| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
117,839 |
106,164 |
$34.16M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
19,299 |
18,035 |
$6.70M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
17,434 |
16,678 |
$3.55M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
4,945 |
4,790 |
$3.19M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
14,439 |
13,798 |
$2.65M |
| G0378 |
Hospital observation service, per hour |
8,222 |
5,232 |
$2.56M |
| 0450 |
Emergency room services |
43,676 |
39,596 |
$1.97M |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
1,344 |
1,336 |
$1.32M |
| 70450 |
Computed tomography, head or brain; without contrast material |
17,903 |
17,043 |
$1.30M |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
7,877 |
7,557 |
$891K |
| 86900 |
|
22,734 |
20,561 |
$886K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
3,577 |
3,450 |
$841K |
| 71046 |
Radiologic examination, chest; 2 views |
24,732 |
23,615 |
$831K |
| 86885 |
|
15,204 |
14,154 |
$715K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,450 |
1,387 |
$615K |
| 71045 |
Radiologic examination, chest; single view |
21,213 |
19,709 |
$601K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
175,085 |
147,634 |
$590K |
| 80051 |
|
183,945 |
152,546 |
$572K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
4,044 |
3,926 |
$566K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
26,351 |
25,565 |
$562K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
8,912 |
8,550 |
$516K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
3,530 |
3,233 |
$499K |
| 76830 |
Ultrasound, transvaginal |
7,876 |
7,580 |
$466K |
| 82565 |
|
202,888 |
169,112 |
$464K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
8,756 |
8,379 |
$462K |
| 99499 |
|
4,581 |
4,100 |
$456K |
| 74183 |
|
1,701 |
1,663 |
$436K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
3,540 |
3,412 |
$435K |
| 84702 |
|
57,003 |
47,925 |
$410K |
| 93017 |
|
1,120 |
1,116 |
$390K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
2,145 |
2,123 |
$359K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
3,398 |
3,292 |
$348K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
17,796 |
16,435 |
$345K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
17,769 |
16,414 |
$345K |
| 93970 |
|
1,922 |
1,875 |
$334K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
23,354 |
21,142 |
$326K |
| Z7502 |
|
9,369 |
9,067 |
$317K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
5,310 |
4,858 |
$303K |
| 76801 |
|
5,516 |
4,458 |
$301K |
| 93971 |
|
3,616 |
3,376 |
$298K |
| 84460 |
|
112,534 |
97,822 |
$293K |
| 86901 |
|
22,749 |
20,571 |
$278K |
| 84443 |
Thyroid stimulating hormone (TSH) |
31,039 |
28,508 |
$270K |
| 87505 |
|
3,594 |
3,528 |
$270K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
12,077 |
10,195 |
$266K |
| 83880 |
|
24,544 |
22,600 |
$253K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
4,709 |
3,798 |
$253K |
| 72141 |
|
1,975 |
1,902 |
$242K |
| 84520 |
|
153,325 |
128,856 |
$233K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,884 |
2,884 |
$233K |
| 82247 |
|
94,520 |
80,995 |
$224K |
| 73221 |
|
1,519 |
1,394 |
$220K |
| 84075 |
|
87,986 |
76,852 |
$215K |
| 70486 |
|
2,413 |
2,328 |
$209K |
| 84450 |
|
81,847 |
71,626 |
$204K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
1,691 |
1,629 |
$199K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,850 |
2,724 |
$198K |
| 82947 |
|
129,199 |
114,451 |
$197K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,934 |
2,934 |
$195K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
16,870 |
15,338 |
$182K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,967 |
1,912 |
$180K |
| 70491 |
|
1,372 |
1,337 |
$175K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
11,966 |
10,979 |
$167K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
33,887 |
31,599 |
$166K |
| 86923 |
|
1,724 |
1,545 |
$164K |
| 73630 |
|
4,563 |
4,287 |
$161K |
| 83690 |
|
51,912 |
47,983 |
$160K |
| 93458 |
|
56 |
56 |
$154K |
| 85027 |
|
54,171 |
46,610 |
$154K |
| 72197 |
|
459 |
459 |
$152K |
| 70496 |
|
795 |
786 |
$152K |
| 84484 |
|
47,617 |
32,485 |
$144K |
| 73562 |
|
4,413 |
4,054 |
$142K |
| 81003 |
|
123,476 |
113,284 |
$135K |
| 74178 |
|
433 |
433 |
$133K |
| 73610 |
|
3,825 |
3,565 |
$133K |
| 80061 |
Lipid panel |
18,618 |
17,299 |
$133K |
| 71250 |
|
1,617 |
1,573 |
$131K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
8,646 |
8,202 |
$128K |
| 83970 |
|
7,902 |
7,327 |
$126K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
2,873 |
2,857 |
$124K |
| 76770 |
|
2,448 |
2,388 |
$124K |
| 86141 |
|
15,918 |
14,979 |
$120K |
| 73030 |
|
3,562 |
3,319 |
$117K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
4,774 |
4,573 |
$116K |
| 70498 |
|
656 |
653 |
$115K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
22,990 |
21,748 |
$114K |
| 73130 |
|
3,486 |
3,196 |
$113K |
| 72100 |
|
2,202 |
2,158 |
$107K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
7,518 |
7,128 |
$102K |
| 86780 |
|
11,081 |
10,610 |
$101K |
| 76641 |
|
1,185 |
1,181 |
$99K |
| 85610 |
|
61,681 |
48,916 |
$97K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
537 |
532 |
$97K |
| 76870 |
|
1,702 |
1,624 |
$95K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
5,383 |
4,994 |
$93K |
| 81513 |
|
1,401 |
1,396 |
$93K |
| 82310 |
|
35,535 |
30,742 |
$90K |
| 82728 |
|
13,066 |
12,204 |
$90K |
| 73110 |
|
2,657 |
2,441 |
$89K |
| 74018 |
|
2,290 |
2,174 |
$87K |
| 72146 |
|
594 |
578 |
$86K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,848 |
3,418 |
$82K |
| 83735 |
|
27,971 |
22,870 |
$82K |
| 72158 |
|
234 |
233 |
$78K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
8,008 |
7,694 |
$77K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
688 |
687 |
$76K |
| 74022 |
|
1,569 |
1,500 |
$74K |
| 77066 |
Tomosynthesis, mammo |
684 |
684 |
$74K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
39,454 |
33,470 |
$73K |
| 87088 |
|
24,608 |
23,433 |
$72K |
| 0637 |
|
132,213 |
51,177 |
$68K |
| 87040 |
|
22,497 |
11,653 |
$68K |
| 70544 |
|
324 |
315 |
$68K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
10,024 |
9,442 |
$68K |
| 74170 |
|
303 |
301 |
$67K |
| 86803 |
|
6,917 |
6,687 |
$66K |
| 73502 |
|
2,011 |
1,879 |
$66K |
| 76536 |
|
1,127 |
1,102 |
$62K |
| 82570 |
|
18,524 |
16,393 |
$61K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
982 |
732 |
$56K |
| 87340 |
|
9,546 |
9,106 |
$56K |
| 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 |
2,490 |
2,416 |
$54K |
| 83605 |
|
15,404 |
12,120 |
$54K |
| 80076 |
|
8,522 |
7,849 |
$53K |
| 73080 |
|
1,569 |
1,448 |
$53K |
| 82607 |
|
6,656 |
6,225 |
$49K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
740 |
695 |
$49K |
| 73590 |
|
1,456 |
1,329 |
$47K |
| 83550 |
|
11,527 |
10,772 |
$47K |
| 73140 |
|
1,508 |
1,384 |
$46K |
| 74174 |
|
122 |
122 |
$46K |
| 73090 |
|
1,500 |
1,358 |
$45K |
| 86762 |
|
4,557 |
4,350 |
$45K |
| 87481 |
|
1,471 |
1,466 |
$45K |
| 93990 |
|
509 |
509 |
$45K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,401 |
1,395 |
$44K |
| 82248 |
|
15,202 |
12,895 |
$44K |
| 90686 |
|
4,987 |
4,968 |
$43K |
| 72131 |
|
470 |
465 |
$43K |
| 86480 |
|
1,171 |
1,133 |
$43K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
693 |
621 |
$43K |
| 74181 |
|
211 |
204 |
$40K |
| 86787 |
|
4,647 |
4,437 |
$39K |
| 83520 |
|
5,429 |
2,917 |
$39K |
| 82040 |
|
19,979 |
17,902 |
$39K |
| 84156 |
|
17,198 |
15,377 |
$39K |
| P9021 |
Red blood cells, each unit |
993 |
821 |
$38K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
2,921 |
2,586 |
$38K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,879 |
3,767 |
$36K |
| 83540 |
|
11,771 |
10,993 |
$35K |
| 77065 |
Tomosynthesis, mammo |
402 |
400 |
$33K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
2,053 |
2,015 |
$33K |
| 87210 |
|
13,960 |
12,764 |
$33K |
| 76380 |
|
862 |
830 |
$33K |
| 86880 |
|
1,109 |
1,079 |
$32K |
| 84439 |
|
5,964 |
5,351 |
$32K |
| 85379 |
|
7,163 |
6,897 |
$32K |
| 73564 |
|
439 |
421 |
$32K |
| 82746 |
|
4,327 |
4,110 |
$32K |
| 83021 |
|
2,659 |
2,536 |
$31K |
| 80306 |
|
3,663 |
3,467 |
$31K |
| 82077 |
|
6,076 |
5,342 |
$31K |
| 87449 |
|
5,429 |
4,182 |
$31K |
| J2785 |
Injection, regadenoson, 0.1 mg |
319 |
318 |
$30K |
| 83615 |
|
8,967 |
8,085 |
$30K |
| 82950 |
|
9,680 |
9,383 |
$29K |
| 84100 |
|
17,508 |
15,004 |
$29K |
| 72040 |
|
795 |
773 |
$29K |
| 85730 |
|
9,860 |
8,840 |
$28K |
| 93880 |
|
206 |
204 |
$27K |
| 73700 |
|
259 |
239 |
$27K |
| 87497 |
|
1,011 |
869 |
$27K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
156 |
147 |
$26K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
6,391 |
5,656 |
$26K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
18,073 |
15,021 |
$26K |
| A9609 |
Fludeoxyglucose f18 up to 15 millicuries |
296 |
296 |
$25K |
| 70547 |
|
96 |
96 |
$25K |
| 90674 |
|
1,117 |
1,110 |
$25K |
| 82378 |
|
2,253 |
1,737 |
$24K |
| 78306 |
|
141 |
141 |
$24K |
| 84403 |
|
1,571 |
1,464 |
$24K |
| 82105 |
|
2,614 |
2,521 |
$24K |
| 85652 |
|
17,515 |
15,941 |
$23K |
| 82043 |
|
9,051 |
8,604 |
$23K |
| 82951 |
|
2,595 |
2,505 |
$23K |
| 84146 |
|
1,718 |
1,611 |
$23K |
| 86665 |
|
2,020 |
990 |
$22K |
| 87324 |
|
3,665 |
3,554 |
$22K |
| 74019 |
|
339 |
337 |
$22K |
| 76881 |
|
309 |
305 |
$22K |
| 73552 |
|
610 |
581 |
$22K |
| 86870 |
|
108 |
87 |
$22K |
| 86300 |
|
2,169 |
1,856 |
$22K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
880 |
598 |
$22K |
| 71101 |
|
355 |
344 |
$21K |
| 86225 |
|
2,585 |
2,420 |
$21K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
22,077 |
19,753 |
$21K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
11,338 |
9,733 |
$21K |
| 73060 |
|
617 |
561 |
$21K |
| 72157 |
|
53 |
53 |
$21K |
| 99199 |
Unlisted special service, procedure or report |
510 |
477 |
$21K |
| 73100 |
|
447 |
362 |
$20K |
| 80179 |
|
4,267 |
3,996 |
$20K |
| 83001 |
|
1,450 |
1,352 |
$20K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,114 |
1,063 |
$19K |
| 83993 |
|
1,177 |
1,170 |
$19K |
| 0250 |
|
14,045 |
10,256 |
$18K |
| 82784 |
|
2,037 |
1,846 |
$18K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
11,109 |
9,492 |
$18K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
456 |
420 |
$17K |
| 90656 |
|
1,321 |
1,316 |
$17K |
| 72050 |
|
251 |
249 |
$17K |
| 82670 |
|
748 |
661 |
$17K |
| 72156 |
|
40 |
40 |
$17K |
| 49083 |
|
120 |
51 |
$17K |
| 77080 |
|
606 |
602 |
$16K |
| 72070 |
|
239 |
237 |
$16K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,248 |
1,233 |
$16K |
| 78830 |
|
12 |
12 |
$15K |
| 86704 |
|
2,460 |
2,380 |
$15K |
| 84134 |
|
2,066 |
1,786 |
$15K |
| 0710 |
|
2,534 |
2,518 |
$15K |
| 72170 |
|
440 |
419 |
$15K |
| 86038 |
|
2,264 |
2,160 |
$14K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
640 |
621 |
$14K |
| 84165 |
|
3,035 |
2,754 |
$14K |
| 96367 |
|
943 |
888 |
$14K |
| 84153 |
|
1,978 |
1,837 |
$14K |
| 82550 |
|
4,408 |
3,917 |
$14K |
| 84550 |
|
6,579 |
6,181 |
$14K |
| 80197 |
|
1,958 |
1,689 |
$14K |
| 80359 |
|
1,279 |
1,204 |
$13K |
| 70543 |
|
43 |
43 |
$13K |
| 72081 |
|
281 |
277 |
$13K |
| 83721 |
|
2,547 |
2,323 |
$13K |
| 73660 |
|
293 |
283 |
$13K |
| 86304 |
|
980 |
810 |
$13K |
| 86160 |
|
1,214 |
1,105 |
$12K |
| 86317 |
|
1,620 |
1,551 |
$12K |
| 80324 |
|
1,294 |
1,216 |
$12K |
| 81015 |
|
5,078 |
4,903 |
$11K |
| 82330 |
|
2,633 |
2,329 |
$11K |
| 0258 |
|
5,030 |
4,355 |
$11K |
| 47562 |
|
109 |
93 |
$10K |
| 87081 |
|
4,647 |
4,550 |
$10K |
| 73560 |
|
289 |
261 |
$10K |
| 80164 |
|
1,408 |
1,278 |
$10K |
| 82805 |
|
489 |
458 |
$10K |
| J3490 |
Unclassified drugs |
7,678 |
6,173 |
$10K |
| 83002 |
|
714 |
661 |
$9K |
| 86664 |
|
1,013 |
990 |
$9K |
| 87522 |
Neg quan hep c or qual rna |
327 |
321 |
$9K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
6,869 |
6,051 |
$9K |
| 20610 |
|
24 |
24 |
$9K |
| J1815 |
Injection, insulin, per 5 units |
5,709 |
3,098 |
$9K |
| 87205 |
|
4,461 |
3,961 |
$9K |
| 97161 |
|
1,039 |
1,024 |
$9K |
| 73523 |
|
125 |
125 |
$8K |
| 73070 |
|
178 |
160 |
$8K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
3,430 |
2,770 |
$8K |
| 85046 |
|
2,852 |
2,574 |
$8K |
| 82962 |
|
4,305 |
3,151 |
$8K |
| 87186 |
|
2,934 |
2,863 |
$8K |
| 82627 |
|
410 |
398 |
$8K |
| 82140 |
|
1,369 |
1,218 |
$8K |
| 90715 |
|
314 |
310 |
$8K |
| 86364 |
|
653 |
651 |
$8K |
| 82952 |
|
2,563 |
2,478 |
$7K |
| 72128 |
|
64 |
63 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
486 |
480 |
$7K |
| 86334 |
|
780 |
731 |
$7K |
| 99292 |
|
117 |
117 |
$7K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,445 |
3,283 |
$7K |
| 77073 |
|
81 |
79 |
$7K |
| J2060 |
Injection, lorazepam, 2 mg |
4,381 |
3,628 |
$7K |
| 86301 |
|
474 |
349 |
$7K |
| 88342 |
|
319 |
318 |
$6K |
| 83718 |
|
1,324 |
1,226 |
$6K |
| 88341 |
|
194 |
193 |
$6K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,842 |
1,691 |
$6K |
| 82977 |
|
1,105 |
1,039 |
$6K |
| 77072 |
|
75 |
75 |
$6K |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
3,872 |
3,373 |
$6K |
| 82150 |
|
1,919 |
1,774 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
341 |
326 |
$6K |
| 73522 |
|
81 |
81 |
$6K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
4,784 |
4,424 |
$6K |
| 84132 |
|
3,369 |
2,894 |
$5K |
| 44970 |
|
63 |
54 |
$5K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
2,219 |
2,043 |
$5K |
| 83655 |
|
2,046 |
1,427 |
$5K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
5,651 |
5,031 |
$5K |
| J1953 |
Injection, levetiracetam, 10 mg |
586 |
516 |
$5K |
| 74240 |
|
36 |
36 |
$4K |
| G0008 |
Administration of influenza virus vaccine |
3,879 |
3,855 |
$4K |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
2,698 |
2,544 |
$4K |
| 86308 |
|
1,298 |
1,242 |
$4K |
| 82465 |
|
1,627 |
1,521 |
$4K |
| 84155 |
|
2,050 |
1,914 |
$4K |
| J1644 |
Injection, heparin sodium, per 1000 units |
4,266 |
2,318 |
$4K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
241 |
126 |
$4K |
| 86765 |
|
381 |
381 |
$4K |
| 86146 |
|
55 |
54 |
$4K |
| 86431 |
|
1,109 |
1,025 |
$4K |
| 0370 |
|
3,089 |
3,062 |
$4K |
| 90662 |
|
484 |
483 |
$3K |
| 87070 |
|
1,207 |
1,119 |
$3K |
| 86147 |
|
70 |
69 |
$3K |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
12 |
12 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
851 |
419 |
$3K |
| 82705 |
|
670 |
665 |
$3K |
| 82390 |
|
374 |
372 |
$3K |
| 80202 |
|
335 |
152 |
$3K |
| 85014 |
|
5,055 |
4,046 |
$3K |
| 12001 |
|
258 |
256 |
$3K |
| 73200 |
|
28 |
28 |
$3K |
| 86677 |
|
1,334 |
1,145 |
$3K |
| 97165 |
|
197 |
196 |
$3K |
| 73718 |
|
16 |
15 |
$3K |
| 90688 |
|
227 |
226 |
$3K |
| 84425 |
|
152 |
152 |
$3K |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
165 |
134 |
$3K |
| 80321 |
|
61 |
57 |
$3K |
| 70360 |
|
59 |
59 |
$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 |
39 |
38 |
$2K |
| 85018 |
|
2,448 |
2,145 |
$2K |
| 72082 |
|
25 |
25 |
$2K |
| 85613 |
|
278 |
276 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,434 |
1,433 |
$2K |
| 82272 |
|
951 |
924 |
$2K |
| 86708 |
|
278 |
269 |
$2K |
| 84295 |
|
1,145 |
901 |
$2K |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
1,389 |
1,227 |
$2K |
| 97116 |
|
686 |
586 |
$2K |
| J0134 |
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
215 |
207 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
141 |
140 |
$2K |
| 86256 |
|
147 |
146 |
$2K |
| J1940 |
Injection, furosemide, up to 20 mg |
2,588 |
1,737 |
$2K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
418 |
327 |
$2K |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
1,228 |
1,020 |
$2K |
| G0257 |
Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility |
79 |
71 |
$2K |
| 83010 |
|
186 |
182 |
$2K |
| 89051 |
|
636 |
487 |
$2K |
| 86709 |
|
263 |
240 |
$2K |
| 29125 |
|
162 |
160 |
$2K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
282 |
257 |
$2K |
| 72220 |
|
39 |
39 |
$2K |
| 97162 |
|
272 |
267 |
$2K |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
722 |
530 |
$2K |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
1,280 |
824 |
$2K |
| 84145 |
|
370 |
360 |
$2K |
| 85246 |
|
102 |
95 |
$2K |
| 70355 |
|
26 |
26 |
$1K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
490 |
380 |
$1K |
| C1725 |
Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) |
12 |
12 |
$1K |
| 80178 |
|
502 |
445 |
$1K |
| 87631 |
|
142 |
141 |
$1K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
292 |
291 |
$1K |
| 74220 |
|
13 |
13 |
$1K |
| 87149 |
|
360 |
353 |
$1K |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
981 |
952 |
$1K |
| 82533 |
|
95 |
92 |
$1K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,298 |
1,257 |
$1K |
| 82653 |
|
53 |
53 |
$1K |
| 88304 |
|
558 |
481 |
$1K |
| 84480 |
|
152 |
126 |
$1K |
| J1630 |
Injection, haloperidol, up to 5 mg |
686 |
574 |
$1K |
| 73120 |
|
15 |
15 |
$1K |
| 12011 |
|
97 |
96 |
$1K |
| J1836 |
Injection, metronidazole, 10 mg |
353 |
266 |
$1K |
| 82103 |
|
92 |
91 |
$1K |
| J3371 |
Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg |
130 |
94 |
$974.46 |
| 85240 |
|
60 |
57 |
$971.00 |
| 86140 |
|
2,601 |
2,003 |
$960.33 |
| P9047 |
Infusion, albumin (human), 25%, 50 ml |
28 |
25 |
$953.74 |
| 84270 |
|
42 |
42 |
$923.00 |
| 72110 |
|
14 |
14 |
$915.00 |
| 84478 |
|
177 |
125 |
$822.47 |
| 76010 |
|
14 |
12 |
$776.43 |
| 85384 |
|
94 |
88 |
$769.46 |
| A9503 |
Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries |
89 |
88 |
$752.27 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
325 |
266 |
$715.14 |
| 86769 |
|
59 |
59 |
$684.45 |
| J0456 |
Injection, azithromycin, 500 mg |
1,109 |
866 |
$660.17 |
| 73000 |
|
13 |
13 |
$660.00 |
| 86635 |
|
56 |
28 |
$652.40 |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
34 |
24 |
$651.14 |
| 83930 |
|
201 |
185 |
$635.98 |
| J3480 |
Injection, potassium chloride, per 2 meq |
1,901 |
1,386 |
$634.58 |
| 85520 |
|
72 |
37 |
$625.71 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,080 |
1,047 |
$614.10 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
488 |
406 |
$613.24 |
| 90749 |
|
751 |
750 |
$568.44 |
| 0255 |
|
119 |
115 |
$558.39 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
1,339 |
1,180 |
$547.75 |
| 83935 |
|
137 |
133 |
$522.68 |
| 80162 |
|
92 |
81 |
$512.05 |
| 80185 |
|
94 |
77 |
$502.47 |
| 72080 |
|
14 |
14 |
$498.17 |
| 82274 |
|
116 |
84 |
$481.00 |
| 86235 |
|
39 |
38 |
$458.00 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
239 |
173 |
$433.74 |
| 86696 |
|
27 |
27 |
$424.12 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
761 |
746 |
$424.06 |
| 88312 |
|
12 |
12 |
$405.00 |
| 92610 |
|
13 |
13 |
$404.73 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
254 |
207 |
$372.95 |
| 29515 |
|
54 |
53 |
$354.83 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
40 |
40 |
$339.00 |
| 86003 |
|
228 |
129 |
$330.70 |
| 87807 |
|
74 |
72 |
$319.27 |
| 86695 |
|
27 |
27 |
$299.95 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
370 |
308 |
$295.12 |
| 87184 |
|
55 |
53 |
$293.75 |
| J3360 |
Injection, diazepam, up to 5 mg |
67 |
61 |
$277.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
141 |
115 |
$263.97 |
| 82232 |
|
28 |
26 |
$242.18 |
| 86360 |
|
229 |
147 |
$240.97 |
| J0136 |
Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg |
43 |
42 |
$238.61 |
| 85045 |
|
115 |
109 |
$222.76 |
| 82374 |
|
63 |
63 |
$219.41 |
| 83986 |
|
66 |
65 |
$219.25 |
| 84157 |
|
89 |
80 |
$216.13 |
| 83525 |
|
17 |
17 |
$202.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
14 |
12 |
$196.20 |
| 10060 |
|
39 |
39 |
$195.88 |
| 86359 |
|
229 |
147 |
$194.98 |
| J2704 |
Injection, propofol, 10 mg |
163 |
128 |
$174.34 |
| C9113 |
Injection, pantoprazole sodium, per vial |
836 |
620 |
$143.17 |
| 82435 |
|
58 |
54 |
$142.00 |
| Z7512 |
|
13 |
13 |
$130.65 |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
27 |
27 |
$126.95 |
| 80320 |
|
519 |
418 |
$120.60 |
| V2632 |
Posterior chamber intraocular lens |
294 |
289 |
$120.01 |
| J3411 |
Injection, thiamine hcl, 100 mg |
101 |
81 |
$110.21 |
| 86735 |
|
13 |
13 |
$104.73 |
| 82945 |
|
142 |
131 |
$101.16 |
| 80329 |
|
626 |
290 |
$95.70 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
15 |
12 |
$86.27 |
| J1920 |
Injection, labetalol hydrochloride, 5 mg |
168 |
135 |
$78.62 |
| 87185 |
|
51 |
51 |
$76.73 |
| J7510 |
Prednisolone oral, per 5 mg |
465 |
457 |
$76.06 |
| J0612 |
Injection, calcium gluconate, not otherwise specified, 10 mg |
59 |
55 |
$73.99 |
| 77002 |
|
115 |
115 |
$66.51 |
| 87045 |
|
40 |
32 |
$65.33 |
| 80156 |
|
13 |
13 |
$64.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
190 |
150 |
$59.03 |
| 88307 |
|
266 |
223 |
$50.28 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
32 |
30 |
$49.60 |
| 87255 |
|
13 |
13 |
$40.00 |
| 82340 |
|
14 |
14 |
$36.00 |
| 87046 |
|
33 |
29 |
$34.72 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
165 |
156 |
$33.76 |
| J0737 |
Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg |
12 |
12 |
$32.40 |
| 97535 |
Self-care/home management training, each 15 minutes |
30 |
28 |
$15.34 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
269 |
261 |
$6.00 |
| J2280 |
Injection, moxifloxacin, 100 mg |
284 |
279 |
$1.63 |
| C1769 |
Guide wire |
60 |
58 |
$0.28 |
| 0272 |
|
239 |
238 |
$0.00 |
| 3051F |
|
92 |
90 |
$0.00 |
| 87338 |
|
70 |
56 |
$0.00 |
| 3046F |
|
155 |
153 |
$0.00 |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
69 |
58 |
$0.00 |
| 3078F |
|
59 |
56 |
$0.00 |
| C1758 |
Catheter, ureteral |
26 |
26 |
$0.00 |
| 54161 |
|
26 |
26 |
$0.00 |
| 76376 |
|
44 |
43 |
$0.00 |
| C1729 |
Catheter, drainage |
12 |
12 |
$0.00 |
| C1765 |
Adhesion barrier |
13 |
13 |
$0.00 |
| 84590 |
|
29 |
16 |
$0.00 |
| 85670 |
|
13 |
13 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
23 |
14 |
$0.00 |
| J0744 |
Injection, ciprofloxacin for intravenous infusion, 200 mg |
14 |
12 |
$0.00 |
| C1751 |
Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) |
13 |
13 |
$0.00 |
| 3044F |
|
2,060 |
2,051 |
$0.00 |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
123 |
16 |
$0.00 |
| C2617 |
Stent, non-coronary, temporary, without delivery system |
14 |
12 |
$0.00 |
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
186 |
14 |
$0.00 |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
24 |
12 |
$0.00 |
| 29881 |
|
12 |
12 |
$0.00 |
| 87536 |
|
137 |
81 |
$0.00 |
| 84540 |
|
12 |
12 |
$0.00 |
| 3074F |
|
51 |
48 |
$0.00 |
| 86376 |
|
20 |
12 |
$0.00 |
| 3052F |
|
53 |
53 |
$0.00 |
| 88108 |
|
15 |
13 |
$0.00 |
| G0155 |
Services of clinical social worker in home health or hospice settings, each 15 minutes |
123 |
12 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
14 |
14 |
$0.00 |