| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
113,159 |
103,711 |
$12.14M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
65,284 |
54,395 |
$8.06M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62,570 |
58,641 |
$7.09M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
16,874 |
15,950 |
$2.52M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
16,092 |
15,353 |
$1.89M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
12,151 |
11,526 |
$1.51M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
5,250 |
4,507 |
$1.40M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
16,197 |
5,717 |
$1.38M |
| 36415 |
Collection of venous blood by venipuncture |
38,339 |
31,319 |
$1.26M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,897 |
10,138 |
$1.09M |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,828 |
3,982 |
$1.03M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,257 |
9,173 |
$970K |
| 99215 |
Prolong outpt/office vis |
6,772 |
6,219 |
$916K |
| 80053 |
Comprehensive metabolic panel |
33,588 |
29,385 |
$913K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,161 |
3,072 |
$753K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,372 |
6,337 |
$697K |
| 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 |
10,434 |
9,199 |
$688K |
| 81025 |
|
8,144 |
7,803 |
$667K |
| 90837 |
Psychotherapy, 53 minutes with patient |
4,075 |
2,665 |
$572K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,010 |
2,911 |
$549K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
4,077 |
4,041 |
$521K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,729 |
2,966 |
$509K |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
3,284 |
1,848 |
$495K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,974 |
7,981 |
$481K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,799 |
1,755 |
$468K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,987 |
5,977 |
$431K |
| 20610 |
|
2,124 |
1,603 |
$410K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
3,275 |
3,247 |
$408K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,469 |
1,422 |
$404K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
311 |
309 |
$399K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
615 |
608 |
$380K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,672 |
2,655 |
$315K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,556 |
1,539 |
$311K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
8,652 |
7,722 |
$299K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
9,804 |
9,222 |
$296K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
695 |
684 |
$287K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
9,588 |
7,939 |
$272K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,333 |
1,129 |
$266K |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,245 |
1,718 |
$240K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
7,967 |
3,071 |
$223K |
| 97162 |
|
1,574 |
1,568 |
$217K |
| 59025 |
Fetal non-stress test |
1,844 |
1,250 |
$214K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,456 |
6,294 |
$209K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
796 |
776 |
$203K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,258 |
4,166 |
$201K |
| 17110 |
|
655 |
611 |
$198K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,102 |
1,948 |
$171K |
| 29848 |
|
314 |
151 |
$169K |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
1,463 |
989 |
$166K |
| 87486 |
|
1,891 |
1,839 |
$153K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
4,769 |
4,746 |
$151K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
507 |
500 |
$148K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,128 |
1,942 |
$142K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,385 |
3,313 |
$140K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
5,149 |
4,690 |
$127K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,699 |
3,091 |
$125K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,157 |
1,152 |
$122K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
778 |
534 |
$122K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,744 |
1,742 |
$120K |
| 97161 |
|
1,075 |
1,067 |
$116K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,902 |
7,838 |
$116K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,313 |
871 |
$113K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,473 |
2,418 |
$107K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,438 |
1,412 |
$105K |
| 88142 |
|
3,462 |
3,461 |
$103K |
| 86850 |
|
2,674 |
2,526 |
$99K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
2,040 |
1,960 |
$98K |
| 90686 |
|
4,443 |
4,419 |
$97K |
| 80061 |
Lipid panel |
10,238 |
10,166 |
$97K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
2,294 |
2,293 |
$94K |
| 96415 |
|
211 |
193 |
$88K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
652 |
640 |
$85K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,267 |
4,175 |
$81K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,149 |
546 |
$77K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
94 |
94 |
$77K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
1,477 |
1,436 |
$76K |
| 76830 |
Ultrasound, transvaginal |
1,595 |
1,487 |
$74K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
3,053 |
2,068 |
$72K |
| 90715 |
|
2,567 |
2,559 |
$69K |
| 90791 |
Psychiatric diagnostic evaluation |
391 |
354 |
$68K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
563 |
563 |
$67K |
| 84443 |
Thyroid stimulating hormone (TSH) |
12,388 |
12,038 |
$66K |
| H0001 |
Alcohol and/or drug assessment |
400 |
296 |
$66K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
911 |
889 |
$65K |
| 97010 |
|
3,090 |
1,021 |
$64K |
| 97035 |
|
1,343 |
645 |
$61K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,490 |
1,447 |
$61K |
| 95886 |
|
699 |
653 |
$60K |
| G0378 |
Hospital observation service, per hour |
1,583 |
1,276 |
$57K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
7,804 |
7,435 |
$56K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,936 |
1,930 |
$54K |
| 86900 |
|
2,088 |
1,951 |
$54K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
1,793 |
1,761 |
$51K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
782 |
405 |
$50K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
173 |
172 |
$49K |
| 83880 |
|
1,655 |
1,573 |
$49K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,893 |
7,832 |
$47K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
32,775 |
28,217 |
$46K |
| 76801 |
|
548 |
525 |
$44K |
| 90647 |
|
2,505 |
2,500 |
$43K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
141 |
139 |
$43K |
| 90651 |
|
713 |
712 |
$40K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,641 |
1,640 |
$37K |
| 87581 |
|
1,891 |
1,839 |
$36K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
154 |
154 |
$36K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
595 |
585 |
$35K |
| 83655 |
|
2,508 |
2,490 |
$35K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
2,693 |
2,627 |
$34K |
| 97165 |
|
323 |
323 |
$34K |
| 90677 |
|
1,049 |
1,049 |
$31K |
| 93017 |
|
413 |
409 |
$31K |
| 31231 |
|
358 |
338 |
$30K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
288 |
287 |
$30K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
89 |
89 |
$29K |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
502 |
157 |
$29K |
| 82607 |
|
3,177 |
3,154 |
$29K |
| 90633 |
|
1,968 |
1,965 |
$26K |
| 90723 |
|
2,579 |
2,573 |
$26K |
| 86901 |
|
1,571 |
1,471 |
$25K |
| 88342 |
|
119 |
118 |
$25K |
| 84439 |
|
4,950 |
4,834 |
$25K |
| 99442 |
|
391 |
382 |
$24K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
466 |
269 |
$24K |
| 99385 |
|
162 |
162 |
$24K |
| 86480 |
|
365 |
361 |
$23K |
| 71250 |
|
189 |
187 |
$22K |
| 90750 |
|
148 |
148 |
$22K |
| 99443 |
|
336 |
324 |
$22K |
| 82728 |
|
2,657 |
2,521 |
$22K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
110 |
102 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
210 |
206 |
$21K |
| 76641 |
|
624 |
620 |
$21K |
| 99406 |
|
466 |
461 |
$20K |
| 99441 |
|
471 |
453 |
$20K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
2,805 |
2,782 |
$20K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
12 |
12 |
$20K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
8,070 |
7,411 |
$18K |
| 86618 |
|
2,247 |
2,210 |
$18K |
| 12001 |
|
41 |
40 |
$18K |
| 90670 |
|
2,710 |
2,705 |
$17K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
192 |
171 |
$17K |
| 93971 |
|
386 |
376 |
$17K |
| 17000 |
|
70 |
69 |
$16K |
| 84153 |
|
1,076 |
1,069 |
$16K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
77 |
77 |
$16K |
| 90656 |
|
707 |
707 |
$16K |
| S9480 |
Intensive outpatient psychiatric services, per diem |
140 |
33 |
$15K |
| 84702 |
|
3,182 |
2,615 |
$15K |
| 90681 |
|
1,630 |
1,627 |
$15K |
| 88304 |
|
600 |
596 |
$15K |
| 82803 |
|
940 |
865 |
$14K |
| 90696 |
|
592 |
592 |
$14K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,317 |
4,177 |
$13K |
| 97803 |
|
480 |
447 |
$13K |
| 20553 |
|
187 |
179 |
$13K |
| 90619 |
|
413 |
413 |
$13K |
| 20550 |
|
47 |
41 |
$12K |
| 95117 |
|
483 |
211 |
$12K |
| 11102 |
|
25 |
25 |
$12K |
| 90707 |
|
843 |
842 |
$11K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
127 |
118 |
$11K |
| 76770 |
|
41 |
41 |
$11K |
| 90710 |
|
697 |
695 |
$11K |
| 82962 |
|
2,917 |
2,370 |
$10K |
| 85610 |
|
4,126 |
3,470 |
$10K |
| 86803 |
|
2,397 |
2,378 |
$10K |
| 87468 |
|
295 |
293 |
$10K |
| 97535 |
Self-care/home management training, each 15 minutes |
156 |
111 |
$9K |
| 86140 |
|
8,085 |
7,486 |
$9K |
| 86780 |
|
1,964 |
1,932 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
4,562 |
4,380 |
$9K |
| Q5103 |
Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg |
15 |
12 |
$9K |
| G0008 |
Administration of influenza virus vaccine |
726 |
726 |
$9K |
| 83540 |
|
2,482 |
2,378 |
$8K |
| 80076 |
|
602 |
577 |
$8K |
| 90716 |
|
737 |
735 |
$8K |
| 94060 |
|
69 |
69 |
$7K |
| 84403 |
|
408 |
391 |
$7K |
| 84481 |
|
1,295 |
1,283 |
$7K |
| 87340 |
|
1,776 |
1,758 |
$7K |
| 72141 |
|
25 |
25 |
$7K |
| 83550 |
|
2,103 |
2,004 |
$7K |
| 85027 |
|
3,301 |
3,165 |
$7K |
| 90675 |
|
39 |
12 |
$6K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
173 |
170 |
$6K |
| 82570 |
|
2,326 |
2,239 |
$6K |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
51 |
51 |
$6K |
| 90700 |
|
753 |
750 |
$6K |
| 94010 |
|
72 |
71 |
$6K |
| 83735 |
|
3,543 |
2,981 |
$6K |
| 86481 |
|
143 |
142 |
$6K |
| H0038 |
Self-help/peer services, per 15 minutes |
50 |
16 |
$6K |
| 86666 |
|
1,444 |
805 |
$6K |
| 74018 |
|
1,274 |
1,173 |
$6K |
| 90688 |
|
155 |
155 |
$6K |
| 86762 |
|
887 |
881 |
$6K |
| 87469 |
|
294 |
292 |
$6K |
| 87484 |
|
295 |
293 |
$6K |
| 87186 |
|
2,727 |
2,579 |
$6K |
| 82746 |
|
756 |
742 |
$5K |
| 86812 |
|
128 |
128 |
$5K |
| 76536 |
|
193 |
192 |
$5K |
| 87478 |
|
281 |
279 |
$5K |
| 82043 |
|
1,669 |
1,653 |
$5K |
| 95911 |
|
63 |
62 |
$5K |
| 96367 |
|
67 |
53 |
$5K |
| 82670 |
|
293 |
278 |
$5K |
| 87070 |
|
1,284 |
1,223 |
$4K |
| 73110 |
|
1,541 |
1,372 |
$4K |
| 73221 |
|
13 |
12 |
$4K |
| 87077 |
|
1,437 |
1,327 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,435 |
1,103 |
$4K |
| 90697 |
|
163 |
163 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
7,908 |
7,159 |
$4K |
| 86753 |
|
413 |
412 |
$4K |
| 82784 |
|
534 |
410 |
$4K |
| 82947 |
|
1,691 |
1,525 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$4K |
| 84146 |
|
386 |
375 |
$4K |
| 87081 |
|
2,517 |
2,465 |
$4K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
129 |
125 |
$3K |
| 83001 |
|
312 |
307 |
$3K |
| 71271 |
|
92 |
92 |
$3K |
| 73030 |
|
1,391 |
1,323 |
$3K |
| 73630 |
|
2,172 |
1,913 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
473 |
461 |
$3K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
41 |
41 |
$3K |
| 81001 |
|
4,487 |
4,042 |
$3K |
| 85730 |
|
3,038 |
2,770 |
$3K |
| 87507 |
|
27 |
27 |
$3K |
| 86038 |
|
1,160 |
1,155 |
$3K |
| 86431 |
|
1,193 |
1,186 |
$3K |
| 87522 |
Neg quan hep c or qual rna |
76 |
74 |
$3K |
| 91320 |
|
25 |
25 |
$3K |
| 97760 |
|
52 |
50 |
$3K |
| 73610 |
|
1,674 |
1,540 |
$3K |
| 84144 |
|
170 |
126 |
$3K |
| 81015 |
|
4,423 |
3,986 |
$3K |
| 64493 |
|
46 |
12 |
$3K |
| 87480 |
|
1,554 |
1,516 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,161 |
4,774 |
$3K |
| 73130 |
|
1,469 |
1,301 |
$3K |
| 87660 |
|
1,590 |
1,552 |
$3K |
| 64635 |
|
104 |
12 |
$3K |
| 90620 |
|
64 |
63 |
$2K |
| 86787 |
|
753 |
738 |
$2K |
| 99383 |
|
12 |
12 |
$2K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
455 |
431 |
$2K |
| 94618 |
|
13 |
12 |
$2K |
| 86003 |
|
459 |
263 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
16 |
16 |
$2K |
| 73564 |
|
577 |
552 |
$2K |
| 85652 |
|
2,422 |
2,355 |
$2K |
| 58300 |
|
14 |
14 |
$2K |
| 76775 |
|
29 |
29 |
$2K |
| 90680 |
|
83 |
83 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
77 |
77 |
$2K |
| 99386 |
|
14 |
14 |
$2K |
| 87510 |
|
1,520 |
1,483 |
$2K |
| 92133 |
|
26 |
24 |
$2K |
| G0009 |
Administration of pneumococcal vaccine |
169 |
168 |
$2K |
| 90734 |
|
316 |
316 |
$2K |
| 86329 |
|
232 |
229 |
$2K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
3,643 |
3,308 |
$2K |
| 84550 |
|
768 |
725 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,826 |
3,966 |
$2K |
| 85651 |
|
1,849 |
1,743 |
$2K |
| 82248 |
|
770 |
547 |
$2K |
| 85379 |
|
1,650 |
1,600 |
$2K |
| 83690 |
|
6,645 |
6,142 |
$2K |
| 86160 |
|
537 |
284 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
795 |
775 |
$2K |
| 69210 |
|
51 |
50 |
$2K |
| 70486 |
|
12 |
12 |
$1K |
| 87631 |
|
28 |
28 |
$1K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
15 |
15 |
$1K |
| 36591 |
|
61 |
38 |
$1K |
| 0001A |
|
117 |
117 |
$1K |
| 73140 |
|
609 |
545 |
$1K |
| 62323 |
|
24 |
14 |
$1K |
| 94727 |
|
81 |
80 |
$1K |
| 86039 |
|
473 |
470 |
$1K |
| 83615 |
|
583 |
535 |
$1K |
| 72110 |
|
103 |
100 |
$1K |
| 86617 |
|
158 |
114 |
$1K |
| 99460 |
|
13 |
13 |
$1K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
29 |
12 |
$1K |
| 73502 |
|
493 |
478 |
$1K |
| 81003 |
|
3,703 |
3,531 |
$1K |
| 99382 |
|
12 |
12 |
$1K |
| 11721 |
|
50 |
46 |
$1K |
| 86709 |
|
254 |
252 |
$1K |
| 17004 |
|
16 |
13 |
$1K |
| 81002 |
|
6,160 |
4,953 |
$1K |
| 0002A |
|
115 |
114 |
$1K |
| 83002 |
|
83 |
79 |
$988.13 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$979.34 |
| 73562 |
|
817 |
791 |
$976.14 |
| 94729 |
|
84 |
84 |
$969.93 |
| 93246 |
|
12 |
12 |
$953.63 |
| 84484 |
|
6,091 |
4,115 |
$916.96 |
| 84402 |
|
53 |
52 |
$867.73 |
| 82105 |
|
214 |
211 |
$866.64 |
| 73560 |
|
615 |
540 |
$863.93 |
| 71045 |
Radiologic examination, chest; single view |
3,993 |
3,798 |
$831.10 |
| 87040 |
|
2,346 |
1,574 |
$827.19 |
| 86706 |
|
159 |
159 |
$817.49 |
| 86225 |
|
513 |
500 |
$810.72 |
| 72100 |
|
280 |
279 |
$774.81 |
| 80320 |
|
1,006 |
949 |
$767.41 |
| 90480 |
|
22 |
22 |
$760.00 |
| 86200 |
|
357 |
354 |
$738.74 |
| 84100 |
|
282 |
211 |
$729.43 |
| 31575 |
|
12 |
12 |
$704.42 |
| 86778 |
|
105 |
104 |
$696.56 |
| 86235 |
|
221 |
133 |
$687.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,644 |
3,535 |
$684.27 |
| 85018 |
|
536 |
526 |
$675.22 |
| 86705 |
|
168 |
166 |
$663.54 |
| 86704 |
|
152 |
152 |
$658.95 |
| 90381 |
|
31 |
31 |
$602.40 |
| 86777 |
|
75 |
75 |
$599.01 |
| 73080 |
|
110 |
96 |
$515.30 |
| 95251 |
|
25 |
25 |
$513.71 |
| 82550 |
|
460 |
442 |
$513.29 |
| 85007 |
|
610 |
564 |
$501.18 |
| 99407 |
|
39 |
37 |
$485.18 |
| 97750 |
|
16 |
16 |
$436.15 |
| 84703 |
|
3,102 |
2,957 |
$425.14 |
| 85014 |
|
290 |
280 |
$421.06 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,567 |
3,413 |
$391.44 |
| 97802 |
|
12 |
12 |
$390.34 |
| 93225 |
|
13 |
13 |
$372.14 |
| 84460 |
|
99 |
94 |
$366.28 |
| 0071A |
|
61 |
60 |
$360.00 |
| 0072A |
|
53 |
53 |
$360.00 |
| 83605 |
|
3,230 |
2,819 |
$354.74 |
| 82950 |
|
151 |
150 |
$334.49 |
| 92083 |
|
12 |
12 |
$333.84 |
| 84450 |
|
83 |
79 |
$307.83 |
| 90380 |
|
13 |
13 |
$301.20 |
| 73090 |
|
57 |
42 |
$260.64 |
| 84156 |
|
247 |
227 |
$259.90 |
| 84155 |
|
228 |
204 |
$231.09 |
| 83516 |
|
91 |
78 |
$228.07 |
| 86769 |
|
16 |
16 |
$206.83 |
| 83520 |
|
43 |
36 |
$185.52 |
| 90662 |
|
15 |
15 |
$176.68 |
| 99173 |
|
2,751 |
2,743 |
$148.21 |
| 84165 |
|
52 |
50 |
$146.98 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,142 |
1,127 |
$145.79 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,309 |
1,230 |
$142.23 |
| 73590 |
|
125 |
116 |
$133.30 |
| 86308 |
|
99 |
98 |
$130.37 |
| J2704 |
Injection, propofol, 10 mg |
1,977 |
1,922 |
$123.76 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
195 |
177 |
$123.35 |
| 0004A |
|
44 |
43 |
$120.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,961 |
3,562 |
$118.03 |
| 86376 |
|
24 |
24 |
$116.40 |
| 87807 |
|
172 |
171 |
$115.94 |
| 72040 |
|
52 |
52 |
$114.33 |
| 88141 |
|
18 |
18 |
$113.06 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,906 |
4,423 |
$96.76 |
| 82977 |
|
28 |
26 |
$91.44 |
| 96376 |
|
1,037 |
782 |
$90.16 |
| 87430 |
|
628 |
619 |
$88.13 |
| 82948 |
|
992 |
710 |
$82.19 |
| 86255 |
|
16 |
12 |
$73.64 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
63 |
54 |
$73.46 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,455 |
1,215 |
$65.38 |
| 86708 |
|
14 |
13 |
$63.13 |
| 80305 |
|
420 |
375 |
$60.52 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
920 |
759 |
$59.95 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,905 |
3,736 |
$56.65 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,029 |
2,578 |
$55.30 |
| 71101 |
|
12 |
12 |
$49.22 |
| 82565 |
|
14 |
12 |
$40.24 |
| J7050 |
Infusion, normal saline solution, 250 cc |
816 |
583 |
$37.82 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
380 |
363 |
$36.29 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
487 |
428 |
$36.12 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
107 |
73 |
$31.38 |
| 86141 |
|
13 |
13 |
$30.75 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
589 |
568 |
$28.42 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
197 |
197 |
$28.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
453 |
382 |
$23.50 |
| 80348 |
|
16 |
14 |
$20.00 |
| 84480 |
|
12 |
12 |
$17.10 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
194 |
191 |
$16.01 |
| 80143 |
|
112 |
103 |
$13.05 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,696 |
2,591 |
$12.82 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
27 |
27 |
$7.20 |
| 73070 |
|
15 |
15 |
$6.06 |
| J0134 |
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
102 |
98 |
$5.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
1,033 |
580 |
$4.12 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
168 |
146 |
$3.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
210 |
106 |
$3.00 |
| A9270 |
Non-covered item or service |
253 |
222 |
$0.90 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
85 |
72 |
$0.81 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
128 |
119 |
$0.00 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
26 |
26 |
$0.00 |
| 94799 |
|
13 |
12 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
14 |
12 |
$0.00 |
| 99152 |
|
50 |
49 |
$0.00 |
| 80179 |
|
70 |
63 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
16 |
12 |
$0.00 |
| C1729 |
Catheter, drainage |
27 |
27 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
36 |
29 |
$0.00 |
| 84145 |
|
36 |
35 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
128 |
111 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
257 |
243 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
72 |
66 |
$0.00 |
| 80329 |
|
559 |
284 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
56 |
56 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
64 |
63 |
$0.00 |
| 96380 |
|
16 |
16 |
$0.00 |
| 87205 |
|
12 |
12 |
$0.00 |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
12 |
12 |
$0.00 |