| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
64,351 |
59,268 |
$18.31M |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
122,827 |
109,581 |
$7.07M |
| 99284 |
|
30,896 |
29,950 |
$5.69M |
| 99283 |
|
20,880 |
20,372 |
$2.81M |
| 96374 |
|
27,840 |
25,085 |
$2.42M |
| 71046 |
|
22,497 |
21,874 |
$1.09M |
| 74177 |
|
7,090 |
6,940 |
$1.08M |
| G0378 |
Hospital observation service, per hour |
5,498 |
4,932 |
$884K |
| 70450 |
|
8,297 |
8,088 |
$714K |
| 99282 |
|
6,354 |
6,275 |
$598K |
| 96365 |
|
6,532 |
5,532 |
$585K |
| 96361 |
|
15,127 |
13,469 |
$578K |
| 77067 |
|
10,160 |
10,141 |
$501K |
| 96375 |
|
19,781 |
17,177 |
$494K |
| 43239 |
|
1,337 |
1,336 |
$462K |
| 97110 |
|
11,844 |
2,904 |
$445K |
| 70553 |
|
1,792 |
1,787 |
$399K |
| 76856 |
|
7,776 |
7,672 |
$394K |
| 74176 |
|
3,203 |
3,155 |
$357K |
| 76830 |
|
5,685 |
5,622 |
$345K |
| 93306 |
|
1,985 |
1,973 |
$339K |
| 96360 |
|
3,665 |
3,532 |
$337K |
| 76700 |
|
4,516 |
4,507 |
$334K |
| 93975 |
|
2,638 |
2,600 |
$303K |
| 90471 |
|
28,982 |
28,683 |
$291K |
| 96372 |
|
20,039 |
16,878 |
$274K |
| 19083 |
|
312 |
312 |
$263K |
| 90670 |
|
4,400 |
4,395 |
$249K |
| 82947 |
|
7,060 |
5,445 |
$234K |
| 90651 |
|
2,412 |
2,402 |
$228K |
| 76642 |
|
5,486 |
5,439 |
$226K |
| 90472 |
|
13,366 |
13,313 |
$212K |
| 87637 |
|
2,985 |
2,942 |
$208K |
| 80061 |
|
1,223 |
1,210 |
$205K |
| 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 |
10,502 |
9,306 |
$204K |
| 71275 |
|
2,276 |
2,252 |
$201K |
| 76801 |
|
3,318 |
3,044 |
$200K |
| 72148 |
|
2,121 |
2,118 |
$199K |
| 72141 |
|
1,374 |
1,372 |
$195K |
| 78815 |
|
254 |
250 |
$188K |
| 77066 |
Tomosynthesis, mammo |
3,127 |
3,106 |
$185K |
| 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 |
4,106 |
4,056 |
$181K |
| 99291 |
|
249 |
244 |
$159K |
| 76705 |
|
2,570 |
2,526 |
$158K |
| 73721 |
|
1,130 |
1,125 |
$155K |
| 93458 |
|
90 |
90 |
$138K |
| 76770 |
|
2,116 |
2,096 |
$133K |
| 90686 |
|
9,205 |
9,185 |
$130K |
| 45380 |
|
217 |
217 |
$125K |
| 71045 |
|
2,745 |
2,692 |
$119K |
| 77065 |
Tomosynthesis, mammo |
2,537 |
2,347 |
$114K |
| 93971 |
|
2,317 |
2,289 |
$111K |
| 78452 |
|
432 |
428 |
$110K |
| 96366 |
|
2,724 |
2,024 |
$108K |
| 90732 |
|
1,100 |
1,096 |
$104K |
| 76536 |
|
1,932 |
1,920 |
$96K |
| 99281 |
|
1,733 |
1,677 |
$95K |
| 59025 |
|
1,042 |
498 |
$94K |
| 71260 |
|
605 |
604 |
$89K |
| 73630 |
|
4,709 |
4,420 |
$78K |
| 45378 |
|
188 |
188 |
$78K |
| 87636 |
|
950 |
936 |
$77K |
| 87428 |
|
2,692 |
2,664 |
$77K |
| 74022 |
|
3,435 |
3,363 |
$76K |
| 72110 |
|
2,567 |
2,553 |
$73K |
| 73564 |
|
2,833 |
2,690 |
$73K |
| 93970 |
|
674 |
670 |
$72K |
| 72131 |
|
1,280 |
1,272 |
$70K |
| 90677 |
|
428 |
428 |
$70K |
| 70486 |
|
1,725 |
1,715 |
$67K |
| 45385 |
|
136 |
136 |
$67K |
| 73610 |
|
3,247 |
3,091 |
$64K |
| 70551 |
|
504 |
504 |
$63K |
| 72125 |
|
2,510 |
2,483 |
$60K |
| 80048 |
|
32,937 |
29,225 |
$56K |
| 73221 |
|
368 |
367 |
$55K |
| 77063 |
|
4,122 |
4,121 |
$54K |
| 97162 |
|
778 |
775 |
$54K |
| 73130 |
|
3,378 |
3,270 |
$52K |
| 99496 |
|
824 |
813 |
$52K |
| 96413 |
|
309 |
198 |
$52K |
| 73030 |
|
3,043 |
2,937 |
$48K |
| 10060 |
|
542 |
530 |
$42K |
| 71271 |
|
719 |
719 |
$41K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
3,269 |
3,265 |
$41K |
| 90716 |
|
1,169 |
1,168 |
$41K |
| 93005 |
|
19,684 |
18,513 |
$40K |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
83 |
83 |
$38K |
| 97140 |
|
2,770 |
922 |
$37K |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
2,390 |
2,366 |
$36K |
| 90734 |
|
1,789 |
1,782 |
$35K |
| 74018 |
|
1,716 |
1,655 |
$34K |
| 99495 |
|
539 |
536 |
$33K |
| 20611 |
|
227 |
169 |
$33K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
10,218 |
9,786 |
$30K |
| 73562 |
|
1,676 |
1,578 |
$29K |
| 71250 |
|
478 |
476 |
$28K |
| 97161 |
|
456 |
455 |
$28K |
| 87591 |
|
3,658 |
3,604 |
$27K |
| 87491 |
|
3,654 |
3,599 |
$27K |
| 73502 |
|
1,660 |
1,630 |
$26K |
| 94640 |
|
5,584 |
3,657 |
$25K |
| 91322 |
|
193 |
190 |
$25K |
| 73110 |
|
1,553 |
1,503 |
$24K |
| 99406 |
|
1,537 |
1,522 |
$23K |
| 47562 |
|
12 |
12 |
$22K |
| 96367 |
|
695 |
538 |
$21K |
| 92587 |
|
266 |
266 |
$20K |
| 99392 |
|
275 |
275 |
$19K |
| 99393 |
|
266 |
266 |
$18K |
| 99391 |
|
261 |
254 |
$18K |
| 99395 |
|
253 |
252 |
$18K |
| 87635 |
|
618 |
610 |
$17K |
| 36415 |
|
14,001 |
11,927 |
$17K |
| 76882 |
|
417 |
411 |
$16K |
| 72050 |
|
385 |
385 |
$16K |
| 90474 |
|
3,209 |
3,208 |
$16K |
| 77080 |
|
261 |
261 |
$16K |
| 90460 |
|
494 |
488 |
$16K |
| 99396 |
|
215 |
215 |
$15K |
| 76815 |
|
592 |
569 |
$15K |
| 74183 |
|
72 |
72 |
$15K |
| 90671 |
|
270 |
270 |
$14K |
| 70491 |
|
117 |
116 |
$13K |
| 20610 |
|
108 |
102 |
$13K |
| 99394 |
|
182 |
182 |
$13K |
| 93017 |
|
596 |
592 |
$12K |
| 86900 |
|
3,508 |
3,316 |
$11K |
| 83036 |
|
3,254 |
3,217 |
$11K |
| 73080 |
|
568 |
558 |
$11K |
| 90480 |
|
269 |
269 |
$10K |
| 72072 |
|
401 |
400 |
$10K |
| 0124A |
|
321 |
321 |
$10K |
| 81025 |
|
12,721 |
12,338 |
$9K |
| 72100 |
|
519 |
519 |
$9K |
| 90746 |
|
133 |
133 |
$8K |
| 73590 |
|
677 |
662 |
$8K |
| 71101 |
|
399 |
394 |
$8K |
| 0054A |
|
204 |
204 |
$7K |
| 70496 |
|
298 |
297 |
$7K |
| 85025 |
|
53,646 |
46,620 |
$7K |
| 87426 |
|
369 |
364 |
$7K |
| 17110 |
|
126 |
115 |
$7K |
| 73090 |
|
567 |
556 |
$7K |
| 12001 |
|
766 |
764 |
$7K |
| 80053 |
|
19,564 |
17,650 |
$7K |
| 80307 |
|
6,080 |
5,821 |
$7K |
| 84443 |
|
4,245 |
4,175 |
$6K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
2,305 |
2,272 |
$6K |
| C1769 |
Guide wire |
1,305 |
1,276 |
$6K |
| 72070 |
|
224 |
224 |
$5K |
| 76817 |
|
1,708 |
1,560 |
$5K |
| 87880 |
|
3,115 |
3,098 |
$4K |
| 72040 |
|
417 |
417 |
$4K |
| 76805 |
|
73 |
73 |
$4K |
| 82306 |
|
322 |
318 |
$4K |
| 87631 |
|
1,608 |
1,598 |
$4K |
| 90682 |
|
70 |
70 |
$4K |
| 0004A |
|
103 |
103 |
$4K |
| 0071A |
|
88 |
88 |
$3K |
| 97166 |
|
74 |
74 |
$3K |
| 99385 |
|
47 |
47 |
$3K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
151 |
151 |
$3K |
| 20552 |
|
24 |
24 |
$3K |
| 81003 |
|
19,370 |
18,666 |
$3K |
| 76881 |
|
51 |
51 |
$3K |
| 0001A |
|
79 |
79 |
$3K |
| 90656 |
|
219 |
219 |
$3K |
| 94060 |
|
24 |
24 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
310 |
307 |
$3K |
| 70498 |
|
210 |
209 |
$3K |
| 76870 |
|
337 |
333 |
$3K |
| 72197 |
|
12 |
12 |
$3K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
263 |
256 |
$3K |
| 0241U |
|
798 |
791 |
$2K |
| 81002 |
|
1,630 |
1,550 |
$2K |
| 86580 |
|
351 |
331 |
$2K |
| 97014 |
|
302 |
120 |
$2K |
| 86850 |
|
3,176 |
3,000 |
$2K |
| 0052A |
|
58 |
58 |
$2K |
| 0051A |
|
57 |
57 |
$2K |
| 0072A |
|
51 |
51 |
$2K |
| 93880 |
|
39 |
39 |
$2K |
| 87086 |
|
3,774 |
3,687 |
$2K |
| 78226 |
|
12 |
12 |
$2K |
| 82607 |
|
304 |
298 |
$2K |
| 85027 |
|
2,786 |
2,205 |
$2K |
| 0002A |
|
47 |
46 |
$2K |
| 99382 |
|
27 |
27 |
$2K |
| 82270 |
|
53 |
51 |
$2K |
| 85610 |
|
12,985 |
12,155 |
$2K |
| 92250 |
|
94 |
93 |
$1K |
| 88305 |
|
3,879 |
3,741 |
$1K |
| 72170 |
|
25 |
25 |
$1K |
| 12011 |
|
156 |
156 |
$1K |
| 84702 |
|
4,471 |
4,086 |
$1K |
| G0009 |
Administration of pneumococcal vaccine |
85 |
85 |
$1K |
| 74019 |
|
151 |
149 |
$1K |
| 87480 |
|
169 |
169 |
$1K |
| 87660 |
|
170 |
170 |
$1K |
| 87510 |
|
169 |
169 |
$1K |
| 83735 |
|
19,131 |
16,864 |
$1K |
| 84439 |
|
509 |
499 |
$1K |
| 82728 |
|
199 |
190 |
$989.89 |
| 96127 |
|
294 |
290 |
$988.62 |
| 80305 |
|
5,121 |
4,812 |
$974.64 |
| 12002 |
|
77 |
77 |
$939.96 |
| 85018 |
|
962 |
921 |
$891.08 |
| 99384 |
|
13 |
13 |
$842.51 |
| 97112 |
|
35 |
17 |
$819.07 |
| 82746 |
|
116 |
114 |
$818.73 |
| 84484 |
|
16,065 |
12,520 |
$802.85 |
| 81001 |
|
14,736 |
14,094 |
$790.84 |
| 96417 |
|
19 |
12 |
$779.71 |
| 84466 |
|
198 |
196 |
$764.60 |
| 82565 |
|
3,299 |
2,863 |
$756.06 |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
16 |
16 |
$724.58 |
| 86901 |
|
3,369 |
3,183 |
$704.08 |
| 73523 |
|
13 |
13 |
$695.68 |
| 90473 |
|
82 |
82 |
$694.33 |
| 29515 |
|
13 |
13 |
$692.04 |
| 83690 |
|
15,078 |
14,130 |
$659.59 |
| 83880 |
|
3,586 |
3,417 |
$587.06 |
| 95816 |
|
25 |
25 |
$572.64 |
| 85730 |
|
9,930 |
9,378 |
$548.57 |
| 86780 |
|
60 |
60 |
$486.86 |
| 73060 |
|
44 |
43 |
$417.01 |
| 83540 |
|
247 |
244 |
$415.10 |
| 87661 |
|
43 |
43 |
$394.59 |
| 80050 |
|
15 |
15 |
$375.70 |
| 82962 |
|
5,551 |
3,784 |
$374.14 |
| 92551 |
|
42 |
42 |
$343.62 |
| 87077 |
|
1,400 |
1,369 |
$339.39 |
| 87186 |
|
1,285 |
1,257 |
$337.88 |
| 82550 |
|
2,976 |
2,777 |
$333.24 |
| 73620 |
|
111 |
109 |
$332.80 |
| 73560 |
|
25 |
24 |
$325.80 |
| 80076 |
|
4,569 |
4,343 |
$325.44 |
| 82248 |
|
6,015 |
5,780 |
$321.24 |
| 82570 |
|
135 |
133 |
$316.14 |
| 87804 |
|
94 |
94 |
$294.61 |
| 84520 |
|
2,566 |
2,328 |
$293.31 |
| 90688 |
|
22 |
21 |
$291.86 |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
26 |
26 |
$289.74 |
| 90662 |
|
13 |
13 |
$278.26 |
| 84550 |
|
263 |
239 |
$262.88 |
| 88342 |
|
276 |
275 |
$245.83 |
| 80051 |
|
1,790 |
1,609 |
$238.22 |
| 87070 |
|
1,640 |
1,563 |
$209.46 |
| 82043 |
|
72 |
71 |
$207.74 |
| 84460 |
|
53 |
52 |
$175.21 |
| 87502 |
|
1,284 |
1,272 |
$172.80 |
| 84450 |
|
53 |
52 |
$170.98 |
| 83605 |
|
5,374 |
4,873 |
$165.55 |
| 90744 |
|
16 |
16 |
$156.86 |
| 84100 |
|
2,354 |
2,048 |
$149.28 |
| 83615 |
|
160 |
136 |
$144.68 |
| 85379 |
|
3,342 |
3,300 |
$141.49 |
| 87807 |
|
48 |
48 |
$131.84 |
| 87651 |
|
86 |
84 |
$116.93 |
| 87430 |
|
1,927 |
1,907 |
$111.04 |
| 84481 |
|
12 |
12 |
$106.44 |
| 92552 |
|
17 |
17 |
$79.89 |
| 86038 |
|
12 |
12 |
$73.37 |
| 90715 |
|
4,808 |
4,794 |
$72.48 |
| 85652 |
|
183 |
178 |
$70.69 |
| 87040 |
|
2,310 |
2,033 |
$67.22 |
| 90461 |
|
299 |
298 |
$61.69 |
| 88304 |
|
272 |
271 |
$57.85 |
| 84478 |
|
14 |
12 |
$47.88 |
| 73552 |
|
26 |
25 |
$45.81 |
| 82150 |
|
502 |
482 |
$40.88 |
| 87081 |
|
42 |
42 |
$34.50 |
| 88341 |
|
13 |
13 |
$32.49 |
| 86140 |
|
14 |
14 |
$30.27 |
| 84156 |
|
17 |
16 |
$27.31 |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
347 |
345 |
$23.55 |
| 87420 |
|
481 |
478 |
$20.28 |
| 82140 |
|
141 |
132 |
$20.25 |
| 87205 |
|
925 |
862 |
$19.03 |
| 84295 |
|
851 |
755 |
$18.16 |
| 82435 |
|
843 |
751 |
$17.71 |
| 84132 |
|
981 |
871 |
$17.53 |
| 82247 |
|
84 |
82 |
$16.80 |
| 87400 |
|
1,318 |
1,290 |
$16.48 |
| 84703 |
|
179 |
176 |
$15.73 |
| 82374 |
|
843 |
751 |
$15.26 |
| 96376 |
|
5,583 |
3,548 |
$15.26 |
| 87075 |
|
171 |
154 |
$12.40 |
| 87210 |
|
1,065 |
1,046 |
$11.64 |
| 89051 |
|
32 |
30 |
$10.75 |
| 85046 |
|
17 |
13 |
$10.39 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
346 |
338 |
$8.81 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
19,402 |
17,761 |
$7.48 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
2,379 |
2,078 |
$6.67 |
| 82010 |
|
474 |
427 |
$6.23 |
| 87147 |
|
30 |
28 |
$3.95 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
16,694 |
14,594 |
$2.51 |
| J2060 |
Injection, lorazepam, 2 mg |
4,136 |
2,948 |
$2.15 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
9,590 |
7,997 |
$1.17 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
6,540 |
6,244 |
$0.82 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
7,348 |
6,984 |
$0.77 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
4,924 |
4,452 |
$0.60 |
| J1644 |
Injection, heparin sodium, per 1000 units |
4,479 |
2,075 |
$0.37 |
| 36416 |
|
438 |
434 |
$0.20 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
4,724 |
3,904 |
$0.08 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
4,559 |
3,400 |
$0.05 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
1,178 |
1,128 |
$0.04 |
| 90680 |
|
3,219 |
3,216 |
$0.02 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
367 |
361 |
$0.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
904 |
864 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
1,298 |
595 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
1,494 |
1,341 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,377 |
1,369 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
364 |
347 |
$0.00 |
| 90633 |
|
2,815 |
2,807 |
$0.00 |
| 91312 |
|
361 |
361 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
173 |
167 |
$0.00 |
| 90707 |
|
1,191 |
1,188 |
$0.00 |
| 80143 |
|
179 |
170 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
40 |
36 |
$0.00 |
| 91300 |
|
237 |
235 |
$0.00 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
604 |
362 |
$0.00 |
| 90700 |
|
802 |
802 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
230 |
189 |
$0.00 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
391 |
389 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
305 |
219 |
$0.00 |
| J2004 |
Injection, lidocaine hcl with epinephrine, 1 mg |
18 |
18 |
$0.00 |
| 76942 |
|
212 |
201 |
$0.00 |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
109 |
108 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
358 |
353 |
$0.00 |
| 99173 |
|
341 |
337 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
132 |
72 |
$0.00 |
| 80179 |
|
174 |
169 |
$0.00 |
| J1956 |
Injection, levofloxacin, 250 mg |
13 |
13 |
$0.00 |
| 90710 |
|
55 |
55 |
$0.00 |
| 80164 |
|
189 |
165 |
$0.00 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
25 |
24 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
136 |
130 |
$0.00 |
| J0295 |
Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm |
37 |
14 |
$0.00 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
67 |
51 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,016 |
883 |
$0.00 |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
13 |
13 |
$0.00 |
| 91321 |
|
27 |
27 |
$0.00 |
| 36600 |
|
18 |
18 |
$0.00 |
| 90648 |
|
44 |
44 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
5,075 |
4,796 |
$0.00 |
| A4648 |
Tissue marker, implantable, any type, each |
509 |
506 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
3,064 |
2,242 |
$0.00 |
| J3490 |
Unclassified drugs |
518 |
486 |
$0.00 |
| 86308 |
|
78 |
78 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
7,432 |
6,889 |
$0.00 |
| 90723 |
|
3,244 |
3,243 |
$0.00 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
1,382 |
1,355 |
$0.00 |
| 82077 |
|
461 |
411 |
$0.00 |
| 90647 |
|
3,058 |
3,057 |
$0.00 |
| 94760 |
|
954 |
709 |
$0.00 |
| 97010 |
|
773 |
308 |
$0.00 |
| J2785 |
Injection, regadenoson, 0.1 mg |
274 |
273 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
152 |
151 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
981 |
805 |
$0.00 |
| 90632 |
|
405 |
405 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
2,756 |
2,564 |
$0.00 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
528 |
512 |
$0.00 |
| 90696 |
|
913 |
911 |
$0.00 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
106 |
91 |
$0.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
2,392 |
1,891 |
$0.00 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
16 |
13 |
$0.00 |
| 91305 |
|
318 |
304 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
963 |
824 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
298 |
281 |
$0.00 |
| C1889 |
Implantable/insertable device, not otherwise classified |
76 |
76 |
$0.00 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
79 |
28 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
543 |
336 |
$0.00 |
| 91307 |
|
185 |
175 |
$0.00 |
| 84134 |
|
14 |
12 |
$0.00 |
| J0500 |
Injection, dicyclomine hcl, up to 20 mg |
29 |
27 |
$0.00 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
241 |
212 |
$0.00 |
| J1920 |
Injection, labetalol hydrochloride, 5 mg |
13 |
13 |
$0.00 |
| A9573 |
Injection, gadopiclenol, 1 ml |
226 |
224 |
$0.00 |
| J3360 |
Injection, diazepam, up to 5 mg |
17 |
16 |
$0.00 |
| A9270 |
Non-covered item or service |
66 |
12 |
$0.00 |
| J7999 |
Compounded drug, not otherwise classified |
13 |
12 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
107 |
103 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
273 |
252 |
$0.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
58 |
46 |
$0.00 |
| 96368 |
|
17 |
13 |
$0.00 |
| J3480 |
Injection, potassium chloride, per 2 meq |
33 |
26 |
$0.00 |