| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
182,816 |
167,471 |
$11.27M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
162,793 |
35,631 |
$6.65M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
129,723 |
122,474 |
$5.45M |
| 99233 |
Prolong inpt eval add15 m |
73,109 |
17,115 |
$4.32M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39,486 |
39,057 |
$3.46M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
4,382 |
4,315 |
$3.29M |
| 99215 |
Prolong outpt/office vis |
29,547 |
28,195 |
$2.48M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
62,287 |
56,160 |
$2.37M |
| J0178 |
Injection, aflibercept, 1 mg |
1,938 |
1,752 |
$2.01M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
16,547 |
3,903 |
$2.00M |
| 99222 |
Initial hospital care, per day, moderate complexity |
26,357 |
21,588 |
$1.97M |
| 59514 |
|
2,067 |
2,041 |
$1.75M |
| 99223 |
Prolong inpt eval add15 m |
16,080 |
13,503 |
$1.71M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
26,226 |
25,638 |
$1.68M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30,275 |
30,041 |
$1.68M |
| 88307 |
|
30,811 |
30,086 |
$1.67M |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
13,838 |
10,938 |
$1.38M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
16,352 |
16,282 |
$1.33M |
| 59426 |
|
1,935 |
1,920 |
$1.30M |
| 99205 |
Prolong outpt/office vis |
10,296 |
10,206 |
$1.12M |
| 99254 |
|
11,459 |
9,703 |
$1.02M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12,871 |
10,779 |
$853K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
20,169 |
19,056 |
$827K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
29,527 |
12,063 |
$680K |
| 77427 |
|
6,325 |
3,049 |
$666K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12,384 |
12,282 |
$652K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13,416 |
12,291 |
$625K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
289 |
287 |
$593K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
22,231 |
19,964 |
$586K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
9,777 |
9,708 |
$545K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,902 |
1,827 |
$537K |
| 67228 |
|
2,851 |
2,189 |
$524K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
5,652 |
5,591 |
$513K |
| 59425 |
|
1,443 |
1,421 |
$502K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,349 |
7,895 |
$487K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
3,438 |
3,389 |
$483K |
| 99221 |
|
9,044 |
8,356 |
$478K |
| 92083 |
|
14,646 |
14,517 |
$470K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20,336 |
19,542 |
$464K |
| 99253 |
|
7,534 |
6,740 |
$464K |
| 77014 |
|
18,697 |
1,948 |
$452K |
| 99245 |
|
3,628 |
3,583 |
$414K |
| 99243 |
|
6,784 |
6,710 |
$374K |
| 95720 |
|
3,127 |
1,126 |
$359K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
9,509 |
9,456 |
$359K |
| 88341 |
|
6,449 |
5,574 |
$328K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,507 |
4,469 |
$327K |
| 99255 |
|
2,932 |
2,646 |
$324K |
| 92134 |
|
16,094 |
15,440 |
$321K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
985 |
723 |
$320K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
3,260 |
3,219 |
$315K |
| 17110 |
|
5,137 |
4,792 |
$314K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,446 |
3,413 |
$289K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
4,457 |
4,331 |
$285K |
| 31575 |
|
4,946 |
4,822 |
$269K |
| 92015 |
Determination of refractive state |
26,405 |
25,841 |
$269K |
| 90834 |
Psychotherapy, 45 minutes with patient |
5,325 |
3,063 |
$267K |
| 95951 |
|
1,685 |
580 |
$251K |
| 92133 |
|
13,629 |
13,525 |
$248K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,053 |
4,212 |
$247K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
5,456 |
4,900 |
$240K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
3,739 |
3,629 |
$240K |
| 59430 |
|
1,578 |
1,559 |
$231K |
| 96910 |
|
3,650 |
779 |
$226K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
6,915 |
6,838 |
$221K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
1,378 |
1,375 |
$210K |
| 95886 |
|
4,715 |
4,402 |
$203K |
| 88141 |
|
13,509 |
13,392 |
$201K |
| 88342 |
|
8,835 |
8,296 |
$191K |
| 99385 |
|
2,094 |
2,084 |
$187K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
8,264 |
7,626 |
$185K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,345 |
1,434 |
$176K |
| 36512 |
|
2,956 |
2,657 |
$175K |
| 77263 |
|
1,774 |
1,745 |
$163K |
| 77334 |
|
3,058 |
2,407 |
$160K |
| 11900 |
|
5,961 |
5,811 |
$159K |
| 54150 |
|
2,794 |
2,777 |
$155K |
| 99386 |
|
1,371 |
1,359 |
$146K |
| 92235 |
|
2,379 |
2,346 |
$145K |
| 88312 |
|
8,003 |
7,767 |
$142K |
| 92250 |
|
6,198 |
6,035 |
$138K |
| 95910 |
|
2,293 |
2,164 |
$137K |
| 59025 |
Fetal non-stress test |
7,698 |
3,651 |
$137K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,406 |
1,220 |
$132K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,434 |
1,398 |
$123K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,156 |
2,824 |
$122K |
| 77300 |
|
2,149 |
2,009 |
$115K |
| J9035 |
Injection, bevacizumab, 10 mg |
1,764 |
1,621 |
$114K |
| 31231 |
|
1,122 |
1,109 |
$108K |
| 43235 |
|
1,905 |
1,830 |
$105K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
5,265 |
4,274 |
$103K |
| 59510 |
|
43 |
43 |
$100K |
| 99219 |
|
1,393 |
1,351 |
$97K |
| 90756 |
|
3,953 |
3,923 |
$96K |
| 77295 |
|
782 |
697 |
$96K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,836 |
9,693 |
$94K |
| 76801 |
|
2,870 |
2,829 |
$94K |
| 76519 |
|
3,054 |
2,939 |
$91K |
| 88331 |
|
1,507 |
1,400 |
$90K |
| 76820 |
|
5,988 |
3,123 |
$89K |
| 77338 |
|
724 |
683 |
$87K |
| 88304 |
|
11,383 |
11,027 |
$85K |
| 77301 |
|
355 |
348 |
$80K |
| 76821 |
|
3,426 |
1,763 |
$78K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
11,400 |
11,277 |
$76K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,137 |
1,117 |
$76K |
| 99252 |
|
1,934 |
1,851 |
$75K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,634 |
7,638 |
$74K |
| 95811 |
|
1,070 |
1,041 |
$73K |
| 88321 |
|
1,433 |
1,375 |
$71K |
| 88112 |
|
4,332 |
3,996 |
$68K |
| 99217 |
|
1,816 |
1,778 |
$66K |
| 88173 |
|
1,554 |
1,340 |
$63K |
| 93308 |
|
3,414 |
3,032 |
$63K |
| 95911 |
|
858 |
831 |
$62K |
| 99442 |
|
2,108 |
2,041 |
$61K |
| 99218 |
|
1,089 |
1,060 |
$57K |
| 76813 |
|
1,617 |
1,606 |
$57K |
| 90732 |
|
527 |
525 |
$55K |
| 88309 |
|
625 |
590 |
$54K |
| 84165 |
|
5,384 |
5,033 |
$53K |
| 93356 |
|
3,898 |
3,875 |
$51K |
| 93298 |
|
2,190 |
2,185 |
$51K |
| 77290 |
|
1,144 |
1,039 |
$51K |
| 11102 |
|
947 |
936 |
$49K |
| 95819 |
|
1,537 |
1,479 |
$48K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,654 |
1,078 |
$48K |
| 90670 |
|
401 |
397 |
$47K |
| 95718 |
|
637 |
458 |
$47K |
| 90791 |
Psychiatric diagnostic evaluation |
532 |
526 |
$47K |
| 93351 |
|
746 |
742 |
$46K |
| 95816 |
|
1,433 |
1,365 |
$46K |
| 92201 |
|
3,450 |
3,412 |
$44K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,169 |
977 |
$43K |
| 99242 |
|
1,116 |
1,090 |
$43K |
| 58300 |
|
1,165 |
1,151 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
585 |
585 |
$42K |
| 52000 |
|
459 |
457 |
$42K |
| 92020 |
|
2,918 |
2,856 |
$41K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,584 |
3,367 |
$40K |
| 47562 |
|
113 |
101 |
$39K |
| 86334 |
|
3,827 |
3,594 |
$38K |
| 11104 |
|
528 |
527 |
$36K |
| 92002 |
|
798 |
793 |
$35K |
| 92557 |
|
1,694 |
1,681 |
$35K |
| 92341 |
|
1,881 |
1,880 |
$35K |
| 82962 |
|
13,426 |
12,924 |
$33K |
| 20610 |
|
1,198 |
1,037 |
$33K |
| 90715 |
|
1,089 |
1,071 |
$32K |
| 76830 |
Ultrasound, transvaginal |
505 |
487 |
$32K |
| 76512 |
|
959 |
899 |
$30K |
| 90746 |
|
502 |
494 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
409 |
408 |
$29K |
| 99443 |
|
1,043 |
1,007 |
$28K |
| 88311 |
|
3,365 |
3,146 |
$27K |
| 92060 |
|
757 |
745 |
$26K |
| 99235 |
|
286 |
271 |
$26K |
| 90677 |
|
108 |
108 |
$26K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,168 |
2,132 |
$26K |
| 58558 |
|
191 |
188 |
$25K |
| 88313 |
|
2,135 |
1,945 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
409 |
398 |
$25K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
436 |
430 |
$24K |
| 11100 |
|
445 |
437 |
$24K |
| V2020 |
Frames, purchases |
1,670 |
1,664 |
$23K |
| 81025 |
|
3,467 |
3,383 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
301 |
300 |
$22K |
| 90832 |
Psychotherapy, 30 minutes with patient |
620 |
489 |
$22K |
| 76514 |
|
3,568 |
3,544 |
$22K |
| 93299 |
|
319 |
315 |
$21K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,119 |
801 |
$20K |
| 94726 |
|
2,888 |
2,866 |
$20K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
1,381 |
1,380 |
$20K |
| 99441 |
|
1,077 |
1,050 |
$19K |
| 57454 |
|
240 |
239 |
$19K |
| 85060 |
|
1,840 |
1,763 |
$18K |
| 88302 |
|
3,475 |
3,340 |
$18K |
| 90674 |
|
629 |
626 |
$18K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
7,038 |
6,774 |
$18K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
341 |
338 |
$18K |
| 36556 |
|
364 |
296 |
$17K |
| 68761 |
|
179 |
162 |
$16K |
| 11901 |
|
500 |
483 |
$16K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
390 |
166 |
$16K |
| 77280 |
|
749 |
683 |
$15K |
| 69210 |
|
545 |
529 |
$15K |
| 94729 |
|
2,906 |
2,886 |
$15K |
| 92567 |
|
1,680 |
1,669 |
$15K |
| 88300 |
|
5,733 |
5,684 |
$15K |
| 93000 |
|
1,715 |
1,695 |
$15K |
| 96900 |
|
1,117 |
207 |
$15K |
| 93321 |
|
2,747 |
2,511 |
$14K |
| 77307 |
|
176 |
173 |
$14K |
| 93297 |
|
441 |
440 |
$14K |
| 95908 |
|
360 |
358 |
$14K |
| 99201 |
|
721 |
717 |
$14K |
| 93295 |
|
565 |
561 |
$14K |
| 88361 |
|
189 |
180 |
$14K |
| 76825 |
|
254 |
239 |
$13K |
| 99220 |
|
134 |
131 |
$13K |
| 88360 |
|
426 |
408 |
$13K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,694 |
2,004 |
$12K |
| 93296 |
|
909 |
906 |
$12K |
| 73564 |
|
466 |
446 |
$12K |
| 93325 |
|
3,698 |
3,399 |
$12K |
| 94375 |
|
1,400 |
1,389 |
$12K |
| 76376 |
|
1,207 |
1,179 |
$12K |
| 65855 |
|
81 |
66 |
$11K |
| 90651 |
|
115 |
114 |
$11K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,126 |
1,123 |
$11K |
| 93312 |
|
180 |
176 |
$11K |
| 86580 |
|
2,045 |
1,989 |
$11K |
| 58301 |
|
234 |
233 |
$11K |
| 88177 |
|
398 |
333 |
$10K |
| 94060 |
|
1,501 |
1,484 |
$10K |
| 90661 |
|
326 |
324 |
$10K |
| 88172 |
|
477 |
412 |
$10K |
| 92025 |
|
507 |
501 |
$10K |
| 43246 |
|
112 |
106 |
$9K |
| 84166 |
|
917 |
889 |
$9K |
| 88189 |
|
210 |
189 |
$9K |
| 86335 |
|
865 |
827 |
$9K |
| 66982 |
|
31 |
28 |
$8K |
| 67113 |
|
21 |
13 |
$8K |
| 66821 |
|
52 |
51 |
$8K |
| 31622 |
|
147 |
120 |
$8K |
| 35701 |
|
45 |
42 |
$7K |
| 99234 |
|
98 |
93 |
$7K |
| 87210 |
|
1,611 |
1,515 |
$6K |
| 90961 |
|
55 |
54 |
$6K |
| 92225 |
|
414 |
237 |
$6K |
| 93320 |
|
493 |
484 |
$6K |
| 94618 |
|
481 |
474 |
$6K |
| 15100 |
|
17 |
14 |
$6K |
| 36620 |
|
226 |
180 |
$5K |
| 95250 |
|
61 |
61 |
$5K |
| 96127 |
|
1,767 |
1,552 |
$5K |
| 88332 |
|
80 |
77 |
$4K |
| 76827 |
|
253 |
238 |
$4K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
93 |
90 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
102 |
83 |
$4K |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
38 |
37 |
$4K |
| 17000 |
|
138 |
134 |
$4K |
| 88142 |
|
1,197 |
1,188 |
$4K |
| 31624 |
|
69 |
54 |
$4K |
| 15002 |
|
34 |
27 |
$4K |
| 81002 |
|
1,911 |
1,851 |
$4K |
| 90750 |
|
28 |
28 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
520 |
520 |
$4K |
| 31615 |
|
62 |
54 |
$3K |
| 90632 |
|
68 |
68 |
$3K |
| 15004 |
|
25 |
24 |
$3K |
| 83986 |
|
1,373 |
1,280 |
$3K |
| 93285 |
|
87 |
87 |
$3K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
3,166 |
3,121 |
$3K |
| 93352 |
|
359 |
358 |
$3K |
| 99451 |
|
141 |
127 |
$3K |
| 92226 |
|
235 |
128 |
$3K |
| 99490 |
Ccm add 20min |
79 |
79 |
$3K |
| 77470 |
|
49 |
49 |
$3K |
| J3590 |
Unclassified biologics |
120 |
113 |
$3K |
| 92285 |
|
221 |
196 |
$3K |
| 90966 |
|
23 |
23 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
558 |
557 |
$3K |
| 88108 |
|
190 |
158 |
$3K |
| 99241 |
|
124 |
122 |
$3K |
| 88365 |
|
93 |
80 |
$2K |
| 99000 |
|
629 |
616 |
$2K |
| 90688 |
|
193 |
193 |
$2K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
63 |
54 |
$2K |
| 87101 |
|
496 |
451 |
$2K |
| 91322 |
|
14 |
14 |
$2K |
| G0452 |
Molecular pathology procedure; physician interpretation and report |
3,274 |
3,044 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
878 |
776 |
$2K |
| 99251 |
|
72 |
70 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
44 |
44 |
$2K |
| 99381 |
|
25 |
25 |
$2K |
| 80504 |
|
53 |
50 |
$2K |
| 95721 |
|
14 |
13 |
$2K |
| 99349 |
|
26 |
25 |
$2K |
| 85097 |
|
50 |
48 |
$2K |
| 73560 |
|
76 |
73 |
$1K |
| 95909 |
|
27 |
27 |
$1K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
90 |
59 |
$1K |
| 12032 |
|
12 |
12 |
$1K |
| 93018 |
|
152 |
150 |
$1K |
| 95808 |
|
25 |
25 |
$1K |
| J1756 |
Injection, iron sucrose, 1 mg |
38 |
14 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,280 |
1,251 |
$1K |
| 11981 |
|
27 |
25 |
$1K |
| 10022 |
|
12 |
12 |
$1K |
| 10061 |
|
12 |
12 |
$1K |
| 54056 |
|
14 |
13 |
$1K |
| 99406 |
|
167 |
165 |
$1K |
| 95912 |
|
12 |
12 |
$1K |
| 80502 |
|
27 |
27 |
$1K |
| 11101 |
|
49 |
49 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
228 |
222 |
$1K |
| 92275 |
|
12 |
12 |
$1K |
| 51798 |
|
122 |
119 |
$1K |
| 76942 |
|
37 |
37 |
$1K |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
12 |
12 |
$971.53 |
| 91200 |
|
124 |
122 |
$942.79 |
| 99383 |
|
13 |
13 |
$934.54 |
| 88104 |
|
60 |
58 |
$902.10 |
| 57456 |
|
14 |
14 |
$855.07 |
| 94010 |
|
156 |
154 |
$777.04 |
| 92082 |
|
30 |
29 |
$774.97 |
| 88187 |
|
39 |
39 |
$756.25 |
| 0064A |
|
29 |
28 |
$751.88 |
| 76812 |
|
14 |
13 |
$741.68 |
| 76857 |
|
30 |
27 |
$737.38 |
| 99459 |
|
53 |
53 |
$724.00 |
| 10060 |
|
15 |
14 |
$715.39 |
| 51701 |
|
30 |
29 |
$672.25 |
| 73522 |
|
26 |
24 |
$621.53 |
| 87590 |
|
37 |
37 |
$600.75 |
| 93016 |
|
51 |
49 |
$600.29 |
| 90480 |
|
14 |
14 |
$563.72 |
| 11200 |
|
12 |
12 |
$541.98 |
| 95251 |
|
27 |
27 |
$524.86 |
| 87490 |
|
37 |
37 |
$508.68 |
| 95822 |
|
15 |
13 |
$496.20 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
48 |
48 |
$495.19 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
64 |
59 |
$483.76 |
| 93350 |
|
12 |
12 |
$480.24 |
| 0124A |
|
86 |
86 |
$463.99 |
| 96415 |
|
29 |
24 |
$449.05 |
| 77261 |
|
12 |
12 |
$402.10 |
| 90734 |
|
13 |
13 |
$379.75 |
| 0094A |
|
12 |
12 |
$375.30 |
| 90694 |
|
51 |
49 |
$373.03 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
17 |
15 |
$339.36 |
| 80305 |
|
61 |
60 |
$327.64 |
| 73562 |
|
15 |
14 |
$316.19 |
| 99417 |
Prolong home eval add 15m |
13 |
12 |
$303.36 |
| 88329 |
|
12 |
12 |
$301.92 |
| 76377 |
|
14 |
13 |
$292.95 |
| 51741 |
|
64 |
60 |
$289.22 |
| 93294 |
|
13 |
13 |
$226.99 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20 |
20 |
$215.43 |
| 85610 |
|
66 |
38 |
$195.86 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
16 |
16 |
$163.70 |
| J0741 |
Injection, cabotegravir and rilpivirine, 2mg/3mg |
29 |
29 |
$152.76 |
| 92551 |
|
23 |
23 |
$142.04 |
| 80500 |
|
12 |
12 |
$141.35 |
| 95885 |
|
12 |
12 |
$117.70 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
175 |
153 |
$113.29 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$105.60 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
14 |
14 |
$88.03 |
| 90653 |
|
13 |
13 |
$87.66 |
| 0134A |
|
132 |
131 |
$79.96 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$59.20 |
| 87220 |
|
12 |
12 |
$34.97 |
| 85018 |
|
24 |
24 |
$34.72 |
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
266 |
38 |
$30.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$5.96 |
| 90611 |
|
372 |
363 |
$0.04 |
| 99024 |
|
33,998 |
18,280 |
$0.01 |
| 3044F |
|
851 |
828 |
$0.00 |
| 0501F |
|
14,078 |
10,322 |
$0.00 |
| 0503F |
|
4,600 |
3,051 |
$0.00 |
| 0500F |
|
5,106 |
4,693 |
$0.00 |
| 91305 |
|
29 |
27 |
$0.00 |
| S2900 |
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) |
102 |
95 |
$0.00 |
| 3052F |
|
50 |
50 |
$0.00 |
| 3046F |
|
598 |
588 |
$0.00 |
| 3051F |
|
158 |
157 |
$0.00 |
| 0502F |
|
8,825 |
6,342 |
$0.00 |
| 91313 |
|
106 |
105 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
542 |
534 |
$0.00 |
| 3045F |
|
90 |
89 |
$0.00 |
| 92504 |
|
54 |
52 |
$0.00 |
| 90461 |
|
15 |
14 |
$0.00 |
| 91312 |
|
77 |
77 |
$0.00 |
| G2089 |
Most recent hemoglobin a1c (hba1c) level 7.0 to 9.0% |
14 |
14 |
$0.00 |
| 99173 |
|
37 |
37 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |