| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
587 |
586 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52,976 |
46,178 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,304 |
3,236 |
$28K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
856 |
843 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46,912 |
40,840 |
$23K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
880 |
522 |
$17K |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
435 |
426 |
$17K |
| G0483 |
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; 22 or more drug class(es), including metabolite(s) if performed |
41 |
41 |
$12K |
| J3490 |
Unclassified drugs |
482 |
475 |
$12K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,806 |
701 |
$10K |
| 99222 |
Initial hospital care, per day, moderate complexity |
421 |
385 |
$10K |
| 92551 |
|
895 |
893 |
$10K |
| 99205 |
Prolong outpt/office vis |
429 |
423 |
$8K |
| 92526 |
|
522 |
186 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,167 |
6,024 |
$7K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,201 |
422 |
$7K |
| 99215 |
Prolong outpt/office vis |
3,361 |
3,050 |
$6K |
| 99233 |
Prolong inpt eval add15 m |
1,435 |
466 |
$5K |
| 90651 |
|
1,566 |
1,564 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,486 |
3,482 |
$4K |
| 90670 |
|
1,862 |
1,855 |
$3K |
| 99152 |
|
209 |
207 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
14 |
14 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,592 |
2,590 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
429 |
424 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,744 |
1,709 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,914 |
1,914 |
$2K |
| 90734 |
|
988 |
988 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
990 |
966 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
768 |
676 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,945 |
2,924 |
$2K |
| 59025 |
Fetal non-stress test |
1,000 |
370 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
955 |
948 |
$2K |
| 90686 |
|
7,518 |
7,500 |
$2K |
| 90710 |
|
634 |
634 |
$1K |
| 20610 |
|
551 |
492 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,661 |
1,626 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,271 |
3,737 |
$1K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
394 |
388 |
$1K |
| 90716 |
|
654 |
653 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
1,861 |
1,803 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,440 |
1,432 |
$997.64 |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
131 |
129 |
$961.64 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
514 |
485 |
$948.72 |
| 90620 |
|
511 |
511 |
$888.86 |
| 92557 |
|
13 |
13 |
$858.12 |
| 17110 |
|
614 |
585 |
$857.80 |
| 99243 |
|
604 |
601 |
$833.31 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,678 |
1,495 |
$745.76 |
| 99245 |
|
189 |
187 |
$729.72 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
40 |
36 |
$727.99 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
729 |
689 |
$658.36 |
| 94060 |
|
755 |
754 |
$626.56 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,867 |
2,304 |
$619.58 |
| 90723 |
|
1,028 |
1,027 |
$615.42 |
| 90707 |
|
649 |
647 |
$610.52 |
| 99385 |
|
313 |
311 |
$599.04 |
| 90633 |
|
1,319 |
1,318 |
$532.05 |
| 90715 |
|
1,796 |
1,793 |
$512.01 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,568 |
3,490 |
$506.87 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
619 |
619 |
$494.62 |
| 90696 |
|
599 |
598 |
$486.68 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,772 |
1,717 |
$482.14 |
| 93000 |
|
1,829 |
1,791 |
$441.95 |
| 92550 |
|
14 |
13 |
$432.88 |
| 20611 |
|
702 |
569 |
$428.28 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,155 |
1,155 |
$426.02 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,964 |
2,600 |
$415.22 |
| 94726 |
|
481 |
481 |
$395.59 |
| 94729 |
|
458 |
458 |
$392.53 |
| 92002 |
|
362 |
361 |
$390.06 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
68 |
24 |
$389.90 |
| 90648 |
|
1,569 |
1,566 |
$373.04 |
| 71045 |
Radiologic examination, chest; single view |
1,874 |
1,404 |
$372.49 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,320 |
1,221 |
$366.87 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
351 |
342 |
$354.79 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
357 |
347 |
$346.39 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
494 |
455 |
$336.90 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
971 |
907 |
$318.79 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,122 |
4,011 |
$291.42 |
| 90700 |
|
568 |
566 |
$284.20 |
| 69210 |
|
248 |
213 |
$266.09 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
437 |
387 |
$259.99 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
87 |
85 |
$242.93 |
| 76942 |
|
695 |
684 |
$230.89 |
| 92523 |
|
12 |
12 |
$228.52 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
34 |
29 |
$224.75 |
| 83655 |
|
1,086 |
1,060 |
$223.20 |
| 95144 |
|
4,176 |
1,840 |
$218.96 |
| 74018 |
|
458 |
419 |
$213.38 |
| 93224 |
|
88 |
88 |
$206.36 |
| 76830 |
Ultrasound, transvaginal |
819 |
805 |
$197.26 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
2,041 |
1,516 |
$193.46 |
| 95117 |
|
3,419 |
1,579 |
$186.83 |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,258 |
3,222 |
$177.11 |
| 80053 |
Comprehensive metabolic panel |
7,326 |
7,054 |
$174.96 |
| 85018 |
|
3,790 |
3,766 |
$173.16 |
| 90681 |
|
410 |
410 |
$169.66 |
| 73610 |
|
612 |
561 |
$164.69 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
192 |
191 |
$164.30 |
| 70450 |
Computed tomography, head or brain; without contrast material |
599 |
567 |
$159.29 |
| 80061 |
Lipid panel |
5,715 |
5,647 |
$159.28 |
| 92083 |
|
124 |
123 |
$158.65 |
| 99255 |
|
13 |
12 |
$150.94 |
| 76536 |
|
76 |
75 |
$146.38 |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
245 |
198 |
$136.65 |
| 73080 |
|
63 |
56 |
$136.41 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,362 |
6,255 |
$124.24 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,205 |
2,066 |
$119.61 |
| 99241 |
|
14 |
14 |
$117.82 |
| 73630 |
|
761 |
685 |
$117.54 |
| 92133 |
|
202 |
198 |
$112.88 |
| 76519 |
|
290 |
286 |
$107.58 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,700 |
4,588 |
$107.54 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,701 |
4,591 |
$107.19 |
| 81002 |
|
3,864 |
3,682 |
$101.02 |
| 73140 |
|
394 |
361 |
$100.55 |
| 73110 |
|
637 |
539 |
$99.52 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
40 |
38 |
$98.53 |
| 73564 |
|
270 |
231 |
$96.95 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,522 |
5,139 |
$92.83 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
597 |
590 |
$92.00 |
| 20551 |
|
122 |
112 |
$91.86 |
| 99242 |
|
98 |
98 |
$90.86 |
| 73030 |
|
531 |
492 |
$87.92 |
| 92504 |
|
16 |
13 |
$87.42 |
| 11721 |
|
122 |
121 |
$84.12 |
| 73562 |
|
414 |
362 |
$81.84 |
| 69209 |
|
402 |
346 |
$80.80 |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
105 |
105 |
$76.64 |
| 92134 |
|
573 |
549 |
$74.97 |
| 73560 |
|
253 |
224 |
$70.37 |
| 59425 |
|
2,497 |
1,593 |
$70.00 |
| 84439 |
|
1,603 |
1,575 |
$68.42 |
| 99221 |
|
70 |
66 |
$66.03 |
| 87070 |
|
1,318 |
1,301 |
$64.59 |
| 81025 |
|
1,568 |
1,508 |
$62.92 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,916 |
2,765 |
$62.20 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
358 |
314 |
$58.41 |
| 72100 |
|
403 |
400 |
$53.01 |
| 87088 |
|
2,282 |
2,183 |
$52.90 |
| 90685 |
|
73 |
72 |
$52.54 |
| 99201 |
|
329 |
327 |
$51.01 |
| 76642 |
|
171 |
151 |
$50.44 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,618 |
1,602 |
$42.14 |
| 73590 |
|
32 |
31 |
$41.56 |
| 88304 |
|
296 |
239 |
$41.45 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,284 |
1,162 |
$41.43 |
| 82728 |
|
1,246 |
1,211 |
$41.04 |
| 87186 |
|
949 |
923 |
$39.75 |
| 86580 |
|
774 |
746 |
$34.77 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,537 |
1,529 |
$34.44 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
132 |
68 |
$32.48 |
| 87510 |
|
296 |
292 |
$31.59 |
| 87480 |
|
296 |
292 |
$31.55 |
| 87660 |
|
296 |
292 |
$31.41 |
| 64615 |
|
26 |
26 |
$30.41 |
| 87075 |
|
133 |
132 |
$29.20 |
| 73130 |
|
622 |
545 |
$26.84 |
| 82043 |
|
1,408 |
1,397 |
$26.17 |
| 20553 |
|
73 |
61 |
$25.14 |
| 82570 |
|
1,847 |
1,810 |
$24.15 |
| 83550 |
|
1,189 |
1,160 |
$23.42 |
| 86803 |
|
906 |
903 |
$21.37 |
| 86787 |
|
467 |
465 |
$19.92 |
| 82951 |
|
314 |
313 |
$19.72 |
| 85027 |
|
2,319 |
2,297 |
$19.70 |
| 83540 |
|
1,267 |
1,236 |
$19.44 |
| 95115 |
|
757 |
324 |
$17.64 |
| 20550 |
|
133 |
121 |
$16.74 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,956 |
1,495 |
$14.35 |
| 81001 |
|
2,416 |
2,340 |
$14.27 |
| 87147 |
|
419 |
416 |
$13.68 |
| 92015 |
Determination of refractive state |
131 |
131 |
$13.62 |
| 93015 |
|
13 |
13 |
$13.43 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,376 |
1,320 |
$12.72 |
| 87077 |
|
784 |
761 |
$12.39 |
| 87205 |
|
174 |
173 |
$11.76 |
| 83690 |
|
224 |
221 |
$10.34 |
| 86140 |
|
939 |
921 |
$8.10 |
| 86592 |
|
1,692 |
1,674 |
$6.72 |
| 85610 |
|
1,973 |
1,627 |
$5.93 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
1,681 |
1,610 |
$4.92 |
| 85652 |
|
1,253 |
1,236 |
$4.22 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
177 |
158 |
$4.18 |
| 93793 |
|
814 |
629 |
$2.17 |
| 86708 |
|
12 |
12 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
34 |
34 |
$0.00 |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
82 |
82 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
1,110 |
1,110 |
$0.00 |
| 86480 |
|
340 |
339 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
307 |
302 |
$0.00 |
| 80076 |
|
369 |
362 |
$0.00 |
| 83516 |
|
267 |
248 |
$0.00 |
| 86765 |
|
12 |
12 |
$0.00 |
| 81003 |
|
134 |
133 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
727 |
724 |
$0.00 |
| 83013 |
|
285 |
284 |
$0.00 |
| 84550 |
|
327 |
313 |
$0.00 |
| 86038 |
|
462 |
455 |
$0.00 |
| 20552 |
|
59 |
50 |
$0.00 |
| 87512 |
|
121 |
120 |
$0.00 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$0.00 |
| 87427 |
|
160 |
158 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,067 |
989 |
$0.00 |
| 86900 |
|
450 |
447 |
$0.00 |
| 80074 |
|
96 |
95 |
$0.00 |
| 90750 |
|
37 |
37 |
$0.00 |
| 84156 |
|
317 |
306 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
299 |
273 |
$0.00 |
| 87481 |
|
162 |
128 |
$0.00 |
| 86431 |
|
218 |
216 |
$0.00 |
| 82274 |
|
56 |
56 |
$0.00 |
| 90746 |
|
56 |
56 |
$0.00 |
| 87045 |
|
156 |
154 |
$0.00 |
| 84403 |
|
281 |
275 |
$0.00 |
| 82652 |
|
128 |
128 |
$0.00 |
| 87209 |
|
68 |
66 |
$0.00 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
77 |
76 |
$0.00 |
| 87799 |
|
329 |
135 |
$0.00 |
| 99401 |
|
248 |
248 |
$0.00 |
| 76770 |
|
27 |
27 |
$0.00 |
| 85014 |
|
42 |
40 |
$0.00 |
| 84702 |
|
193 |
152 |
$0.00 |
| 84450 |
|
14 |
14 |
$0.00 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
25 |
25 |
$0.00 |
| 11750 |
|
14 |
12 |
$0.00 |
| 85007 |
|
65 |
63 |
$0.00 |
| 83970 |
|
95 |
93 |
$0.00 |
| 85048 |
|
53 |
53 |
$0.00 |
| 87177 |
|
68 |
66 |
$0.00 |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
21 |
12 |
$0.00 |
| 86200 |
|
12 |
12 |
$0.00 |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
25 |
25 |
$0.00 |
| 84146 |
|
64 |
61 |
$0.00 |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
14 |
14 |
$0.00 |
| 84481 |
|
44 |
44 |
$0.00 |
| 86003 |
|
13 |
13 |
$0.00 |
| 90653 |
|
22 |
22 |
$0.00 |
| 84460 |
|
27 |
27 |
$0.00 |
| 76813 |
|
13 |
13 |
$0.00 |
| 90662 |
|
31 |
31 |
$0.00 |
| 86735 |
|
12 |
12 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
13 |
13 |
$0.00 |
| 72141 |
|
12 |
12 |
$0.00 |
| 93325 |
|
14 |
13 |
$0.00 |
| 10060 |
|
13 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,559 |
5,443 |
$0.00 |
| 82962 |
|
406 |
388 |
$0.00 |
| 84153 |
|
263 |
258 |
$0.00 |
| 82607 |
|
906 |
896 |
$0.00 |
| 88142 |
|
717 |
717 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
352 |
321 |
$0.00 |
| 82784 |
|
242 |
239 |
$0.00 |
| 87046 |
|
158 |
156 |
$0.00 |
| 86317 |
|
39 |
39 |
$0.00 |
| 86850 |
|
421 |
420 |
$0.00 |
| 87340 |
|
852 |
849 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
75 |
73 |
$0.00 |
| 88307 |
|
58 |
52 |
$0.00 |
| 87081 |
|
1,277 |
1,275 |
$0.00 |
| 80069 |
|
170 |
164 |
$0.00 |
| 93016 |
|
15 |
15 |
$0.00 |
| 88141 |
|
55 |
55 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
350 |
347 |
$0.00 |
| 86901 |
|
472 |
469 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,152 |
1,152 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
26 |
24 |
$0.00 |
| 86762 |
|
569 |
559 |
$0.00 |
| 92250 |
|
37 |
37 |
$0.00 |
| 85730 |
|
225 |
220 |
$0.00 |
| 82746 |
|
512 |
507 |
$0.00 |
| 83014 |
|
186 |
185 |
$0.00 |
| 86800 |
|
13 |
13 |
$0.00 |
| 00142 |
|
212 |
174 |
$0.00 |
| 62326 |
|
48 |
48 |
$0.00 |
| 99070 |
|
118 |
100 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
157 |
131 |
$0.00 |
| 99383 |
|
73 |
72 |
$0.00 |
| 11200 |
|
24 |
24 |
$0.00 |
| 58300 |
|
214 |
212 |
$0.00 |
| 83001 |
|
167 |
163 |
$0.00 |
| 83735 |
|
168 |
146 |
$0.00 |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
37 |
37 |
$0.00 |
| 58100 |
|
16 |
16 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
67 |
67 |
$0.00 |
| 58301 |
|
28 |
27 |
$0.00 |
| 99406 |
|
39 |
38 |
$0.00 |
| 72040 |
|
74 |
74 |
$0.00 |
| 83002 |
|
42 |
42 |
$0.00 |
| 17000 |
|
13 |
13 |
$0.00 |
| 88342 |
|
45 |
40 |
$0.00 |
| 93971 |
|
12 |
12 |
$0.00 |
| 87521 |
Neg quan hep c or qual rna |
28 |
28 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
66 |
64 |
$0.00 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
25 |
25 |
$0.00 |
| 95012 |
|
53 |
52 |
$0.00 |
| 82378 |
|
13 |
12 |
$0.00 |
| 73502 |
|
65 |
63 |
$0.00 |
| 93018 |
|
16 |
16 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
48 |
48 |
$0.00 |
| 86376 |
|
69 |
68 |
$0.00 |
| 90674 |
|
32 |
32 |
$0.00 |
| 59430 |
|
107 |
107 |
$0.00 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$0.00 |
| 70486 |
|
12 |
12 |
$0.00 |
| 81000 |
|
16 |
16 |
$0.00 |
| 99384 |
|
32 |
32 |
$0.00 |
| 86704 |
|
12 |
12 |
$0.00 |
| 84402 |
|
15 |
15 |
$0.00 |
| 59514 |
|
24 |
13 |
$0.00 |
| 82550 |
|
13 |
12 |
$0.00 |