| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
120,240 |
117,061 |
$53.62M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
41,368 |
40,585 |
$37.37M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
193,728 |
185,835 |
$11.16M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
40,917 |
40,374 |
$10.59M |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
3,902 |
3,837 |
$9.55M |
| 95782 |
|
2,671 |
2,604 |
$9.47M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
10,964 |
10,589 |
$8.68M |
| J1561 |
Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg |
2,335 |
1,090 |
$7.73M |
| A0425 |
Ground mileage, per statute mile |
8,926 |
8,515 |
$6.75M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
57,348 |
55,359 |
$4.54M |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
1,438 |
1,419 |
$4.40M |
| 41899 |
Unlisted procedure, dentoalveolar structures |
2,230 |
2,201 |
$3.93M |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
328 |
279 |
$3.67M |
| A0433 |
Advanced life support, level 2 (als 2) |
2,715 |
2,618 |
$3.67M |
| 95812 |
|
3,343 |
3,328 |
$3.46M |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,325 |
3,263 |
$3.44M |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,631 |
1,614 |
$3.37M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42,197 |
40,932 |
$3.31M |
| J2357 |
Injection, omalizumab, 5 mg |
666 |
317 |
$2.99M |
| 92579 |
|
11,601 |
11,501 |
$2.72M |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
4,221 |
4,138 |
$2.29M |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
28,542 |
27,968 |
$2.22M |
| 92567 |
|
23,665 |
23,469 |
$2.19M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
13,048 |
3,681 |
$2.16M |
| 67311 |
|
702 |
695 |
$2.14M |
| 95811 |
|
622 |
600 |
$1.73M |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
9,713 |
9,316 |
$1.63M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,889 |
1,809 |
$1.57M |
| 76770 |
|
5,485 |
5,420 |
$1.51M |
| 71046 |
Radiologic examination, chest; 2 views |
8,967 |
8,805 |
$1.41M |
| 94010 |
|
6,424 |
6,339 |
$1.36M |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
17,089 |
16,750 |
$1.32M |
| 92587 |
|
6,119 |
6,052 |
$1.22M |
| 85027 |
|
22,136 |
18,027 |
$1.21M |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
19,359 |
18,971 |
$1.11M |
| 84443 |
Thyroid stimulating hormone (TSH) |
11,761 |
11,510 |
$1.10M |
| P9016 |
Red blood cells, leukocytes reduced, each unit |
913 |
871 |
$1.01M |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
5,813 |
5,711 |
$1.01M |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
6,483 |
6,415 |
$960K |
| 80069 |
|
7,900 |
6,321 |
$943K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
891 |
880 |
$898K |
| 80053 |
Comprehensive metabolic panel |
11,368 |
10,439 |
$863K |
| 93226 |
|
1,691 |
1,618 |
$817K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
3,379 |
3,147 |
$815K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
20,836 |
19,205 |
$788K |
| 87428 |
|
9,494 |
9,376 |
$786K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
3,247 |
1,078 |
$693K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14,671 |
14,384 |
$675K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
5,412 |
5,359 |
$664K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,308 |
705 |
$653K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,555 |
8,321 |
$651K |
| 36430 |
|
1,186 |
1,116 |
$625K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
604 |
581 |
$615K |
| 84439 |
|
13,265 |
12,984 |
$597K |
| 87799 |
|
2,254 |
1,443 |
$594K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,003 |
983 |
$579K |
| 97803 |
|
12,382 |
12,054 |
$573K |
| 93325 |
|
1,251 |
1,184 |
$565K |
| 82977 |
|
9,955 |
8,382 |
$551K |
| 86902 |
|
1,633 |
1,141 |
$549K |
| 90791 |
Psychiatric diagnostic evaluation |
2,340 |
2,309 |
$504K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
5,992 |
5,888 |
$499K |
| 80061 |
Lipid panel |
3,846 |
3,786 |
$498K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
327 |
312 |
$461K |
| 74018 |
|
3,348 |
3,222 |
$455K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,463 |
2,181 |
$454K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
198 |
194 |
$449K |
| 81003 |
|
22,192 |
21,277 |
$446K |
| 92557 |
|
1,708 |
1,691 |
$430K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,003 |
2,932 |
$428K |
| 73140 |
|
2,290 |
2,069 |
$426K |
| 85045 |
|
12,427 |
11,192 |
$423K |
| 80076 |
|
4,728 |
4,219 |
$411K |
| 85007 |
|
18,330 |
14,552 |
$389K |
| 81001 |
|
10,600 |
10,295 |
$372K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
361 |
287 |
$364K |
| 84460 |
|
7,988 |
7,478 |
$362K |
| 93320 |
|
635 |
610 |
$357K |
| 82948 |
|
11,663 |
10,434 |
$349K |
| 82728 |
|
6,500 |
6,223 |
$342K |
| 92652 |
|
231 |
222 |
$323K |
| 80197 |
|
2,196 |
1,641 |
$320K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
1,003 |
187 |
$320K |
| 97802 |
|
4,114 |
4,044 |
$317K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
9,708 |
9,314 |
$316K |
| 54161 |
|
109 |
107 |
$308K |
| 92582 |
|
1,048 |
1,035 |
$284K |
| 87070 |
|
3,836 |
3,751 |
$282K |
| 92550 |
|
4,004 |
3,952 |
$275K |
| 83735 |
|
9,238 |
6,799 |
$267K |
| 87497 |
|
1,743 |
1,284 |
$267K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
5,771 |
4,847 |
$264K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,609 |
1,522 |
$252K |
| 86850 |
|
2,231 |
1,991 |
$245K |
| 74019 |
|
1,475 |
1,452 |
$244K |
| 84100 |
|
6,295 |
4,874 |
$243K |
| 92552 |
|
2,163 |
2,154 |
$232K |
| 54150 |
|
366 |
358 |
$226K |
| A0436 |
Rotary wing air mileage, per statute mile |
33 |
30 |
$225K |
| 29075 |
|
900 |
887 |
$216K |
| 84703 |
|
3,707 |
3,599 |
$216K |
| 96167 |
|
1,422 |
1,364 |
$216K |
| 82248 |
|
5,860 |
4,777 |
$212K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,261 |
1,232 |
$201K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
9,128 |
8,315 |
$199K |
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
32 |
30 |
$196K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
8,016 |
7,644 |
$192K |
| 97165 |
|
888 |
858 |
$190K |
| 77080 |
|
777 |
748 |
$188K |
| 92555 |
|
3,755 |
3,732 |
$185K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,268 |
3,243 |
$181K |
| 90834 |
Psychotherapy, 45 minutes with patient |
632 |
276 |
$177K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
259 |
255 |
$173K |
| 36415 |
Collection of venous blood by venipuncture |
98,871 |
86,377 |
$170K |
| 82247 |
|
4,298 |
3,664 |
$164K |
| 73090 |
|
1,275 |
970 |
$163K |
| 85610 |
|
3,103 |
2,906 |
$160K |
| 29065 |
|
415 |
399 |
$159K |
| 82610 |
|
3,630 |
3,422 |
$158K |
| 96156 |
|
1,382 |
1,350 |
$153K |
| 82784 |
|
1,701 |
1,484 |
$151K |
| 87040 |
|
2,097 |
1,975 |
$145K |
| 82565 |
|
3,244 |
3,081 |
$137K |
| 95117 |
|
2,503 |
1,690 |
$137K |
| V5264 |
Ear mold/insert, not disposable, any type |
1,120 |
640 |
$135K |
| 86140 |
|
5,004 |
4,621 |
$134K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
613 |
605 |
$133K |
| 82803 |
|
1,411 |
1,253 |
$132K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,190 |
1,118 |
$131K |
| 83880 |
|
980 |
875 |
$130K |
| 73610 |
|
965 |
867 |
$130K |
| 71045 |
Radiologic examination, chest; single view |
1,073 |
1,025 |
$125K |
| V5266 |
Battery for use in hearing device |
1,011 |
682 |
$124K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,024 |
928 |
$123K |
| 73130 |
|
1,016 |
883 |
$123K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,099 |
985 |
$112K |
| 86900 |
|
2,311 |
2,059 |
$109K |
| 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 |
41 |
40 |
$106K |
| 95715 |
|
46 |
44 |
$105K |
| 84450 |
|
3,537 |
3,272 |
$104K |
| V5275 |
Ear impression, each |
580 |
565 |
$102K |
| 99215 |
Prolong outpt/office vis |
560 |
552 |
$101K |
| 86923 |
|
829 |
613 |
$100K |
| 77072 |
|
360 |
351 |
$98K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,460 |
1,372 |
$95K |
| 73070 |
|
990 |
838 |
$94K |
| 86901 |
|
2,311 |
2,059 |
$91K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,448 |
1,392 |
$87K |
| 78725 |
|
89 |
79 |
$86K |
| 83021 |
|
1,136 |
987 |
$85K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,013 |
1,006 |
$84K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,957 |
16,666 |
$81K |
| 96158 |
|
602 |
446 |
$77K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
545 |
154 |
$77K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,732 |
1,371 |
$73K |
| 64642 |
|
155 |
153 |
$73K |
| 95115 |
|
1,856 |
1,310 |
$72K |
| 84145 |
|
2,422 |
2,228 |
$72K |
| 73110 |
|
638 |
567 |
$71K |
| 97161 |
|
482 |
473 |
$71K |
| 81025 |
|
1,808 |
1,747 |
$71K |
| 92556 |
|
800 |
794 |
$69K |
| 83550 |
|
1,239 |
1,204 |
$67K |
| 76857 |
|
395 |
393 |
$67K |
| 92626 |
|
254 |
250 |
$66K |
| 87102 |
|
350 |
335 |
$65K |
| 80050 |
General health panel |
581 |
565 |
$65K |
| 93296 |
|
725 |
712 |
$63K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,418 |
3,181 |
$63K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
11,916 |
6,590 |
$60K |
| 83615 |
|
1,172 |
1,052 |
$60K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
778 |
748 |
$59K |
| 86003 |
|
1,056 |
414 |
$59K |
| 90837 |
Psychotherapy, 53 minutes with patient |
171 |
61 |
$58K |
| 64643 |
|
147 |
143 |
$55K |
| 73080 |
|
212 |
200 |
$54K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
945 |
913 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
587 |
563 |
$53K |
| 95712 |
|
39 |
38 |
$52K |
| 92526 |
|
439 |
142 |
$51K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
607 |
238 |
$50K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
15 |
12 |
$49K |
| 96376 |
|
1,230 |
805 |
$49K |
| 82947 |
|
1,731 |
1,677 |
$48K |
| 73100 |
|
261 |
238 |
$48K |
| 82040 |
|
934 |
896 |
$47K |
| 31575 |
|
218 |
215 |
$47K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,163 |
2,063 |
$46K |
| 44970 |
|
12 |
12 |
$45K |
| 82570 |
|
1,006 |
815 |
$45K |
| 87077 |
|
774 |
708 |
$43K |
| 73564 |
|
138 |
136 |
$42K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
29 |
28 |
$41K |
| 85652 |
|
1,947 |
1,795 |
$41K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
115 |
83 |
$40K |
| 92593 |
|
232 |
226 |
$40K |
| 82010 |
|
645 |
589 |
$40K |
| 73590 |
|
359 |
284 |
$39K |
| 84403 |
|
369 |
361 |
$39K |
| 83540 |
|
870 |
842 |
$39K |
| 83690 |
|
1,259 |
1,224 |
$38K |
| 83001 |
|
497 |
459 |
$38K |
| 93786 |
|
192 |
191 |
$37K |
| 96409 |
|
140 |
97 |
$37K |
| 95076 |
|
83 |
75 |
$35K |
| 86803 |
|
664 |
637 |
$35K |
| 83970 |
|
217 |
202 |
$35K |
| V5010 |
Assessment for hearing aid |
91 |
91 |
$35K |
| 93225 |
|
73 |
71 |
$34K |
| 82627 |
|
325 |
298 |
$33K |
| 77081 |
|
311 |
301 |
$33K |
| 83002 |
|
418 |
395 |
$32K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
135 |
134 |
$32K |
| 85660 |
|
1,471 |
955 |
$32K |
| 95700 |
|
79 |
77 |
$32K |
| 94060 |
|
88 |
86 |
$31K |
| 70360 |
|
244 |
243 |
$31K |
| 31622 |
|
26 |
26 |
$31K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
300 |
273 |
$31K |
| 87535 |
|
51 |
50 |
$31K |
| 31231 |
|
175 |
173 |
$31K |
| 85240 |
|
205 |
188 |
$30K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,487 |
1,445 |
$30K |
| 87186 |
|
487 |
454 |
$30K |
| 85246 |
|
115 |
101 |
$30K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,350 |
1,089 |
$29K |
| 82043 |
|
657 |
649 |
$29K |
| 84156 |
|
562 |
523 |
$27K |
| J0586 |
Injection, abobotulinumtoxina, 5 units |
16 |
12 |
$26K |
| 83498 |
|
188 |
181 |
$26K |
| 84146 |
|
305 |
283 |
$24K |
| 99243 |
|
311 |
300 |
$24K |
| 96168 |
|
185 |
180 |
$24K |
| A0434 |
Specialty care transport (sct) |
12 |
12 |
$23K |
| 85730 |
|
718 |
673 |
$23K |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
695 |
674 |
$23K |
| 93243 |
|
89 |
89 |
$22K |
| 92523 |
|
87 |
85 |
$21K |
| J9370 |
Vincristine sulfate, 1 mg |
126 |
99 |
$21K |
| 84520 |
|
549 |
524 |
$20K |
| J9260 |
Injection, methotrexate sodium, 50 mg |
115 |
87 |
$19K |
| 90378 |
|
904 |
838 |
$19K |
| 78350 |
|
83 |
81 |
$18K |
| 69210 |
|
120 |
116 |
$18K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
842 |
656 |
$17K |
| 80349 |
|
224 |
111 |
$17K |
| 96137 |
|
26 |
24 |
$17K |
| 96450 |
|
36 |
36 |
$17K |
| 85397 |
|
56 |
53 |
$17K |
| 76376 |
|
73 |
73 |
$17K |
| 83516 |
|
301 |
256 |
$16K |
| 84305 |
|
278 |
276 |
$15K |
| 92133 |
|
170 |
165 |
$15K |
| 73630 |
|
158 |
144 |
$15K |
| 87220 |
|
240 |
231 |
$15K |
| 80051 |
|
125 |
122 |
$15K |
| 87147 |
|
106 |
64 |
$12K |
| 84702 |
|
146 |
141 |
$12K |
| 72170 |
|
155 |
151 |
$12K |
| L8613 |
Ossicula implant |
448 |
443 |
$12K |
| 80143 |
|
274 |
266 |
$11K |
| 88304 |
|
93 |
90 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
230 |
230 |
$11K |
| 86480 |
|
194 |
190 |
$11K |
| 80179 |
|
240 |
235 |
$10K |
| 87340 |
|
136 |
123 |
$10K |
| 77075 |
|
27 |
27 |
$9K |
| 86592 |
|
955 |
922 |
$9K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
139 |
134 |
$9K |
| 92610 |
|
49 |
49 |
$8K |
| 84075 |
|
287 |
273 |
$8K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
21 |
12 |
$8K |
| 86160 |
|
53 |
40 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
95 |
94 |
$7K |
| 92083 |
|
46 |
43 |
$7K |
| 82330 |
|
199 |
178 |
$7K |
| 51798 |
|
94 |
93 |
$7K |
| 82088 |
|
53 |
53 |
$6K |
| 73560 |
|
49 |
40 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
88 |
78 |
$6K |
| 90474 |
|
961 |
941 |
$6K |
| 92622 |
|
28 |
28 |
$5K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
82 |
80 |
$5K |
| 82657 |
|
37 |
37 |
$5K |
| 82785 |
|
79 |
71 |
$5K |
| 88108 |
|
62 |
61 |
$5K |
| 84132 |
|
194 |
181 |
$5K |
| P9011 |
Blood, split unit |
13 |
13 |
$5K |
| 87507 |
|
12 |
12 |
$5K |
| 80320 |
|
138 |
134 |
$5K |
| 51600 |
|
24 |
24 |
$4K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
59 |
27 |
$4K |
| 84244 |
|
51 |
51 |
$4K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
55 |
54 |
$4K |
| 92250 |
|
25 |
25 |
$4K |
| 87536 |
|
25 |
25 |
$4K |
| 89051 |
|
62 |
61 |
$4K |
| 43762 |
|
13 |
13 |
$4K |
| 82550 |
|
77 |
67 |
$4K |
| V5160 |
Dispensing fee, binaural |
12 |
12 |
$4K |
| 76536 |
|
13 |
12 |
$4K |
| 85055 |
|
72 |
64 |
$4K |
| A9554 |
Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries |
111 |
105 |
$4K |
| 12011 |
|
16 |
16 |
$4K |
| 96159 |
|
46 |
40 |
$3K |
| 76499 |
|
25 |
24 |
$3K |
| 29125 |
|
26 |
26 |
$3K |
| 84478 |
|
102 |
93 |
$3K |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
120 |
117 |
$3K |
| 94728 |
|
12 |
12 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
43 |
40 |
$3K |
| 96136 |
|
24 |
24 |
$3K |
| 84295 |
|
137 |
119 |
$3K |
| 85046 |
|
47 |
45 |
$3K |
| T2101 |
Human breast milk processing, storage and distribution only |
704 |
65 |
$3K |
| 86039 |
|
27 |
25 |
$3K |
| 82104 |
|
43 |
40 |
$2K |
| 92002 |
|
45 |
45 |
$2K |
| 72040 |
|
27 |
27 |
$2K |
| 73552 |
|
27 |
24 |
$2K |
| 95873 |
|
31 |
31 |
$2K |
| 96116 |
|
17 |
15 |
$2K |
| 84402 |
|
24 |
24 |
$2K |
| 95874 |
|
39 |
39 |
$2K |
| 82465 |
|
114 |
105 |
$2K |
| 73000 |
|
17 |
13 |
$2K |
| 17110 |
|
12 |
12 |
$2K |
| 83519 |
|
26 |
26 |
$2K |
| 92551 |
|
44 |
44 |
$2K |
| 73562 |
|
14 |
12 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,906 |
1,868 |
$2K |
| 88184 |
|
28 |
27 |
$2K |
| 97162 |
|
15 |
14 |
$2K |
| 82390 |
|
28 |
27 |
$2K |
| 83520 |
|
30 |
27 |
$2K |
| 85018 |
|
130 |
124 |
$2K |
| 86706 |
|
27 |
25 |
$2K |
| 29130 |
|
13 |
13 |
$2K |
| 86376 |
|
44 |
39 |
$2K |
| 97016 |
|
27 |
12 |
$1K |
| 86704 |
|
28 |
26 |
$1K |
| 83605 |
|
29 |
27 |
$1K |
| 83695 |
|
31 |
31 |
$1K |
| 86708 |
|
15 |
13 |
$1K |
| 83655 |
|
41 |
39 |
$1K |
| 84484 |
|
29 |
25 |
$1K |
| 98960 |
|
93 |
92 |
$1K |
| 76937 |
|
14 |
13 |
$1K |
| 82310 |
|
27 |
26 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
151 |
150 |
$1K |
| 88185 |
|
28 |
27 |
$1K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
484 |
344 |
$962.78 |
| 86709 |
|
15 |
13 |
$953.80 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
27 |
27 |
$870.69 |
| 86985 |
|
12 |
12 |
$865.20 |
| 82435 |
|
55 |
51 |
$838.77 |
| 87210 |
|
15 |
12 |
$781.38 |
| 83525 |
|
13 |
13 |
$740.67 |
| 97804 |
|
12 |
12 |
$735.63 |
| 80177 |
|
12 |
12 |
$600.41 |
| 86800 |
|
15 |
12 |
$573.23 |
| A4364 |
Adhesive, liquid or equal, any type, per oz |
12 |
12 |
$521.31 |
| 82150 |
|
15 |
13 |
$521.10 |
| 87808 |
|
15 |
12 |
$439.45 |
| A4565 |
Slings |
134 |
126 |
$366.60 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
14 |
14 |
$300.87 |
| 90785 |
|
43 |
27 |
$232.72 |
| 90686 |
|
8,312 |
8,242 |
$154.53 |
| S8451 |
Splint, prefabricated, wrist or ankle |
28 |
28 |
$100.38 |
| 36416 |
|
215 |
202 |
$41.52 |
| 90656 |
|
921 |
920 |
$23.12 |
| 90680 |
|
1,030 |
1,009 |
$0.01 |
| 90670 |
|
2,382 |
2,336 |
$0.00 |
| 90633 |
|
913 |
900 |
$0.00 |
| 90707 |
|
153 |
150 |
$0.00 |
| 90648 |
|
1,161 |
1,144 |
$0.00 |
| 90700 |
|
301 |
298 |
$0.00 |
| 90710 |
|
90 |
90 |
$0.00 |
| 90734 |
|
44 |
44 |
$0.00 |
| 90677 |
|
389 |
386 |
$0.00 |
| 90723 |
|
657 |
646 |
$0.00 |
| 90716 |
|
141 |
137 |
$0.00 |
| 90381 |
|
35 |
34 |
$0.00 |
| 90698 |
|
175 |
173 |
$0.00 |
| 90697 |
|
127 |
125 |
$0.00 |
| 90696 |
|
90 |
90 |
$0.00 |
| 90620 |
|
17 |
17 |
$0.00 |