Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › UT › SALT LAKE CITY › UNIVERSITY OF UTAH

UNIVERSITY OF UTAH

NPI: 1588656870 · SALT LAKE CITY, UT 84132 · Dental Clinic/Center · NPI assigned 08/22/2005

$221.14M
Total Medicaid Paid
4,831,388
Total Claims
3,817,787
Beneficiaries
891
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPARK, CHARLTON (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date08/22/2005

Related Entities

Other providers sharing the same authorized official: PARK, CHARLTON

ProviderCityStateTotal Paid
UNIVERSITY OF UTAH SALT LAKE CITY UT $23.16M
UNIVERSITY OF UTAH SALT LAKE CITY UT $2.06M
UNIVERSITY OF UTAH SALT LAKE CITY UT $17K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 712,643 $26.79M
2019 750,766 $30.50M
2020 805,368 $37.80M
2021 1,113,457 $54.25M
2022 1,030,378 $54.91M
2023 245,735 $9.99M
2024 173,041 $6.90M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 894,326 705,845 $43.60M
8888888 Internal/system code - not a standard HCPCS code 175,319 59,760 $42.78M
J3490 Unclassified drugs 165,489 64,129 $15.85M
36415 Collection of venous blood by venipuncture 190,874 162,291 $13.73M
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 70,578 60,484 $6.57M
J8499 Prescription drug, oral, non chemotherapeutic, nos 102,204 29,882 $6.21M
J1100 Injection, dexamethasone sodium phosphate, 1 mg 19,430 15,582 $4.92M
J0690 Injection, cefazolin sodium, 500 mg 10,187 7,893 $4.74M
J2704 Injection, propofol, 10 mg 16,344 11,823 $3.39M
J1885 Injection, ketorolac tromethamine, per 15 mg 22,441 18,515 $3.24M
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 22,337 19,521 $2.90M
J2250 Injection, midazolam hydrochloride, per 1 mg 15,494 13,003 $2.85M
A9576 Injection, gadoteridol, (prohance multipack), per ml 7,161 6,573 $2.76M
A9270 Non-covered item or service 18,962 7,239 $2.61M
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,786 2,040 $2.39M
J2405 Injection, ondansetron hydrochloride, per 1 mg 31,557 22,541 $1.74M
36416 32,018 25,862 $1.66M
J0330 Injection, succinylcholine chloride, up to 20 mg 3,751 3,150 $1.63M
J1200 Injection, diphenhydramine hcl, up to 50 mg 5,566 4,430 $1.60M
99283 Emergency department visit for the evaluation and management, moderate severity 30,405 24,479 $1.38M
J1170 Injection, hydromorphone, up to 4 mg 9,403 6,655 $1.27M
A0431 Ambulance service, conventional air services, transport, one way (rotary wing) 493 389 $1.14M
J0696 Injection, ceftriaxone sodium, per 250 mg 4,871 4,064 $1.12M
V2020 Frames, purchases 10,883 10,801 $1.04M
J2270 Injection, morphine sulfate, up to 10 mg 6,566 5,025 $1.03M
80053 Comprehensive metabolic panel 135,186 110,830 $989K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 1,048 964 $988K
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 28,697 24,214 $985K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 2,092 1,741 $982K
99284 Emergency department visit for the evaluation and management, high severity 39,026 33,773 $871K
J0585 Injection, onabotulinumtoxina, 1 unit 3,498 2,942 $859K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,321 4,936 $823K
81002 38,809 34,457 $813K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 22,656 21,964 $810K
82330 13,950 9,533 $802K
J8540 Dexamethasone, oral, 0.25 mg 2,006 1,002 $770K
J0780 Injection, prochlorperazine, up to 10 mg 2,018 1,723 $764K
87088 24,329 21,295 $761K
80305 9,921 7,917 $760K
J2060 Injection, lorazepam, 2 mg 3,842 3,029 $744K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 2,911 2,235 $718K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 12,654 9,314 $706K
71046 Radiologic examination, chest; 2 views 20,498 18,428 $668K
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 7,087 5,839 $629K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 6,960 6,300 $622K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 28,482 15,913 $618K
J1453 Injection, fosaprepitant, 1 mg 791 493 $599K
J2469 Injection, palonosetron hcl, 25 mcg 1,245 773 $578K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 980 943 $560K
81025 27,094 24,551 $552K
A0436 Rotary wing air mileage, per statute mile 488 387 $536K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 9,873 9,464 $514K
J1790 Injection, droperidol, up to 5 mg 2,235 1,998 $512K
77336 2,053 903 $502K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 18,164 15,496 $495K
J0475 Injection, baclofen, 10 mg 2,593 2,292 $446K
Q9957 Injection, perflutren lipid microspheres, per ml 2,126 1,937 $434K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 23,275 21,057 $388K
J1030 Injection, methylprednisolone acetate, 40 mg 2,356 2,192 $377K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 1,045 942 $371K
90686 42,392 40,916 $370K
95810 Polysomnography; sleep staging with 4 or more additional parameters 559 538 $366K
88305 Level IV - Surgical pathology, gross and microscopic examination 12,735 11,185 $346K
J1050 Injection, medroxyprogesterone acetate, 1 mg 4,305 4,117 $335K
95811 657 618 $335K
J3489 Injection, zoledronic acid, 1 mg 392 352 $322K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,241 2,160 $317K
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 4,008 3,174 $313K
64615 1,382 1,316 $308K
76830 Ultrasound, transvaginal 3,083 2,945 $303K
C9399 Unclassified drugs or biologicals 6,896 5,363 $300K
73610 5,804 5,194 $291K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3,863 3,485 $290K
73630 7,615 6,838 $288K
86850 10,109 8,574 $283K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 4,713 3,925 $283K
73562 6,275 5,783 $282K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 4,604 4,397 $270K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 2,629 2,486 $267K
80076 8,547 7,356 $262K
J1815 Injection, insulin, per 5 units 3,077 1,563 $258K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,820 2,695 $253K
77386 1,370 130 $247K
83986 2,758 2,005 $245K
J3475 Injection, magnesium sulfate, per 500 mg 2,026 1,258 $242K
77063 Screening digital breast tomosynthesis, bilateral 3,609 3,513 $238K
87081 3,987 3,818 $238K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 3,065 2,406 $236K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 1,400 786 $234K
0001A 11,626 7,927 $233K
87653 3,046 2,940 $227K
87480 5,550 5,215 $226K
87086 Culture, bacterial; quantitative colony count, urine 7,895 7,255 $222K
73030 5,708 5,173 $219K
76700 Ultrasound, abdominal, real time with image documentation; complete 3,020 2,851 $217K
87070 5,738 4,747 $210K
A9152 Single vitamin/mineral/trace element, oral, per dose, not otherwise specified 1,549 694 $210K
73110 4,640 3,966 $208K
97161 3,709 3,581 $198K
J3010 Injection, fentanyl citrate, 0.1 mg 33,143 24,642 $198K
59025 Fetal non-stress test 7,107 3,627 $191K
73130 5,479 4,880 $191K
99173 8,642 8,398 $180K
72141 1,368 1,292 $179K
72100 4,964 4,537 $177K
80048 Basic metabolic panel (calcium, ionized) 37,256 29,698 $176K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 1,253 1,183 $175K
72110 2,942 2,801 $174K
J0461 Injection, atropine sulfate, 0.01 mg 127 95 $169K
A9153 Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified 1,287 779 $162K
A6257 Transparent film, sterile, 16 sq. in. or less, each dressing 6,209 5,087 $160K
95885 871 822 $158K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 5,057 4,825 $157K
76801 3,043 2,615 $156K
J2795 Injection, ropivacaine hydrochloride, 1 mg 3,253 2,940 $153K
70551 Magnetic resonance imaging, brain; without contrast material 2,026 1,887 $151K
95886 1,056 1,012 $149K
97162 2,963 2,821 $147K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 5,112 4,871 $144K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 462 375 $142K
77300 442 386 $141K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 265 238 $134K
J1630 Injection, haloperidol, up to 5 mg 2,098 1,769 $129K
73560 4,213 3,602 $128K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 13,443 7,569 $128K
94010 2,756 2,495 $125K
73140 2,093 1,893 $125K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 193 175 $124K
64642 275 243 $123K
70450 Computed tomography, head or brain; without contrast material 5,619 4,997 $121K
J0572 Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine 508 431 $121K
73502 3,588 3,285 $120K
17110 2,245 2,021 $120K
72040 2,465 2,258 $118K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 390 359 $118K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 765 736 $116K
72050 1,741 1,649 $115K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 13,740 11,935 $113K
77334 897 585 $111K
81001 45,102 38,190 $111K
77062 1,138 1,106 $111K
G0008 Administration of influenza virus vaccine 52,904 50,956 $109K
J1650 Injection, enoxaparin sodium, 10 mg 2,768 1,379 $108K
87631 936 906 $107K
87077 4,276 3,769 $105K
31231 1,926 1,795 $104K
94060 885 835 $102K
82962 25,206 15,015 $101K
77412 1,541 212 $100K
0002A 4,078 3,115 $98K
71250 1,992 1,841 $97K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 211 198 $97K
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 423 362 $94K
73080 1,596 1,472 $91K
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 206 115 $91K
J1040 Injection, methylprednisolone acetate, 80 mg 457 416 $90K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,702 1,553 $89K
93356 597 559 $84K
83013 2,330 2,247 $84K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 45,397 35,064 $82K
J1756 Injection, iron sucrose, 1 mg 1,604 825 $81K
76376 652 619 $81K
69210 1,684 1,582 $79K
74018 2,804 2,474 $78K
76536 1,251 1,195 $78K
77080 919 877 $77K
85610 27,748 19,345 $77K
J0178 Injection, aflibercept, 1 mg 1,590 1,299 $73K
77067 Screening mammography, bilateral, including computer-aided detection 4,985 4,812 $72K
90651 8,020 7,866 $72K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 24,933 20,330 $71K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 152,007 121,506 $69K
67028 Intravitreal injection of a pharmacologic agent 3,395 2,926 $69K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,401 2,687 $67K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 4,431 3,977 $67K
73590 2,152 1,891 $66K
76770 1,385 1,267 $65K
90648 16,480 16,227 $64K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 3,621 2,215 $64K
72072 1,778 1,625 $64K
93321 2,250 2,042 $63K
72082 1,308 1,204 $62K
88142 7,107 6,805 $60K
73221 469 448 $60K
91200 1,048 1,001 $60K
74177 Computed tomography, abdomen and pelvis; with contrast material 10,247 9,307 $60K
93971 2,682 2,406 $60K
96375 Therapeutic injection; each additional sequential IV push 22,195 16,321 $60K
J2765 Injection, metoclopramide hcl, up to 10 mg 1,184 1,022 $58K
87340 10,180 9,483 $55K
71045 Radiologic examination, chest; single view 9,492 8,130 $55K
G0481 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; 8-14 drug class(es), including metabolite(s) if performed 659 615 $54K
90633 8,505 8,385 $53K
92557 1,644 1,553 $53K
0053A 2,398 2,184 $53K
70486 1,169 1,101 $52K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,070 1,894 $51K
J0561 Injection, penicillin g benzathine, 100,000 units 200 176 $51K
76642 2,020 1,758 $50K
73090 1,498 1,363 $49K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 9,233 5,607 $49K
96402 516 444 $48K
77280 94 79 $47K
92083 2,818 2,576 $47K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 993 988 $47K
J1250 Injection, dobutamine hydrochloride, per 250 mg 356 322 $47K
96361 Intravenous infusion, hydration; each additional hour 20,542 16,009 $47K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 9,366 8,575 $44K
J1071 Injection, testosterone cypionate, 1 mg 949 535 $43K
87210 3,572 3,183 $43K
77295 29 27 $43K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 7,498 5,303 $42K
95806 453 443 $40K
77290 104 88 $40K
0071A 1,404 1,229 $39K
T1015 Clinic visit/encounter, all-inclusive 4,035 1,736 $39K
88304 867 769 $39K
69209 788 734 $39K
97165 651 612 $39K
J3480 Injection, potassium chloride, per 2 meq 625 421 $39K
0003A 1,631 1,445 $38K
82043 7,407 6,921 $37K
73600 677 622 $36K
77301 52 50 $36K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 29,919 29,196 $36K
74019 1,362 1,239 $35K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 6,041 5,991 $35K
86832 442 375 $35K
82274 1,093 1,057 $34K
76882 1,002 934 $34K
J2370 Injection, phenylephrine hcl, up to 1 ml 3,844 3,135 $34K
J3411 Injection, thiamine hcl, 100 mg 489 309 $34K
73564 543 526 $33K
20610 4,744 4,165 $32K
12001 921 893 $32K
82565 7,453 6,805 $32K
71101 629 583 $32K
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 639 524 $31K
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 60,130 49,887 $31K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 515 176 $30K
99282 Emergency department visit for the evaluation and management, low to moderate severity 565 473 $30K
31575 827 761 $29K
0072A 820 812 $29K
73552 1,181 1,042 $29K
11981 673 648 $29K
92558 348 342 $28K
73660 534 502 $28K
20611 2,202 1,957 $27K
83993 784 754 $27K
90685 3,001 2,974 $27K
92136 974 869 $27K
G0009 Administration of pneumococcal vaccine 22,706 21,993 $27K
92550 511 480 $27K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,405 1,283 $27K
17000 860 762 $26K
95812 167 154 $26K
10060 1,355 1,255 $26K
93970 519 475 $26K
J0897 Injection, denosumab, 1 mg 66 52 $26K
97163 400 390 $26K
91320 474 469 $26K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,487 3,333 $25K
93308 1,367 1,225 $25K
93296 1,441 1,320 $25K
90688 5,024 4,775 $25K
78815 Positron emission tomography (PET) for limited area imaging 927 847 $25K
90715 12,922 12,455 $25K
84156 6,899 5,882 $25K
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 39 37 $24K
97116 1,604 752 $24K
51798 4,397 3,678 $24K
97166 481 451 $24K
J1644 Injection, heparin sodium, per 1000 units 3,836 1,994 $24K
0202U Oncology (prostate), multianalyte, gene expression profiling 2,607 2,431 $23K
J3370 Injection, vancomycin hcl, 500 mg 1,792 1,112 $23K
A0430 Ambulance service, conventional air services, transport, one way (fixed wing) 22 15 $22K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 4,670 4,326 $22K
87045 695 667 $22K
83036 Hemoglobin; glycosylated (A1C) 66,210 61,457 $22K
72170 1,472 1,236 $21K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 36,399 27,440 $21K
76000 1,874 1,616 $21K
0052A 800 755 $20K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 7,846 6,463 $20K
93923 427 395 $20K
A0435 Fixed wing air mileage, per statute mile 22 15 $20K
51705 754 673 $20K
93017 626 561 $20K
96158 691 464 $20K
78264 79 77 $19K
82731 142 130 $19K
0054A 1,064 982 $19K
76870 366 347 $19K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 132 108 $18K
72125 Computed tomography, cervical spine; without contrast material 1,634 1,453 $17K
84484 14,830 11,001 $17K
73521 419 403 $17K
80061 Lipid panel 34,911 32,866 $17K
73070 753 656 $17K
87040 3,779 1,896 $16K
V2784 Lens, polycarbonate or equal, any index, per lens 3,874 3,841 $16K
73000 280 253 $16K
90670 17,792 17,357 $16K
88720 518 369 $15K
99188 683 650 $15K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 518 468 $15K
88184 1,028 799 $15K
82805 13,670 9,455 $15K
J7050 Infusion, normal saline solution, 250 cc 738 372 $15K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 6,129 4,155 $15K
92134 6,522 5,871 $15K
82728 19,022 17,817 $15K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 3,790 3,012 $14K
A4344 Indwelling catheter, foley type, two-way, all silicone or polyurethane, each 121 110 $14K
90480 841 836 $14K
Q3014 Telehealth originating site facility fee 11,671 8,262 $14K
C9257 Injection, bevacizumab, 0.25 mg 1,467 978 $14K
90696 3,496 3,442 $14K
99201 1,356 1,298 $14K
87632 266 256 $14K
86900 10,986 9,078 $14K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 416 171 $14K
77061 172 170 $14K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 20,275 19,082 $13K
86769 474 441 $13K
0051A 644 596 $13K
87507 407 396 $13K
86592 11,838 11,220 $13K
72146 111 104 $13K
54150 377 359 $13K
52000 500 464 $13K
93325 2,355 2,139 $12K
73700 200 185 $12K
84132 12,996 9,333 $12K
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg 1,169 373 $12K
85651 11,323 10,250 $12K
71260 Computed tomography, thorax, diagnostic; with contrast material 5,386 4,913 $12K
76942 2,426 2,119 $12K
J9271 Injection, pembrolizumab, 1 mg 220 179 $12K
11976 82 81 $12K
83550 10,746 10,066 $11K
73060 535 450 $11K
J1940 Injection, furosemide, up to 20 mg 46 38 $11K
84702 4,391 3,258 $11K
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 3,613 3,099 $11K
84443 Thyroid stimulating hormone (TSH) 49,815 46,214 $11K
97535 Self-care/home management training, each 15 minutes 769 479 $11K
92250 1,655 1,504 $10K
88307 1,305 1,065 $10K
88342 2,590 2,232 $10K
76937 5,121 4,153 $10K
90677 2,024 2,008 $10K
83540 12,779 11,962 $10K
20553 1,096 938 $10K
J3360 Injection, diazepam, up to 5 mg 79 68 $10K
31720 182 167 $10K
96159 618 401 $10K
96401 18 12 $9K
90750 65 64 $9K
85027 22,682 19,127 $9K
58301 775 746 $9K
90732 3,481 3,222 $9K
80069 4,838 4,108 $9K
96367 2,237 1,564 $9K
58300 1,610 1,538 $9K
87338 660 645 $9K
77077 1,151 1,096 $9K
A4565 Slings 229 200 $9K
11721 769 685 $9K
82247 2,175 1,349 $9K
82570 8,089 7,519 $9K
92552 117 117 $9K
87205 5,799 4,703 $9K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 112 110 $8K
74183 644 605 $8K
92133 2,841 2,572 $8K
0073A 224 222 $8K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 556 513 $8K
G0378 Hospital observation service, per hour 5,527 4,079 $8K
64643 92 82 $8K
16020 885 619 $8K
80164 2,075 1,849 $8K
71271 108 106 $8K
62370 1,875 1,672 $8K
72131 324 292 $7K
80050 General health panel 2,343 2,249 $7K
0399T 81 70 $7K
90734 5,670 5,556 $7K
86480 2,914 2,770 $7K
J0485 Injection, belatacept, 1 mg 197 64 $7K
86140 13,898 12,414 $7K
81015 1,587 1,501 $7K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 4,098 3,815 $7K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 2,040 2,027 $6K
80178 3,553 3,177 $6K
82670 2,024 1,913 $6K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 214 207 $6K
87186 10,931 9,858 $6K
87536 5,269 4,976 $6K
87324 841 799 $6K
94760 118 113 $6K
93297 208 200 $6K
82550 3,026 2,582 $5K
83735 15,327 10,013 $5K
90707 3,937 3,867 $5K
87147 4,943 4,526 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 279 265 $5K
86833 387 330 $5K
87102 747 569 $5K
92551 72 70 $5K
90656 2,091 2,089 $5K
90680 11,225 11,059 $5K
87799 1,449 878 $5K
51703 336 281 $5K
12011 174 169 $5K
82607 16,023 14,811 $5K
P9016 Red blood cells, leukocytes reduced, each unit 174 133 $5K
86235 1,737 1,402 $5K
A9698 Non-radioactive contrast imaging material, not otherwise classified, per study 869 702 $5K
90700 3,907 3,838 $5K
85379 4,050 3,687 $5K
52310 52 50 $5K
93270 735 711 $5K
90472 Immunization administration, each additional vaccine (list separately) 39,173 37,808 $5K
45380 Colonoscopy, flexible; with biopsy, single or multiple 3,168 2,929 $5K
87529 313 278 $4K
88173 70 65 $4K
93225 304 271 $4K
82784 4,860 4,244 $4K
83690 12,889 11,129 $4K
70491 961 892 $4K
87497 1,881 942 $4K
83516 5,141 3,960 $4K
90716 3,835 3,768 $4K
80197 4,753 2,391 $4K
86803 15,938 15,278 $4K
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 34,475 30,373 $4K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 17,036 16,322 $4K
93660 14 12 $4K
73650 83 77 $4K
94762 45 41 $4K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 2,511 2,490 $4K
87177 249 225 $4K
29125 364 350 $4K
87075 1,473 1,087 $4K
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 5,521 3,763 $4K
84100 9,554 6,194 $4K
82040 826 785 $4K
86304 1,073 880 $4K
81513 4,397 4,207 $4K
83880 6,346 5,523 $4K
96376 8,990 6,110 $4K
97542 58 51 $4K
76510 40 38 $4K
83655 2,143 2,090 $3K
72220 90 88 $3K
66982 264 228 $3K
84439 10,258 9,529 $3K
83520 1,760 1,565 $3K
82340 60 54 $3K
87015 22 15 $3K
82103 261 237 $3K
90636 520 490 $3K
86901 10,993 9,072 $3K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 1,453 1,063 $3K
83615 8,660 5,647 $3K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1,007 870 $3K
85018 3,320 2,982 $3K
86317 3,473 3,166 $3K
82653 26 26 $3K
0031A 449 412 $3K
97763 67 58 $3K
73620 276 250 $3K
83605 4,337 3,306 $3K
84165 2,525 2,223 $3K
92567 944 889 $3K
95813 12 12 $3K
11100 268 235 $3K
82378 2,030 1,639 $3K
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg 626 567 $3K
85007 1,332 615 $3K
94761 101 90 $3K
70496 1,131 1,038 $3K
11720 449 395 $3K
84703 2,141 1,944 $2K
11750 54 39 $2K
90710 4,115 4,065 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 604 557 $2K
94727 2,662 2,482 $2K
87522 Neg quan hep c or qual rna 3,363 3,069 $2K
C1729 Catheter, drainage 705 524 $2K
80156 231 205 $2K
G0257 Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility 4,458 756 $2K
85045 1,138 884 $2K
84153 3,162 2,922 $2K
36000 3,655 2,923 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 8,402 7,731 $2K
82310 1,307 1,155 $2K
81511 819 784 $2K
82533 833 721 $2K
66821 16 14 $2K
93976 517 484 $2K
86923 1,179 838 $2K
87493 389 365 $2K
C1769 Guide wire 2,995 2,426 $2K
70498 979 905 $2K
36430 809 502 $2K
99153 Mod sedat endo service >5yrs 7,173 6,443 $2K
99152 5,901 5,420 $2K
46600 167 165 $2K
82105 2,500 2,270 $2K
0082A 375 322 $2K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 29 27 $2K
86003 344 301 $2K
64493 700 594 $2K
96152 50 38 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,879 1,617 $2K
C8930 Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision 152 139 $2K
90713 614 603 $2K
86334 1,937 1,666 $2K
92025 85 79 $2K
64483 1,442 1,342 $2K
90687 526 518 $2K
43235 890 840 $2K
86361 3,127 2,992 $2K
77066 Tomosynthesis, mammo 1,243 1,165 $2K
11104 531 500 $2K
64450 727 627 $2K
80177 475 441 $2K
95117 637 336 $2K
11730 27 26 $2K
88185 1,368 810 $2K
71275 Computed tomographic angiography, chest, with contrast material 586 532 $2K
90723 12,882 12,676 $2K
86160 1,634 1,459 $2K
Q9961 High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml 264 232 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 208 183 $2K
77081 471 454 $2K
86706 986 953 $2K
83970 4,580 4,207 $1K
97802 1,112 1,087 $1K
82948 180 152 $1K
96156 51 44 $1K
77065 Tomosynthesis, mammo 295 279 $1K
Q0114 Fern test 1,991 1,737 $1K
86038 3,208 3,045 $1K
29130 98 94 $1K
84295 12,823 9,231 $1K
A4648 Tissue marker, implantable, any type, each 16 14 $1K
80143 2,281 2,067 $1K
97803 1,305 1,221 $1K
82950 3,171 3,073 $1K
82977 2,791 2,032 $1K
77002 468 428 $1K
96415 3,537 2,495 $1K
76881 15 13 $1K
84160 632 544 $1K
80074 1,200 1,131 $1K
95970 315 279 $1K
84134 2,002 1,790 $1K
94729 2,686 2,504 $1K
11102 681 638 $1K
51700 136 85 $1K
96416 448 261 $1K
82746 7,429 6,989 $1K
86922 119 75 $1K
82785 540 511 $1K
92285 617 587 $1K
93351 727 688 $1K
J0360 Injection, hydralazine hcl, up to 20 mg 14 13 $1K
93990 276 223 $1K
72128 121 115 $978.70
12002 99 94 $945.52
90744 423 414 $944.30
85014 1,660 1,475 $940.15
82077 2,763 2,463 $935.40
96164 97 37 $925.48
74178 190 176 $920.15
L4360 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 15 14 $916.38
86703 540 484 $902.58
82525 1,608 1,523 $902.20
88313 492 404 $899.10
72156 611 575 $886.95
95910 112 110 $876.08
11719 79 77 $871.54
88240 1,112 958 $853.02
86255 440 400 $849.12
84403 4,420 4,104 $842.31
0081A 760 682 $826.67
85730 6,098 5,235 $825.49
J7507 Tacrolimus, immediate release, oral, 1 mg 38 13 $825.41
83883 553 440 $816.24
83861 1,827 1,679 $812.78
86765 547 510 $811.03
84146 2,299 2,175 $786.79
86704 2,747 2,607 $780.32
49083 30 13 $775.80
74160 48 42 $744.43
90662 470 390 $696.72
94618 40 37 $690.13
89051 1,357 1,023 $672.55
93288 26 24 $661.76
86300 352 300 $651.03
84270 2,253 2,065 $639.02
90739 118 110 $612.66
51741 819 760 $611.36
84550 3,048 2,665 $600.28
94660 142 115 $583.71
87305 212 102 $549.87
58100 109 104 $549.45
95911 55 53 $546.66
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg 18 12 $540.83
74230 84 73 $529.50
86141 2,178 1,970 $518.81
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 259 221 $518.51
38222 42 38 $518.22
90694 580 530 $514.97
86200 1,912 1,808 $509.51
95908 105 102 $506.39
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 292 221 $504.96
90746 50 46 $500.38
73200 14 12 $499.96
86762 3,983 3,757 $498.15
93242 73 70 $477.86
J2785 Injection, regadenoson, 0.1 mg 266 237 $467.50
86256 753 712 $464.09
87427 765 730 $460.42
86308 69 69 $450.35
87481 4,306 4,140 $448.05
72080 13 13 $447.32
83001 2,269 2,164 $445.40
87449 939 841 $445.28
64447 206 177 $442.75
87902 539 471 $432.47
86580 13 12 $420.61
36591 4,434 2,826 $417.02
94799 99 53 $408.16
86376 967 926 $407.29
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,562 1,425 $404.50
86039 1,469 1,229 $402.99
82150 1,050 850 $400.62
88341 61 51 $398.99
84425 1,960 1,875 $396.13
93280 142 121 $383.62
87660 5,559 5,222 $379.11
96165 98 37 $366.38
86309 157 146 $362.80
92553 12 12 $358.75
82384 45 27 $358.23
J2280 Injection, moxifloxacin, 100 mg 819 598 $354.37
90935 Hemodialysis procedure with single evaluation by a physician 190 65 $352.98
62368 30 25 $340.24
93289 14 13 $326.52
87046 754 699 $316.59
0124A 2,976 2,927 $308.55
95971 91 88 $300.67
84402 1,582 1,483 $294.20
90714 66 57 $289.25
87517 436 404 $283.02
64494 660 410 $282.56
M0220 Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring 53 47 $282.09
70544 16 15 $275.52
96138 53 50 $273.61
86708 1,804 1,713 $273.08
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 826 732 $263.44
88312 717 643 $259.95
86694 367 250 $255.52
J9190 Injection, fluorouracil, 500 mg 720 338 $252.29
92235 29 24 $244.31
84450 1,778 1,639 $237.15
86146 183 167 $236.00
Q0221 Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 600 mg 16 14 $235.30
86147 285 264 $228.86
87252 13 12 $223.24
G0010 Administration of hepatitis b vaccine 1,427 1,369 $222.92
84466 1,587 1,508 $222.05
80175 526 477 $220.17
72157 235 227 $220.10
82390 459 427 $217.35
V2025 Deluxe frame 563 560 $213.31
82140 582 518 $204.03
90474 11,136 10,966 $192.84
86431 2,694 2,539 $186.98
82810 150 80 $182.02
90632 26 26 $180.06
84590 1,131 1,093 $179.86
82248 1,155 869 $179.63
84155 1,870 1,571 $179.61
77001 204 178 $177.40
84207 444 424 $177.40
86665 247 174 $170.02
C1887 Catheter, guiding (may include infusion/perfusion capability) 301 256 $167.87
87510 5,549 5,214 $161.96
84255 875 851 $154.77
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 5,975 5,342 $154.75
83021 110 88 $154.62
A6258 Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 107 93 $151.05
17003 270 242 $150.90
0083A 98 94 $150.28
36592 589 249 $145.82
97164 28 28 $144.41
88360 14 14 $143.07
84630 1,486 1,430 $130.30
87206 43 27 $126.94
83519 23 13 $123.54
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens 254 254 $121.43
82951 163 162 $120.16
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 52 50 $118.12
90674 14 14 $117.66
91307 316 237 $116.19
20605 13 13 $115.18
76775 27 26 $114.94
0296T 28 27 $113.69
82652 40 38 $110.32
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 251 219 $106.74
86036 39 38 $104.43
76377 15 14 $100.03
83002 1,516 1,431 $99.08
99454 47 47 $98.66
80179 2,156 1,956 $97.79
86787 299 246 $97.22
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care 183 103 $97.00
83721 1,910 1,775 $95.96
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 137 133 $88.42
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 6,087 5,860 $86.58
84460 1,878 1,726 $84.49
83921 833 784 $76.36
86644 32 24 $71.36
86800 575 544 $70.72
77338 52 50 $68.90
86335 85 70 $60.55
82947 2,716 2,156 $59.64
82610 500 465 $58.36
83525 1,357 1,330 $58.01
90653 13 13 $57.76
62369 265 250 $55.44
83521 418 344 $53.40
C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away 470 403 $53.30
86301 323 279 $46.20
86663 13 13 $45.00
72158 258 243 $40.34
86780 514 477 $38.56
L0140 Cervical, semi-rigid, adjustable (plastic collar) 33 26 $38.55
99408 179 147 $38.33
84480 343 323 $31.52
82945 165 141 $28.62
87116 29 26 $27.69
84157 169 148 $26.73
82365 12 12 $24.71
84481 1,081 1,026 $23.39
86880 78 60 $21.85
96417 1,966 1,188 $21.59
85613 232 199 $21.30
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 107 88 $16.60
84133 232 196 $15.17
86735 43 42 $14.50
87209 244 224 $14.38
86707 56 51 $12.85
87350 94 89 $12.81
86364 723 703 $10.76
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes 53 49 $10.66
20560 468 366 $9.39
92060 44 42 $8.59
86593 521 500 $7.83
95974 45 42 $7.45
84145 216 169 $7.32
20561 566 393 $6.31
J2003 Injection, lidocaine hydrochloride, 1 mg 44 40 $5.78
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 24 24 $5.49
80235 15 14 $3.17
83930 81 76 $0.44
S9455 Diabetic management program, group session 104 98 $0.09
64484 92 89 $0.00
V2632 Posterior chamber intraocular lens 1,945 1,442 $0.00
86258 139 136 $0.00
84154 523 486 $0.00
41899 Unlisted procedure, dentoalveolar structures 685 475 $0.00
84432 28 26 $0.00
86812 13 13 $0.00
74174 83 78 $0.00
V2105 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens 142 141 $0.00
20550 805 622 $0.00
64405 223 211 $0.00
64635 105 100 $0.00
J9045 Injection, carboplatin, 50 mg 175 110 $0.00
J9267 Injection, paclitaxel, 1 mg 107 53 $0.00
91065 143 133 $0.00
G0103 Prostate cancer screening; prostate specific antigen test (psa) 87 69 $0.00
84144 92 82 $0.00
86381 128 125 $0.00
82952 151 150 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 167 145 $0.00
97804 68 68 $0.00
96040 191 184 $0.00
99156 80 70 $0.00
81599 12 12 $0.00
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 75 63 $0.00
84446 49 49 $0.00
86664 41 40 $0.00
96368 111 85 $0.00
74420 124 103 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 106 89 $0.00
96411 154 96 $0.00
86695 76 71 $0.00
70543 13 12 $0.00
81332 13 12 $0.00
11900 77 74 $0.00
86870 126 104 $0.00
90620 14 14 $0.00
88311 96 77 $0.00
84300 120 112 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 15 15 $0.00
96139 41 38 $0.00
86225 140 133 $0.00
73720 18 14 $0.00
86341 20 12 $0.00
V2744 Tint, photochromatic, per lens 13 13 $0.00
57454 69 66 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 46 40 $0.00
52287 29 25 $0.00
C1726 Catheter, balloon dilatation, non-vascular 96 84 $0.00
A4615 Cannula, nasal 27 26 $0.00
V2755 U-v lens, per lens 12 12 $0.00
J3471 Injection, hyaluronidase, ovine, preservative free, per 1 usp unit (up to 999 usp units) 51 42 $0.00
J1097 Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml 33 27 $0.00
J8501 Aprepitant, oral, 5 mg 14 12 $0.00
82575 14 12 $0.00
P9612 Catheterization for collection of specimen, single patient, all places of service 18 12 $0.00
87184 28 26 $0.00
88108 14 12 $0.00
82024 36 36 $0.00
76820 15 12 $0.00
77470 15 12 $0.00
97597 43 13 $0.00
82436 26 26 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 18 13 $0.00
87506 20 12 $0.00
64445 22 15 $0.00
M0221 Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency 15 13 $0.00
J0185 Injection, aprepitant, 1 mg 24 15 $0.00
80354 340 286 $0.00
J3473 Injection, hyaluronidase, recombinant, 1 usp unit 252 216 $0.00
95873 723 642 $0.00
99177 798 787 $0.00
87899 374 360 $0.00
J9035 Injection, bevacizumab, 10 mg 91 72 $0.00
72197 102 97 $0.00
82085 55 53 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 291 223 $0.00
C1776 Joint device (implantable) 616 494 $0.00
80169 459 265 $0.00
74220 27 27 $0.00
88237 34 27 $0.00
86015 54 52 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 395 345 $0.00
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography 12 12 $0.00
82595 12 12 $0.00
20552 58 53 $0.00
J9263 Injection, oxaliplatin, 0.5 mg 21 13 $0.00
J0735 Injection, clonidine hydrochloride, 1 mg 58 50 $0.00
86753 220 212 $0.00
J1750 Injection, iron dextran, 50 mg 495 465 $0.00
84305 72 70 $0.00
G8989 Self care functional limitation, discharge status, at discharge from therapy or to end reporting 13 12 $0.00
64636 122 99 $0.00
J9206 Injection, irinotecan, 20 mg 19 12 $0.00
82627 80 76 $0.00
95909 12 12 $0.00
95923 37 32 $0.00
85060 101 94 $0.00
V2750 Anti-reflective coating, per lens 74 74 $0.00
95921 14 12 $0.00
84166 16 14 $0.00
90681 29 28 $0.00
Q5119 Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg 46 24 $0.00
86682 112 91 $0.00
A4306 Disposable drug delivery system, flow rate of less than 50 ml per hour 111 64 $0.00
62323 41 39 $0.00
91308 21 17 $0.00
95874 56 50 $0.00
86696 78 73 $0.00
V2410 Variable asphericity lens, single vision, full field, glass or plastic, per lens 13 13 $0.00
82042 68 42 $0.00
84681 30 30 $0.00
84445 12 12 $0.00
36600 42 39 $0.00
82747 13 12 $0.00
99157 48 40 $0.00
96549 24 12 $0.00
J1095 Injection, dexamethasone 9 percent, intraocular, 1 microgram 21 12 $0.00
43249 16 15 $0.00