| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
13,969 |
990 |
$2.63M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,082 |
2,976 |
$1.41M |
| 0120 |
|
198 |
193 |
$893K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,363 |
1,348 |
$706K |
| 0111 |
|
101 |
100 |
$536K |
| 0121 |
|
124 |
123 |
$486K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
2,155 |
564 |
$354K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
920 |
906 |
$223K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
342 |
334 |
$216K |
| S5102 |
Day care services, adult; per diem |
2,882 |
605 |
$203K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
641 |
609 |
$179K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
3,203 |
1,626 |
$178K |
| 0450 |
Emergency room services |
790 |
764 |
$167K |
| 0113 |
|
22 |
22 |
$145K |
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
262 |
262 |
$114K |
| 90885 |
|
1,258 |
791 |
$103K |
| 0206 |
|
19 |
19 |
$81K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
140 |
132 |
$78K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
79 |
79 |
$76K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
70 |
67 |
$75K |
| 70450 |
Computed tomography, head or brain; without contrast material |
718 |
688 |
$72K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
613 |
492 |
$72K |
| 71046 |
Radiologic examination, chest; 2 views |
1,654 |
1,394 |
$63K |
| 71045 |
Radiologic examination, chest; single view |
1,556 |
1,433 |
$62K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
56 |
55 |
$62K |
| 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 |
2,519 |
1,834 |
$57K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
285 |
273 |
$55K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
994 |
880 |
$55K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
8,157 |
8,135 |
$55K |
| 90947 |
|
486 |
17 |
$53K |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,381 |
5,367 |
$50K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
358 |
355 |
$48K |
| 80061 |
Lipid panel |
5,111 |
5,104 |
$45K |
| 97535 |
Self-care/home management training, each 15 minutes |
772 |
402 |
$44K |
| 0301 |
|
335 |
323 |
$43K |
| A0130 |
Non-emergency transportation: wheelchair van |
713 |
238 |
$43K |
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
260 |
69 |
$42K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
886 |
877 |
$41K |
| 82565 |
|
12,948 |
12,286 |
$41K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
5,457 |
3,301 |
$40K |
| H0031 |
Mental health assessment, by non-physician |
19 |
19 |
$38K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
565 |
565 |
$37K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
36 |
33 |
$35K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
367 |
136 |
$35K |
| T2005 |
Non-emergency transportation; stretcher van |
211 |
73 |
$35K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,698 |
1,697 |
$33K |
| H2014 |
Skills training and development, per 15 minutes |
250 |
167 |
$32K |
| 0762 |
|
119 |
119 |
$31K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,633 |
8,099 |
$31K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
112 |
106 |
$30K |
| 77386 |
|
53 |
37 |
$30K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
414 |
381 |
$30K |
| E0601 |
Continuous positive airway pressure (cpap) device |
72 |
72 |
$30K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
451 |
404 |
$30K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
153 |
148 |
$28K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
140 |
138 |
$28K |
| 76830 |
Ultrasound, transvaginal |
417 |
376 |
$28K |
| 84460 |
|
8,482 |
8,310 |
$27K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,198 |
1,188 |
$26K |
| 80051 |
|
8,604 |
8,006 |
$26K |
| S0209 |
Wheelchair van, mileage, per mile |
820 |
264 |
$26K |
| E0260 |
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
364 |
364 |
$26K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
502 |
499 |
$25K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,145 |
2,036 |
$24K |
| H0032 |
Mental health service plan development by non-physician |
160 |
101 |
$24K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
467 |
466 |
$24K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
840 |
668 |
$24K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
808 |
794 |
$23K |
| 86900 |
|
675 |
656 |
$23K |
| 97153 |
Adaptive behavior treatment by protocol, administered by technician, each 15 minutes |
762 |
270 |
$22K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,068 |
1,959 |
$22K |
| 0250 |
|
4,647 |
1,253 |
$22K |
| 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 |
270 |
249 |
$21K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
280 |
280 |
$21K |
| K0001 |
Standard wheelchair |
634 |
634 |
$20K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
132 |
131 |
$20K |
| 85027 |
|
5,768 |
5,711 |
$19K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,211 |
1,138 |
$18K |
| A0425 |
Ground mileage, per statute mile |
529 |
366 |
$17K |
| 82274 |
|
1,405 |
1,402 |
$17K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,523 |
1,512 |
$17K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
117 |
114 |
$17K |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
163 |
59 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
927 |
915 |
$17K |
| 86885 |
|
337 |
334 |
$17K |
| 93017 |
|
64 |
64 |
$16K |
| 83970 |
|
1,064 |
1,048 |
$16K |
| 90834 |
Psychotherapy, 45 minutes with patient |
248 |
244 |
$16K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
97 |
90 |
$16K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
249 |
249 |
$16K |
| 78451 |
|
16 |
16 |
$16K |
| 73630 |
|
554 |
502 |
$16K |
| 70496 |
|
42 |
42 |
$16K |
| 70498 |
|
47 |
46 |
$15K |
| A7030 |
Full face mask used with positive airway pressure device, each |
142 |
142 |
$15K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
418 |
211 |
$15K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
163 |
163 |
$15K |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
253 |
252 |
$14K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
149 |
149 |
$14K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
101 |
98 |
$14K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
80 |
66 |
$14K |
| 81513 |
|
650 |
649 |
$14K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,064 |
1,025 |
$14K |
| T1031 |
Nursing care, in the home, by licensed practical nurse, per diem |
134 |
36 |
$14K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,865 |
1,202 |
$14K |
| 0350 |
|
55 |
55 |
$13K |
| 87088 |
|
2,777 |
2,759 |
$13K |
| 74183 |
|
37 |
34 |
$13K |
| 93976 |
|
87 |
87 |
$13K |
| 82728 |
|
2,341 |
2,327 |
$13K |
| 77080 |
|
305 |
287 |
$13K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
51 |
51 |
$13K |
| 73562 |
|
323 |
291 |
$12K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
68 |
51 |
$12K |
| 80053 |
Comprehensive metabolic panel |
363 |
349 |
$12K |
| G0378 |
Hospital observation service, per hour |
482 |
331 |
$12K |
| G0151 |
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
191 |
82 |
$12K |
| 82607 |
|
1,127 |
1,124 |
$12K |
| 73030 |
|
273 |
241 |
$12K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
120 |
120 |
$12K |
| 82043 |
|
2,191 |
2,187 |
$12K |
| 0112 |
|
15 |
15 |
$12K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
386 |
367 |
$12K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,398 |
1,398 |
$12K |
| E0570 |
Nebulizer, with compressor |
123 |
123 |
$12K |
| 87505 |
|
131 |
131 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
5,884 |
5,659 |
$11K |
| 0351 |
|
45 |
45 |
$11K |
| 72141 |
|
74 |
67 |
$11K |
| 93971 |
|
124 |
120 |
$11K |
| A4352 |
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each |
13 |
13 |
$11K |
| 70486 |
|
86 |
81 |
$11K |
| 76770 |
|
113 |
101 |
$10K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
151 |
150 |
$10K |
| 0483 |
|
41 |
41 |
$10K |
| 72100 |
|
187 |
169 |
$10K |
| 83880 |
|
794 |
779 |
$10K |
| 73130 |
|
237 |
209 |
$10K |
| 0305 |
|
294 |
292 |
$10K |
| 73610 |
|
291 |
262 |
$10K |
| 84075 |
|
3,863 |
3,734 |
$10K |
| S5170 |
Home delivered meals, including preparation; per meal |
109 |
41 |
$10K |
| E0830 |
Ambulatory traction device, all types, each |
73 |
73 |
$9K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
974 |
973 |
$9K |
| 86003 |
|
273 |
272 |
$9K |
| 70491 |
|
48 |
46 |
$9K |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
99 |
99 |
$9K |
| K0003 |
Lightweight wheelchair |
179 |
179 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,118 |
1,108 |
$9K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
745 |
744 |
$9K |
| 84450 |
|
3,779 |
3,658 |
$9K |
| 71250 |
|
99 |
93 |
$9K |
| 73564 |
|
167 |
127 |
$9K |
| 84153 |
|
573 |
571 |
$8K |
| 82310 |
|
2,765 |
2,545 |
$8K |
| 87481 |
|
651 |
650 |
$8K |
| 86480 |
|
290 |
290 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
91 |
87 |
$8K |
| 74018 |
|
161 |
140 |
$8K |
| 0260 |
|
103 |
103 |
$8K |
| 82247 |
|
4,009 |
3,829 |
$8K |
| S9131 |
Physical therapy; in the home, per diem |
62 |
26 |
$8K |
| 97155 |
Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes |
306 |
183 |
$8K |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
80 |
80 |
$8K |
| 86803 |
|
1,488 |
1,486 |
$8K |
| E1399 |
Durable medical equipment, miscellaneous |
60 |
60 |
$8K |
| 86780 |
|
1,538 |
1,515 |
$8K |
| 0352 |
|
39 |
39 |
$8K |
| 84702 |
|
1,078 |
1,027 |
$8K |
| 0410 |
|
51 |
51 |
$8K |
| 90837 |
Psychotherapy, 53 minutes with patient |
295 |
262 |
$8K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
317 |
310 |
$7K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
130 |
129 |
$7K |
| 86901 |
|
676 |
657 |
$7K |
| 84520 |
|
6,778 |
5,624 |
$7K |
| 73110 |
|
176 |
154 |
$7K |
| 76801 |
|
80 |
74 |
$7K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
128 |
115 |
$7K |
| 93970 |
|
42 |
42 |
$7K |
| 83550 |
|
2,131 |
2,120 |
$7K |
| 76641 |
|
119 |
110 |
$7K |
| A7035 |
Headgear used with positive airway pressure device |
354 |
352 |
$7K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
766 |
723 |
$7K |
| 82947 |
|
5,421 |
5,156 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
126 |
109 |
$6K |
| 84132 |
|
2,625 |
2,384 |
$6K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,061 |
1,030 |
$6K |
| 0320 |
|
191 |
190 |
$6K |
| 0306 |
|
222 |
220 |
$6K |
| 70544 |
|
25 |
23 |
$6K |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
67 |
67 |
$6K |
| 72197 |
|
21 |
19 |
$6K |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
82 |
82 |
$6K |
| B4161 |
Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
13 |
13 |
$6K |
| B4160 |
Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
18 |
18 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
43 |
43 |
$6K |
| K0007 |
Extra heavy duty wheelchair |
57 |
57 |
$6K |
| 86141 |
|
736 |
720 |
$6K |
| 84484 |
|
1,615 |
1,324 |
$6K |
| 73502 |
|
107 |
98 |
$6K |
| 84439 |
|
1,230 |
1,222 |
$6K |
| 83735 |
|
2,065 |
1,909 |
$6K |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
70 |
70 |
$6K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
63 |
59 |
$6K |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
18 |
18 |
$6K |
| 73560 |
|
95 |
78 |
$6K |
| 76536 |
|
73 |
68 |
$6K |
| 86235 |
|
109 |
107 |
$5K |
| 83540 |
|
2,172 |
2,160 |
$5K |
| 86923 |
|
59 |
58 |
$5K |
| 76870 |
|
63 |
58 |
$5K |
| 82746 |
|
474 |
474 |
$5K |
| A7031 |
Face mask interface, replacement for full face mask, each |
67 |
67 |
$5K |
| E0604 |
Breast pump, hospital grade, electric (ac and / or dc), any type |
163 |
163 |
$5K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
489 |
485 |
$5K |
| 74178 |
|
12 |
12 |
$5K |
| 84403 |
|
404 |
401 |
$5K |
| 74174 |
|
13 |
13 |
$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 |
77 |
76 |
$5K |
| 85610 |
|
2,110 |
2,013 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
70 |
64 |
$5K |
| 83690 |
|
1,835 |
1,794 |
$5K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
76 |
76 |
$5K |
| 92227 |
|
369 |
369 |
$5K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
28 |
28 |
$5K |
| A7037 |
Tubing used with positive airway pressure device |
243 |
243 |
$5K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
277 |
277 |
$5K |
| J2785 |
Injection, regadenoson, 0.1 mg |
44 |
44 |
$5K |
| E2103 |
Non-adjunctive, non-implanted continuous glucose monitor or receiver |
43 |
43 |
$5K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
54 |
54 |
$4K |
| G0152 |
Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes |
62 |
26 |
$4K |
| 87340 |
|
1,437 |
1,435 |
$4K |
| 0420 |
|
72 |
72 |
$4K |
| 72131 |
|
37 |
36 |
$4K |
| E1392 |
Portable oxygen concentrator, rental |
86 |
86 |
$4K |
| 0124A |
|
111 |
111 |
$4K |
| B9998 |
Noc for enteral supplies |
40 |
40 |
$4K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
231 |
231 |
$4K |
| 81003 |
|
3,150 |
3,114 |
$4K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
19 |
18 |
$4K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
36 |
36 |
$4K |
| 77065 |
Tomosynthesis, mammo |
61 |
52 |
$4K |
| E0240 |
Bath/shower chair, with or without wheels, any size |
133 |
133 |
$4K |
| 73700 |
|
30 |
27 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
435 |
423 |
$4K |
| 73080 |
|
80 |
74 |
$4K |
| 82040 |
|
1,617 |
1,601 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
56 |
49 |
$4K |
| A7038 |
Filter, disposable, used with positive airway pressure device |
268 |
268 |
$4K |
| H2000 |
Comprehensive multidisciplinary evaluation |
20 |
20 |
$4K |
| 70543 |
|
12 |
12 |
$4K |
| 0300 |
|
245 |
241 |
$4K |
| 83520 |
|
233 |
161 |
$4K |
| 87186 |
|
482 |
481 |
$4K |
| 84165 |
|
186 |
185 |
$4K |
| G0157 |
Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes |
39 |
18 |
$4K |
| K0006 |
Heavy duty wheelchair |
49 |
49 |
$4K |
| 87536 |
|
67 |
67 |
$4K |
| 73590 |
|
81 |
73 |
$4K |
| 84295 |
|
1,225 |
1,217 |
$4K |
| A4224 |
Supplies for maintenance of insulin infusion catheter, per week |
12 |
12 |
$4K |
| 87800 |
|
78 |
78 |
$4K |
| 97167 |
|
12 |
12 |
$4K |
| 73221 |
|
28 |
22 |
$3K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
19 |
19 |
$3K |
| 72040 |
|
58 |
55 |
$3K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
106 |
104 |
$3K |
| 77066 |
Tomosynthesis, mammo |
42 |
37 |
$3K |
| 73140 |
|
79 |
65 |
$3K |
| 83721 |
|
394 |
394 |
$3K |
| 74022 |
|
44 |
39 |
$3K |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
17 |
17 |
$3K |
| B4150 |
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
19 |
19 |
$3K |
| 84100 |
|
1,862 |
1,594 |
$3K |
| G0155 |
Services of clinical social worker in home health or hospice settings, each 15 minutes |
27 |
20 |
$3K |
| 72170 |
|
35 |
35 |
$3K |
| 0730 |
|
79 |
78 |
$3K |
| 81229 |
|
16 |
16 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
667 |
656 |
$3K |
| 81001 |
|
907 |
897 |
$3K |
| E1060 |
Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests |
36 |
36 |
$3K |
| E0781 |
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient |
16 |
16 |
$2K |
| 82570 |
|
689 |
652 |
$2K |
| 0440 |
|
51 |
28 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
457 |
434 |
$2K |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
21 |
21 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
869 |
859 |
$2K |
| 80197 |
|
156 |
151 |
$2K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
50 |
50 |
$2K |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
24 |
24 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
239 |
232 |
$2K |
| T1001 |
Nursing assessment / evaluation |
17 |
17 |
$2K |
| 84703 |
|
246 |
243 |
$2K |
| 86334 |
|
67 |
66 |
$2K |
| 0402 |
|
38 |
38 |
$2K |
| 0270 |
|
215 |
163 |
$2K |
| 0302 |
|
212 |
211 |
$2K |
| T2001 |
Non-emergency transportation; patient attendant/escort |
62 |
15 |
$2K |
| 92015 |
Determination of refractive state |
451 |
451 |
$2K |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
54 |
54 |
$2K |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
310 |
310 |
$2K |
| 72146 |
|
12 |
12 |
$2K |
| E0185 |
Gel or gel-like pressure pad for mattress, standard mattress length and width |
61 |
61 |
$2K |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
191 |
191 |
$2K |
| 73552 |
|
43 |
38 |
$2K |
| 0637 |
|
7,308 |
1,640 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
379 |
378 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
126 |
119 |
$2K |
| 86665 |
|
163 |
93 |
$2K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
39 |
39 |
$2K |
| 71101 |
|
23 |
22 |
$2K |
| 85652 |
|
952 |
948 |
$2K |
| 82105 |
|
174 |
174 |
$2K |
| 82784 |
|
178 |
178 |
$2K |
| E0265 |
Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress |
12 |
12 |
$2K |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
27 |
27 |
$2K |
| 59025 |
Fetal non-stress test |
17 |
13 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,694 |
1,390 |
$2K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
263 |
252 |
$2K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
747 |
491 |
$2K |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
162 |
162 |
$2K |
| 86704 |
|
304 |
304 |
$2K |
| 73090 |
|
31 |
27 |
$2K |
| 84146 |
|
224 |
224 |
$2K |
| 83718 |
|
262 |
262 |
$2K |
| 84156 |
|
573 |
566 |
$2K |
| 82378 |
|
95 |
94 |
$2K |
| 76857 |
|
14 |
14 |
$2K |
| 80076 |
|
255 |
253 |
$2K |
| 83655 |
|
516 |
516 |
$2K |
| 83921 |
|
50 |
50 |
$2K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
31 |
31 |
$1K |
| 87517 |
|
84 |
83 |
$1K |
| 82670 |
|
187 |
186 |
$1K |
| 86762 |
|
327 |
327 |
$1K |
| E0424 |
Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing |
14 |
14 |
$1K |
| 81206 |
|
19 |
19 |
$1K |
| 86850 |
|
169 |
168 |
$1K |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
43 |
43 |
$1K |
| E0720 |
Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation |
30 |
30 |
$1K |
| 76642 |
|
60 |
40 |
$1K |
| 87522 |
Neg quan hep c or qual rna |
49 |
49 |
$1K |
| 84550 |
|
447 |
446 |
$1K |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
19 |
19 |
$1K |
| 0921 |
|
22 |
22 |
$1K |
| 87799 |
|
38 |
38 |
$1K |
| 87449 |
|
146 |
136 |
$1K |
| E0776 |
Iv pole |
103 |
103 |
$1K |
| 0134A |
|
37 |
37 |
$1K |
| 0255 |
|
101 |
99 |
$1K |
| 86592 |
|
96 |
96 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
70 |
70 |
$1K |
| 76881 |
|
31 |
24 |
$1K |
| 11721 |
|
12 |
12 |
$1K |
| 87529 |
|
91 |
55 |
$1K |
| 88304 |
|
52 |
45 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
97 |
82 |
$1K |
| 82248 |
|
750 |
721 |
$1K |
| 85730 |
|
287 |
275 |
$1K |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
13 |
13 |
$1K |
| E0247 |
Transfer bench for tub or toilet with or without commode opening |
16 |
16 |
$1K |
| 73522 |
|
22 |
20 |
$1K |
| 86038 |
|
188 |
188 |
$1K |
| 83001 |
|
224 |
224 |
$1K |
| 72082 |
|
12 |
12 |
$1K |
| 92250 |
|
42 |
42 |
$1K |
| 76380 |
|
19 |
19 |
$1K |
| 72070 |
|
17 |
15 |
$1K |
| 86787 |
|
267 |
267 |
$1K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
33 |
33 |
$1K |
| A7520 |
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each |
15 |
15 |
$1K |
| J3490 |
Unclassified drugs |
882 |
519 |
$1K |
| 87040 |
|
559 |
346 |
$1K |
| 84270 |
|
87 |
87 |
$1K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
670 |
620 |
$1K |
| 88307 |
|
21 |
13 |
$1K |
| 84480 |
|
154 |
153 |
$1K |
| E0156 |
Seat attachment, walker |
72 |
72 |
$1K |
| 73000 |
|
15 |
13 |
$1K |
| 87497 |
|
28 |
28 |
$1K |
| 86335 |
|
14 |
14 |
$1K |
| J1756 |
Injection, iron sucrose, 1 mg |
1,258 |
382 |
$1K |
| 82550 |
|
261 |
253 |
$1K |
| 83021 |
|
103 |
103 |
$1K |
| E0245 |
Tub stool or bench |
19 |
19 |
$1K |
| E0651 |
Pneumatic compressor, segmental home model without calibrated gradient pressure |
19 |
19 |
$1K |
| 87081 |
|
852 |
846 |
$1K |
| 85018 |
|
2,259 |
1,105 |
$1K |
| 85014 |
|
576 |
541 |
$1K |
| 92134 |
|
66 |
57 |
$1K |
| 86765 |
|
225 |
225 |
$1K |
| 87070 |
|
230 |
230 |
$1K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
45 |
45 |
$1K |
| 83993 |
|
101 |
101 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
170 |
160 |
$1K |
| 88173 |
|
12 |
12 |
$1K |
| 86225 |
|
152 |
152 |
$1K |
| 86160 |
|
97 |
94 |
$1K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
29 |
29 |
$988.92 |
| 73060 |
|
21 |
20 |
$984.76 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
75 |
75 |
$966.52 |
| 0258 |
|
214 |
206 |
$958.53 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
86 |
86 |
$948.00 |
| 83615 |
|
219 |
214 |
$946.61 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
84 |
84 |
$945.60 |
| 73660 |
|
40 |
29 |
$940.00 |
| 82465 |
|
311 |
310 |
$934.00 |
| 0424 |
|
80 |
80 |
$927.00 |
| 92523 |
|
56 |
56 |
$925.94 |
| 0171 |
Inj, epinephrine (belcher) |
111 |
111 |
$895.91 |
| 86317 |
|
121 |
121 |
$888.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
359 |
317 |
$877.03 |
| G2024 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha, any specimen source |
34 |
29 |
$865.64 |
| 72050 |
|
27 |
20 |
$846.00 |
| 82627 |
|
80 |
80 |
$843.00 |
| 86664 |
|
93 |
93 |
$842.00 |
| 87324 |
|
90 |
90 |
$837.19 |
| 85379 |
|
233 |
223 |
$836.31 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
19 |
19 |
$827.60 |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
45 |
45 |
$821.74 |
| A5056 |
Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each |
12 |
12 |
$810.15 |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
12 |
12 |
$794.76 |
| 92083 |
|
17 |
13 |
$790.00 |
| 84134 |
|
74 |
74 |
$769.24 |
| 87506 |
|
49 |
49 |
$760.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
166 |
160 |
$737.00 |
| 83002 |
|
138 |
138 |
$730.00 |
| B9002 |
Enteral nutrition infusion pump, any type |
27 |
27 |
$722.40 |
| 80306 |
|
90 |
87 |
$718.93 |
| 83605 |
|
429 |
365 |
$709.07 |
| 81025 |
|
245 |
241 |
$697.30 |
| 82533 |
|
71 |
68 |
$694.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
101 |
101 |
$686.08 |
| 73100 |
|
22 |
15 |
$678.00 |
| 86635 |
|
58 |
29 |
$646.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
180 |
180 |
$639.30 |
| 87338 |
|
329 |
329 |
$636.72 |
| 86360 |
|
41 |
41 |
$636.00 |
| E0244 |
Raised toilet seat |
18 |
18 |
$631.62 |
| 88342 |
|
19 |
19 |
$630.00 |
| E0849 |
Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible |
18 |
18 |
$628.28 |
| 86140 |
|
354 |
350 |
$608.96 |
| 97161 |
|
102 |
100 |
$606.79 |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
59 |
58 |
$599.20 |
| 82985 |
|
43 |
43 |
$598.68 |
| A4670 |
Automatic blood pressure monitor |
42 |
42 |
$595.56 |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
21 |
20 |
$592.46 |
| 86376 |
|
90 |
89 |
$592.28 |
| 99072 |
|
636 |
263 |
$591.30 |
| 88112 |
|
13 |
13 |
$590.00 |
| E0241 |
Bath tub wall rail, each |
27 |
26 |
$565.56 |
| 86304 |
|
44 |
44 |
$544.00 |
| 82977 |
|
109 |
109 |
$541.00 |
| 86255 |
|
27 |
27 |
$539.93 |
| 86696 |
|
52 |
52 |
$533.00 |
| 82785 |
|
41 |
41 |
$492.00 |
| E0100 |
Cane, includes canes of all materials, adjustable or fixed, with tip |
36 |
36 |
$491.84 |
| 0307 |
|
143 |
142 |
$489.93 |
| A9286 |
Hygienic item or device, disposable or non-disposable, any type, each |
57 |
55 |
$487.31 |
| 80321 |
|
15 |
15 |
$485.81 |
| P9021 |
Red blood cells, each unit |
38 |
34 |
$483.53 |
| 86880 |
|
17 |
17 |
$467.00 |
| 86256 |
|
34 |
34 |
$458.00 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
21 |
21 |
$447.32 |
| A4335 |
Incontinence supply; miscellaneous |
63 |
62 |
$440.69 |
| 86580 |
|
154 |
154 |
$440.00 |
| 86706 |
|
299 |
299 |
$422.01 |
| 81329 |
|
84 |
84 |
$422.00 |
| G0124 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician |
36 |
36 |
$420.00 |
| A5120 |
Skin barrier, wipes or swabs, each |
32 |
31 |
$415.54 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
19 |
19 |
$399.00 |
| E0105 |
Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips |
14 |
14 |
$395.05 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
55 |
53 |
$391.04 |
| J1644 |
Injection, heparin sodium, per 1000 units |
2,371 |
275 |
$390.89 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
510 |
490 |
$387.37 |
| G0008 |
Administration of influenza virus vaccine |
56 |
56 |
$387.35 |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
13 |
13 |
$386.70 |
| 82950 |
|
168 |
168 |
$386.00 |
| 86431 |
|
142 |
142 |
$378.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
37 |
37 |
$354.96 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
152 |
151 |
$351.60 |
| 86735 |
|
86 |
86 |
$344.00 |
| A4927 |
Gloves, non-sterile, per 100 |
132 |
132 |
$334.53 |
| 86709 |
|
48 |
48 |
$330.00 |
| 80179 |
|
101 |
100 |
$319.25 |
| 86695 |
|
52 |
52 |
$317.00 |
| 86301 |
|
28 |
27 |
$311.00 |
| A4402 |
Lubricant, per ounce |
20 |
20 |
$306.55 |
| 97162 |
|
34 |
33 |
$287.49 |
| 82024 |
|
16 |
15 |
$285.00 |
| E0910 |
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar |
24 |
24 |
$273.06 |
| 87102 |
|
85 |
85 |
$270.00 |
| 88142 |
|
87 |
87 |
$269.85 |
| 86359 |
|
13 |
13 |
$260.00 |
| 82951 |
|
30 |
30 |
$258.00 |
| 85046 |
|
169 |
166 |
$258.00 |
| 87210 |
|
80 |
80 |
$253.42 |
| 0272 |
|
38 |
38 |
$252.87 |
| 81015 |
|
95 |
91 |
$252.86 |
| 82962 |
|
245 |
169 |
$252.73 |
| 93000 |
|
16 |
16 |
$252.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
172 |
170 |
$247.53 |
| 82330 |
|
22 |
22 |
$244.00 |
| 84425 |
|
61 |
61 |
$244.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
286 |
234 |
$234.15 |
| 0434 |
|
14 |
14 |
$223.28 |
| 86708 |
|
55 |
55 |
$222.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
37 |
37 |
$219.85 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
27 |
27 |
$218.70 |
| 82140 |
|
44 |
42 |
$211.57 |
| J2060 |
Injection, lorazepam, 2 mg |
111 |
103 |
$211.30 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
17 |
17 |
$207.97 |
| 83516 |
|
115 |
115 |
$207.80 |
| 87205 |
|
96 |
88 |
$204.45 |
| 86300 |
|
19 |
19 |
$200.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
278 |
256 |
$197.36 |
| 81243 |
|
25 |
25 |
$195.00 |
| 80164 |
|
47 |
45 |
$195.00 |
| 80069 |
|
277 |
271 |
$188.25 |
| 84145 |
|
32 |
32 |
$184.58 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
150 |
120 |
$177.52 |
| 82077 |
|
179 |
165 |
$170.55 |
| 90686 |
|
63 |
63 |
$162.18 |
| 85045 |
|
116 |
115 |
$160.99 |
| 80349 |
|
33 |
32 |
$158.00 |
| 97165 |
|
15 |
15 |
$157.08 |
| 86308 |
|
37 |
37 |
$149.28 |
| 80177 |
|
23 |
22 |
$147.84 |
| 84478 |
|
61 |
60 |
$144.00 |
| 84155 |
|
636 |
630 |
$140.55 |
| 82390 |
|
30 |
30 |
$140.00 |
| 82150 |
|
61 |
60 |
$137.48 |
| 89051 |
|
36 |
36 |
$137.00 |
| 80162 |
|
15 |
15 |
$133.00 |
| 82272 |
|
34 |
34 |
$132.00 |
| 85613 |
|
14 |
14 |
$125.00 |
| A4371 |
Ostomy skin barrier, powder, per oz |
14 |
14 |
$122.49 |
| 96367 |
|
40 |
39 |
$110.58 |
| 0430 |
|
16 |
16 |
$107.92 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
178 |
148 |
$102.24 |
| 88141 |
|
13 |
13 |
$100.00 |
| 87209 |
|
50 |
50 |
$100.00 |
| 85384 |
|
19 |
17 |
$98.72 |
| 83930 |
|
17 |
17 |
$96.61 |
| 83020 |
|
47 |
47 |
$95.00 |
| 82952 |
|
30 |
30 |
$92.00 |
| 80178 |
|
37 |
35 |
$88.61 |
| 83519 |
|
13 |
13 |
$88.20 |
| 83498 |
|
49 |
49 |
$88.20 |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
1,813 |
212 |
$84.24 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
195 |
175 |
$82.68 |
| 96376 |
|
54 |
54 |
$79.80 |
| 82803 |
|
36 |
34 |
$78.73 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
190 |
188 |
$78.65 |
| A7015 |
Aerosol mask, used with dme nebulizer |
59 |
59 |
$76.12 |
| 92610 |
|
17 |
17 |
$72.46 |
| 84466 |
|
12 |
12 |
$72.00 |
| 82705 |
|
12 |
12 |
$66.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
44 |
42 |
$61.06 |
| 84207 |
|
15 |
15 |
$60.48 |
| 84630 |
|
28 |
28 |
$60.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
86 |
82 |
$58.02 |
| 83935 |
|
12 |
12 |
$54.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
153 |
145 |
$52.70 |
| 85049 |
|
12 |
12 |
$46.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
16 |
15 |
$42.05 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
74 |
67 |
$41.82 |
| 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 |
547 |
543 |
$40.00 |
| 86645 |
|
12 |
12 |
$40.00 |
| J1815 |
Injection, insulin, per 5 units |
291 |
143 |
$39.30 |
| 82103 |
|
13 |
13 |
$35.00 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
20 |
13 |
$32.18 |
| 0309 |
|
12 |
12 |
$31.94 |
| 84305 |
|
13 |
13 |
$30.24 |
| 86593 |
|
34 |
34 |
$30.00 |
| 82374 |
|
160 |
149 |
$30.00 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
63 |
58 |
$28.05 |
| J1630 |
Injection, haloperidol, up to 5 mg |
20 |
18 |
$27.98 |
| A4657 |
Syringe, with or without needle, each |
3,952 |
548 |
$27.58 |
| 80359 |
|
14 |
14 |
$26.00 |
| 80324 |
|
14 |
14 |
$26.00 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
46 |
40 |
$24.56 |
| 83986 |
|
13 |
13 |
$24.25 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
41 |
41 |
$24.07 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
112 |
72 |
$20.96 |
| 87147 |
|
14 |
14 |
$20.08 |
| 84590 |
|
12 |
12 |
$16.80 |
| 82435 |
|
17 |
17 |
$15.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
50 |
46 |
$11.51 |
| 87185 |
|
12 |
12 |
$10.00 |
| J0134 |
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
34 |
33 |
$10.00 |
| 81002 |
|
58 |
58 |
$8.70 |
| 84315 |
|
16 |
16 |
$8.32 |
| J3480 |
Injection, potassium chloride, per 2 meq |
60 |
43 |
$8.10 |
| J1940 |
Injection, furosemide, up to 20 mg |
94 |
56 |
$4.00 |
| 99000 |
|
16 |
16 |
$3.63 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
15 |
12 |
$3.49 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
83 |
13 |
$3.02 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
72 |
58 |
$2.98 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
32 |
31 |
$2.29 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
47 |
22 |
$0.00 |
| 90677 |
|
16 |
16 |
$0.00 |
| G9012 |
Other specified case management service not elsewhere classified |
2,874 |
1,412 |
$0.00 |
| Q5001 |
Hospice or home health care provided in patient's home/residence |
37 |
37 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
2,021 |
1,976 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
32 |
32 |
$0.00 |
| J1270 |
Injection, doxercalciferol, 1 mcg |
2,308 |
206 |
$0.00 |
| 92551 |
|
93 |
93 |
$0.00 |
| 92002 |
|
48 |
48 |
$0.00 |
| G0307 |
Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count) |
77 |
77 |
$0.00 |
| 99024 |
|
45 |
44 |
$0.00 |
| 99441 |
|
69 |
69 |
$0.00 |
| 0370 |
|
68 |
68 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
13 |
13 |
$0.00 |
| 82525 |
|
12 |
12 |
$0.00 |
| 0023 |
Pin srv add 30 min pr m |
13 |
13 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
55 |
50 |
$0.00 |
| Q4081 |
Injection, epoetin alfa, 100 units (for esrd on dialysis) |
867 |
102 |
$0.00 |
| 82945 |
|
62 |
51 |
$0.00 |
| 0710 |
|
68 |
68 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
25 |
$0.00 |
| 76813 |
|
12 |
12 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
56 |
47 |
$0.00 |
| 82108 |
|
105 |
105 |
$0.00 |
| 99051 |
|
420 |
419 |
$0.00 |
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
19 |
16 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$0.00 |
| 97156 |
|
18 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
37 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
36 |
36 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
14 |
14 |
$0.00 |
| 87329 |
|
17 |
17 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
40 |
40 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
15 |
15 |
$0.00 |
| 99177 |
|
54 |
54 |
$0.00 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
19 |
19 |
$0.00 |
| 99442 |
|
45 |
45 |
$0.00 |
| 87806 |
|
14 |
14 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
13 |
13 |
$0.00 |
| 96116 |
|
18 |
18 |
$0.00 |
| 90746 |
|
16 |
16 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
43 |
43 |
$0.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
19 |
18 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
168 |
168 |
$0.00 |
| 99173 |
|
47 |
47 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
33 |
33 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
52 |
$0.00 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
20 |
16 |
$0.00 |
| A4267 |
Contraceptive supply, condom, male, each |
17 |
17 |
$0.00 |
| 90750 |
|
22 |
22 |
$0.00 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
44 |
35 |
$0.00 |
| 98968 |
|
45 |
45 |
$0.00 |
| 0360 |
|
18 |
18 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
15 |
13 |
$0.00 |
| J3371 |
Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg |
24 |
14 |
$0.00 |
| 80361 |
|
20 |
20 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
36 |
36 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
41 |
$0.00 |