| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
86,214 |
77,637 |
$8.57M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64,857 |
58,692 |
$6.75M |
| 90834 |
Psychotherapy, 45 minutes with patient |
24,359 |
14,659 |
$3.22M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
22,708 |
21,325 |
$2.94M |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
32,524 |
31,115 |
$2.49M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15,840 |
15,347 |
$2.23M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
6,976 |
6,291 |
$1.52M |
| 80053 |
Comprehensive metabolic panel |
63,030 |
57,534 |
$1.20M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
9,638 |
9,179 |
$1.15M |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,974 |
3,906 |
$1.13M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,523 |
4,430 |
$1.12M |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
16,278 |
5,691 |
$1.02M |
| 36415 |
Collection of venous blood by venipuncture |
103,020 |
50,328 |
$940K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,752 |
2,703 |
$853K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,009 |
2,964 |
$831K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,173 |
1,165 |
$796K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,189 |
1,179 |
$712K |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,124 |
5,705 |
$711K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
5,124 |
3,414 |
$680K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,856 |
3,790 |
$653K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,205 |
5,123 |
$578K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
16,854 |
16,810 |
$547K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
10,932 |
8,681 |
$479K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,374 |
4,338 |
$470K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
7,572 |
7,326 |
$466K |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
2,862 |
857 |
$462K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
11,423 |
11,119 |
$452K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,956 |
1,949 |
$416K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
8,203 |
8,041 |
$404K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,743 |
3,583 |
$395K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,460 |
1,430 |
$390K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,292 |
1,291 |
$358K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,124 |
1,114 |
$340K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,327 |
2,300 |
$324K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
7,656 |
3,207 |
$322K |
| 99215 |
Prolong outpt/office vis |
2,830 |
2,735 |
$303K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
5,473 |
5,465 |
$301K |
| 97161 |
|
3,364 |
3,322 |
$286K |
| S9131 |
Physical therapy; in the home, per diem |
4,161 |
1,121 |
$279K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,361 |
3,347 |
$278K |
| 76770 |
|
1,442 |
1,432 |
$277K |
| 84443 |
Thyroid stimulating hormone (TSH) |
29,398 |
28,911 |
$275K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,446 |
1,411 |
$263K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,968 |
2,964 |
$256K |
| 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 |
10,571 |
10,295 |
$255K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,215 |
1,142 |
$247K |
| 20610 |
|
985 |
948 |
$222K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,494 |
2,420 |
$202K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
422 |
419 |
$199K |
| 80061 |
Lipid panel |
22,761 |
22,680 |
$186K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,147 |
2,143 |
$176K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
6,870 |
6,781 |
$175K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
50,186 |
46,242 |
$165K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,004 |
3,902 |
$164K |
| 12001 |
|
417 |
415 |
$163K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
517 |
516 |
$156K |
| 90791 |
Psychiatric diagnostic evaluation |
964 |
956 |
$154K |
| 83880 |
|
4,732 |
4,551 |
$148K |
| 84439 |
|
14,983 |
14,853 |
$146K |
| 73221 |
|
535 |
521 |
$144K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,797 |
1,792 |
$143K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
6,953 |
6,859 |
$141K |
| 76801 |
|
1,773 |
1,483 |
$136K |
| 93970 |
|
357 |
353 |
$135K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
8,764 |
7,813 |
$126K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15,925 |
15,837 |
$125K |
| S9128 |
Speech therapy, in the home, per diem |
1,199 |
433 |
$123K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,638 |
1,626 |
$121K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,406 |
2,150 |
$115K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
164 |
164 |
$113K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
801 |
618 |
$111K |
| 93971 |
|
1,392 |
1,312 |
$108K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
361 |
361 |
$107K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,411 |
2,370 |
$105K |
| 72141 |
|
372 |
370 |
$105K |
| 86850 |
|
4,117 |
3,956 |
$104K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,122 |
7,107 |
$104K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
77 |
77 |
$103K |
| 87070 |
|
16,952 |
16,621 |
$102K |
| 71250 |
|
968 |
961 |
$100K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
3,527 |
3,522 |
$99K |
| 94726 |
|
1,788 |
1,770 |
$97K |
| 99205 |
Prolong outpt/office vis |
850 |
840 |
$97K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
662 |
603 |
$96K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
755 |
750 |
$93K |
| 88342 |
|
1,494 |
1,462 |
$92K |
| 97535 |
Self-care/home management training, each 15 minutes |
2,701 |
2,264 |
$92K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
4,021 |
3,968 |
$81K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
11,542 |
10,734 |
$80K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14,763 |
14,001 |
$79K |
| 76641 |
|
3,159 |
3,146 |
$77K |
| 86901 |
|
4,468 |
4,229 |
$74K |
| 82607 |
|
5,810 |
5,736 |
$73K |
| 90686 |
|
3,529 |
3,509 |
$71K |
| 86900 |
|
4,470 |
4,232 |
$62K |
| 71046 |
Radiologic examination, chest; 2 views |
8,322 |
8,166 |
$61K |
| S9129 |
Occupational therapy, in the home, per diem |
981 |
306 |
$61K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
4,310 |
4,258 |
$61K |
| 76830 |
Ultrasound, transvaginal |
1,506 |
1,456 |
$59K |
| 90715 |
|
2,171 |
2,155 |
$55K |
| 94060 |
|
622 |
603 |
$55K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
136 |
127 |
$54K |
| G0378 |
Hospital observation service, per hour |
1,758 |
1,228 |
$54K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
93 |
54 |
$52K |
| 84153 |
|
3,222 |
3,192 |
$51K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,646 |
4,639 |
$51K |
| 87634 |
|
2,466 |
2,422 |
$46K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12,538 |
11,449 |
$45K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,593 |
1,581 |
$45K |
| 82728 |
|
3,680 |
3,640 |
$43K |
| 85610 |
|
12,744 |
11,499 |
$42K |
| 71271 |
|
720 |
719 |
$42K |
| 70491 |
|
163 |
159 |
$40K |
| 76942 |
|
241 |
241 |
$40K |
| 76536 |
|
1,661 |
1,652 |
$39K |
| 99406 |
|
1,141 |
1,113 |
$38K |
| 90651 |
|
836 |
829 |
$37K |
| 84702 |
|
3,664 |
3,016 |
$37K |
| 86480 |
|
582 |
579 |
$36K |
| 77080 |
|
720 |
718 |
$35K |
| 87077 |
|
5,166 |
5,024 |
$35K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
30 |
30 |
$35K |
| 94010 |
|
827 |
811 |
$35K |
| 94729 |
|
1,762 |
1,741 |
$33K |
| 83655 |
|
2,364 |
2,347 |
$32K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,557 |
1,458 |
$31K |
| 87081 |
|
7,744 |
7,651 |
$31K |
| 90647 |
|
1,749 |
1,737 |
$30K |
| 90837 |
Psychotherapy, 53 minutes with patient |
217 |
164 |
$30K |
| 93017 |
|
265 |
264 |
$29K |
| 93975 |
|
104 |
102 |
$29K |
| 86780 |
|
2,839 |
2,817 |
$29K |
| 12011 |
|
76 |
76 |
$29K |
| 82746 |
|
2,831 |
2,809 |
$29K |
| 90723 |
|
1,667 |
1,654 |
$29K |
| 84403 |
|
1,196 |
1,177 |
$28K |
| 86803 |
|
3,504 |
3,473 |
$28K |
| 84144 |
|
1,408 |
1,224 |
$28K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
761 |
433 |
$27K |
| 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 |
1,070 |
1,023 |
$26K |
| 82043 |
|
5,015 |
4,981 |
$26K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,379 |
1,112 |
$26K |
| 90680 |
|
1,437 |
1,423 |
$25K |
| 73630 |
|
4,488 |
4,310 |
$25K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
114 |
114 |
$25K |
| 86140 |
|
11,402 |
10,347 |
$24K |
| 90688 |
|
1,203 |
1,183 |
$24K |
| 94618 |
|
869 |
599 |
$24K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
266 |
217 |
$24K |
| 81001 |
|
11,348 |
10,785 |
$23K |
| 86618 |
|
1,967 |
1,951 |
$23K |
| 90670 |
|
1,220 |
1,214 |
$23K |
| 87340 |
|
2,505 |
2,478 |
$23K |
| 80076 |
|
1,956 |
1,844 |
$22K |
| 86762 |
|
1,752 |
1,741 |
$22K |
| 90633 |
|
1,319 |
1,307 |
$22K |
| 73610 |
|
3,885 |
3,650 |
$21K |
| 97035 |
|
1,128 |
466 |
$21K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
379 |
188 |
$21K |
| 87653 |
|
955 |
953 |
$20K |
| 82670 |
|
738 |
699 |
$19K |
| 90734 |
|
1,036 |
1,025 |
$19K |
| 73130 |
|
3,272 |
3,065 |
$19K |
| 88304 |
|
506 |
503 |
$19K |
| 86003 |
|
399 |
394 |
$18K |
| 84466 |
|
1,822 |
1,797 |
$18K |
| 83001 |
|
1,010 |
996 |
$18K |
| 99385 |
|
214 |
213 |
$18K |
| 85027 |
|
6,951 |
6,491 |
$18K |
| 84146 |
|
922 |
906 |
$17K |
| 73030 |
|
2,791 |
2,727 |
$17K |
| 87186 |
|
3,966 |
3,876 |
$17K |
| 88112 |
|
335 |
326 |
$17K |
| 90677 |
|
380 |
377 |
$17K |
| 73562 |
|
2,643 |
2,603 |
$17K |
| 83540 |
|
3,654 |
3,603 |
$17K |
| 81025 |
|
5,256 |
5,153 |
$16K |
| 87522 |
Neg quan hep c or qual rna |
340 |
320 |
$16K |
| 83970 |
|
395 |
388 |
$16K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
278 |
273 |
$16K |
| 12002 |
|
40 |
40 |
$16K |
| 70486 |
|
153 |
153 |
$16K |
| 87205 |
|
6,282 |
6,130 |
$15K |
| Q3014 |
Telehealth originating site facility fee |
894 |
832 |
$15K |
| 29515 |
|
76 |
76 |
$15K |
| 77065 |
Tomosynthesis, mammo |
205 |
193 |
$15K |
| 82805 |
|
572 |
532 |
$15K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
6,104 |
5,858 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,717 |
8,544 |
$15K |
| 73564 |
|
1,745 |
1,734 |
$14K |
| 85730 |
|
6,785 |
6,487 |
$14K |
| 93880 |
|
52 |
52 |
$14K |
| 72110 |
|
1,079 |
1,077 |
$14K |
| 11721 |
|
256 |
251 |
$14K |
| 77002 |
|
91 |
91 |
$14K |
| 93225 |
|
175 |
174 |
$14K |
| 97165 |
|
200 |
199 |
$13K |
| 77066 |
Tomosynthesis, mammo |
218 |
216 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
131 |
131 |
$13K |
| 29125 |
|
66 |
64 |
$13K |
| 83002 |
|
791 |
758 |
$13K |
| 62323 |
|
27 |
27 |
$13K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,501 |
3,417 |
$13K |
| 76870 |
|
311 |
305 |
$13K |
| 72100 |
|
2,000 |
1,981 |
$12K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
633 |
589 |
$12K |
| 85007 |
|
5,741 |
5,336 |
$12K |
| 73110 |
|
2,046 |
1,943 |
$11K |
| 83735 |
|
5,734 |
4,913 |
$11K |
| 86376 |
|
870 |
867 |
$11K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
224 |
147 |
$11K |
| 97014 |
|
522 |
214 |
$10K |
| 85652 |
|
4,531 |
4,253 |
$10K |
| 90707 |
|
506 |
503 |
$10K |
| 82565 |
|
2,208 |
2,173 |
$10K |
| 82784 |
|
986 |
972 |
$10K |
| 81003 |
|
7,872 |
7,644 |
$10K |
| 92550 |
|
336 |
310 |
$9K |
| 10060 |
|
36 |
36 |
$9K |
| 76775 |
|
156 |
154 |
$9K |
| 90700 |
|
536 |
531 |
$9K |
| 86038 |
|
1,959 |
1,921 |
$9K |
| 86706 |
|
1,150 |
1,128 |
$9K |
| 90696 |
|
415 |
413 |
$9K |
| 90716 |
|
481 |
477 |
$8K |
| 73700 |
|
65 |
65 |
$8K |
| 82570 |
|
1,914 |
1,883 |
$8K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$8K |
| 51798 |
|
27 |
27 |
$8K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
188 |
128 |
$8K |
| 86765 |
|
787 |
781 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,473 |
4,359 |
$8K |
| 90710 |
|
452 |
448 |
$8K |
| 84481 |
|
911 |
905 |
$8K |
| 80305 |
|
3,867 |
3,511 |
$8K |
| 86431 |
|
1,535 |
1,527 |
$7K |
| J3490 |
Unclassified drugs |
118 |
117 |
$7K |
| 76642 |
|
417 |
405 |
$7K |
| 86800 |
|
663 |
658 |
$7K |
| 73502 |
|
1,350 |
1,328 |
$7K |
| 86769 |
|
235 |
234 |
$7K |
| 97162 |
|
60 |
60 |
$7K |
| 73140 |
|
1,945 |
1,768 |
$7K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,383 |
4,081 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,119 |
1,099 |
$7K |
| 93922 |
|
89 |
89 |
$7K |
| 86704 |
|
790 |
769 |
$6K |
| 99493 |
|
165 |
149 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,831 |
8,628 |
$6K |
| 97802 |
|
315 |
315 |
$6K |
| 74183 |
|
24 |
24 |
$6K |
| 97803 |
|
308 |
300 |
$6K |
| 72040 |
|
926 |
918 |
$6K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
501 |
495 |
$6K |
| 99442 |
|
68 |
63 |
$5K |
| 99383 |
|
59 |
59 |
$5K |
| 84436 |
|
818 |
711 |
$5K |
| 83021 |
|
249 |
249 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
4,916 |
4,708 |
$5K |
| 82950 |
|
959 |
957 |
$5K |
| 83690 |
|
5,547 |
5,200 |
$5K |
| 93242 |
|
40 |
40 |
$5K |
| 99443 |
|
52 |
50 |
$4K |
| 73100 |
|
843 |
696 |
$4K |
| 82105 |
|
550 |
541 |
$4K |
| 85014 |
|
1,005 |
906 |
$4K |
| 99386 |
|
52 |
52 |
$4K |
| 84550 |
|
996 |
975 |
$4K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
43 |
42 |
$4K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
14 |
14 |
$4K |
| 86787 |
|
575 |
561 |
$4K |
| 99401 |
|
158 |
81 |
$3K |
| 72170 |
|
663 |
661 |
$3K |
| 84484 |
|
6,075 |
5,198 |
$3K |
| 73560 |
|
686 |
658 |
$3K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
34 |
15 |
$3K |
| 85045 |
|
1,008 |
979 |
$3K |
| 86665 |
|
122 |
122 |
$3K |
| 72131 |
|
13 |
13 |
$3K |
| 87040 |
|
2,635 |
2,131 |
$3K |
| 74018 |
|
1,027 |
1,005 |
$3K |
| 74019 |
|
488 |
479 |
$3K |
| 17110 |
|
12 |
12 |
$3K |
| 83550 |
|
653 |
649 |
$3K |
| 87902 |
|
13 |
12 |
$3K |
| 82785 |
|
263 |
259 |
$3K |
| 85379 |
|
1,344 |
1,296 |
$3K |
| 77427 |
|
25 |
12 |
$3K |
| 87469 |
|
125 |
125 |
$3K |
| 82533 |
|
176 |
164 |
$3K |
| 92557 |
|
104 |
103 |
$3K |
| 73080 |
|
561 |
533 |
$3K |
| 72050 |
|
269 |
269 |
$2K |
| 99051 |
|
206 |
157 |
$2K |
| 86757 |
|
128 |
127 |
$2K |
| 85018 |
|
1,062 |
959 |
$2K |
| 82150 |
|
1,598 |
1,549 |
$2K |
| 97116 |
|
57 |
39 |
$2K |
| 86364 |
|
386 |
381 |
$2K |
| 86308 |
|
690 |
683 |
$2K |
| 83605 |
|
4,043 |
3,705 |
$2K |
| 84480 |
|
371 |
368 |
$2K |
| 90750 |
|
14 |
14 |
$2K |
| 82550 |
|
1,271 |
1,170 |
$2K |
| 86141 |
|
227 |
227 |
$2K |
| 86708 |
|
292 |
289 |
$2K |
| 86258 |
|
195 |
193 |
$2K |
| 84703 |
|
4,456 |
4,234 |
$2K |
| 90656 |
|
195 |
195 |
$2K |
| 92567 |
|
82 |
80 |
$2K |
| 73590 |
|
444 |
407 |
$2K |
| 80069 |
|
91 |
79 |
$2K |
| 87468 |
|
58 |
58 |
$2K |
| 73090 |
|
462 |
413 |
$2K |
| 90620 |
|
62 |
62 |
$2K |
| 84100 |
|
460 |
381 |
$2K |
| 81002 |
|
3,789 |
3,662 |
$2K |
| 82962 |
|
5,067 |
3,895 |
$2K |
| 0011A |
|
40 |
40 |
$2K |
| 0012A |
|
38 |
38 |
$1K |
| 99441 |
|
22 |
21 |
$1K |
| G0109 |
Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes |
79 |
50 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
818 |
726 |
$1K |
| 86664 |
|
122 |
122 |
$1K |
| 69210 |
|
50 |
50 |
$1K |
| 86235 |
|
108 |
98 |
$1K |
| C9399 |
Unclassified drugs or biologicals |
25 |
25 |
$1K |
| 82248 |
|
317 |
263 |
$1K |
| 74210 |
|
124 |
124 |
$1K |
| 96367 |
|
26 |
26 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,017 |
2,564 |
$1K |
| 86663 |
|
122 |
122 |
$1K |
| 87430 |
|
1,175 |
1,157 |
$1K |
| 87484 |
|
58 |
58 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,578 |
1,036 |
$1K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
146 |
145 |
$1K |
| 83516 |
|
43 |
41 |
$1K |
| 71101 |
|
129 |
123 |
$1K |
| 84520 |
|
306 |
285 |
$1K |
| 86709 |
|
150 |
149 |
$1K |
| 0071A |
|
27 |
24 |
$1K |
| 86735 |
|
160 |
157 |
$1K |
| 82947 |
|
242 |
242 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
217 |
214 |
$994.20 |
| H0049 |
Alcohol and/or drug screening |
21 |
21 |
$933.33 |
| 87507 |
|
13 |
13 |
$918.50 |
| 82627 |
|
49 |
49 |
$890.27 |
| 80349 |
|
511 |
490 |
$882.33 |
| 87252 |
|
26 |
25 |
$866.12 |
| 80047 |
|
80 |
64 |
$862.34 |
| 83020 |
|
69 |
69 |
$834.23 |
| 86225 |
|
161 |
161 |
$789.18 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$722.44 |
| 73070 |
|
190 |
169 |
$708.91 |
| P9612 |
Catheterization for collection of specimen, single patient, all places of service |
39 |
38 |
$679.25 |
| 92587 |
|
24 |
24 |
$672.66 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
82 |
82 |
$671.77 |
| 0031A |
|
17 |
17 |
$620.96 |
| G0008 |
Administration of influenza virus vaccine |
86 |
86 |
$606.57 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,250 |
1,084 |
$589.21 |
| 90732 |
|
14 |
14 |
$569.89 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
845 |
826 |
$497.14 |
| 88313 |
|
53 |
53 |
$489.10 |
| 84425 |
|
39 |
39 |
$469.34 |
| 96127 |
|
335 |
319 |
$433.41 |
| 86617 |
|
28 |
26 |
$420.42 |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
63 |
63 |
$416.78 |
| 83615 |
|
122 |
112 |
$384.36 |
| 72114 |
|
25 |
25 |
$381.27 |
| 86200 |
|
50 |
50 |
$369.76 |
| 80178 |
|
50 |
48 |
$360.17 |
| 94760 |
|
978 |
944 |
$357.27 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$347.10 |
| 96376 |
|
336 |
218 |
$313.08 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
4,668 |
4,163 |
$249.66 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,672 |
3,525 |
$246.74 |
| 82378 |
|
15 |
13 |
$237.02 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
447 |
433 |
$227.46 |
| 72072 |
|
13 |
13 |
$220.89 |
| 86580 |
|
42 |
39 |
$213.71 |
| 87210 |
|
95 |
92 |
$195.80 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,414 |
4,090 |
$184.38 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,140 |
2,924 |
$183.52 |
| 87045 |
|
27 |
26 |
$180.41 |
| 99495 |
|
412 |
408 |
$175.72 |
| 73620 |
|
56 |
54 |
$158.13 |
| 87147 |
|
108 |
108 |
$155.97 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
3,509 |
3,395 |
$154.93 |
| 93000 |
|
12 |
12 |
$154.00 |
| 82985 |
|
15 |
15 |
$153.25 |
| 81015 |
|
53 |
53 |
$139.10 |
| J7050 |
Infusion, normal saline solution, 250 cc |
349 |
214 |
$126.84 |
| 73660 |
|
30 |
30 |
$103.80 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
104 |
53 |
$80.95 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
81 |
80 |
$78.16 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
119 |
117 |
$76.32 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
53 |
25 |
$75.16 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,007 |
834 |
$74.44 |
| 82977 |
|
13 |
12 |
$64.00 |
| 84132 |
|
13 |
12 |
$59.73 |
| 72070 |
|
12 |
12 |
$46.80 |
| 83721 |
|
17 |
16 |
$43.04 |
| 82077 |
|
172 |
165 |
$35.92 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
920 |
806 |
$35.73 |
| 87207 |
|
12 |
12 |
$31.15 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
125 |
109 |
$30.84 |
| 80320 |
|
153 |
149 |
$26.51 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
773 |
695 |
$20.13 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
25 |
25 |
$18.47 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
139 |
138 |
$15.40 |
| 99490 |
Ccm add 20min |
25 |
25 |
$14.11 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
28 |
26 |
$13.58 |
| T2022 |
Case management, per month |
25 |
25 |
$13.00 |
| J2704 |
Injection, propofol, 10 mg |
38 |
38 |
$6.07 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
65 |
59 |
$3.28 |
| 99173 |
|
48 |
48 |
$3.09 |
| 87220 |
|
14 |
14 |
$2.90 |
| J1644 |
Injection, heparin sodium, per 1000 units |
83 |
38 |
$2.07 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
215 |
202 |
$2.06 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
409 |
381 |
$1.30 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
53 |
50 |
$0.63 |
| 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 |
15 |
14 |
$0.02 |
| Q0243 |
Injection, casirivimab and imdevimab, 2400 mg |
28 |
28 |
$0.02 |
| 91301 |
|
107 |
106 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
29 |
26 |
$0.00 |
| 91303 |
|
17 |
17 |
$0.00 |
| 95806 |
|
24 |
24 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
16 |
15 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
14 |
14 |
$0.00 |
| 99496 |
|
26 |
25 |
$0.00 |
| 99024 |
|
14 |
12 |
$0.00 |
| 99492 |
|
12 |
12 |
$0.00 |
| 88300 |
|
14 |
14 |
$0.00 |
| 87400 |
|
146 |
144 |
$0.00 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
55 |
50 |
$0.00 |
| 99152 |
|
98 |
94 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
83 |
49 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
40 |
39 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
15 |
15 |
$0.00 |
| 90461 |
|
32 |
32 |
$0.00 |