| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
54,544 |
50,408 |
$20.93M |
| G0378 |
Hospital observation service, per hour |
8,349 |
5,964 |
$8.94M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,865 |
9,418 |
$6.53M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
2,644 |
2,597 |
$2.73M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
9,782 |
9,567 |
$2.57M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
9,238 |
9,060 |
$1.94M |
| 0450 |
Emergency room services |
30,029 |
27,663 |
$1.24M |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
7,148 |
7,012 |
$1.22M |
| 70450 |
Computed tomography, head or brain; without contrast material |
11,720 |
11,364 |
$1.05M |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
9,461 |
9,458 |
$989K |
| 71046 |
Radiologic examination, chest; 2 views |
16,572 |
16,123 |
$841K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,061 |
1,037 |
$841K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
551 |
522 |
$806K |
| 0002A |
|
17,467 |
17,467 |
$687K |
| 71045 |
Radiologic examination, chest; single view |
13,263 |
12,412 |
$665K |
| 0001A |
|
18,181 |
18,181 |
$582K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,910 |
1,896 |
$572K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
7,072 |
6,964 |
$563K |
| 84443 |
Thyroid stimulating hormone (TSH) |
36,190 |
35,543 |
$499K |
| 93971 |
|
2,120 |
1,983 |
$498K |
| 80051 |
|
109,450 |
92,161 |
$470K |
| 82565 |
|
128,706 |
110,001 |
$468K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
2,330 |
2,300 |
$461K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
5,601 |
5,535 |
$457K |
| 86900 |
|
8,966 |
8,355 |
$456K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
54,772 |
53,901 |
$452K |
| 77080 |
|
4,768 |
4,755 |
$451K |
| 86885 |
|
6,418 |
6,055 |
$421K |
| 76830 |
Ultrasound, transvaginal |
5,020 |
4,964 |
$416K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
2,598 |
2,583 |
$401K |
| 80061 |
Lipid panel |
34,279 |
33,982 |
$399K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
464 |
463 |
$381K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
87,316 |
73,611 |
$380K |
| 84460 |
|
84,039 |
76,776 |
$339K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
10,860 |
10,522 |
$334K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,717 |
1,705 |
$320K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12,529 |
12,403 |
$318K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,528 |
1,462 |
$310K |
| 94060 |
|
1,034 |
1,032 |
$301K |
| 72100 |
|
3,425 |
3,400 |
$284K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
177 |
170 |
$272K |
| 73630 |
|
4,951 |
4,751 |
$269K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
9,565 |
9,210 |
$264K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
9,559 |
9,201 |
$264K |
| 73562 |
|
4,562 |
4,276 |
$254K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
17,472 |
16,283 |
$251K |
| 85027 |
|
53,358 |
51,044 |
$239K |
| 74183 |
|
743 |
738 |
$235K |
| 83970 |
|
6,021 |
5,897 |
$232K |
| 76641 |
|
2,682 |
2,542 |
$230K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
5,885 |
5,077 |
$221K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
294 |
293 |
$220K |
| 73030 |
|
3,887 |
3,715 |
$219K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,377 |
2,342 |
$214K |
| 73610 |
|
4,030 |
3,857 |
$205K |
| 71250 |
|
1,521 |
1,515 |
$194K |
| 76770 |
|
2,338 |
2,321 |
$193K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
8,890 |
8,809 |
$192K |
| 82247 |
|
52,367 |
45,640 |
$182K |
| 84075 |
|
50,095 |
44,148 |
$180K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
770 |
764 |
$172K |
| 84450 |
|
45,360 |
40,713 |
$165K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
11,144 |
10,195 |
$161K |
| 76536 |
|
1,746 |
1,729 |
$150K |
| 82728 |
|
12,531 |
12,167 |
$149K |
| 73130 |
|
2,686 |
2,550 |
$146K |
| 83880 |
|
9,964 |
9,230 |
$142K |
| 84702 |
|
12,192 |
10,774 |
$142K |
| 86901 |
|
8,977 |
8,366 |
$140K |
| 84520 |
|
72,898 |
59,590 |
$139K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
4,504 |
4,224 |
$134K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
2,320 |
2,289 |
$133K |
| 86780 |
|
10,694 |
10,572 |
$130K |
| 82947 |
|
66,720 |
59,688 |
$129K |
| 93970 |
|
329 |
327 |
$128K |
| 94726 |
|
649 |
646 |
$128K |
| 87505 |
|
1,223 |
1,206 |
$126K |
| 77065 |
Tomosynthesis, mammo |
1,489 |
1,446 |
$125K |
| 87088 |
|
26,364 |
25,160 |
$117K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
10,713 |
10,326 |
$116K |
| 74018 |
|
2,130 |
2,069 |
$111K |
| 73502 |
|
1,894 |
1,802 |
$108K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
135 |
133 |
$107K |
| 85610 |
|
43,112 |
33,468 |
$107K |
| 73110 |
|
2,148 |
2,070 |
$104K |
| 82310 |
|
31,453 |
28,638 |
$104K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,110 |
1,096 |
$103K |
| 62323 |
|
389 |
386 |
$101K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
979 |
966 |
$101K |
| 82607 |
|
7,630 |
7,549 |
$100K |
| 94729 |
|
620 |
618 |
$100K |
| 99199 |
Unlisted special service, procedure or report |
3,612 |
3,427 |
$99K |
| 86141 |
|
8,765 |
7,822 |
$97K |
| 70486 |
|
978 |
972 |
$97K |
| 81003 |
|
60,209 |
56,397 |
$93K |
| 82043 |
|
17,143 |
16,894 |
$91K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
251 |
237 |
$91K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,147 |
1,145 |
$89K |
| 86803 |
|
6,808 |
6,734 |
$87K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
114 |
111 |
$86K |
| 83550 |
|
11,496 |
11,301 |
$85K |
| 81513 |
|
1,085 |
1,060 |
$84K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
7,718 |
7,100 |
$84K |
| 73140 |
|
1,831 |
1,792 |
$81K |
| 72141 |
|
460 |
457 |
$80K |
| 83690 |
|
23,598 |
22,151 |
$78K |
| 83735 |
|
23,173 |
18,703 |
$73K |
| 76642 |
|
969 |
943 |
$73K |
| 83520 |
|
3,975 |
2,352 |
$66K |
| 76801 |
|
1,045 |
983 |
$65K |
| 87340 |
|
7,446 |
7,365 |
$65K |
| 86480 |
|
1,187 |
1,176 |
$64K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,986 |
2,144 |
$63K |
| 83540 |
|
11,584 |
11,396 |
$61K |
| 70491 |
|
466 |
462 |
$58K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
3,407 |
3,235 |
$57K |
| 71101 |
|
783 |
768 |
$57K |
| 84484 |
|
18,614 |
13,824 |
$56K |
| 84153 |
|
3,441 |
3,364 |
$54K |
| 73080 |
|
1,125 |
1,086 |
$54K |
| 82746 |
|
4,198 |
4,154 |
$53K |
| 84439 |
|
6,725 |
6,508 |
$53K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
549 |
543 |
$53K |
| 82040 |
|
15,092 |
14,304 |
$53K |
| 73564 |
|
615 |
593 |
$51K |
| 0637 |
|
89,966 |
29,863 |
$51K |
| 76870 |
|
653 |
644 |
$50K |
| 76881 |
|
501 |
494 |
$49K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
23,834 |
19,365 |
$49K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
193 |
193 |
$46K |
| 83721 |
|
5,146 |
5,125 |
$46K |
| 72040 |
|
886 |
881 |
$45K |
| 82105 |
|
3,040 |
2,987 |
$45K |
| 73590 |
|
1,028 |
965 |
$45K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
629 |
605 |
$43K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,084 |
1,058 |
$42K |
| 87481 |
|
1,162 |
1,137 |
$42K |
| 82248 |
|
15,824 |
14,531 |
$41K |
| 93880 |
|
58 |
58 |
$41K |
| 72050 |
|
406 |
406 |
$40K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,395 |
2,255 |
$39K |
| 84403 |
|
1,645 |
1,605 |
$38K |
| 90686 |
|
3,265 |
3,232 |
$37K |
| 84100 |
|
14,311 |
12,556 |
$35K |
| 84165 |
|
3,061 |
2,951 |
$33K |
| 70496 |
|
135 |
133 |
$33K |
| 82570 |
|
6,688 |
6,137 |
$32K |
| 72197 |
|
63 |
63 |
$30K |
| 82378 |
|
1,626 |
1,337 |
$30K |
| 70498 |
|
131 |
129 |
$30K |
| 85379 |
|
5,390 |
4,636 |
$30K |
| 86317 |
|
2,283 |
2,250 |
$30K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
10,396 |
8,798 |
$29K |
| 86003 |
|
813 |
699 |
$29K |
| 83655 |
|
3,250 |
3,232 |
$27K |
| 83718 |
|
4,055 |
4,044 |
$27K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,855 |
3,712 |
$27K |
| 86762 |
|
2,231 |
2,209 |
$27K |
| 87040 |
|
9,737 |
5,203 |
$27K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
2,036 |
1,382 |
$26K |
| 83001 |
|
1,461 |
1,445 |
$25K |
| 86787 |
|
2,377 |
2,353 |
$25K |
| 83615 |
|
4,942 |
4,026 |
$25K |
| 77066 |
Tomosynthesis, mammo |
199 |
199 |
$25K |
| Z7502 |
|
867 |
830 |
$24K |
| 80076 |
|
2,983 |
2,836 |
$23K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
12,312 |
10,953 |
$23K |
| 84146 |
|
1,284 |
1,271 |
$22K |
| 86704 |
|
2,068 |
2,047 |
$21K |
| 73090 |
|
549 |
520 |
$21K |
| 74170 |
|
125 |
125 |
$20K |
| 84156 |
|
5,911 |
5,471 |
$20K |
| 86038 |
|
1,928 |
1,910 |
$19K |
| 83605 |
|
6,002 |
4,722 |
$18K |
| 73660 |
|
434 |
424 |
$18K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
523 |
518 |
$17K |
| 85652 |
|
9,418 |
9,058 |
$17K |
| 72131 |
|
200 |
194 |
$17K |
| 82784 |
|
920 |
876 |
$17K |
| 72070 |
|
246 |
245 |
$17K |
| 86923 |
|
236 |
202 |
$16K |
| 88342 |
|
230 |
224 |
$15K |
| 82465 |
|
4,518 |
4,502 |
$15K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
5,483 |
4,260 |
$15K |
| 84480 |
|
1,268 |
1,246 |
$15K |
| 87210 |
|
4,615 |
4,494 |
$15K |
| 85730 |
|
3,762 |
3,508 |
$15K |
| 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 |
878 |
865 |
$14K |
| 84132 |
|
3,991 |
3,758 |
$14K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,466 |
3,058 |
$14K |
| 84550 |
|
4,278 |
4,116 |
$13K |
| 87449 |
|
1,999 |
1,467 |
$13K |
| 83021 |
|
1,018 |
1,007 |
$13K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
5,632 |
4,799 |
$13K |
| 84270 |
|
633 |
627 |
$13K |
| 82550 |
|
4,233 |
3,968 |
$13K |
| 82077 |
|
2,206 |
1,949 |
$13K |
| 80197 |
|
1,046 |
795 |
$12K |
| 74178 |
|
124 |
124 |
$12K |
| 76380 |
|
295 |
295 |
$12K |
| 82670 |
|
416 |
407 |
$12K |
| P9021 |
Red blood cells, each unit |
332 |
270 |
$11K |
| J0248 |
Injection, remdesivir, 1 mg |
77 |
35 |
$11K |
| 0250 |
|
9,714 |
5,748 |
$11K |
| 82950 |
|
2,707 |
2,695 |
$11K |
| 85014 |
|
5,708 |
5,563 |
$10K |
| 86765 |
|
840 |
835 |
$10K |
| 80306 |
|
1,476 |
1,426 |
$9K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
133 |
132 |
$9K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,252 |
1,219 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
977 |
948 |
$9K |
| 73221 |
|
83 |
77 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
446 |
434 |
$9K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
3,289 |
2,684 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
488 |
485 |
$9K |
| 82677 |
|
497 |
496 |
$9K |
| 87186 |
|
2,379 |
2,336 |
$8K |
| 73060 |
|
150 |
145 |
$8K |
| 88341 |
|
44 |
43 |
$8K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
484 |
476 |
$8K |
| 84295 |
|
1,838 |
1,750 |
$7K |
| G0008 |
Administration of influenza virus vaccine |
1,707 |
1,699 |
$7K |
| 80179 |
|
1,298 |
1,227 |
$7K |
| 97161 |
|
1,187 |
1,149 |
$7K |
| 87324 |
|
904 |
888 |
$7K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
253 |
246 |
$7K |
| 85018 |
|
3,207 |
3,150 |
$7K |
| 70544 |
|
51 |
51 |
$7K |
| 82627 |
|
276 |
273 |
$7K |
| 86334 |
|
268 |
265 |
$7K |
| 0710 |
|
669 |
662 |
$7K |
| J3490 |
Unclassified drugs |
4,997 |
3,869 |
$6K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,724 |
3,659 |
$6K |
| 87497 |
|
147 |
106 |
$6K |
| 73552 |
|
141 |
135 |
$6K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
187 |
187 |
$6K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
2,968 |
2,749 |
$6K |
| 78306 |
|
49 |
49 |
$6K |
| 86336 |
|
498 |
497 |
$5K |
| 82951 |
|
396 |
394 |
$5K |
| 81015 |
|
1,545 |
1,497 |
$5K |
| 87081 |
|
2,777 |
2,725 |
$5K |
| 84163 |
|
460 |
459 |
$5K |
| 86431 |
|
1,062 |
1,053 |
$5K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,743 |
1,573 |
$5K |
| A9609 |
Fludeoxyglucose f18 up to 15 millicuries |
58 |
58 |
$5K |
| 81329 |
|
58 |
58 |
$4K |
| 0258 |
|
3,376 |
2,940 |
$4K |
| 80164 |
|
507 |
469 |
$4K |
| 90715 |
|
190 |
190 |
$4K |
| J1815 |
Injection, insulin, per 5 units |
4,024 |
1,798 |
$4K |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
1,473 |
1,343 |
$4K |
| 87205 |
|
1,938 |
1,719 |
$4K |
| 90662 |
|
359 |
357 |
$4K |
| 86225 |
|
377 |
372 |
$4K |
| 83002 |
|
280 |
278 |
$4K |
| C1769 |
Guide wire |
115 |
107 |
$4K |
| 86304 |
|
310 |
285 |
$4K |
| 90656 |
|
391 |
389 |
$4K |
| 73560 |
|
221 |
195 |
$4K |
| 86677 |
|
621 |
609 |
$4K |
| 86335 |
|
155 |
154 |
$4K |
| 86364 |
|
285 |
284 |
$3K |
| J2060 |
Injection, lorazepam, 2 mg |
1,638 |
1,430 |
$3K |
| 82962 |
|
3,168 |
1,983 |
$3K |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
2,432 |
1,430 |
$3K |
| 86708 |
|
315 |
312 |
$3K |
| 85046 |
|
914 |
874 |
$3K |
| 90674 |
|
231 |
228 |
$3K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,885 |
1,772 |
$3K |
| 82533 |
|
233 |
229 |
$3K |
| 86160 |
|
223 |
215 |
$3K |
| 0370 |
|
1,275 |
1,251 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
105 |
55 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
50 |
50 |
$3K |
| 96367 |
|
249 |
243 |
$3K |
| 86665 |
|
229 |
113 |
$3K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,937 |
2,900 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
556 |
522 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
844 |
416 |
$2K |
| 72170 |
|
135 |
135 |
$2K |
| 94010 |
|
15 |
15 |
$2K |
| 82805 |
|
116 |
103 |
$2K |
| 88307 |
|
50 |
39 |
$2K |
| J1940 |
Injection, furosemide, up to 20 mg |
2,409 |
1,205 |
$2K |
| 87631 |
|
106 |
106 |
$2K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
834 |
727 |
$2K |
| 73700 |
|
42 |
42 |
$2K |
| 0031A |
|
42 |
42 |
$2K |
| 82952 |
|
382 |
381 |
$2K |
| J1644 |
Injection, heparin sodium, per 1000 units |
2,380 |
1,183 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
521 |
520 |
$2K |
| 86735 |
|
148 |
148 |
$2K |
| 83993 |
|
65 |
65 |
$1K |
| 87070 |
|
392 |
344 |
$1K |
| 84155 |
|
455 |
432 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
48 |
48 |
$1K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
119 |
116 |
$1K |
| 87517 |
|
40 |
40 |
$1K |
| 86664 |
|
116 |
113 |
$1K |
| 86709 |
|
200 |
199 |
$1K |
| 72220 |
|
13 |
13 |
$1K |
| 84134 |
|
338 |
319 |
$993.18 |
| 87536 |
|
155 |
151 |
$976.15 |
| 92610 |
|
57 |
56 |
$945.63 |
| 84145 |
|
240 |
233 |
$851.90 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
644 |
542 |
$834.88 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
270 |
146 |
$787.97 |
| 87522 |
Neg quan hep c or qual rna |
89 |
87 |
$777.51 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
130 |
114 |
$688.14 |
| 82140 |
|
135 |
124 |
$686.85 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
808 |
737 |
$682.63 |
| 90688 |
|
60 |
58 |
$650.41 |
| 29125 |
|
60 |
58 |
$645.68 |
| 82150 |
|
158 |
154 |
$552.40 |
| 74022 |
|
123 |
121 |
$551.84 |
| 82977 |
|
160 |
159 |
$546.00 |
| J3480 |
Injection, potassium chloride, per 2 meq |
646 |
409 |
$523.97 |
| 80359 |
|
141 |
132 |
$516.90 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
218 |
134 |
$486.39 |
| 86360 |
|
274 |
267 |
$476.04 |
| 86308 |
|
154 |
153 |
$457.15 |
| 86769 |
|
14 |
14 |
$443.13 |
| 83010 |
|
38 |
37 |
$437.00 |
| 12001 |
|
63 |
62 |
$425.49 |
| 82024 |
|
12 |
12 |
$425.00 |
| 80324 |
|
141 |
132 |
$422.84 |
| 80053 |
Comprehensive metabolic panel |
43 |
27 |
$412.00 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
116 |
116 |
$389.30 |
| 90749 |
|
94 |
94 |
$385.37 |
| 86359 |
|
274 |
267 |
$376.98 |
| 88304 |
|
156 |
132 |
$368.20 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
15 |
15 |
$341.41 |
| A9503 |
Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries |
41 |
41 |
$334.58 |
| 3044F |
|
2,735 |
2,729 |
$325.20 |
| 0255 |
|
81 |
56 |
$310.65 |
| 97116 |
|
164 |
147 |
$304.29 |
| 86140 |
|
2,129 |
1,987 |
$295.79 |
| 80329 |
|
185 |
91 |
$294.95 |
| J1836 |
Injection, metronidazole, 10 mg |
157 |
79 |
$281.42 |
| 82390 |
|
39 |
38 |
$272.53 |
| 86301 |
|
102 |
74 |
$269.00 |
| 83529 |
|
17 |
17 |
$268.04 |
| 86256 |
|
79 |
75 |
$259.81 |
| 86696 |
|
13 |
13 |
$254.20 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
338 |
259 |
$250.99 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
128 |
127 |
$239.16 |
| 82272 |
|
124 |
122 |
$231.46 |
| 85045 |
|
70 |
65 |
$227.47 |
| 83930 |
|
92 |
87 |
$220.82 |
| 82274 |
|
47 |
47 |
$215.60 |
| J0456 |
Injection, azithromycin, 500 mg |
321 |
196 |
$209.81 |
| 83935 |
|
98 |
93 |
$198.88 |
| J3371 |
Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg |
23 |
13 |
$193.68 |
| 80320 |
|
281 |
235 |
$184.79 |
| 86695 |
|
13 |
13 |
$178.72 |
| 0272 |
|
154 |
151 |
$178.14 |
| 89051 |
|
155 |
121 |
$171.50 |
| 10060 |
|
13 |
13 |
$160.29 |
| 87184 |
|
39 |
38 |
$128.02 |
| J1953 |
Injection, levetiracetam, 10 mg |
15 |
12 |
$118.11 |
| 73100 |
|
86 |
84 |
$114.65 |
| 0320 |
|
14 |
14 |
$110.07 |
| 85384 |
|
14 |
14 |
$90.00 |
| 97162 |
|
12 |
12 |
$88.23 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
83 |
66 |
$69.04 |
| 82340 |
|
12 |
12 |
$68.91 |
| 76706 |
|
18 |
18 |
$61.52 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
25 |
24 |
$58.86 |
| 85049 |
|
13 |
13 |
$48.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
13 |
12 |
$43.93 |
| 87045 |
|
74 |
73 |
$42.37 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
602 |
462 |
$41.76 |
| C9113 |
Injection, pantoprazole sodium, per vial |
137 |
68 |
$40.76 |
| 87185 |
|
37 |
37 |
$31.37 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
62 |
33 |
$29.26 |
| 87149 |
|
26 |
26 |
$29.23 |
| 87046 |
|
51 |
51 |
$21.92 |
| 86235 |
|
16 |
13 |
$20.00 |
| 12011 |
|
14 |
14 |
$18.00 |
| 82945 |
|
25 |
24 |
$9.87 |
| 80162 |
|
125 |
117 |
$9.54 |
| 80185 |
|
12 |
12 |
$9.50 |
| 84157 |
|
13 |
13 |
$8.97 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
65 |
65 |
$8.96 |
| J7510 |
Prednisolone oral, per 5 mg |
29 |
29 |
$0.22 |
| 3052F |
|
167 |
167 |
$0.03 |
| 3051F |
|
317 |
316 |
$0.02 |
| V2632 |
Posterior chamber intraocular lens |
213 |
207 |
$0.00 |
| 80178 |
|
41 |
40 |
$0.00 |
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
1,137 |
83 |
$0.00 |
| 3074F |
|
126 |
123 |
$0.00 |
| 86300 |
|
64 |
61 |
$0.00 |
| 72146 |
|
39 |
39 |
$0.00 |
| G0156 |
Services of home health/hospice aide in home health or hospice settings, each 15 minutes |
796 |
51 |
$0.00 |
| G0155 |
Services of clinical social worker in home health or hospice settings, each 15 minutes |
902 |
95 |
$0.00 |
| 82985 |
|
24 |
24 |
$0.00 |
| G0151 |
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
356 |
83 |
$0.00 |
| 86376 |
|
12 |
12 |
$0.00 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
14 |
13 |
$0.00 |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
949 |
128 |
$0.00 |
| 72158 |
|
13 |
13 |
$0.00 |
| 74181 |
|
28 |
28 |
$0.00 |
| 70543 |
|
12 |
12 |
$0.00 |
| 3046F |
|
328 |
323 |
$0.00 |
| 86039 |
|
110 |
109 |
$0.00 |
| 3078F |
|
87 |
84 |
$0.00 |
| 73070 |
|
13 |
12 |
$0.00 |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
231 |
223 |
$0.00 |
| 87338 |
|
16 |
16 |
$0.00 |
| 74220 |
|
13 |
13 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
12 |
12 |
$0.00 |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
57 |
56 |
$0.00 |
| G0162 |
Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting) |
68 |
12 |
$0.00 |
| 87799 |
|
13 |
12 |
$0.00 |