| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,907 |
2,884 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,083 |
11,956 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,811 |
23,308 |
$7K |
| 3008F |
|
10,095 |
9,264 |
$1K |
| 3078F |
|
5,833 |
5,482 |
$1K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
1,219 |
1,078 |
$479.72 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,480 |
2,473 |
$470.22 |
| 3074F |
|
6,605 |
6,171 |
$408.98 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
27 |
$341.71 |
| 1000F |
|
946 |
907 |
$260.39 |
| 3079F |
|
1,519 |
1,426 |
$227.80 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,693 |
2,596 |
$200.93 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12,003 |
11,970 |
$182.75 |
| 80053 |
Comprehensive metabolic panel |
28,556 |
26,927 |
$169.52 |
| 80061 |
Lipid panel |
21,401 |
21,311 |
$165.30 |
| 1036F |
|
1,249 |
1,180 |
$161.16 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
522 |
521 |
$143.19 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
55 |
54 |
$142.73 |
| 71046 |
Radiologic examination, chest; 2 views |
905 |
898 |
$105.15 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
926 |
871 |
$100.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30,416 |
27,286 |
$86.31 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16,104 |
16,018 |
$83.93 |
| A0425 |
Ground mileage, per statute mile |
3,799 |
2,633 |
$80.91 |
| 84443 |
Thyroid stimulating hormone (TSH) |
19,522 |
19,335 |
$62.25 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
601 |
444 |
$52.63 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
580 |
520 |
$49.64 |
| 84153 |
|
3,421 |
3,413 |
$45.42 |
| 90688 |
|
53 |
53 |
$44.60 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
7,855 |
7,729 |
$43.33 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
7,887 |
7,758 |
$43.33 |
| 84481 |
|
2,411 |
2,385 |
$41.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,013 |
1,850 |
$39.29 |
| 82274 |
|
1,698 |
1,678 |
$39.28 |
| 84480 |
|
1,915 |
1,903 |
$35.02 |
| 71045 |
Radiologic examination, chest; single view |
364 |
279 |
$30.37 |
| 81001 |
|
13,419 |
13,169 |
$28.23 |
| 84439 |
|
6,167 |
6,114 |
$22.26 |
| 84436 |
|
3,233 |
3,217 |
$16.96 |
| 99000 |
|
1,220 |
1,174 |
$16.35 |
| 86780 |
|
176 |
175 |
$16.34 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
92 |
91 |
$16.20 |
| 84479 |
|
2,019 |
2,009 |
$15.96 |
| 36415 |
Collection of venous blood by venipuncture |
26,100 |
24,568 |
$15.00 |
| 86038 |
|
1,810 |
1,791 |
$14.92 |
| 86039 |
|
570 |
559 |
$13.78 |
| 84550 |
|
4,627 |
4,603 |
$11.16 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,402 |
3,581 |
$10.44 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
4,773 |
4,606 |
$9.96 |
| 83735 |
|
3,100 |
2,485 |
$8.27 |
| 85027 |
|
5,649 |
5,455 |
$7.98 |
| 85730 |
|
2,635 |
2,464 |
$7.42 |
| 86431 |
|
1,559 |
1,547 |
$7.00 |
| 85652 |
|
3,560 |
3,536 |
$6.66 |
| 84100 |
|
1,604 |
1,289 |
$5.85 |
| 86592 |
|
5,094 |
5,066 |
$5.27 |
| 82947 |
|
686 |
680 |
$4.85 |
| 85610 |
|
3,565 |
3,132 |
$4.85 |
| 81003 |
|
4,005 |
3,940 |
$2.77 |
| 1111F |
|
204 |
200 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
5,655 |
2,000 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
508 |
447 |
$0.00 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,204 |
262 |
$0.00 |
| 2000F |
|
50 |
50 |
$0.00 |
| 82607 |
|
5,335 |
5,324 |
$0.00 |
| K0001 |
Standard wheelchair |
651 |
643 |
$0.00 |
| 81000 |
|
972 |
942 |
$0.00 |
| 97014 |
|
3,743 |
1,114 |
$0.00 |
| 76536 |
|
141 |
141 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,420 |
1,295 |
$0.00 |
| 82950 |
|
504 |
502 |
$0.00 |
| 3080F |
|
182 |
173 |
$0.00 |
| E0305 |
Bed side rails, half length |
40 |
40 |
$0.00 |
| 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 |
315 |
303 |
$0.00 |
| A0999 |
Unlisted ambulance service |
351 |
270 |
$0.00 |
| 93000 |
|
1,614 |
1,594 |
$0.00 |
| 86803 |
|
2,031 |
2,026 |
$0.00 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
26 |
26 |
$0.00 |
| 86160 |
|
374 |
372 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
271 |
246 |
$0.00 |
| 86255 |
|
106 |
106 |
$0.00 |
| 83690 |
|
1,174 |
1,099 |
$0.00 |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
53 |
52 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
946 |
908 |
$0.00 |
| 83090 |
|
246 |
246 |
$0.00 |
| 83615 |
|
443 |
430 |
$0.00 |
| 86762 |
|
219 |
219 |
$0.00 |
| 86317 |
|
315 |
314 |
$0.00 |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
177 |
176 |
$0.00 |
| 92551 |
|
723 |
707 |
$0.00 |
| 82150 |
|
529 |
527 |
$0.00 |
| 86800 |
|
218 |
216 |
$0.00 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
302 |
291 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
48 |
48 |
$0.00 |
| 92002 |
|
533 |
533 |
$0.00 |
| 84402 |
|
276 |
274 |
$0.00 |
| 82728 |
|
2,610 |
2,600 |
$0.00 |
| 95117 |
|
602 |
246 |
$0.00 |
| E1392 |
Portable oxygen concentrator, rental |
137 |
136 |
$0.00 |
| 95115 |
|
283 |
105 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
4,465 |
4,454 |
$0.00 |
| G0471 |
Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) |
25 |
12 |
$0.00 |
| 82672 |
|
106 |
106 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
232 |
231 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
117 |
117 |
$0.00 |
| 97010 |
|
2,208 |
1,016 |
$0.00 |
| 86580 |
|
57 |
56 |
$0.00 |
| 82670 |
|
621 |
612 |
$0.00 |
| 3075F |
|
538 |
515 |
$0.00 |
| 86901 |
|
441 |
423 |
$0.00 |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
121 |
121 |
$0.00 |
| 82952 |
|
89 |
89 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
337 |
143 |
$0.00 |
| 87510 |
|
101 |
99 |
$0.00 |
| 94760 |
|
1,571 |
1,411 |
$0.00 |
| 87147 |
|
603 |
595 |
$0.00 |
| 84484 |
|
929 |
762 |
$0.00 |
| 87046 |
|
192 |
190 |
$0.00 |
| 82962 |
|
296 |
127 |
$0.00 |
| 82378 |
|
572 |
553 |
$0.00 |
| 83002 |
|
795 |
790 |
$0.00 |
| 88142 |
|
664 |
663 |
$0.00 |
| 86304 |
|
290 |
276 |
$0.00 |
| 82043 |
|
4,291 |
4,274 |
$0.00 |
| 83001 |
|
1,066 |
1,054 |
$0.00 |
| 87081 |
|
970 |
953 |
$0.00 |
| 82105 |
|
265 |
258 |
$0.00 |
| 92226 |
|
192 |
192 |
$0.00 |
| 85018 |
|
1,271 |
1,236 |
$0.00 |
| 87077 |
|
1,109 |
1,088 |
$0.00 |
| 86704 |
|
428 |
427 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
132 |
124 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
85 |
80 |
$0.00 |
| 88738 |
|
156 |
155 |
$0.00 |
| 84703 |
|
537 |
526 |
$0.00 |
| 97035 |
|
365 |
124 |
$0.00 |
| 86850 |
|
92 |
89 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
153 |
152 |
$0.00 |
| 84432 |
|
65 |
64 |
$0.00 |
| 1126F |
|
242 |
222 |
$0.00 |
| E0607 |
Home blood glucose monitor |
15 |
15 |
$0.00 |
| 88141 |
|
477 |
476 |
$0.00 |
| 87070 |
|
1,941 |
1,914 |
$0.00 |
| 83550 |
|
2,496 |
2,488 |
$0.00 |
| 82746 |
|
4,061 |
4,055 |
$0.00 |
| 87340 |
|
1,603 |
1,593 |
$0.00 |
| 87088 |
|
3,200 |
3,122 |
$0.00 |
| 85651 |
|
115 |
114 |
$0.00 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
135 |
134 |
$0.00 |
| 86300 |
|
149 |
131 |
$0.00 |
| 82951 |
|
172 |
172 |
$0.00 |
| 82550 |
|
877 |
870 |
$0.00 |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
1,127 |
649 |
$0.00 |
| 86812 |
|
44 |
44 |
$0.00 |
| 88304 |
|
119 |
117 |
$0.00 |
| 86140 |
|
2,064 |
2,042 |
$0.00 |
| 82040 |
|
28 |
27 |
$0.00 |
| 83014 |
|
325 |
325 |
$0.00 |
| Q0092 |
Set-up portable x-ray equipment |
24 |
18 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
2,897 |
2,892 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
35 |
35 |
$0.00 |
| 36410 |
|
152 |
139 |
$0.00 |
| 86301 |
|
42 |
40 |
$0.00 |
| J3490 |
Unclassified drugs |
104 |
93 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
291 |
273 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
130 |
130 |
$0.00 |
| 83605 |
|
290 |
250 |
$0.00 |
| 86695 |
|
589 |
587 |
$0.00 |
| 80081 |
|
598 |
597 |
$0.00 |
| 86376 |
|
898 |
892 |
$0.00 |
| 87536 |
|
64 |
63 |
$0.00 |
| 86141 |
|
622 |
618 |
$0.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
91 |
91 |
$0.00 |
| 83021 |
|
174 |
174 |
$0.00 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
456 |
456 |
$0.00 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
355 |
337 |
$0.00 |
| A7037 |
Tubing used with positive airway pressure device |
98 |
97 |
$0.00 |
| 1170F |
|
12 |
12 |
$0.00 |
| 86060 |
|
113 |
112 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
211 |
205 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
303 |
300 |
$0.00 |
| 86593 |
|
143 |
141 |
$0.00 |
| 84154 |
|
190 |
190 |
$0.00 |
| 86706 |
|
910 |
908 |
$0.00 |
| E0470 |
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) |
109 |
109 |
$0.00 |
| 84144 |
|
354 |
344 |
$0.00 |
| E0570 |
Nebulizer, with compressor |
144 |
142 |
$0.00 |
| 99350 |
Prolong home eval add 15m |
100 |
63 |
$0.00 |
| 90686 |
|
62 |
62 |
$0.00 |
| 82784 |
|
297 |
272 |
$0.00 |
| 92060 |
|
52 |
52 |
$0.00 |
| S9494 |
Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with home infusion codes for hourly dosing schedules s9497-s9504) |
93 |
40 |
$0.00 |
| 99335 |
|
96 |
90 |
$0.00 |
| 97802 |
|
88 |
88 |
$0.00 |
| 3048F |
|
12 |
12 |
$0.00 |
| 82330 |
|
37 |
37 |
$0.00 |
| 1157F |
|
128 |
117 |
$0.00 |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
27 |
27 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
81 |
72 |
$0.00 |
| 87040 |
|
13 |
12 |
$0.00 |
| A7030 |
Full face mask used with positive airway pressure device, each |
38 |
38 |
$0.00 |
| 36416 |
|
192 |
191 |
$0.00 |
| 83921 |
|
12 |
12 |
$0.00 |
| 88150 |
|
76 |
76 |
$0.00 |
| 87480 |
|
101 |
99 |
$0.00 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
78 |
78 |
$0.00 |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
144 |
127 |
$0.00 |
| 2001F |
|
72 |
44 |
$0.00 |
| 87276 |
|
37 |
37 |
$0.00 |
| 86225 |
|
457 |
456 |
$0.00 |
| 20610 |
|
17 |
12 |
$0.00 |
| 82533 |
|
130 |
124 |
$0.00 |
| 87205 |
|
115 |
113 |
$0.00 |
| 86430 |
|
72 |
72 |
$0.00 |
| 1125F |
|
16 |
16 |
$0.00 |
| 0001F |
|
71 |
43 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
36 |
34 |
$0.00 |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
132 |
110 |
$0.00 |
| 80050 |
General health panel |
30 |
29 |
$0.00 |
| E0143 |
Walker, folding, wheeled, adjustable or fixed height |
56 |
56 |
$0.00 |
| A0398 |
Als routine disposable supplies |
140 |
126 |
$0.00 |
| 99343 |
|
17 |
17 |
$0.00 |
| 80069 |
|
29 |
29 |
$0.00 |
| 83880 |
|
66 |
64 |
$0.00 |
| 84075 |
|
12 |
12 |
$0.00 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
13 |
13 |
$0.00 |
| 83520 |
|
58 |
55 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
12 |
12 |
$0.00 |
| E0156 |
Seat attachment, walker |
42 |
41 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
13 |
13 |
$0.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
54 |
26 |
$0.00 |
| 82024 |
|
12 |
12 |
$0.00 |
| 20553 |
|
14 |
13 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 87449 |
|
12 |
12 |
$0.00 |
| 85660 |
|
25 |
25 |
$0.00 |
| 97597 |
|
17 |
13 |
$0.00 |
| 3044F |
|
13 |
13 |
$0.00 |
| 96151 |
|
16 |
16 |
$0.00 |
| 86308 |
|
12 |
12 |
$0.00 |
| 87625 |
|
13 |
13 |
$0.00 |
| 45388 |
|
13 |
13 |
$0.00 |
| 80051 |
|
15 |
14 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
763 |
707 |
$0.00 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
48 |
46 |
$0.00 |
| 86705 |
|
86 |
86 |
$0.00 |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
145 |
145 |
$0.00 |
| 82627 |
|
242 |
242 |
$0.00 |
| 83540 |
|
3,445 |
3,430 |
$0.00 |
| 99242 |
|
91 |
91 |
$0.00 |
| 99173 |
|
445 |
443 |
$0.00 |
| 86200 |
|
457 |
457 |
$0.00 |
| 87338 |
|
319 |
319 |
$0.00 |
| A4259 |
Lancets, per box of 100 |
291 |
278 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
8,687 |
3,185 |
$0.00 |
| 1160F |
|
589 |
536 |
$0.00 |
| 83655 |
|
1,660 |
1,660 |
$0.00 |
| 83721 |
|
185 |
184 |
$0.00 |
| 0001M |
|
39 |
39 |
$0.00 |
| 82652 |
|
244 |
244 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
643 |
639 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
109 |
107 |
$0.00 |
| 92225 |
|
214 |
212 |
$0.00 |
| 87075 |
|
81 |
80 |
$0.00 |
| 99334 |
|
173 |
124 |
$0.00 |
| 3077F |
|
630 |
597 |
$0.00 |
| 92081 |
|
262 |
258 |
$0.00 |
| 97161 |
|
485 |
450 |
$0.00 |
| 84403 |
|
1,185 |
1,177 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
197 |
191 |
$0.00 |
| E0601 |
Continuous positive airway pressure (cpap) device |
585 |
583 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
53 |
52 |
$0.00 |
| 83516 |
|
302 |
301 |
$0.00 |
| 86900 |
|
437 |
411 |
$0.00 |
| 83970 |
|
502 |
495 |
$0.00 |
| 84681 |
|
95 |
95 |
$0.00 |
| 85014 |
|
321 |
321 |
$0.00 |
| 85613 |
|
69 |
69 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
53 |
53 |
$0.00 |
| 84450 |
|
195 |
195 |
$0.00 |
| 73562 |
|
131 |
96 |
$0.00 |
| 84295 |
|
25 |
24 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
83 |
74 |
$0.00 |
| 81002 |
|
629 |
584 |
$0.00 |
| 97799 |
|
1,029 |
429 |
$0.00 |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,262 |
1,133 |
$0.00 |
| A4267 |
Contraceptive supply, condom, male, each |
58 |
54 |
$0.00 |
| 83013 |
|
619 |
619 |
$0.00 |
| 82248 |
|
1,755 |
1,745 |
$0.00 |
| 82785 |
|
691 |
688 |
$0.00 |
| 76642 |
|
581 |
550 |
$0.00 |
| 81025 |
|
144 |
137 |
$0.00 |
| 84460 |
|
310 |
306 |
$0.00 |
| 87400 |
|
31 |
30 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
64 |
51 |
$0.00 |
| 86765 |
|
189 |
189 |
$0.00 |
| 87209 |
|
245 |
241 |
$0.00 |
| 84146 |
|
661 |
659 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
3,382 |
3,380 |
$0.00 |
| 83525 |
|
79 |
79 |
$0.00 |
| 86787 |
|
285 |
285 |
$0.00 |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
326 |
300 |
$0.00 |
| 92552 |
|
297 |
297 |
$0.00 |
| 73630 |
|
18 |
12 |
$0.00 |
| 80076 |
|
1,430 |
1,393 |
$0.00 |
| 84702 |
|
1,010 |
874 |
$0.00 |
| 90700 |
|
52 |
52 |
$0.00 |
| E0295 |
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress |
98 |
98 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
939 |
845 |
$0.00 |
| 86480 |
|
540 |
540 |
$0.00 |
| 84156 |
|
310 |
306 |
$0.00 |
| 77080 |
|
105 |
105 |
$0.00 |
| 95144 |
|
160 |
46 |
$0.00 |
| A7031 |
Face mask interface, replacement for full face mask, each |
71 |
70 |
$0.00 |
| 86735 |
|
200 |
199 |
$0.00 |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
749 |
734 |
$0.00 |
| J9035 |
Injection, bevacizumab, 10 mg |
116 |
108 |
$0.00 |
| 84165 |
|
220 |
197 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
198 |
198 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
302 |
289 |
$0.00 |
| 84520 |
|
195 |
173 |
$0.00 |
| 86003 |
|
785 |
782 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
171 |
169 |
$0.00 |
| 92134 |
|
307 |
287 |
$0.00 |
| 80074 |
|
1,193 |
1,191 |
$0.00 |
| 82465 |
|
310 |
303 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
54 |
53 |
$0.00 |
| 99499 |
|
26 |
26 |
$0.00 |
| 99001 |
|
467 |
402 |
$0.00 |
| 82977 |
|
299 |
298 |
$0.00 |
| 82570 |
|
4,455 |
4,414 |
$0.00 |
| 88312 |
|
105 |
86 |
$0.00 |
| 86708 |
|
358 |
353 |
$0.00 |
| A4927 |
Gloves, non-sterile, per 100 |
32 |
32 |
$0.00 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
152 |
152 |
$0.00 |
| 84155 |
|
86 |
85 |
$0.00 |
| A7035 |
Headgear used with positive airway pressure device |
99 |
98 |
$0.00 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
203 |
203 |
$0.00 |
| 82140 |
|
23 |
19 |
$0.00 |
| T4541 |
Incontinence product, disposable underpad, large, each |
111 |
107 |
$0.00 |
| 84445 |
|
213 |
206 |
$0.00 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
42 |
38 |
$0.00 |
| 86696 |
|
724 |
722 |
$0.00 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
86 |
70 |
$0.00 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
131 |
124 |
$0.00 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
54 |
52 |
$0.00 |
| 80164 |
|
69 |
68 |
$0.00 |
| 86334 |
|
50 |
43 |
$0.00 |
| 1159F |
|
576 |
530 |
$0.00 |
| 95811 |
|
54 |
54 |
$0.00 |
| 87660 |
|
101 |
99 |
$0.00 |
| 69210 |
|
31 |
29 |
$0.00 |
| 73030 |
|
16 |
15 |
$0.00 |
| 85045 |
|
323 |
316 |
$0.00 |
| 86147 |
|
125 |
125 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
473 |
402 |
$0.00 |
| 67028 |
Intravitreal injection of a pharmacologic agent |
136 |
127 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13 |
12 |
$0.00 |
| 90658 |
|
115 |
113 |
$0.00 |
| 85041 |
|
28 |
28 |
$0.00 |
| E0184 |
Dry pressure mattress |
52 |
52 |
$0.00 |
| 87427 |
|
191 |
189 |
$0.00 |
| 72100 |
|
134 |
134 |
$0.00 |
| 99051 |
|
220 |
204 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |
| 87177 |
|
248 |
244 |
$0.00 |
| 82565 |
|
272 |
255 |
$0.00 |
| 82948 |
|
20 |
12 |
$0.00 |
| 82397 |
|
95 |
95 |
$0.00 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
358 |
171 |
$0.00 |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
44 |
43 |
$0.00 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
96 |
55 |
$0.00 |
| 82310 |
|
131 |
125 |
$0.00 |
| 84425 |
|
14 |
14 |
$0.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
149 |
147 |
$0.00 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
13 |
12 |
$0.00 |
| 99336 |
|
29 |
29 |
$0.00 |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
179 |
155 |
$0.00 |
| 87045 |
|
196 |
194 |
$0.00 |
| G0483 |
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; 22 or more drug class(es), including metabolite(s) if performed |
81 |
55 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| 86665 |
|
16 |
16 |
$0.00 |
| G0482 |
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; 15-21 drug class(es), including metabolite(s) if performed |
200 |
200 |
$0.00 |
| 87186 |
|
1,086 |
1,064 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
42 |
42 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
31 |
26 |
$0.00 |
| 17110 |
|
24 |
24 |
$0.00 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
57 |
57 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
103 |
95 |
$0.00 |
| K0003 |
Lightweight wheelchair |
96 |
96 |
$0.00 |
| 86709 |
|
27 |
27 |
$0.00 |
| 99245 |
|
12 |
12 |
$0.00 |
| 99233 |
Prolong inpt eval add15 m |
147 |
49 |
$0.00 |
| 80202 |
|
21 |
12 |
$0.00 |
| 77066 |
Tomosynthesis, mammo |
123 |
123 |
$0.00 |
| 97001 |
|
231 |
150 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
62 |
62 |
$0.00 |
| 90649 |
|
13 |
13 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
44 |
42 |
$0.00 |
| 86235 |
|
419 |
419 |
$0.00 |
| 99601 |
|
58 |
14 |
$0.00 |
| 92015 |
Determination of refractive state |
257 |
253 |
$0.00 |
| A0382 |
Bls routine disposable supplies |
122 |
91 |
$0.00 |
| 86677 |
|
14 |
14 |
$0.00 |
| 88112 |
|
37 |
37 |
$0.00 |
| 94150 |
|
54 |
50 |
$0.00 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
12 |
12 |
$0.00 |
| 86906 |
|
28 |
27 |
$0.00 |
| 87275 |
|
37 |
37 |
$0.00 |
| 92133 |
|
25 |
25 |
$0.00 |
| 59425 |
|
54 |
37 |
$0.00 |
| 99348 |
|
20 |
20 |
$0.00 |
| 86008 |
|
38 |
38 |
$0.00 |
| 99236 |
Prolong inpt eval add15 m |
48 |
48 |
$0.00 |
| A7034 |
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
13 |
13 |
$0.00 |
| 95913 |
|
15 |
14 |
$0.00 |
| 92083 |
|
26 |
26 |
$0.00 |
| 90633 |
|
16 |
16 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$0.00 |
| 81007 |
|
14 |
13 |
$0.00 |
| 86146 |
|
24 |
24 |
$0.00 |
| 77065 |
Tomosynthesis, mammo |
13 |
13 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
15 |
15 |
$0.00 |
| 85007 |
|
28 |
28 |
$0.00 |
| T2049 |
Non-emergency transportation; stretcher van, mileage; per mile |
59 |
12 |
$0.00 |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
29 |
29 |
$0.00 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 87324 |
|
12 |
12 |
$0.00 |
| 3725F |
|
15 |
15 |
$0.00 |