| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51,211 |
46,814 |
$1.04M |
| S9542 |
Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem |
666 |
625 |
$698K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,934 |
20,064 |
$578K |
| J0135 |
Injection, adalimumab, 20 mg |
121 |
109 |
$298K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,423 |
5,793 |
$272K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,617 |
2,474 |
$166K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,374 |
5,098 |
$159K |
| J3490 |
Unclassified drugs |
1,258 |
984 |
$124K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,939 |
2,917 |
$122K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,974 |
1,772 |
$120K |
| 97139 |
|
3,843 |
1,000 |
$117K |
| J7050 |
Infusion, normal saline solution, 250 cc |
130 |
115 |
$91K |
| 99243 |
|
1,272 |
1,266 |
$89K |
| 59425 |
|
3,290 |
2,241 |
$85K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,079 |
5,580 |
$85K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,089 |
2,076 |
$84K |
| 99173 |
|
4,166 |
4,160 |
$73K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,238 |
397 |
$72K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,393 |
3,336 |
$67K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
72 |
66 |
$64K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,053 |
916 |
$56K |
| 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 |
495 |
446 |
$55K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,510 |
2,353 |
$53K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
865 |
862 |
$49K |
| 71046 |
Radiologic examination, chest; 2 views |
4,291 |
4,184 |
$49K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
772 |
726 |
$47K |
| 85018 |
|
3,836 |
3,826 |
$46K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,849 |
1,574 |
$46K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,148 |
1,057 |
$42K |
| 81002 |
|
3,045 |
2,612 |
$42K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
264 |
261 |
$41K |
| 99051 |
|
1,559 |
1,514 |
$40K |
| 92134 |
|
692 |
617 |
$39K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
166 |
107 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,990 |
1,987 |
$37K |
| 99233 |
Prolong inpt eval add15 m |
912 |
317 |
$37K |
| 99223 |
Prolong inpt eval add15 m |
473 |
452 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,750 |
1,748 |
$34K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
37 |
36 |
$33K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,623 |
1,373 |
$32K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,291 |
4,217 |
$31K |
| 92551 |
|
1,942 |
1,935 |
$31K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,285 |
4,211 |
$29K |
| 92552 |
|
1,565 |
1,563 |
$28K |
| 92226 |
|
815 |
379 |
$28K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
102 |
101 |
$28K |
| T4541 |
Incontinence product, disposable underpad, large, each |
827 |
798 |
$27K |
| 81000 |
|
742 |
523 |
$27K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
215 |
215 |
$27K |
| 71045 |
Radiologic examination, chest; single view |
2,899 |
2,313 |
$26K |
| 92250 |
|
610 |
590 |
$25K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
396 |
375 |
$23K |
| 99000 |
|
2,344 |
2,233 |
$23K |
| 76641 |
|
382 |
342 |
$21K |
| 81025 |
|
2,141 |
2,065 |
$21K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
383 |
383 |
$21K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
196 |
181 |
$20K |
| 99222 |
Initial hospital care, per day, moderate complexity |
272 |
263 |
$19K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
999 |
978 |
$19K |
| 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 |
322 |
322 |
$19K |
| 94760 |
|
1,657 |
1,553 |
$18K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
166 |
119 |
$17K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
209 |
203 |
$16K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
39 |
39 |
$16K |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
127 |
118 |
$16K |
| J9035 |
Injection, bevacizumab, 10 mg |
153 |
113 |
$16K |
| 17110 |
|
203 |
169 |
$16K |
| 99215 |
Prolong outpt/office vis |
314 |
301 |
$15K |
| 95886 |
|
125 |
119 |
$15K |
| D1206 |
Topical application of fluoride varnish |
647 |
644 |
$15K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
1,691 |
1,690 |
$14K |
| 92225 |
|
225 |
132 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
502 |
501 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
808 |
787 |
$12K |
| 10040 |
|
149 |
133 |
$12K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
418 |
407 |
$12K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
730 |
702 |
$11K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
515 |
399 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16,066 |
13,367 |
$11K |
| 81003 |
|
1,039 |
980 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
392 |
384 |
$10K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
236 |
235 |
$10K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
223 |
214 |
$10K |
| 47562 |
|
43 |
43 |
$9K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
82 |
79 |
$9K |
| 80305 |
|
492 |
468 |
$9K |
| 94010 |
|
567 |
540 |
$9K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
154 |
151 |
$8K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
395 |
368 |
$8K |
| 97161 |
|
274 |
245 |
$8K |
| 76512 |
|
135 |
61 |
$8K |
| 97162 |
|
346 |
343 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
210 |
210 |
$8K |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
98 |
98 |
$8K |
| A4267 |
Contraceptive supply, condom, male, each |
444 |
391 |
$8K |
| 93000 |
|
548 |
522 |
$8K |
| 68761 |
|
80 |
76 |
$8K |
| T1015 |
Clinic visit/encounter, all-inclusive |
249 |
185 |
$8K |
| 87806 |
|
404 |
391 |
$8K |
| 80053 |
Comprehensive metabolic panel |
11,594 |
10,343 |
$8K |
| 73562 |
|
403 |
295 |
$8K |
| 88307 |
|
140 |
134 |
$7K |
| 90670 |
|
667 |
667 |
$7K |
| 73221 |
|
58 |
52 |
$7K |
| 76830 |
Ultrasound, transvaginal |
178 |
178 |
$7K |
| 90961 |
|
73 |
60 |
$7K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
26 |
26 |
$7K |
| 3008F |
|
416 |
414 |
$7K |
| 92235 |
|
114 |
112 |
$7K |
| 11721 |
|
268 |
264 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
154 |
154 |
$7K |
| 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 |
176 |
97 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
366 |
366 |
$6K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
132 |
120 |
$6K |
| 90715 |
|
330 |
329 |
$6K |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
95 |
95 |
$6K |
| 99242 |
|
177 |
176 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
223 |
217 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
170 |
170 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
116 |
116 |
$5K |
| 45384 |
|
16 |
16 |
$5K |
| 77065 |
Tomosynthesis, mammo |
87 |
86 |
$5K |
| 81001 |
|
8,289 |
7,858 |
$5K |
| 72110 |
|
222 |
222 |
$5K |
| 17111 |
|
55 |
50 |
$5K |
| 90686 |
|
544 |
539 |
$5K |
| 83655 |
|
1,138 |
1,135 |
$5K |
| 64493 |
|
41 |
20 |
$5K |
| 76642 |
|
120 |
89 |
$5K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
130 |
122 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
94 |
94 |
$5K |
| 90633 |
|
349 |
349 |
$5K |
| 95115 |
|
999 |
406 |
$5K |
| 77066 |
Tomosynthesis, mammo |
108 |
108 |
$5K |
| 81005 |
|
293 |
222 |
$5K |
| 43450 |
|
31 |
31 |
$5K |
| 86580 |
|
646 |
637 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
99 |
97 |
$5K |
| 62323 |
|
64 |
60 |
$5K |
| 11056 |
|
207 |
197 |
$5K |
| 90651 |
|
442 |
442 |
$5K |
| 90648 |
|
377 |
377 |
$5K |
| A5513 |
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each |
116 |
65 |
$5K |
| 82962 |
|
2,035 |
1,578 |
$5K |
| 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 |
175 |
150 |
$4K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
133 |
126 |
$4K |
| 99053 |
|
152 |
146 |
$4K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
97 |
92 |
$4K |
| 96103 |
|
479 |
473 |
$4K |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
306 |
286 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
137 |
132 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
60 |
59 |
$4K |
| 20611 |
|
101 |
69 |
$4K |
| 92283 |
|
131 |
128 |
$4K |
| A7015 |
Aerosol mask, used with dme nebulizer |
262 |
259 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,520 |
3,288 |
$4K |
| 72082 |
|
90 |
90 |
$4K |
| 90707 |
|
202 |
200 |
$4K |
| 90710 |
|
243 |
243 |
$4K |
| 95911 |
|
30 |
27 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
168 |
166 |
$4K |
| 73030 |
|
195 |
164 |
$3K |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
303 |
278 |
$3K |
| 76536 |
|
81 |
81 |
$3K |
| 90700 |
|
220 |
220 |
$3K |
| 94726 |
|
81 |
80 |
$3K |
| Q3014 |
Telehealth originating site facility fee |
303 |
278 |
$3K |
| J7610 |
Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg |
260 |
257 |
$3K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
123 |
107 |
$3K |
| 83516 |
|
352 |
297 |
$3K |
| 73130 |
|
200 |
141 |
$3K |
| A4927 |
Gloves, non-sterile, per 100 |
145 |
136 |
$3K |
| 95012 |
|
195 |
182 |
$3K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$3K |
| 90723 |
|
244 |
243 |
$3K |
| 92557 |
|
95 |
94 |
$3K |
| 93970 |
|
24 |
24 |
$3K |
| 11100 |
|
92 |
91 |
$3K |
| 83735 |
|
2,389 |
1,185 |
$3K |
| 73630 |
|
215 |
174 |
$3K |
| 99091 |
|
138 |
137 |
$3K |
| 64494 |
|
41 |
20 |
$3K |
| 92015 |
Determination of refractive state |
75 |
75 |
$3K |
| 92284 |
|
146 |
135 |
$3K |
| 84484 |
|
1,638 |
1,347 |
$3K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
217 |
124 |
$3K |
| 94729 |
|
81 |
80 |
$3K |
| 87650 |
|
82 |
78 |
$3K |
| 74018 |
|
154 |
152 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
400 |
393 |
$3K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
205 |
198 |
$3K |
| 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) |
12 |
12 |
$3K |
| 85013 |
|
211 |
210 |
$3K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
65 |
54 |
$3K |
| 90680 |
|
172 |
172 |
$3K |
| 90734 |
|
220 |
220 |
$3K |
| 97113 |
|
124 |
57 |
$3K |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
65 |
65 |
$3K |
| 92136 |
|
81 |
80 |
$2K |
| 97001 |
|
91 |
66 |
$2K |
| 99188 |
|
102 |
102 |
$2K |
| 67500 |
|
13 |
13 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
435 |
433 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
638 |
558 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
85 |
51 |
$2K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
243 |
234 |
$2K |
| 87430 |
|
82 |
81 |
$2K |
| 92025 |
|
37 |
36 |
$2K |
| 83690 |
|
1,869 |
1,699 |
$2K |
| 76770 |
|
74 |
74 |
$2K |
| 85610 |
|
2,156 |
1,839 |
$2K |
| 86780 |
|
504 |
489 |
$2K |
| 73610 |
|
175 |
162 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
70 |
66 |
$2K |
| 94060 |
|
82 |
81 |
$2K |
| 72050 |
|
107 |
107 |
$2K |
| S4993 |
Contraceptive pills for birth control |
42 |
38 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,561 |
1,555 |
$2K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
126 |
67 |
$2K |
| 36471 |
|
71 |
44 |
$2K |
| 11101 |
|
61 |
61 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
123 |
123 |
$2K |
| 99401 |
|
148 |
131 |
$2K |
| 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 |
80 |
47 |
$2K |
| 82948 |
|
991 |
387 |
$2K |
| 93015 |
|
29 |
29 |
$2K |
| 90696 |
|
110 |
110 |
$2K |
| 83880 |
|
959 |
815 |
$2K |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
103 |
94 |
$2K |
| 92081 |
|
114 |
114 |
$2K |
| 71250 |
|
18 |
18 |
$2K |
| 97164 |
|
107 |
107 |
$2K |
| 97014 |
|
106 |
55 |
$2K |
| 97802 |
|
14 |
14 |
$2K |
| 86480 |
|
1,028 |
1,019 |
$2K |
| 83605 |
|
836 |
676 |
$2K |
| 83986 |
|
49 |
41 |
$2K |
| 20610 |
|
27 |
26 |
$2K |
| 76942 |
|
47 |
43 |
$2K |
| 96161 |
|
138 |
137 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
35 |
26 |
$1K |
| 64495 |
|
41 |
20 |
$1K |
| A4335 |
Incontinence supply; miscellaneous |
183 |
178 |
$1K |
| 96150 |
|
87 |
87 |
$1K |
| 88312 |
|
52 |
52 |
$1K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
25 |
25 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
115 |
115 |
$1K |
| 51741 |
|
27 |
27 |
$1K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
14 |
14 |
$1K |
| 90746 |
|
19 |
19 |
$1K |
| 90716 |
|
185 |
183 |
$1K |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
100 |
95 |
$1K |
| 92083 |
|
30 |
29 |
$1K |
| 84702 |
|
1,103 |
962 |
$1K |
| 73110 |
|
130 |
110 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
15,116 |
14,153 |
$1K |
| 92567 |
|
39 |
39 |
$1K |
| 87040 |
|
484 |
391 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
43 |
42 |
$1K |
| 90685 |
|
105 |
105 |
$1K |
| 99254 |
|
31 |
29 |
$1K |
| 97803 |
|
163 |
156 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,859 |
2,753 |
$1K |
| 85730 |
|
1,471 |
1,313 |
$988.63 |
| 3074F |
|
121 |
121 |
$932.11 |
| 72100 |
|
45 |
45 |
$896.14 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
35 |
31 |
$888.22 |
| 3078F |
|
120 |
120 |
$877.28 |
| 92020 |
|
28 |
28 |
$876.81 |
| 85651 |
|
1,725 |
1,504 |
$874.31 |
| 73564 |
|
15 |
13 |
$863.76 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
99 |
99 |
$848.18 |
| 84703 |
|
581 |
556 |
$839.18 |
| 92133 |
|
48 |
47 |
$836.05 |
| A4217 |
Sterile water/saline, 500 ml |
14 |
12 |
$831.40 |
| 82947 |
|
343 |
335 |
$810.00 |
| 90713 |
|
67 |
67 |
$794.34 |
| A5120 |
Skin barrier, wipes or swabs, each |
55 |
53 |
$748.90 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
160 |
155 |
$730.84 |
| 87081 |
|
597 |
569 |
$723.32 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
22 |
19 |
$665.53 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
38 |
36 |
$654.90 |
| 69210 |
|
27 |
27 |
$630.00 |
| 84100 |
|
702 |
480 |
$612.45 |
| 93224 |
|
16 |
12 |
$583.67 |
| 73502 |
|
25 |
25 |
$580.18 |
| 76857 |
|
14 |
14 |
$576.50 |
| 74178 |
|
31 |
29 |
$575.00 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$542.49 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
22 |
12 |
$525.00 |
| 90658 |
|
42 |
42 |
$518.74 |
| 20553 |
|
12 |
12 |
$485.34 |
| 85027 |
|
388 |
280 |
$446.74 |
| 99490 |
Ccm add 20min |
30 |
29 |
$440.67 |
| 88342 |
|
16 |
15 |
$438.81 |
| 88141 |
|
84 |
84 |
$433.79 |
| 70220 |
|
14 |
14 |
$430.75 |
| 95117 |
|
49 |
24 |
$425.25 |
| 87205 |
|
269 |
231 |
$409.36 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
27 |
26 |
$360.00 |
| 80076 |
|
1,464 |
1,391 |
$352.76 |
| 90620 |
|
12 |
12 |
$334.85 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
15 |
$321.79 |
| 11755 |
|
16 |
12 |
$311.64 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
8,149 |
8,064 |
$308.68 |
| 99406 |
|
28 |
28 |
$288.63 |
| 82550 |
|
447 |
373 |
$267.62 |
| 71020 |
|
61 |
40 |
$249.61 |
| 86900 |
|
620 |
592 |
$244.00 |
| 84145 |
|
54 |
17 |
$239.27 |
| 73522 |
|
12 |
12 |
$234.22 |
| 92132 |
|
12 |
12 |
$218.80 |
| 80061 |
Lipid panel |
8,914 |
8,855 |
$213.54 |
| 86593 |
|
83 |
79 |
$207.00 |
| 87077 |
|
345 |
318 |
$184.67 |
| 86850 |
|
497 |
488 |
$180.47 |
| 85014 |
|
26 |
26 |
$180.00 |
| J7638 |
Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
13 |
13 |
$180.00 |
| 85379 |
|
186 |
168 |
$178.17 |
| 86901 |
|
609 |
581 |
$163.90 |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,090 |
4,045 |
$147.61 |
| 86592 |
|
2,200 |
2,183 |
$126.19 |
| 82803 |
|
25 |
13 |
$121.55 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
161 |
154 |
$118.14 |
| 88720 |
|
14 |
13 |
$109.18 |
| 90649 |
|
12 |
12 |
$104.95 |
| 85007 |
|
224 |
149 |
$96.93 |
| 82805 |
|
115 |
41 |
$92.39 |
| 90698 |
|
41 |
41 |
$88.69 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
12 |
12 |
$86.40 |
| 99201 |
|
12 |
12 |
$83.97 |
| 87186 |
|
377 |
354 |
$82.30 |
| 90688 |
|
188 |
187 |
$52.60 |
| 84132 |
|
49 |
25 |
$48.19 |
| 87420 |
|
45 |
43 |
$46.69 |
| 86140 |
|
1,502 |
1,463 |
$45.19 |
| 86635 |
|
573 |
564 |
$44.13 |
| 82150 |
|
290 |
286 |
$43.41 |
| A4259 |
Lancets, per box of 100 |
58 |
56 |
$36.98 |
| 72072 |
|
13 |
13 |
$23.76 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
295 |
293 |
$23.50 |
| 87070 |
|
433 |
417 |
$15.07 |
| 84403 |
|
361 |
359 |
$0.00 |
| 84439 |
|
3,206 |
3,185 |
$0.00 |
| 86039 |
|
220 |
219 |
$0.00 |
| 85045 |
|
89 |
87 |
$0.00 |
| 84460 |
|
214 |
211 |
$0.00 |
| 82570 |
|
1,742 |
1,736 |
$0.00 |
| 86696 |
|
503 |
499 |
$0.00 |
| 86735 |
|
48 |
45 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
197 |
189 |
$0.00 |
| 86331 |
|
800 |
610 |
$0.00 |
| 86431 |
|
873 |
869 |
$0.00 |
| 83540 |
|
657 |
647 |
$0.00 |
| 86694 |
|
421 |
419 |
$0.00 |
| 84156 |
|
216 |
215 |
$0.00 |
| 82274 |
|
592 |
524 |
$0.00 |
| 84445 |
|
13 |
13 |
$0.00 |
| A7038 |
Filter, disposable, used with positive airway pressure device |
37 |
27 |
$0.00 |
| 86147 |
|
235 |
233 |
$0.00 |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
109 |
108 |
$0.00 |
| 86038 |
|
1,393 |
1,378 |
$0.00 |
| 86235 |
|
561 |
524 |
$0.00 |
| 87660 |
|
81 |
80 |
$0.00 |
| 82977 |
|
230 |
217 |
$0.00 |
| 84450 |
|
114 |
112 |
$0.00 |
| 86360 |
|
86 |
86 |
$0.00 |
| 86003 |
|
646 |
626 |
$0.00 |
| 86787 |
|
219 |
219 |
$0.00 |
| 84520 |
|
111 |
110 |
$0.00 |
| 82247 |
|
90 |
76 |
$0.00 |
| 86665 |
|
92 |
90 |
$0.00 |
| A4232 |
Syringe with needle for external insulin pump, sterile, 3 cc |
27 |
27 |
$0.00 |
| 87075 |
|
148 |
143 |
$0.00 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
42 |
40 |
$0.00 |
| 87210 |
|
210 |
210 |
$0.00 |
| 82785 |
|
116 |
115 |
$0.00 |
| 98940 |
|
374 |
235 |
$0.00 |
| 87481 |
|
76 |
45 |
$0.00 |
| 86703 |
|
706 |
701 |
$0.00 |
| 84550 |
|
704 |
701 |
$0.00 |
| 83013 |
|
62 |
62 |
$0.00 |
| 80074 |
|
1,049 |
1,046 |
$0.00 |
| 87209 |
|
211 |
164 |
$0.00 |
| 87653 |
|
28 |
26 |
$0.00 |
| 82248 |
|
629 |
599 |
$0.00 |
| 87338 |
|
347 |
342 |
$0.00 |
| 87799 |
|
60 |
56 |
$0.00 |
| 84155 |
|
20 |
18 |
$0.00 |
| 84146 |
|
227 |
225 |
$0.00 |
| 84481 |
|
433 |
429 |
$0.00 |
| 83970 |
|
231 |
229 |
$0.00 |
| 87177 |
|
211 |
164 |
$0.00 |
| 80164 |
|
107 |
104 |
$0.00 |
| 86200 |
|
304 |
304 |
$0.00 |
| 82565 |
|
60 |
59 |
$0.00 |
| 82310 |
|
39 |
38 |
$0.00 |
| 83721 |
|
219 |
217 |
$0.00 |
| 87512 |
|
54 |
53 |
$0.00 |
| 84165 |
|
14 |
12 |
$0.00 |
| 82465 |
|
110 |
107 |
$0.00 |
| 87902 |
|
27 |
25 |
$0.00 |
| 82627 |
|
25 |
25 |
$0.00 |
| 80365 |
|
12 |
12 |
$0.00 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
55 |
50 |
$0.00 |
| 80361 |
|
12 |
12 |
$0.00 |
| 86765 |
|
31 |
28 |
$0.00 |
| 87427 |
|
21 |
21 |
$0.00 |
| 80356 |
|
12 |
12 |
$0.00 |
| 86708 |
|
13 |
13 |
$0.00 |
| 83525 |
|
24 |
24 |
$0.00 |
| 87045 |
|
25 |
25 |
$0.00 |
| 80369 |
|
12 |
12 |
$0.00 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
12 |
12 |
$0.00 |
| 80346 |
|
12 |
12 |
$0.00 |
| 83992 |
|
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
23 |
23 |
$0.00 |
| 82950 |
|
860 |
833 |
$0.00 |
| 87510 |
|
146 |
145 |
$0.00 |
| 87340 |
|
595 |
593 |
$0.00 |
| 86762 |
|
327 |
324 |
$0.00 |
| 82043 |
|
1,998 |
1,990 |
$0.00 |
| 86160 |
|
375 |
367 |
$0.00 |
| 84154 |
|
88 |
87 |
$0.00 |
| 84270 |
|
215 |
213 |
$0.00 |
| 84153 |
|
741 |
738 |
$0.00 |
| 86706 |
|
242 |
242 |
$0.00 |
| 83550 |
|
545 |
538 |
$0.00 |
| 36416 |
|
92 |
84 |
$0.00 |
| 87480 |
|
146 |
145 |
$0.00 |
| 86695 |
|
499 |
495 |
$0.00 |
| 87536 |
|
120 |
119 |
$0.00 |
| 86171 |
|
637 |
627 |
$0.00 |
| 80081 |
|
141 |
141 |
$0.00 |
| 84480 |
|
294 |
292 |
$0.00 |
| 86376 |
|
542 |
535 |
$0.00 |
| 87797 |
|
65 |
65 |
$0.00 |
| 85652 |
|
812 |
804 |
$0.00 |
| 88142 |
|
14 |
14 |
$0.00 |
| 80050 |
General health panel |
4,649 |
4,646 |
$0.00 |
| 87147 |
|
108 |
108 |
$0.00 |
| 82746 |
|
554 |
554 |
$0.00 |
| 86225 |
|
524 |
515 |
$0.00 |
| 83002 |
|
225 |
225 |
$0.00 |
| 82670 |
|
137 |
135 |
$0.00 |
| A7013 |
Filter, disposable, used with aerosol compressor or ultrasonic generator |
36 |
33 |
$0.00 |
| 82952 |
|
71 |
71 |
$0.00 |
| 86803 |
|
527 |
527 |
$0.00 |
| 84479 |
|
100 |
100 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
359 |
354 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
3,819 |
3,799 |
$0.00 |
| 87015 |
|
140 |
140 |
$0.00 |
| 82784 |
|
213 |
211 |
$0.00 |
| 86704 |
|
54 |
54 |
$0.00 |
| 86800 |
|
124 |
123 |
$0.00 |
| 82607 |
|
1,410 |
1,407 |
$0.00 |
| 83001 |
|
310 |
308 |
$0.00 |
| 82378 |
|
81 |
76 |
$0.00 |
| 82728 |
|
555 |
547 |
$0.00 |
| 82105 |
|
174 |
172 |
$0.00 |
| 84144 |
|
43 |
41 |
$0.00 |
| 86812 |
|
12 |
12 |
$0.00 |
| 87046 |
|
154 |
149 |
$0.00 |
| 84436 |
|
434 |
433 |
$0.00 |
| 80359 |
|
12 |
12 |
$0.00 |
| 80055 |
|
52 |
52 |
$0.00 |
| 80349 |
|
26 |
24 |
$0.00 |
| 87088 |
|
152 |
149 |
$0.00 |
| 80069 |
|
120 |
118 |
$0.00 |
| 80353 |
|
12 |
12 |
$0.00 |
| 86141 |
|
12 |
12 |
$0.00 |
| 87486 |
|
12 |
12 |
$0.00 |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
12 |
12 |
$0.00 |
| 80156 |
|
12 |
12 |
$0.00 |
| 87581 |
|
12 |
12 |
$0.00 |
| 90744 |
|
20 |
20 |
$0.00 |
| 80358 |
|
12 |
12 |
$0.00 |
| 85008 |
|
24 |
24 |
$0.00 |
| 86304 |
|
12 |
12 |
$0.00 |
| 83883 |
|
16 |
16 |
$0.00 |
| 80371 |
|
12 |
12 |
$0.00 |
| 86255 |
|
12 |
12 |
$0.00 |
| A4230 |
Infusion set for external insulin pump, non needle cannula type |
12 |
12 |
$0.00 |
| 80352 |
|
12 |
12 |
$0.00 |