| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9005 |
Coordinated care fee, risk adjusted maintenance |
62,760 |
62,739 |
$16.30M |
| 90791 |
Psychiatric diagnostic evaluation |
20,722 |
17,990 |
$10.87M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
72,151 |
59,418 |
$8.52M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
104,844 |
97,112 |
$7.38M |
| 90834 |
Psychotherapy, 45 minutes with patient |
50,195 |
28,976 |
$6.94M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55,091 |
51,504 |
$5.40M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
26,702 |
24,764 |
$3.64M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
28,745 |
27,162 |
$3.35M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
18,718 |
17,700 |
$2.46M |
| G0378 |
Hospital observation service, per hour |
10,118 |
5,134 |
$2.27M |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
3,459 |
3,204 |
$2.24M |
| D0999 |
Unspecified diagnostic procedure, by report |
16,771 |
15,190 |
$2.16M |
| 90832 |
Psychotherapy, 30 minutes with patient |
18,419 |
11,469 |
$2.01M |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,203 |
6,001 |
$1.72M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,785 |
5,677 |
$1.71M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
7,859 |
7,090 |
$1.69M |
| 93458 |
|
979 |
977 |
$1.38M |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
4,602 |
1,906 |
$1.36M |
| 80053 |
Comprehensive metabolic panel |
58,578 |
53,251 |
$1.33M |
| H2016 |
Comprehensive community support services, per diem |
1,842 |
1,690 |
$1.27M |
| 36415 |
Collection of venous blood by venipuncture |
137,561 |
78,850 |
$1.20M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
8,802 |
8,144 |
$1.18M |
| 59025 |
Fetal non-stress test |
5,380 |
3,268 |
$1.03M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,671 |
8,880 |
$960K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
6,361 |
5,987 |
$900K |
| H0044 |
Supported housing, per month |
198 |
198 |
$870K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,259 |
9,214 |
$868K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,473 |
9,449 |
$854K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,614 |
1,594 |
$839K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
2,151 |
2,128 |
$683K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,180 |
2,140 |
$654K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
17,751 |
17,332 |
$652K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,517 |
5,509 |
$523K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,739 |
4,720 |
$521K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
10,016 |
9,727 |
$506K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
16,181 |
14,453 |
$495K |
| 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 |
6,890 |
6,730 |
$494K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
353 |
353 |
$470K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
351 |
350 |
$454K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
2,730 |
2,548 |
$435K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,225 |
1,225 |
$402K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,301 |
2,749 |
$399K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,350 |
3,339 |
$369K |
| H2018 |
Psychosocial rehabilitation services, per diem |
696 |
696 |
$364K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
17,285 |
14,970 |
$355K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
17,754 |
17,338 |
$344K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
1,561 |
1,559 |
$338K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19,761 |
19,626 |
$322K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
5,974 |
5,457 |
$313K |
| 47562 |
|
143 |
143 |
$307K |
| H0037 |
Community psychiatric supportive treatment program, per diem |
241 |
238 |
$282K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
445 |
442 |
$278K |
| 86850 |
|
9,649 |
9,319 |
$270K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
4,319 |
2,041 |
$268K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,012 |
1,704 |
$268K |
| 99215 |
Prolong outpt/office vis |
2,659 |
2,440 |
$254K |
| D0120 |
Periodic oral evaluation - established patient |
10,863 |
7,630 |
$211K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
983 |
751 |
$194K |
| 93975 |
|
487 |
448 |
$188K |
| 80061 |
Lipid panel |
12,894 |
12,835 |
$184K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
179 |
159 |
$183K |
| 90686 |
|
12,187 |
12,165 |
$175K |
| 86901 |
|
9,727 |
9,424 |
$175K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,642 |
1,212 |
$173K |
| 76801 |
|
1,526 |
1,413 |
$162K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
4,402 |
4,334 |
$156K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,782 |
1,577 |
$155K |
| 83880 |
|
5,337 |
5,125 |
$154K |
| D9999 |
Unspecified adjunctive procedure, by report |
1,148 |
1,067 |
$153K |
| 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 |
6,608 |
6,444 |
$153K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
11,763 |
10,239 |
$152K |
| H2011 |
Crisis intervention service, per 15 minutes |
575 |
470 |
$148K |
| 87631 |
|
2,771 |
2,749 |
$143K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
4,209 |
4,087 |
$142K |
| 86900 |
|
9,758 |
9,460 |
$142K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
210 |
210 |
$139K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
4,583 |
4,555 |
$139K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,276 |
2,238 |
$131K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
1,195 |
929 |
$126K |
| 90715 |
|
5,716 |
5,712 |
$126K |
| 93970 |
|
235 |
231 |
$119K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,272 |
802 |
$119K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,175 |
1,103 |
$113K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
689 |
687 |
$113K |
| G9001 |
Coordinated care fee, initial rate |
1,519 |
1,519 |
$112K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,130 |
3,094 |
$110K |
| 88142 |
|
3,843 |
3,835 |
$110K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,273 |
1,146 |
$109K |
| 97161 |
|
1,371 |
1,361 |
$108K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,520 |
2,500 |
$105K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,755 |
949 |
$104K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
889 |
887 |
$102K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,062 |
936 |
$101K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
842 |
842 |
$100K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
3,708 |
3,701 |
$97K |
| 86480 |
|
1,480 |
1,474 |
$97K |
| 12001 |
|
241 |
239 |
$94K |
| S9485 |
Crisis intervention mental health services, per diem |
79 |
73 |
$90K |
| 93971 |
|
1,447 |
1,420 |
$89K |
| 76770 |
|
146 |
144 |
$75K |
| 88342 |
|
1,687 |
1,677 |
$72K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
752 |
718 |
$71K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
569 |
566 |
$69K |
| H0046 |
Mental health services, not otherwise specified |
206 |
206 |
$68K |
| 83655 |
|
5,065 |
4,930 |
$67K |
| 76830 |
Ultrasound, transvaginal |
1,332 |
1,309 |
$66K |
| 90837 |
Psychotherapy, 53 minutes with patient |
443 |
255 |
$65K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,764 |
1,737 |
$63K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
116 |
116 |
$63K |
| D0140 |
Limited oral evaluation - problem focused |
3,524 |
2,923 |
$57K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
28,654 |
24,751 |
$57K |
| 10060 |
|
183 |
181 |
$56K |
| 30140 |
|
24 |
24 |
$56K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,387 |
1,180 |
$55K |
| 88307 |
|
800 |
799 |
$54K |
| 90651 |
|
2,643 |
2,638 |
$53K |
| D7140 |
Extraction, erupted tooth or exposed root |
2,605 |
2,184 |
$51K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,100 |
11,925 |
$50K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
385 |
377 |
$50K |
| 80076 |
|
3,855 |
3,702 |
$49K |
| 72131 |
|
302 |
301 |
$46K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
454 |
448 |
$44K |
| 81025 |
|
13,831 |
13,189 |
$43K |
| 87653 |
|
2,002 |
1,987 |
$42K |
| 90677 |
|
1,231 |
1,231 |
$42K |
| 88304 |
|
1,165 |
1,162 |
$42K |
| 87481 |
|
1,060 |
1,033 |
$41K |
| 90732 |
|
593 |
591 |
$38K |
| 36901 |
|
156 |
150 |
$38K |
| D0220 |
Intraoral - periapical first radiographic image |
4,728 |
4,113 |
$38K |
| 85610 |
|
10,253 |
9,717 |
$37K |
| 80047 |
|
1,577 |
1,510 |
$37K |
| 90670 |
|
4,601 |
4,597 |
$37K |
| 93017 |
|
381 |
374 |
$36K |
| 95806 |
|
886 |
885 |
$35K |
| 70486 |
|
564 |
557 |
$35K |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
911 |
904 |
$33K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
1,831 |
1,651 |
$33K |
| 87641 |
|
1,476 |
1,471 |
$32K |
| 82803 |
|
1,504 |
1,395 |
$31K |
| 90648 |
|
1,375 |
1,375 |
$31K |
| 90723 |
|
2,391 |
2,390 |
$31K |
| 99406 |
|
887 |
882 |
$30K |
| 90633 |
|
3,486 |
3,484 |
$30K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,782 |
1,571 |
$30K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
1,424 |
1,410 |
$29K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15,433 |
15,362 |
$29K |
| 58558 |
|
25 |
25 |
$28K |
| 99443 |
|
310 |
285 |
$28K |
| J1756 |
Injection, iron sucrose, 1 mg |
278 |
148 |
$26K |
| 99442 |
|
210 |
203 |
$25K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,478 |
1,970 |
$25K |
| Q3014 |
Telehealth originating site facility fee |
3,754 |
2,518 |
$25K |
| 97162 |
|
227 |
227 |
$25K |
| 12002 |
|
69 |
68 |
$25K |
| D1110 |
Prophylaxis - adult |
5,425 |
5,190 |
$24K |
| 90620 |
|
880 |
878 |
$24K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
701 |
692 |
$24K |
| 90750 |
|
189 |
185 |
$24K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,190 |
1,162 |
$23K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
828 |
827 |
$23K |
| 84443 |
Thyroid stimulating hormone (TSH) |
17,207 |
16,884 |
$23K |
| 85027 |
|
21,890 |
19,542 |
$22K |
| 90734 |
|
2,151 |
2,150 |
$22K |
| 0011A |
|
627 |
627 |
$21K |
| 90656 |
|
1,075 |
1,074 |
$21K |
| 0012A |
|
575 |
575 |
$21K |
| 99381 |
|
172 |
170 |
$20K |
| 90710 |
|
2,113 |
2,110 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
152 |
152 |
$19K |
| C9600 |
Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch |
15 |
13 |
$18K |
| 95811 |
|
27 |
26 |
$18K |
| 86703 |
|
1,180 |
1,165 |
$18K |
| 76937 |
|
110 |
106 |
$17K |
| 97597 |
|
31 |
14 |
$17K |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
588 |
587 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
50,875 |
46,634 |
$17K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
54 |
54 |
$17K |
| 90681 |
|
589 |
589 |
$14K |
| 90680 |
|
2,678 |
2,676 |
$14K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13,076 |
12,226 |
$13K |
| 90700 |
|
1,218 |
1,217 |
$13K |
| 88341 |
|
284 |
284 |
$13K |
| 90707 |
|
746 |
740 |
$13K |
| 90696 |
|
1,332 |
1,330 |
$13K |
| 90716 |
|
709 |
708 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
641 |
612 |
$12K |
| 85730 |
|
8,260 |
7,727 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
12,356 |
11,855 |
$12K |
| 81511 |
|
264 |
263 |
$11K |
| 81003 |
|
33,888 |
26,507 |
$11K |
| 86780 |
|
6,614 |
6,514 |
$11K |
| 90698 |
|
1,930 |
1,929 |
$11K |
| 87660 |
|
12,696 |
12,335 |
$10K |
| 70491 |
|
36 |
36 |
$10K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
5,674 |
5,652 |
$10K |
| 87480 |
|
12,652 |
12,292 |
$10K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
8,132 |
7,662 |
$9K |
| D0274 |
Bitewings - four radiographic images |
3,352 |
3,205 |
$9K |
| 87510 |
|
12,600 |
12,242 |
$9K |
| G0330 |
Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room |
39 |
39 |
$9K |
| 86701 |
|
769 |
758 |
$8K |
| 90744 |
|
1,415 |
1,414 |
$8K |
| 84702 |
|
7,117 |
6,143 |
$8K |
| D2330 |
|
254 |
195 |
$8K |
| 99441 |
|
66 |
66 |
$8K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
7,957 |
7,666 |
$8K |
| 97116 |
|
300 |
229 |
$8K |
| 85055 |
|
227 |
207 |
$7K |
| 90647 |
|
1,407 |
1,405 |
$7K |
| 82728 |
|
3,517 |
3,480 |
$7K |
| 99385 |
|
66 |
66 |
$7K |
| 84439 |
|
5,701 |
5,583 |
$6K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,977 |
3,880 |
$6K |
| 86762 |
|
2,568 |
2,553 |
$6K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
154 |
121 |
$6K |
| 29125 |
|
27 |
27 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
172 |
172 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,545 |
2,542 |
$6K |
| 87340 |
|
3,980 |
3,956 |
$5K |
| D2331 |
|
151 |
126 |
$5K |
| 82607 |
|
2,624 |
2,610 |
$5K |
| 84484 |
|
18,942 |
14,323 |
$5K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
15 |
15 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,085 |
1,924 |
$5K |
| 86803 |
|
3,102 |
3,091 |
$5K |
| 76870 |
|
42 |
41 |
$5K |
| C8929 |
Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography |
26 |
26 |
$5K |
| D9110 |
|
413 |
395 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
4,407 |
4,256 |
$4K |
| 86003 |
|
514 |
511 |
$4K |
| 20610 |
|
12 |
12 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
13 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
56 |
40 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$4K |
| 99383 |
|
35 |
35 |
$4K |
| 71250 |
|
26 |
24 |
$4K |
| 95115 |
|
152 |
96 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
216 |
175 |
$4K |
| 83735 |
|
20,387 |
18,958 |
$4K |
| 74174 |
|
24 |
24 |
$3K |
| C7901 |
Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 30-60 minutes, provided remotely by hospital staff who are licensed to provided mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service |
177 |
101 |
$3K |
| 94060 |
|
24 |
24 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,682 |
1,603 |
$3K |
| 86787 |
|
2,205 |
2,197 |
$3K |
| 99205 |
Prolong outpt/office vis |
26 |
26 |
$3K |
| 87640 |
|
279 |
278 |
$3K |
| 83690 |
|
15,971 |
15,046 |
$3K |
| 81001 |
|
9,486 |
9,035 |
$3K |
| 94010 |
|
25 |
25 |
$3K |
| D0330 |
Panoramic radiographic image |
1,096 |
1,073 |
$2K |
| 83020 |
|
1,591 |
1,578 |
$2K |
| 86618 |
|
270 |
268 |
$2K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
13 |
13 |
$2K |
| 0064A |
|
70 |
70 |
$2K |
| 82570 |
|
3,600 |
3,390 |
$2K |
| 83540 |
|
3,480 |
3,443 |
$2K |
| 83550 |
|
3,370 |
3,335 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
174 |
171 |
$2K |
| 98927 |
|
65 |
63 |
$2K |
| 82043 |
|
2,077 |
2,070 |
$2K |
| J7050 |
Infusion, normal saline solution, 250 cc |
449 |
287 |
$2K |
| D0272 |
Bitewings - two radiographic images |
1,169 |
1,137 |
$2K |
| 87077 |
|
2,580 |
2,512 |
$2K |
| 86140 |
|
2,170 |
2,106 |
$2K |
| 83605 |
|
8,106 |
7,267 |
$2K |
| 82746 |
|
966 |
959 |
$2K |
| 90480 |
|
239 |
239 |
$2K |
| 87806 |
|
89 |
89 |
$2K |
| 76536 |
|
13 |
13 |
$2K |
| 91320 |
|
85 |
85 |
$2K |
| 73564 |
|
1,112 |
1,076 |
$2K |
| 86580 |
|
319 |
311 |
$2K |
| 84481 |
|
472 |
462 |
$2K |
| 88112 |
|
27 |
25 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
41 |
41 |
$1K |
| 84146 |
|
483 |
480 |
$1K |
| C1769 |
Guide wire |
1,414 |
1,382 |
$1K |
| 99220 |
|
26 |
26 |
$1K |
| 87186 |
|
2,544 |
2,471 |
$1K |
| 87040 |
|
4,234 |
2,986 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,600 |
5,113 |
$1K |
| 83001 |
|
390 |
389 |
$1K |
| 99217 |
|
53 |
52 |
$1K |
| 90619 |
|
71 |
71 |
$1K |
| 82950 |
|
2,140 |
2,132 |
$1K |
| 80074 |
|
86 |
86 |
$1K |
| 87070 |
|
1,927 |
1,879 |
$1K |
| 86038 |
|
857 |
850 |
$1K |
| 72100 |
|
667 |
665 |
$1K |
| J1630 |
Injection, haloperidol, up to 5 mg |
1,350 |
1,214 |
$1K |
| 86765 |
|
289 |
286 |
$1K |
| 82248 |
|
786 |
716 |
$1K |
| 86706 |
|
475 |
471 |
$1K |
| 85379 |
|
2,832 |
2,784 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
61 |
46 |
$1K |
| 80349 |
|
1,839 |
1,712 |
$1K |
| 36600 |
|
42 |
41 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
10,354 |
9,062 |
$933.96 |
| 84703 |
|
3,620 |
3,554 |
$907.24 |
| 90621 |
|
203 |
203 |
$903.47 |
| 93798 |
|
61 |
12 |
$887.64 |
| 93621 |
|
12 |
12 |
$868.40 |
| 85014 |
|
1,504 |
1,393 |
$863.42 |
| 73630 |
|
1,253 |
1,209 |
$779.63 |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
14 |
14 |
$771.40 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
4,025 |
3,419 |
$742.40 |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
28 |
28 |
$668.60 |
| 88360 |
|
16 |
16 |
$661.80 |
| 82785 |
|
358 |
353 |
$572.38 |
| 84550 |
|
1,802 |
1,639 |
$566.91 |
| 73130 |
|
1,300 |
1,253 |
$546.00 |
| 85651 |
|
1,730 |
1,696 |
$515.00 |
| C1776 |
Joint device (implantable) |
24 |
24 |
$502.90 |
| 82550 |
|
2,241 |
2,054 |
$471.34 |
| 73610 |
|
1,216 |
1,191 |
$454.73 |
| 83615 |
|
1,130 |
987 |
$451.48 |
| D1208 |
Topical application of fluoride, excluding varnish |
3,710 |
3,706 |
$429.16 |
| 83002 |
|
154 |
154 |
$420.30 |
| 73030 |
|
1,256 |
1,227 |
$402.90 |
| 84156 |
|
1,547 |
1,355 |
$402.25 |
| 87088 |
|
628 |
614 |
$379.17 |
| 86735 |
|
162 |
159 |
$351.92 |
| D1120 |
Prophylaxis - child |
2,763 |
2,759 |
$349.39 |
| 73502 |
|
255 |
242 |
$326.48 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,935 |
2,624 |
$323.82 |
| 84100 |
|
1,783 |
1,560 |
$318.93 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
1,090 |
1,009 |
$293.43 |
| 82105 |
|
415 |
411 |
$287.74 |
| 99495 |
|
13 |
13 |
$284.55 |
| 96376 |
|
2,061 |
1,466 |
$268.77 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
14 |
14 |
$265.20 |
| 73090 |
|
67 |
65 |
$261.25 |
| 99156 |
|
1,036 |
1,032 |
$228.07 |
| J1644 |
Injection, heparin sodium, per 1000 units |
2,888 |
1,976 |
$211.57 |
| 74018 |
|
226 |
219 |
$211.01 |
| 0001A |
|
15 |
15 |
$194.34 |
| 88300 |
|
368 |
368 |
$192.43 |
| 0002A |
|
13 |
13 |
$191.92 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,562 |
1,306 |
$190.87 |
| 87205 |
|
1,389 |
1,328 |
$173.79 |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
567 |
563 |
$171.35 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
581 |
553 |
$161.13 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
8,333 |
7,864 |
$147.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
6,422 |
6,286 |
$145.54 |
| 83721 |
|
871 |
863 |
$136.38 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,720 |
2,270 |
$134.55 |
| 86364 |
|
14 |
14 |
$125.64 |
| 86258 |
|
13 |
13 |
$125.64 |
| 73110 |
|
533 |
513 |
$122.49 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
7,489 |
6,956 |
$122.28 |
| 86308 |
|
169 |
169 |
$119.74 |
| 85652 |
|
341 |
325 |
$114.19 |
| 82784 |
|
13 |
13 |
$111.60 |
| 87075 |
|
645 |
623 |
$104.92 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,588 |
1,391 |
$99.80 |
| 86592 |
|
98 |
96 |
$98.67 |
| 72170 |
|
224 |
207 |
$89.91 |
| 90474 |
|
323 |
323 |
$89.65 |
| 84403 |
|
39 |
39 |
$89.58 |
| 86376 |
|
13 |
13 |
$88.76 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
1,185 |
1,176 |
$86.02 |
| 82977 |
|
82 |
81 |
$83.45 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
1,293 |
1,218 |
$79.50 |
| 87338 |
|
69 |
68 |
$69.80 |
| J2704 |
Injection, propofol, 10 mg |
2,595 |
2,548 |
$65.27 |
| 80305 |
|
69 |
69 |
$64.05 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
11,236 |
10,429 |
$59.43 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,909 |
1,541 |
$56.60 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
851 |
848 |
$56.17 |
| 90461 |
|
568 |
568 |
$55.00 |
| 86431 |
|
274 |
273 |
$52.99 |
| D1351 |
Sealant - per tooth |
19 |
16 |
$49.74 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,288 |
2,101 |
$49.54 |
| 84132 |
|
65 |
64 |
$48.14 |
| J2060 |
Injection, lorazepam, 2 mg |
2,563 |
2,159 |
$33.76 |
| 96127 |
|
826 |
815 |
$33.49 |
| 73080 |
|
70 |
70 |
$31.86 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
6,014 |
5,922 |
$30.29 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
891 |
612 |
$28.82 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
255 |
191 |
$26.84 |
| 85018 |
|
47 |
41 |
$24.16 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
2,304 |
2,154 |
$21.61 |
| 87081 |
|
12 |
12 |
$20.63 |
| 82040 |
|
12 |
12 |
$20.05 |
| 73590 |
|
116 |
114 |
$20.00 |
| 80143 |
|
289 |
285 |
$17.99 |
| 80178 |
|
29 |
29 |
$13.88 |
| 73140 |
|
66 |
66 |
$12.51 |
| J1815 |
Injection, insulin, per 5 units |
868 |
472 |
$12.38 |
| 84270 |
|
42 |
41 |
$10.75 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
574 |
493 |
$10.71 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
1,203 |
1,033 |
$10.46 |
| 82330 |
|
12 |
12 |
$10.06 |
| 80179 |
|
277 |
273 |
$8.99 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$7.58 |
| 86200 |
|
65 |
65 |
$5.54 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
145 |
142 |
$5.44 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
905 |
865 |
$5.03 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
55 |
51 |
$4.46 |
| 85046 |
|
13 |
12 |
$4.39 |
| J3480 |
Injection, potassium chloride, per 2 meq |
117 |
97 |
$3.36 |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
875 |
869 |
$3.33 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
41 |
41 |
$0.83 |
| 82010 |
|
166 |
150 |
$0.42 |
| C1758 |
Catheter, ureteral |
298 |
294 |
$0.20 |
| 83986 |
|
131 |
124 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
68 |
68 |
$0.00 |
| C1892 |
Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away |
37 |
37 |
$0.00 |
| C1781 |
Mesh (implantable) |
90 |
90 |
$0.00 |
| 81514 |
|
591 |
574 |
$0.00 |
| J1790 |
Injection, droperidol, up to 5 mg |
102 |
98 |
$0.00 |
| 71101 |
|
100 |
100 |
$0.00 |
| C1725 |
Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) |
25 |
25 |
$0.00 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
14 |
12 |
$0.00 |
| 74021 |
|
56 |
55 |
$0.00 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
40 |
25 |
$0.00 |
| S2900 |
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) |
13 |
13 |
$0.00 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
83 |
79 |
$0.00 |
| J7799 |
Noc drugs, other than inhalation drugs, administered through dme |
80 |
61 |
$0.00 |
| J1940 |
Injection, furosemide, up to 20 mg |
20 |
12 |
$0.00 |
| J2785 |
Injection, regadenoson, 0.1 mg |
12 |
12 |
$0.00 |
| 82150 |
|
12 |
12 |
$0.00 |
| 73560 |
|
12 |
12 |
$0.00 |
| 99157 |
|
372 |
372 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
512 |
511 |
$0.00 |
| 81002 |
|
311 |
311 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
97 |
79 |
$0.00 |
| D0270 |
|
24 |
24 |
$0.00 |
| 96381 |
|
15 |
15 |
$0.00 |
| 84145 |
|
24 |
24 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
13 |
12 |
$0.00 |
| 81513 |
|
835 |
816 |
$0.00 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
15 |
12 |
$0.00 |
| 90685 |
|
70 |
70 |
$0.00 |
| 82140 |
|
28 |
24 |
$0.00 |
| 87102 |
|
12 |
12 |
$0.00 |
| 87210 |
|
16 |
14 |
$0.00 |
| Q0245 |
Injection, bamlanivimab and etesevimab, 2100 mg |
14 |
14 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
13 |
$0.00 |
| 88313 |
|
15 |
15 |
$0.00 |