| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
71,914 |
54,907 |
$7.52M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
24,609 |
20,603 |
$6.36M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
10,639 |
8,954 |
$5.34M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
22,675 |
19,370 |
$4.52M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
48,615 |
13,750 |
$3.00M |
| 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 |
21,972 |
18,447 |
$1.43M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
12,226 |
9,817 |
$1.38M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
9,504 |
7,899 |
$1.10M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,471 |
3,144 |
$673K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
3,508 |
3,032 |
$550K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
4,431 |
2,511 |
$521K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
114 |
110 |
$489K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
2,315 |
1,459 |
$463K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
38,082 |
10,941 |
$459K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,347 |
3,042 |
$439K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,172 |
3,786 |
$402K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
3,826 |
1,342 |
$365K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,689 |
1,550 |
$365K |
| 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 |
17,810 |
14,973 |
$363K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,441 |
1,340 |
$350K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,826 |
1,705 |
$349K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,294 |
3,165 |
$336K |
| 71046 |
Radiologic examination, chest; 2 views |
6,581 |
6,024 |
$326K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
4,656 |
4,337 |
$325K |
| J0485 |
Injection, belatacept, 1 mg |
908 |
375 |
$308K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
2,327 |
2,243 |
$299K |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,878 |
3,298 |
$279K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
7,470 |
5,939 |
$254K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,317 |
1,208 |
$212K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,893 |
1,742 |
$206K |
| G0378 |
Hospital observation service, per hour |
5,919 |
4,880 |
$203K |
| 76641 |
|
2,284 |
2,142 |
$202K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,681 |
4,071 |
$196K |
| 76770 |
|
1,416 |
1,337 |
$172K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
5,532 |
5,180 |
$168K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
7,761 |
6,779 |
$168K |
| 80053 |
Comprehensive metabolic panel |
18,687 |
14,787 |
$164K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,022 |
951 |
$158K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
872 |
770 |
$158K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
9,717 |
8,926 |
$155K |
| 84443 |
Thyroid stimulating hormone (TSH) |
17,515 |
15,962 |
$155K |
| 97161 |
|
2,583 |
2,406 |
$142K |
| 71045 |
Radiologic examination, chest; single view |
3,724 |
3,265 |
$140K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
828 |
791 |
$132K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
3,551 |
1,308 |
$131K |
| 97162 |
|
2,639 |
2,428 |
$129K |
| 73564 |
|
1,627 |
1,423 |
$120K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
6,106 |
4,200 |
$119K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
49,629 |
39,369 |
$118K |
| 93976 |
|
944 |
866 |
$101K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
511 |
486 |
$94K |
| 76830 |
Ultrasound, transvaginal |
1,008 |
949 |
$91K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
5,060 |
1,244 |
$91K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
523 |
473 |
$89K |
| 72197 |
|
294 |
265 |
$88K |
| 86900 |
|
4,080 |
3,313 |
$88K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
5,142 |
4,623 |
$87K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
768 |
685 |
$84K |
| 72100 |
|
1,805 |
1,699 |
$83K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,989 |
4,613 |
$82K |
| 83718 |
|
12,673 |
12,080 |
$82K |
| 36415 |
Collection of venous blood by venipuncture |
56,915 |
45,200 |
$72K |
| 82247 |
|
32,557 |
27,639 |
$69K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13,817 |
12,708 |
$69K |
| 72141 |
|
277 |
252 |
$66K |
| 74183 |
|
413 |
372 |
$65K |
| 82947 |
|
37,201 |
30,532 |
$64K |
| 82040 |
|
33,112 |
28,046 |
$61K |
| 73610 |
|
1,612 |
1,473 |
$60K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,623 |
1,449 |
$59K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,350 |
998 |
$57K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,223 |
3,117 |
$53K |
| 73030 |
|
1,745 |
1,545 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
760 |
604 |
$51K |
| 94060 |
|
276 |
263 |
$51K |
| 90791 |
Psychiatric diagnostic evaluation |
621 |
567 |
$51K |
| 76801 |
|
460 |
384 |
$50K |
| 86235 |
|
680 |
623 |
$49K |
| 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 |
5,682 |
4,212 |
$49K |
| 82607 |
|
6,155 |
5,563 |
$48K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,264 |
1,161 |
$48K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
342 |
341 |
$47K |
| 73630 |
|
1,382 |
1,271 |
$46K |
| 71250 |
|
791 |
737 |
$45K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
49 |
45 |
$45K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,290 |
3,161 |
$44K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
490 |
263 |
$44K |
| 97035 |
|
582 |
213 |
$42K |
| 76536 |
|
571 |
543 |
$39K |
| 82728 |
|
6,165 |
5,462 |
$37K |
| 86480 |
|
1,249 |
1,158 |
$37K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
3,549 |
3,275 |
$36K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
487 |
430 |
$35K |
| 86003 |
|
611 |
569 |
$34K |
| 73221 |
|
177 |
167 |
$34K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,770 |
1,012 |
$34K |
| 73502 |
|
1,209 |
1,102 |
$33K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
342 |
324 |
$32K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,030 |
1,952 |
$31K |
| 87632 |
|
760 |
709 |
$31K |
| 0240U |
|
299 |
275 |
$30K |
| 90837 |
Psychotherapy, 53 minutes with patient |
387 |
234 |
$30K |
| 83970 |
|
1,431 |
1,273 |
$30K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
313 |
299 |
$29K |
| 84439 |
|
6,010 |
5,418 |
$29K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
928 |
744 |
$29K |
| 82310 |
|
37,234 |
30,498 |
$29K |
| 73560 |
|
1,900 |
1,670 |
$28K |
| 86780 |
|
2,546 |
2,343 |
$27K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
9,414 |
8,110 |
$26K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
47 |
43 |
$26K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,455 |
3,220 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,081 |
8,846 |
$25K |
| 83550 |
|
6,216 |
5,530 |
$25K |
| 93971 |
|
408 |
370 |
$25K |
| 93000 |
|
1,904 |
1,716 |
$24K |
| 86850 |
|
3,906 |
3,176 |
$24K |
| 82784 |
|
2,566 |
2,255 |
$23K |
| 86803 |
|
3,207 |
2,954 |
$23K |
| 73130 |
|
642 |
581 |
$22K |
| 85027 |
|
8,511 |
7,043 |
$21K |
| 87070 |
|
7,842 |
7,148 |
$21K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
11,755 |
9,531 |
$20K |
| 64483 |
|
27 |
26 |
$20K |
| 84403 |
|
1,554 |
1,394 |
$20K |
| 83540 |
|
6,564 |
5,845 |
$20K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
142 |
142 |
$20K |
| 73110 |
|
476 |
431 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
600 |
497 |
$18K |
| 86901 |
|
4,083 |
3,317 |
$17K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,365 |
1,292 |
$17K |
| 72170 |
|
388 |
349 |
$17K |
| 97116 |
|
804 |
462 |
$17K |
| 87506 |
|
205 |
186 |
$17K |
| 86769 |
|
498 |
464 |
$16K |
| 86140 |
|
7,745 |
6,637 |
$16K |
| 81001 |
|
13,022 |
11,337 |
$15K |
| 87430 |
|
4,937 |
4,565 |
$15K |
| 96415 |
|
188 |
151 |
$15K |
| 86038 |
|
2,088 |
1,932 |
$14K |
| 97165 |
|
222 |
206 |
$13K |
| 93970 |
|
82 |
77 |
$13K |
| 82670 |
|
867 |
746 |
$13K |
| 90686 |
|
1,562 |
1,357 |
$13K |
| 72040 |
|
380 |
356 |
$12K |
| 87631 |
|
362 |
353 |
$12K |
| 82570 |
|
4,330 |
3,410 |
$12K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,604 |
1,950 |
$12K |
| 83001 |
|
1,126 |
1,032 |
$12K |
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
98 |
14 |
$12K |
| 83735 |
|
5,075 |
3,879 |
$12K |
| 83655 |
|
1,504 |
1,475 |
$11K |
| 82465 |
|
12,808 |
12,202 |
$11K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
13 |
13 |
$11K |
| 97166 |
|
167 |
158 |
$10K |
| 87340 |
|
2,130 |
1,951 |
$10K |
| 88142 |
|
1,647 |
1,550 |
$10K |
| 83002 |
|
980 |
881 |
$10K |
| 86618 |
|
1,394 |
1,262 |
$10K |
| 84153 |
|
1,421 |
1,249 |
$10K |
| 87077 |
|
3,591 |
3,159 |
$10K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
849 |
793 |
$10K |
| 81003 |
|
11,456 |
10,394 |
$9K |
| Q3014 |
Telehealth originating site facility fee |
1,331 |
955 |
$9K |
| 85610 |
|
7,796 |
6,294 |
$9K |
| 70486 |
|
127 |
124 |
$9K |
| 86706 |
|
1,487 |
1,354 |
$8K |
| 83690 |
|
6,172 |
5,322 |
$8K |
| 86039 |
|
1,290 |
1,192 |
$8K |
| 82043 |
|
2,572 |
2,350 |
$8K |
| 70498 |
|
43 |
40 |
$8K |
| 87186 |
|
2,769 |
2,477 |
$8K |
| 83880 |
|
934 |
794 |
$8K |
| 12001 |
|
44 |
27 |
$7K |
| 84702 |
|
2,401 |
1,931 |
$7K |
| 95076 |
|
13 |
12 |
$7K |
| 82746 |
|
907 |
816 |
$7K |
| 82374 |
|
37,084 |
30,404 |
$7K |
| 74018 |
|
185 |
163 |
$7K |
| 84480 |
|
1,066 |
958 |
$7K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
13 |
13 |
$7K |
| 85652 |
|
5,314 |
4,746 |
$7K |
| 84484 |
|
9,122 |
5,151 |
$7K |
| 80061 |
Lipid panel |
3,313 |
2,840 |
$7K |
| 80197 |
|
708 |
464 |
$6K |
| 73140 |
|
265 |
232 |
$6K |
| 51798 |
|
1,223 |
1,071 |
$6K |
| 70491 |
|
28 |
27 |
$6K |
| 94726 |
|
110 |
102 |
$6K |
| 85730 |
|
4,015 |
3,483 |
$6K |
| 84478 |
|
12,908 |
12,246 |
$6K |
| 84270 |
|
445 |
401 |
$6K |
| 97163 |
|
105 |
102 |
$6K |
| 86225 |
|
758 |
690 |
$6K |
| 86160 |
|
391 |
365 |
$6K |
| 83516 |
|
563 |
508 |
$5K |
| 81513 |
|
118 |
112 |
$5K |
| J3490 |
Unclassified drugs |
50,032 |
17,071 |
$5K |
| 98968 |
|
183 |
48 |
$5K |
| 84703 |
|
4,206 |
3,688 |
$5K |
| 99218 |
|
38 |
35 |
$5K |
| 81025 |
|
2,931 |
2,683 |
$5K |
| 72156 |
|
13 |
13 |
$5K |
| 92526 |
|
52 |
29 |
$5K |
| 86364 |
|
631 |
579 |
$5K |
| 84146 |
|
440 |
395 |
$4K |
| 90715 |
|
949 |
876 |
$4K |
| 82785 |
|
444 |
408 |
$4K |
| 83525 |
|
516 |
443 |
$4K |
| 72082 |
|
53 |
51 |
$4K |
| 85007 |
|
3,508 |
2,779 |
$4K |
| 85055 |
|
522 |
369 |
$4K |
| 20553 |
|
18 |
15 |
$4K |
| 93351 |
|
32 |
26 |
$4K |
| 96376 |
|
2,333 |
1,515 |
$4K |
| 94010 |
|
31 |
31 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
192 |
170 |
$3K |
| 84156 |
|
1,558 |
1,317 |
$3K |
| 86704 |
|
477 |
442 |
$3K |
| 87481 |
|
106 |
101 |
$3K |
| 82627 |
|
186 |
178 |
$3K |
| 85046 |
|
1,115 |
1,008 |
$3K |
| 70496 |
|
108 |
79 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,264 |
1,574 |
$3K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
236 |
227 |
$3K |
| 85379 |
|
1,964 |
1,757 |
$2K |
| 86431 |
|
829 |
775 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
5,561 |
4,825 |
$2K |
| 98967 |
|
102 |
47 |
$2K |
| 87040 |
|
2,642 |
1,476 |
$2K |
| 73522 |
|
28 |
26 |
$2K |
| 59025 |
Fetal non-stress test |
26 |
12 |
$2K |
| 93017 |
|
56 |
53 |
$2K |
| 80143 |
|
1,099 |
960 |
$2K |
| 84145 |
|
729 |
607 |
$2K |
| 86376 |
|
226 |
216 |
$2K |
| 80179 |
|
1,103 |
958 |
$2K |
| 77065 |
Tomosynthesis, mammo |
15 |
13 |
$2K |
| 86708 |
|
287 |
267 |
$2K |
| 87807 |
|
316 |
296 |
$2K |
| 84305 |
|
117 |
111 |
$2K |
| 90662 |
|
285 |
258 |
$2K |
| 76642 |
|
24 |
24 |
$2K |
| 85018 |
|
2,482 |
2,379 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
4,464 |
3,218 |
$2K |
| 85014 |
|
2,434 |
2,342 |
$2K |
| 93320 |
|
93 |
84 |
$2K |
| 88304 |
|
320 |
279 |
$2K |
| 86200 |
|
233 |
222 |
$2K |
| 87205 |
|
1,488 |
1,243 |
$1K |
| 77080 |
|
12 |
12 |
$1K |
| 86709 |
|
268 |
246 |
$1K |
| 82550 |
|
1,484 |
1,254 |
$1K |
| 84481 |
|
151 |
125 |
$1K |
| 87075 |
|
700 |
591 |
$1K |
| 84450 |
|
32,904 |
27,990 |
$1K |
| 86800 |
|
150 |
141 |
$1K |
| 82248 |
|
4,097 |
3,469 |
$1K |
| 83605 |
|
1,306 |
1,014 |
$1K |
| 87338 |
|
92 |
91 |
$1K |
| 86762 |
|
184 |
164 |
$1K |
| 77072 |
|
17 |
15 |
$1K |
| 0054A |
|
70 |
37 |
$920.00 |
| 84165 |
|
238 |
224 |
$837.02 |
| 82962 |
|
6,727 |
4,096 |
$831.51 |
| 83520 |
|
116 |
102 |
$828.12 |
| 82533 |
|
106 |
92 |
$796.79 |
| 76870 |
|
31 |
26 |
$766.56 |
| 97535 |
Self-care/home management training, each 15 minutes |
18 |
13 |
$765.86 |
| 82378 |
|
156 |
134 |
$764.27 |
| 64450 |
|
12 |
12 |
$731.95 |
| 72070 |
|
13 |
13 |
$711.66 |
| 73590 |
|
30 |
27 |
$695.33 |
| 84100 |
|
3,064 |
2,370 |
$686.33 |
| 86360 |
|
25 |
24 |
$680.34 |
| 99442 |
|
188 |
95 |
$659.93 |
| 73070 |
|
26 |
25 |
$646.54 |
| 93325 |
|
144 |
130 |
$635.57 |
| 84075 |
|
32,650 |
27,729 |
$625.51 |
| 83021 |
|
99 |
92 |
$620.64 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
24 |
15 |
$554.17 |
| 86334 |
|
74 |
65 |
$553.91 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,592 |
4,592 |
$466.97 |
| 86308 |
|
122 |
110 |
$452.35 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
6,835 |
5,259 |
$439.18 |
| 90732 |
|
13 |
12 |
$431.00 |
| 82105 |
|
52 |
52 |
$429.05 |
| 84436 |
|
145 |
135 |
$425.54 |
| 84520 |
|
37,623 |
30,828 |
$409.43 |
| 84550 |
|
2,268 |
1,957 |
$393.64 |
| 83615 |
|
1,853 |
1,613 |
$382.45 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
5,377 |
4,219 |
$381.77 |
| 84460 |
|
32,997 |
28,067 |
$379.54 |
| 86258 |
|
18 |
18 |
$374.68 |
| 88342 |
|
230 |
194 |
$330.65 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
754 |
700 |
$329.47 |
| 82565 |
|
37,872 |
31,038 |
$323.57 |
| 74019 |
|
27 |
24 |
$290.11 |
| 87046 |
|
27 |
25 |
$288.64 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
141 |
121 |
$287.80 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
960 |
416 |
$283.23 |
| 84155 |
|
33,031 |
28,045 |
$281.13 |
| 86765 |
|
56 |
49 |
$258.51 |
| 84132 |
|
37,025 |
30,331 |
$256.28 |
| 76376 |
|
445 |
421 |
$250.36 |
| 84295 |
|
37,142 |
30,437 |
$240.25 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
378 |
331 |
$208.79 |
| 82435 |
|
37,086 |
30,406 |
$202.26 |
| 86580 |
|
17 |
16 |
$180.18 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,662 |
1,905 |
$176.96 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
7,421 |
5,918 |
$173.17 |
| 83521 |
|
13 |
13 |
$173.04 |
| J3360 |
Injection, diazepam, up to 5 mg |
167 |
141 |
$169.96 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,234 |
815 |
$163.77 |
| J8597 |
Antiemetic drug, oral, not otherwise specified |
461 |
399 |
$159.01 |
| 86705 |
|
39 |
36 |
$157.50 |
| 82977 |
|
558 |
491 |
$142.05 |
| 86300 |
|
15 |
13 |
$139.09 |
| 82397 |
|
13 |
13 |
$134.90 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
521 |
419 |
$131.33 |
| 87045 |
|
39 |
37 |
$126.28 |
| 95012 |
|
177 |
168 |
$120.59 |
| J1756 |
Injection, iron sucrose, 1 mg |
483 |
193 |
$108.00 |
| 86304 |
|
14 |
12 |
$79.48 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
4,929 |
3,745 |
$74.07 |
| 86787 |
|
13 |
13 |
$73.86 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,965 |
1,350 |
$71.81 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
4,137 |
2,407 |
$71.44 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
693 |
396 |
$70.25 |
| 69210 |
|
39 |
38 |
$62.77 |
| 84144 |
|
17 |
12 |
$59.76 |
| 82523 |
|
15 |
15 |
$53.55 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
489 |
435 |
$52.25 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
5,362 |
3,947 |
$46.86 |
| 82270 |
|
13 |
13 |
$40.43 |
| J2060 |
Injection, lorazepam, 2 mg |
1,614 |
1,159 |
$36.90 |
| 84300 |
|
18 |
16 |
$32.93 |
| 80178 |
|
15 |
13 |
$32.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
56 |
$31.71 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
49 |
41 |
$30.30 |
| 81002 |
|
960 |
830 |
$26.84 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,337 |
1,935 |
$23.00 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
22 |
18 |
$19.56 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
950 |
503 |
$15.66 |
| 99441 |
|
13 |
12 |
$11.14 |
| J1630 |
Injection, haloperidol, up to 5 mg |
19 |
14 |
$7.71 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
96 |
76 |
$7.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
279 |
217 |
$6.41 |
| 87081 |
|
13 |
12 |
$6.34 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
285 |
229 |
$2.15 |
| G0008 |
Administration of influenza virus vaccine |
118 |
113 |
$2.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
1,005 |
627 |
$1.80 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
227 |
191 |
$1.67 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,649 |
1,242 |
$1.05 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
4,377 |
3,653 |
$0.36 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
2,432 |
1,806 |
$0.01 |
| 99153 |
Mod sedat endo service >5yrs |
1,038 |
710 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,340 |
975 |
$0.00 |
| 94760 |
|
952 |
835 |
$0.00 |
| 92060 |
|
268 |
267 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
993 |
482 |
$0.00 |
| 88300 |
|
292 |
261 |
$0.00 |
| J7999 |
Compounded drug, not otherwise classified |
331 |
251 |
$0.00 |
| 76377 |
|
69 |
62 |
$0.00 |
| J3535 |
Drug administered through a metered dose inhaler |
17 |
14 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
126 |
112 |
$0.00 |
| 91305 |
|
70 |
37 |
$0.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
17 |
12 |
$0.00 |
| C9290 |
Injection, bupivacaine liposome, 1 mg |
59 |
55 |
$0.00 |
| 91307 |
|
12 |
12 |
$0.00 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
253 |
228 |
$0.00 |
| 99152 |
|
1,097 |
761 |
$0.00 |
| C1776 |
Joint device (implantable) |
70 |
63 |
$0.00 |
| 94729 |
|
218 |
205 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
174 |
128 |
$0.00 |
| 93356 |
|
15 |
14 |
$0.00 |
| 90461 |
|
337 |
336 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
129 |
83 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
24 |
18 |
$0.00 |
| 00812 |
|
17 |
12 |
$0.00 |
| 98966 |
|
16 |
15 |
$0.00 |