| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
18,779 |
17,139 |
$5.88M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
33,638 |
31,210 |
$5.79M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,914 |
3,359 |
$2.95M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
7,645 |
6,707 |
$2.57M |
| G0378 |
Hospital observation service, per hour |
4,392 |
2,242 |
$2.09M |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,738 |
2,913 |
$1.51M |
| 80053 |
Comprehensive metabolic panel |
31,687 |
26,168 |
$1.43M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
9,718 |
9,219 |
$1.28M |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
38,252 |
30,833 |
$1.10M |
| 80050 |
General health panel |
8,185 |
7,883 |
$1.00M |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
517 |
487 |
$861K |
| 73610 |
|
2,833 |
2,472 |
$774K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,834 |
4,730 |
$768K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
4,159 |
3,851 |
$759K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,476 |
1,181 |
$742K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
5,474 |
2,082 |
$705K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,950 |
2,822 |
$664K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
8,372 |
2,364 |
$660K |
| 71046 |
Radiologic examination, chest; 2 views |
7,982 |
7,029 |
$653K |
| 73630 |
|
2,609 |
2,087 |
$588K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
10,702 |
9,032 |
$539K |
| 73110 |
|
1,897 |
1,535 |
$507K |
| 73562 |
|
2,648 |
2,332 |
$479K |
| J1439 |
Injection, ferric carboxymaltose, 1 mg |
577 |
360 |
$470K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
7,970 |
4,467 |
$440K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,334 |
1,309 |
$436K |
| 73130 |
|
1,475 |
1,249 |
$418K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
533 |
437 |
$412K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
5,464 |
2,264 |
$411K |
| 80061 |
Lipid panel |
7,399 |
7,171 |
$403K |
| 71045 |
Radiologic examination, chest; single view |
9,856 |
7,104 |
$393K |
| 36415 |
Collection of venous blood by venipuncture |
57,336 |
46,234 |
$383K |
| 84484 |
|
7,286 |
5,716 |
$382K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
8,574 |
8,030 |
$379K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,065 |
926 |
$365K |
| 81025 |
|
6,446 |
6,068 |
$360K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,058 |
7,764 |
$359K |
| 84443 |
Thyroid stimulating hormone (TSH) |
6,411 |
6,129 |
$355K |
| 76801 |
|
1,790 |
1,617 |
$348K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
8,380 |
6,583 |
$340K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,484 |
4,184 |
$333K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
8,586 |
8,271 |
$331K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
3,500 |
3,384 |
$314K |
| 83690 |
|
8,822 |
7,918 |
$303K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
9,169 |
7,374 |
$295K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,702 |
4,287 |
$292K |
| 74018 |
|
2,914 |
2,644 |
$279K |
| 81001 |
|
17,663 |
16,186 |
$274K |
| 84439 |
|
4,748 |
4,584 |
$265K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,353 |
1,263 |
$258K |
| 72100 |
|
1,782 |
1,520 |
$253K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
9,794 |
8,188 |
$243K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
7,946 |
6,349 |
$238K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
534 |
450 |
$220K |
| 80306 |
|
3,615 |
3,305 |
$213K |
| 83880 |
|
3,496 |
3,033 |
$212K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,998 |
4,713 |
$210K |
| 73030 |
|
1,581 |
1,316 |
$201K |
| 82728 |
|
3,732 |
3,544 |
$192K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,254 |
5,796 |
$190K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
3,101 |
2,778 |
$176K |
| 73080 |
|
593 |
495 |
$169K |
| 84702 |
|
2,886 |
2,298 |
$168K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,419 |
1,779 |
$165K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,186 |
2,838 |
$165K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,001 |
3,942 |
$165K |
| 87186 |
|
3,947 |
3,562 |
$162K |
| 87070 |
|
3,173 |
2,799 |
$153K |
| 83735 |
|
5,549 |
4,746 |
$143K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,497 |
5,195 |
$143K |
| 76536 |
|
551 |
520 |
$136K |
| 92567 |
|
4,359 |
4,247 |
$134K |
| 83540 |
|
4,101 |
3,881 |
$133K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
2,309 |
967 |
$132K |
| 73140 |
|
1,426 |
1,237 |
$131K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
162 |
139 |
$128K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
12,536 |
9,632 |
$128K |
| 82607 |
|
3,186 |
3,068 |
$125K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,529 |
4,440 |
$124K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,461 |
3,252 |
$124K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,766 |
2,635 |
$124K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,753 |
2,631 |
$120K |
| 83550 |
|
3,418 |
3,243 |
$119K |
| 85610 |
|
4,907 |
4,129 |
$118K |
| 76770 |
|
398 |
362 |
$117K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,244 |
1,175 |
$115K |
| 87081 |
|
2,585 |
2,440 |
$109K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,176 |
1,715 |
$103K |
| 86140 |
|
3,330 |
2,920 |
$103K |
| 96376 |
|
2,192 |
1,560 |
$99K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,476 |
1,300 |
$96K |
| J7050 |
Infusion, normal saline solution, 250 cc |
6,919 |
3,738 |
$95K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
6,593 |
5,565 |
$94K |
| 87040 |
|
2,597 |
1,647 |
$88K |
| 92523 |
|
332 |
328 |
$87K |
| 76830 |
Ultrasound, transvaginal |
782 |
762 |
$86K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
6,560 |
4,874 |
$85K |
| 85379 |
|
1,504 |
1,399 |
$84K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
113 |
95 |
$82K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
7,915 |
6,463 |
$82K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,951 |
1,627 |
$80K |
| 87807 |
|
1,242 |
1,187 |
$79K |
| 82570 |
|
1,382 |
1,289 |
$74K |
| 85652 |
|
3,031 |
2,687 |
$74K |
| 87077 |
|
2,034 |
1,782 |
$70K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
729 |
674 |
$70K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
492 |
471 |
$68K |
| 92557 |
|
1,182 |
1,168 |
$67K |
| 86850 |
|
2,398 |
2,173 |
$66K |
| 85730 |
|
3,052 |
2,744 |
$65K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,327 |
2,120 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,455 |
1,723 |
$64K |
| 81003 |
|
3,647 |
3,430 |
$63K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
3,758 |
3,667 |
$63K |
| 87400 |
|
1,249 |
1,226 |
$62K |
| 83605 |
|
2,266 |
1,767 |
$61K |
| 76376 |
|
1,263 |
1,097 |
$59K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
324 |
289 |
$58K |
| 73502 |
|
514 |
384 |
$57K |
| J2704 |
Injection, propofol, 10 mg |
5,054 |
4,667 |
$57K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
69 |
64 |
$56K |
| 88304 |
|
835 |
808 |
$55K |
| 86900 |
|
2,871 |
2,584 |
$53K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,073 |
4,628 |
$53K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
624 |
496 |
$52K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,260 |
764 |
$51K |
| 92555 |
|
847 |
826 |
$50K |
| 64721 |
|
66 |
59 |
$50K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,272 |
479 |
$50K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,959 |
4,382 |
$48K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
3,729 |
2,803 |
$48K |
| 87205 |
|
2,783 |
2,367 |
$48K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
1,183 |
1,075 |
$47K |
| 92582 |
|
400 |
394 |
$46K |
| 87088 |
|
1,218 |
1,164 |
$44K |
| 86803 |
|
1,249 |
1,206 |
$42K |
| 85027 |
|
1,527 |
1,439 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,050 |
776 |
$42K |
| 86038 |
|
1,082 |
1,043 |
$41K |
| 82746 |
|
1,257 |
1,203 |
$40K |
| 73590 |
|
187 |
156 |
$39K |
| 84145 |
|
361 |
319 |
$39K |
| 84480 |
|
640 |
618 |
$39K |
| 92587 |
|
728 |
704 |
$38K |
| 92579 |
|
540 |
532 |
$37K |
| 72141 |
|
50 |
38 |
$37K |
| 94642 |
|
842 |
685 |
$37K |
| 76641 |
|
219 |
202 |
$36K |
| 84030 |
|
630 |
598 |
$35K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
253 |
142 |
$35K |
| 86701 |
|
915 |
872 |
$34K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
739 |
705 |
$34K |
| 74019 |
|
139 |
132 |
$33K |
| 86003 |
|
121 |
110 |
$33K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,503 |
1,879 |
$33K |
| 86780 |
|
954 |
910 |
$32K |
| 71250 |
|
114 |
94 |
$31K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
953 |
910 |
$30K |
| 97161 |
|
541 |
522 |
$30K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
3,159 |
2,559 |
$30K |
| 82150 |
|
856 |
800 |
$29K |
| 84403 |
|
363 |
352 |
$28K |
| 84703 |
|
517 |
498 |
$28K |
| 72040 |
|
214 |
180 |
$28K |
| 93971 |
|
171 |
132 |
$27K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
3,816 |
3,463 |
$27K |
| 87340 |
|
818 |
779 |
$27K |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
1,306 |
1,214 |
$27K |
| 83970 |
|
324 |
310 |
$25K |
| 87481 |
|
286 |
276 |
$24K |
| 87535 |
|
185 |
179 |
$23K |
| 82043 |
|
689 |
669 |
$22K |
| 64483 |
|
100 |
68 |
$21K |
| 80305 |
|
284 |
272 |
$20K |
| 73560 |
|
176 |
153 |
$20K |
| 90715 |
|
386 |
376 |
$20K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,781 |
1,139 |
$19K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
416 |
398 |
$18K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
23 |
14 |
$18K |
| 12001 |
|
138 |
133 |
$18K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
199 |
195 |
$18K |
| 96367 |
|
446 |
317 |
$17K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
216 |
198 |
$17K |
| 93970 |
|
58 |
49 |
$17K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
17 |
15 |
$17K |
| 82533 |
|
396 |
355 |
$16K |
| 84156 |
|
442 |
404 |
$16K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,681 |
1,308 |
$15K |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
246 |
207 |
$15K |
| 70486 |
|
28 |
24 |
$15K |
| 87147 |
|
630 |
569 |
$14K |
| 87420 |
|
255 |
248 |
$14K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
12 |
$13K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,877 |
1,650 |
$13K |
| 85007 |
|
1,019 |
908 |
$13K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
105 |
95 |
$13K |
| 86376 |
|
191 |
190 |
$12K |
| 84550 |
|
400 |
372 |
$12K |
| 92552 |
|
172 |
170 |
$11K |
| 84153 |
|
137 |
124 |
$11K |
| 84165 |
|
293 |
273 |
$10K |
| 86480 |
|
127 |
124 |
$10K |
| 82550 |
|
350 |
284 |
$10K |
| 83615 |
|
432 |
387 |
$10K |
| 86800 |
|
354 |
331 |
$9K |
| 86762 |
|
406 |
393 |
$9K |
| 84481 |
|
156 |
152 |
$9K |
| J2060 |
Injection, lorazepam, 2 mg |
853 |
685 |
$8K |
| 82951 |
|
141 |
121 |
$8K |
| 74022 |
|
30 |
29 |
$8K |
| 83516 |
|
146 |
136 |
$8K |
| 80069 |
|
116 |
110 |
$8K |
| 87045 |
|
227 |
211 |
$7K |
| 82784 |
|
94 |
87 |
$7K |
| 82077 |
|
135 |
120 |
$7K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
67 |
67 |
$7K |
| 80179 |
|
64 |
61 |
$6K |
| J1815 |
Injection, insulin, per 5 units |
101 |
54 |
$6K |
| 84146 |
|
90 |
88 |
$6K |
| 94060 |
|
66 |
66 |
$6K |
| 87511 |
|
286 |
276 |
$6K |
| 76870 |
|
20 |
19 |
$6K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
27 |
24 |
$6K |
| 87538 |
|
185 |
179 |
$5K |
| 97602 |
|
209 |
109 |
$5K |
| 82270 |
|
183 |
160 |
$5K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
23 |
12 |
$5K |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
495 |
372 |
$5K |
| 72070 |
|
26 |
25 |
$5K |
| 80143 |
|
51 |
48 |
$5K |
| 83001 |
|
62 |
62 |
$5K |
| 86901 |
|
193 |
182 |
$4K |
| 84157 |
|
104 |
103 |
$4K |
| J0136 |
Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg |
359 |
334 |
$4K |
| 81015 |
|
428 |
419 |
$4K |
| G0379 |
Direct admission of patient for hospital observation care |
26 |
26 |
$4K |
| 97162 |
|
75 |
68 |
$4K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
110 |
91 |
$4K |
| 86200 |
|
42 |
41 |
$4K |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
285 |
260 |
$3K |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
412 |
303 |
$3K |
| A9270 |
Non-covered item or service |
4,336 |
2,156 |
$3K |
| 84450 |
|
102 |
99 |
$3K |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
380 |
239 |
$3K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
269 |
223 |
$3K |
| 84155 |
|
275 |
258 |
$3K |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
391 |
205 |
$3K |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
331 |
292 |
$3K |
| C1763 |
Connective tissue, non-human (includes synthetic) |
16 |
15 |
$3K |
| 86431 |
|
60 |
60 |
$3K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
104 |
99 |
$3K |
| 99215 |
Prolong outpt/office vis |
238 |
105 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
115 |
112 |
$3K |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
283 |
160 |
$3K |
| 83013 |
|
12 |
12 |
$3K |
| 82010 |
|
150 |
142 |
$3K |
| 87338 |
|
30 |
29 |
$3K |
| J1644 |
Injection, heparin sodium, per 1000 units |
155 |
73 |
$2K |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
187 |
168 |
$2K |
| 11043 |
|
41 |
12 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
55 |
55 |
$2K |
| 86592 |
|
107 |
104 |
$2K |
| 86787 |
|
57 |
29 |
$2K |
| 76000 |
|
29 |
28 |
$2K |
| 86778 |
|
17 |
16 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
17 |
16 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
140 |
120 |
$2K |
| 97166 |
|
29 |
27 |
$2K |
| 76775 |
|
12 |
12 |
$2K |
| Q0163 |
Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen |
787 |
727 |
$2K |
| 82803 |
|
57 |
37 |
$2K |
| 82009 |
|
136 |
112 |
$2K |
| 84100 |
|
68 |
52 |
$2K |
| 73090 |
|
15 |
12 |
$2K |
| 96368 |
|
36 |
26 |
$2K |
| 97164 |
|
47 |
41 |
$2K |
| 87075 |
|
34 |
27 |
$2K |
| 82272 |
|
78 |
73 |
$1K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 36416 |
|
245 |
190 |
$1K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
86 |
81 |
$1K |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
154 |
131 |
$1K |
| 84402 |
|
15 |
15 |
$1K |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
61 |
59 |
$1K |
| 82950 |
|
37 |
37 |
$1K |
| 82785 |
|
33 |
31 |
$1K |
| 59025 |
Fetal non-stress test |
16 |
12 |
$1K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
253 |
236 |
$968.62 |
| 86702 |
|
18 |
17 |
$936.47 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
68 |
66 |
$932.65 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
1,073 |
247 |
$920.46 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
93 |
89 |
$901.39 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
46 |
26 |
$887.64 |
| 99219 |
|
12 |
12 |
$800.70 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
21 |
14 |
$750.88 |
| 83010 |
|
27 |
27 |
$706.16 |
| 97032 |
|
32 |
16 |
$671.49 |
| 87177 |
|
14 |
14 |
$655.33 |
| 94726 |
|
14 |
14 |
$653.40 |
| 99222 |
Initial hospital care, per day, moderate complexity |
16 |
13 |
$643.84 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
739 |
619 |
$596.44 |
| 92553 |
|
13 |
13 |
$593.40 |
| 86593 |
|
156 |
154 |
$574.23 |
| J7510 |
Prednisolone oral, per 5 mg |
191 |
176 |
$532.41 |
| 94729 |
|
14 |
14 |
$502.50 |
| 86777 |
|
17 |
16 |
$486.15 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
33 |
31 |
$459.05 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
60 |
28 |
$439.17 |
| 85045 |
|
25 |
24 |
$416.06 |
| 84436 |
|
16 |
14 |
$414.54 |
| 97116 |
|
13 |
12 |
$410.19 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
107 |
103 |
$366.10 |
| 86430 |
|
12 |
12 |
$342.90 |
| 20610 |
|
20 |
13 |
$334.74 |
| T1015 |
Clinic visit/encounter, all-inclusive |
85 |
76 |
$330.25 |
| 87209 |
|
14 |
14 |
$309.57 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
20 |
13 |
$308.83 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
56 |
52 |
$296.90 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
74 |
65 |
$256.50 |
| 80320 |
|
201 |
185 |
$241.22 |
| 80329 |
|
68 |
35 |
$235.62 |
| 81002 |
|
116 |
113 |
$235.08 |
| 11721 |
|
24 |
24 |
$196.41 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
153 |
136 |
$157.20 |
| J1790 |
Injection, droperidol, up to 5 mg |
15 |
14 |
$142.40 |
| J2372 |
Injection, phenylephrine hydrochloride (biorphen), 20 micrograms |
20 |
16 |
$130.60 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
13 |
13 |
$102.78 |
| 88738 |
|
14 |
14 |
$99.30 |
| V5266 |
Battery for use in hearing device |
27 |
27 |
$86.39 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
12 |
12 |
$53.77 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
2,963 |
2,743 |
$0.00 |
| 85060 |
|
26 |
26 |
$0.00 |
| 99406 |
|
43 |
40 |
$0.00 |
| J3490 |
Unclassified drugs |
41 |
19 |
$0.00 |