| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
Emergency room services |
145,121 |
132,438 |
$33.05M |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
29,188 |
19,045 |
$2.12M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
5,516 |
5,432 |
$1.32M |
| Z7502 |
|
34,418 |
34,072 |
$1.30M |
| 0750 |
|
1,164 |
1,161 |
$951K |
| 0360 |
|
3,639 |
3,561 |
$917K |
| 80053 |
Comprehensive metabolic panel |
41,742 |
39,227 |
$917K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
10,242 |
9,196 |
$739K |
| 0762 |
|
2,326 |
1,219 |
$726K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,083 |
7,754 |
$679K |
| 36415 |
Collection of venous blood by venipuncture |
30,739 |
29,148 |
$674K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
3,432 |
3,404 |
$616K |
| 0250 |
|
40,430 |
25,508 |
$588K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,946 |
4,714 |
$574K |
| 70450 |
Computed tomography, head or brain; without contrast material |
8,561 |
8,399 |
$506K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13,289 |
8,065 |
$497K |
| 71045 |
Radiologic examination, chest; single view |
31,039 |
30,036 |
$488K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16,031 |
15,019 |
$471K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,511 |
6,140 |
$435K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
24,058 |
22,913 |
$431K |
| 0121 |
|
1,627 |
1,581 |
$410K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
2,122 |
2,092 |
$398K |
| 0514 |
|
6,275 |
5,163 |
$397K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
8,026 |
7,895 |
$394K |
| 0214 |
|
1,063 |
1,025 |
$390K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
26,301 |
24,629 |
$368K |
| 0270 |
|
40,990 |
22,266 |
$366K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14,991 |
14,068 |
$349K |
| 99199 |
Unlisted special service, procedure or report |
7,899 |
7,312 |
$335K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
64,628 |
59,213 |
$310K |
| 87631 |
|
11,010 |
10,669 |
$264K |
| J3490 |
Unclassified drugs |
30,444 |
17,352 |
$257K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
6,014 |
4,322 |
$248K |
| 59025 |
Fetal non-stress test |
10,744 |
3,216 |
$237K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
16,611 |
15,498 |
$214K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
8,592 |
8,526 |
$213K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
8,345 |
8,132 |
$203K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,164 |
3,119 |
$202K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
16,028 |
14,847 |
$187K |
| 0636 |
|
20,631 |
15,022 |
$185K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
9,798 |
9,433 |
$181K |
| 0272 |
|
10,896 |
10,609 |
$179K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
10,408 |
10,079 |
$174K |
| 76818 |
|
5,459 |
4,121 |
$173K |
| 81001 |
|
31,335 |
29,659 |
$165K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,936 |
1,867 |
$153K |
| Z7610 |
|
12,187 |
8,259 |
$146K |
| 76813 |
|
3,005 |
2,642 |
$140K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
4,482 |
3,894 |
$132K |
| Z9725 |
|
2,644 |
2,622 |
$114K |
| 76801 |
|
4,253 |
3,616 |
$102K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,860 |
3,772 |
$100K |
| 0300 |
|
4,591 |
4,305 |
$100K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
18,711 |
17,366 |
$100K |
| Z7500 |
|
2,914 |
2,384 |
$99K |
| 83690 |
|
22,792 |
21,779 |
$99K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
5,167 |
4,714 |
$94K |
| 99221 |
|
4,007 |
3,115 |
$92K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
4,553 |
4,346 |
$89K |
| 93971 |
|
1,763 |
1,722 |
$88K |
| 73562 |
|
3,507 |
3,446 |
$85K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
20,666 |
19,467 |
$85K |
| 81003 |
|
19,790 |
19,270 |
$81K |
| 81025 |
|
19,625 |
18,869 |
$79K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
19,506 |
18,341 |
$75K |
| 87400 |
|
4,740 |
4,608 |
$73K |
| 73610 |
|
3,340 |
3,277 |
$72K |
| 73630 |
|
3,313 |
3,248 |
$70K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
3,532 |
1,643 |
$65K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
5,155 |
4,851 |
$63K |
| 0301 |
|
4,238 |
4,007 |
$62K |
| 0710 |
|
10,031 |
9,896 |
$61K |
| 84702 |
|
4,777 |
4,131 |
$60K |
| 0760 |
|
2,460 |
1,577 |
$57K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,311 |
1,295 |
$57K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
682 |
666 |
$57K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
521 |
480 |
$56K |
| 74018 |
|
1,994 |
1,950 |
$56K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,879 |
2,627 |
$52K |
| 94664 |
|
4,163 |
3,951 |
$52K |
| 84484 |
|
14,456 |
13,040 |
$51K |
| 71046 |
Radiologic examination, chest; 2 views |
1,170 |
1,149 |
$50K |
| 73030 |
|
2,418 |
2,380 |
$50K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,585 |
3,518 |
$49K |
| 47562 |
|
184 |
163 |
$47K |
| 73130 |
|
2,489 |
2,437 |
$46K |
| 73110 |
|
2,001 |
1,968 |
$45K |
| 76830 |
Ultrasound, transvaginal |
2,296 |
2,250 |
$44K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,569 |
1,523 |
$43K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,155 |
1,120 |
$41K |
| 72100 |
|
1,733 |
1,714 |
$38K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
7,038 |
6,275 |
$36K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
5,931 |
5,680 |
$35K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
9,586 |
9,333 |
$33K |
| 84703 |
|
8,825 |
8,626 |
$32K |
| 93970 |
|
414 |
404 |
$32K |
| 85730 |
|
10,840 |
10,512 |
$32K |
| 11043 |
|
537 |
222 |
$32K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
216 |
126 |
$32K |
| 0122 |
|
1,440 |
1,390 |
$29K |
| 72040 |
|
714 |
712 |
$28K |
| 90715 |
|
1,887 |
1,873 |
$28K |
| 76825 |
|
315 |
315 |
$28K |
| 0305 |
|
4,432 |
4,222 |
$27K |
| 73080 |
|
1,278 |
1,262 |
$27K |
| 0761 |
|
1,600 |
1,099 |
$27K |
| 82962 |
|
9,679 |
8,375 |
$27K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
12,550 |
11,716 |
$24K |
| E0601 |
Continuous positive airway pressure (cpap) device |
313 |
311 |
$24K |
| 86900 |
|
5,477 |
5,169 |
$24K |
| 85610 |
|
11,585 |
11,222 |
$24K |
| 88312 |
|
4,495 |
4,461 |
$24K |
| 87040 |
|
2,696 |
2,553 |
$24K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
200 |
186 |
$23K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
183 |
171 |
$23K |
| 76827 |
|
316 |
316 |
$22K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
8,771 |
8,346 |
$22K |
| 86756 |
|
1,047 |
1,020 |
$21K |
| 29125 |
|
567 |
552 |
$21K |
| 88307 |
|
1,176 |
1,153 |
$21K |
| B4160 |
Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
199 |
199 |
$21K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
618 |
612 |
$21K |
| 93325 |
|
302 |
301 |
$20K |
| 0352 |
|
845 |
823 |
$20K |
| 76870 |
|
802 |
782 |
$20K |
| 83880 |
|
3,141 |
3,035 |
$20K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
8,466 |
7,557 |
$19K |
| 0171 |
Inj, epinephrine (belcher) |
1,081 |
1,061 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,877 |
1,858 |
$18K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,649 |
1,629 |
$18K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
561 |
454 |
$18K |
| 0306 |
|
3,474 |
3,329 |
$18K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,105 |
1,938 |
$18K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
426 |
412 |
$18K |
| 94644 |
|
779 |
734 |
$17K |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
410 |
408 |
$17K |
| 96376 |
|
2,323 |
1,955 |
$17K |
| 70486 |
|
392 |
386 |
$17K |
| 73090 |
|
647 |
640 |
$17K |
| 0510 |
|
772 |
639 |
$16K |
| 0370 |
|
7,379 |
7,311 |
$15K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
3,073 |
3,002 |
$15K |
| 71100 |
|
372 |
369 |
$14K |
| 73502 |
|
671 |
660 |
$14K |
| 0123 |
|
135 |
133 |
$14K |
| 0361 |
|
1,034 |
1,003 |
$14K |
| 76536 |
|
348 |
342 |
$14K |
| C1781 |
Mesh (implantable) |
131 |
129 |
$12K |
| 73140 |
|
662 |
654 |
$12K |
| 86901 |
|
5,473 |
5,168 |
$11K |
| 0483 |
|
543 |
537 |
$11K |
| 73590 |
|
692 |
683 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
965 |
933 |
$11K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
3,750 |
3,198 |
$11K |
| 87070 |
|
747 |
711 |
$10K |
| 80061 |
Lipid panel |
2,476 |
2,373 |
$10K |
| 0730 |
|
1,546 |
1,497 |
$10K |
| 76775 |
|
601 |
597 |
$10K |
| 82550 |
|
1,592 |
1,349 |
$10K |
| A4649 |
Surgical supply; miscellaneous |
7,725 |
2,739 |
$9K |
| 83605 |
|
2,935 |
2,701 |
$9K |
| 88304 |
|
1,436 |
1,417 |
$9K |
| 72131 |
|
107 |
106 |
$9K |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,260 |
776 |
$9K |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
114 |
76 |
$8K |
| 0324 |
|
2,054 |
1,996 |
$8K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
231 |
228 |
$8K |
| 82553 |
|
1,082 |
871 |
$8K |
| 86850 |
|
1,985 |
1,903 |
$8K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
394 |
313 |
$8K |
| 83735 |
|
3,199 |
2,906 |
$8K |
| 92585 |
|
190 |
190 |
$8K |
| 0420 |
|
407 |
385 |
$8K |
| 12011 |
|
116 |
116 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,055 |
1,997 |
$7K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
159 |
158 |
$7K |
| 0410 |
|
286 |
281 |
$7K |
| 29515 |
|
79 |
78 |
$7K |
| J2060 |
Injection, lorazepam, 2 mg |
1,945 |
1,789 |
$7K |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
140 |
139 |
$6K |
| 12001 |
|
199 |
192 |
$6K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
1,672 |
1,610 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
873 |
809 |
$6K |
| J1815 |
Injection, insulin, per 5 units |
1,232 |
831 |
$6K |
| 84560 |
|
590 |
520 |
$6K |
| K0001 |
Standard wheelchair |
155 |
155 |
$5K |
| 0402 |
|
1,795 |
1,736 |
$5K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,638 |
2,510 |
$5K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
609 |
566 |
$5K |
| 82150 |
|
791 |
777 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
336 |
331 |
$4K |
| 80306 |
|
169 |
129 |
$4K |
| 86140 |
|
1,485 |
1,451 |
$4K |
| 92558 |
|
197 |
197 |
$4K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
3,400 |
3,292 |
$4K |
| E0570 |
Nebulizer, with compressor |
37 |
37 |
$4K |
| 0351 |
|
28 |
28 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
96 |
95 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
338 |
337 |
$4K |
| G0378 |
Hospital observation service, per hour |
223 |
187 |
$4K |
| 84100 |
|
1,119 |
999 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
341 |
326 |
$3K |
| 0424 |
|
773 |
749 |
$3K |
| J3370 |
Injection, vancomycin hcl, 500 mg |
246 |
231 |
$3K |
| 49507 |
|
14 |
14 |
$3K |
| 70498 |
|
56 |
55 |
$3K |
| 86308 |
|
99 |
98 |
$3K |
| 87081 |
|
493 |
486 |
$3K |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
246 |
226 |
$3K |
| 0302 |
|
2,905 |
2,730 |
$3K |
| 87430 |
|
123 |
121 |
$3K |
| 73564 |
|
144 |
140 |
$3K |
| 0307 |
|
2,073 |
1,999 |
$3K |
| 29105 |
|
41 |
40 |
$2K |
| 0471 |
|
1,184 |
1,164 |
$2K |
| 0637 |
|
2,662 |
2,048 |
$2K |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
1,365 |
1,302 |
$2K |
| 88313 |
|
394 |
390 |
$2K |
| 85378 |
|
1,365 |
1,336 |
$2K |
| 0390 |
|
1,879 |
1,843 |
$2K |
| 70496 |
|
42 |
41 |
$2K |
| 29505 |
|
30 |
30 |
$2K |
| 74019 |
|
51 |
50 |
$2K |
| 10060 |
|
60 |
59 |
$2K |
| 82785 |
|
65 |
65 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,179 |
2,089 |
$2K |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
1,458 |
1,374 |
$1K |
| C1765 |
Adhesion barrier |
13 |
12 |
$1K |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
322 |
308 |
$1K |
| 82803 |
|
266 |
258 |
$1K |
| V5008 |
Hearing screening |
29 |
29 |
$1K |
| 84112 |
|
56 |
54 |
$1K |
| 0310 |
|
913 |
902 |
$1K |
| E0443 |
Portable oxygen contents, gaseous, 1 month's supply = 1 unit |
13 |
13 |
$1K |
| 12002 |
|
15 |
15 |
$1K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
548 |
545 |
$1K |
| A0425 |
Ground mileage, per statute mile |
716 |
531 |
$983.90 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
100 |
100 |
$954.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
1,057 |
1,045 |
$890.28 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$870.30 |
| 88300 |
|
307 |
305 |
$867.91 |
| 84145 |
|
288 |
275 |
$853.85 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
268 |
263 |
$803.77 |
| 72072 |
|
15 |
15 |
$800.70 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
16 |
$796.03 |
| 82247 |
|
29 |
25 |
$720.96 |
| 29130 |
|
50 |
50 |
$718.60 |
| 99401 |
|
199 |
190 |
$695.00 |
| 97804 |
|
13 |
13 |
$666.47 |
| 73060 |
|
39 |
39 |
$630.13 |
| 93922 |
|
30 |
29 |
$624.91 |
| 85651 |
|
437 |
423 |
$587.79 |
| 82248 |
|
191 |
180 |
$525.63 |
| J7510 |
Prednisolone oral, per 5 mg |
128 |
127 |
$439.77 |
| 29581 |
|
154 |
74 |
$424.50 |
| 83615 |
|
163 |
151 |
$400.97 |
| 0320 |
|
452 |
440 |
$395.19 |
| 84436 |
|
240 |
238 |
$386.67 |
| 87210 |
|
81 |
80 |
$383.72 |
| P9612 |
Catheterization for collection of specimen, single patient, all places of service |
258 |
254 |
$362.69 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
241 |
239 |
$354.95 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
56 |
$341.08 |
| 84479 |
|
102 |
101 |
$311.76 |
| 0278 |
|
55 |
54 |
$307.23 |
| 80074 |
|
89 |
89 |
$302.91 |
| 82728 |
|
169 |
158 |
$297.09 |
| J1630 |
Injection, haloperidol, up to 5 mg |
102 |
92 |
$294.52 |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
24 |
24 |
$287.50 |
| 70360 |
|
12 |
12 |
$280.04 |
| 87340 |
|
24 |
24 |
$275.15 |
| 86592 |
|
215 |
214 |
$241.49 |
| 71250 |
|
14 |
14 |
$231.32 |
| 88302 |
|
25 |
25 |
$201.52 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
120 |
120 |
$198.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
37 |
36 |
$196.51 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
30 |
24 |
$190.47 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
265 |
264 |
$190.24 |
| 99072 |
|
231 |
134 |
$169.78 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
12 |
12 |
$164.77 |
| 84439 |
|
110 |
109 |
$163.53 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
203 |
190 |
$157.92 |
| 88342 |
|
161 |
160 |
$154.57 |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
23 |
12 |
$132.00 |
| 76642 |
|
13 |
13 |
$123.58 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$111.71 |
| 82010 |
|
69 |
65 |
$107.91 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
44 |
44 |
$106.16 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
316 |
314 |
$105.42 |
| J1940 |
Injection, furosemide, up to 20 mg |
15 |
14 |
$92.02 |
| 0460 |
|
608 |
600 |
$85.10 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
172 |
88 |
$57.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
120 |
117 |
$54.30 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
89 |
89 |
$54.00 |
| 82270 |
|
41 |
41 |
$51.69 |
| 85018 |
|
326 |
326 |
$45.00 |
| 80076 |
|
49 |
48 |
$44.36 |
| 72170 |
|
13 |
12 |
$40.30 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
14 |
13 |
$38.46 |
| 73660 |
|
13 |
13 |
$33.54 |
| J0735 |
Injection, clonidine hydrochloride, 1 mg |
14 |
13 |
$31.45 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
88 |
82 |
$27.29 |
| 36600 |
|
15 |
15 |
$27.16 |
| 73552 |
|
13 |
13 |
$20.99 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
27 |
26 |
$20.48 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
39 |
36 |
$19.34 |
| 82570 |
|
92 |
88 |
$17.76 |
| 88311 |
|
15 |
14 |
$13.03 |
| 86003 |
|
80 |
78 |
$11.28 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
55 |
49 |
$10.92 |
| C9113 |
Injection, pantoprazole sodium, per vial |
20 |
18 |
$7.06 |
| 84550 |
|
42 |
42 |
$4.96 |
| 99070 |
|
19 |
12 |
$4.00 |
| S9999 |
Sales tax |
674 |
644 |
$1.68 |
| 0720 |
|
1,270 |
1,244 |
$0.00 |
| J7999 |
Compounded drug, not otherwise classified |
56 |
55 |
$0.00 |
| 82607 |
|
116 |
116 |
$0.00 |
| 85652 |
|
114 |
114 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
3,218 |
1,445 |
$0.00 |
| 92551 |
|
151 |
151 |
$0.00 |
| 82043 |
|
48 |
48 |
$0.00 |
| 0434 |
|
39 |
38 |
$0.00 |
| 88341 |
|
12 |
12 |
$0.00 |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
28 |
26 |
$0.00 |
| 82746 |
|
91 |
91 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
15 |
15 |
$0.00 |
| 99000 |
|
14 |
14 |
$0.00 |
| 83550 |
|
37 |
37 |
$0.00 |
| 86141 |
|
40 |
40 |
$0.00 |
| 0610 |
|
14 |
14 |
$0.00 |
| 3079F |
|
15 |
14 |
$0.00 |
| 0440 |
|
26 |
25 |
$0.00 |
| 3008F |
|
25 |
22 |
$0.00 |
| 0391 |
|
15 |
15 |
$0.00 |
| 3074F |
|
20 |
18 |
$0.00 |
| 84153 |
|
15 |
15 |
$0.00 |
| 83540 |
|
78 |
78 |
$0.00 |
| 0722 |
|
635 |
630 |
$0.00 |
| 0921 |
|
56 |
56 |
$0.00 |
| 92552 |
|
168 |
168 |
$0.00 |
| 87806 |
|
221 |
219 |
$0.00 |
| 99173 |
|
160 |
160 |
$0.00 |
| T4541 |
Incontinence product, disposable underpad, large, each |
133 |
133 |
$0.00 |
| 86038 |
|
61 |
61 |
$0.00 |
| 81002 |
|
132 |
132 |
$0.00 |
| 92081 |
|
28 |
28 |
$0.00 |
| 86431 |
|
31 |
31 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
26 |
26 |
$0.00 |
| 83655 |
|
13 |
12 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
25 |
25 |
$0.00 |
| 0312 |
|
15 |
15 |
$0.00 |
| 86677 |
|
41 |
41 |
$0.00 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
15 |
15 |
$0.00 |
| 80354 |
|
34 |
33 |
$0.00 |
| 87186 |
|
15 |
15 |
$0.00 |