| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
31,752 |
30,467 |
$4.68M |
| T1015 |
Clinic visit/encounter, all-inclusive |
61,401 |
55,717 |
$2.07M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
16,366 |
15,831 |
$1.55M |
| G0378 |
Hospital observation service, per hour |
5,449 |
2,301 |
$1.52M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
7,812 |
7,441 |
$1.38M |
| 99215 |
Prolong outpt/office vis |
4,836 |
2,638 |
$426K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
3,605 |
2,051 |
$323K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,453 |
2,369 |
$317K |
| 80053 |
Comprehensive metabolic panel |
33,972 |
30,671 |
$301K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
139 |
137 |
$297K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
12,450 |
11,874 |
$247K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
51,588 |
43,942 |
$240K |
| 80050 |
General health panel |
4,469 |
4,403 |
$201K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,172 |
1,159 |
$194K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,858 |
2,801 |
$185K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,290 |
3,137 |
$171K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,298 |
3,005 |
$136K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
5,327 |
5,255 |
$128K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
5,271 |
5,199 |
$119K |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,430 |
5,299 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,842 |
1,669 |
$110K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
742 |
720 |
$108K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,507 |
1,457 |
$104K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
475 |
460 |
$96K |
| 80061 |
Lipid panel |
7,428 |
7,290 |
$94K |
| T1001 |
Nursing assessment / evaluation |
503 |
501 |
$94K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
3,749 |
3,679 |
$93K |
| 93458 |
|
121 |
120 |
$91K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
7,213 |
6,089 |
$90K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
198 |
198 |
$89K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
105 |
102 |
$87K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
11,382 |
10,523 |
$84K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
484 |
461 |
$82K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
2,600 |
2,578 |
$80K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
983 |
978 |
$79K |
| 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 |
1,261 |
1,221 |
$78K |
| 71046 |
Radiologic examination, chest; 2 views |
6,217 |
5,949 |
$76K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
11,169 |
9,371 |
$74K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
490 |
472 |
$69K |
| 84484 |
|
8,452 |
7,383 |
$68K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
9,540 |
8,967 |
$67K |
| 77386 |
|
229 |
25 |
$57K |
| 84703 |
|
6,797 |
6,405 |
$53K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
298 |
292 |
$53K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
203 |
200 |
$51K |
| 72141 |
|
245 |
241 |
$50K |
| 95811 |
|
132 |
129 |
$48K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
257 |
254 |
$48K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,055 |
1,532 |
$47K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,169 |
1,154 |
$46K |
| 71250 |
|
880 |
838 |
$46K |
| 80081 |
|
514 |
512 |
$45K |
| 83880 |
|
1,817 |
1,577 |
$44K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,042 |
6,890 |
$41K |
| 81001 |
|
16,577 |
15,498 |
$39K |
| J3490 |
Unclassified drugs |
14,768 |
8,197 |
$37K |
| 84702 |
|
2,437 |
2,032 |
$36K |
| 83735 |
|
7,043 |
5,574 |
$36K |
| Q3014 |
Telehealth originating site facility fee |
2,187 |
1,910 |
$35K |
| 93971 |
|
604 |
581 |
$34K |
| 70496 |
|
243 |
237 |
$34K |
| 82607 |
|
3,523 |
3,441 |
$33K |
| 96367 |
|
1,994 |
1,025 |
$33K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
525 |
520 |
$32K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
594 |
466 |
$32K |
| 71045 |
Radiologic examination, chest; single view |
5,848 |
5,540 |
$32K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
630 |
608 |
$31K |
| 70498 |
|
237 |
229 |
$31K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,029 |
993 |
$30K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
555 |
537 |
$28K |
| 96417 |
|
708 |
405 |
$28K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
302 |
300 |
$28K |
| 76830 |
Ultrasound, transvaginal |
711 |
690 |
$28K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
137 |
127 |
$27K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,050 |
2,341 |
$27K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
467 |
456 |
$27K |
| J2785 |
Injection, regadenoson, 0.1 mg |
707 |
696 |
$26K |
| 87631 |
|
134 |
126 |
$26K |
| 93970 |
|
369 |
351 |
$25K |
| 77066 |
Tomosynthesis, mammo |
304 |
295 |
$24K |
| 87040 |
|
2,127 |
1,413 |
$24K |
| 73610 |
|
1,487 |
1,382 |
$23K |
| 73221 |
|
107 |
104 |
$23K |
| 86803 |
|
1,200 |
1,190 |
$23K |
| 83540 |
|
3,145 |
3,006 |
$23K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
826 |
816 |
$23K |
| 76536 |
|
502 |
495 |
$23K |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
13 |
13 |
$22K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,318 |
822 |
$22K |
| 80076 |
|
2,733 |
2,313 |
$22K |
| 87480 |
|
938 |
921 |
$22K |
| 87660 |
|
937 |
920 |
$22K |
| 76801 |
|
611 |
548 |
$21K |
| 82728 |
|
2,048 |
1,941 |
$21K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
696 |
674 |
$21K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
115 |
110 |
$21K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
970 |
965 |
$21K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,903 |
1,824 |
$20K |
| 87522 |
Neg quan hep c or qual rna |
484 |
466 |
$20K |
| 83970 |
|
494 |
472 |
$20K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
417 |
362 |
$19K |
| 87186 |
|
2,640 |
2,517 |
$19K |
| 84439 |
|
2,513 |
2,445 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
436 |
374 |
$18K |
| 87077 |
|
2,705 |
2,580 |
$18K |
| 77065 |
Tomosynthesis, mammo |
306 |
281 |
$17K |
| 88342 |
|
744 |
711 |
$17K |
| 93880 |
|
304 |
295 |
$17K |
| 86618 |
|
749 |
734 |
$17K |
| 76642 |
|
457 |
446 |
$17K |
| 96415 |
|
596 |
413 |
$17K |
| 76770 |
|
445 |
429 |
$17K |
| 85610 |
|
6,248 |
5,319 |
$16K |
| 73630 |
|
1,609 |
1,518 |
$16K |
| 78227 |
|
55 |
54 |
$15K |
| 72131 |
|
282 |
275 |
$15K |
| 83690 |
|
4,369 |
4,045 |
$15K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
10,089 |
9,443 |
$15K |
| 72100 |
|
850 |
818 |
$15K |
| 81002 |
|
3,704 |
2,638 |
$15K |
| 80074 |
|
279 |
274 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
337 |
315 |
$14K |
| 82784 |
|
720 |
676 |
$13K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
306 |
299 |
$13K |
| 70486 |
|
249 |
243 |
$13K |
| 83615 |
|
2,131 |
1,600 |
$13K |
| 73562 |
|
975 |
927 |
$12K |
| 83550 |
|
2,800 |
2,673 |
$12K |
| 84146 |
|
578 |
559 |
$12K |
| 93923 |
|
265 |
253 |
$12K |
| 72110 |
|
606 |
578 |
$12K |
| 73030 |
|
959 |
893 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
315 |
301 |
$12K |
| 74183 |
|
33 |
31 |
$11K |
| 95886 |
|
209 |
197 |
$11K |
| 85379 |
|
1,504 |
1,437 |
$11K |
| 87081 |
|
2,106 |
2,061 |
$11K |
| 86038 |
|
747 |
731 |
$11K |
| 88313 |
|
384 |
367 |
$11K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
841 |
500 |
$11K |
| 73130 |
|
1,093 |
994 |
$11K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
290 |
282 |
$10K |
| 85730 |
|
2,347 |
2,192 |
$10K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
27 |
27 |
$10K |
| 87070 |
|
1,716 |
1,639 |
$10K |
| 90715 |
|
1,282 |
1,268 |
$10K |
| 84153 |
|
467 |
457 |
$10K |
| 86706 |
|
739 |
731 |
$10K |
| 73110 |
|
983 |
840 |
$10K |
| 72128 |
|
168 |
165 |
$10K |
| 94729 |
|
336 |
327 |
$10K |
| 74178 |
|
55 |
55 |
$10K |
| 84100 |
|
1,896 |
1,391 |
$10K |
| 87481 |
|
344 |
317 |
$10K |
| 73502 |
|
606 |
572 |
$10K |
| 96411 |
|
178 |
111 |
$10K |
| 82805 |
|
384 |
360 |
$9K |
| 84403 |
|
343 |
335 |
$9K |
| 82746 |
|
1,218 |
1,177 |
$9K |
| 93922 |
|
449 |
420 |
$9K |
| 72050 |
|
378 |
363 |
$9K |
| 83605 |
|
1,602 |
1,445 |
$9K |
| 93017 |
|
288 |
280 |
$9K |
| 82043 |
|
1,110 |
1,087 |
$8K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,228 |
903 |
$8K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
538 |
524 |
$8K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
1,956 |
1,909 |
$8K |
| 88341 |
|
314 |
292 |
$8K |
| 74018 |
|
666 |
631 |
$8K |
| 82105 |
|
396 |
393 |
$8K |
| 47562 |
|
12 |
12 |
$7K |
| 87340 |
|
523 |
519 |
$7K |
| 85651 |
|
2,715 |
2,558 |
$7K |
| 87205 |
|
1,837 |
1,757 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
191 |
185 |
$7K |
| 73564 |
|
389 |
375 |
$7K |
| 93926 |
|
125 |
118 |
$7K |
| 83013 |
|
243 |
224 |
$7K |
| 93976 |
|
111 |
109 |
$7K |
| J0185 |
Injection, aprepitant, 1 mg |
306 |
192 |
$7K |
| J1815 |
Injection, insulin, per 5 units |
683 |
408 |
$6K |
| 94060 |
|
586 |
576 |
$6K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
119 |
119 |
$6K |
| 86140 |
|
2,347 |
2,222 |
$6K |
| 70491 |
|
98 |
97 |
$6K |
| 77336 |
|
172 |
81 |
$6K |
| 10005 |
|
12 |
12 |
$6K |
| 94727 |
|
303 |
294 |
$6K |
| 86850 |
|
993 |
948 |
$6K |
| 82378 |
|
430 |
310 |
$6K |
| 76870 |
|
152 |
145 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
68 |
68 |
$6K |
| 93226 |
|
173 |
171 |
$6K |
| 83001 |
|
327 |
324 |
$5K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
249 |
222 |
$5K |
| 83655 |
|
480 |
477 |
$5K |
| G0008 |
Administration of influenza virus vaccine |
574 |
561 |
$5K |
| 82570 |
|
793 |
719 |
$5K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
58 |
57 |
$5K |
| 86800 |
|
269 |
262 |
$5K |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
52 |
51 |
$5K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
505 |
330 |
$5K |
| 87209 |
|
249 |
234 |
$5K |
| 82950 |
|
724 |
722 |
$5K |
| 73590 |
|
366 |
328 |
$5K |
| 85027 |
|
1,182 |
1,016 |
$5K |
| 82670 |
|
226 |
214 |
$5K |
| 93320 |
|
139 |
135 |
$5K |
| 80329 |
|
408 |
392 |
$5K |
| J1756 |
Injection, iron sucrose, 1 mg |
1,407 |
684 |
$5K |
| 84550 |
|
823 |
710 |
$4K |
| 72072 |
|
254 |
250 |
$4K |
| 84402 |
|
157 |
155 |
$4K |
| 86617 |
|
109 |
108 |
$4K |
| 96523 |
|
369 |
309 |
$4K |
| 86713 |
|
213 |
206 |
$4K |
| 72040 |
|
302 |
294 |
$4K |
| 73080 |
|
453 |
406 |
$4K |
| 73521 |
|
249 |
238 |
$4K |
| 82947 |
|
1,189 |
1,145 |
$4K |
| 82962 |
|
3,206 |
2,041 |
$4K |
| 84145 |
|
315 |
291 |
$4K |
| 86235 |
|
89 |
87 |
$4K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
7,623 |
4,450 |
$4K |
| 82977 |
|
444 |
390 |
$4K |
| 88360 |
|
221 |
215 |
$4K |
| 82550 |
|
629 |
567 |
$4K |
| 86592 |
|
852 |
844 |
$4K |
| 36430 |
|
96 |
77 |
$3K |
| 83002 |
|
213 |
205 |
$3K |
| 86480 |
|
48 |
48 |
$3K |
| 59025 |
Fetal non-stress test |
599 |
258 |
$3K |
| 80197 |
|
209 |
132 |
$3K |
| 81025 |
|
973 |
939 |
$3K |
| 80069 |
|
386 |
332 |
$3K |
| 80164 |
|
187 |
165 |
$3K |
| 97161 |
|
308 |
298 |
$3K |
| 86900 |
|
1,118 |
1,059 |
$3K |
| 86430 |
|
461 |
452 |
$3K |
| 86901 |
|
1,100 |
1,042 |
$3K |
| 81329 |
|
27 |
27 |
$3K |
| 84165 |
|
255 |
229 |
$3K |
| 77049 |
|
15 |
15 |
$3K |
| 86334 |
|
135 |
117 |
$3K |
| 82330 |
|
471 |
438 |
$3K |
| 99407 |
|
176 |
172 |
$3K |
| 86003 |
|
77 |
77 |
$3K |
| 87329 |
|
233 |
221 |
$3K |
| 72170 |
|
384 |
370 |
$3K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
1,037 |
583 |
$3K |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
141 |
138 |
$3K |
| 86765 |
|
219 |
217 |
$3K |
| 85018 |
|
893 |
832 |
$3K |
| 82248 |
|
356 |
301 |
$3K |
| 82533 |
|
220 |
181 |
$3K |
| 86039 |
|
179 |
174 |
$3K |
| 84450 |
|
391 |
356 |
$3K |
| 86708 |
|
173 |
172 |
$3K |
| 93225 |
|
173 |
171 |
$3K |
| 84156 |
|
637 |
548 |
$2K |
| 86762 |
|
135 |
135 |
$2K |
| 84132 |
|
566 |
515 |
$2K |
| 82677 |
|
133 |
132 |
$2K |
| 73552 |
|
163 |
159 |
$2K |
| 88142 |
|
145 |
144 |
$2K |
| 83010 |
|
197 |
184 |
$2K |
| 72082 |
|
70 |
69 |
$2K |
| 82172 |
|
120 |
118 |
$2K |
| 73090 |
|
228 |
206 |
$2K |
| S9470 |
Nutritional counseling, dietitian visit |
283 |
269 |
$2K |
| 86376 |
|
273 |
268 |
$2K |
| 96368 |
|
277 |
173 |
$2K |
| 86704 |
|
139 |
139 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
42 |
42 |
$2K |
| 84481 |
|
96 |
92 |
$2K |
| 90682 |
|
141 |
134 |
$2K |
| 87045 |
|
312 |
299 |
$2K |
| 86255 |
|
90 |
90 |
$2K |
| 72146 |
|
14 |
14 |
$2K |
| 88112 |
|
75 |
69 |
$2K |
| 83721 |
|
204 |
199 |
$2K |
| 87177 |
|
246 |
234 |
$2K |
| 76937 |
|
394 |
367 |
$2K |
| 84295 |
|
447 |
406 |
$2K |
| 86665 |
|
50 |
42 |
$2K |
| 82626 |
|
94 |
94 |
$2K |
| 86200 |
|
130 |
126 |
$2K |
| 85014 |
|
575 |
530 |
$2K |
| 77334 |
|
38 |
25 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
8,778 |
7,441 |
$2K |
| C9399 |
Unclassified drugs or biologicals |
280 |
242 |
$2K |
| 73140 |
|
224 |
192 |
$2K |
| 97162 |
|
282 |
270 |
$2K |
| 84436 |
|
165 |
163 |
$2K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
4,328 |
3,500 |
$2K |
| 80177 |
|
129 |
116 |
$1K |
| 82565 |
|
377 |
366 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
10,205 |
8,436 |
$1K |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
208 |
204 |
$1K |
| 87210 |
|
246 |
242 |
$1K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
71 |
70 |
$1K |
| 84520 |
|
292 |
256 |
$1K |
| 82375 |
|
385 |
361 |
$1K |
| 93325 |
|
55 |
50 |
$1K |
| 87046 |
|
318 |
299 |
$1K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
924 |
835 |
$1K |
| 82140 |
|
337 |
293 |
$1K |
| 71101 |
|
116 |
113 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
9,847 |
7,703 |
$1K |
| J3370 |
Injection, vancomycin hcl, 500 mg |
1,227 |
627 |
$1K |
| 86780 |
|
87 |
87 |
$1K |
| 73560 |
|
97 |
86 |
$1K |
| 87400 |
|
78 |
75 |
$1K |
| 95912 |
|
16 |
12 |
$1K |
| 84480 |
|
157 |
152 |
$1K |
| 81000 |
|
250 |
231 |
$1K |
| 84134 |
|
67 |
52 |
$1K |
| 88738 |
|
282 |
274 |
$1K |
| 80175 |
|
73 |
72 |
$1K |
| 86300 |
|
51 |
44 |
$1K |
| 82150 |
|
250 |
238 |
$1K |
| 86160 |
|
37 |
36 |
$1K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,090 |
1,437 |
$1K |
| 97166 |
|
186 |
178 |
$1K |
| 84144 |
|
67 |
51 |
$1K |
| J1644 |
Injection, heparin sodium, per 1000 units |
2,927 |
1,710 |
$997.45 |
| 82747 |
|
40 |
40 |
$979.33 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
16,195 |
13,065 |
$963.40 |
| 87625 |
|
34 |
33 |
$960.24 |
| 95816 |
|
105 |
102 |
$950.15 |
| 76775 |
|
25 |
24 |
$946.97 |
| 83993 |
|
42 |
41 |
$934.71 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
184 |
182 |
$922.26 |
| 86664 |
|
44 |
42 |
$889.74 |
| J2805 |
Injection, sincalide, 5 micrograms |
12 |
12 |
$869.76 |
| 86317 |
|
30 |
30 |
$857.07 |
| 95819 |
|
98 |
97 |
$841.88 |
| 36415 |
Collection of venous blood by venipuncture |
3,949 |
2,823 |
$803.12 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,002 |
2,294 |
$782.98 |
| 83525 |
|
73 |
70 |
$759.54 |
| 86304 |
|
38 |
27 |
$756.14 |
| 93312 |
|
15 |
13 |
$755.38 |
| 84681 |
|
26 |
26 |
$730.54 |
| 82310 |
|
117 |
113 |
$726.68 |
| 83050 |
|
386 |
362 |
$725.84 |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
1,702 |
841 |
$672.79 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
7,144 |
6,205 |
$669.91 |
| 96156 |
|
12 |
12 |
$669.45 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
1,038 |
446 |
$667.90 |
| 36600 |
|
90 |
79 |
$655.60 |
| 86787 |
|
32 |
32 |
$557.80 |
| 86703 |
|
30 |
30 |
$552.53 |
| 20610 |
|
15 |
14 |
$548.62 |
| J0640 |
Injection, leucovorin calcium, per 50 mg |
135 |
40 |
$541.41 |
| 84425 |
|
83 |
81 |
$524.67 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
933 |
802 |
$522.06 |
| 97165 |
|
134 |
125 |
$510.01 |
| 29581 |
|
38 |
12 |
$478.37 |
| 82040 |
|
182 |
169 |
$458.54 |
| Q9963 |
High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml |
1,412 |
1,379 |
$449.99 |
| 86705 |
|
28 |
28 |
$436.85 |
| 82985 |
|
25 |
25 |
$434.94 |
| 85045 |
|
119 |
96 |
$421.73 |
| 86147 |
|
16 |
16 |
$415.13 |
| 80178 |
|
64 |
61 |
$413.27 |
| 86580 |
|
67 |
58 |
$410.14 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
3,805 |
2,826 |
$398.93 |
| 82785 |
|
24 |
24 |
$398.22 |
| 74246 |
|
12 |
12 |
$397.20 |
| 73060 |
|
53 |
53 |
$392.12 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
1,819 |
876 |
$390.69 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
2,375 |
1,801 |
$384.38 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
965 |
688 |
$375.06 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
168 |
154 |
$372.47 |
| 86769 |
|
29 |
29 |
$354.35 |
| 72070 |
|
27 |
26 |
$344.26 |
| 99153 |
Mod sedat endo service >5yrs |
46 |
46 |
$343.98 |
| 84432 |
|
15 |
13 |
$337.98 |
| 96402 |
|
16 |
16 |
$336.10 |
| S0028 |
Injection, famotidine, 20 mg |
2,126 |
1,721 |
$332.32 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
525 |
433 |
$322.55 |
| J9045 |
Injection, carboplatin, 50 mg |
84 |
50 |
$320.83 |
| 82010 |
|
79 |
67 |
$291.72 |
| J7050 |
Infusion, normal saline solution, 250 cc |
4,243 |
2,970 |
$288.58 |
| 92611 |
|
16 |
15 |
$285.26 |
| 83498 |
|
12 |
12 |
$273.89 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
854 |
763 |
$271.68 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,736 |
1,524 |
$264.54 |
| 99152 |
|
193 |
190 |
$246.54 |
| 70360 |
|
26 |
25 |
$243.90 |
| 88307 |
|
147 |
146 |
$240.12 |
| 88304 |
|
325 |
318 |
$237.17 |
| 85613 |
|
15 |
13 |
$235.34 |
| 94644 |
|
12 |
12 |
$223.59 |
| 96376 |
|
395 |
200 |
$222.39 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
7,315 |
6,813 |
$220.44 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
168 |
54 |
$219.13 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
112 |
106 |
$217.15 |
| 73000 |
|
24 |
24 |
$216.71 |
| 76942 |
|
26 |
26 |
$199.02 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
6,282 |
5,620 |
$176.81 |
| J2060 |
Injection, lorazepam, 2 mg |
1,650 |
1,241 |
$169.76 |
| 80055 |
|
13 |
13 |
$163.20 |
| 82951 |
|
13 |
13 |
$158.03 |
| 85347 |
|
14 |
14 |
$153.95 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
182 |
174 |
$153.82 |
| 82272 |
|
44 |
42 |
$152.46 |
| J3489 |
Injection, zoledronic acid, 1 mg |
24 |
24 |
$151.83 |
| C1769 |
Guide wire |
164 |
159 |
$143.70 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
113 |
108 |
$139.99 |
| J2704 |
Injection, propofol, 10 mg |
3,563 |
2,929 |
$138.64 |
| 84479 |
|
13 |
13 |
$131.56 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
115 |
110 |
$110.69 |
| 87220 |
|
24 |
24 |
$104.40 |
| J7999 |
Compounded drug, not otherwise classified |
2,648 |
1,803 |
$104.03 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
982 |
857 |
$92.71 |
| J1953 |
Injection, levetiracetam, 10 mg |
33 |
25 |
$80.00 |
| 87075 |
|
15 |
15 |
$70.60 |
| 89050 |
|
29 |
26 |
$64.64 |
| 86308 |
|
13 |
13 |
$61.52 |
| 87430 |
|
12 |
12 |
$55.76 |
| 84075 |
|
12 |
12 |
$52.17 |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
26 |
26 |
$46.67 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
240 |
211 |
$45.62 |
| 94761 |
|
336 |
295 |
$43.20 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
62 |
41 |
$41.13 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
1,907 |
1,536 |
$38.02 |
| 83986 |
|
26 |
26 |
$37.76 |
| 81003 |
|
12 |
12 |
$37.16 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
2,477 |
1,494 |
$33.55 |
| J3480 |
Injection, potassium chloride, per 2 meq |
237 |
138 |
$23.20 |
| Q9969 |
Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose |
128 |
127 |
$23.20 |
| 85049 |
|
29 |
29 |
$23.10 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
169 |
128 |
$14.90 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
16 |
14 |
$13.92 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
904 |
764 |
$12.26 |
| S0077 |
Injection, clindamycin phosphate, 300 mg |
53 |
39 |
$10.58 |
| J1940 |
Injection, furosemide, up to 20 mg |
19 |
14 |
$7.65 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
734 |
702 |
$3.00 |
| Q0243 |
Injection, casirivimab and imdevimab, 2400 mg |
29 |
29 |
$0.09 |
| 90674 |
|
329 |
323 |
$0.00 |
| J0461 |
Injection, atropine sulfate, 0.01 mg |
59 |
49 |
$0.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
433 |
402 |
$0.00 |
| 84311 |
|
12 |
12 |
$0.00 |
| 90673 |
|
65 |
65 |
$0.00 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
304 |
303 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
110 |
68 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
53 |
32 |
$0.00 |
| J2790 |
Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) |
69 |
59 |
$0.00 |
| 90677 |
|
53 |
53 |
$0.00 |
| J8501 |
Aprepitant, oral, 5 mg |
13 |
13 |
$0.00 |
| J9267 |
Injection, paclitaxel, 1 mg |
84 |
37 |
$0.00 |
| 36591 |
|
21 |
14 |
$0.00 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
22 |
13 |
$0.00 |
| 90661 |
|
79 |
79 |
$0.00 |
| J0692 |
Injection, cefepime hydrochloride, 500 mg |
123 |
90 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
232 |
178 |
$0.00 |
| J9271 |
Injection, pembrolizumab, 1 mg |
204 |
170 |
$0.00 |
| J0736 |
Injection, clindamycin phosphate, 300 mg |
69 |
64 |
$0.00 |
| J0137 |
Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg |
12 |
12 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
258 |
189 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
45 |
45 |
$0.00 |
| C1760 |
Closure device, vascular (implantable/insertable) |
14 |
14 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
28 |
27 |
$0.00 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
23 |
13 |
$0.00 |