| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
10,360 |
6,908 |
$2.97M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,084 |
5,871 |
$1.57M |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
18,198 |
12,933 |
$1.08M |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,024 |
2,171 |
$645K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,791 |
1,445 |
$495K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,351 |
3,747 |
$488K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
481 |
424 |
$459K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,344 |
4,668 |
$392K |
| 20610 |
|
2,600 |
1,903 |
$326K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
942 |
704 |
$313K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,430 |
1,815 |
$274K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,188 |
602 |
$253K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,241 |
1,087 |
$238K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,290 |
3,668 |
$219K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
7,603 |
1,705 |
$206K |
| 80053 |
Comprehensive metabolic panel |
32,664 |
16,439 |
$200K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
5,165 |
2,855 |
$199K |
| 71045 |
Radiologic examination, chest; single view |
8,486 |
5,291 |
$185K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,494 |
4,770 |
$175K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
507 |
463 |
$154K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
149 |
139 |
$153K |
| G0379 |
Direct admission of patient for hospital observation care |
164 |
136 |
$148K |
| G0378 |
Hospital observation service, per hour |
2,800 |
1,855 |
$143K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,574 |
2,647 |
$132K |
| 72131 |
|
833 |
573 |
$130K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
531 |
484 |
$126K |
| 59025 |
Fetal non-stress test |
1,531 |
1,043 |
$118K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
22,292 |
17,473 |
$113K |
| 71046 |
Radiologic examination, chest; 2 views |
3,431 |
2,597 |
$109K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
646 |
551 |
$108K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
424 |
394 |
$107K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,090 |
1,016 |
$96K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
697 |
429 |
$96K |
| 20550 |
|
857 |
684 |
$89K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,274 |
1,147 |
$88K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,301 |
2,341 |
$86K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,122 |
5,215 |
$85K |
| 99218 |
|
595 |
245 |
$80K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
229 |
117 |
$77K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,060 |
1,174 |
$77K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,389 |
1,346 |
$75K |
| 71250 |
|
840 |
619 |
$74K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,639 |
1,407 |
$73K |
| 76536 |
|
963 |
841 |
$72K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,283 |
593 |
$68K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
9,271 |
5,179 |
$68K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,811 |
4,442 |
$66K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
378 |
248 |
$54K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,322 |
1,151 |
$53K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,932 |
1,508 |
$53K |
| 70486 |
|
409 |
363 |
$52K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,450 |
3,895 |
$50K |
| 80061 |
Lipid panel |
4,317 |
3,441 |
$50K |
| 73564 |
|
1,763 |
1,445 |
$49K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,648 |
1,476 |
$48K |
| 93225 |
|
412 |
347 |
$45K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
82 |
67 |
$42K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,177 |
5,651 |
$39K |
| 36415 |
Collection of venous blood by venipuncture |
17,201 |
8,651 |
$38K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
855 |
248 |
$36K |
| 73610 |
|
1,460 |
1,095 |
$35K |
| 73110 |
|
1,382 |
966 |
$35K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
5,421 |
4,597 |
$35K |
| 73030 |
|
1,447 |
1,160 |
$34K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
14 |
13 |
$34K |
| 93017 |
|
670 |
607 |
$34K |
| 73130 |
|
1,177 |
896 |
$33K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,350 |
1,230 |
$31K |
| 82607 |
|
2,610 |
2,353 |
$31K |
| 77065 |
Tomosynthesis, mammo |
604 |
505 |
$30K |
| 93971 |
|
386 |
346 |
$29K |
| 73630 |
|
1,143 |
963 |
$29K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
5,090 |
3,176 |
$28K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,535 |
483 |
$27K |
| 72141 |
|
102 |
87 |
$27K |
| 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 |
154 |
132 |
$27K |
| 84484 |
|
4,561 |
3,626 |
$27K |
| 97162 |
|
508 |
478 |
$27K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
500 |
447 |
$27K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
4,680 |
3,620 |
$26K |
| 20551 |
|
431 |
275 |
$26K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
5,143 |
867 |
$25K |
| 80074 |
|
621 |
568 |
$25K |
| 76775 |
|
409 |
343 |
$24K |
| 82550 |
|
3,809 |
3,124 |
$23K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
4,481 |
3,812 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
638 |
591 |
$22K |
| 72110 |
|
410 |
328 |
$22K |
| J2704 |
Injection, propofol, 10 mg |
1,963 |
1,369 |
$21K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
75 |
60 |
$21K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,730 |
2,527 |
$20K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
43 |
42 |
$20K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
507 |
471 |
$20K |
| 97014 |
|
1,940 |
536 |
$20K |
| 83880 |
|
1,173 |
1,047 |
$18K |
| 99051 |
|
2,546 |
2,278 |
$18K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
38 |
38 |
$18K |
| 97161 |
|
321 |
314 |
$17K |
| 87902 |
|
72 |
34 |
$17K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
179 |
94 |
$17K |
| 80306 |
|
1,786 |
1,631 |
$16K |
| 73080 |
|
652 |
450 |
$16K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
454 |
398 |
$16K |
| 76642 |
|
232 |
218 |
$16K |
| 83690 |
|
4,076 |
3,597 |
$15K |
| 88304 |
|
596 |
555 |
$15K |
| 84703 |
|
3,636 |
3,184 |
$15K |
| 87522 |
Neg quan hep c or qual rna |
403 |
376 |
$15K |
| 74018 |
|
676 |
583 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
291 |
271 |
$13K |
| 93226 |
|
311 |
292 |
$13K |
| 81001 |
|
5,340 |
4,627 |
$12K |
| 82150 |
|
3,772 |
3,337 |
$12K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
553 |
497 |
$12K |
| 73502 |
|
630 |
488 |
$12K |
| 97164 |
|
415 |
335 |
$12K |
| 87496 |
|
552 |
484 |
$12K |
| 84436 |
|
1,902 |
1,774 |
$11K |
| 87581 |
|
523 |
476 |
$11K |
| 87040 |
|
1,828 |
1,620 |
$11K |
| 36600 |
|
1,058 |
451 |
$11K |
| 77066 |
Tomosynthesis, mammo |
169 |
146 |
$11K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,060 |
1,740 |
$10K |
| 73562 |
|
550 |
486 |
$10K |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,956 |
1,390 |
$10K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,527 |
1,160 |
$9K |
| 73590 |
|
394 |
297 |
$9K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
450 |
403 |
$9K |
| 84702 |
|
1,098 |
897 |
$9K |
| 84479 |
|
1,470 |
1,398 |
$9K |
| 82746 |
|
941 |
844 |
$9K |
| 83735 |
|
1,781 |
1,396 |
$8K |
| 96376 |
|
736 |
461 |
$8K |
| 73090 |
|
339 |
253 |
$8K |
| 81003 |
|
4,888 |
4,367 |
$8K |
| 97012 |
|
717 |
196 |
$7K |
| 52000 |
|
37 |
26 |
$7K |
| 86677 |
|
830 |
771 |
$7K |
| 85610 |
|
2,324 |
1,831 |
$7K |
| C1769 |
Guide wire |
172 |
142 |
$7K |
| 86900 |
|
1,037 |
826 |
$7K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
459 |
410 |
$7K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,178 |
1,032 |
$7K |
| 29075 |
|
73 |
61 |
$7K |
| 87077 |
|
1,438 |
1,053 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
137 |
119 |
$6K |
| 87186 |
|
1,076 |
979 |
$6K |
| 70491 |
|
37 |
28 |
$6K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
2,580 |
2,099 |
$6K |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
779 |
249 |
$6K |
| 88342 |
|
230 |
212 |
$6K |
| 82803 |
|
494 |
446 |
$6K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
247 |
235 |
$6K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,887 |
2,257 |
$6K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,612 |
1,436 |
$6K |
| 74021 |
|
192 |
167 |
$5K |
| 87807 |
|
1,041 |
979 |
$5K |
| 83605 |
|
687 |
611 |
$5K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
292 |
80 |
$5K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,228 |
843 |
$5K |
| 85379 |
|
939 |
843 |
$5K |
| 86140 |
|
1,308 |
1,140 |
$5K |
| 84439 |
|
653 |
586 |
$5K |
| 87070 |
|
878 |
688 |
$5K |
| J1815 |
Injection, insulin, per 5 units |
620 |
281 |
$5K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,813 |
1,559 |
$5K |
| 87900 |
|
41 |
28 |
$5K |
| 86850 |
|
1,009 |
554 |
$5K |
| 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 |
173 |
103 |
$5K |
| 72128 |
|
27 |
27 |
$4K |
| 86038 |
|
413 |
395 |
$4K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,904 |
2,599 |
$4K |
| 97116 |
|
327 |
91 |
$4K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
155 |
54 |
$4K |
| 85730 |
|
1,290 |
1,109 |
$4K |
| 83540 |
|
753 |
696 |
$4K |
| 85651 |
|
1,201 |
1,110 |
$4K |
| 83550 |
|
554 |
524 |
$4K |
| 95911 |
|
15 |
14 |
$4K |
| 86592 |
|
786 |
627 |
$4K |
| 10060 |
|
19 |
18 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$3K |
| 82728 |
|
368 |
311 |
$3K |
| 43450 |
|
12 |
12 |
$3K |
| 74178 |
|
20 |
14 |
$3K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
425 |
369 |
$3K |
| 81000 |
|
918 |
631 |
$3K |
| 76641 |
|
30 |
30 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
257 |
238 |
$2K |
| 86901 |
|
958 |
820 |
$2K |
| 86738 |
|
315 |
292 |
$2K |
| 29705 |
|
23 |
18 |
$2K |
| 72052 |
|
33 |
28 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
41 |
19 |
$2K |
| 80348 |
|
256 |
235 |
$2K |
| J3480 |
Injection, potassium chloride, per 2 meq |
143 |
94 |
$2K |
| 72083 |
|
14 |
14 |
$2K |
| J2785 |
Injection, regadenoson, 0.1 mg |
27 |
24 |
$2K |
| 84550 |
|
626 |
543 |
$2K |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
352 |
282 |
$2K |
| 82977 |
|
262 |
224 |
$2K |
| 77002 |
|
46 |
40 |
$2K |
| 77080 |
|
51 |
44 |
$2K |
| 25600 |
|
15 |
13 |
$2K |
| 82172 |
|
99 |
97 |
$2K |
| 83883 |
|
161 |
106 |
$1K |
| 80069 |
|
321 |
173 |
$1K |
| 82247 |
|
352 |
270 |
$1K |
| 93041 |
|
173 |
104 |
$1K |
| 93922 |
|
42 |
39 |
$1K |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
148 |
101 |
$1K |
| 80050 |
General health panel |
488 |
464 |
$1K |
| 83010 |
|
100 |
98 |
$1K |
| 51701 |
|
76 |
67 |
$1K |
| 82553 |
|
245 |
192 |
$1K |
| 83615 |
|
303 |
246 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
12 |
$1K |
| 83655 |
|
76 |
75 |
$969.76 |
| 72072 |
|
34 |
27 |
$967.87 |
| 87205 |
|
430 |
388 |
$962.55 |
| 76830 |
Ultrasound, transvaginal |
14 |
13 |
$937.63 |
| 81002 |
|
337 |
257 |
$875.37 |
| 82043 |
|
165 |
154 |
$840.24 |
| 91200 |
|
14 |
13 |
$803.16 |
| 74230 |
|
18 |
16 |
$794.59 |
| 82140 |
|
92 |
63 |
$757.88 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
591 |
407 |
$749.10 |
| 86235 |
|
14 |
12 |
$726.44 |
| 73521 |
|
30 |
25 |
$717.96 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
256 |
220 |
$692.12 |
| 86308 |
|
229 |
207 |
$690.03 |
| 80337 |
|
203 |
194 |
$664.11 |
| J3490 |
Unclassified drugs |
176 |
106 |
$660.29 |
| 90686 |
|
47 |
38 |
$635.78 |
| 80076 |
|
99 |
75 |
$566.55 |
| 82948 |
|
285 |
245 |
$518.87 |
| 99406 |
|
43 |
40 |
$500.42 |
| 88307 |
|
12 |
12 |
$490.35 |
| 80349 |
|
58 |
57 |
$489.72 |
| 51798 |
|
33 |
30 |
$488.71 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
111 |
39 |
$486.42 |
| J1956 |
Injection, levofloxacin, 250 mg |
60 |
44 |
$481.80 |
| J2790 |
Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) |
12 |
12 |
$474.28 |
| 51702 |
|
27 |
25 |
$463.17 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
100 |
89 |
$458.54 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
45 |
29 |
$435.71 |
| 80359 |
|
171 |
163 |
$435.46 |
| 84460 |
|
101 |
99 |
$417.27 |
| 99201 |
|
20 |
19 |
$407.84 |
| 29125 |
|
15 |
12 |
$388.14 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
30 |
29 |
$382.50 |
| 80324 |
|
46 |
44 |
$381.59 |
| A9270 |
Non-covered item or service |
1,516 |
396 |
$374.92 |
| 73552 |
|
30 |
25 |
$363.75 |
| 80364 |
|
151 |
144 |
$243.13 |
| 80331 |
|
151 |
144 |
$240.08 |
| 96127 |
|
47 |
38 |
$236.31 |
| 80334 |
|
151 |
144 |
$231.93 |
| 80355 |
|
151 |
144 |
$230.81 |
| 83992 |
|
151 |
144 |
$225.61 |
| 84481 |
|
12 |
12 |
$225.40 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
44 |
39 |
$222.25 |
| 80370 |
|
151 |
144 |
$219.52 |
| 80347 |
|
151 |
144 |
$213.77 |
| 80338 |
|
151 |
144 |
$210.65 |
| 80346 |
|
27 |
25 |
$206.99 |
| 80344 |
|
151 |
144 |
$206.83 |
| 80341 |
|
151 |
144 |
$203.02 |
| 80326 |
|
151 |
144 |
$199.97 |
| 80358 |
|
170 |
162 |
$198.39 |
| 80361 |
|
176 |
165 |
$195.69 |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
28 |
26 |
$192.66 |
| 80372 |
|
151 |
144 |
$183.64 |
| 80354 |
|
151 |
144 |
$179.04 |
| 80356 |
|
151 |
144 |
$179.04 |
| 80373 |
|
151 |
144 |
$179.04 |
| 80365 |
|
157 |
148 |
$179.02 |
| 80367 |
|
151 |
144 |
$179.02 |
| 80377 |
|
151 |
144 |
$175.56 |
| 80368 |
|
151 |
144 |
$173.30 |
| 84153 |
|
12 |
12 |
$171.68 |
| 80366 |
|
151 |
144 |
$169.73 |
| 80353 |
|
151 |
144 |
$153.42 |
| 84156 |
|
75 |
65 |
$151.82 |
| 80357 |
|
151 |
144 |
$150.69 |
| 80360 |
|
151 |
144 |
$132.42 |
| 80371 |
|
151 |
144 |
$132.42 |
| 87045 |
|
41 |
27 |
$123.37 |
| 87046 |
|
33 |
26 |
$123.37 |
| 87209 |
|
13 |
13 |
$112.73 |
| 82248 |
|
27 |
13 |
$111.12 |
| 82784 |
|
44 |
26 |
$107.09 |
| 87324 |
|
15 |
15 |
$75.18 |
| 87449 |
|
15 |
15 |
$75.18 |
| 36000 |
|
31 |
31 |
$67.74 |
| 82010 |
|
13 |
13 |
$61.14 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
13 |
12 |
$60.67 |
| 87177 |
|
13 |
13 |
$55.83 |
| 82272 |
|
27 |
26 |
$42.56 |
| Q4012 |
Cast supplies, short arm cast, pediatric (0-10 years), fiberglass |
25 |
25 |
$30.53 |
| J7510 |
Prednisolone oral, per 5 mg |
15 |
12 |
$12.56 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
493 |
416 |
$1.41 |
| G8985 |
Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
101 |
80 |
$0.28 |
| G8984 |
Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals |
88 |
68 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
68 |
63 |
$0.00 |
| 99000 |
|
15 |
13 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
67 |
63 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
17 |
17 |
$0.00 |