| Code | Description | Claims | Beneficiaries | Total Paid |
| G0378 |
Hospital observation service, per hour |
1,729 |
1,674 |
$2.60M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,815 |
13,945 |
$1.92M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,295 |
13,868 |
$1.69M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,746 |
9,174 |
$1.12M |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
1,287 |
1,287 |
$993K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,313 |
6,887 |
$795K |
| 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 |
10,154 |
9,040 |
$707K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,170 |
2,970 |
$689K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
411 |
411 |
$521K |
| 59025 |
Fetal non-stress test |
2,889 |
1,893 |
$472K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,468 |
4,260 |
$452K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
354 |
354 |
$415K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,437 |
1,416 |
$360K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,064 |
2,964 |
$357K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,254 |
3,228 |
$342K |
| 52000 |
|
251 |
250 |
$341K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
454 |
453 |
$327K |
| 80053 |
Comprehensive metabolic panel |
16,708 |
15,230 |
$312K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
8,459 |
8,284 |
$259K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
921 |
909 |
$259K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,089 |
2,071 |
$249K |
| 93975 |
|
533 |
528 |
$216K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,315 |
1,295 |
$210K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,635 |
1,534 |
$205K |
| 99215 |
Prolong outpt/office vis |
1,803 |
1,726 |
$190K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,114 |
1,624 |
$180K |
| 96415 |
|
356 |
311 |
$176K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
8,408 |
8,237 |
$161K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
808 |
808 |
$161K |
| D7140 |
Extraction, erupted tooth or exposed root |
436 |
415 |
$140K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
777 |
525 |
$137K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,238 |
1,051 |
$135K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,940 |
1,788 |
$135K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
505 |
501 |
$129K |
| 90834 |
Psychotherapy, 45 minutes with patient |
973 |
689 |
$127K |
| 99442 |
|
1,151 |
1,106 |
$127K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
6,765 |
6,638 |
$127K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
524 |
519 |
$123K |
| 76770 |
|
521 |
520 |
$115K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
368 |
365 |
$115K |
| 12001 |
|
271 |
271 |
$107K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
863 |
860 |
$104K |
| 42830 |
|
81 |
81 |
$104K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,675 |
1,662 |
$100K |
| Q5103 |
Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg |
80 |
70 |
$99K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
3,280 |
3,275 |
$98K |
| 12011 |
|
259 |
259 |
$97K |
| 99205 |
Prolong outpt/office vis |
856 |
854 |
$94K |
| 96112 |
|
647 |
644 |
$86K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,448 |
641 |
$84K |
| 99443 |
|
752 |
722 |
$83K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
333 |
329 |
$78K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
144 |
144 |
$75K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
497 |
391 |
$75K |
| 90832 |
Psychotherapy, 30 minutes with patient |
751 |
562 |
$73K |
| 86900 |
|
2,146 |
2,063 |
$68K |
| D2390 |
|
292 |
292 |
$68K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
405 |
404 |
$64K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,013 |
992 |
$63K |
| 99441 |
|
590 |
560 |
$63K |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
2,605 |
2,483 |
$62K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,323 |
3,789 |
$61K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,737 |
1,726 |
$61K |
| 86901 |
|
2,153 |
2,073 |
$60K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
859 |
807 |
$59K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
781 |
770 |
$56K |
| 95819 |
|
427 |
421 |
$55K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
719 |
577 |
$54K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,962 |
2,285 |
$48K |
| 76000 |
|
379 |
367 |
$45K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,715 |
1,713 |
$44K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,511 |
3,173 |
$41K |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,016 |
4,959 |
$40K |
| 76801 |
|
638 |
607 |
$39K |
| 76820 |
|
654 |
315 |
$36K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
429 |
427 |
$35K |
| 86850 |
|
2,143 |
2,075 |
$35K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
178 |
178 |
$35K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
311 |
310 |
$33K |
| 88304 |
|
515 |
514 |
$32K |
| 76813 |
|
467 |
453 |
$32K |
| 51600 |
|
67 |
67 |
$31K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17,046 |
15,073 |
$30K |
| 80061 |
Lipid panel |
3,981 |
3,947 |
$30K |
| 10060 |
|
100 |
96 |
$30K |
| D2330 |
|
174 |
174 |
$27K |
| 83655 |
|
1,783 |
1,769 |
$27K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
4,066 |
4,033 |
$26K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
6,556 |
6,305 |
$25K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
170 |
162 |
$25K |
| 90791 |
Psychiatric diagnostic evaluation |
157 |
155 |
$25K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
491 |
322 |
$25K |
| 97161 |
|
363 |
357 |
$24K |
| 87631 |
|
470 |
463 |
$22K |
| 76821 |
|
491 |
227 |
$22K |
| 99385 |
|
191 |
188 |
$22K |
| 84153 |
|
1,058 |
1,050 |
$22K |
| 83880 |
|
744 |
710 |
$21K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
400 |
371 |
$21K |
| 81025 |
|
6,350 |
6,077 |
$20K |
| 70496 |
|
79 |
79 |
$20K |
| 76830 |
Ultrasound, transvaginal |
400 |
399 |
$19K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,979 |
2,941 |
$19K |
| 84439 |
|
2,054 |
2,037 |
$18K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
437 |
226 |
$18K |
| 97162 |
|
182 |
181 |
$18K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
224 |
222 |
$18K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
162 |
61 |
$17K |
| D1351 |
Sealant - per tooth |
205 |
205 |
$16K |
| 85008 |
|
1,661 |
1,526 |
$16K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
531 |
230 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
14,561 |
13,090 |
$15K |
| 92567 |
|
706 |
688 |
$14K |
| 74455 |
|
67 |
67 |
$14K |
| 70486 |
|
135 |
134 |
$13K |
| 86780 |
|
3,022 |
2,995 |
$13K |
| 84403 |
|
531 |
508 |
$13K |
| 76818 |
|
175 |
107 |
$12K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
64 |
64 |
$12K |
| 90715 |
|
423 |
422 |
$12K |
| 41010 |
|
27 |
27 |
$12K |
| 86003 |
|
231 |
228 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
711 |
703 |
$11K |
| 82607 |
|
936 |
929 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
95 |
91 |
$11K |
| 85027 |
|
3,509 |
3,254 |
$11K |
| 87070 |
|
4,062 |
3,937 |
$11K |
| 87522 |
Neg quan hep c or qual rna |
245 |
240 |
$10K |
| 88342 |
|
238 |
236 |
$10K |
| 92552 |
|
369 |
360 |
$10K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,101 |
5,702 |
$10K |
| 54161 |
|
12 |
12 |
$10K |
| 86769 |
|
398 |
390 |
$9K |
| 83970 |
|
215 |
209 |
$9K |
| 86141 |
|
2,058 |
1,761 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
3,575 |
3,504 |
$9K |
| 97010 |
|
415 |
174 |
$8K |
| 81001 |
|
7,654 |
7,314 |
$8K |
| 87077 |
|
1,428 |
1,397 |
$8K |
| 97803 |
|
685 |
676 |
$8K |
| 92555 |
|
367 |
360 |
$8K |
| 90686 |
|
246 |
245 |
$7K |
| 87480 |
|
996 |
983 |
$7K |
| 87510 |
|
996 |
983 |
$7K |
| 82746 |
|
650 |
647 |
$7K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
83 |
83 |
$7K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
179 |
169 |
$6K |
| 69210 |
|
54 |
54 |
$6K |
| 82728 |
|
607 |
598 |
$6K |
| 76536 |
|
126 |
124 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
178 |
175 |
$6K |
| 87660 |
|
1,075 |
1,061 |
$6K |
| 90688 |
|
206 |
206 |
$6K |
| 87088 |
|
1,353 |
1,332 |
$6K |
| 59430 |
|
290 |
289 |
$6K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
227 |
227 |
$6K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
103 |
103 |
$6K |
| 85610 |
|
3,132 |
2,762 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
24 |
24 |
$5K |
| 88307 |
|
70 |
70 |
$5K |
| 94010 |
|
218 |
217 |
$5K |
| 83001 |
|
321 |
315 |
$5K |
| 12002 |
|
12 |
12 |
$5K |
| 87186 |
|
1,473 |
1,430 |
$5K |
| 82570 |
|
1,365 |
1,272 |
$5K |
| 84146 |
|
295 |
291 |
$5K |
| 84702 |
|
912 |
746 |
$4K |
| 82784 |
|
378 |
367 |
$4K |
| 86803 |
|
2,184 |
2,176 |
$4K |
| 82043 |
|
818 |
809 |
$4K |
| 86762 |
|
874 |
873 |
$4K |
| 85730 |
|
1,938 |
1,896 |
$4K |
| 83735 |
|
2,400 |
2,067 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
30 |
$4K |
| 93017 |
|
179 |
177 |
$3K |
| 83002 |
|
216 |
213 |
$3K |
| 97802 |
|
458 |
443 |
$3K |
| 87340 |
|
1,317 |
1,313 |
$3K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
92 |
30 |
$3K |
| 85651 |
|
1,881 |
1,615 |
$3K |
| 81002 |
|
7,946 |
5,957 |
$3K |
| 72141 |
|
12 |
12 |
$3K |
| 83540 |
|
667 |
662 |
$3K |
| 84100 |
|
955 |
762 |
$2K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
68 |
68 |
$2K |
| 99406 |
|
106 |
102 |
$2K |
| 84436 |
|
529 |
527 |
$2K |
| 36416 |
|
84 |
84 |
$2K |
| 84402 |
|
102 |
100 |
$2K |
| 83550 |
|
556 |
552 |
$2K |
| 96113 |
|
32 |
32 |
$2K |
| 99422 |
|
17 |
17 |
$2K |
| 80076 |
|
242 |
238 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15 |
15 |
$2K |
| 99423 |
|
17 |
17 |
$2K |
| 85018 |
|
873 |
861 |
$2K |
| 97116 |
|
75 |
42 |
$2K |
| 84703 |
|
964 |
949 |
$2K |
| 82627 |
|
86 |
86 |
$2K |
| D1120 |
Prophylaxis - child |
32 |
32 |
$2K |
| 86376 |
|
119 |
119 |
$2K |
| 86038 |
|
338 |
337 |
$2K |
| 84550 |
|
485 |
465 |
$1K |
| 82785 |
|
119 |
119 |
$1K |
| 82550 |
|
542 |
489 |
$1K |
| 86696 |
|
145 |
145 |
$1K |
| 70498 |
|
52 |
52 |
$1K |
| 94060 |
|
66 |
65 |
$1K |
| 80320 |
|
606 |
575 |
$1K |
| 92588 |
|
24 |
24 |
$1K |
| 82670 |
|
43 |
43 |
$1K |
| 74018 |
|
1,059 |
1,009 |
$1K |
| 86787 |
|
614 |
612 |
$1K |
| 86706 |
|
196 |
195 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
14 |
13 |
$1K |
| 83690 |
|
2,594 |
2,450 |
$979.63 |
| 84154 |
|
49 |
49 |
$970.59 |
| 92585 |
|
14 |
14 |
$970.08 |
| 84156 |
|
635 |
541 |
$938.82 |
| 86800 |
|
82 |
82 |
$907.36 |
| 97166 |
|
12 |
12 |
$899.68 |
| 83615 |
|
554 |
458 |
$863.57 |
| 83020 |
|
391 |
390 |
$861.98 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,041 |
1,982 |
$861.47 |
| 88142 |
|
33 |
33 |
$856.69 |
| 73630 |
|
723 |
706 |
$793.34 |
| 86039 |
|
176 |
176 |
$771.22 |
| 82105 |
|
406 |
404 |
$757.92 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$750.88 |
| 82977 |
|
197 |
173 |
$748.55 |
| 73610 |
|
737 |
699 |
$741.47 |
| 81003 |
|
714 |
699 |
$738.13 |
| 82150 |
|
299 |
289 |
$721.74 |
| 73564 |
|
352 |
350 |
$697.28 |
| 73030 |
|
427 |
400 |
$656.58 |
| 86431 |
|
146 |
146 |
$641.22 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
219 |
214 |
$600.39 |
| 84480 |
|
127 |
127 |
$598.15 |
| 76800 |
|
13 |
13 |
$592.80 |
| 84134 |
|
100 |
82 |
$583.81 |
| 92652 |
|
25 |
25 |
$511.66 |
| 85032 |
|
639 |
608 |
$490.14 |
| 76885 |
|
13 |
13 |
$485.10 |
| 88312 |
|
14 |
14 |
$484.40 |
| 87184 |
|
241 |
227 |
$463.26 |
| 72100 |
|
146 |
145 |
$452.88 |
| 88313 |
|
261 |
250 |
$412.80 |
| 82565 |
|
212 |
209 |
$403.85 |
| 73100 |
|
282 |
227 |
$398.65 |
| 72040 |
|
163 |
162 |
$393.42 |
| Q9958 |
High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml |
87 |
86 |
$391.68 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
47 |
47 |
$381.28 |
| 83516 |
|
46 |
45 |
$362.64 |
| 84484 |
|
3,131 |
2,832 |
$356.93 |
| 73590 |
|
418 |
380 |
$356.76 |
| 74019 |
|
492 |
485 |
$336.06 |
| 84460 |
|
74 |
68 |
$334.68 |
| 73090 |
|
429 |
386 |
$304.48 |
| 86765 |
|
27 |
27 |
$303.51 |
| 72170 |
|
272 |
270 |
$279.36 |
| 73130 |
|
499 |
485 |
$278.85 |
| 86256 |
|
48 |
48 |
$266.75 |
| 86235 |
|
14 |
12 |
$259.18 |
| 85379 |
|
457 |
455 |
$258.41 |
| 80348 |
|
59 |
57 |
$254.20 |
| 73502 |
|
123 |
120 |
$233.35 |
| 82803 |
|
723 |
677 |
$229.37 |
| 72082 |
|
158 |
158 |
$225.41 |
| 87075 |
|
43 |
43 |
$223.88 |
| 87040 |
|
740 |
713 |
$221.20 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
587 |
587 |
$220.95 |
| 85045 |
|
145 |
132 |
$218.01 |
| 73070 |
|
363 |
298 |
$212.64 |
| 80361 |
|
30 |
30 |
$211.66 |
| 0012A |
|
13 |
13 |
$204.00 |
| 82248 |
|
63 |
54 |
$202.73 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$200.20 |
| 74240 |
|
12 |
12 |
$198.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$196.32 |
| 73562 |
|
88 |
88 |
$189.00 |
| 83605 |
|
1,099 |
1,042 |
$185.06 |
| 71045 |
Radiologic examination, chest; single view |
2,463 |
2,381 |
$164.79 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
898 |
789 |
$163.59 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
124 |
117 |
$159.90 |
| 82533 |
|
12 |
12 |
$159.54 |
| 87147 |
|
903 |
890 |
$143.00 |
| 82103 |
|
14 |
14 |
$141.25 |
| 88302 |
|
64 |
64 |
$133.14 |
| 72110 |
|
40 |
40 |
$126.00 |
| 83525 |
|
13 |
13 |
$125.12 |
| 73110 |
|
348 |
339 |
$120.75 |
| 87116 |
|
13 |
12 |
$120.06 |
| 82947 |
|
119 |
114 |
$116.63 |
| 87181 |
|
23 |
23 |
$112.50 |
| 86225 |
|
27 |
27 |
$111.30 |
| 82948 |
|
2,420 |
1,943 |
$111.07 |
| 86255 |
|
16 |
13 |
$104.24 |
| 77072 |
|
12 |
12 |
$100.98 |
| 86160 |
|
13 |
13 |
$99.61 |
| 86735 |
|
13 |
13 |
$96.36 |
| 82330 |
|
59 |
59 |
$92.13 |
| 73552 |
|
90 |
84 |
$90.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,235 |
1,221 |
$85.20 |
| 80177 |
|
27 |
27 |
$82.84 |
| 84450 |
|
17 |
16 |
$82.08 |
| 87101 |
|
27 |
27 |
$80.27 |
| 86580 |
|
16 |
16 |
$80.00 |
| 77073 |
|
117 |
115 |
$77.68 |
| 84132 |
|
89 |
85 |
$73.81 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
827 |
816 |
$63.56 |
| 89060 |
|
17 |
15 |
$62.46 |
| 76377 |
|
335 |
332 |
$60.00 |
| 86709 |
|
14 |
14 |
$60.00 |
| 86708 |
|
14 |
14 |
$60.00 |
| 76870 |
|
95 |
93 |
$55.08 |
| 74022 |
|
81 |
81 |
$47.42 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
121 |
118 |
$45.10 |
| 73560 |
|
51 |
50 |
$36.36 |
| 85014 |
|
150 |
143 |
$36.36 |
| 87210 |
|
498 |
491 |
$36.25 |
| 94760 |
|
444 |
398 |
$33.86 |
| 85004 |
|
25 |
23 |
$31.70 |
| 73060 |
|
35 |
33 |
$30.34 |
| 94664 |
|
29 |
28 |
$30.06 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
4,175 |
3,912 |
$28.71 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$24.49 |
| 76857 |
|
12 |
12 |
$24.48 |
| 86317 |
|
12 |
12 |
$23.74 |
| 83874 |
|
2,328 |
2,169 |
$21.50 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,150 |
977 |
$17.52 |
| 87081 |
|
16 |
16 |
$15.60 |
| 87015 |
|
12 |
12 |
$14.58 |
| 89051 |
|
15 |
15 |
$11.20 |
| J2704 |
Injection, propofol, 10 mg |
2,924 |
2,908 |
$11.18 |
| 86308 |
|
52 |
52 |
$9.55 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
123 |
93 |
$5.75 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
454 |
421 |
$4.92 |
| 84295 |
|
38 |
36 |
$4.91 |
| 85007 |
|
18 |
16 |
$2.86 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
88 |
67 |
$2.32 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,083 |
1,070 |
$1.86 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,976 |
2,921 |
$1.72 |
| J7050 |
Infusion, normal saline solution, 250 cc |
106 |
96 |
$0.60 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,235 |
1,218 |
$0.41 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
75 |
52 |
$0.39 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
88 |
88 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,989 |
2,625 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
644 |
612 |
$0.00 |
| 88300 |
|
482 |
482 |
$0.00 |
| 96127 |
|
391 |
383 |
$0.00 |
| 96376 |
|
739 |
697 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
396 |
364 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,961 |
4,500 |
$0.00 |
| C1769 |
Guide wire |
568 |
547 |
$0.00 |
| 80329 |
|
208 |
204 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,775 |
3,583 |
$0.00 |
| 87430 |
|
237 |
235 |
$0.00 |
| 99417 |
Prolong home eval add 15m |
151 |
144 |
$0.00 |
| J3480 |
Injection, potassium chloride, per 2 meq |
316 |
251 |
$0.00 |
| S2900 |
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) |
37 |
37 |
$0.00 |
| 86710 |
|
2,146 |
2,103 |
$0.00 |
| 87451 |
|
25 |
25 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
150 |
144 |
$0.00 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
85 |
83 |
$0.00 |
| Q9969 |
Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose |
24 |
24 |
$0.00 |
| 82677 |
|
13 |
13 |
$0.00 |
| 94761 |
|
14 |
13 |
$0.00 |
| 87625 |
|
12 |
12 |
$0.00 |
| 81050 |
|
12 |
12 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
579 |
422 |
$0.00 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
146 |
145 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
45 |
42 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,154 |
2,091 |
$0.00 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
342 |
327 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
670 |
653 |
$0.00 |
| 83721 |
|
330 |
329 |
$0.00 |
| 87420 |
|
1,185 |
1,156 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
625 |
570 |
$0.00 |
| A0100 |
Non-emergency transportation; taxi |
317 |
107 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
97 |
97 |
$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 |
96 |
96 |
$0.00 |
| S0215 |
Non-emergency transportation; mileage, per mile |
317 |
107 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
46 |
45 |
$0.00 |
| 99354 |
|
83 |
74 |
$0.00 |
| 87400 |
|
2,568 |
2,309 |
$0.00 |
| 82010 |
|
133 |
119 |
$0.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
67 |
63 |
$0.00 |
| J0694 |
Injection, cefoxitin sodium, 1 gm |
16 |
14 |
$0.00 |
| 86336 |
|
13 |
13 |
$0.00 |
| 92610 |
|
16 |
15 |
$0.00 |
| 73140 |
|
26 |
25 |
$0.00 |