01 |
| 86665 |
|
380 |
350 |
$690.71 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
41,061 |
26,837 |
$689.92 |
| 82565 |
|
16,483 |
13,999 |
$672.73 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
40 |
30 |
$640.15 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
1,558 |
1,146 |
$639.64 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
37,697 |
19,687 |
$556.19 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
7,269 |
6,198 |
$537.91 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
9,023 |
5,375 |
$532.05 |
| 85014 |
|
1,922 |
1,620 |
$481.11 |
| 0112A |
|
27 |
13 |
$480.00 |
| 76376 |
|
844 |
726 |
$380.86 |
| 82977 |
|
5,683 |
4,865 |
$377.83 |
| 85041 |
|
264 |
226 |
$365.75 |
| 87077 |
|
2,726 |
2,390 |
$363.89 |
| 76827 |
|
641 |
601 |
$363.03 |
| 82803 |
|
2,840 |
2,363 |
$361.29 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
10,835 |
9,672 |
$356.48 |
| 83880 |
|
836 |
698 |
$330.09 |
| 92592 |
|
31 |
30 |
$323.64 |
| 85018 |
|
314 |
273 |
$323.18 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
15,906 |
12,843 |
$307.11 |
| 82247 |
|
1,568 |
1,347 |
$301.54 |
| 86664 |
|
343 |
322 |
$290.42 |
| 86850 |
|
4,321 |
3,016 |
$280.37 |
| 84145 |
|
2,163 |
1,856 |
$274.88 |
| 80061 |
Lipid panel |
25 |
25 |
$274.15 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
17,873 |
16,369 |
$264.16 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
18,525 |
16,665 |
$261.08 |
| 86663 |
|
274 |
259 |
$249.08 |
| 84702 |
|
275 |
240 |
$236.07 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,081 |
1,030 |
$231.76 |
| 82010 |
|
64 |
49 |
$230.10 |
| 83690 |
|
4,610 |
3,966 |
$221.48 |
| 87070 |
|
2,446 |
2,160 |
$208.48 |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
13 |
12 |
$197.16 |
| 87186 |
|
2,060 |
1,827 |
$194.55 |
| J7699 |
Noc drugs, inhalation solution administered through dme |
746 |
640 |
$192.20 |
| 82435 |
|
15,780 |
13,520 |
$184.82 |
| 83605 |
|
856 |
699 |
$183.15 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
2,104 |
1,744 |
$179.07 |
| 85230 |
|
13 |
12 |
$171.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
938 |
663 |
$157.40 |
| 87040 |
|
3,689 |
3,163 |
$156.92 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
3,147 |
2,165 |
$153.52 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,817 |
2,001 |
$153.52 |
| J3535 |
Drug administered through a metered dose inhaler |
10,643 |
9,709 |
$143.32 |
| 82150 |
|
2,040 |
1,767 |
$141.11 |
| 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 |
27,190 |
24,058 |
$131.84 |
| 84520 |
|
15,856 |
13,574 |
$130.25 |
| 84295 |
|
16,270 |
13,898 |
$126.61 |
| 86901 |
|
4,326 |
3,021 |
$125.91 |
| 82374 |
|
15,680 |
13,450 |
$124.93 |
| 82570 |
|
52 |
42 |
$113.62 |
| J1720 |
Injection, hydrocortisone sodium succinate, up to 100 mg |
191 |
122 |
$110.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,187 |
6,607 |
$110.42 |
| 87205 |
|
2,419 |
2,132 |
$106.06 |
| 84132 |
|
16,294 |
13,927 |
$105.55 |
| 86038 |
|
34 |
26 |
$103.86 |
| 88304 |
|
1,942 |
1,792 |
$102.19 |
| 87081 |
|
5,507 |
5,041 |
$96.68 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
12,159 |
5,909 |
$83.24 |
| 82550 |
|
1,312 |
1,126 |
$80.22 |
| 87328 |
|
510 |
485 |
$80.15 |
| 82105 |
|
12 |
12 |
$80.10 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
2,199 |
2,012 |
$75.00 |
| 86364 |
|
86 |
68 |
$66.12 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
9,242 |
8,115 |
$58.32 |
| 84450 |
|
2,107 |
1,841 |
$56.20 |
| 86618 |
|
351 |
274 |
$48.81 |
| 85379 |
|
80 |
70 |
$48.60 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
12,588 |
9,916 |
$42.75 |
| 82040 |
|
830 |
739 |
$41.95 |
| 76828 |
|
12 |
12 |
$40.26 |
| 36416 |
|
11,637 |
10,193 |
$35.49 |
| 29125 |
|
266 |
243 |
$32.27 |
| 84460 |
|
2,068 |
1,813 |
$25.55 |
| 81001 |
|
4,556 |
4,212 |
$23.71 |
| J1836 |
Injection, metronidazole, 10 mg |
150 |
93 |
$23.40 |
| 84484 |
|
923 |
763 |
$22.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$22.00 |
| 87184 |
|
376 |
321 |
$19.78 |
| 87340 |
|
70 |
69 |
$19.74 |
| 84550 |
|
304 |
266 |
$17.84 |
| 87075 |
|
167 |
154 |
$16.99 |
| 80069 |
|
28 |
24 |
$16.60 |
| J3480 |
Injection, potassium chloride, per 2 meq |
8,252 |
5,500 |
$15.01 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
18,558 |
4,118 |
$14.19 |
| 82140 |
|
12 |
12 |
$13.92 |
| 86706 |
|
48 |
47 |
$10.26 |
| 89050 |
|
99 |
88 |
$8.47 |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
3,793 |
3,222 |
$5.00 |
| 86308 |
|
143 |
129 |
$4.94 |
| 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 |
9,292 |
6,875 |
$4.19 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
10,667 |
8,293 |
$4.09 |
| 84075 |
|
955 |
836 |
$1.44 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
4,711 |
3,288 |
$0.18 |
| A4217 |
Sterile water/saline, 500 ml |
1,251 |
845 |
$0.00 |
| L8699 |
Prosthetic implant, not otherwise specified |
3,167 |
2,988 |
$0.00 |
| 96376 |
|
2,887 |
1,859 |
$0.00 |
| 93320 |
|
6,457 |
5,832 |
$0.00 |
| 90656 |
|
26 |
26 |
$0.00 |
| J1815 |
Injection, insulin, per 5 units |
982 |
159 |
$0.00 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
598 |
441 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
582 |
555 |
$0.00 |
| 94760 |
|
319 |
291 |
$0.00 |
| J9250 |
Methotrexate sodium, 5 mg |
125 |
102 |
$0.00 |
| C1769 |
Guide wire |
872 |
586 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
4,678 |
3,342 |
$0.00 |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
143 |
72 |
$0.00 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
876 |
789 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
383 |
211 |
$0.00 |
| J7799 |
Noc drugs, other than inhalation drugs, administered through dme |
552 |
343 |
$0.00 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
565 |
328 |
$0.00 |
| 91307 |
|
226 |
185 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
566 |
449 |
$0.00 |
| 96111 |
|
290 |
264 |
$0.00 |
| 86803 |
|
125 |
117 |
$0.00 |
| 51798 |
|
78 |
53 |
$0.00 |
| 96112 |
|
315 |
299 |
$0.00 |
| 12002 |
|
72 |
71 |
$0.00 |
| 12013 |
|
26 |
13 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
94 |
75 |
$0.00 |
| 99156 |
|
61 |
44 |
$0.00 |
| 82553 |
|
142 |
118 |
$0.00 |
| 76377 |
|
344 |
318 |
$0.00 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
150 |
117 |
$0.00 |
| A9150 |
Non-prescription drugs |
11,694 |
8,912 |
$0.00 |
| 85660 |
|
37 |
25 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
186 |
149 |
$0.00 |
| 82533 |
|
17 |
17 |
$0.00 |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
159 |
93 |
$0.00 |
| 82077 |
|
139 |
123 |
$0.00 |
| 87046 |
|
71 |
66 |
$0.00 |
| 81015 |
|
64 |
63 |
$0.00 |
| 94200 |
|
39 |
37 |
$0.00 |
| 51600 |
|
32 |
29 |
$0.00 |
| 86920 |
|
21 |
16 |
$0.00 |
| 84703 |
|
13 |
13 |
$0.00 |
| 91301 |
|
154 |
96 |
$0.00 |
| J0461 |
Injection, atropine sulfate, 0.01 mg |
40 |
25 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
57 |
52 |
$0.00 |
| J7070 |
Infusion, d5w, 1000 cc |
224 |
154 |
$0.00 |
| 51741 |
|
137 |
84 |
$0.00 |
| 98960 |
|
748 |
714 |
$0.00 |
| 93321 |
|
5,310 |
4,688 |
$0.00 |
| 94645 |
|
277 |
221 |
$0.00 |
| 91311 |
|
86 |
25 |
$0.00 |
| J0295 |
Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm |
307 |
103 |
$0.00 |
| 96113 |
|
377 |
339 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
441 |
329 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
1,378 |
1,102 |
$0.00 |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
477 |
453 |
$0.00 |
| 80143 |
|
205 |
175 |
$0.00 |
| 75565 |
|
240 |
192 |
$0.00 |
| 76937 |
|
88 |
71 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
1,394 |
854 |
$0.00 |
| J9370 |
Vincristine sulfate, 1 mg |
1,587 |
841 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
5,887 |
3,493 |
$0.00 |
| J7676 |
Pentamidine isethionate, inhalation solution, compounded product, administered through dme, unit dose form, per 300 mg |
356 |
313 |
$0.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
290 |
253 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
382 |
258 |
$0.00 |
| 92595 |
|
155 |
132 |
$0.00 |
| J7610 |
Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
866 |
773 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
169 |
87 |
$0.00 |
| 91300 |
|
2,239 |
1,835 |
$0.00 |
| 88313 |
|
33 |
28 |
$0.00 |
| L8612 |
Aqueous shunt |
114 |
107 |
$0.00 |
| 82375 |
|
15 |
15 |
$0.00 |
| 80179 |
|
181 |
155 |
$0.00 |
| 51701 |
|
79 |
74 |
$0.00 |
| 94729 |
|
12 |
12 |
$0.00 |
| 81002 |
|
170 |
155 |
$0.00 |
| C8909 |
Magnetic resonance angiography with contrast, chest (excluding myocardium) |
26 |
25 |
$0.00 |
| Q9961 |
High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml |
136 |
97 |
$0.00 |
| S0080 |
Injection, pentamidine isethionate, 300 mg |
16 |
12 |
$0.00 |
| 87427 |
|
57 |
53 |
$0.00 |
| J0688 |
Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg |
28 |
20 |
$0.00 |
| 76882 |
|
12 |
12 |
$0.00 |
| 87045 |
|
57 |
53 |
$0.00 |
| 92594 |
|
13 |
12 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
13 |
13 |
$0.00 |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
77 |
74 |
$0.00 |
| J0136 |
Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg |
2,947 |
1,456 |
$0.00 |
| 86705 |
|
13 |
13 |
$0.00 |
| 69200 |
|
12 |
12 |
$0.00 |
| A4565 |
Slings |
26 |
17 |
$0.00 |