| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
53,898 |
49,122 |
$6.21M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
43,471 |
38,291 |
$5.31M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
17,388 |
14,335 |
$4.88M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
19,732 |
17,252 |
$2.51M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
15,582 |
14,340 |
$1.53M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,708 |
4,886 |
$1.45M |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,875 |
4,306 |
$1.05M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
13,119 |
3,718 |
$917K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
5,339 |
3,837 |
$693K |
| J9271 |
Injection, pembrolizumab, 1 mg |
78 |
50 |
$611K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
3,443 |
2,507 |
$610K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,087 |
954 |
$493K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
67,192 |
55,978 |
$482K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
5,534 |
1,765 |
$448K |
| G0378 |
Hospital observation service, per hour |
7,534 |
2,752 |
$443K |
| 80053 |
Comprehensive metabolic panel |
19,519 |
16,464 |
$421K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
2,241 |
1,251 |
$409K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,557 |
1,331 |
$384K |
| 59025 |
Fetal non-stress test |
2,649 |
1,509 |
$375K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
3,168 |
1,481 |
$355K |
| 90791 |
Psychiatric diagnostic evaluation |
1,652 |
1,398 |
$337K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,591 |
1,461 |
$332K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,310 |
1,118 |
$327K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,884 |
1,980 |
$317K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
5,463 |
3,549 |
$315K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
205 |
174 |
$288K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
78,641 |
64,501 |
$200K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,652 |
1,073 |
$193K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,661 |
3,493 |
$178K |
| 84443 |
Thyroid stimulating hormone (TSH) |
13,389 |
12,062 |
$175K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
331 |
288 |
$166K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,071 |
3,689 |
$160K |
| 71046 |
Radiologic examination, chest; 2 views |
10,493 |
9,485 |
$151K |
| 70496 |
|
649 |
500 |
$141K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,425 |
776 |
$140K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
237 |
196 |
$128K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
6,620 |
6,118 |
$127K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
8,894 |
7,261 |
$120K |
| 80061 |
Lipid panel |
9,661 |
8,967 |
$111K |
| 36415 |
Collection of venous blood by venipuncture |
42,371 |
34,326 |
$109K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
222 |
201 |
$109K |
| 80076 |
|
27,746 |
24,064 |
$106K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,137 |
1,023 |
$105K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,060 |
3,689 |
$101K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,000 |
1,071 |
$97K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
571 |
491 |
$95K |
| 95811 |
|
170 |
160 |
$95K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
426 |
373 |
$92K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,838 |
7,227 |
$92K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,660 |
582 |
$91K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,249 |
2,172 |
$91K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
345 |
320 |
$90K |
| 71271 |
|
553 |
523 |
$90K |
| 84439 |
|
5,046 |
4,705 |
$87K |
| 97161 |
|
1,878 |
1,697 |
$85K |
| 71250 |
|
1,140 |
1,056 |
$84K |
| 95806 |
|
229 |
213 |
$83K |
| 96367 |
|
1,121 |
646 |
$80K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
4,015 |
3,635 |
$73K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
352 |
330 |
$69K |
| 97113 |
|
974 |
245 |
$67K |
| 93458 |
|
115 |
98 |
$67K |
| 85027 |
|
9,196 |
7,449 |
$66K |
| 84484 |
|
19,248 |
13,469 |
$66K |
| 82607 |
|
3,272 |
3,014 |
$64K |
| 87070 |
|
6,421 |
5,804 |
$64K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
450 |
413 |
$63K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,069 |
503 |
$60K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
27,736 |
23,580 |
$60K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
119 |
114 |
$58K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,192 |
1,086 |
$57K |
| 94060 |
|
706 |
641 |
$55K |
| 76642 |
|
472 |
427 |
$54K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
392 |
361 |
$54K |
| 12001 |
|
322 |
300 |
$52K |
| 47562 |
|
22 |
14 |
$47K |
| 93971 |
|
647 |
601 |
$46K |
| 83735 |
|
19,677 |
15,349 |
$42K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
153 |
129 |
$41K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
80 |
77 |
$39K |
| 87522 |
Neg quan hep c or qual rna |
1,033 |
840 |
$39K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
618 |
468 |
$39K |
| 73030 |
|
1,261 |
1,112 |
$37K |
| 94618 |
|
449 |
409 |
$37K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
8,135 |
7,093 |
$36K |
| 82728 |
|
2,136 |
1,904 |
$34K |
| 93798 |
|
624 |
92 |
$34K |
| 73130 |
|
1,141 |
976 |
$34K |
| 97803 |
|
404 |
384 |
$32K |
| 86803 |
|
1,449 |
1,287 |
$31K |
| 27447 |
|
13 |
13 |
$31K |
| 76536 |
|
289 |
270 |
$29K |
| 71045 |
Radiologic examination, chest; single view |
14,433 |
12,740 |
$29K |
| 93970 |
|
235 |
216 |
$29K |
| 83540 |
|
2,953 |
2,675 |
$28K |
| 73630 |
|
1,253 |
1,112 |
$27K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
218 |
191 |
$27K |
| 73221 |
|
152 |
139 |
$27K |
| 73560 |
|
1,215 |
1,042 |
$27K |
| 72100 |
|
730 |
655 |
$27K |
| 74018 |
|
953 |
822 |
$26K |
| 93922 |
|
428 |
406 |
$26K |
| 43235 |
|
58 |
55 |
$25K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
1,171 |
1,081 |
$24K |
| 73564 |
|
369 |
344 |
$24K |
| 93017 |
|
322 |
288 |
$23K |
| 73110 |
|
952 |
793 |
$22K |
| 73610 |
|
1,182 |
1,009 |
$22K |
| 94729 |
|
710 |
646 |
$22K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
713 |
646 |
$21K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
492 |
442 |
$21K |
| 87077 |
|
3,367 |
2,928 |
$21K |
| 76830 |
Ultrasound, transvaginal |
585 |
508 |
$21K |
| 86038 |
|
788 |
709 |
$20K |
| 72131 |
|
620 |
554 |
$20K |
| 97165 |
|
434 |
389 |
$20K |
| 85610 |
|
6,068 |
4,611 |
$20K |
| 93880 |
|
264 |
244 |
$20K |
| 86850 |
|
1,218 |
977 |
$20K |
| 83550 |
|
2,348 |
2,120 |
$20K |
| 82746 |
|
2,054 |
1,857 |
$20K |
| 36592 |
|
762 |
335 |
$19K |
| 94726 |
|
564 |
518 |
$19K |
| 73502 |
|
711 |
636 |
$19K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
140 |
125 |
$19K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
962 |
840 |
$19K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,190 |
1,042 |
$18K |
| 83970 |
|
713 |
654 |
$18K |
| 52000 |
|
39 |
39 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
7,827 |
5,704 |
$18K |
| J3490 |
Unclassified drugs |
2,733 |
1,741 |
$18K |
| 70486 |
|
308 |
265 |
$17K |
| 97116 |
|
812 |
410 |
$17K |
| 82805 |
|
611 |
474 |
$17K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
192 |
173 |
$17K |
| 82570 |
|
1,960 |
1,757 |
$16K |
| 97162 |
|
337 |
312 |
$16K |
| 74174 |
|
297 |
249 |
$16K |
| 80069 |
|
999 |
805 |
$16K |
| 84702 |
|
1,221 |
903 |
$15K |
| 75574 |
|
60 |
55 |
$15K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,202 |
1,099 |
$14K |
| 80081 |
|
483 |
432 |
$14K |
| 70498 |
|
593 |
516 |
$14K |
| 72114 |
|
271 |
254 |
$14K |
| 86140 |
|
1,279 |
1,105 |
$14K |
| 93242 |
|
210 |
200 |
$12K |
| 84153 |
|
955 |
882 |
$12K |
| 27096 |
|
26 |
13 |
$12K |
| 86900 |
|
1,342 |
1,078 |
$12K |
| 87340 |
|
632 |
538 |
$12K |
| 73562 |
|
442 |
395 |
$12K |
| 97166 |
|
89 |
86 |
$11K |
| 70491 |
|
36 |
24 |
$11K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
637 |
569 |
$11K |
| 81015 |
|
22,080 |
19,395 |
$11K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,581 |
2,932 |
$11K |
| 12011 |
|
62 |
53 |
$11K |
| 73080 |
|
478 |
414 |
$11K |
| 87081 |
|
704 |
635 |
$10K |
| 80320 |
|
606 |
527 |
$10K |
| 36902 |
|
13 |
12 |
$10K |
| 78264 |
|
34 |
27 |
$9K |
| 84403 |
|
587 |
522 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
10,554 |
9,464 |
$9K |
| 29580 |
|
55 |
27 |
$9K |
| 72052 |
|
137 |
126 |
$9K |
| 72040 |
|
189 |
168 |
$8K |
| 87186 |
|
2,291 |
1,983 |
$8K |
| 83690 |
|
17,796 |
15,438 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13,462 |
8,694 |
$8K |
| 86317 |
|
247 |
192 |
$8K |
| 82784 |
|
621 |
546 |
$8K |
| 84402 |
|
373 |
329 |
$8K |
| 82565 |
|
1,002 |
874 |
$8K |
| 72128 |
|
410 |
361 |
$8K |
| 73140 |
|
278 |
235 |
$8K |
| 90715 |
|
521 |
456 |
$8K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
24,124 |
21,017 |
$7K |
| 81003 |
|
13,149 |
11,737 |
$7K |
| 82330 |
|
532 |
475 |
$7K |
| 84550 |
|
1,180 |
1,050 |
$7K |
| 82043 |
|
1,246 |
1,172 |
$7K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
18,331 |
14,538 |
$7K |
| 86592 |
|
563 |
504 |
$7K |
| C9290 |
Injection, bupivacaine liposome, 1 mg |
76 |
66 |
$7K |
| 93296 |
|
482 |
451 |
$7K |
| 84450 |
|
628 |
592 |
$7K |
| 80074 |
|
397 |
348 |
$7K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
1,167 |
869 |
$6K |
| J1756 |
Injection, iron sucrose, 1 mg |
513 |
198 |
$6K |
| 72072 |
|
166 |
150 |
$6K |
| 86431 |
|
387 |
345 |
$6K |
| 29581 |
|
40 |
24 |
$6K |
| 76775 |
|
82 |
76 |
$6K |
| 72141 |
|
40 |
39 |
$6K |
| 82948 |
|
5,676 |
2,845 |
$6K |
| 82150 |
|
631 |
581 |
$6K |
| 73590 |
|
336 |
294 |
$6K |
| 82950 |
|
391 |
370 |
$6K |
| 97802 |
|
56 |
56 |
$5K |
| 93225 |
|
43 |
41 |
$5K |
| 84460 |
|
765 |
712 |
$5K |
| 85652 |
|
1,333 |
1,157 |
$5K |
| 93298 |
|
752 |
661 |
$5K |
| 97016 |
|
240 |
69 |
$5K |
| 92523 |
|
61 |
55 |
$5K |
| 86364 |
|
253 |
233 |
$5K |
| 73522 |
|
129 |
121 |
$5K |
| 83880 |
|
1,613 |
1,389 |
$4K |
| 81025 |
|
13,636 |
11,979 |
$4K |
| 96376 |
|
2,918 |
1,500 |
$4K |
| 76870 |
|
45 |
40 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
305 |
250 |
$4K |
| 97533 |
|
66 |
41 |
$4K |
| 97535 |
Self-care/home management training, each 15 minutes |
211 |
136 |
$4K |
| 72050 |
|
64 |
61 |
$4K |
| 10060 |
|
27 |
24 |
$4K |
| 87205 |
|
974 |
797 |
$4K |
| 82105 |
|
233 |
183 |
$4K |
| 84425 |
|
316 |
285 |
$4K |
| 84436 |
|
1,300 |
1,111 |
$4K |
| 77062 |
|
111 |
97 |
$4K |
| 84156 |
|
863 |
726 |
$3K |
| 82248 |
|
359 |
294 |
$3K |
| 85018 |
|
1,501 |
1,202 |
$3K |
| 86480 |
|
71 |
50 |
$3K |
| 78227 |
|
16 |
14 |
$3K |
| 81596 |
|
23 |
15 |
$3K |
| 85014 |
|
810 |
661 |
$3K |
| 00840 |
|
113 |
73 |
$3K |
| 83921 |
|
322 |
278 |
$3K |
| 72110 |
|
60 |
55 |
$3K |
| 76937 |
|
216 |
171 |
$3K |
| 82550 |
|
743 |
591 |
$3K |
| 85730 |
|
3,116 |
2,441 |
$3K |
| 88142 |
|
170 |
161 |
$3K |
| 77066 |
Tomosynthesis, mammo |
211 |
186 |
$3K |
| 77334 |
|
15 |
12 |
$3K |
| 93246 |
|
42 |
38 |
$3K |
| 77080 |
|
39 |
38 |
$3K |
| 86708 |
|
138 |
111 |
$3K |
| 73620 |
|
59 |
53 |
$3K |
| 77336 |
|
22 |
12 |
$2K |
| 88307 |
|
19 |
13 |
$2K |
| 00731 |
|
608 |
532 |
$2K |
| 86231 |
|
110 |
104 |
$2K |
| 85009 |
|
590 |
424 |
$2K |
| 86704 |
|
116 |
88 |
$2K |
| 84100 |
|
905 |
568 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
25,504 |
19,672 |
$2K |
| 83615 |
|
422 |
330 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,362 |
3,932 |
$2K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
20 |
16 |
$2K |
| 86200 |
|
106 |
92 |
$2K |
| 97012 |
|
69 |
25 |
$2K |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
317 |
277 |
$2K |
| 73090 |
|
209 |
184 |
$2K |
| 84590 |
|
150 |
138 |
$2K |
| 84207 |
|
150 |
137 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
671 |
548 |
$2K |
| 82077 |
|
2,814 |
2,216 |
$2K |
| 83655 |
|
71 |
65 |
$2K |
| 87486 |
|
218 |
191 |
$2K |
| 77065 |
Tomosynthesis, mammo |
126 |
110 |
$2K |
| 87517 |
|
23 |
16 |
$1K |
| 83001 |
|
74 |
65 |
$1K |
| C1889 |
Implantable/insertable device, not otherwise classified |
886 |
744 |
$1K |
| 86003 |
|
57 |
27 |
$1K |
| 84703 |
|
454 |
377 |
$1K |
| 87040 |
|
1,547 |
953 |
$1K |
| 83525 |
|
53 |
50 |
$1K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
275 |
128 |
$1K |
| 86901 |
|
1,275 |
1,017 |
$1K |
| 83605 |
|
2,236 |
1,748 |
$1K |
| J2805 |
Injection, sincalide, 5 micrograms |
13 |
12 |
$1K |
| 84481 |
|
79 |
66 |
$1K |
| 88304 |
|
572 |
451 |
$1K |
| 88112 |
|
30 |
25 |
$1K |
| 80329 |
|
102 |
75 |
$1K |
| 88342 |
|
247 |
213 |
$995.54 |
| 84146 |
|
38 |
31 |
$969.08 |
| 88341 |
|
30 |
26 |
$911.23 |
| 71100 |
|
95 |
85 |
$893.03 |
| 80348 |
|
43 |
39 |
$875.97 |
| C9113 |
Injection, pantoprazole sodium, per vial |
686 |
349 |
$851.35 |
| 85379 |
|
985 |
853 |
$840.61 |
| 84112 |
|
46 |
38 |
$807.05 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
3,538 |
1,744 |
$789.81 |
| 82947 |
|
154 |
127 |
$778.45 |
| J1815 |
Injection, insulin, per 5 units |
449 |
219 |
$763.39 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
2,034 |
787 |
$730.46 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13,048 |
10,911 |
$725.40 |
| 72192 |
|
28 |
27 |
$692.84 |
| 80143 |
|
1,618 |
1,336 |
$680.19 |
| 82375 |
|
614 |
476 |
$670.22 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
62 |
40 |
$657.86 |
| 86235 |
|
39 |
25 |
$647.57 |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
289 |
240 |
$621.06 |
| J2704 |
Injection, propofol, 10 mg |
4,821 |
3,880 |
$607.36 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
1,428 |
1,223 |
$577.60 |
| 87147 |
|
200 |
173 |
$574.90 |
| 86762 |
|
41 |
40 |
$563.82 |
| 86707 |
|
24 |
17 |
$542.97 |
| 93299 |
|
36 |
26 |
$540.43 |
| 84132 |
|
475 |
332 |
$535.08 |
| 86334 |
|
18 |
14 |
$514.44 |
| 87581 |
|
219 |
192 |
$506.21 |
| 93926 |
|
15 |
15 |
$489.76 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,038 |
1,393 |
$487.86 |
| J1644 |
Injection, heparin sodium, per 1000 units |
4,379 |
2,131 |
$479.83 |
| 83993 |
|
30 |
27 |
$473.85 |
| 87807 |
|
728 |
662 |
$471.72 |
| 80354 |
|
60 |
53 |
$470.15 |
| J1335 |
Injection, ertapenem sodium, 500 mg |
27 |
12 |
$466.64 |
| 72070 |
|
13 |
12 |
$448.86 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
5,354 |
3,451 |
$440.06 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
18,578 |
14,344 |
$425.08 |
| 80362 |
|
34 |
33 |
$419.18 |
| 96368 |
|
335 |
234 |
$417.70 |
| 84155 |
|
50 |
38 |
$399.09 |
| 84165 |
|
33 |
25 |
$396.76 |
| 80179 |
|
1,611 |
1,331 |
$375.72 |
| 84144 |
|
12 |
12 |
$374.70 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
1,191 |
603 |
$372.30 |
| 80324 |
|
18 |
13 |
$371.40 |
| 72202 |
|
15 |
12 |
$344.56 |
| 82140 |
|
273 |
185 |
$341.54 |
| J1453 |
Injection, fosaprepitant, 1 mg |
29 |
13 |
$335.76 |
| 83050 |
|
610 |
474 |
$330.24 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
8,376 |
5,702 |
$329.07 |
| 87350 |
|
22 |
15 |
$323.35 |
| 80361 |
|
33 |
28 |
$312.36 |
| 87210 |
|
637 |
525 |
$300.16 |
| 84134 |
|
34 |
29 |
$285.96 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
356 |
318 |
$279.01 |
| 83002 |
|
25 |
24 |
$277.30 |
| 87324 |
|
15 |
15 |
$248.94 |
| C1769 |
Guide wire |
1,000 |
798 |
$244.17 |
| 77061 |
|
18 |
13 |
$240.54 |
| 80365 |
|
31 |
26 |
$240.18 |
| C1893 |
Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away |
791 |
578 |
$238.73 |
| 84520 |
|
54 |
52 |
$233.34 |
| 86376 |
|
13 |
12 |
$227.26 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
585 |
498 |
$226.37 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
889 |
532 |
$221.00 |
| 86706 |
|
16 |
13 |
$198.93 |
| 80353 |
|
17 |
12 |
$185.70 |
| 80349 |
|
15 |
14 |
$185.25 |
| 81001 |
|
1,757 |
1,449 |
$176.20 |
| J0689 |
Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg |
1,559 |
1,091 |
$169.19 |
| 85045 |
|
30 |
27 |
$160.19 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
869 |
612 |
$153.70 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
24 |
13 |
$142.14 |
| 87449 |
|
15 |
15 |
$141.41 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
4,446 |
3,606 |
$140.04 |
| 86160 |
|
12 |
12 |
$136.32 |
| 84145 |
|
35 |
28 |
$131.76 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
2,110 |
1,817 |
$127.87 |
| 86618 |
|
15 |
15 |
$123.18 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,759 |
3,525 |
$116.99 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
804 |
536 |
$99.52 |
| J7050 |
Infusion, normal saline solution, 250 cc |
6,463 |
2,478 |
$91.47 |
| 82010 |
|
164 |
124 |
$87.99 |
| 93288 |
|
15 |
14 |
$85.07 |
| J2060 |
Injection, lorazepam, 2 mg |
596 |
411 |
$84.73 |
| A9270 |
Non-covered item or service |
1,110 |
437 |
$84.07 |
| 29125 |
|
181 |
160 |
$69.62 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,188 |
792 |
$69.47 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
6,167 |
5,086 |
$69.26 |
| 94760 |
|
996 |
608 |
$62.90 |
| 80164 |
|
13 |
12 |
$62.46 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
141 |
92 |
$62.03 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
1,584 |
697 |
$61.12 |
| 82977 |
|
16 |
13 |
$54.93 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
758 |
554 |
$54.60 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
394 |
293 |
$49.19 |
| 86308 |
|
30 |
26 |
$42.00 |
| J3480 |
Injection, potassium chloride, per 2 meq |
505 |
280 |
$40.21 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
199 |
156 |
$36.65 |
| 73552 |
|
15 |
12 |
$35.35 |
| Q0177 |
Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
516 |
325 |
$34.72 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
141 |
68 |
$34.41 |
| C1725 |
Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) |
637 |
494 |
$31.50 |
| J1940 |
Injection, furosemide, up to 20 mg |
252 |
114 |
$29.10 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
2,020 |
1,678 |
$27.75 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
917 |
665 |
$27.47 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
576 |
503 |
$25.77 |
| J2785 |
Injection, regadenoson, 0.1 mg |
79 |
70 |
$23.75 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
8,209 |
6,982 |
$23.01 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
221 |
170 |
$22.86 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
1,119 |
808 |
$22.70 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
39 |
27 |
$21.15 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
470 |
357 |
$15.82 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
97 |
58 |
$13.51 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
189 |
145 |
$11.87 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
430 |
343 |
$11.73 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
145 |
112 |
$9.77 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
229 |
168 |
$9.69 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
80 |
68 |
$8.84 |
| 85347 |
|
27 |
13 |
$8.31 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
39 |
27 |
$8.05 |
| J1630 |
Injection, haloperidol, up to 5 mg |
338 |
254 |
$5.90 |
| J1956 |
Injection, levofloxacin, 250 mg |
89 |
52 |
$3.33 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
242 |
184 |
$3.13 |
| Q0163 |
Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen |
124 |
97 |
$2.67 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
514 |
330 |
$2.04 |
| 99152 |
|
544 |
495 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
2,244 |
1,970 |
$0.00 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
754 |
674 |
$0.00 |
| 00811 |
|
378 |
328 |
$0.00 |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
135 |
131 |
$0.00 |
| J0134 |
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
263 |
246 |
$0.00 |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
130 |
112 |
$0.00 |
| C1776 |
Joint device (implantable) |
48 |
41 |
$0.00 |
| 01844 |
|
17 |
12 |
$0.00 |
| A9541 |
Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries |
49 |
41 |
$0.00 |
| 01402 |
|
27 |
25 |
$0.00 |
| 76942 |
|
14 |
12 |
$0.00 |
| A9537 |
Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries |
18 |
16 |
$0.00 |
| 96417 |
|
31 |
12 |
$0.00 |
| 29515 |
|
13 |
13 |
$0.00 |
| 00126 |
|
80 |
69 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
66 |
51 |
$0.00 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
157 |
133 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
172 |
161 |
$0.00 |
| 00790 |
|
98 |
72 |
$0.00 |
| 91035 |
|
16 |
14 |
$0.00 |
| 76998 |
|
14 |
14 |
$0.00 |
| J1720 |
Injection, hydrocortisone sodium succinate, up to 100 mg |
19 |
12 |
$0.00 |
| C1781 |
Mesh (implantable) |
16 |
13 |
$0.00 |