| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
90,298 |
78,090 |
$15.42M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
61,974 |
58,250 |
$12.14M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
51,082 |
48,354 |
$10.51M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
63,550 |
57,044 |
$9.99M |
| 90791 |
Psychiatric diagnostic evaluation |
10,212 |
8,978 |
$9.42M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40,536 |
36,535 |
$6.97M |
| 90832 |
Psychotherapy, 30 minutes with patient |
47,265 |
28,940 |
$6.71M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
29,361 |
27,804 |
$5.27M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
11,522 |
10,987 |
$3.24M |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,961 |
6,747 |
$2.13M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,389 |
1,383 |
$1.64M |
| 80053 |
Comprehensive metabolic panel |
58,454 |
50,101 |
$1.63M |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
24,363 |
21,876 |
$1.62M |
| 99215 |
Prolong outpt/office vis |
7,397 |
7,080 |
$1.35M |
| 36415 |
Collection of venous blood by venipuncture |
105,141 |
70,344 |
$1.31M |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
7,784 |
6,782 |
$1.16M |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
4,924 |
4,813 |
$1.14M |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
720 |
713 |
$983K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,642 |
3,575 |
$902K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30,055 |
26,883 |
$887K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
19,547 |
18,997 |
$783K |
| 81025 |
|
25,092 |
20,047 |
$777K |
| S9485 |
Crisis intervention mental health services, per diem |
607 |
540 |
$717K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,538 |
4,080 |
$677K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,509 |
4,473 |
$625K |
| 12011 |
|
1,195 |
1,150 |
$607K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,002 |
3,987 |
$605K |
| 92551 |
|
6,419 |
6,270 |
$598K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
3,089 |
2,852 |
$589K |
| 59025 |
Fetal non-stress test |
2,403 |
1,923 |
$540K |
| 12001 |
|
1,190 |
1,063 |
$534K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
3,587 |
3,434 |
$512K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
22,338 |
17,813 |
$507K |
| 86850 |
|
12,909 |
11,643 |
$478K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,097 |
3,364 |
$474K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
15,088 |
11,517 |
$436K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
7,755 |
3,780 |
$421K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,073 |
3,060 |
$420K |
| 82962 |
|
39,261 |
24,039 |
$405K |
| 86900 |
|
19,599 |
12,033 |
$396K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,595 |
1,096 |
$381K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,141 |
2,079 |
$375K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,359 |
2,336 |
$372K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
18,898 |
18,365 |
$360K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,406 |
1,375 |
$356K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,183 |
1,148 |
$332K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,972 |
1,948 |
$314K |
| 86901 |
|
12,945 |
11,649 |
$309K |
| 93308 |
|
1,208 |
1,190 |
$285K |
| 12002 |
|
544 |
531 |
$273K |
| 82803 |
|
12,813 |
11,963 |
$273K |
| 86480 |
|
4,539 |
4,500 |
$270K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,220 |
3,163 |
$257K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
197 |
197 |
$256K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,540 |
1,488 |
$251K |
| 87536 |
|
3,910 |
3,826 |
$248K |
| 80061 |
Lipid panel |
23,485 |
23,219 |
$240K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,254 |
1,253 |
$231K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,119 |
1,022 |
$217K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
8,310 |
7,619 |
$215K |
| 96367 |
|
5,871 |
1,463 |
$212K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,256 |
1,121 |
$211K |
| 96415 |
|
440 |
295 |
$205K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
5,110 |
3,634 |
$199K |
| 93970 |
|
890 |
816 |
$193K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
7,578 |
7,519 |
$189K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,970 |
3,304 |
$187K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
645 |
636 |
$186K |
| 83880 |
|
7,441 |
7,122 |
$182K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
534 |
525 |
$179K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,843 |
1,704 |
$173K |
| 99173 |
|
5,878 |
5,706 |
$170K |
| 70486 |
|
1,875 |
1,846 |
$167K |
| 10060 |
|
502 |
442 |
$163K |
| 99442 |
|
3,891 |
3,585 |
$162K |
| 92250 |
|
2,657 |
2,462 |
$162K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
12,124 |
11,630 |
$149K |
| 90686 |
|
7,152 |
7,123 |
$148K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,879 |
1,108 |
$141K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
74,964 |
68,872 |
$135K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
653 |
639 |
$132K |
| 80076 |
|
10,099 |
9,668 |
$129K |
| 76770 |
|
688 |
676 |
$129K |
| 86360 |
|
3,664 |
3,628 |
$125K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13,588 |
8,315 |
$118K |
| 29125 |
|
429 |
387 |
$115K |
| 90715 |
|
5,211 |
5,173 |
$112K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16,344 |
10,635 |
$110K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,148 |
1,060 |
$109K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
148 |
146 |
$106K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
14,478 |
14,337 |
$105K |
| 99443 |
|
1,631 |
1,514 |
$103K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,240 |
1,213 |
$93K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,912 |
3,806 |
$92K |
| 71046 |
Radiologic examination, chest; 2 views |
14,210 |
13,747 |
$90K |
| 82652 |
|
3,476 |
3,442 |
$90K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,188 |
1,993 |
$82K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
81 |
79 |
$80K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
22,055 |
21,810 |
$75K |
| 86355 |
|
2,594 |
2,571 |
$74K |
| 83655 |
|
4,733 |
4,710 |
$71K |
| 90750 |
|
625 |
624 |
$70K |
| 88142 |
|
2,157 |
2,152 |
$68K |
| 92550 |
|
1,412 |
1,161 |
$67K |
| 99441 |
|
1,348 |
1,292 |
$66K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,762 |
2,511 |
$65K |
| 84443 |
Thyroid stimulating hormone (TSH) |
18,765 |
18,437 |
$65K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
518 |
507 |
$64K |
| 71045 |
Radiologic examination, chest; single view |
7,666 |
6,931 |
$61K |
| 83970 |
|
1,926 |
1,862 |
$58K |
| 81001 |
|
42,606 |
28,067 |
$57K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
156 |
156 |
$56K |
| 80320 |
|
3,358 |
3,197 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
417 |
410 |
$56K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
2,174 |
2,129 |
$55K |
| 86580 |
|
2,026 |
1,995 |
$55K |
| 97802 |
|
1,308 |
1,298 |
$53K |
| 85610 |
|
18,037 |
16,793 |
$53K |
| 76641 |
|
1,697 |
1,663 |
$52K |
| 36592 |
|
2,305 |
1,029 |
$51K |
| 86803 |
|
13,084 |
12,969 |
$51K |
| 84439 |
|
12,927 |
12,722 |
$50K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,374 |
1,368 |
$50K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
9,196 |
8,665 |
$50K |
| 54161 |
|
29 |
29 |
$50K |
| 86357 |
|
2,596 |
2,571 |
$49K |
| 86359 |
|
2,594 |
2,570 |
$49K |
| 76775 |
|
531 |
517 |
$48K |
| 1033F |
|
8,087 |
4,267 |
$47K |
| 76818 |
|
826 |
555 |
$47K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,018 |
1,018 |
$44K |
| G0378 |
Hospital observation service, per hour |
674 |
658 |
$42K |
| 94726 |
|
964 |
958 |
$39K |
| A4657 |
Syringe, with or without needle, each |
1,844 |
122 |
$39K |
| 77002 |
|
301 |
296 |
$38K |
| 88304 |
|
722 |
679 |
$38K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
978 |
964 |
$38K |
| 97161 |
|
452 |
447 |
$38K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,605 |
970 |
$36K |
| 87340 |
|
9,218 |
9,084 |
$36K |
| 90670 |
|
2,358 |
2,351 |
$36K |
| 96127 |
|
16,884 |
16,074 |
$35K |
| 97803 |
|
847 |
827 |
$35K |
| 84702 |
|
10,055 |
9,285 |
$34K |
| 71250 |
|
266 |
258 |
$34K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
133 |
130 |
$34K |
| 82947 |
|
5,666 |
4,730 |
$33K |
| 76604 |
|
453 |
447 |
$32K |
| 92020 |
|
495 |
481 |
$32K |
| 90651 |
|
1,198 |
1,192 |
$31K |
| 85730 |
|
17,200 |
16,504 |
$31K |
| 82607 |
|
4,723 |
4,657 |
$29K |
| 86003 |
|
1,050 |
870 |
$29K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,582 |
4,513 |
$29K |
| 88307 |
|
113 |
102 |
$29K |
| 82728 |
|
4,668 |
4,591 |
$27K |
| 87088 |
|
6,427 |
6,262 |
$27K |
| 11721 |
|
395 |
385 |
$26K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
31 |
31 |
$26K |
| 76813 |
|
526 |
519 |
$25K |
| 97162 |
|
212 |
210 |
$24K |
| 73130 |
|
3,793 |
3,481 |
$24K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
994 |
993 |
$24K |
| 92133 |
|
436 |
405 |
$24K |
| 12013 |
|
53 |
51 |
$24K |
| 77066 |
Tomosynthesis, mammo |
266 |
263 |
$23K |
| 76514 |
|
215 |
215 |
$23K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
573 |
573 |
$22K |
| 73610 |
|
3,351 |
3,015 |
$22K |
| P9016 |
Red blood cells, leukocytes reduced, each unit |
41 |
40 |
$21K |
| 86706 |
|
5,659 |
5,618 |
$21K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
143 |
37 |
$20K |
| 86592 |
|
11,890 |
11,736 |
$20K |
| 93971 |
|
260 |
243 |
$19K |
| 87070 |
|
5,880 |
5,778 |
$19K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
17,714 |
16,560 |
$19K |
| 80305 |
|
3,940 |
3,623 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,461 |
7,263 |
$19K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
68 |
68 |
$18K |
| 77065 |
Tomosynthesis, mammo |
199 |
193 |
$18K |
| 73560 |
|
3,348 |
3,073 |
$18K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
168 |
148 |
$18K |
| 81002 |
|
2,780 |
2,220 |
$18K |
| 90633 |
|
1,626 |
1,618 |
$17K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
777 |
411 |
$17K |
| 88312 |
|
1,677 |
1,159 |
$17K |
| 82746 |
|
3,249 |
3,214 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
113 |
112 |
$17K |
| 82043 |
|
6,449 |
6,372 |
$16K |
| 94729 |
|
960 |
954 |
$16K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
739 |
374 |
$16K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
590 |
587 |
$16K |
| H2011 |
Crisis intervention service, per 15 minutes |
90 |
75 |
$16K |
| 92557 |
|
599 |
594 |
$15K |
| 73110 |
|
2,614 |
2,320 |
$15K |
| 90671 |
|
629 |
629 |
$15K |
| 86762 |
|
2,416 |
2,378 |
$15K |
| 92563 |
|
464 |
461 |
$15K |
| 73630 |
|
3,495 |
3,319 |
$14K |
| H0037 |
Community psychiatric supportive treatment program, per diem |
17 |
15 |
$14K |
| 86780 |
|
4,233 |
4,021 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
96 |
95 |
$13K |
| 54150 |
|
12 |
12 |
$12K |
| J3490 |
Unclassified drugs |
5,266 |
4,759 |
$12K |
| 86704 |
|
3,615 |
3,601 |
$12K |
| 72100 |
|
1,366 |
1,331 |
$11K |
| 73030 |
|
1,960 |
1,780 |
$11K |
| 87522 |
Neg quan hep c or qual rna |
313 |
302 |
$11K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
463 |
462 |
$10K |
| 90723 |
|
1,343 |
1,342 |
$10K |
| 93017 |
|
187 |
185 |
$10K |
| 84153 |
|
1,498 |
1,478 |
$10K |
| 73590 |
|
2,292 |
2,155 |
$10K |
| 96376 |
|
1,362 |
1,180 |
$9K |
| 90461 |
|
1,361 |
1,351 |
$9K |
| 29130 |
|
40 |
40 |
$9K |
| 83021 |
|
1,105 |
1,013 |
$9K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
454 |
51 |
$9K |
| 83020 |
|
951 |
934 |
$9K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
280 |
278 |
$9K |
| 94664 |
|
2,247 |
2,133 |
$8K |
| 1036F |
|
6,724 |
4,508 |
$8K |
| 73080 |
|
1,305 |
1,184 |
$8K |
| 88300 |
|
202 |
196 |
$8K |
| 90620 |
|
634 |
633 |
$8K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
1,625 |
1,529 |
$8K |
| 90734 |
|
879 |
877 |
$7K |
| 82248 |
|
10,986 |
10,508 |
$7K |
| 80321 |
|
2,095 |
2,017 |
$7K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
436 |
403 |
$7K |
| 73562 |
|
914 |
867 |
$7K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,829 |
3,734 |
$7K |
| 82533 |
|
721 |
719 |
$7K |
| 82785 |
|
741 |
700 |
$7K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
119 |
59 |
$7K |
| 82570 |
|
2,967 |
2,716 |
$7K |
| 86765 |
|
1,277 |
1,251 |
$7K |
| 73140 |
|
1,198 |
1,111 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
170 |
168 |
$7K |
| 83550 |
|
3,050 |
2,999 |
$7K |
| 90677 |
|
65 |
65 |
$7K |
| 86703 |
|
532 |
508 |
$7K |
| 90680 |
|
1,258 |
1,256 |
$6K |
| 80074 |
|
330 |
330 |
$6K |
| 97165 |
|
79 |
79 |
$6K |
| 20553 |
|
107 |
97 |
$6K |
| 94760 |
|
2,690 |
2,527 |
$6K |
| 86593 |
|
5,113 |
5,056 |
$6K |
| 1159F |
|
8,426 |
5,737 |
$6K |
| 90662 |
|
408 |
402 |
$6K |
| 73090 |
|
1,467 |
1,335 |
$6K |
| 72170 |
|
1,562 |
1,543 |
$5K |
| 76536 |
|
178 |
176 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
76 |
76 |
$5K |
| 84484 |
|
12,838 |
11,373 |
$5K |
| 94010 |
|
269 |
265 |
$5K |
| 84100 |
|
6,096 |
5,742 |
$5K |
| 90710 |
|
369 |
368 |
$5K |
| 84156 |
|
2,695 |
2,435 |
$5K |
| 88342 |
|
79 |
71 |
$5K |
| 90707 |
|
419 |
418 |
$5K |
| 99024 |
|
638 |
589 |
$5K |
| 83001 |
|
412 |
409 |
$5K |
| 73502 |
|
947 |
901 |
$5K |
| 86735 |
|
1,116 |
1,102 |
$5K |
| 83735 |
|
10,275 |
9,435 |
$4K |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
2,045 |
1,976 |
$4K |
| G2067 |
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) |
22 |
12 |
$4K |
| 81003 |
|
6,714 |
6,591 |
$4K |
| 86787 |
|
1,020 |
1,013 |
$4K |
| 87077 |
|
1,067 |
988 |
$4K |
| 84425 |
|
355 |
355 |
$4K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
500 |
494 |
$4K |
| 90716 |
|
360 |
358 |
$4K |
| 99205 |
Prolong outpt/office vis |
28 |
28 |
$4K |
| 90698 |
|
695 |
694 |
$4K |
| 80050 |
General health panel |
149 |
144 |
$4K |
| 83519 |
|
321 |
321 |
$4K |
| C1769 |
Guide wire |
26 |
26 |
$4K |
| 87400 |
|
1,128 |
1,048 |
$4K |
| 93923 |
|
74 |
68 |
$4K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
34 |
25 |
$4K |
| 92567 |
|
999 |
987 |
$4K |
| 84146 |
|
371 |
365 |
$4K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
8,140 |
7,681 |
$4K |
| 86708 |
|
805 |
798 |
$4K |
| 87901 |
|
13 |
13 |
$3K |
| 73060 |
|
628 |
581 |
$3K |
| 84597 |
|
327 |
327 |
$3K |
| 82270 |
|
867 |
498 |
$3K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
8,805 |
8,163 |
$3K |
| 83690 |
|
10,491 |
10,018 |
$3K |
| 83615 |
|
1,927 |
1,809 |
$3K |
| 92015 |
Determination of refractive state |
894 |
821 |
$3K |
| 90648 |
|
559 |
558 |
$3K |
| 85732 |
|
1,458 |
1,413 |
$3K |
| 40800 |
|
15 |
15 |
$3K |
| 73552 |
|
895 |
847 |
$3K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
859 |
508 |
$3K |
| 84446 |
|
301 |
301 |
$3K |
| 77080 |
|
80 |
78 |
$3K |
| 90619 |
|
149 |
149 |
$3K |
| 87902 |
|
14 |
14 |
$3K |
| 84154 |
|
369 |
368 |
$3K |
| 82525 |
|
326 |
326 |
$3K |
| 87081 |
|
860 |
846 |
$3K |
| 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 |
242 |
207 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
295 |
179 |
$3K |
| 1126F |
|
3,436 |
2,586 |
$3K |
| 84590 |
|
315 |
315 |
$3K |
| 29515 |
|
13 |
12 |
$3K |
| 80164 |
|
836 |
801 |
$3K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
24 |
24 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,030 |
997 |
$3K |
| 3051F |
|
891 |
655 |
$3K |
| 83002 |
|
245 |
243 |
$3K |
| 93325 |
|
338 |
336 |
$3K |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
8,563 |
6,644 |
$3K |
| 99381 |
|
17 |
17 |
$2K |
| 85660 |
|
1,203 |
1,168 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
7,874 |
7,313 |
$2K |
| 97116 |
|
110 |
59 |
$2K |
| 83605 |
|
5,771 |
5,161 |
$2K |
| 85379 |
|
1,867 |
1,832 |
$2K |
| 84630 |
|
355 |
353 |
$2K |
| J7050 |
Infusion, normal saline solution, 250 cc |
7,153 |
5,194 |
$2K |
| 86769 |
|
109 |
109 |
$2K |
| 86140 |
|
2,147 |
2,112 |
$2K |
| 87186 |
|
1,071 |
992 |
$2K |
| 77062 |
|
27 |
27 |
$2K |
| 91320 |
|
74 |
74 |
$2K |
| 93320 |
|
270 |
269 |
$2K |
| 83540 |
|
1,021 |
1,012 |
$2K |
| 85046 |
|
1,859 |
1,734 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13,153 |
12,504 |
$2K |
| 96401 |
|
22 |
13 |
$2K |
| 90696 |
|
272 |
272 |
$2K |
| 90688 |
|
243 |
242 |
$2K |
| 83921 |
|
223 |
219 |
$2K |
| 97804 |
|
146 |
65 |
$2K |
| 86038 |
|
664 |
657 |
$2K |
| 82950 |
|
475 |
470 |
$2K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
2,881 |
2,736 |
$2K |
| 73600 |
|
451 |
427 |
$2K |
| 86880 |
|
63 |
60 |
$2K |
| 3052F |
|
837 |
593 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
283 |
281 |
$2K |
| 82105 |
|
332 |
325 |
$2K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
12 |
12 |
$2K |
| Q9963 |
High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml |
538 |
524 |
$2K |
| 77336 |
|
34 |
14 |
$2K |
| 76882 |
|
13 |
13 |
$2K |
| 1035F |
|
339 |
234 |
$2K |
| J8540 |
Dexamethasone, oral, 0.25 mg |
2,649 |
2,338 |
$2K |
| 96368 |
|
111 |
110 |
$2K |
| 86710 |
|
2,261 |
1,441 |
$2K |
| 82985 |
|
199 |
190 |
$2K |
| 74018 |
|
752 |
715 |
$1K |
| Q3014 |
Telehealth originating site facility fee |
587 |
515 |
$1K |
| 86696 |
|
251 |
232 |
$1K |
| C9290 |
Injection, bupivacaine liposome, 1 mg |
1,057 |
1,011 |
$1K |
| 84481 |
|
249 |
248 |
$1K |
| 85651 |
|
1,966 |
1,933 |
$1K |
| 82550 |
|
3,405 |
3,247 |
$1K |
| 83516 |
|
296 |
240 |
$1K |
| 99051 |
|
108 |
68 |
$1K |
| 84550 |
|
686 |
658 |
$1K |
| 87040 |
|
1,795 |
1,664 |
$1K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
6,038 |
5,449 |
$1K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
182 |
182 |
$1K |
| 92587 |
|
14 |
14 |
$1K |
| 36416 |
|
107 |
107 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,329 |
2,270 |
$1K |
| 87593 |
|
21 |
18 |
$1K |
| H2010 |
Comprehensive medication services, per 15 minutes |
13 |
13 |
$1K |
| J1630 |
Injection, haloperidol, up to 5 mg |
2,382 |
2,101 |
$1K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,700 |
2,418 |
$1K |
| 84403 |
|
79 |
70 |
$1K |
| 92582 |
|
26 |
26 |
$1K |
| J2785 |
Injection, regadenoson, 0.1 mg |
12 |
12 |
$984.12 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
1,775 |
1,459 |
$964.99 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
9,044 |
8,402 |
$953.27 |
| J2704 |
Injection, propofol, 10 mg |
5,744 |
5,670 |
$941.05 |
| 90647 |
|
241 |
241 |
$921.20 |
| 92579 |
|
28 |
28 |
$908.44 |
| 86141 |
|
346 |
336 |
$891.18 |
| 82565 |
|
593 |
586 |
$843.45 |
| 90732 |
|
12 |
12 |
$840.95 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,605 |
1,119 |
$780.77 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
24 |
24 |
$768.43 |
| G0390 |
Trauma response team associated with hospital critical care service |
14 |
14 |
$762.68 |
| J1105 |
Dexmedetomidine, oral, 1 mcg |
64 |
63 |
$752.40 |
| 86701 |
|
92 |
91 |
$749.30 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
217 |
158 |
$733.48 |
| 94060 |
|
35 |
35 |
$718.68 |
| 72128 |
|
12 |
12 |
$700.02 |
| 87338 |
|
115 |
113 |
$689.84 |
| J1631 |
Injection, haloperidol decanoate, per 50 mg |
90 |
88 |
$666.92 |
| S0028 |
Injection, famotidine, 20 mg |
612 |
596 |
$627.86 |
| 90480 |
|
74 |
74 |
$583.80 |
| 90744 |
|
122 |
121 |
$562.40 |
| 87210 |
|
1,107 |
1,099 |
$556.74 |
| 72131 |
|
12 |
12 |
$556.04 |
| 3044F |
|
8,369 |
5,775 |
$552.03 |
| J1953 |
Injection, levetiracetam, 10 mg |
497 |
443 |
$545.38 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
394 |
392 |
$544.81 |
| 86403 |
|
434 |
419 |
$540.31 |
| 86870 |
|
13 |
12 |
$538.74 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
382 |
328 |
$535.21 |
| 84210 |
|
92 |
91 |
$527.78 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,741 |
3,678 |
$514.99 |
| 1111F |
|
375 |
270 |
$472.15 |
| 84520 |
|
646 |
616 |
$472.08 |
| 94618 |
|
101 |
101 |
$471.66 |
| J2310 |
Injection, naloxone hydrochloride, per 1 mg |
27 |
24 |
$450.46 |
| 82310 |
|
413 |
402 |
$440.62 |
| 86225 |
|
147 |
142 |
$405.38 |
| 73620 |
|
111 |
105 |
$385.42 |
| 90681 |
|
26 |
26 |
$373.44 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
3,340 |
2,599 |
$369.77 |
| 83520 |
|
41 |
41 |
$362.62 |
| 90746 |
|
15 |
15 |
$359.84 |
| 90736 |
|
12 |
12 |
$356.96 |
| 82670 |
|
27 |
27 |
$352.04 |
| 71100 |
|
153 |
144 |
$342.43 |
| 85008 |
|
625 |
595 |
$338.68 |
| 86160 |
|
54 |
38 |
$332.78 |
| 82010 |
|
1,248 |
1,133 |
$326.21 |
| 94761 |
|
488 |
439 |
$322.24 |
| 84703 |
|
3,355 |
3,239 |
$314.39 |
| 82677 |
|
56 |
54 |
$312.55 |
| 82784 |
|
63 |
50 |
$299.89 |
| 80178 |
|
135 |
132 |
$295.21 |
| 73070 |
|
63 |
52 |
$293.73 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,141 |
959 |
$290.65 |
| 86431 |
|
144 |
115 |
$288.13 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
2,747 |
2,616 |
$282.89 |
| 96523 |
|
13 |
12 |
$279.03 |
| 82150 |
|
534 |
526 |
$260.04 |
| 3008F |
|
5,887 |
4,300 |
$256.09 |
| 1125F |
|
997 |
777 |
$256.07 |
| 1157F |
|
93 |
68 |
$256.05 |
| 84999 |
|
1,795 |
1,751 |
$254.60 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
136 |
127 |
$247.94 |
| 15853 |
|
94 |
94 |
$245.29 |
| 85652 |
|
353 |
344 |
$236.64 |
| 72110 |
|
18 |
18 |
$228.00 |
| 90700 |
|
12 |
12 |
$225.90 |
| 83525 |
|
26 |
26 |
$221.54 |
| 92555 |
|
27 |
27 |
$206.49 |
| J1817 |
Insulin for administration through dme (i.e., insulin pump) per 50 units |
75 |
62 |
$202.62 |
| 86235 |
|
34 |
24 |
$184.17 |
| 86695 |
|
52 |
52 |
$182.03 |
| 70360 |
|
39 |
39 |
$180.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
3,580 |
3,447 |
$176.46 |
| 83930 |
|
417 |
384 |
$172.51 |
| 80329 |
|
562 |
469 |
$170.37 |
| 84295 |
|
346 |
340 |
$167.65 |
| J2060 |
Injection, lorazepam, 2 mg |
1,592 |
1,404 |
$156.20 |
| 82374 |
|
341 |
335 |
$145.47 |
| 86336 |
|
57 |
54 |
$139.56 |
| 82435 |
|
322 |
316 |
$132.52 |
| 84480 |
|
55 |
54 |
$125.97 |
| 86705 |
|
27 |
27 |
$121.20 |
| 73565 |
|
12 |
12 |
$120.30 |
| 72040 |
|
66 |
64 |
$107.63 |
| 84460 |
|
48 |
47 |
$100.98 |
| 93270 |
|
12 |
12 |
$99.10 |
| 86430 |
|
63 |
61 |
$91.36 |
| 84155 |
|
145 |
143 |
$87.94 |
| 81015 |
|
104 |
104 |
$84.00 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
481 |
449 |
$80.83 |
| 73564 |
|
15 |
12 |
$79.70 |
| 87205 |
|
155 |
149 |
$79.35 |
| M1064 |
Shingrix vaccine documented as administered or previously received |
13 |
13 |
$79.30 |
| 87450 |
|
538 |
533 |
$77.55 |
| C9113 |
Injection, pantoprazole sodium, per vial |
29 |
27 |
$72.65 |
| 84300 |
|
61 |
57 |
$67.43 |
| 84450 |
|
29 |
29 |
$67.42 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
320 |
320 |
$65.22 |
| 87650 |
|
255 |
253 |
$63.44 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
71 |
70 |
$60.85 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
178 |
178 |
$53.53 |
| 82977 |
|
26 |
26 |
$51.68 |
| J1815 |
Injection, insulin, per 5 units |
376 |
315 |
$47.02 |
| 80156 |
|
13 |
13 |
$40.24 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
29 |
26 |
$37.95 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
16 |
16 |
$23.47 |
| 84075 |
|
13 |
13 |
$21.85 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
104 |
91 |
$20.65 |
| 73020 |
|
15 |
15 |
$20.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
183 |
50 |
$17.77 |
| 84540 |
|
14 |
14 |
$15.09 |
| 87807 |
|
104 |
104 |
$14.94 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
83 |
83 |
$14.50 |
| J0687 |
Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg |
51 |
51 |
$13.74 |
| 82247 |
|
12 |
12 |
$13.06 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
102 |
100 |
$12.98 |
| J3411 |
Injection, thiamine hcl, 100 mg |
25 |
24 |
$11.17 |
| 82140 |
|
14 |
14 |
$10.13 |
| 84132 |
|
12 |
12 |
$9.52 |
| J3480 |
Injection, potassium chloride, per 2 meq |
80 |
64 |
$9.45 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
903 |
787 |
$7.97 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
122 |
114 |
$7.85 |
| 84133 |
|
12 |
12 |
$4.73 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
49 |
47 |
$3.03 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
31 |
31 |
$2.54 |
| 1160F |
|
6,364 |
4,589 |
$0.01 |
| 3048F |
|
1,881 |
1,249 |
$0.01 |
| 3077F |
|
741 |
583 |
$0.00 |
| 99080 |
|
5,011 |
1,147 |
$0.00 |
| 3046F |
|
342 |
216 |
$0.00 |
| 3511F |
|
13 |
13 |
$0.00 |
| 3050F |
|
738 |
481 |
$0.00 |
| 3288F |
|
15 |
15 |
$0.00 |
| 3078F |
|
2,939 |
2,176 |
$0.00 |
| 3062F |
|
2,521 |
1,703 |
$0.00 |
| 69210 |
|
16 |
16 |
$0.00 |
| 1032F |
|
204 |
191 |
$0.00 |
| 1090F |
|
13 |
12 |
$0.00 |
| 1158F |
|
13 |
12 |
$0.00 |
| 3725F |
|
878 |
760 |
$0.00 |
| 3075F |
|
796 |
633 |
$0.00 |
| 1101F |
|
14 |
13 |
$0.00 |
| 1170F |
|
67 |
62 |
$0.00 |
| 3049F |
|
946 |
636 |
$0.00 |
| 3074F |
|
3,220 |
2,376 |
$0.00 |
| 3061F |
|
3,039 |
1,998 |
$0.00 |
| 3080F |
|
407 |
319 |
$0.00 |
| 3079F |
|
1,373 |
1,071 |
$0.00 |
| 3060F |
|
17 |
14 |
$0.00 |
| 4010F |
|
893 |
583 |
$0.00 |
| 73660 |
|
12 |
12 |
$0.00 |
| 99429 |
|
23 |
20 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
13 |
13 |
$0.00 |