| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,923 |
4,469 |
$340K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,572 |
5,301 |
$334K |
| J3490 |
Unclassified drugs |
2,525 |
1,985 |
$321K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
5,457 |
1,152 |
$321K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,557 |
5,309 |
$284K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,602 |
41,152 |
$256K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,598 |
1,811 |
$184K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,354 |
6,782 |
$164K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,319 |
1,319 |
$128K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
3,946 |
2,575 |
$124K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,790 |
1,780 |
$123K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
4,861 |
1,564 |
$106K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,027 |
1,986 |
$106K |
| 99199 |
Unlisted special service, procedure or report |
2,428 |
2,137 |
$99K |
| 99223 |
Prolong inpt eval add15 m |
362 |
337 |
$87K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
8,919 |
8,772 |
$86K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
569 |
505 |
$64K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
507 |
457 |
$59K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
821 |
807 |
$58K |
| 99215 |
Prolong outpt/office vis |
586 |
553 |
$55K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,425 |
1,348 |
$51K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,046 |
1,046 |
$50K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
497 |
437 |
$47K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
994 |
958 |
$44K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
411 |
375 |
$42K |
| T4541 |
Incontinence product, disposable underpad, large, each |
1,035 |
1,032 |
$42K |
| 97164 |
|
594 |
296 |
$41K |
| 76830 |
Ultrasound, transvaginal |
756 |
730 |
$41K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
8,859 |
8,716 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,047 |
11,685 |
$40K |
| A0425 |
Ground mileage, per statute mile |
1,611 |
1,298 |
$38K |
| 70450 |
Computed tomography, head or brain; without contrast material |
613 |
524 |
$38K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
129 |
118 |
$35K |
| 80053 |
Comprehensive metabolic panel |
24,892 |
22,982 |
$35K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,253 |
414 |
$34K |
| 97162 |
|
459 |
454 |
$33K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
432 |
390 |
$31K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
807 |
792 |
$31K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
113 |
112 |
$30K |
| 71046 |
Radiologic examination, chest; 2 views |
1,420 |
1,389 |
$29K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
613 |
605 |
$28K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
29,599 |
26,060 |
$27K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
121 |
121 |
$25K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,019 |
226 |
$25K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
603 |
381 |
$24K |
| 76641 |
|
286 |
221 |
$23K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
392 |
366 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
3,823 |
2,653 |
$22K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
261 |
260 |
$21K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
180 |
177 |
$20K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
825 |
763 |
$20K |
| V2020 |
Frames, purchases |
929 |
929 |
$19K |
| S9083 |
Global fee urgent care centers |
314 |
291 |
$18K |
| 86003 |
|
663 |
660 |
$18K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,008 |
339 |
$18K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
145 |
125 |
$17K |
| 59425 |
|
1,009 |
725 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
787 |
787 |
$16K |
| A4267 |
Contraceptive supply, condom, male, each |
804 |
782 |
$16K |
| 97001 |
|
30 |
29 |
$15K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
5,227 |
3,755 |
$14K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
563 |
500 |
$14K |
| 76770 |
|
237 |
227 |
$13K |
| 77065 |
Tomosynthesis, mammo |
91 |
91 |
$13K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
75 |
73 |
$13K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,113 |
1,895 |
$12K |
| 77066 |
Tomosynthesis, mammo |
79 |
79 |
$11K |
| 92015 |
Determination of refractive state |
1,485 |
1,485 |
$11K |
| 76536 |
|
218 |
216 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
735 |
675 |
$11K |
| 97803 |
|
686 |
630 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
221 |
220 |
$10K |
| 81025 |
|
2,806 |
2,630 |
$10K |
| 72100 |
|
408 |
396 |
$10K |
| 76642 |
|
176 |
159 |
$10K |
| 99205 |
Prolong outpt/office vis |
75 |
73 |
$10K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
41 |
41 |
$10K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
273 |
251 |
$9K |
| 90686 |
|
1,205 |
1,203 |
$9K |
| K0001 |
Standard wheelchair |
242 |
239 |
$9K |
| 94760 |
|
1,013 |
959 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
527 |
519 |
$9K |
| 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 |
217 |
185 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
388 |
309 |
$9K |
| 99201 |
|
162 |
151 |
$9K |
| 80061 |
Lipid panel |
18,391 |
18,298 |
$9K |
| 99233 |
Prolong inpt eval add15 m |
398 |
113 |
$9K |
| 90651 |
|
283 |
283 |
$9K |
| 87806 |
|
566 |
566 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14,621 |
14,496 |
$8K |
| 73030 |
|
398 |
337 |
$8K |
| 73630 |
|
516 |
422 |
$8K |
| 97161 |
|
84 |
84 |
$7K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
14 |
14 |
$7K |
| 73221 |
|
26 |
26 |
$7K |
| 97802 |
|
1,184 |
1,158 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
15,687 |
15,527 |
$7K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
295 |
294 |
$7K |
| 73562 |
|
396 |
302 |
$7K |
| E0601 |
Continuous positive airway pressure (cpap) device |
120 |
119 |
$6K |
| S4993 |
Contraceptive pills for birth control |
218 |
217 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
137 |
100 |
$6K |
| 90715 |
|
332 |
332 |
$6K |
| 87799 |
|
94 |
91 |
$6K |
| 95117 |
|
733 |
282 |
$6K |
| 81001 |
|
9,947 |
9,585 |
$6K |
| 95115 |
|
297 |
164 |
$5K |
| 73610 |
|
350 |
304 |
$5K |
| 73130 |
|
305 |
248 |
$5K |
| S9999 |
Sales tax |
871 |
824 |
$5K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
94 |
94 |
$5K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
702 |
672 |
$5K |
| 72141 |
|
16 |
16 |
$4K |
| 0450 |
Emergency room services |
101 |
96 |
$4K |
| 80076 |
|
1,695 |
1,629 |
$4K |
| 84484 |
|
1,185 |
965 |
$4K |
| 90670 |
|
368 |
366 |
$4K |
| 70486 |
|
29 |
29 |
$4K |
| 84403 |
|
388 |
384 |
$4K |
| 83690 |
|
1,954 |
1,671 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
16 |
14 |
$4K |
| 93000 |
|
351 |
332 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
7,403 |
7,369 |
$4K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
207 |
206 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
218 |
213 |
$3K |
| 72040 |
|
133 |
131 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
5,023 |
4,806 |
$3K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
133 |
122 |
$3K |
| 77080 |
|
62 |
62 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,100 |
1,095 |
$3K |
| 88304 |
|
133 |
131 |
$3K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
159 |
155 |
$3K |
| 90734 |
|
307 |
306 |
$3K |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
155 |
154 |
$3K |
| 97014 |
|
386 |
131 |
$3K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
37 |
37 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
56 |
55 |
$3K |
| 71250 |
|
26 |
26 |
$3K |
| 85610 |
|
2,747 |
2,352 |
$3K |
| 74178 |
|
13 |
13 |
$3K |
| 82962 |
|
1,251 |
529 |
$2K |
| 86580 |
|
520 |
516 |
$2K |
| 92134 |
|
89 |
86 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
29 |
28 |
$2K |
| 92557 |
|
26 |
26 |
$2K |
| 83735 |
|
2,153 |
1,105 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
324 |
306 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
370 |
354 |
$2K |
| 90633 |
|
232 |
231 |
$2K |
| 86592 |
|
5,488 |
5,415 |
$2K |
| 83880 |
|
293 |
262 |
$2K |
| 90700 |
|
229 |
228 |
$2K |
| 84703 |
|
657 |
617 |
$2K |
| 84702 |
|
1,056 |
854 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
54 |
52 |
$2K |
| 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 |
204 |
186 |
$2K |
| 85027 |
|
4,549 |
3,927 |
$2K |
| 81003 |
|
6,431 |
6,215 |
$2K |
| 76801 |
|
37 |
26 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
12 |
12 |
$2K |
| 85018 |
|
3,523 |
3,489 |
$2K |
| 90716 |
|
203 |
202 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
298 |
280 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
235 |
219 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
278 |
277 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
9,279 |
8,880 |
$2K |
| 74018 |
|
188 |
156 |
$2K |
| 73502 |
|
73 |
65 |
$2K |
| 84479 |
|
1,435 |
1,427 |
$2K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
39 |
37 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
246 |
222 |
$2K |
| 84439 |
|
5,125 |
5,054 |
$2K |
| 73110 |
|
114 |
104 |
$2K |
| 73560 |
|
102 |
88 |
$1K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
2,473 |
2,450 |
$1K |
| 90707 |
|
152 |
151 |
$1K |
| 90658 |
|
165 |
163 |
$1K |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
90 |
78 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,407 |
1,405 |
$1K |
| 90649 |
|
134 |
134 |
$1K |
| 83605 |
|
282 |
211 |
$1K |
| 90648 |
|
141 |
139 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
363 |
362 |
$1K |
| 85730 |
|
2,035 |
1,792 |
$1K |
| 82947 |
|
1,239 |
1,186 |
$1K |
| 73620 |
|
77 |
55 |
$1K |
| 90688 |
|
251 |
251 |
$1K |
| 93970 |
|
14 |
13 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
4,236 |
4,212 |
$1K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,691 |
1,683 |
$1K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
26 |
26 |
$1K |
| 87210 |
|
281 |
270 |
$1K |
| 87040 |
|
301 |
239 |
$989.74 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,013 |
1,013 |
$955.86 |
| 93325 |
|
12 |
12 |
$934.56 |
| 86850 |
|
449 |
399 |
$929.37 |
| 90620 |
|
116 |
116 |
$926.10 |
| 93320 |
|
12 |
12 |
$918.84 |
| 97163 |
|
12 |
12 |
$900.78 |
| 90680 |
|
116 |
115 |
$900.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
122 |
108 |
$891.05 |
| 86480 |
|
312 |
308 |
$870.49 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
56 |
56 |
$870.32 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
267 |
265 |
$849.40 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
25 |
24 |
$833.69 |
| 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 |
30 |
28 |
$831.35 |
| 97535 |
Self-care/home management training, each 15 minutes |
148 |
90 |
$830.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
429 |
368 |
$791.78 |
| 83655 |
|
2,070 |
2,060 |
$788.19 |
| 87631 |
|
64 |
60 |
$749.58 |
| 84550 |
|
2,406 |
2,363 |
$748.29 |
| 82274 |
|
1,578 |
1,469 |
$737.76 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
14 |
12 |
$732.06 |
| 88142 |
|
291 |
289 |
$711.33 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
381 |
362 |
$646.33 |
| 87186 |
|
1,143 |
1,109 |
$628.01 |
| 93042 |
|
195 |
189 |
$610.02 |
| 76870 |
|
12 |
12 |
$606.38 |
| 84402 |
|
61 |
60 |
$573.27 |
| 84100 |
|
1,144 |
711 |
$559.29 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
80 |
75 |
$558.68 |
| 90713 |
|
64 |
64 |
$558.00 |
| 88307 |
|
15 |
14 |
$555.28 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
29 |
28 |
$550.17 |
| 86901 |
|
802 |
701 |
$539.67 |
| 87340 |
|
1,119 |
1,103 |
$534.27 |
| 84153 |
|
1,512 |
1,507 |
$534.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,341 |
1,316 |
$468.43 |
| 86900 |
|
737 |
640 |
$421.90 |
| 83540 |
|
1,423 |
1,402 |
$420.91 |
| 92133 |
|
15 |
14 |
$419.25 |
| 82977 |
|
450 |
448 |
$411.00 |
| 84480 |
|
1,384 |
1,373 |
$402.15 |
| Q3014 |
Telehealth originating site facility fee |
12 |
12 |
$396.41 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
89 |
80 |
$390.06 |
| 87070 |
|
1,674 |
1,626 |
$389.83 |
| 82607 |
|
1,816 |
1,812 |
$373.16 |
| 86803 |
|
1,093 |
1,089 |
$361.78 |
| 82570 |
|
2,767 |
2,729 |
$360.40 |
| 82728 |
|
1,166 |
1,133 |
$355.94 |
| 81002 |
|
1,282 |
1,201 |
$354.29 |
| 80074 |
|
1,100 |
1,081 |
$334.21 |
| 86140 |
|
1,746 |
1,654 |
$333.28 |
| 87077 |
|
809 |
791 |
$333.12 |
| 90656 |
|
48 |
48 |
$315.00 |
| 87081 |
|
745 |
727 |
$309.98 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
151 |
139 |
$307.86 |
| 85652 |
|
2,175 |
2,129 |
$278.09 |
| 85049 |
|
245 |
239 |
$277.51 |
| 86038 |
|
1,098 |
1,086 |
$262.69 |
| 99173 |
|
3,947 |
3,855 |
$256.00 |
| 97010 |
|
1,004 |
343 |
$249.00 |
| 86704 |
|
45 |
45 |
$245.90 |
| 81000 |
|
1,340 |
1,323 |
$229.59 |
| 73140 |
|
30 |
28 |
$221.57 |
| 84436 |
|
2,510 |
2,495 |
$219.99 |
| 92083 |
|
12 |
12 |
$218.79 |
| 82746 |
|
1,118 |
1,116 |
$213.54 |
| 87088 |
|
2,200 |
2,167 |
$209.77 |
| 85007 |
|
267 |
212 |
$205.47 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
13 |
13 |
$204.25 |
| 36416 |
|
54 |
54 |
$201.93 |
| 83721 |
|
469 |
468 |
$200.98 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
45 |
44 |
$198.22 |
| 99401 |
|
1,110 |
1,013 |
$190.22 |
| 73590 |
|
14 |
12 |
$187.47 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
589 |
550 |
$179.52 |
| 83002 |
|
399 |
397 |
$177.94 |
| 82043 |
|
2,855 |
2,834 |
$163.03 |
| 84481 |
|
1,560 |
1,551 |
$161.68 |
| 96156 |
|
630 |
628 |
$160.64 |
| 83550 |
|
1,141 |
1,124 |
$148.28 |
| 86706 |
|
421 |
420 |
$146.40 |
| 86703 |
|
12 |
12 |
$143.52 |
| 82550 |
|
358 |
343 |
$134.90 |
| 99000 |
|
4,004 |
3,725 |
$131.12 |
| 88141 |
|
257 |
255 |
$126.36 |
| 90660 |
|
14 |
14 |
$126.00 |
| 82785 |
|
496 |
496 |
$124.79 |
| 83001 |
|
493 |
490 |
$124.28 |
| 83615 |
|
291 |
255 |
$124.15 |
| 99383 |
|
28 |
28 |
$119.70 |
| 86225 |
|
142 |
141 |
$117.59 |
| 90723 |
|
12 |
12 |
$108.00 |
| 3008F |
|
7,078 |
6,532 |
$106.61 |
| 88312 |
|
68 |
68 |
$103.99 |
| 82248 |
|
853 |
809 |
$98.88 |
| 83970 |
|
123 |
120 |
$95.89 |
| 83986 |
|
188 |
181 |
$93.99 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
12 |
12 |
$91.96 |
| 80081 |
|
287 |
286 |
$90.69 |
| 90696 |
|
13 |
12 |
$90.00 |
| 84146 |
|
300 |
300 |
$85.41 |
| 86769 |
|
29 |
29 |
$84.26 |
| 80069 |
|
58 |
44 |
$79.41 |
| 86696 |
|
207 |
205 |
$77.09 |
| 92551 |
|
3,552 |
3,541 |
$76.22 |
| 84460 |
|
597 |
592 |
$71.52 |
| 84155 |
|
80 |
79 |
$70.34 |
| 83013 |
|
244 |
244 |
$69.20 |
| 87338 |
|
201 |
201 |
$63.69 |
| 82652 |
|
682 |
680 |
$63.67 |
| 86376 |
|
366 |
365 |
$61.88 |
| 87177 |
|
161 |
157 |
$61.27 |
| 85379 |
|
13 |
12 |
$60.55 |
| 84144 |
|
13 |
13 |
$57.03 |
| 86735 |
|
20 |
20 |
$53.31 |
| 84450 |
|
494 |
487 |
$52.65 |
| 86695 |
|
190 |
189 |
$52.54 |
| 92552 |
|
1,844 |
1,838 |
$51.09 |
| 83021 |
|
50 |
49 |
$46.20 |
| 73090 |
|
13 |
12 |
$45.66 |
| 82565 |
|
185 |
171 |
$38.71 |
| 86762 |
|
145 |
143 |
$35.58 |
| 85651 |
|
48 |
45 |
$35.33 |
| 87147 |
|
361 |
361 |
$33.63 |
| 84075 |
|
50 |
50 |
$30.09 |
| 0270 |
|
18 |
17 |
$28.44 |
| 82150 |
|
128 |
122 |
$28.12 |
| 85014 |
|
162 |
143 |
$24.31 |
| 86709 |
|
13 |
13 |
$23.31 |
| 82950 |
|
336 |
335 |
$20.33 |
| 86431 |
|
877 |
871 |
$19.83 |
| 86160 |
|
140 |
136 |
$18.73 |
| 94799 |
|
137 |
136 |
$17.10 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,827 |
1,818 |
$17.10 |
| 87205 |
|
61 |
59 |
$16.42 |
| 82948 |
|
508 |
391 |
$15.56 |
| 82784 |
|
117 |
116 |
$13.95 |
| 86677 |
|
18 |
18 |
$12.95 |
| 82105 |
|
71 |
66 |
$11.97 |
| 82378 |
|
114 |
104 |
$10.76 |
| 87045 |
|
97 |
96 |
$9.88 |
| 83516 |
|
164 |
164 |
$8.17 |
| 82247 |
|
82 |
82 |
$7.39 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
132 |
102 |
$6.73 |
| 85045 |
|
62 |
59 |
$5.98 |
| 84132 |
|
73 |
54 |
$4.09 |
| 84520 |
|
126 |
103 |
$3.11 |
| 84156 |
|
106 |
104 |
$2.58 |
| 81005 |
|
432 |
429 |
$0.35 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
113 |
98 |
$0.00 |
| 3074F |
|
2,605 |
2,366 |
$0.00 |
| 92082 |
|
27 |
27 |
$0.00 |
| 99441 |
|
387 |
361 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
351 |
346 |
$0.00 |
| 86141 |
|
110 |
109 |
$0.00 |
| 84154 |
|
61 |
60 |
$0.00 |
| 82951 |
|
38 |
38 |
$0.00 |
| 2000F |
|
126 |
120 |
$0.00 |
| 82670 |
|
73 |
73 |
$0.00 |
| 3075F |
|
110 |
106 |
$0.00 |
| 94761 |
|
217 |
181 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
168 |
165 |
$0.00 |
| 3079F |
|
463 |
432 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
294 |
291 |
$0.00 |
| 1126F |
|
64 |
61 |
$0.00 |
| 84478 |
|
12 |
12 |
$0.00 |
| 3044F |
|
78 |
74 |
$0.00 |
| 2001F |
|
379 |
353 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
183 |
183 |
$0.00 |
| A0999 |
Unlisted ambulance service |
112 |
93 |
$0.00 |
| 1036F |
|
14 |
13 |
$0.00 |
| 4245F |
|
253 |
238 |
$0.00 |
| 96150 |
|
60 |
56 |
$0.00 |
| 96151 |
|
17 |
14 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
215 |
173 |
$0.00 |
| 90585 |
|
136 |
135 |
$0.00 |
| 82120 |
|
149 |
145 |
$0.00 |
| 2010F |
|
125 |
119 |
$0.00 |
| 1000F |
|
85 |
81 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
12 |
12 |
$0.00 |
| 87046 |
|
92 |
91 |
$0.00 |
| 92060 |
|
66 |
66 |
$0.00 |
| 12001 |
|
12 |
12 |
$0.00 |
| 3080F |
|
41 |
39 |
$0.00 |
| 86800 |
|
71 |
71 |
$0.00 |
| 82040 |
|
54 |
48 |
$0.00 |
| 36410 |
|
15 |
14 |
$0.00 |
| 83704 |
|
12 |
12 |
$0.00 |
| 86317 |
|
12 |
12 |
$0.00 |
| 0001F |
|
114 |
98 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$0.00 |
| 86060 |
|
129 |
128 |
$0.00 |
| 99406 |
|
257 |
213 |
$0.00 |
| 92499 |
|
28 |
28 |
$0.00 |
| 99443 |
|
21 |
18 |
$0.00 |
| 82435 |
|
18 |
18 |
$0.00 |
| 83050 |
|
13 |
13 |
$0.00 |
| 4037F |
|
61 |
61 |
$0.00 |
| A0398 |
Als routine disposable supplies |
29 |
27 |
$0.00 |
| 1170F |
|
30 |
29 |
$0.00 |
| 3352F |
|
30 |
29 |
$0.00 |
| 83520 |
|
14 |
14 |
$0.00 |
| 0545F |
|
30 |
29 |
$0.00 |
| 92226 |
|
20 |
20 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 97032 |
|
45 |
14 |
$0.00 |
| 1220F |
|
13 |
13 |
$0.00 |
| 92250 |
|
13 |
13 |
$0.00 |
| 86780 |
|
13 |
12 |
$0.00 |
| 92081 |
|
1,683 |
1,683 |
$0.00 |
| 87209 |
|
156 |
152 |
$0.00 |
| 95144 |
|
316 |
181 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
183 |
182 |
$0.00 |
| 3078F |
|
2,267 |
2,088 |
$0.00 |
| 3725F |
|
134 |
134 |
$0.00 |
| 90461 |
|
223 |
221 |
$0.00 |
| 1160F |
|
464 |
442 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
1,116 |
972 |
$0.00 |
| G9920 |
Screening performed and negative |
1,026 |
1,019 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
292 |
289 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
148 |
148 |
$0.00 |
| 99051 |
|
316 |
306 |
$0.00 |
| 96160 |
|
258 |
258 |
$0.00 |
| 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 |
89 |
81 |
$0.00 |
| 3028F |
|
136 |
131 |
$0.00 |
| 1158F |
|
16 |
14 |
$0.00 |
| 88112 |
|
15 |
15 |
$0.00 |
| 1159F |
|
247 |
234 |
$0.00 |
| 92568 |
|
491 |
417 |
$0.00 |
| 99053 |
|
119 |
115 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
39 |
39 |
$0.00 |
| 82465 |
|
246 |
246 |
$0.00 |
| 82310 |
|
103 |
94 |
$0.00 |
| 87427 |
|
87 |
87 |
$0.00 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
16 |
16 |
$0.00 |
| 99442 |
|
195 |
182 |
$0.00 |
| 86039 |
|
140 |
136 |
$0.00 |
| 86200 |
|
210 |
209 |
$0.00 |
| 99080 |
|
31 |
28 |
$0.00 |
| 0521F |
|
30 |
29 |
$0.00 |
| 4005F |
|
30 |
29 |
$0.00 |
| 99072 |
|
567 |
486 |
$0.00 |
| 83026 |
|
69 |
69 |
$0.00 |
| 83525 |
|
12 |
12 |
$0.00 |
| 83037 |
|
26 |
26 |
$0.00 |
| 86708 |
|
70 |
70 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
294 |
292 |
$0.00 |
| 86765 |
|
19 |
19 |
$0.00 |
| 86235 |
|
126 |
124 |
$0.00 |
| 86787 |
|
12 |
12 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
29 |
28 |
$0.00 |
| 83020 |
|
12 |
12 |
$0.00 |
| 3288F |
|
13 |
13 |
$0.00 |
| 82627 |
|
26 |
25 |
$0.00 |
| 76857 |
|
13 |
13 |
$0.00 |
| 3077F |
|
26 |
26 |
$0.00 |
| 99152 |
|
12 |
12 |
$0.00 |
| 84165 |
|
12 |
12 |
$0.00 |
| 95930 |
|
13 |
13 |
$0.00 |
| 99421 |
|
52 |
47 |
$0.00 |
| 84295 |
|
18 |
18 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
13 |
13 |
$0.00 |