| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
194,072 |
189,613 |
$12.21M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
212,423 |
204,133 |
$10.31M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
161,402 |
155,805 |
$5.40M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
62,266 |
60,881 |
$5.28M |
| 99215 |
Prolong outpt/office vis |
57,943 |
55,335 |
$4.04M |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
26,546 |
26,137 |
$3.14M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
48,356 |
47,016 |
$2.35M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
54,936 |
53,092 |
$2.05M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20,668 |
20,273 |
$1.78M |
| 99243 |
|
20,212 |
19,983 |
$1.55M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45,411 |
41,375 |
$1.54M |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
9,967 |
9,856 |
$1.48M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26,785 |
26,249 |
$1.43M |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
213,447 |
195,411 |
$1.32M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
35,716 |
15,774 |
$1.30M |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
10,450 |
10,247 |
$1.18M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
24,105 |
23,683 |
$934K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
7,511 |
4,846 |
$912K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
20,477 |
18,992 |
$868K |
| 99233 |
Prolong inpt eval add15 m |
12,111 |
6,091 |
$698K |
| T1001 |
Nursing assessment / evaluation |
3,560 |
3,517 |
$621K |
| 99245 |
|
3,936 |
3,858 |
$585K |
| J2357 |
Injection, omalizumab, 5 mg |
1,218 |
837 |
$513K |
| 99205 |
Prolong outpt/office vis |
4,161 |
4,067 |
$490K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
17,297 |
17,085 |
$489K |
| 95720 |
|
3,107 |
1,741 |
$402K |
| 88342 |
|
14,085 |
13,765 |
$397K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
5,988 |
5,848 |
$394K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,894 |
9,648 |
$381K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
2,930 |
1,702 |
$317K |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
703 |
698 |
$301K |
| 99223 |
Prolong inpt eval add15 m |
2,801 |
2,734 |
$293K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,639 |
4,480 |
$262K |
| 99242 |
|
4,480 |
4,446 |
$250K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
6,508 |
6,222 |
$244K |
| 88307 |
|
6,096 |
5,977 |
$237K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
27,369 |
26,674 |
$221K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,675 |
2,576 |
$214K |
| 95886 |
|
4,445 |
4,370 |
$196K |
| 99460 |
|
5,141 |
4,878 |
$185K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
640 |
633 |
$184K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,822 |
1,804 |
$182K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
2,330 |
2,281 |
$181K |
| 93970 |
|
5,936 |
5,729 |
$178K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,385 |
2,149 |
$174K |
| 59025 |
Fetal non-stress test |
12,607 |
9,825 |
$171K |
| 20610 |
|
9,491 |
7,479 |
$167K |
| G0452 |
Molecular pathology procedure; physician interpretation and report |
6,190 |
5,722 |
$165K |
| 64615 |
|
1,897 |
1,862 |
$161K |
| 93971 |
|
7,133 |
6,919 |
$154K |
| 96112 |
|
1,641 |
1,594 |
$151K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
2,011 |
597 |
$150K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
7,375 |
7,141 |
$146K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
1,750 |
535 |
$134K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,308 |
2,280 |
$131K |
| 92134 |
|
7,140 |
6,953 |
$126K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
563 |
164 |
$122K |
| 00731 |
|
2,139 |
1,379 |
$119K |
| 17110 |
|
2,515 |
2,441 |
$118K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,402 |
4,226 |
$116K |
| 01922 |
|
816 |
560 |
$114K |
| 92228 |
|
5,147 |
5,077 |
$104K |
| 31575 |
|
1,739 |
1,673 |
$102K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
1,331 |
1,289 |
$99K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,956 |
2,916 |
$98K |
| 88341 |
|
2,158 |
2,082 |
$95K |
| 93227 |
|
3,622 |
3,547 |
$87K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
366 |
84 |
$86K |
| 84165 |
|
6,709 |
6,563 |
$83K |
| 93304 |
|
4,234 |
3,966 |
$83K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,021 |
857 |
$80K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,893 |
2,861 |
$80K |
| 80053 |
Comprehensive metabolic panel |
6,405 |
5,770 |
$71K |
| 92060 |
|
2,478 |
2,431 |
$70K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
359 |
352 |
$69K |
| 20611 |
|
1,740 |
1,461 |
$66K |
| 93325 |
|
10,102 |
9,498 |
$66K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
807 |
770 |
$64K |
| 93321 |
|
5,460 |
5,074 |
$63K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,324 |
3,993 |
$60K |
| 64493 |
|
743 |
716 |
$60K |
| 88189 |
|
711 |
683 |
$60K |
| 93000 |
|
3,430 |
3,374 |
$59K |
| 76820 |
|
1,992 |
1,303 |
$59K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
378 |
233 |
$59K |
| 54150 |
|
748 |
688 |
$58K |
| 88304 |
|
5,152 |
5,068 |
$54K |
| G0422 |
Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session |
744 |
123 |
$54K |
| 99347 |
|
2,632 |
2,453 |
$54K |
| 31231 |
|
980 |
969 |
$52K |
| 11102 |
|
1,895 |
1,855 |
$51K |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
1,149 |
1,089 |
$51K |
| 92133 |
|
2,403 |
2,347 |
$48K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
2,818 |
1,042 |
$47K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
201 |
197 |
$47K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,021 |
7,232 |
$47K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,519 |
715 |
$46K |
| 64405 |
|
1,724 |
1,257 |
$46K |
| 88141 |
|
6,436 |
6,387 |
$43K |
| 86334 |
|
3,459 |
3,379 |
$42K |
| 95782 |
|
400 |
398 |
$41K |
| 92557 |
|
1,481 |
1,453 |
$41K |
| J0178 |
Injection, aflibercept, 1 mg |
52 |
52 |
$40K |
| 99254 |
|
430 |
423 |
$39K |
| 93295 |
|
1,333 |
1,309 |
$39K |
| 86077 |
|
943 |
924 |
$39K |
| 94010 |
|
3,938 |
3,853 |
$38K |
| 95251 |
|
1,636 |
1,608 |
$38K |
| 92567 |
|
3,191 |
3,131 |
$38K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
225 |
223 |
$37K |
| 64642 |
|
460 |
452 |
$36K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
368 |
290 |
$35K |
| 95117 |
|
4,625 |
2,821 |
$33K |
| 99462 |
|
1,712 |
1,391 |
$33K |
| 64643 |
|
517 |
507 |
$33K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,326 |
2,310 |
$32K |
| 20553 |
|
1,271 |
1,247 |
$31K |
| 00811 |
|
606 |
392 |
$31K |
| 90715 |
|
2,242 |
2,203 |
$31K |
| 93320 |
|
1,323 |
1,292 |
$30K |
| 95910 |
|
406 |
391 |
$30K |
| 67311 |
|
56 |
53 |
$29K |
| 64721 |
|
124 |
120 |
$28K |
| 85027 |
|
3,734 |
3,435 |
$26K |
| 64494 |
|
531 |
508 |
$25K |
| 95911 |
|
210 |
210 |
$24K |
| 92015 |
Determination of refractive state |
4,208 |
4,144 |
$24K |
| 94060 |
|
3,068 |
3,009 |
$23K |
| 92083 |
|
862 |
836 |
$23K |
| 99385 |
|
992 |
974 |
$23K |
| 88312 |
|
795 |
773 |
$21K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
606 |
500 |
$21K |
| 85060 |
|
1,504 |
1,461 |
$21K |
| 99417 |
Prolong home eval add 15m |
800 |
778 |
$20K |
| 88173 |
|
427 |
412 |
$19K |
| 90686 |
|
1,587 |
1,581 |
$19K |
| 97802 |
|
365 |
363 |
$19K |
| 97803 |
|
717 |
702 |
$19K |
| 64644 |
|
220 |
211 |
$19K |
| 99255 |
|
170 |
168 |
$18K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
500 |
334 |
$16K |
| 92002 |
|
566 |
566 |
$16K |
| 30420 |
|
15 |
15 |
$16K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,788 |
1,658 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
818 |
435 |
$15K |
| 94726 |
|
1,542 |
1,516 |
$15K |
| 92609 |
|
296 |
134 |
$15K |
| 77080 |
|
898 |
877 |
$15K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
162 |
120 |
$15K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
13 |
12 |
$15K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
589 |
417 |
$14K |
| 99464 |
|
301 |
292 |
$14K |
| 94729 |
|
1,941 |
1,911 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
166 |
166 |
$13K |
| 95811 |
|
118 |
115 |
$13K |
| 20552 |
|
583 |
577 |
$13K |
| 62323 |
|
184 |
179 |
$12K |
| 96040 |
|
422 |
399 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
426 |
424 |
$11K |
| 95819 |
|
1,030 |
1,009 |
$11K |
| 00840 |
|
89 |
50 |
$11K |
| 54161 |
|
102 |
102 |
$11K |
| G0423 |
Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session |
128 |
74 |
$11K |
| 46600 |
|
600 |
587 |
$11K |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
1,842 |
1,803 |
$11K |
| 95816 |
|
903 |
892 |
$10K |
| 92587 |
|
315 |
307 |
$10K |
| 00126 |
|
227 |
126 |
$10K |
| J2791 |
Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu |
250 |
250 |
$10K |
| 95939 |
|
111 |
107 |
$10K |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
82 |
56 |
$9K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
36 |
36 |
$9K |
| 70355 |
|
920 |
901 |
$9K |
| 88108 |
|
940 |
918 |
$9K |
| G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
464 |
457 |
$9K |
| 95885 |
|
528 |
515 |
$9K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
504 |
496 |
$9K |
| 93880 |
|
402 |
392 |
$8K |
| 88313 |
|
237 |
222 |
$8K |
| 93922 |
|
799 |
779 |
$8K |
| 91200 |
|
781 |
770 |
$8K |
| 36226 |
|
32 |
28 |
$8K |
| 95800 |
|
212 |
210 |
$8K |
| 94664 |
|
634 |
622 |
$8K |
| 27096 |
|
119 |
113 |
$8K |
| 69210 |
|
428 |
389 |
$7K |
| 88311 |
|
609 |
572 |
$7K |
| V2020 |
Frames, purchases |
758 |
710 |
$7K |
| 93294 |
|
624 |
610 |
$7K |
| 99442 |
|
348 |
330 |
$7K |
| 77014 |
|
241 |
40 |
$7K |
| 95938 |
|
203 |
199 |
$7K |
| 31579 |
|
117 |
115 |
$7K |
| 86335 |
|
565 |
552 |
$7K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
703 |
694 |
$6K |
| 95909 |
|
112 |
110 |
$6K |
| 92523 |
|
51 |
51 |
$6K |
| 99386 |
|
295 |
295 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,933 |
2,759 |
$6K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
236 |
225 |
$6K |
| 81025 |
|
1,480 |
1,450 |
$6K |
| 92250 |
|
370 |
357 |
$6K |
| Q3014 |
Telehealth originating site facility fee |
363 |
359 |
$6K |
| 80305 |
|
497 |
472 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
54 |
54 |
$6K |
| 99219 |
|
78 |
78 |
$6K |
| 77427 |
|
46 |
24 |
$6K |
| 93016 |
|
284 |
281 |
$6K |
| 64483 |
|
73 |
69 |
$5K |
| 00813 |
|
97 |
50 |
$5K |
| 99241 |
|
182 |
177 |
$5K |
| 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 |
450 |
436 |
$5K |
| 88344 |
|
157 |
155 |
$5K |
| 99459 |
|
432 |
429 |
$5K |
| 93923 |
|
328 |
324 |
$5K |
| 93296 |
|
468 |
462 |
$5K |
| 99441 |
|
413 |
401 |
$5K |
| 01810 |
|
97 |
53 |
$5K |
| 93018 |
|
360 |
356 |
$5K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
29 |
28 |
$5K |
| 85610 |
|
1,247 |
946 |
$4K |
| 99499 |
|
63 |
62 |
$4K |
| 99443 |
|
163 |
156 |
$4K |
| 70486 |
|
77 |
77 |
$4K |
| 84166 |
|
306 |
301 |
$4K |
| 95718 |
|
33 |
26 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
344 |
344 |
$3K |
| 00920 |
|
45 |
30 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
195 |
111 |
$3K |
| 88302 |
|
368 |
360 |
$3K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
177 |
177 |
$3K |
| 99221 |
|
45 |
43 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
8,306 |
8,048 |
$3K |
| G0453 |
Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) |
15 |
14 |
$3K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
183 |
111 |
$3K |
| 81001 |
|
977 |
930 |
$3K |
| 99217 |
|
73 |
73 |
$3K |
| 20550 |
|
78 |
70 |
$3K |
| 99152 |
|
382 |
370 |
$3K |
| G0124 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician |
183 |
182 |
$3K |
| 92607 |
|
40 |
39 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
56 |
51 |
$3K |
| 93248 |
|
146 |
146 |
$2K |
| 51798 |
|
207 |
201 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
53 |
53 |
$2K |
| 93351 |
|
37 |
37 |
$2K |
| 90651 |
|
12 |
12 |
$2K |
| J9035 |
Injection, bevacizumab, 10 mg |
58 |
56 |
$2K |
| 88104 |
|
123 |
105 |
$2K |
| 99252 |
|
43 |
41 |
$2K |
| 88172 |
|
90 |
90 |
$2K |
| 77334 |
|
30 |
24 |
$2K |
| 90732 |
|
21 |
21 |
$2K |
| 76830 |
Ultrasound, transvaginal |
97 |
78 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
310 |
303 |
$2K |
| 85007 |
|
510 |
403 |
$2K |
| 99236 |
Prolong inpt eval add15 m |
13 |
13 |
$2K |
| 80503 |
|
142 |
136 |
$2K |
| 76801 |
|
39 |
37 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
65 |
40 |
$2K |
| 52000 |
|
24 |
24 |
$2K |
| 92082 |
|
134 |
130 |
$2K |
| 92556 |
|
99 |
99 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17 |
17 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
82 |
76 |
$2K |
| 93454 |
|
12 |
12 |
$2K |
| 99406 |
|
218 |
215 |
$2K |
| 80076 |
|
177 |
166 |
$1K |
| 95115 |
|
458 |
268 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
206 |
201 |
$1K |
| 99253 |
|
17 |
17 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
41 |
41 |
$1K |
| 36227 |
|
13 |
13 |
$1K |
| 64645 |
|
28 |
28 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
24 |
24 |
$1K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
109 |
74 |
$1K |
| 31615 |
|
13 |
13 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
157 |
144 |
$1K |
| 81003 |
|
410 |
379 |
$1K |
| 93308 |
|
78 |
76 |
$1K |
| 11900 |
|
39 |
39 |
$1K |
| 95937 |
|
149 |
147 |
$1K |
| 76881 |
|
45 |
41 |
$1K |
| 88112 |
|
24 |
24 |
$1K |
| 76942 |
|
40 |
39 |
$1K |
| 92227 |
|
147 |
146 |
$1K |
| 95861 |
|
65 |
63 |
$1K |
| G0426 |
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth |
16 |
13 |
$1K |
| 92504 |
|
76 |
74 |
$987.84 |
| 94618 |
|
65 |
64 |
$976.64 |
| 62321 |
|
13 |
13 |
$917.24 |
| 93298 |
|
51 |
51 |
$866.99 |
| 90832 |
Psychotherapy, 30 minutes with patient |
18 |
14 |
$840.33 |
| 59430 |
|
12 |
12 |
$828.00 |
| 93293 |
|
174 |
170 |
$803.99 |
| G0008 |
Administration of influenza virus vaccine |
74 |
72 |
$751.70 |
| 82248 |
|
116 |
106 |
$717.16 |
| 0002A |
|
36 |
35 |
$700.40 |
| 58100 |
|
13 |
13 |
$695.92 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,602 |
1,059 |
$694.76 |
| 83735 |
|
102 |
77 |
$690.99 |
| 51700 |
|
32 |
12 |
$658.71 |
| 80502 |
|
14 |
14 |
$658.11 |
| 77092 |
|
145 |
145 |
$617.91 |
| 95908 |
|
12 |
12 |
$598.30 |
| D1206 |
Topical application of fluoride varnish |
26 |
26 |
$595.02 |
| 86140 |
|
183 |
176 |
$556.78 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
280 |
273 |
$548.17 |
| 93356 |
|
27 |
27 |
$540.47 |
| 29581 |
|
28 |
12 |
$537.18 |
| 58340 |
|
13 |
13 |
$535.60 |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
17 |
12 |
$512.88 |
| 91065 |
|
39 |
39 |
$510.33 |
| 82950 |
|
74 |
74 |
$501.31 |
| 92201 |
|
28 |
26 |
$481.35 |
| 76825 |
|
28 |
28 |
$447.94 |
| 95249 |
|
13 |
13 |
$444.12 |
| 73030 |
|
19 |
16 |
$442.56 |
| 95874 |
|
36 |
36 |
$423.82 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,860 |
1,205 |
$380.87 |
| 99153 |
Mod sedat endo service >5yrs |
12 |
12 |
$373.94 |
| 76827 |
|
14 |
14 |
$355.92 |
| 93350 |
|
14 |
14 |
$345.30 |
| 96415 |
|
14 |
12 |
$343.39 |
| 0001A |
|
18 |
18 |
$329.60 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$321.89 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,813 |
1,757 |
$312.05 |
| 85018 |
|
86 |
86 |
$290.69 |
| 64450 |
|
21 |
13 |
$284.36 |
| 17000 |
|
14 |
14 |
$260.55 |
| 3078F |
|
157 |
155 |
$260.00 |
| 83690 |
|
43 |
42 |
$212.95 |
| 58300 |
|
14 |
12 |
$206.29 |
| 3074F |
|
137 |
135 |
$201.74 |
| 80500 |
|
17 |
17 |
$196.42 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
14 |
12 |
$153.65 |
| 93280 |
|
13 |
13 |
$147.46 |
| 91010 |
|
15 |
15 |
$133.11 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
209 |
206 |
$128.85 |
| 90734 |
|
12 |
12 |
$126.00 |
| 92552 |
|
12 |
12 |
$103.68 |
| 11045 |
|
16 |
12 |
$93.45 |
| 92551 |
|
98 |
92 |
$63.44 |
| 99053 |
|
704 |
611 |
$63.36 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
409 |
349 |
$61.26 |
| 96127 |
|
196 |
183 |
$44.56 |
| 99173 |
|
75 |
70 |
$20.70 |
| 99024 |
|
5,586 |
4,009 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
337 |
318 |
$0.00 |
| 90656 |
|
169 |
169 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
153 |
138 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
539 |
262 |
$0.00 |
| J7318 |
Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg |
12 |
12 |
$0.00 |
| 96160 |
|
26 |
24 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
12 |
12 |
$0.00 |
| 90662 |
|
13 |
13 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
46 |
26 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
25 |
20 |
$0.00 |