| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
117,820 |
116,023 |
$16.51M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
110,116 |
107,837 |
$12.02M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
56,022 |
23,821 |
$6.10M |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
7,967 |
1,611 |
$5.25M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
26,882 |
26,766 |
$5.02M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
23,573 |
23,566 |
$4.86M |
| 99233 |
Prolong inpt eval add15 m |
22,953 |
9,740 |
$3.64M |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
5,212 |
1,391 |
$3.36M |
| 99215 |
Prolong outpt/office vis |
18,100 |
17,188 |
$3.31M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
9,998 |
3,925 |
$2.97M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
26,106 |
25,992 |
$2.82M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19,206 |
19,205 |
$2.46M |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
7,383 |
7,375 |
$2.00M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
11,472 |
10,844 |
$1.96M |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14,785 |
14,680 |
$1.80M |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
13,269 |
12,536 |
$1.71M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12,536 |
12,423 |
$1.59M |
| 71045 |
Radiologic examination, chest; single view |
117,034 |
65,664 |
$1.57M |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
3,078 |
3,077 |
$1.47M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12,318 |
12,253 |
$1.45M |
| 99222 |
Initial hospital care, per day, moderate complexity |
7,271 |
7,105 |
$1.45M |
| 76819 |
Fetal biophysical profile; without non-stress testing |
10,581 |
8,896 |
$1.40M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
19,729 |
19,662 |
$1.33M |
| 99223 |
Prolong inpt eval add15 m |
4,867 |
4,770 |
$1.24M |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
5,781 |
1,390 |
$1.18M |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
6,015 |
1,524 |
$1.18M |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
872 |
871 |
$1.10M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,797 |
7,791 |
$1.08M |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
4,671 |
4,670 |
$1.01M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,502 |
7,409 |
$1.01M |
| 01922 |
|
3,973 |
3,811 |
$999K |
| 76801 |
|
5,297 |
5,295 |
$994K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
5,951 |
5,892 |
$973K |
| 70450 |
Computed tomography, head or brain; without contrast material |
15,807 |
14,983 |
$947K |
| 99460 |
|
4,674 |
4,579 |
$735K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,951 |
4,950 |
$688K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
11,554 |
11,283 |
$666K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,229 |
3,222 |
$572K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
6,820 |
6,769 |
$533K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
11,512 |
11,248 |
$517K |
| 93320 |
|
14,247 |
12,984 |
$491K |
| 76770 |
|
8,508 |
8,432 |
$473K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,465 |
1,461 |
$431K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
34,286 |
27,646 |
$422K |
| 74018 |
|
27,899 |
20,241 |
$390K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21,508 |
21,440 |
$385K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
6,242 |
3,409 |
$382K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
3,462 |
3,339 |
$374K |
| 71046 |
Radiologic examination, chest; 2 views |
21,263 |
20,686 |
$363K |
| 88307 |
|
4,535 |
4,475 |
$351K |
| 99205 |
Prolong outpt/office vis |
1,337 |
1,337 |
$350K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
758 |
757 |
$341K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
4,461 |
4,435 |
$317K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,960 |
1,959 |
$315K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,267 |
1,266 |
$313K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
2,835 |
2,820 |
$305K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,741 |
9,665 |
$297K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,754 |
1,726 |
$294K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,785 |
3,745 |
$275K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,353 |
1,353 |
$259K |
| 95819 |
|
814 |
813 |
$255K |
| 93304 |
|
2,879 |
2,607 |
$228K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
1,509 |
1,507 |
$223K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,711 |
2,706 |
$210K |
| 76506 |
|
3,969 |
3,133 |
$205K |
| 93325 |
|
23,141 |
20,826 |
$197K |
| 92579 |
|
4,756 |
4,735 |
$190K |
| 92551 |
|
10,729 |
10,718 |
$180K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,658 |
1,648 |
$178K |
| 01961 |
|
391 |
388 |
$175K |
| 99462 |
|
2,469 |
1,916 |
$172K |
| 76642 |
|
1,348 |
1,329 |
$170K |
| 95782 |
|
825 |
824 |
$169K |
| 93000 |
|
7,490 |
7,228 |
$163K |
| 59514 |
|
109 |
109 |
$156K |
| 99468 |
|
103 |
103 |
$156K |
| 97803 |
|
3,278 |
3,197 |
$154K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
2,129 |
1,159 |
$154K |
| 95720 |
|
479 |
247 |
$153K |
| 90791 |
Psychiatric diagnostic evaluation |
1,114 |
1,111 |
$146K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
542 |
542 |
$144K |
| 95816 |
|
1,076 |
1,071 |
$144K |
| 77066 |
Tomosynthesis, mammo |
666 |
665 |
$143K |
| 93970 |
|
2,996 |
2,722 |
$142K |
| 92567 |
|
9,970 |
9,903 |
$138K |
| 74019 |
|
6,837 |
6,586 |
$127K |
| 72170 |
|
9,262 |
9,147 |
$126K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
982 |
965 |
$121K |
| 72132 |
|
1,328 |
1,326 |
$121K |
| 92557 |
|
3,654 |
3,618 |
$111K |
| 00731 |
|
816 |
800 |
$110K |
| 77427 |
|
427 |
280 |
$109K |
| 99221 |
|
782 |
780 |
$109K |
| 90837 |
Psychotherapy, 53 minutes with patient |
984 |
665 |
$104K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
563 |
561 |
$98K |
| 88342 |
|
3,086 |
3,034 |
$97K |
| 72129 |
|
1,066 |
1,065 |
$97K |
| 70498 |
|
784 |
771 |
$93K |
| 70486 |
|
1,353 |
1,348 |
$86K |
| 99471 |
|
65 |
64 |
$85K |
| 97802 |
|
1,261 |
1,255 |
$84K |
| 93321 |
|
6,027 |
5,608 |
$83K |
| 90961 |
|
783 |
783 |
$81K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
566 |
562 |
$80K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
1,076 |
1,075 |
$77K |
| 72082 |
|
3,060 |
3,048 |
$76K |
| 73590 |
|
5,253 |
4,373 |
$71K |
| 96040 |
|
1,624 |
1,615 |
$68K |
| 71250 |
|
1,064 |
1,049 |
$67K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,546 |
3,976 |
$66K |
| 99217 |
|
549 |
549 |
$64K |
| 42830 |
|
202 |
202 |
$64K |
| 99476 |
|
110 |
24 |
$63K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
669 |
669 |
$61K |
| 76885 |
|
1,005 |
1,001 |
$60K |
| 93971 |
|
1,993 |
1,921 |
$60K |
| 77014 |
|
858 |
249 |
$59K |
| 74240 |
|
920 |
912 |
$58K |
| 93308 |
|
1,554 |
1,480 |
$55K |
| 99219 |
|
245 |
245 |
$53K |
| 74230 |
|
1,249 |
1,234 |
$53K |
| 00920 |
|
216 |
216 |
$52K |
| 54150 |
|
300 |
296 |
$52K |
| 31231 |
|
257 |
256 |
$52K |
| 73630 |
|
3,684 |
3,150 |
$51K |
| 73610 |
|
3,440 |
3,169 |
$48K |
| 76830 |
Ultrasound, transvaginal |
831 |
829 |
$48K |
| 99385 |
|
409 |
409 |
$47K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,251 |
1,250 |
$46K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
795 |
321 |
$45K |
| 54161 |
|
193 |
193 |
$44K |
| 54360 |
|
38 |
38 |
$44K |
| 85060 |
|
2,193 |
2,064 |
$43K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
151 |
148 |
$41K |
| 96127 |
|
6,422 |
6,374 |
$40K |
| 99442 |
|
446 |
444 |
$40K |
| 90716 |
|
535 |
534 |
$39K |
| 73562 |
|
2,491 |
2,080 |
$38K |
| 77065 |
Tomosynthesis, mammo |
231 |
228 |
$37K |
| 73090 |
|
2,728 |
2,384 |
$36K |
| 70496 |
|
311 |
308 |
$36K |
| G6002 |
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy |
1,158 |
237 |
$35K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
536 |
531 |
$35K |
| 44970 |
|
34 |
34 |
$34K |
| 99152 |
|
2,023 |
1,966 |
$34K |
| 99381 |
|
213 |
213 |
$34K |
| 76536 |
|
713 |
706 |
$32K |
| 73130 |
|
2,228 |
1,954 |
$32K |
| 99477 |
|
57 |
54 |
$32K |
| 73560 |
|
2,366 |
1,955 |
$31K |
| 95251 |
|
1,030 |
1,028 |
$31K |
| 73700 |
|
425 |
384 |
$30K |
| 73070 |
|
2,147 |
1,922 |
$30K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
271 |
271 |
$30K |
| 99188 |
|
1,575 |
1,574 |
$28K |
| 51741 |
|
2,286 |
2,239 |
$28K |
| 90746 |
|
424 |
421 |
$28K |
| 88341 |
|
382 |
374 |
$28K |
| 73551 |
|
2,053 |
1,583 |
$28K |
| 73030 |
|
1,846 |
1,689 |
$27K |
| 99157 |
|
98 |
90 |
$25K |
| 54300 |
|
24 |
24 |
$24K |
| 99173 |
|
5,420 |
5,419 |
$24K |
| 88112 |
|
1,118 |
1,074 |
$23K |
| 90707 |
|
373 |
372 |
$22K |
| 90715 |
|
857 |
857 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,457 |
1,446 |
$21K |
| 51798 |
|
2,395 |
2,341 |
$21K |
| 93975 |
|
233 |
222 |
$21K |
| 59430 |
|
97 |
97 |
$21K |
| 91320 |
|
160 |
160 |
$20K |
| 25600 |
|
70 |
70 |
$20K |
| 73552 |
|
1,441 |
1,301 |
$20K |
| 90962 |
|
261 |
261 |
$19K |
| 72141 |
|
170 |
170 |
$18K |
| 77080 |
|
308 |
308 |
$18K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
123 |
123 |
$18K |
| 00790 |
|
44 |
41 |
$17K |
| 73100 |
|
1,211 |
1,113 |
$17K |
| 77334 |
|
79 |
54 |
$17K |
| 77072 |
|
1,077 |
1,075 |
$16K |
| 70491 |
|
168 |
167 |
$16K |
| 51728 |
|
57 |
57 |
$16K |
| 88304 |
|
1,584 |
1,580 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
609 |
584 |
$16K |
| 94060 |
|
1,116 |
1,067 |
$15K |
| 93317 |
|
99 |
56 |
$15K |
| 76820 |
|
206 |
167 |
$15K |
| 99475 |
|
15 |
15 |
$14K |
| 90686 |
|
6,707 |
6,703 |
$14K |
| 99153 |
Mod sedat endo service >5yrs |
389 |
379 |
$14K |
| 90651 |
|
523 |
523 |
$13K |
| 36620 |
|
184 |
182 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
583 |
579 |
$13K |
| 90474 |
|
701 |
701 |
$13K |
| 94010 |
|
1,242 |
1,233 |
$12K |
| Q4040 |
Cast supplies, short leg cast, pediatric (0-10 years), fiberglass |
380 |
168 |
$12K |
| 76825 |
|
37 |
37 |
$12K |
| 95811 |
|
63 |
63 |
$12K |
| 59426 |
|
13 |
13 |
$12K |
| 72100 |
|
707 |
697 |
$12K |
| 73110 |
|
776 |
707 |
$11K |
| 76800 |
|
106 |
106 |
$10K |
| 90714 |
|
366 |
366 |
$10K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
101 |
96 |
$10K |
| 74455 |
|
205 |
205 |
$10K |
| 72040 |
|
540 |
515 |
$9K |
| 96130 |
|
92 |
92 |
$9K |
| 51797 |
|
59 |
59 |
$9K |
| 20610 |
|
126 |
125 |
$9K |
| 0071A |
|
217 |
217 |
$9K |
| 90834 |
Psychotherapy, 45 minutes with patient |
131 |
106 |
$8K |
| 0124A |
|
205 |
205 |
$8K |
| 90480 |
|
210 |
210 |
$8K |
| 99441 |
|
153 |
151 |
$8K |
| 73502 |
|
495 |
489 |
$8K |
| 90713 |
|
323 |
323 |
$8K |
| 99443 |
|
49 |
49 |
$7K |
| 92593 |
|
176 |
169 |
$7K |
| 99386 |
|
52 |
52 |
$7K |
| 51600 |
|
95 |
95 |
$7K |
| 69421 |
|
37 |
37 |
$7K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
24 |
24 |
$7K |
| 99156 |
|
52 |
52 |
$7K |
| 96131 |
|
81 |
80 |
$6K |
| 88173 |
|
132 |
128 |
$6K |
| 77263 |
|
25 |
25 |
$6K |
| 76870 |
|
121 |
120 |
$6K |
| 72156 |
|
38 |
37 |
$6K |
| 99383 |
|
32 |
32 |
$6K |
| 0072A |
|
146 |
146 |
$6K |
| 87428 |
|
198 |
196 |
$6K |
| 99464 |
|
46 |
46 |
$6K |
| 80061 |
Lipid panel |
472 |
472 |
$6K |
| 96133 |
|
14 |
14 |
$5K |
| 74178 |
|
43 |
43 |
$5K |
| 70250 |
|
330 |
304 |
$5K |
| 41010 |
|
27 |
26 |
$5K |
| Q4008 |
Cast supplies, long arm cast, pediatric (0-10 years), fiberglass |
192 |
186 |
$5K |
| 29450 |
|
29 |
14 |
$5K |
| 43762 |
|
24 |
24 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,045 |
1,015 |
$5K |
| 73080 |
|
313 |
295 |
$5K |
| 95886 |
|
43 |
43 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
522 |
522 |
$4K |
| 93298 |
|
101 |
92 |
$4K |
| 99051 |
|
648 |
633 |
$4K |
| 73140 |
|
364 |
345 |
$4K |
| 96139 |
|
13 |
13 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
70 |
69 |
$4K |
| 93227 |
|
125 |
124 |
$4K |
| 83655 |
|
351 |
351 |
$4K |
| 95813 |
|
27 |
27 |
$4K |
| 90832 |
Psychotherapy, 30 minutes with patient |
69 |
63 |
$4K |
| 31622 |
|
28 |
26 |
$4K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
46 |
43 |
$4K |
| 99155 |
|
27 |
26 |
$4K |
| 76882 |
|
73 |
67 |
$4K |
| 96136 |
|
92 |
92 |
$4K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
28 |
28 |
$4K |
| 90656 |
|
924 |
923 |
$3K |
| 76827 |
|
37 |
37 |
$3K |
| 96161 |
|
681 |
658 |
$3K |
| 96132 |
|
29 |
28 |
$3K |
| 90836 |
|
26 |
24 |
$3K |
| 00300 |
|
14 |
13 |
$3K |
| 96158 |
|
109 |
107 |
$3K |
| 99235 |
|
12 |
12 |
$3K |
| 17110 |
|
40 |
40 |
$3K |
| 72197 |
|
25 |
25 |
$3K |
| 91200 |
|
276 |
276 |
$3K |
| 93923 |
|
95 |
90 |
$3K |
| 96137 |
|
68 |
68 |
$2K |
| 92652 |
|
25 |
24 |
$2K |
| 00811 |
|
12 |
12 |
$2K |
| 72081 |
|
101 |
98 |
$2K |
| 49083 |
|
14 |
12 |
$2K |
| 78306 |
|
39 |
39 |
$2K |
| 82947 |
|
587 |
585 |
$2K |
| 88331 |
|
38 |
38 |
$2K |
| 0001A |
|
49 |
49 |
$2K |
| 93018 |
|
95 |
95 |
$2K |
| 51784 |
|
70 |
70 |
$2K |
| 90677 |
|
512 |
512 |
$2K |
| 36555 |
|
13 |
13 |
$2K |
| 29425 |
|
13 |
13 |
$2K |
| 72158 |
|
13 |
12 |
$2K |
| 96156 |
|
28 |
28 |
$2K |
| 72157 |
|
12 |
12 |
$2K |
| 81025 |
|
218 |
218 |
$2K |
| 97165 |
|
18 |
18 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
78 |
71 |
$2K |
| 93244 |
|
38 |
38 |
$2K |
| 73060 |
|
118 |
112 |
$2K |
| 77290 |
|
12 |
12 |
$2K |
| 88172 |
|
67 |
66 |
$2K |
| 96112 |
|
12 |
12 |
$1K |
| 73620 |
|
88 |
74 |
$1K |
| 78708 |
|
12 |
12 |
$1K |
| 43752 |
|
17 |
13 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25 |
25 |
$1K |
| 88321 |
|
15 |
15 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
14 |
$1K |
| 11721 |
|
125 |
125 |
$1K |
| 73600 |
|
72 |
66 |
$1K |
| 85018 |
|
496 |
496 |
$1K |
| 90674 |
|
652 |
651 |
$1K |
| 72131 |
|
13 |
12 |
$965.27 |
| 99100 |
|
50 |
50 |
$947.93 |
| 31575 |
|
14 |
14 |
$943.34 |
| 11102 |
|
17 |
17 |
$883.46 |
| 77076 |
|
15 |
15 |
$871.50 |
| 76937 |
|
43 |
43 |
$824.02 |
| 82962 |
|
320 |
301 |
$812.51 |
| 0002A |
|
20 |
20 |
$800.00 |
| 90756 |
|
47 |
47 |
$743.68 |
| 93294 |
|
15 |
15 |
$705.02 |
| 88141 |
|
38 |
38 |
$698.03 |
| 88312 |
|
12 |
12 |
$695.70 |
| 88142 |
|
37 |
37 |
$604.72 |
| 0051A |
|
15 |
15 |
$600.00 |
| 76604 |
|
12 |
12 |
$577.92 |
| 0154A |
|
14 |
14 |
$560.00 |
| 93316 |
|
12 |
12 |
$558.72 |
| 72110 |
|
29 |
29 |
$557.25 |
| 11900 |
|
12 |
12 |
$549.56 |
| 88302 |
|
55 |
55 |
$547.98 |
| 0081A |
|
13 |
13 |
$520.00 |
| 93784 |
|
13 |
12 |
$482.88 |
| 0004A |
|
12 |
12 |
$480.00 |
| 93926 |
|
14 |
13 |
$476.84 |
| 90661 |
|
74 |
74 |
$448.50 |
| 88311 |
|
40 |
40 |
$435.42 |
| 94729 |
|
37 |
37 |
$412.21 |
| 96138 |
|
13 |
13 |
$404.17 |
| 76010 |
|
30 |
29 |
$403.72 |
| 96381 |
|
30 |
30 |
$371.70 |
| 97804 |
|
12 |
12 |
$354.56 |
| 78700 |
|
12 |
12 |
$344.30 |
| 92504 |
|
13 |
13 |
$326.04 |
| Q4012 |
Cast supplies, short arm cast, pediatric (0-10 years), fiberglass |
24 |
24 |
$309.94 |
| 72050 |
|
13 |
13 |
$278.97 |
| 81003 |
|
135 |
134 |
$262.25 |
| 92555 |
|
12 |
12 |
$253.22 |
| 73000 |
|
17 |
16 |
$252.18 |
| 93790 |
|
15 |
15 |
$227.50 |
| 85610 |
|
58 |
40 |
$221.56 |
| 72190 |
|
13 |
13 |
$199.42 |
| 70360 |
|
12 |
12 |
$181.32 |
| 81002 |
|
59 |
58 |
$179.56 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
38 |
38 |
$164.15 |
| 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) |
62 |
57 |
$97.66 |
| 11056 |
|
15 |
15 |
$86.42 |
| 90633 |
|
752 |
751 |
$0.03 |
| 90680 |
|
395 |
395 |
$0.00 |
| 90619 |
|
88 |
88 |
$0.00 |
| 90697 |
|
482 |
482 |
$0.00 |
| 90698 |
|
348 |
348 |
$0.00 |
| 90723 |
|
470 |
470 |
$0.00 |
| 90647 |
|
450 |
450 |
$0.00 |
| 90696 |
|
95 |
95 |
$0.00 |
| 90688 |
|
81 |
81 |
$0.00 |
| 90744 |
|
244 |
244 |
$0.00 |
| 90670 |
|
1,693 |
1,693 |
$0.00 |
| 90671 |
|
382 |
382 |
$0.00 |
| 90700 |
|
61 |
61 |
$0.00 |
| 90710 |
|
104 |
104 |
$0.00 |
| 90681 |
|
263 |
263 |
$0.00 |
| 90734 |
|
144 |
144 |
$0.00 |
| 91312 |
|
51 |
51 |
$0.00 |
| 96160 |
|
30 |
30 |
$0.00 |