| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
68,064 |
66,002 |
$2.39M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
20,963 |
20,470 |
$1.70M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
170,187 |
157,558 |
$1.45M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
41,620 |
40,100 |
$977K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
11,731 |
11,526 |
$647K |
| 91320 |
|
3,801 |
3,800 |
$619K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68,057 |
64,078 |
$478K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
20,876 |
19,869 |
$472K |
| 70450 |
Computed tomography, head or brain; without contrast material |
12,820 |
12,458 |
$392K |
| 90480 |
|
6,803 |
6,796 |
$329K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
26,520 |
25,884 |
$282K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
57,747 |
52,006 |
$272K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
27,759 |
24,685 |
$264K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
18,454 |
14,145 |
$261K |
| 0002A |
|
5,891 |
5,890 |
$229K |
| 0001A |
|
6,219 |
6,219 |
$228K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
65,262 |
60,839 |
$191K |
| 71045 |
Radiologic examination, chest; single view |
42,696 |
38,470 |
$178K |
| 90962 |
|
2,168 |
2,113 |
$165K |
| G0008 |
Administration of influenza virus vaccine |
8,410 |
8,405 |
$164K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
17,896 |
17,521 |
$152K |
| 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 |
60,593 |
49,757 |
$142K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
417 |
253 |
$116K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
2,993 |
2,883 |
$112K |
| 0004A |
|
2,676 |
2,676 |
$106K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,261 |
2,217 |
$100K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
710 |
653 |
$98K |
| 92015 |
Determination of refractive state |
44,695 |
44,318 |
$90K |
| 99215 |
Prolong outpt/office vis |
3,828 |
3,707 |
$88K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,928 |
2,299 |
$84K |
| 0012A |
|
2,068 |
2,068 |
$78K |
| 71046 |
Radiologic examination, chest; 2 views |
22,029 |
18,303 |
$77K |
| 0064A |
|
1,895 |
1,895 |
$75K |
| 0011A |
|
2,289 |
2,289 |
$74K |
| 0124A |
|
2,005 |
2,005 |
$71K |
| 0071A |
|
1,768 |
1,768 |
$70K |
| 0072A |
|
1,702 |
1,702 |
$68K |
| 90837 |
Psychotherapy, 53 minutes with patient |
6,780 |
4,918 |
$65K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
38,504 |
36,163 |
$57K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
38,496 |
36,159 |
$57K |
| 90662 |
|
4,835 |
4,829 |
$56K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,787 |
1,396 |
$53K |
| 90686 |
|
62,946 |
62,547 |
$52K |
| 92250 |
|
7,910 |
7,804 |
$50K |
| 92002 |
|
9,765 |
9,725 |
$49K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
61,841 |
58,169 |
$46K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,213 |
4,085 |
$43K |
| 90656 |
|
5,930 |
5,923 |
$42K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
319 |
318 |
$41K |
| 0054A |
|
1,051 |
1,051 |
$41K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
17,073 |
5,201 |
$39K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
5,609 |
3,392 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
11,216 |
11,066 |
$36K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,856 |
1,753 |
$35K |
| 80051 |
|
26,046 |
24,178 |
$35K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,098 |
1,847 |
$34K |
| 90651 |
|
6,090 |
6,088 |
$34K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
4,857 |
4,746 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
9,341 |
9,169 |
$32K |
| 97810 |
|
3,306 |
2,802 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,464 |
8,445 |
$31K |
| 99442 |
|
372 |
334 |
$30K |
| 90834 |
Psychotherapy, 45 minutes with patient |
12,807 |
9,535 |
$29K |
| 90791 |
Psychiatric diagnostic evaluation |
4,477 |
4,360 |
$28K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,875 |
1,809 |
$28K |
| 91322 |
|
156 |
156 |
$28K |
| 82565 |
|
106,635 |
101,162 |
$28K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
747 |
670 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46,952 |
45,838 |
$26K |
| 99443 |
|
219 |
216 |
$26K |
| 0134A |
|
691 |
691 |
$25K |
| 97811 |
|
2,908 |
2,520 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,898 |
5,894 |
$23K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12,232 |
11,934 |
$22K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
9,117 |
8,678 |
$22K |
| 73630 |
|
7,784 |
5,364 |
$22K |
| 87631 |
|
2,254 |
2,229 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,339 |
4,260 |
$21K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
1,436 |
1,387 |
$21K |
| 90670 |
|
5,215 |
5,169 |
$21K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,165 |
5,603 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
9,625 |
7,748 |
$20K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,431 |
1,268 |
$20K |
| 90653 |
|
364 |
364 |
$20K |
| J3490 |
Unclassified drugs |
2,467 |
1,188 |
$19K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,981 |
1,480 |
$19K |
| 92523 |
|
405 |
396 |
$19K |
| 82947 |
|
40,347 |
38,523 |
$19K |
| 84520 |
|
33,276 |
30,933 |
$19K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
585 |
578 |
$19K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
7,534 |
7,518 |
$18K |
| 0031A |
|
456 |
456 |
$17K |
| 84443 |
Thyroid stimulating hormone (TSH) |
74,522 |
73,051 |
$17K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13,903 |
13,638 |
$17K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
18,116 |
17,918 |
$17K |
| 99441 |
|
339 |
327 |
$16K |
| 64615 |
|
415 |
415 |
$16K |
| 86580 |
|
13,122 |
12,451 |
$16K |
| 84460 |
|
83,098 |
80,094 |
$16K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
4,906 |
2,833 |
$16K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,748 |
1,425 |
$16K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
699 |
638 |
$15K |
| 77080 |
|
2,154 |
2,018 |
$15K |
| 91319 |
|
286 |
286 |
$15K |
| 87506 |
|
2,416 |
2,392 |
$15K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
14,796 |
7,195 |
$15K |
| 90734 |
|
4,345 |
4,345 |
$14K |
| 83690 |
|
7,386 |
7,157 |
$14K |
| 90710 |
|
3,562 |
3,553 |
$14K |
| 84450 |
|
34,414 |
32,604 |
$13K |
| 82247 |
|
20,392 |
18,981 |
$13K |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
656 |
651 |
$12K |
| 98968 |
|
1,902 |
1,738 |
$12K |
| 92557 |
|
1,593 |
1,585 |
$12K |
| 92134 |
|
1,677 |
1,607 |
$11K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,655 |
1,062 |
$11K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
861 |
750 |
$11K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
2,716 |
2,636 |
$11K |
| 0073A |
|
282 |
282 |
$11K |
| A0425 |
Ground mileage, per statute mile |
11,119 |
8,215 |
$11K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
358 |
317 |
$11K |
| 76830 |
Ultrasound, transvaginal |
2,802 |
2,720 |
$11K |
| 99201 |
|
8,807 |
8,568 |
$10K |
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
434 |
426 |
$10K |
| 97802 |
|
367 |
365 |
$10K |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
235 |
234 |
$9K |
| 92567 |
|
368 |
368 |
$9K |
| 84075 |
|
19,619 |
18,412 |
$9K |
| 0154A |
|
259 |
259 |
$9K |
| 80306 |
|
444 |
429 |
$9K |
| 90677 |
|
181 |
174 |
$9K |
| 73221 |
|
607 |
545 |
$8K |
| E0570 |
Nebulizer, with compressor |
1,735 |
1,712 |
$8K |
| 0052A |
|
206 |
206 |
$8K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
220 |
194 |
$8K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,290 |
2,117 |
$8K |
| 88342 |
|
4,084 |
3,570 |
$8K |
| K0001 |
Standard wheelchair |
6,467 |
6,456 |
$8K |
| E0601 |
Continuous positive airway pressure (cpap) device |
1,604 |
1,601 |
$8K |
| 73610 |
|
4,332 |
3,242 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,573 |
1,545 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
81 |
80 |
$7K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
510 |
496 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,152 |
2,068 |
$7K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
167 |
157 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
11,920 |
11,328 |
$7K |
| 0051A |
|
170 |
170 |
$7K |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
2,158 |
2,069 |
$7K |
| 0081A |
|
165 |
165 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,928 |
2,797 |
$6K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
1,357 |
1,315 |
$6K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
8,724 |
6,819 |
$6K |
| 72141 |
|
852 |
777 |
$6K |
| 83735 |
|
14,720 |
13,060 |
$6K |
| 84439 |
|
12,813 |
12,162 |
$6K |
| 73030 |
|
2,933 |
2,127 |
$6K |
| 95117 |
|
3,369 |
1,692 |
$6K |
| B9002 |
Enteral nutrition infusion pump, any type |
471 |
466 |
$6K |
| H0032 |
Mental health service plan development by non-physician |
883 |
357 |
$6K |
| 73130 |
|
2,968 |
1,977 |
$6K |
| 83970 |
|
5,186 |
5,070 |
$6K |
| 90682 |
|
5,948 |
5,945 |
$6K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
2,719 |
1,684 |
$6K |
| 90715 |
|
5,924 |
5,923 |
$5K |
| 87088 |
|
28,094 |
26,470 |
$5K |
| 81001 |
|
1,560 |
1,459 |
$5K |
| 82728 |
|
37,004 |
36,152 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
93,276 |
92,514 |
$5K |
| 88341 |
|
1,975 |
1,674 |
$5K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,010 |
1,823 |
$5K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
1,918 |
1,906 |
$5K |
| 0082A |
|
136 |
136 |
$5K |
| Q5103 |
Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg |
259 |
231 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
2,992 |
757 |
$5K |
| E0471 |
Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
250 |
250 |
$5K |
| 70486 |
|
459 |
442 |
$5K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
902 |
784 |
$5K |
| E0600 |
Respiratory suction pump, home model, portable or stationary, electric |
473 |
463 |
$5K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
3,021 |
1,973 |
$5K |
| 70491 |
|
367 |
352 |
$4K |
| 91318 |
|
212 |
208 |
$4K |
| 74018 |
|
2,085 |
1,630 |
$4K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
573 |
566 |
$4K |
| 86235 |
|
2,024 |
2,004 |
$4K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
469 |
458 |
$4K |
| 94660 |
|
680 |
678 |
$4K |
| 80061 |
Lipid panel |
51,744 |
51,376 |
$4K |
| 86003 |
|
2,992 |
2,939 |
$4K |
| 82077 |
|
236 |
228 |
$4K |
| 83516 |
|
4,943 |
4,913 |
$4K |
| 73110 |
|
2,474 |
1,744 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,661 |
1,630 |
$4K |
| 76770 |
|
1,019 |
993 |
$4K |
| 76642 |
|
1,089 |
950 |
$4K |
| 90723 |
|
2,606 |
2,595 |
$4K |
| 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 |
6,823 |
6,595 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
40 |
40 |
$4K |
| 95800 |
|
14 |
14 |
$3K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
8,723 |
8,468 |
$3K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
1,865 |
1,422 |
$3K |
| 85027 |
|
51,927 |
50,970 |
$3K |
| 90648 |
|
4,544 |
4,508 |
$3K |
| 0003A |
|
76 |
76 |
$3K |
| 73564 |
|
3,097 |
1,873 |
$3K |
| 72100 |
|
2,390 |
1,876 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,726 |
1,686 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,720 |
1,691 |
$3K |
| J7999 |
Compounded drug, not otherwise classified |
59 |
58 |
$3K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
5,243 |
3,818 |
$3K |
| 73560 |
|
2,390 |
1,505 |
$3K |
| 92526 |
|
188 |
78 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
23,065 |
22,873 |
$3K |
| 93976 |
|
318 |
314 |
$3K |
| 87040 |
|
943 |
807 |
$3K |
| 90633 |
|
3,779 |
3,754 |
$3K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
8,736 |
8,469 |
$3K |
| 99205 |
Prolong outpt/office vis |
953 |
927 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
5,214 |
4,853 |
$3K |
| 84484 |
|
191 |
179 |
$2K |
| 99070 |
|
101 |
82 |
$2K |
| 84403 |
|
4,231 |
4,147 |
$2K |
| 93971 |
|
619 |
608 |
$2K |
| 86140 |
|
13,267 |
12,799 |
$2K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
2,258 |
2,252 |
$2K |
| 93000 |
|
930 |
920 |
$2K |
| 83550 |
|
19,201 |
18,807 |
$2K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
42 |
36 |
$2K |
| 73502 |
|
1,296 |
1,011 |
$2K |
| 86360 |
|
1,337 |
1,316 |
$2K |
| 97597 |
|
482 |
440 |
$2K |
| K0738 |
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing |
3,774 |
3,762 |
$2K |
| 80197 |
|
2,068 |
1,466 |
$2K |
| 83655 |
|
6,115 |
5,896 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
794 |
792 |
$2K |
| 84100 |
|
8,683 |
8,006 |
$2K |
| 88720 |
|
2,833 |
2,036 |
$2K |
| 90885 |
|
2,521 |
907 |
$2K |
| K0006 |
Heavy duty wheelchair |
396 |
396 |
$2K |
| 81003 |
|
824 |
792 |
$2K |
| 73080 |
|
1,211 |
852 |
$2K |
| 74022 |
|
622 |
594 |
$2K |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
2,501 |
2,472 |
$2K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
3,413 |
2,580 |
$2K |
| 85610 |
|
16,853 |
14,395 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
628 |
496 |
$2K |
| 86665 |
|
1,403 |
1,392 |
$2K |
| 83540 |
|
19,508 |
19,111 |
$2K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
3,933 |
2,184 |
$2K |
| 11721 |
|
704 |
686 |
$2K |
| 0111A |
|
70 |
70 |
$2K |
| 73562 |
|
1,323 |
787 |
$2K |
| 82570 |
|
12,462 |
11,699 |
$2K |
| 0112A |
|
68 |
68 |
$2K |
| 99152 |
|
419 |
410 |
$2K |
| 73590 |
|
1,003 |
722 |
$2K |
| 90681 |
|
976 |
976 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
113 |
66 |
$2K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
2,237 |
2,166 |
$2K |
| 93970 |
|
197 |
188 |
$2K |
| 72040 |
|
1,230 |
967 |
$1K |
| 82248 |
|
5,169 |
4,786 |
$1K |
| 20610 |
|
1,374 |
1,255 |
$1K |
| A0130 |
Non-emergency transportation: wheelchair van |
17,488 |
3,636 |
$1K |
| 80069 |
|
1,724 |
1,589 |
$1K |
| 86160 |
|
1,660 |
1,496 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
561 |
505 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
685 |
531 |
$1K |
| 90696 |
|
1,992 |
1,991 |
$1K |
| 86803 |
|
19,477 |
19,338 |
$1K |
| 82977 |
|
1,607 |
1,501 |
$1K |
| 73140 |
|
1,854 |
1,289 |
$1K |
| 86480 |
|
2,608 |
2,590 |
$1K |
| 72170 |
|
472 |
399 |
$1K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
345 |
199 |
$1K |
| 83020 |
|
1,742 |
1,713 |
$1K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
166 |
157 |
$1K |
| 82784 |
|
2,568 |
2,399 |
$1K |
| E0277 |
Powered pressure-reducing air mattress |
351 |
349 |
$1K |
| 84156 |
|
11,066 |
10,344 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
493 |
457 |
$1K |
| K0003 |
Lightweight wheelchair |
1,101 |
1,101 |
$1K |
| 87070 |
|
4,643 |
4,367 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,380 |
692 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,158 |
1,954 |
$1K |
| 71250 |
|
583 |
553 |
$1K |
| 82310 |
|
14,364 |
13,786 |
$1K |
| 73090 |
|
766 |
553 |
$1K |
| 94729 |
|
783 |
782 |
$1K |
| T4541 |
Incontinence product, disposable underpad, large, each |
17,461 |
16,915 |
$1K |
| 0013A |
|
27 |
27 |
$1K |
| 83993 |
|
1,010 |
988 |
$1K |
| 90716 |
|
520 |
519 |
$1K |
| 82040 |
|
11,131 |
10,663 |
$1K |
| 90674 |
|
1,709 |
1,706 |
$1K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
131 |
93 |
$1K |
| 97166 |
|
24 |
24 |
$994.00 |
| 91321 |
|
21 |
21 |
$980.00 |
| 87209 |
|
2,366 |
2,332 |
$965.91 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,102 |
938 |
$955.32 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
100 |
93 |
$953.70 |
| 99385 |
|
1,097 |
1,088 |
$952.74 |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
25 |
25 |
$945.42 |
| 74019 |
|
925 |
728 |
$930.01 |
| 93325 |
|
30 |
25 |
$919.00 |
| 82607 |
|
14,613 |
14,522 |
$895.61 |
| E0630 |
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) |
828 |
828 |
$881.77 |
| 90700 |
|
1,682 |
1,682 |
$851.02 |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
96 |
96 |
$849.38 |
| E0185 |
Gel or gel-like pressure pad for mattress, standard mattress length and width |
496 |
490 |
$834.29 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
463 |
401 |
$833.89 |
| 82043 |
|
19,345 |
19,211 |
$832.94 |
| 93320 |
|
29 |
24 |
$826.96 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
6,295 |
3,136 |
$821.10 |
| 86780 |
|
22,639 |
22,428 |
$808.65 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
288 |
263 |
$807.90 |
| 80164 |
|
1,378 |
1,325 |
$807.49 |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
6,143 |
5,931 |
$803.88 |
| 86664 |
|
1,403 |
1,392 |
$779.76 |
| 86706 |
|
7,507 |
7,431 |
$778.49 |
| 90707 |
|
685 |
685 |
$773.26 |
| 92579 |
|
206 |
205 |
$772.71 |
| 0083A |
|
28 |
28 |
$751.00 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,629 |
1,201 |
$750.09 |
| 76536 |
|
463 |
438 |
$734.28 |
| 82746 |
|
2,582 |
2,573 |
$710.36 |
| 84146 |
|
2,638 |
2,591 |
$706.97 |
| D1206 |
Topical application of fluoride varnish |
905 |
903 |
$700.20 |
| 77066 |
Tomosynthesis, mammo |
367 |
347 |
$700.00 |
| 87529 |
|
1,559 |
1,540 |
$695.64 |
| 84702 |
|
1,941 |
1,619 |
$688.39 |
| 90694 |
|
1,050 |
1,050 |
$684.42 |
| 99223 |
Prolong inpt eval add15 m |
481 |
410 |
$682.59 |
| 82550 |
|
3,749 |
3,585 |
$674.44 |
| 76870 |
|
190 |
184 |
$652.35 |
| 71101 |
|
303 |
251 |
$644.33 |
| 10060 |
|
354 |
347 |
$643.31 |
| E0181 |
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty |
776 |
775 |
$633.52 |
| 87340 |
|
16,633 |
16,482 |
$626.10 |
| 73552 |
|
268 |
211 |
$613.93 |
| 77065 |
Tomosynthesis, mammo |
419 |
369 |
$612.77 |
| 82150 |
|
2,542 |
2,488 |
$594.87 |
| 86225 |
|
2,159 |
2,136 |
$593.99 |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
1,578 |
1,574 |
$591.50 |
| 94010 |
|
431 |
427 |
$569.49 |
| 82670 |
|
1,570 |
1,524 |
$567.33 |
| 81025 |
|
11,997 |
11,496 |
$557.40 |
| 90658 |
|
991 |
988 |
$553.20 |
| 86901 |
|
4,036 |
3,997 |
$547.17 |
| 88307 |
|
560 |
492 |
$541.00 |
| 59025 |
Fetal non-stress test |
1,822 |
1,042 |
$530.86 |
| 86900 |
|
4,013 |
3,974 |
$526.81 |
| 87329 |
|
2,313 |
2,280 |
$497.60 |
| 83498 |
|
541 |
537 |
$491.53 |
| 82533 |
|
930 |
854 |
$479.21 |
| 90661 |
|
144 |
143 |
$476.75 |
| 82627 |
|
862 |
861 |
$463.52 |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
26 |
26 |
$462.63 |
| 94726 |
|
387 |
359 |
$461.66 |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
251 |
226 |
$447.52 |
| 73522 |
|
300 |
221 |
$445.67 |
| 72070 |
|
600 |
485 |
$436.86 |
| 84480 |
|
1,504 |
1,408 |
$433.16 |
| 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 |
1,798 |
1,729 |
$431.65 |
| 97804 |
|
30 |
29 |
$431.07 |
| 84550 |
|
8,457 |
8,256 |
$418.11 |
| 12001 |
|
203 |
203 |
$410.36 |
| 73600 |
|
542 |
415 |
$405.72 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
305 |
207 |
$400.99 |
| 87081 |
|
3,717 |
3,699 |
$399.04 |
| 73060 |
|
215 |
170 |
$391.41 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
735 |
375 |
$388.77 |
| 73620 |
|
702 |
452 |
$388.56 |
| 86038 |
|
2,503 |
2,487 |
$382.63 |
| 73660 |
|
489 |
372 |
$382.29 |
| 84132 |
|
52,011 |
50,504 |
$371.82 |
| 93225 |
|
364 |
353 |
$371.18 |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
16,669 |
15,911 |
$370.26 |
| 73100 |
|
715 |
401 |
$367.95 |
| 76775 |
|
215 |
210 |
$367.79 |
| 92133 |
|
871 |
868 |
$367.66 |
| 86704 |
|
4,967 |
4,905 |
$367.20 |
| 83002 |
|
1,380 |
1,358 |
$357.39 |
| 92587 |
|
26 |
26 |
$356.70 |
| 82962 |
|
57 |
39 |
$348.40 |
| 90732 |
|
1,600 |
1,600 |
$343.09 |
| 92504 |
|
395 |
369 |
$339.67 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,783 |
1,743 |
$333.96 |
| 99221 |
|
369 |
329 |
$332.47 |
| 90785 |
|
40 |
39 |
$330.00 |
| 86850 |
|
3,112 |
3,085 |
$329.81 |
| 87102 |
|
3,850 |
3,748 |
$326.86 |
| 88304 |
|
1,874 |
1,606 |
$320.09 |
| 94060 |
|
487 |
477 |
$318.79 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
21,364 |
21,355 |
$315.20 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
19 |
14 |
$315.00 |
| E1038 |
Transport chair, adult size, patient weight capacity up to and including 300 pounds |
1,586 |
1,583 |
$313.04 |
| 90691 |
|
518 |
518 |
$312.81 |
| 85014 |
|
6,737 |
6,471 |
$311.72 |
| 97162 |
|
13 |
13 |
$308.00 |
| 84295 |
|
26,276 |
25,500 |
$294.69 |
| 87536 |
|
1,059 |
1,043 |
$294.30 |
| 98966 |
|
27 |
27 |
$288.60 |
| 83001 |
|
2,632 |
2,613 |
$278.23 |
| 90744 |
|
328 |
328 |
$277.68 |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
119 |
118 |
$274.70 |
| 83615 |
|
2,092 |
1,937 |
$268.25 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
1,475 |
1,000 |
$260.00 |
| 82105 |
|
1,569 |
1,519 |
$258.04 |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
2,129 |
2,039 |
$257.30 |
| 85045 |
|
1,998 |
1,930 |
$252.42 |
| 70496 |
|
13 |
13 |
$249.54 |
| 76000 |
|
267 |
261 |
$248.66 |
| K0007 |
Extra heavy duty wheelchair |
383 |
382 |
$245.08 |
| 85007 |
|
470 |
452 |
$241.06 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
30 |
27 |
$230.03 |
| 86328 |
|
269 |
207 |
$226.15 |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
168 |
167 |
$223.74 |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
33,949 |
5,005 |
$222.93 |
| 93041 |
|
1,453 |
1,351 |
$222.39 |
| 85018 |
|
6,675 |
6,443 |
$207.21 |
| 88313 |
|
117 |
91 |
$205.92 |
| 74183 |
|
68 |
68 |
$204.50 |
| 69210 |
|
175 |
173 |
$193.87 |
| 92083 |
|
720 |
713 |
$193.74 |
| 99153 |
Mod sedat endo service >5yrs |
99 |
98 |
$187.16 |
| A5120 |
Skin barrier, wipes or swabs, each |
74 |
71 |
$184.75 |
| 90713 |
|
336 |
336 |
$183.07 |
| 83605 |
|
14 |
13 |
$180.44 |
| 84134 |
|
245 |
240 |
$178.06 |
| 96112 |
|
13 |
13 |
$173.11 |
| 72050 |
|
163 |
133 |
$169.81 |
| 73120 |
|
366 |
246 |
$169.34 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
482 |
470 |
$163.86 |
| 83721 |
|
4,500 |
4,486 |
$159.48 |
| 88142 |
|
15,626 |
15,616 |
$157.64 |
| 96415 |
|
634 |
522 |
$150.43 |
| 87210 |
|
3,547 |
3,417 |
$149.92 |
| E0163 |
Commode chair, mobile or stationary, with fixed arms |
731 |
729 |
$146.62 |
| 73070 |
|
92 |
54 |
$144.78 |
| 86787 |
|
2,036 |
2,025 |
$142.36 |
| 76376 |
|
12 |
12 |
$140.00 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
661 |
658 |
$139.85 |
| 88312 |
|
1,521 |
1,233 |
$135.61 |
| A7030 |
Full face mask used with positive airway pressure device, each |
2,056 |
2,033 |
$135.14 |
| E1392 |
Portable oxygen concentrator, rental |
2,061 |
2,061 |
$133.71 |
| 86762 |
|
4,141 |
4,126 |
$130.07 |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
507 |
482 |
$130.00 |
| 93015 |
|
69 |
60 |
$129.48 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
139 |
103 |
$129.08 |
| 86376 |
|
555 |
553 |
$122.44 |
| 84630 |
|
662 |
657 |
$119.00 |
| 86677 |
|
642 |
641 |
$118.69 |
| 97116 |
|
68 |
62 |
$114.19 |
| 73000 |
|
166 |
116 |
$114.06 |
| A7033 |
Pillow for use on nasal cannula type interface, replacement only, pair |
445 |
443 |
$112.98 |
| 84703 |
|
3,112 |
3,071 |
$112.91 |
| 43235 |
|
124 |
122 |
$111.88 |
| 80178 |
|
1,251 |
1,168 |
$110.40 |
| 99383 |
|
93 |
93 |
$109.66 |
| 81002 |
|
2,883 |
2,620 |
$109.50 |
| 92508 |
Group treatment of speech, language, voice, communication, and/or auditory processing disorder |
23 |
12 |
$103.20 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,799 |
2,777 |
$102.90 |
| 92588 |
|
26 |
26 |
$102.52 |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
604 |
603 |
$101.23 |
| A7031 |
Face mask interface, replacement for full face mask, each |
1,157 |
1,152 |
$98.34 |
| 88141 |
|
1,428 |
1,428 |
$94.22 |
| 93227 |
|
55 |
52 |
$92.80 |
| 86708 |
|
1,588 |
1,576 |
$89.72 |
| 86304 |
|
826 |
742 |
$88.78 |
| 82985 |
|
734 |
723 |
$88.56 |
| 73521 |
|
19 |
13 |
$84.75 |
| 84153 |
|
6,599 |
6,515 |
$84.47 |
| 86769 |
|
220 |
219 |
$84.26 |
| 84466 |
|
242 |
233 |
$83.68 |
| 76882 |
|
223 |
187 |
$82.41 |
| 82390 |
|
589 |
585 |
$82.12 |
| 84478 |
|
343 |
305 |
$81.89 |
| 76857 |
|
86 |
83 |
$81.49 |
| 92568 |
|
235 |
233 |
$80.74 |
| 86765 |
|
1,526 |
1,522 |
$80.15 |
| 80175 |
|
122 |
116 |
$76.56 |
| 72220 |
|
97 |
78 |
$76.20 |
| 84165 |
|
2,983 |
2,857 |
$75.94 |
| 86709 |
|
593 |
589 |
$75.40 |
| 58301 |
|
431 |
421 |
$74.98 |
| A7015 |
Aerosol mask, used with dme nebulizer |
319 |
303 |
$74.63 |
| 96367 |
|
207 |
155 |
$71.42 |
| 76801 |
|
29 |
27 |
$71.36 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
36 |
36 |
$69.00 |
| 86431 |
|
2,232 |
2,224 |
$67.80 |
| 95115 |
|
438 |
213 |
$65.07 |
| 85008 |
|
1,613 |
1,528 |
$64.83 |
| 90714 |
|
272 |
272 |
$63.50 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,922 |
1,901 |
$58.61 |
| 86735 |
|
1,430 |
1,425 |
$57.95 |
| 82274 |
|
17,757 |
17,623 |
$56.71 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
284 |
269 |
$53.40 |
| 86200 |
|
1,634 |
1,631 |
$52.19 |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
617 |
338 |
$50.00 |
| 82465 |
|
2,165 |
2,147 |
$49.41 |
| E0604 |
Breast pump, hospital grade, electric (ac and / or dc), any type |
5,172 |
5,153 |
$48.40 |
| 84402 |
|
42 |
39 |
$47.87 |
| 72081 |
|
20 |
13 |
$46.18 |
| 82435 |
|
1,395 |
1,282 |
$45.93 |
| 84590 |
|
161 |
160 |
$42.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
88 |
66 |
$41.38 |
| 93308 |
|
21 |
14 |
$40.53 |
| 83090 |
|
345 |
344 |
$40.48 |
| 87522 |
Neg quan hep c or qual rna |
381 |
372 |
$38.68 |
| 88300 |
|
146 |
129 |
$38.02 |
| 77072 |
|
37 |
28 |
$37.69 |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
176 |
175 |
$37.30 |
| 87497 |
|
74 |
52 |
$35.96 |
| 11750 |
|
43 |
43 |
$35.43 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
346 |
336 |
$34.48 |
| 87799 |
|
25 |
24 |
$34.27 |
| 12011 |
|
24 |
24 |
$33.56 |
| 86359 |
|
118 |
114 |
$33.53 |
| 86355 |
|
118 |
114 |
$33.53 |
| 86357 |
|
118 |
114 |
$33.37 |
| 85730 |
|
250 |
250 |
$32.83 |
| E0240 |
Bath/shower chair, with or without wheels, any size |
385 |
384 |
$31.77 |
| 99366 |
|
204 |
173 |
$30.54 |
| 84305 |
|
14 |
14 |
$30.24 |
| 83695 |
|
12 |
12 |
$30.03 |
| 83718 |
|
1,875 |
1,871 |
$29.36 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
28 |
28 |
$27.17 |
| A7037 |
Tubing used with positive airway pressure device |
4,929 |
4,900 |
$27.03 |
| 73501 |
|
37 |
28 |
$26.51 |
| 82950 |
|
4,604 |
4,280 |
$26.22 |
| 87806 |
|
164 |
164 |
$26.21 |
| A7035 |
Headgear used with positive airway pressure device |
5,329 |
5,258 |
$25.99 |
| 73020 |
|
32 |
25 |
$21.61 |
| 82525 |
|
631 |
626 |
$21.00 |
| 85246 |
|
38 |
38 |
$20.39 |
| A4927 |
Gloves, non-sterile, per 100 |
4,858 |
4,592 |
$18.76 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
5,639 |
5,574 |
$17.34 |
| E0156 |
Seat attachment, walker |
231 |
231 |
$17.20 |
| 80156 |
|
27 |
26 |
$17.02 |
| 82374 |
|
945 |
835 |
$16.70 |
| 86592 |
|
460 |
452 |
$14.85 |
| 82164 |
|
13 |
13 |
$14.42 |
| 72082 |
|
15 |
14 |
$14.07 |
| 82397 |
|
18 |
17 |
$12.55 |
| 82103 |
|
139 |
137 |
$11.94 |
| 82951 |
|
298 |
281 |
$11.27 |
| 84425 |
|
1,094 |
1,089 |
$11.00 |
| 83010 |
|
15 |
12 |
$10.99 |
| 86593 |
|
782 |
769 |
$10.95 |
| 86255 |
|
14 |
14 |
$10.71 |
| 58300 |
|
865 |
842 |
$9.32 |
| 87338 |
|
476 |
474 |
$8.40 |
| 82952 |
|
276 |
275 |
$3.46 |
| 80053 |
Comprehensive metabolic panel |
261 |
229 |
$3.38 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
502 |
482 |
$3.08 |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
1,346 |
1,296 |
$2.82 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
12 |
12 |
$1.41 |
| 81000 |
|
12 |
12 |
$1.04 |
| A4335 |
Incontinence supply; miscellaneous |
727 |
708 |
$0.46 |
| G9920 |
Screening performed and negative |
2,204 |
2,132 |
$0.35 |
| V2020 |
Frames, purchases |
1,805 |
1,687 |
$0.00 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
334 |
301 |
$0.00 |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
395 |
392 |
$0.00 |
| 86696 |
|
161 |
160 |
$0.00 |
| A4385 |
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each |
463 |
444 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
56 |
56 |
$0.00 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
3,983 |
3,940 |
$0.00 |
| A4394 |
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
76 |
74 |
$0.00 |
| 86146 |
|
25 |
25 |
$0.00 |
| J1071 |
Injection, testosterone cypionate, 1 mg |
477 |
258 |
$0.00 |
| A7046 |
Water chamber for humidifier, used with positive airway pressure device, replacement, each |
2,774 |
2,769 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
1,017 |
487 |
$0.00 |
| 88112 |
|
330 |
240 |
$0.00 |
| E0849 |
Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible |
242 |
242 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
327 |
160 |
$0.00 |
| 81329 |
|
1,007 |
1,005 |
$0.00 |
| 90750 |
|
728 |
728 |
$0.00 |
| A4604 |
Tubing with integrated heating element for use with positive airway pressure device |
326 |
325 |
$0.00 |
| 11000 |
|
74 |
59 |
$0.00 |
| A4409 |
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each |
25 |
25 |
$0.00 |
| 90746 |
|
501 |
498 |
$0.00 |
| A7039 |
Filter, non disposable, used with positive airway pressure device |
152 |
152 |
$0.00 |
| 97813 |
|
228 |
195 |
$0.00 |
| 00840 |
|
14 |
14 |
$0.00 |
| 76706 |
|
12 |
12 |
$0.00 |
| A4267 |
Contraceptive supply, condom, male, each |
67 |
67 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,941 |
1,924 |
$0.00 |
| 17110 |
|
954 |
927 |
$0.00 |
| 96900 |
|
828 |
192 |
$0.00 |
| S0199 |
Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs |
25 |
24 |
$0.00 |
| 99397 |
|
379 |
378 |
$0.00 |
| S5199 |
Personal care item, nos, each |
904 |
852 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
224 |
220 |
$0.00 |
| 96417 |
|
21 |
13 |
$0.00 |
| 11100 |
|
374 |
373 |
$0.00 |
| 31575 |
|
242 |
229 |
$0.00 |
| 86147 |
|
43 |
42 |
$0.00 |
| A4362 |
Skin barrier; solid, 4 x 4 or equivalent; each |
42 |
38 |
$0.00 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
38 |
36 |
$0.00 |
| 96523 |
|
13 |
12 |
$0.00 |
| 86015 |
|
149 |
145 |
$0.00 |
| A4332 |
Lubricant, individual sterile packet, each |
12 |
12 |
$0.00 |
| T4532 |
Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
40 |
40 |
$0.00 |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
43 |
42 |
$0.00 |
| 20600 |
|
27 |
27 |
$0.00 |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
66 |
65 |
$0.00 |
| 90836 |
|
89 |
72 |
$0.00 |
| A4425 |
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each |
52 |
49 |
$0.00 |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
28 |
28 |
$0.00 |
| 93880 |
|
13 |
12 |
$0.00 |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
152 |
38 |
$0.00 |
| 92081 |
|
26 |
26 |
$0.00 |
| 92570 |
|
26 |
26 |
$0.00 |
| 11981 |
|
78 |
77 |
$0.00 |
| 84207 |
|
90 |
88 |
$0.00 |
| 86644 |
|
12 |
12 |
$0.00 |
| 85705 |
|
30 |
30 |
$0.00 |
| S5000 |
Prescription drug, generic |
14 |
12 |
$0.00 |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
67 |
66 |
$0.00 |
| A4358 |
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
15 |
14 |
$0.00 |
| 74178 |
|
16 |
16 |
$0.00 |
| 92552 |
|
28 |
28 |
$0.00 |
| T2007 |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
52 |
37 |
$0.00 |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
12 |
12 |
$0.00 |
| 11104 |
|
31 |
31 |
$0.00 |
| A5513 |
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each |
14 |
14 |
$0.00 |
| 96116 |
|
13 |
12 |
$0.00 |
| 82239 |
|
14 |
13 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
25 |
14 |
$0.00 |
| 86645 |
|
13 |
13 |
$0.00 |
| 86334 |
|
12 |
12 |
$0.00 |
| 92556 |
|
13 |
13 |
$0.00 |
| 11055 |
|
52 |
52 |
$0.00 |
| A9900 |
Miscellaneous dme supply, accessory, and/or service component of another hcpcs code |
242 |
239 |
$0.00 |
| 1036F |
|
5,349 |
5,104 |
$0.00 |
| 97814 |
|
208 |
175 |
$0.00 |
| V2781 |
Progressive lens, per lens |
28 |
14 |
$0.00 |
| 85240 |
|
51 |
51 |
$0.00 |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
467 |
432 |
$0.00 |
| 87517 |
|
1,074 |
1,001 |
$0.00 |
| A4371 |
Ostomy skin barrier, powder, per oz |
37 |
37 |
$0.00 |
| E1399 |
Durable medical equipment, miscellaneous |
401 |
390 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
864 |
455 |
$0.00 |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
144 |
137 |
$0.00 |
| E0720 |
Transcutaneous electrical nerve stimulation (tens) device, two lead, localized stimulation |
12 |
12 |
$0.00 |
| 58100 |
|
502 |
496 |
$0.00 |
| 57454 |
|
398 |
397 |
$0.00 |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
609 |
609 |
$0.00 |
| 92136 |
|
25 |
25 |
$0.00 |
| 93016 |
|
50 |
50 |
$0.00 |
| 93018 |
|
38 |
37 |
$0.00 |
| 82378 |
|
241 |
226 |
$0.00 |
| 90632 |
|
109 |
109 |
$0.00 |
| 59840 |
|
165 |
125 |
$0.00 |
| A7032 |
Cushion for use on nasal mask interface, replacement only, each |
1,820 |
1,804 |
$0.00 |
| 11102 |
|
178 |
177 |
$0.00 |
| 86695 |
|
143 |
142 |
$0.00 |
| 73700 |
|
57 |
52 |
$0.00 |
| 99000 |
|
62 |
61 |
$0.00 |
| G9012 |
Other specified case management service not elsewhere classified |
1,879 |
1,244 |
$0.00 |
| 11900 |
|
85 |
81 |
$0.00 |
| 93280 |
|
49 |
39 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,099 |
1,022 |
$0.00 |
| A4520 |
Incontinence garment, any type, (e.g., brief, diaper), each |
1,379 |
1,225 |
$0.00 |
| 52000 |
|
213 |
208 |
$0.00 |
| 11730 |
|
51 |
50 |
$0.00 |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
12 |
12 |
$0.00 |
| 94760 |
|
96 |
95 |
$0.00 |
| J7300 |
Intrauterine copper contraceptive (paragard) |
44 |
44 |
$0.00 |
| 99386 |
|
749 |
742 |
$0.00 |
| 0250 |
|
47 |
42 |
$0.00 |
| 17000 |
|
47 |
46 |
$0.00 |
| 86320 |
|
51 |
50 |
$0.00 |
| B9998 |
Noc for enteral supplies |
13 |
13 |
$0.00 |
| 11976 |
|
238 |
228 |
$0.00 |
| 0301 |
|
26 |
26 |
$0.00 |
| 0305 |
|
41 |
40 |
$0.00 |
| 95819 |
|
15 |
14 |
$0.00 |
| A4456 |
Adhesive remover, wipes, any type, each |
54 |
52 |
$0.00 |
| 88184 |
|
27 |
27 |
$0.00 |
| 59514 |
|
40 |
40 |
$0.00 |
| 90636 |
|
56 |
55 |
$0.00 |
| 97035 |
|
35 |
26 |
$0.00 |
| 51798 |
|
27 |
26 |
$0.00 |
| 70543 |
|
12 |
12 |
$0.00 |
| 41899 |
Unlisted procedure, dentoalveolar structures |
14 |
14 |
$0.00 |
| 96409 |
|
18 |
12 |
$0.00 |
| 70460 |
|
26 |
25 |
$0.00 |
| 99462 |
|
17 |
12 |
$0.00 |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
169 |
80 |
$0.00 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
86 |
82 |
$0.00 |
| 86381 |
|
34 |
33 |
$0.00 |
| 92551 |
|
25 |
25 |
$0.00 |
| 88185 |
|
27 |
27 |
$0.00 |
| 99460 |
|
48 |
46 |
$0.00 |
| 72146 |
|
13 |
12 |
$0.00 |
| 85397 |
|
12 |
12 |
$0.00 |
| A0999 |
Unlisted ambulance service |
16 |
13 |
$0.00 |
| 98967 |
|
13 |
12 |
$0.00 |
| 91200 |
|
13 |
12 |
$0.00 |
| A4349 |
Male external catheter, with or without adhesive, disposable, each |
12 |
12 |
$0.00 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
13 |
13 |
$0.00 |
| 87350 |
|
12 |
12 |
$0.00 |
| 20550 |
|
25 |
25 |
$0.00 |
| J1950 |
Injection, leuprolide acetate (for depot suspension), per 3.75 mg |
13 |
12 |
$0.00 |