| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
28,909 |
22,432 |
$7.30M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
32,493 |
26,719 |
$4.85M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19,152 |
17,117 |
$1.40M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,625 |
20,008 |
$839K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32,872 |
28,639 |
$773K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,767 |
1,377 |
$720K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
17,365 |
4,240 |
$599K |
| G0378 |
Hospital observation service, per hour |
14,363 |
4,652 |
$591K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
10,520 |
9,511 |
$354K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,561 |
4,312 |
$342K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
8,613 |
7,241 |
$294K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
4,111 |
3,581 |
$293K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
727 |
628 |
$268K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
2,302 |
2,008 |
$233K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,302 |
1,129 |
$223K |
| 59025 |
Fetal non-stress test |
4,243 |
2,110 |
$183K |
| 99245 |
|
3,060 |
2,343 |
$182K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
10,337 |
6,780 |
$151K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,810 |
1,671 |
$146K |
| 76830 |
Ultrasound, transvaginal |
2,960 |
2,651 |
$139K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
4,788 |
4,397 |
$131K |
| 72141 |
|
1,184 |
1,049 |
$121K |
| 93971 |
|
2,143 |
1,805 |
$118K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
9,705 |
2,611 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,759 |
1,596 |
$109K |
| 71250 |
|
1,783 |
1,572 |
$107K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,634 |
1,481 |
$105K |
| 84443 |
Thyroid stimulating hormone (TSH) |
17,707 |
14,817 |
$97K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
3,440 |
1,781 |
$96K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13,672 |
11,829 |
$93K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
12,342 |
7,354 |
$91K |
| 76536 |
|
1,288 |
1,210 |
$89K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
9,428 |
8,311 |
$86K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,977 |
1,864 |
$82K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,246 |
1,061 |
$77K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,240 |
1,147 |
$76K |
| 77066 |
Tomosynthesis, mammo |
579 |
537 |
$73K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
8,315 |
3,972 |
$72K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
11,827 |
10,174 |
$72K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
496 |
411 |
$70K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,544 |
4,126 |
$62K |
| 71046 |
Radiologic examination, chest; 2 views |
12,105 |
10,261 |
$62K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
3,413 |
2,945 |
$60K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
24,210 |
18,643 |
$60K |
| 80053 |
Comprehensive metabolic panel |
67,436 |
50,267 |
$59K |
| 76770 |
|
1,419 |
1,259 |
$55K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,544 |
4,126 |
$55K |
| 97162 |
|
2,263 |
1,710 |
$53K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
4,926 |
3,197 |
$50K |
| 73610 |
|
2,343 |
2,056 |
$47K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,768 |
2,375 |
$47K |
| 86901 |
|
4,989 |
3,940 |
$44K |
| 86900 |
|
4,189 |
3,285 |
$44K |
| 97597 |
|
4,922 |
2,169 |
$44K |
| 70450 |
Computed tomography, head or brain; without contrast material |
7,618 |
6,231 |
$43K |
| 86850 |
|
3,304 |
2,773 |
$38K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,644 |
419 |
$38K |
| 80061 |
Lipid panel |
10,610 |
9,526 |
$37K |
| 73562 |
|
2,289 |
1,921 |
$36K |
| 76642 |
|
1,476 |
1,302 |
$36K |
| 72100 |
|
3,125 |
2,728 |
$35K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
2,507 |
2,010 |
$35K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,244 |
651 |
$34K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,052 |
913 |
$31K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
2,942 |
1,742 |
$30K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
20,469 |
15,670 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
839 |
725 |
$25K |
| 99215 |
Prolong outpt/office vis |
589 |
510 |
$25K |
| 76801 |
|
443 |
402 |
$25K |
| 29125 |
|
1,094 |
971 |
$24K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
40 |
39 |
$24K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
75,083 |
53,762 |
$23K |
| 83970 |
|
674 |
621 |
$22K |
| 87653 |
|
1,201 |
1,086 |
$21K |
| 73130 |
|
2,424 |
1,979 |
$20K |
| 80050 |
General health panel |
1,062 |
1,027 |
$20K |
| 73030 |
|
2,528 |
2,088 |
$19K |
| 84481 |
|
1,277 |
1,197 |
$18K |
| 0450 |
Emergency room services |
425 |
382 |
$18K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
2,228 |
1,843 |
$17K |
| 97161 |
|
771 |
648 |
$17K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
32 |
29 |
$17K |
| 86780 |
|
3,099 |
2,878 |
$16K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
32 |
31 |
$16K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
4,629 |
4,157 |
$15K |
| 73110 |
|
1,580 |
1,360 |
$14K |
| 73630 |
|
2,771 |
2,371 |
$13K |
| 93970 |
|
305 |
246 |
$13K |
| 83880 |
|
2,914 |
2,250 |
$12K |
| 73221 |
|
101 |
92 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
10,371 |
8,173 |
$12K |
| 72040 |
|
1,159 |
1,023 |
$11K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,026 |
684 |
$11K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,760 |
596 |
$10K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
16,040 |
11,468 |
$9K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
217 |
50 |
$9K |
| 86703 |
|
1,509 |
1,382 |
$9K |
| 82677 |
|
314 |
301 |
$9K |
| 82077 |
|
3,993 |
2,863 |
$9K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
11,679 |
8,490 |
$9K |
| 72110 |
|
534 |
467 |
$8K |
| 70486 |
|
249 |
220 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
14,906 |
11,809 |
$8K |
| 93976 |
|
1,180 |
967 |
$8K |
| 82728 |
|
2,115 |
1,901 |
$8K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,408 |
1,306 |
$8K |
| 71271 |
|
73 |
67 |
$8K |
| 82607 |
|
3,588 |
3,217 |
$7K |
| 97163 |
|
161 |
132 |
$7K |
| 99201 |
|
407 |
371 |
$7K |
| 95819 |
|
34 |
25 |
$7K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,657 |
1,909 |
$7K |
| 84153 |
|
585 |
542 |
$7K |
| 98925 |
|
272 |
217 |
$6K |
| 70496 |
|
239 |
212 |
$6K |
| 77080 |
|
361 |
349 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
775 |
638 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
173 |
152 |
$5K |
| 10060 |
|
137 |
120 |
$5K |
| 87186 |
|
5,799 |
4,757 |
$5K |
| 84702 |
|
2,963 |
2,223 |
$5K |
| 74018 |
|
1,152 |
958 |
$5K |
| 77065 |
Tomosynthesis, mammo |
75 |
70 |
$5K |
| 73564 |
|
287 |
232 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
94,741 |
66,263 |
$5K |
| 70498 |
|
261 |
226 |
$4K |
| 93458 |
|
13 |
12 |
$4K |
| 82105 |
|
763 |
727 |
$4K |
| 72050 |
|
295 |
258 |
$4K |
| 12001 |
|
283 |
245 |
$4K |
| 73502 |
|
1,171 |
971 |
$4K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
5,544 |
4,184 |
$4K |
| 80329 |
|
1,357 |
954 |
$3K |
| 93017 |
|
2,008 |
1,575 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,593 |
6,850 |
$3K |
| 73140 |
|
407 |
360 |
$3K |
| 84403 |
|
204 |
186 |
$3K |
| 97166 |
|
519 |
421 |
$3K |
| 84484 |
|
11,180 |
7,548 |
$3K |
| 85610 |
|
7,059 |
4,990 |
$3K |
| 80069 |
|
1,612 |
1,324 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
39 |
36 |
$3K |
| J2785 |
Injection, regadenoson, 0.1 mg |
972 |
794 |
$3K |
| 82950 |
|
1,688 |
1,516 |
$3K |
| 72146 |
|
35 |
27 |
$3K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
860 |
765 |
$2K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
1,304 |
1,018 |
$2K |
| 00840 |
|
154 |
97 |
$2K |
| 83690 |
|
15,088 |
11,825 |
$2K |
| 64483 |
|
14 |
12 |
$2K |
| 87807 |
|
3,221 |
2,933 |
$2K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
52 |
41 |
$2K |
| 82565 |
|
3,903 |
3,374 |
$2K |
| 87088 |
|
8,818 |
6,940 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
5,036 |
4,297 |
$2K |
| 86300 |
|
159 |
150 |
$2K |
| 71101 |
|
158 |
134 |
$2K |
| 81003 |
|
37,373 |
29,008 |
$2K |
| 73090 |
|
279 |
241 |
$2K |
| 83735 |
|
9,362 |
6,592 |
$2K |
| 38204 |
|
458 |
356 |
$2K |
| 85027 |
|
4,810 |
4,059 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,483 |
1,136 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,484 |
4,238 |
$1K |
| 94060 |
|
26 |
25 |
$1K |
| 86038 |
|
489 |
436 |
$1K |
| 99152 |
|
1,948 |
1,246 |
$1K |
| 96376 |
|
4,177 |
3,286 |
$1K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
15 |
12 |
$1K |
| 82784 |
|
461 |
394 |
$1K |
| 81025 |
|
7,326 |
6,104 |
$1K |
| 87040 |
|
2,124 |
1,535 |
$1K |
| 84480 |
|
156 |
139 |
$1K |
| 90715 |
|
974 |
779 |
$1K |
| 86803 |
|
1,064 |
985 |
$1K |
| 84703 |
|
3,089 |
2,563 |
$968.26 |
| 86480 |
|
14 |
12 |
$950.64 |
| 88342 |
|
233 |
187 |
$934.61 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
9,055 |
6,981 |
$919.21 |
| 99153 |
Mod sedat endo service >5yrs |
694 |
454 |
$912.67 |
| 82378 |
|
48 |
39 |
$851.21 |
| 84207 |
|
58 |
58 |
$816.88 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,836 |
2,114 |
$804.30 |
| 69209 |
|
28 |
26 |
$802.16 |
| 73590 |
|
308 |
253 |
$795.90 |
| 84439 |
|
8,702 |
7,566 |
$791.06 |
| 85379 |
|
3,807 |
3,156 |
$772.17 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
523 |
503 |
$769.61 |
| 85730 |
|
2,252 |
1,709 |
$749.00 |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
427 |
378 |
$714.65 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
5,748 |
3,724 |
$711.68 |
| 87070 |
|
2,201 |
1,606 |
$688.01 |
| 72072 |
|
72 |
67 |
$661.44 |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
112 |
107 |
$654.39 |
| 29515 |
|
156 |
143 |
$619.88 |
| 36591 |
|
27 |
14 |
$605.36 |
| 97165 |
|
67 |
62 |
$593.88 |
| 76870 |
|
40 |
37 |
$593.15 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
402 |
98 |
$577.46 |
| 86762 |
|
1,583 |
1,465 |
$576.35 |
| J3490 |
Unclassified drugs |
1,539 |
861 |
$566.91 |
| 72070 |
|
85 |
69 |
$550.21 |
| 29105 |
|
113 |
92 |
$543.83 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,460 |
1,367 |
$542.87 |
| 84425 |
|
104 |
102 |
$531.85 |
| 73560 |
|
67 |
50 |
$508.42 |
| 87077 |
|
2,882 |
2,348 |
$496.47 |
| 29505 |
|
122 |
115 |
$472.47 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
4,114 |
2,938 |
$471.15 |
| 83605 |
|
2,032 |
1,501 |
$452.60 |
| 51701 |
|
168 |
128 |
$438.87 |
| 80306 |
|
676 |
485 |
$421.22 |
| 86140 |
|
3,451 |
2,820 |
$399.25 |
| 84156 |
|
2,852 |
2,085 |
$366.87 |
| 87350 |
|
947 |
839 |
$358.94 |
| 93880 |
|
18 |
13 |
$358.23 |
| 73080 |
|
304 |
256 |
$348.84 |
| G0384 |
Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
186 |
96 |
$334.78 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
7,050 |
4,986 |
$334.31 |
| 84112 |
|
30 |
27 |
$332.34 |
| 83516 |
|
144 |
133 |
$332.09 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
1,637 |
1,271 |
$327.30 |
| G0381 |
Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
150 |
128 |
$317.74 |
| 87210 |
|
2,306 |
1,941 |
$313.46 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
14,811 |
10,261 |
$306.85 |
| 87075 |
|
573 |
384 |
$305.92 |
| 73521 |
|
13 |
12 |
$296.14 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
150 |
88 |
$289.44 |
| 87340 |
|
2,145 |
1,929 |
$260.56 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
1,317 |
856 |
$254.23 |
| J2060 |
Injection, lorazepam, 2 mg |
2,336 |
1,603 |
$248.90 |
| 84145 |
|
289 |
221 |
$242.10 |
| 74019 |
|
14 |
12 |
$240.90 |
| 85007 |
|
3,236 |
2,413 |
$227.92 |
| 85651 |
|
3,718 |
3,055 |
$224.53 |
| 82803 |
|
410 |
282 |
$213.44 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
572 |
432 |
$203.61 |
| 00160 |
|
28 |
12 |
$202.83 |
| 86364 |
|
77 |
52 |
$200.02 |
| 82693 |
|
438 |
296 |
$199.17 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
310 |
145 |
$198.44 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
188 |
143 |
$198.12 |
| 88304 |
|
759 |
616 |
$195.61 |
| 82570 |
|
2,360 |
1,831 |
$194.41 |
| 82043 |
|
1,436 |
1,345 |
$167.20 |
| C1725 |
Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) |
87 |
73 |
$166.31 |
| 97116 |
|
98 |
51 |
$164.04 |
| 82746 |
|
1,274 |
1,105 |
$160.63 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
4,695 |
3,286 |
$153.54 |
| 80305 |
|
954 |
899 |
$152.64 |
| 99001 |
|
502 |
462 |
$152.10 |
| 84100 |
|
1,585 |
1,147 |
$138.95 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,322 |
1,783 |
$137.58 |
| A9270 |
Non-covered item or service |
19,381 |
6,188 |
$127.19 |
| 94729 |
|
26 |
25 |
$125.51 |
| 82140 |
|
112 |
94 |
$125.02 |
| 81002 |
|
1,467 |
1,359 |
$123.35 |
| 80164 |
|
127 |
95 |
$121.20 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
1,525 |
671 |
$119.92 |
| 86677 |
|
112 |
92 |
$117.07 |
| G0382 |
Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
62 |
51 |
$116.25 |
| 84146 |
|
24 |
24 |
$112.27 |
| 87205 |
|
697 |
576 |
$109.40 |
| 76937 |
|
147 |
92 |
$102.20 |
| 87493 |
|
30 |
24 |
$97.73 |
| 29581 |
|
37 |
12 |
$94.62 |
| G0383 |
Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
17 |
15 |
$93.21 |
| 73070 |
|
34 |
26 |
$89.96 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
9,851 |
6,107 |
$89.57 |
| 90834 |
Psychotherapy, 45 minutes with patient |
201 |
51 |
$88.84 |
| 86200 |
|
14 |
12 |
$87.62 |
| 88142 |
|
29 |
27 |
$86.28 |
| 96367 |
|
142 |
89 |
$84.05 |
| 83550 |
|
960 |
823 |
$81.80 |
| 82550 |
|
791 |
517 |
$81.15 |
| 82977 |
|
164 |
135 |
$79.86 |
| 83540 |
|
1,384 |
1,269 |
$77.23 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
301 |
213 |
$76.99 |
| 94726 |
|
13 |
12 |
$75.13 |
| J2704 |
Injection, propofol, 10 mg |
5,669 |
4,113 |
$72.86 |
| 83001 |
|
12 |
12 |
$69.77 |
| 84550 |
|
1,288 |
1,148 |
$66.87 |
| 80076 |
|
71 |
56 |
$62.72 |
| 86039 |
|
28 |
27 |
$58.61 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
947 |
886 |
$53.44 |
| J1630 |
Injection, haloperidol, up to 5 mg |
354 |
264 |
$53.02 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
228 |
203 |
$50.70 |
| 85018 |
|
403 |
349 |
$48.93 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
260 |
183 |
$45.19 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
2,778 |
1,574 |
$41.02 |
| 85014 |
|
354 |
312 |
$39.52 |
| 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 |
899 |
752 |
$34.42 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
192 |
159 |
$33.65 |
| 84630 |
|
12 |
12 |
$31.22 |
| 0250 |
|
24 |
13 |
$30.60 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
389 |
264 |
$29.56 |
| 82947 |
|
460 |
430 |
$27.33 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
791 |
613 |
$27.20 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
936 |
706 |
$26.21 |
| 94760 |
|
1,905 |
623 |
$24.72 |
| 83615 |
|
396 |
286 |
$24.23 |
| J3360 |
Injection, diazepam, up to 5 mg |
139 |
110 |
$20.84 |
| J1644 |
Injection, heparin sodium, per 1000 units |
931 |
316 |
$19.59 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
6,319 |
4,385 |
$19.37 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
749 |
590 |
$16.26 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
432 |
300 |
$15.92 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
150 |
93 |
$13.54 |
| 80178 |
|
17 |
12 |
$13.53 |
| 82150 |
|
70 |
54 |
$12.75 |
| 86999 |
|
832 |
593 |
$8.14 |
| 86431 |
|
60 |
54 |
$8.01 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
925 |
530 |
$7.59 |
| 86430 |
|
12 |
12 |
$6.54 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
14,391 |
2,251 |
$5.50 |
| J7510 |
Prednisolone oral, per 5 mg |
172 |
163 |
$0.46 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
167 |
146 |
$0.19 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
233 |
180 |
$0.10 |
| J7050 |
Infusion, normal saline solution, 250 cc |
300 |
155 |
$0.00 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
37 |
29 |
$0.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
922 |
363 |
$0.00 |
| 97535 |
Self-care/home management training, each 15 minutes |
174 |
103 |
$0.00 |
| 96415 |
|
55 |
41 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
525 |
263 |
$0.00 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
55 |
49 |
$0.00 |
| 86592 |
|
53 |
52 |
$0.00 |
| C1769 |
Guide wire |
196 |
105 |
$0.00 |
| 87015 |
|
41 |
24 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
153 |
103 |
$0.00 |
| 00126 |
|
12 |
12 |
$0.00 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
13 |
12 |
$0.00 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
17 |
13 |
$0.00 |
| J3480 |
Injection, potassium chloride, per 2 meq |
17 |
12 |
$0.00 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
23 |
16 |
$0.00 |
| G8980 |
Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting |
68 |
36 |
$0.00 |
| 86308 |
|
13 |
13 |
$0.00 |
| 99000 |
|
64 |
58 |
$0.00 |
| J7999 |
Compounded drug, not otherwise classified |
30 |
27 |
$0.00 |
| 0352U |
|
18 |
17 |
$0.00 |
| 88307 |
|
17 |
13 |
$0.00 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
20 |
12 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
44 |
15 |
$0.00 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
132 |
103 |
$0.00 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
26 |
25 |
$0.00 |
| 77062 |
|
49 |
46 |
$0.00 |
| 86336 |
|
313 |
300 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,223 |
986 |
$0.00 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
288 |
152 |
$0.00 |
| 96417 |
|
93 |
49 |
$0.00 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
169 |
93 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
106 |
82 |
$0.00 |
| 93325 |
|
14 |
12 |
$0.00 |
| J0688 |
Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg |
94 |
69 |
$0.00 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
17 |
13 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
373 |
270 |
$0.00 |
| 84520 |
|
87 |
82 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
29 |
14 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
107 |
55 |
$0.00 |
| 96136 |
|
33 |
28 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
15 |
13 |
$0.00 |
| J3372 |
Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg |
25 |
13 |
$0.00 |
| 86753 |
|
12 |
12 |
$0.00 |
| 82731 |
|
16 |
12 |
$0.00 |
| 76000 |
|
41 |
25 |
$0.00 |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
41 |
25 |
$0.00 |
| 82540 |
|
18 |
17 |
$0.00 |
| J0137 |
Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg |
21 |
17 |
$0.00 |