| Code | Description | Claims | Beneficiaries | Total Paid |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
48,354 |
46,556 |
$1.51M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
10,164 |
9,264 |
$881K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35,205 |
33,823 |
$672K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14,123 |
13,997 |
$570K |
| 80053 |
Comprehensive metabolic panel |
50,387 |
39,036 |
$555K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15,344 |
15,016 |
$488K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
179,443 |
163,607 |
$449K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
54,520 |
42,291 |
$432K |
| 92551 |
|
62,778 |
60,479 |
$358K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,674 |
4,234 |
$308K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,734 |
3,513 |
$218K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
10,119 |
8,789 |
$189K |
| 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 |
3,371 |
3,217 |
$183K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,557 |
3,046 |
$161K |
| 90378 |
|
94 |
90 |
$112K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
356 |
321 |
$105K |
| X4003 |
|
989 |
557 |
$97K |
| 99173 |
|
62,403 |
60,117 |
$95K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,667 |
2,473 |
$92K |
| 81001 |
|
6,507 |
5,729 |
$77K |
| 96127 |
|
6,674 |
6,648 |
$60K |
| 76820 |
|
1,651 |
1,190 |
$56K |
| X4011 |
State-specific procedure code |
142 |
130 |
$53K |
| 64483 |
|
547 |
516 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14,937 |
13,411 |
$48K |
| G0378 |
Hospital observation service, per hour |
475 |
254 |
$45K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
774 |
403 |
$45K |
| 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 |
2,607 |
2,480 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14,359 |
14,280 |
$44K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,275 |
858 |
$38K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
68 |
66 |
$37K |
| Y7506 |
|
473 |
251 |
$35K |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
20 |
16 |
$33K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
736 |
716 |
$33K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
546 |
438 |
$31K |
| 93325 |
|
559 |
538 |
$28K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
225 |
206 |
$25K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,343 |
575 |
$24K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
235 |
223 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,585 |
7,519 |
$21K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
129 |
117 |
$20K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
565 |
530 |
$20K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
565 |
530 |
$20K |
| 90480 |
|
1,062 |
1,057 |
$20K |
| 80061 |
Lipid panel |
1,656 |
1,609 |
$19K |
| 84484 |
|
2,241 |
1,654 |
$19K |
| 87631 |
|
178 |
169 |
$18K |
| 90677 |
|
1,313 |
1,269 |
$16K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
480 |
463 |
$16K |
| 93321 |
|
448 |
432 |
$16K |
| 96161 |
|
9,498 |
8,280 |
$15K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
522 |
197 |
$15K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,461 |
1,366 |
$15K |
| 93304 |
|
208 |
201 |
$14K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
157 |
147 |
$11K |
| 81025 |
|
545 |
496 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,675 |
3,658 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
852 |
784 |
$10K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
217 |
188 |
$10K |
| 85027 |
|
1,590 |
1,440 |
$10K |
| 90670 |
|
7,256 |
7,107 |
$9K |
| 73630 |
|
729 |
631 |
$9K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
409 |
288 |
$9K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
204 |
194 |
$9K |
| 71250 |
|
86 |
81 |
$8K |
| 86833 |
|
114 |
106 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
734 |
727 |
$7K |
| 93296 |
|
626 |
599 |
$7K |
| 93299 |
|
76 |
75 |
$7K |
| 86832 |
|
116 |
108 |
$7K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
393 |
325 |
$7K |
| 59025 |
Fetal non-stress test |
395 |
312 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
777 |
748 |
$7K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
307 |
287 |
$7K |
| 82784 |
|
1,073 |
619 |
$7K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
41 |
40 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
127 |
120 |
$6K |
| 87497 |
|
86 |
50 |
$6K |
| 93976 |
|
196 |
191 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
284 |
283 |
$6K |
| 90686 |
|
20,128 |
20,029 |
$6K |
| 83735 |
|
1,873 |
1,220 |
$6K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
542 |
512 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
741 |
681 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
336 |
311 |
$5K |
| 86780 |
|
390 |
365 |
$5K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
30 |
24 |
$5K |
| 0081A |
|
236 |
236 |
$5K |
| 0071A |
|
190 |
188 |
$5K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
42 |
29 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
132 |
95 |
$5K |
| 0072A |
|
158 |
158 |
$5K |
| 82105 |
|
716 |
633 |
$5K |
| 83690 |
|
368 |
336 |
$5K |
| 85610 |
|
1,803 |
1,507 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
77 |
77 |
$5K |
| 72082 |
|
108 |
103 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
388 |
322 |
$4K |
| 64644 |
|
82 |
79 |
$4K |
| 83655 |
|
356 |
355 |
$4K |
| 20610 |
|
47 |
41 |
$4K |
| 90474 |
|
790 |
761 |
$4K |
| 82378 |
|
343 |
230 |
$4K |
| 87081 |
|
580 |
564 |
$4K |
| 82728 |
|
307 |
287 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
120 |
118 |
$4K |
| J2785 |
Injection, regadenoson, 0.1 mg |
44 |
42 |
$4K |
| 84439 |
|
352 |
327 |
$4K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
50 |
45 |
$4K |
| 92134 |
|
1,437 |
1,277 |
$4K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
113 |
99 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
628 |
511 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
117 |
117 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$3K |
| 76821 |
|
86 |
61 |
$3K |
| 0124A |
|
134 |
134 |
$3K |
| 0001A |
|
86 |
85 |
$3K |
| 95117 |
|
672 |
349 |
$3K |
| 96417 |
|
81 |
48 |
$3K |
| 83880 |
|
253 |
223 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
75 |
69 |
$3K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
91 |
88 |
$3K |
| 84165 |
|
803 |
647 |
$3K |
| 96376 |
|
1,377 |
326 |
$3K |
| 86850 |
|
455 |
410 |
$3K |
| 76830 |
Ultrasound, transvaginal |
69 |
64 |
$3K |
| 0173A |
|
108 |
107 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
365 |
351 |
$3K |
| 94010 |
|
223 |
210 |
$3K |
| 82607 |
|
216 |
208 |
$2K |
| 43235 |
|
16 |
13 |
$2K |
| 73610 |
|
198 |
164 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
20 |
20 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,433 |
1,354 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
27 |
27 |
$2K |
| 96415 |
|
113 |
74 |
$2K |
| 76775 |
|
69 |
65 |
$2K |
| 70486 |
|
15 |
15 |
$2K |
| 94726 |
|
77 |
68 |
$2K |
| 87400 |
|
335 |
320 |
$2K |
| 88142 |
|
124 |
119 |
$2K |
| 95886 |
|
39 |
39 |
$2K |
| 36591 |
|
454 |
267 |
$2K |
| 73562 |
|
158 |
125 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
196 |
85 |
$2K |
| 87340 |
|
206 |
183 |
$2K |
| 83550 |
|
218 |
209 |
$2K |
| 96401 |
|
42 |
41 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
96 |
92 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
19 |
18 |
$2K |
| 73030 |
|
180 |
150 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
90 |
44 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
18 |
16 |
$2K |
| 73502 |
|
63 |
58 |
$2K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
352 |
190 |
$1K |
| 86140 |
|
345 |
326 |
$1K |
| 94729 |
|
80 |
71 |
$1K |
| 96910 |
|
240 |
51 |
$1K |
| 83605 |
|
239 |
207 |
$1K |
| 52000 |
|
13 |
13 |
$1K |
| 82962 |
|
536 |
294 |
$1K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
14 |
14 |
$1K |
| 87536 |
|
16 |
16 |
$1K |
| 73130 |
|
94 |
74 |
$1K |
| 87522 |
Neg quan hep c or qual rna |
136 |
133 |
$1K |
| 86901 |
|
335 |
291 |
$1K |
| 84100 |
|
922 |
599 |
$1K |
| 0002A |
|
38 |
38 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
12 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
58 |
51 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
467 |
402 |
$1K |
| 95874 |
|
231 |
222 |
$1K |
| 86803 |
|
116 |
108 |
$1K |
| 87077 |
|
157 |
147 |
$1K |
| 74018 |
|
93 |
86 |
$1K |
| J7050 |
Infusion, normal saline solution, 250 cc |
778 |
436 |
$1K |
| 85651 |
|
312 |
296 |
$1K |
| 82570 |
|
403 |
286 |
$1K |
| 83521 |
|
673 |
374 |
$1K |
| 87210 |
|
257 |
237 |
$1K |
| 73110 |
|
85 |
67 |
$1K |
| 70491 |
|
13 |
12 |
$1K |
| 90620 |
|
384 |
384 |
$996.61 |
| 86300 |
|
59 |
49 |
$988.53 |
| 86900 |
|
335 |
291 |
$987.73 |
| 77334 |
|
18 |
12 |
$974.95 |
| 87186 |
|
130 |
121 |
$961.92 |
| 86038 |
|
77 |
73 |
$960.19 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
299 |
274 |
$928.57 |
| 86235 |
|
15 |
12 |
$916.86 |
| 80197 |
|
482 |
308 |
$902.13 |
| 86762 |
|
139 |
127 |
$901.64 |
| 83516 |
|
90 |
79 |
$896.34 |
| 76818 |
|
23 |
14 |
$869.59 |
| 51798 |
|
16 |
16 |
$854.83 |
| 93017 |
|
60 |
55 |
$845.25 |
| 86255 |
|
70 |
50 |
$838.73 |
| 0082A |
|
31 |
31 |
$820.00 |
| 84702 |
|
103 |
84 |
$819.00 |
| 86481 |
|
17 |
16 |
$815.54 |
| 83540 |
|
227 |
217 |
$793.79 |
| 82565 |
|
253 |
233 |
$788.58 |
| 83615 |
|
166 |
129 |
$762.19 |
| 87420 |
|
79 |
77 |
$760.00 |
| 86161 |
|
87 |
43 |
$734.47 |
| 0054A |
|
33 |
33 |
$733.34 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
61 |
41 |
$733.25 |
| 51705 |
|
27 |
25 |
$728.18 |
| 80076 |
|
83 |
77 |
$717.54 |
| 93880 |
|
14 |
12 |
$712.70 |
| 90715 |
|
56 |
56 |
$707.59 |
| 81002 |
|
614 |
488 |
$700.23 |
| 96411 |
|
26 |
13 |
$686.36 |
| 83525 |
|
59 |
57 |
$686.35 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
770 |
600 |
$666.09 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
44 |
43 |
$660.82 |
| 92557 |
|
29 |
25 |
$647.93 |
| 83970 |
|
54 |
52 |
$620.87 |
| 90651 |
|
1,142 |
1,138 |
$620.24 |
| 80305 |
|
72 |
67 |
$606.66 |
| 82746 |
|
46 |
45 |
$602.90 |
| 97162 |
|
23 |
20 |
$592.63 |
| 72100 |
|
42 |
40 |
$588.98 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
53 |
33 |
$588.48 |
| 88307 |
|
33 |
29 |
$587.19 |
| 77336 |
|
29 |
15 |
$585.72 |
| 36415 |
Collection of venous blood by venipuncture |
3,054 |
2,229 |
$581.94 |
| 83883 |
|
547 |
236 |
$577.95 |
| 84550 |
|
527 |
357 |
$575.55 |
| 86706 |
|
64 |
59 |
$571.27 |
| 84153 |
|
57 |
53 |
$562.64 |
| 86704 |
|
63 |
54 |
$554.80 |
| 87070 |
|
96 |
82 |
$539.64 |
| 84156 |
|
330 |
217 |
$539.36 |
| 97602 |
|
16 |
12 |
$535.37 |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
13 |
12 |
$526.45 |
| 0004A |
|
22 |
22 |
$524.53 |
| 76536 |
|
34 |
32 |
$516.76 |
| 90647 |
|
4,476 |
4,357 |
$511.22 |
| 96367 |
|
42 |
27 |
$509.88 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
576 |
513 |
$503.23 |
| 82951 |
|
35 |
32 |
$498.40 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
668 |
567 |
$491.13 |
| 82550 |
|
219 |
175 |
$436.20 |
| 85730 |
|
131 |
116 |
$433.88 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
13 |
$417.98 |
| J3490 |
Unclassified drugs |
69 |
51 |
$400.92 |
| 83020 |
|
27 |
26 |
$391.60 |
| 86225 |
|
29 |
28 |
$379.80 |
| 92567 |
|
41 |
36 |
$367.88 |
| 73590 |
|
30 |
25 |
$352.64 |
| 81003 |
|
365 |
336 |
$352.27 |
| 85018 |
|
245 |
243 |
$344.77 |
| 97163 |
|
15 |
14 |
$333.80 |
| 97165 |
|
13 |
12 |
$324.67 |
| 0154A |
|
13 |
13 |
$320.00 |
| 72110 |
|
13 |
13 |
$319.55 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
653 |
566 |
$318.79 |
| 93923 |
|
27 |
26 |
$314.47 |
| 82977 |
|
101 |
85 |
$307.31 |
| 88342 |
|
64 |
59 |
$304.50 |
| 82043 |
|
91 |
89 |
$302.04 |
| 86361 |
|
15 |
15 |
$294.12 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
598 |
589 |
$287.93 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
33 |
30 |
$285.50 |
| 94618 |
|
12 |
12 |
$273.08 |
| 86431 |
|
47 |
46 |
$271.57 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
289 |
62 |
$263.58 |
| 94760 |
|
91 |
56 |
$263.51 |
| 96381 |
|
13 |
13 |
$263.38 |
| 90656 |
|
1,964 |
1,964 |
$245.50 |
| 90734 |
|
597 |
594 |
$245.19 |
| 87102 |
|
34 |
34 |
$235.20 |
| 90473 |
|
73 |
72 |
$232.29 |
| 87147 |
|
42 |
41 |
$231.76 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
101 |
47 |
$230.08 |
| 73560 |
|
16 |
12 |
$225.54 |
| 80164 |
|
20 |
17 |
$224.64 |
| 82947 |
|
60 |
59 |
$221.28 |
| 0074A |
|
12 |
12 |
$201.04 |
| J2704 |
Injection, propofol, 10 mg |
1,074 |
941 |
$191.89 |
| 76937 |
|
30 |
29 |
$184.33 |
| 85379 |
|
30 |
27 |
$183.73 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
85 |
39 |
$182.78 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
48 |
28 |
$181.44 |
| 84460 |
|
34 |
34 |
$177.60 |
| 90832 |
Psychotherapy, 30 minutes with patient |
91 |
83 |
$176.74 |
| 72050 |
|
13 |
13 |
$175.84 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
197 |
172 |
$171.16 |
| 86039 |
|
13 |
12 |
$169.54 |
| 82150 |
|
30 |
29 |
$169.05 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
354 |
294 |
$165.73 |
| 86301 |
|
18 |
12 |
$164.32 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
379 |
300 |
$160.28 |
| 0003A |
|
14 |
14 |
$160.00 |
| 87184 |
|
31 |
29 |
$158.36 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
58 |
47 |
$152.25 |
| 90707 |
|
1,000 |
989 |
$145.13 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
168 |
137 |
$141.22 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
386 |
340 |
$140.29 |
| 87799 |
|
18 |
13 |
$134.62 |
| 87205 |
|
43 |
38 |
$131.25 |
| 84403 |
|
13 |
12 |
$127.06 |
| 76882 |
|
64 |
42 |
$125.28 |
| 90716 |
|
967 |
957 |
$125.13 |
| 86790 |
|
20 |
19 |
$110.22 |
| 99152 |
|
40 |
38 |
$107.38 |
| 82330 |
|
23 |
16 |
$107.10 |
| 92250 |
|
40 |
39 |
$104.18 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
170 |
130 |
$100.97 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
12 |
$100.58 |
| 80047 |
|
15 |
12 |
$97.88 |
| C9399 |
Unclassified drugs or biologicals |
28 |
24 |
$95.76 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
22 |
18 |
$93.47 |
| 81015 |
|
58 |
57 |
$92.67 |
| 87040 |
|
25 |
16 |
$87.55 |
| 82465 |
|
141 |
106 |
$87.26 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
64 |
57 |
$84.07 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
45 |
42 |
$81.34 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
41 |
36 |
$80.63 |
| J1644 |
Injection, heparin sodium, per 1000 units |
118 |
67 |
$77.10 |
| 84520 |
|
14 |
12 |
$76.44 |
| 93290 |
|
13 |
13 |
$75.30 |
| 82247 |
|
20 |
12 |
$64.90 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
101 |
85 |
$62.56 |
| 82077 |
|
13 |
12 |
$62.16 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
1,219 |
1,141 |
$58.78 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
91 |
75 |
$55.04 |
| 81000 |
|
26 |
12 |
$52.44 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
129 |
112 |
$44.53 |
| 85045 |
|
14 |
13 |
$44.24 |
| S0028 |
Injection, famotidine, 20 mg |
54 |
41 |
$39.38 |
| 90633 |
|
1,658 |
1,648 |
$37.55 |
| J2060 |
Injection, lorazepam, 2 mg |
32 |
22 |
$36.34 |
| 84132 |
|
12 |
12 |
$25.20 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
17 |
15 |
$24.93 |
| 90380 |
|
13 |
13 |
$20.30 |
| J3480 |
Injection, potassium chloride, per 2 meq |
18 |
13 |
$17.14 |
| 90723 |
|
4,880 |
4,754 |
$16.75 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
35 |
30 |
$6.30 |
| 90681 |
|
1,315 |
1,267 |
$4.44 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
26 |
24 |
$3.58 |
| J1630 |
Injection, haloperidol, up to 5 mg |
43 |
40 |
$3.36 |
| 90696 |
|
98 |
98 |
$0.33 |
| 90700 |
|
93 |
93 |
$0.32 |
| 91321 |
|
246 |
242 |
$0.23 |
| 90710 |
|
50 |
49 |
$0.18 |
| 91322 |
|
44 |
44 |
$0.15 |
| 90685 |
|
13 |
13 |
$0.10 |
| 91318 |
|
70 |
70 |
$0.10 |
| 90381 |
|
13 |
12 |
$0.08 |
| 90461 |
|
5,556 |
5,473 |
$0.00 |
| A9505 |
Thallium tl-201 thallous chloride, diagnostic, per millicurie |
51 |
46 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
58 |
54 |
$0.00 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
112 |
107 |
$0.00 |
| 92015 |
Determination of refractive state |
167 |
157 |
$0.00 |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
30 |
27 |
$0.00 |
| 99382 |
|
14 |
14 |
$0.00 |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
14 |
13 |
$0.00 |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
19 |
17 |
$0.00 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
54 |
48 |
$0.00 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
16 |
15 |
$0.00 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
15 |
14 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
70 |
69 |
$0.00 |
| C1769 |
Guide wire |
98 |
82 |
$0.00 |
| V2632 |
Posterior chamber intraocular lens |
14 |
12 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
28 |
24 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
46 |
39 |
$0.00 |