Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THE CLEVELAND CLINIC FOUNDATION

NPI: 1679525919 · CLEVELAND, OH 44195 · General Acute Care Hospital · NPI assigned 05/16/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LARAWAY, DENNIS controls 20+ related entities in our dataset. Read more

$863.55M
Total Medicaid Paid
16,016,267
Total Claims
12,948,304
Beneficiaries
1579
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLARAWAY, DENNIS (EXECUTIVE VP CHIEF FINANCE OFFICER)
NPI Enumeration Date05/16/2006

Related Entities

Other providers sharing the same authorized official: LARAWAY, DENNIS

ProviderCityStateTotal Paid
AKRON GENERAL MEDICAL CENTER AKRON OH $98.99M
CLEVELAND CLINIC MERCY HOSPITAL CANTON OH $86.97M
MEMORIAL HERMANN HEALTH SYSTEM HOUSTON TX $84.45M
FAIRVIEW HOSPITAL CLEVELAND OH $62.42M
LUTHERAN HOSPITAL CLEVELAND OH $41.49M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION EUCLID OH $40.67M
MEMORIAL HERMANN HEALTH SYSTEM HOUSTON TX $39.46M
CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION CLEVELAND OH $36.43M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION MAYFIELD HTS OH $32.76M
CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION WARRENSVILLE HEIGHTS OH $31.44M
PARTNERS PHYSICIAN GROUP AKRON OH $28.37M
MARYMOUNT HOSPITAL INC GARFIELD HEIGHTS OH $28.02M
MEMORIAL HERMANN HEALTH SYSTEM HUMBLE TX $26.79M
MARTIN MEMORIAL MEDICAL CENTER INC STUART FL $26.03M
THE UNION HOSPITAL ASSOCIATION DOVER OH $20.23M
LODI COMMUNITY HOSPITAL LODI OH $17.53M
CLINIC MEDICAL SERVICES COMPANY LLC CLEVELAND OH $10.82M
CLEVELAND CLINIC HOME CARE SERVICES INDEPENDENCE OH $10.76M
INDIAN RIVER MEMORIAL HOSPITAL INC VERO BEACH FL $9.27M
MEMORIAL HERMANN HEALTH SYSTEM SUGAR LAND TX $9.14M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,362,709 $57.44M
2019 1,578,774 $64.02M
2020 1,268,654 $62.81M
2021 1,755,736 $86.60M
2022 2,042,399 $99.87M
2023 4,407,896 $278.95M
2024 3,600,099 $213.85M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 2,534,307 2,108,085 $269.98M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 518,214 448,053 $45.28M
99284 Emergency department visit for the evaluation and management, high severity 582,362 517,566 $37.38M
J2350 Injection, ocrelizumab, 1 mg 1,801 1,329 $34.27M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 619,198 575,826 $21.59M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 806,649 738,040 $20.33M
J9271 Injection, pembrolizumab, 1 mg 1,649 1,042 $14.56M
99283 Emergency department visit for the evaluation and management, moderate severity 238,829 206,898 $14.56M
96361 Intravenous infusion, hydration; each additional hour 30,936 22,003 $11.30M
J0585 Injection, onabotulinumtoxina, 1 unit 13,547 10,607 $10.12M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 101,964 50,594 $8.69M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 75,564 63,480 $7.85M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 90,120 60,276 $6.98M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 79,897 56,615 $6.68M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 63,706 40,654 $6.33M
81513 40,466 33,807 $6.31M
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg 2,363 1,093 $5.87M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 28,386 16,823 $5.52M
96127 57,871 47,968 $5.47M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 14,524 10,579 $5.20M
88305 Level IV - Surgical pathology, gross and microscopic examination 146,885 133,210 $5.00M
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 34,206 29,446 $4.74M
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 34,289 27,316 $4.50M
87631 21,694 18,213 $4.46M
95810 Polysomnography; sleep staging with 4 or more additional parameters 9,136 6,875 $4.24M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 86,131 43,501 $4.13M
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg 2,702 1,941 $4.06M
96110 Developmental screening, with scoring and documentation, per standardized instrument 15,733 13,589 $3.93M
J9144 Injection, daratumumab, 10 mg and hyaluronidase-fihj 834 477 $3.91M
80053 Comprehensive metabolic panel 302,267 240,129 $3.75M
70450 Computed tomography, head or brain; without contrast material 44,727 39,618 $3.66M
20610 31,755 20,161 $3.59M
99233 Prolong inpt eval add15 m 133,359 51,536 $3.59M
74177 Computed tomography, abdomen and pelvis; with contrast material 32,194 27,714 $3.52M
J3380 Injection, vedolizumab, intravenous, 1 mg 643 497 $3.31M
45380 Colonoscopy, flexible; with biopsy, single or multiple 5,385 4,133 $3.22M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 34,846 26,968 $3.20M
77386 6,598 701 $2.88M
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 24,773 18,259 $2.87M
76819 Fetal biophysical profile; without non-stress testing 36,854 18,722 $2.84M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 10,144 5,353 $2.82M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 22,305 13,083 $2.77M
99232 Subsequent hospital care, per day, moderate complexity 149,057 64,347 $2.69M
99215 Prolong outpt/office vis 52,079 48,369 $2.65M
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 21,361 17,617 $2.63M
95720 23,210 10,073 $2.62M
76801 24,615 15,822 $2.61M
95811 5,776 4,322 $2.55M
96415 7,238 4,662 $2.50M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 454,006 389,398 $2.44M
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 55,327 49,278 $2.44M
J9299 Injection, nivolumab, 1 mg 649 281 $2.40M
J0178 Injection, aflibercept, 1 mg 2,260 1,860 $2.36M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 15,369 14,114 $2.35M
67028 Intravitreal injection of a pharmacologic agent 20,315 13,750 $2.34M
64615 11,417 8,200 $2.29M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 16,393 12,750 $2.27M
71260 Computed tomography, thorax, diagnostic; with contrast material 20,246 18,526 $2.22M
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 21,444 13,366 $2.15M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 15,824 13,548 $2.12M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 18,593 14,719 $2.11M
95715 2,363 814 $2.09M
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2,920 2,217 $2.03M
59025 Fetal non-stress test 12,802 7,815 $1.90M
G0378 Hospital observation service, per hour 18,720 8,446 $1.80M
95951 16,273 6,443 $1.78M
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 3,344 2,057 $1.75M
95806 4,308 3,724 $1.74M
Q5119 Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg 1,731 744 $1.74M
90677 16,875 14,699 $1.73M
95886 8,577 6,322 $1.73M
J2323 Injection, natalizumab, 1 mg 464 379 $1.72M
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 1,616 1,357 $1.68M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 1,112 920 $1.68M
92134 63,789 41,786 $1.64M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 982 767 $1.63M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 10,816 7,564 $1.54M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 52,563 50,363 $1.54M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 6,789 5,246 $1.53M
71046 Radiologic examination, chest; 2 views 135,940 123,840 $1.45M
96161 9,331 8,081 $1.44M
J0741 Injection, cabotegravir and rilpivirine, 2mg/3mg 295 248 $1.43M
76830 Ultrasound, transvaginal 29,480 21,599 $1.36M
52000 1,996 1,758 $1.35M
11102 3,523 2,853 $1.34M
96160 7,800 6,029 $1.31M
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 1,711 1,400 $1.30M
95813 1,962 1,581 $1.29M
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 23,737 20,538 $1.28M
74176 Computed tomography, abdomen and pelvis; without contrast material 7,056 6,090 $1.27M
42820 Tonsillectomy and adenoidectomy; younger than age 12 996 809 $1.25M
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 8,873 6,867 $1.22M
90791 Psychiatric diagnostic evaluation 8,616 6,909 $1.21M
36415 Collection of venous blood by venipuncture 581,641 449,299 $1.20M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 289,296 227,384 $1.18M
76813 16,978 10,815 $1.14M
90834 Psychotherapy, 45 minutes with patient 16,316 9,649 $1.12M
84443 Thyroid stimulating hormone (TSH) 95,475 82,485 $1.12M
J3032 Injection, eptinezumab-jjmr, 1 mg 503 412 $1.12M
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 145,673 127,689 $1.11M
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 20,903 12,222 $1.06M
11104 2,169 1,769 $1.05M
19318 198 142 $1.03M
71045 Radiologic examination, chest; single view 209,119 142,025 $1.03M
43235 2,439 1,985 $1.03M
94060 19,649 15,442 $1.03M
95782 1,666 1,274 $1.01M
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 16,244 10,617 $1.01M
J0490 Injection, belimumab, 10 mg 627 279 $1.01M
49083 4,673 2,083 $1000K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 920 773 $988K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 4,426 3,844 $986K
99282 Emergency department visit for the evaluation and management, low to moderate severity 7,756 6,649 $984K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 61,301 53,271 $957K
80061 Lipid panel 95,290 83,668 $955K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 19,854 18,900 $948K
31231 7,918 5,694 $946K
93325 28,217 22,083 $940K
77067 Screening mammography, bilateral, including computer-aided detection 38,335 35,302 $937K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1,394 1,078 $931K
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 6,369 758 $924K
78815 Positron emission tomography (PET) for limited area imaging 2,054 1,755 $924K
J2357 Injection, omalizumab, 5 mg 1,100 499 $922K
76705 Ultrasound, abdominal, real time with image documentation; limited 23,442 20,859 $905K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 83,229 71,698 $903K
92551 14,442 12,854 $857K
17110 5,324 4,282 $848K
99223 Prolong inpt eval add15 m 14,496 13,248 $845K
31575 5,297 4,243 $836K
97161 17,290 15,513 $830K
31579 4,377 3,176 $822K
64643 3,871 2,762 $817K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 27,994 15,009 $805K
Q5118 Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg 1,269 392 $803K
83036 Hemoglobin; glycosylated (A1C) 101,129 89,244 $780K
71250 15,355 14,118 $772K
76770 6,227 5,743 $742K
80048 Basic metabolic panel (calcium, ionized) 63,647 49,792 $736K
11900 3,517 2,802 $727K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 83,006 71,519 $715K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 2,516 2,314 $710K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 40,726 37,225 $710K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 7,734 6,286 $706K
97803 12,833 11,662 $705K
99479 Subsequent intensive care, per day, very low birth weight infant 8,991 2,731 $689K
90688 58,581 46,590 $674K
88307 11,172 10,144 $670K
90651 11,352 9,421 $665K
86850 24,081 17,686 $640K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 74,731 62,669 $634K
J9173 Injection, durvalumab, 10 mg 74 40 $625K
92557 10,251 8,687 $619K
94010 26,188 20,934 $605K
93970 10,612 8,669 $596K
70491 1,760 1,500 $587K
99460 8,181 7,724 $586K
73630 46,549 36,295 $576K
84439 34,611 30,131 $574K
97810 22,953 9,752 $574K
64483 1,509 1,249 $559K
76642 8,378 6,817 $557K
93975 4,359 3,623 $552K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 8,427 8,024 $550K
97535 Self-care/home management training, each 15 minutes 14,687 10,922 $547K
77300 1,032 873 $540K
99244 Office or other outpatient consultation, moderate to high complexity 10,505 10,134 $538K
99238 Hospital discharge day management, 30 minutes or less 19,247 18,008 $535K
J0897 Injection, denosumab, 1 mg 1,030 837 $517K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 2,558 2,300 $509K
70551 Magnetic resonance imaging, brain; without contrast material 3,458 3,090 $508K
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 905 559 $508K
92015 Determination of refractive state 41,698 34,594 $506K
77334 1,224 873 $499K
85027 88,137 67,906 $498K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 740 514 $497K
97802 6,817 5,902 $493K
70498 1,868 1,598 $477K
93308 5,602 4,800 $474K
90837 Psychotherapy, 53 minutes with patient 3,602 2,482 $470K
96367 9,470 4,314 $467K
91200 7,454 5,533 $455K
38222 599 414 $452K
92567 24,357 19,836 $450K
51784 3,421 2,613 $450K
99309 Subsequent nursing facility care, per day, low to moderate complexity 28,079 14,080 $450K
92587 5,945 4,839 $445K
90750 2,287 1,962 $444K
99349 16,847 14,713 $439K
20611 1,458 1,110 $437K
52310 595 549 $437K
77301 571 508 $436K
J9022 Injection, atezolizumab, 10 mg 76 51 $429K
99308 Subsequent nursing facility care, per day, straightforward 42,862 31,321 $427K
71275 Computed tomographic angiography, chest, with contrast material 1,806 1,501 $427K
73564 35,200 26,653 $425K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 49,379 34,493 $425K
76820 6,411 2,655 $423K
87497 11,160 5,453 $422K
97113 4,960 2,077 $422K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 19,703 15,032 $416K
87481 41,287 34,518 $412K
76536 4,631 4,030 $410K
82728 29,382 24,592 $408K
90792 Psychiatric diagnostic evaluation with medical services 2,792 2,392 $408K
Q3014 Telehealth originating site facility fee 15,656 14,530 $407K
86780 28,401 23,974 $407K
93451 348 274 $407K
57454 1,168 1,013 $385K
82607 25,800 21,994 $378K
86803 28,432 23,800 $374K
87086 Culture, bacterial; quantitative colony count, urine 58,022 48,531 $371K
80197 24,089 12,721 $369K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 55,389 46,463 $368K
92083 12,914 9,300 $365K
93017 3,819 3,241 $353K
74018 49,827 39,091 $347K
74183 1,599 1,427 $340K
77412 1,984 293 $338K
99239 Hospital discharge day management, more than 30 minutes 9,896 9,173 $336K
72197 1,117 987 $334K
86900 24,819 17,843 $333K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 13,632 11,830 $331K
77063 Screening digital breast tomosynthesis, bilateral 7,583 7,232 $328K
J0475 Injection, baclofen, 10 mg 972 861 $327K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 4,036 3,665 $321K
91320 6,717 6,027 $320K
95885 1,109 989 $319K
86140 29,865 24,743 $317K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 29,527 24,773 $317K
64405 841 672 $316K
97811 22,915 9,733 $313K
93971 4,898 4,125 $309K
90935 Hemodialysis procedure with single evaluation by a physician 14,563 8,057 $308K
19083 356 289 $308K
77336 2,504 1,295 $306K
58558 216 161 $304K
93321 4,842 4,124 $302K
84702 15,615 11,606 $302K
87340 21,651 17,827 $301K
J7300 Intrauterine copper contraceptive (paragard) 292 248 $301K
77295 353 269 $301K
76821 3,957 1,731 $299K
95117 8,959 4,473 $296K
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 31,107 26,541 $293K
77371 104 76 $291K
73130 20,333 15,287 $289K
64493 774 562 $288K
J0177 Injection, aflibercept hd, 1 mg 169 161 $286K
93454 266 204 $284K
73030 22,289 18,571 $284K
90460 Immunization administration through 18 years of age via any route, first or only component 54,902 46,868 $284K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 49,823 43,537 $283K
76882 6,433 4,434 $283K
94729 16,515 13,935 $282K
73610 19,243 16,650 $278K
52287 578 458 $278K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 991 540 $278K
J1050 Injection, medroxyprogesterone acetate, 1 mg 3,675 3,018 $276K
77373 305 100 $268K
72100 14,561 13,243 $266K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,715 1,587 $265K
83540 31,567 26,581 $263K
58300 2,174 1,835 $260K
94618 5,754 4,775 $260K
20550 1,624 1,187 $258K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 7,575 6,908 $256K
96900 6,914 1,595 $248K
0202U Oncology (prostate), multianalyte, gene expression profiling 1,554 1,328 $245K
97530 Therapeutic activities, direct patient contact, each 15 minutes 7,398 3,709 $243K
62323 553 460 $243K
11721 12,948 8,689 $243K
96416 1,690 734 $241K
G0105 Colorectal cancer screening; colonoscopy on individual at high risk 388 292 $237K
58100 1,390 1,182 $233K
73221 973 885 $233K
88141 11,042 10,628 $230K
92133 10,005 7,685 $230K
10005 601 527 $230K
J0561 Injection, penicillin g benzathine, 100,000 units 664 386 $229K
90715 16,997 13,747 $229K
83735 76,405 53,209 $225K
93505 198 127 $224K
93798 3,841 1,114 $223K
25600 725 561 $222K
01922 977 787 $221K
99243 7,058 6,801 $220K
93320 16,911 13,129 $220K
98940 8,397 4,838 $216K
83550 31,152 26,209 $213K
36430 1,533 791 $207K
84165 24,514 22,035 $206K
64642 4,463 3,136 $204K
10060 1,058 928 $203K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 10,798 10,298 $201K
77338 602 525 $201K
11056 2,485 1,639 $200K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 16,292 13,372 $197K
87505 1,648 1,420 $197K
76831 1,005 824 $195K
86334 19,958 17,691 $195K
72141 1,077 975 $192K
86832 5,246 4,116 $192K
97116 7,394 3,708 $191K
55700 282 238 $189K
86480 7,809 6,636 $189K
83970 8,299 6,935 $189K
95816 4,812 4,116 $189K
93880 2,197 1,863 $186K
73502 12,494 11,367 $185K
C1776 Joint device (implantable) 201 123 $184K
C9290 Injection, bupivacaine liposome, 1 mg 1,581 1,169 $183K
97162 4,330 3,829 $182K
83655 11,207 9,733 $181K
95909 1,637 1,463 $178K
96116 768 686 $177K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 23,777 20,897 $177K
75561 586 488 $175K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 815 226 $175K
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) 5,205 3,914 $174K
86901 24,760 17,794 $173K
85610 44,843 29,614 $170K
82570 25,436 21,346 $170K
92579 3,401 2,777 $169K
86762 6,862 5,788 $168K
95718 2,278 2,082 $167K
85390 8,840 7,778 $167K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography 576 482 $166K
97165 2,581 2,122 $166K
95012 3,363 2,986 $166K
J1756 Injection, iron sucrose, 1 mg 5,692 2,400 $164K
58301 1,597 1,420 $163K
90832 Psychotherapy, 30 minutes with patient 2,397 1,769 $162K
95700 1,063 877 $161K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 571 465 $160K
77470 462 400 $159K
J3490 Unclassified drugs 4,978 3,000 $159K
74178 577 512 $158K
93226 1,197 1,078 $158K
99254 2,547 2,395 $158K
90480 8,935 8,095 $157K
20526 636 512 $156K
P9045 Infusion, albumin (human), 5%, 250 ml 912 487 $156K
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg 619 532 $154K
12001 809 709 $154K
99281 Emergency department visit for the evaluation and management, self-limited or minor 958 868 $153K
J1950 Injection, leuprolide acetate (for depot suspension), per 3.75 mg 92 80 $153K
Q5112 Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg 114 63 $152K
80069 10,535 7,469 $151K
87510 11,104 10,308 $151K
43249 377 303 $151K
29075 994 828 $150K
71271 1,321 1,208 $148K
11982 657 578 $148K
91120 2,468 1,850 $147K
J9306 Injection, pertuzumab, 1 mg 33 26 $147K
70486 1,544 1,331 $147K
99462 4,741 4,068 $147K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,523 1,466 $146K
0124A 5,676 3,668 $146K
90670 20,077 17,356 $146K
86706 11,164 9,136 $145K
88342 10,491 9,093 $144K
00731 8,672 6,640 $142K
11981 620 520 $138K
67228 420 340 $138K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 9,453 8,110 $136K
83880 16,125 12,667 $136K
86038 7,988 6,470 $134K
78264 646 586 $132K
83020 10,528 9,199 $130K
88341 2,372 1,879 $129K
95076 620 540 $128K
94726 3,983 3,401 $127K
80076 10,418 8,645 $126K
93922 2,600 2,194 $126K
64612 424 342 $124K
64616 469 384 $123K
20552 1,055 827 $123K
86833 5,335 4,111 $122K
93296 5,924 5,681 $122K
73110 7,196 6,026 $122K
J0586 Injection, abobotulinumtoxina, 5 units 174 112 $121K
95923 463 367 $119K
91010 692 524 $118K
77290 207 176 $117K
99255 1,388 1,268 $117K
91122 2,833 2,097 $115K
82784 13,780 10,829 $115K
90698 21,064 18,294 $115K
95910 1,325 1,174 $114K
78431 187 133 $113K
72050 3,056 2,744 $113K
81001 64,829 54,781 $113K
90636 501 409 $113K
87077 18,452 15,520 $113K
99222 Initial hospital care, per day, moderate complexity 3,182 2,951 $112K
77049 291 275 $111K
96156 695 612 $110K
Q5107 Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg 130 50 $110K
95924 464 403 $109K
69210 4,647 3,835 $109K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,204 3,014 $109K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 3,860 2,490 $108K
90472 Immunization administration, each additional vaccine (list separately) 42,502 38,067 $108K
88112 7,673 6,944 $107K
20600 629 513 $107K
90620 2,699 2,241 $107K
90945 3,258 957 $107K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,261 949 $106K
90619 6,896 5,677 $105K
84484 36,756 21,228 $105K
17000 956 875 $104K
86704 8,426 6,828 $104K
92235 830 657 $103K
95819 1,259 1,069 $103K
H1000 Prenatal care, at-risk assessment 794 707 $103K
70544 558 501 $102K
92136 4,192 3,463 $102K
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 6,015 4,876 $102K
J2777 Injection, faricimab-svoa, 0.1 mg 98 82 $101K
99205 Prolong outpt/office vis 2,104 1,973 $101K
30140 80 66 $101K
86077 3,460 3,182 $100K
70496 2,187 1,871 $100K
93016 7,008 6,689 $100K
84100 27,055 15,783 $98K
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 73 50 $97K
87799 6,997 4,568 $97K
99231 Subsequent hospital care, per day, straightforward or low complexity 8,198 4,973 $97K
99480 Subsequent intensive care, per day, low birth weight infant 1,323 466 $97K
99442 5,986 5,659 $96K
0002A 2,702 2,645 $96K
J3111 Injection, romosozumab-aqqg, 1 mg 97 88 $95K
20605 539 432 $95K
26600 261 220 $94K
26720 276 223 $94K
88184 1,208 877 $94K
81455 268 198 $93K
93225 1,358 1,136 $93K
84403 6,774 5,864 $93K
82977 9,227 5,304 $93K
76512 997 795 $93K
77080 1,840 1,603 $92K
72156 967 836 $91K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 752 459 $91K
66821 429 381 $90K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 415 123 $90K
76700 Ultrasound, abdominal, real time with image documentation; complete 450 426 $90K
17250 413 369 $89K
J9070 Cyclophosphamide, 100 mg 701 269 $89K
77062 2,078 1,883 $88K
J9041 Injection, bortezomib, 0.1 mg 2,209 514 $87K
84153 7,967 6,880 $87K
50200 228 169 $87K
97804 4,027 3,748 $86K
87522 Neg quan hep c or qual rna 4,449 3,476 $86K
70546 447 389 $86K
0001A 2,924 2,771 $85K
31237 163 123 $85K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 37,145 29,329 $85K
87660 11,366 10,515 $84K
12011 444 382 $84K
94621 767 630 $84K
99497 1,381 1,192 $84K
76881 857 704 $84K
99217 3,467 3,344 $84K
87653 5,108 4,622 $83K
82670 4,028 3,465 $83K
11055 761 584 $81K
17311 222 190 $81K
64721 91 74 $81K
74230 522 475 $81K
97164 1,086 964 $81K
20553 790 664 $81K
99152 7,050 5,221 $80K
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose 759 330 $80K
97166 1,332 1,153 $80K
74174 1,049 834 $80K
99306 Prolong nursin fac eval 15m 3,096 2,819 $79K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 964 458 $79K
84481 8,016 6,892 $79K
90658 8,433 8,358 $79K
73700 591 497 $79K
82533 3,236 2,524 $78K
94642 699 573 $78K
88304 9,792 8,959 $78K
90633 10,188 8,516 $78K
73560 4,346 3,453 $76K
76825 642 554 $75K
93246 1,943 1,595 $75K
72125 Computed tomography, cervical spine; without contrast material 3,057 2,596 $74K
00104 1,963 1,163 $73K
99253 1,804 1,634 $73K
81370 616 489 $73K
85652 23,769 20,109 $71K
64450 446 366 $71K
82043 15,175 13,208 $71K
11983 183 155 $71K
93799 8,383 2,498 $71K
77061 1,567 1,401 $70K
99245 974 926 $70K
74160 435 368 $70K
90716 4,821 4,031 $68K
P9047 Infusion, albumin (human), 25%, 50 ml 272 142 $68K
82805 2,671 1,694 $68K
84146 4,240 3,620 $67K
99397 738 642 $67K
78816 75 66 $66K
96130 1,579 1,252 $66K
C9257 Injection, bevacizumab, 0.25 mg 2,439 2,097 $66K
94660 778 342 $66K
00811 4,389 3,402 $66K
95911 730 654 $65K
99406 2,582 2,344 $65K
00142 4,853 3,424 $65K
88346 1,412 1,147 $65K
P9016 Red blood cells, leukocytes reduced, each unit 238 159 $64K
86258 3,478 2,980 $64K
99350 Prolong home eval add 15m 1,688 1,508 $64K
87493 1,859 1,595 $64K
29405 421 301 $63K
73140 3,127 2,762 $63K
98927 2,111 1,398 $63K
58340 1,022 838 $62K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 5,306 4,097 $62K
93990 1,594 1,197 $61K
86364 4,893 4,162 $61K
83001 4,441 3,806 $61K
77014 2,286 749 $61K
51728 311 281 $60K
72131 746 646 $60K
36514 67 13 $60K
74240 335 304 $59K
36589 186 162 $59K
90686 8,239 6,851 $59K
72158 408 348 $58K
74019 1,621 1,444 $58K
85396 5,469 2,842 $58K
72110 1,640 1,477 $58K
99443 2,787 2,627 $57K
88185 1,208 872 $57K
31624 125 87 $57K
93923 1,082 977 $57K
86003 3,528 2,936 $56K
82627 2,861 2,464 $55K
51798 7,898 6,893 $55K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,878 1,647 $54K
85060 4,840 4,216 $54K
93660 495 407 $54K
82746 9,420 7,900 $54K
82962 34,773 15,760 $53K
81003 61,868 52,496 $53K
81206 347 282 $53K
77065 Tomosynthesis, mammo 3,207 2,757 $53K
90853 Group psychotherapy (other than of a multiple-family group) 1,626 847 $52K
45381 78 55 $52K
82950 4,434 3,804 $52K
76857 2,197 1,808 $52K
82105 4,066 3,430 $51K
90870 1,760 876 $51K
99358 Prolong nursin fac eval 15m 338 322 $51K
J9312 Injection, rituximab, 10 mg 25 16 $51K
70552 350 277 $51K
90839 552 488 $50K
86147 1,889 1,403 $50K
81025 46,312 39,183 $50K
J9264 Injection, paclitaxel protein-bound particles, 1 mg 43 12 $49K
72040 1,461 1,303 $49K
43248 141 123 $49K
86431 5,057 4,227 $49K
86376 3,206 2,669 $49K
87186 14,116 12,035 $49K
73562 1,541 1,320 $48K
45330 103 79 $48K
86160 4,426 3,474 $48K
95992 570 401 $48K
11750 121 91 $48K
90680 12,730 11,126 $48K
86359 2,360 1,847 $47K
70543 131 115 $47K
28470 152 132 $47K
96523 1,049 682 $46K
86235 4,370 3,324 $46K
92025 1,032 868 $46K
92524 573 479 $46K
95115 1,320 648 $46K
90746 2,615 2,014 $46K
62369 1,742 908 $45K
85018 8,466 6,935 $45K
54161 32 31 $45K
77066 Tomosynthesis, mammo 2,616 2,356 $45K
73590 2,292 1,882 $45K
51705 870 703 $44K
76514 1,097 903 $44K
J2791 Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu 699 554 $44K
87536 1,937 1,577 $44K
91112 255 180 $44K
92250 1,283 1,173 $44K
84402 2,850 2,451 $43K
87070 7,734 6,232 $43K
98926 1,394 903 $43K
83615 9,528 6,747 $43K
93018 5,049 4,830 $43K
78306 332 293 $42K
99153 Mod sedat endo service >5yrs 5,090 3,887 $42K
77370 532 422 $42K
82525 3,488 2,865 $42K
11100 209 102 $41K
90697 4,981 4,748 $41K
82024 1,404 1,146 $41K
43762 255 234 $41K
70480 261 234 $41K
87640 1,965 1,599 $41K
72082 1,320 1,228 $41K
68840 103 89 $40K
72157 528 454 $40K
96375 Therapeutic injection; each additional sequential IV push 36,903 20,883 $40K
88360 804 671 $40K
76827 642 554 $39K
73070 1,241 989 $39K
92611 527 470 $39K
84630 3,974 3,321 $39K
19081 41 38 $39K
86225 4,474 3,542 $39K
84156 11,919 9,353 $39K
96368 2,129 1,301 $39K
41899 Unlisted procedure, dentoalveolar structures 56 42 $39K
85576 1,626 1,188 $38K
97150 Therapeutic procedure(s), group (2 or more individuals) 2,067 907 $38K
99221 1,487 1,368 $38K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 573 452 $38K
93926 656 571 $37K
80502 1,338 1,107 $37K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 100 81 $37K
27447 37 37 $37K
88365 377 300 $36K
86335 2,688 2,465 $36K
90739 2,150 1,779 $36K
88313 4,940 4,362 $36K
81240 435 326 $36K
86200 3,555 2,964 $36K
83525 1,858 1,561 $36K
81382 309 236 $35K
90744 7,411 6,110 $35K
51741 649 592 $35K
92582 506 454 $35K
73718 134 124 $35K
93978 314 280 $35K
90696 4,867 4,120 $34K
73523 1,413 1,227 $34K
72072 1,194 1,071 $34K
83002 2,909 2,475 $34K
88264 263 206 $34K
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 170 166 $34K
86256 3,483 2,863 $34K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 3,488 2,898 $34K
73080 1,955 1,597 $34K
72146 325 285 $34K
81256 290 231 $34K
92526 578 431 $34K
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units 632 258 $34K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,651 1,397 $33K
C1874 Stent, coated/covered, with delivery system 144 97 $33K
82550 8,423 6,422 $33K
84166 3,522 3,228 $33K
31628 102 70 $33K
85240 937 764 $32K
82947 4,678 3,503 $32K
84480 3,269 2,767 $32K
86800 2,517 2,119 $32K
83520 2,353 1,857 $31K
73090 1,553 1,242 $31K
97163 643 578 $31K
83993 1,558 1,421 $31K
J1453 Injection, fosaprepitant, 1 mg 2,397 1,210 $31K
J2997 Injection, alteplase recombinant, 1 mg 146 96 $31K
96146 287 258 $31K
99417 Prolong home eval add 15m 441 413 $30K
96101 627 419 $30K
92340 Fitting of spectacles, except for aphakia; monofocal 1,796 1,659 $30K
83521 4,770 3,681 $30K
J0640 Injection, leucovorin calcium, per 50 mg 1,356 544 $30K
84550 6,437 5,094 $30K
90662 5,220 4,546 $30K
62328 47 37 $29K
87641 1,974 1,600 $29K
J9305 Injection, pemetrexed, not otherwise specified, 10 mg 218 54 $29K
92553 371 337 $29K
87902 183 151 $29K
J9035 Injection, bevacizumab, 10 mg 105 70 $29K
95024 685 579 $29K
88311 4,685 4,253 $28K
82785 2,686 2,237 $28K
86923 978 615 $28K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 270 195 $28K
36591 1,491 893 $28K
88172 348 253 $28K
88350 893 696 $28K
99385 552 382 $27K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 21,265 20,015 $27K
86870 797 595 $27K
55250 20 13 $27K
76818 239 193 $27K
87517 958 694 $27K
82330 3,971 2,636 $27K
77427 288 150 $27K
93312 158 120 $27K
83690 19,746 15,858 $27K
99464 386 372 $27K
12002 160 137 $27K
87529 2,237 1,872 $27K
84425 3,064 2,652 $26K
76937 1,308 939 $26K
11103 528 468 $26K
90461 19,581 17,368 $26K
64415 49 41 $26K
85730 11,269 7,808 $26K
87480 11,110 10,313 $25K
87205 7,280 5,786 $25K
27786 80 71 $25K
64644 576 507 $25K
73100 567 448 $25K
29065 153 123 $25K
72070 820 716 $25K
83516 1,849 1,198 $25K
82565 4,138 3,472 $25K
93298 1,218 1,167 $25K
80074 2,700 2,250 $25K
76870 925 783 $24K
93750 2,012 1,254 $24K
74270 173 147 $24K
82951 937 856 $24K
96401 2,782 1,178 $24K
86787 2,185 1,824 $24K
52356 16 12 $23K
77072 543 496 $23K
15275 105 25 $23K
82103 2,357 1,798 $23K
84207 2,355 1,928 $23K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 885 804 $23K
85597 888 723 $23K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 297 288 $23K
95912 357 313 $22K
J9074 Injection, cyclophosphamide (sandoz), 5 mg 69 40 $22K
92541 417 333 $22K
84460 3,993 3,488 $22K
81596 308 250 $22K
66982 34 27 $22K
82610 1,744 1,313 $22K
84432 996 850 $22K
86304 1,512 1,102 $22K
86141 1,198 996 $22K
84144 1,119 927 $22K
99441 2,572 2,467 $22K
31615 26 24 $22K
29515 466 368 $21K
86708 2,112 1,728 $21K
95251 1,373 1,282 $21K
J2469 Injection, palonosetron hcl, 25 mcg 5,148 2,476 $21K
11440 53 42 $21K
90710 5,038 4,247 $21K
84155 5,391 4,191 $21K
99220 394 368 $21K
78582 32 25 $21K
90961 544 515 $21K
74021 549 506 $21K
77280 154 118 $21K
82088 934 728 $21K
84450 3,309 2,908 $20K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 3,283 3,012 $20K
90707 5,056 4,259 $20K
73552 1,204 965 $20K
99219 366 364 $20K
93925 162 144 $20K
86361 1,511 1,220 $20K
91065 522 387 $20K
86355 2,293 1,760 $20K
86920 592 344 $20K
10061 101 87 $19K
86015 952 792 $19K
96112 149 126 $19K
97813 755 305 $19K
11200 100 84 $19K
00170 Anesthesia for intraoral procedures, including biopsy 1,554 1,280 $19K
86765 1,900 1,581 $19K
36573 15 13 $19K
88237 353 270 $19K
72200 589 526 $19K
96376 6,472 3,568 $19K
86039 2,010 1,621 $19K
82248 2,561 2,036 $18K
92652 398 344 $18K
82274 890 813 $18K
75574 86 73 $18K
71101 1,076 963 $18K
G0425 Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth 336 319 $18K
80324 1,871 1,640 $18K
J1610 Injection, glucagon hydrochloride, per 1 mg 161 121 $18K
87328 828 733 $18K
82378 2,037 1,552 $18K
87338 854 747 $18K
92555 492 447 $18K
86735 1,079 923 $18K
99252 563 523 $18K
84445 877 771 $18K
86665 1,697 1,385 $18K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 28 27 $17K
86308 1,144 947 $17K
0004A 519 502 $17K
85045 6,168 4,283 $17K
70355 488 398 $17K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 2,935 2,463 $17K
52332 15 12 $17K
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use) 127 76 $17K
86580 563 396 $16K
86317 1,448 653 $16K
69209 2,155 1,893 $16K
95874 6,513 4,623 $16K
86146 1,375 1,057 $16K
86695 1,712 1,422 $16K
30520 18 15 $16K
83498 1,162 997 $16K
76775 123 107 $16K
83921 2,172 1,821 $16K
82542 1,279 1,057 $16K
80164 1,312 1,107 $15K
0081A 563 295 $15K
46221 29 25 $15K
78830 29 25 $15K
J9075 Injection, cyclophosphamide, not otherwise specified, 5 mg 93 73 $15K
92700 316 276 $15K
J9171 Injection, docetaxel, 1 mg 238 150 $15K
84305 863 747 $15K
72170 917 747 $15K
62321 27 26 $15K
73000 391 333 $15K
11402 26 25 $15K
73200 96 81 $15K
86644 1,062 804 $14K
95044 40 25 $14K
62370 293 269 $14K
73060 846 691 $14K
46600 1,235 1,066 $14K
17003 531 482 $14K
86301 1,186 916 $14K
54150 369 330 $14K
11720 408 386 $14K
0054A 787 711 $14K
73660 767 686 $14K
86036 1,012 821 $14K
99471 26 26 $14K
99386 240 164 $14K
80175 910 784 $13K
51720 50 27 $13K
J3489 Injection, zoledronic acid, 1 mg 816 668 $13K
86696 1,697 1,409 $13K
92556 335 305 $13K
96131 365 324 $13K
00300 724 539 $13K
0154A 350 286 $13K
84681 1,089 885 $13K
G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth 179 170 $13K
57456 33 25 $13K
84244 876 717 $13K
77085 277 250 $13K
86341 977 752 $13K
80177 1,406 1,163 $13K
71555 81 68 $13K
82952 782 712 $13K
94799 694 362 $13K
99348 644 579 $13K
81332 389 301 $13K
77387 248 40 $13K
82390 1,306 1,045 $13K
99242 527 515 $12K
72128 262 221 $12K
92546 154 120 $12K
92552 187 173 $12K
84154 1,326 1,158 $12K
0071A 422 328 $12K
23500 34 27 $12K
93295 434 417 $12K
00840 725 505 $12K
51700 224 191 $12K
82040 1,823 1,568 $12K
93351 712 626 $11K
83010 1,498 1,088 $11K
J9206 Injection, irinotecan, 20 mg 1,040 358 $11K
43237 29 26 $11K
0402T 16 13 $11K
97814 754 304 $11K
80158 741 377 $11K
J2704 Injection, propofol, 10 mg 33,447 22,915 $11K
80323 1,327 1,059 $11K
84163 418 373 $11K
82653 515 464 $11K
82150 2,496 1,999 $11K
84270 709 614 $11K
86381 873 716 $11K
95018 347 302 $11K
85041 2,301 1,902 $11K
J9395 Injection, fulvestrant, 25 mg 99 75 $10K
J9323 Injection, pemetrexed ditromethamine, 10 mg 93 25 $10K
0082A 343 225 $10K
J9045 Injection, carboplatin, 50 mg 1,356 772 $10K
00140 815 662 $10K
92523 294 260 $10K
81268 45 36 $10K
88312 991 866 $10K
80348 1,902 1,666 $10K
84436 936 796 $10K
82397 796 566 $10K
80361 1,870 1,640 $10K
80365 1,969 1,727 $10K
86255 1,325 840 $10K
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg 815 316 $10K
76942 1,732 1,394 $10K
80373 1,870 1,640 $10K
90474 2,234 1,795 $10K
92626 135 121 $10K
51600 209 169 $10K
92550 228 157 $10K
90632 459 394 $10K
83605 7,688 5,016 $10K
93985 142 125 $10K
27130 13 12 $9K
96402 1,255 992 $9K
86705 693 577 $9K
83721 1,645 1,439 $9K
86618 879 735 $9K
86664 667 548 $9K
85379 5,059 4,145 $9K
80354 1,870 1,640 $9K
80349 1,870 1,640 $9K
84132 3,773 2,671 $9K
70487 29 29 $9K
90785 978 678 $9K
75565 645 552 $9K
51797 498 453 $9K
86300 531 419 $9K
00813 2,692 2,094 $9K
64447 54 40 $9K
J3470 Injection, hyaluronidase, up to 150 units 684 543 $9K
87040 4,636 2,282 $9K
80356 1,858 1,628 $9K
92545 276 218 $9K
80353 1,871 1,640 $9K
86880 515 411 $9K
82085 897 747 $9K
87329 822 732 $9K
86922 424 243 $8K
92285 203 159 $8K
90685 1,569 1,324 $8K
80178 567 442 $8K
J9263 Injection, oxaliplatin, 0.5 mg 961 410 $8K
00145 523 440 $8K
36471 12 12 $8K
80364 1,870 1,640 $8K
80358 1,871 1,640 $8K
86592 1,574 1,263 $8K
0072A 277 236 $8K
00520 887 662 $8K
11980 26 24 $8K
77075 78 66 $8K
87177 374 327 $8K
92060 661 584 $8K
96132 779 697 $8K
82652 899 769 $8K
84590 1,169 960 $8K
82164 692 574 $8K
G0452 Molecular pathology procedure; physician interpretation and report 909 820 $8K
76883 59 52 $8K
82310 956 810 $8K
47000 18 12 $8K
92519 37 31 $8K
83835 527 442 $8K
87015 1,318 1,012 $8K
82232 666 510 $8K
93000 521 502 $8K
96152 214 158 $8K
A9270 Non-covered item or service 8,875 4,502 $8K
96158 300 266 $8K
83695 861 736 $8K
82677 237 209 $8K
64494 688 471 $8K
70250 244 190 $8K
92542 317 238 $8K
97597 189 81 $8K
96136 883 786 $7K
86921 389 215 $7K
86357 807 595 $7K
90847 Family psychotherapy with the patient present, 50 minutes 59 36 $7K
99383 145 133 $7K
74220 168 164 $7K
72220 347 310 $7K
84134 769 645 $7K
29125 429 372 $7K
80299 431 340 $7K
51702 573 467 $7K
J1815 Injection, insulin, per 5 units 678 440 $7K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 288 230 $7K
86360 788 585 $7K
87102 1,762 1,396 $7K
0298T 117 115 $7K
36226 15 12 $7K
93976 55 40 $7K
20551 32 25 $7K
99305 347 311 $7K
99201 692 682 $7K
82077 4,612 3,478 $7K
85520 1,333 1,049 $7K
77293 53 52 $7K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 2,496 1,296 $7K
0051A 282 175 $7K
C1760 Closure device, vascular (implantable/insertable) 612 420 $7K
76604 94 81 $6K
83519 609 473 $6K
88142 1,234 1,125 $6K
87088 1,871 1,697 $6K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 495 463 $6K
90966 65 63 $6K
93248 363 357 $6K
12032 307 274 $6K
87563 479 413 $6K
88173 1,206 1,010 $6K
Q5121 Injection, infliximab-axxq, biosimilar, (avsola), 10 mg 14 12 $6K
99421 684 663 $6K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 20,076 16,713 $6K
73522 153 134 $6K
81479 Unlisted molecular pathology procedure 89 74 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 23,708 19,198 $6K
84466 880 732 $6K
82340 531 445 $6K
89051 2,339 1,521 $6K
80235 623 528 $6K
92082 123 110 $6K
77091 276 265 $6K
88291 695 575 $6K
80143 1,036 775 $6K
84446 890 723 $6K
90648 930 754 $5K
94681 147 89 $5K
82180 567 469 $5K
00790 363 254 $5K
64999 44 37 $5K
83090 1,113 927 $5K
74221 31 27 $5K
G0297 Low dose ct scan (ldct) for lung cancer screening 28 28 $5K
90678 755 707 $5K
82175 388 296 $5K
84080 720 621 $5K
99307 695 459 $5K
36600 808 630 $5K
85014 999 820 $5K
28490 13 12 $5K
80203 579 480 $5K
82668 448 360 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 152 150 $5K
80346 579 470 $5K
00400 970 697 $5K
93280 617 550 $5K
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg 25 14 $5K
80321 642 465 $5K
85384 1,324 868 $5K
0052A 211 163 $5K
81374 31 25 $5K
26750 14 12 $5K
93284 362 292 $5K
82247 1,192 859 $5K
73521 152 146 $5K
82140 629 530 $5K
97032 353 181 $5K
94664 474 429 $5K
86593 535 448 $5K
88331 82 66 $5K
30901 114 93 $4K
80047 593 335 $4K
70360 282 236 $4K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 7,381 5,162 $4K
80183 420 358 $4K
86703 2,365 1,982 $4K
90681 578 512 $4K
C1883 Adapter/extension, pacing lead or neurostimulator lead (implantable) 64 39 $4K
85613 1,483 728 $4K
93356 566 455 $4K
73650 133 97 $4K
90700 780 644 $4K
83013 80 69 $4K
93299 158 151 $4K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 2,046 1,534 $4K
01961 13 13 $4K
95712 42 38 $4K
87206 1,354 1,069 $4K
75635 12 12 $4K
97750 45 37 $4K
G0008 Administration of influenza virus vaccine 6,509 5,614 $4K
85598 624 530 $4K
90732 359 248 $4K
88300 1,432 1,188 $4K
82495 340 282 $4K
74712 17 12 $4K
86677 494 393 $4K
84238 233 182 $4K
86709 547 453 $4K
00120 203 148 $4K
J9000 Injection, doxorubicin hydrochloride, 10 mg 513 240 $4K
84703 3,438 3,045 $4K
69200 210 180 $4K
64495 261 172 $4K
93793 1,040 585 $4K
80201 277 241 $4K
87209 350 308 $4K
84075 832 691 $4K
82787 437 359 $4K
98928 163 131 $4K
85670 1,193 976 $4K
J9060 Injection, cisplatin, powder or solution, 10 mg 336 104 $4K
92597 72 62 $4K
83825 516 387 $4K
77002 320 275 $4K
J1170 Injection, hydromorphone, up to 4 mg 6,166 3,048 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,072 2,736 $4K
87116 1,050 793 $4K
99195 112 81 $3K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 438 426 $3K
86828 520 428 $3K
82523 374 340 $3K
J1644 Injection, heparin sodium, per 1000 units 8,988 3,413 $3K
86682 370 313 $3K
11901 14 12 $3K
99173 1,499 1,420 $3K
00160 531 417 $3K
87507 97 84 $3K
90734 553 381 $3K
77074 147 120 $3K
92341 173 135 $3K
0003A 87 80 $3K
99236 Prolong inpt eval add15 m 53 50 $3K
92504 2,342 1,760 $3K
96137 238 224 $3K
36592 150 87 $3K
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units 29 12 $3K
96118 22 12 $3K
29425 15 14 $3K
76377 2,296 2,039 $3K
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 410 321 $3K
11730 32 25 $3K
93227 142 137 $3K
87101 488 425 $3K
82803 1,803 1,406 $3K
83630 142 122 $3K
82375 1,692 1,021 $3K
93458 29 29 $3K
90656 362 357 $3K
95079 15 12 $3K
J1650 Injection, enoxaparin sodium, 10 mg 2,558 911 $3K
98929 55 54 $3K
92020 424 412 $3K
80179 945 719 $3K
77077 141 132 $3K
86008 411 353 $3K
81002 4,065 3,506 $3K
92604 176 128 $3K
J1611 Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg 69 63 $3K
92242 12 12 $3K
82010 1,323 1,042 $3K
J7120 Ringers lactate infusion, up to 1000 cc 24,207 18,124 $3K
77073 123 113 $3K
76506 94 67 $3K
74150 17 13 $2K
12031 41 39 $2K
84145 687 537 $2K
00812 969 774 $2K
95908 14 14 $2K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 1,371 830 $2K
90962 87 79 $2K
87486 277 196 $2K
93283 265 234 $2K
84478 369 282 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 30,061 21,332 $2K
D1208 Topical application of fluoride, excluding varnish 164 153 $2K
C1781 Mesh (implantable) 93 68 $2K
J0485 Injection, belatacept, 1 mg 26 12 $2K
85046 383 335 $2K
93319 47 38 $2K
90714 158 133 $2K
93282 159 138 $2K
C1889 Implantable/insertable device, not otherwise classified 781 660 $2K
97129 88 50 $2K
82530 105 94 $2K
86777 152 119 $2K
J1040 Injection, methylprednisolone acetate, 80 mg 3,160 2,419 $2K
94070 13 13 $2K
96111 64 61 $2K
84300 517 421 $2K
82166 127 112 $2K
88189 53 46 $2K
96417 3,925 2,088 $2K
92132 98 82 $2K
83785 291 243 $2K
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 685 646 $2K
74022 331 291 $2K
00320 469 317 $2K
83021 164 142 $2K
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography 21 13 $2K
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 2,181 1,510 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 28,225 17,978 $2K
C1887 Catheter, guiding (may include infusion/perfusion capability) 1,282 880 $2K
82365 303 263 $2K
J2800 Injection, methocarbamol, up to 10 ml 717 237 $2K
C9113 Injection, pantoprazole sodium, per vial 1,050 542 $2K
92610 46 39 $2K
85732 468 356 $2K
88302 207 169 $2K
85307 276 216 $2K
J3010 Injection, fentanyl citrate, 0.1 mg 33,834 23,842 $2K
73600 68 62 $2K
87900 16 12 $2K
85097 57 53 $2K
88271 20 13 $2K
88177 472 233 $2K
84182 123 102 $2K
80320 279 197 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 3,590 2,334 $2K
84252 229 186 $2K
99384 24 24 $2K
96150 32 26 $2K
J2270 Injection, morphine sulfate, up to 10 mg 5,801 3,880 $2K
80500 276 205 $2K
83883 134 122 $2K
82384 55 39 $2K
90713 337 287 $2K
87581 289 204 $2K
84295 1,892 1,239 $2K
84520 693 498 $2K
77263 25 24 $2K
82671 114 104 $2K
82553 240 150 $2K
00902 387 301 $2K
72052 27 24 $1K
99292 32 15 $1K
94760 12,322 7,031 $1K
0083A 87 34 $1K
99495 391 367 $1K
87081 232 203 $1K
77001 229 171 $1K
82379 256 212 $1K
36620 258 230 $1K
81329 15 13 $1K
83789 142 107 $1K
96409 498 201 $1K
82104 203 157 $1K
00537 45 36 $1K
96133 711 639 $1K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 1,241 1,073 $1K
J3535 Drug administered through a metered dose inhaler 95 56 $1K
00910 334 274 $1K
82139 135 107 $1K
V2020 Frames, purchases 150 147 $1K
01810 334 257 $1K
86336 229 201 $1K
36556 101 89 $1K
82955 105 92 $1K
85245 57 51 $1K
J1071 Injection, testosterone cypionate, 1 mg 416 196 $1K
01920 21 13 $1K
J0690 Injection, cefazolin sodium, 500 mg 9,912 6,173 $1K
87109 226 193 $1K
87210 517 384 $1K
01480 162 111 $1K
85246 61 53 $1K
00940 121 73 $1K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 3,591 2,644 $1K
99218 33 30 $1K
99459 32 32 $1K
11105 928 698 $1K
83050 1,765 897 $1K
01844 38 27 $1K
94761 1,332 1,169 $1K
85660 293 244 $1K
88377 82 56 $1K
51701 101 92 $1K
A9575 Injection, gadoterate meglumine, 0.1 ml 9,289 8,093 $1K
84433 157 131 $992.29
J0696 Injection, ceftriaxone sodium, per 250 mg 6,168 4,249 $992.18
92002 31 27 $987.69
80165 118 100 $979.40
85300 302 238 $957.50
86825 13 13 $928.17
99483 Prolong outpt/office vis 59 57 $926.79
86053 88 76 $917.21
82747 124 105 $914.61
97763 13 12 $898.85
99310 Prolong nursin fac eval 15m 37 29 $894.45
88344 15 12 $887.30
00920 466 401 $880.11
J7050 Infusion, normal saline solution, 250 cc 17,320 10,192 $878.87
84479 158 138 $877.09
80195 105 62 $869.50
J2405 Injection, ondansetron hydrochloride, per 1 mg 37,510 23,959 $849.50
J2785 Injection, regadenoson, 0.1 mg 1,848 1,474 $836.23
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 630 430 $829.82
87324 71 60 $822.27
78492 16 13 $820.40
J7030 Infusion, normal saline solution , 1000 cc 17,375 11,723 $806.20
96103 101 94 $805.87
96153 79 41 $797.84
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 66 61 $794.20
99225 60 39 $793.95
98968 209 189 $787.81
87220 275 224 $783.35
J3370 Injection, vancomycin hcl, 500 mg 3,244 1,781 $775.72
11719 47 27 $755.18
J0360 Injection, hydralazine hcl, up to 20 mg 1,131 758 $751.41
80377 30 30 $747.65
86041 134 116 $746.15
96139 737 665 $743.62
85303 281 226 $738.21
87075 630 492 $737.29
85306 263 213 $725.27
87106 226 192 $723.76
83935 151 124 $717.80
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 69 67 $711.61
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 622 542 $699.53
59430 13 12 $696.28
G0475 Hiv antigen/antibody, combination assay, screening 812 645 $688.25
Q9957 Injection, perflutren lipid microspheres, per ml 809 678 $680.99
C1769 Guide wire 3,222 2,494 $680.53
88720 3,035 2,147 $659.69
80230 130 103 $652.49
36416 5,320 3,879 $638.26
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 2,162 1,794 $637.14
86316 64 45 $630.31
J2250 Injection, midazolam hydrochloride, per 1 mg 29,252 20,612 $627.45
93244 38 37 $627.03
74328 25 25 $624.52
89060 345 295 $597.95
76376 173 150 $596.03
J1010 Injection, methylprednisolone acetate, 1 mg 1,136 1,021 $591.83
99241 43 42 $589.10
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 2,763 949 $588.63
76098 15 13 $583.88
99226 17 14 $556.05
86363 92 77 $555.29
80185 73 62 $550.26
J0780 Injection, prochlorperazine, up to 10 mg 2,362 1,579 $543.39
00126 704 600 $542.39
83930 145 118 $540.08
0064A 19 19 $539.52
64646 27 24 $532.99
86808 38 29 $514.34
96910 18 14 $495.06
86645 36 26 $492.80
87305 91 58 $492.38
0399T 15 13 $489.81
90723 181 143 $488.50
84210 95 67 $487.39
V2784 Lens, polycarbonate or equal, any index, per lens 165 158 $481.15
83986 144 110 $478.67
86060 22 15 $476.16
J0461 Injection, atropine sulfate, 0.01 mg 390 237 $474.57
J3475 Injection, magnesium sulfate, per 500 mg 7,148 4,144 $472.94
87341 75 65 $468.77
C1830 Powered bone marrow biopsy needle 518 378 $467.58
99345 Prolong home eval add 15m 13 13 $464.76
87176 463 328 $460.60
G0444 Annual depression screening, 5 to 15 minutes 1,004 902 $454.48
99354 14 12 $453.16
83918 49 41 $452.58
93042 251 232 $437.78
01470 19 13 $435.37
86753 43 29 $431.45
00732 112 75 $428.85
J0834 Injection, cosyntropin, 0.25 mg 19 12 $425.92
J9181 Injection, etoposide, 10 mg 95 27 $417.42
J0330 Injection, succinylcholine chloride, up to 20 mg 1,304 970 $415.49
J1200 Injection, diphenhydramine hcl, up to 50 mg 10,388 6,242 $408.73
J2795 Injection, ropivacaine hydrochloride, 1 mg 1,833 1,312 $401.70
85049 173 129 $398.16
J2310 Injection, naloxone hydrochloride, per 1 mg 25 16 $397.25
96377 698 462 $395.31
80162 37 25 $389.86
90846 Family psychotherapy without the patient present, 50 minutes 12 12 $384.40
G0009 Administration of pneumococcal vaccine 1,845 1,546 $384.32
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 1,268 713 $381.82
96138 737 665 $378.73
86687 38 25 $369.76
82945 516 390 $365.26
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 2,550 1,731 $359.05
83014 25 24 $356.52
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 103 94 $356.07
80169 15 12 $356.06
87154 12 12 $355.98
01830 170 124 $351.00
62252 63 50 $349.87
95822 33 30 $343.61
82172 14 12 $336.42
29130 14 12 $334.32
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) 1,103 847 $332.46
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 579 411 $329.43
87184 192 149 $322.73
J1940 Injection, furosemide, up to 20 mg 2,136 1,110 $322.24
36410 82 69 $321.99
99496 129 121 $321.36
0031A 13 12 $315.13
92226 27 27 $303.81
93261 15 14 $303.51
A9555 Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries 518 392 $298.51
84255 59 54 $294.87
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 199 176 $289.30
84157 654 488 $284.84
A9540 Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries 169 135 $283.58
87147 126 109 $275.30
86606 31 26 $274.53
95249 32 31 $272.48
J2360 Injection, orphenadrine citrate, up to 60 mg 515 396 $269.39
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 2,341 1,748 $268.54
85247 24 24 $262.35
A4648 Tissue marker, implantable, any type, each 801 629 $261.27
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 5,547 3,143 $259.42
93294 25 25 $259.07
73620 52 25 $252.16
J1030 Injection, methylprednisolone acetate, 40 mg 2,007 1,727 $248.32
J3360 Injection, diazepam, up to 5 mg 433 330 $246.98
J1790 Injection, droperidol, up to 5 mg 2,949 2,246 $238.72
77081 16 14 $235.40
99251 12 12 $231.10
93228 12 12 $228.75
86596 54 41 $227.86
J2720 Injection, protamine sulfate, per 10 mg 379 185 $226.84
J1953 Injection, levetiracetam, 10 mg 75 53 $221.46
J2370 Injection, phenylephrine hcl, up to 1 ml 925 550 $213.54
82272 30 24 $203.75
90647 18 12 $200.05
92650 16 12 $197.38
J1250 Injection, dobutamine hydrochloride, per 250 mg 40 24 $197.09
J9370 Vincristine sulfate, 1 mg 313 149 $197.04
80156 13 12 $196.83
J2060 Injection, lorazepam, 2 mg 1,708 1,201 $193.55
J2919 Injection, methylprednisolone sodium succinate, 5 mg 1,738 1,286 $184.24
99327 13 13 $176.98
96040 13 12 $176.40
C1726 Catheter, balloon dilatation, non-vascular 974 779 $172.78
93041 131 54 $172.58
J1580 Injection, garamycin, gentamicin, up to 80 mg 755 562 $171.03
87899 95 82 $170.25
J3480 Injection, potassium chloride, per 2 meq 2,592 1,574 $169.20
J1596 Injection, glycopyrrolate, 0.1 mg 1,614 1,410 $160.86
96411 1,139 648 $150.08
86698 18 12 $146.31
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 5,262 3,200 $144.24
J3590 Unclassified biologics 15 13 $144.06
86635 17 12 $141.09
86612 19 12 $134.65
86001 25 16 $133.67
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 1,254 569 $125.13
00952 138 108 $124.50
90672 12 12 $123.50
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 3,864 3,262 $122.66
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 651 431 $119.38
C1729 Catheter, drainage 409 270 $118.35
87255 12 12 $111.38
0121A 102 97 $101.29
G0010 Administration of hepatitis b vaccine 370 281 $96.65
98967 24 24 $92.12
91300 6,515 5,704 $91.68
96380 186 185 $91.01
84597 13 13 $90.87
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 28 25 $90.45
83529 41 35 $87.37
84591 31 26 $87.13
J2765 Injection, metoclopramide hcl, up to 10 mg 2,299 1,716 $86.51
J2175 Injection, meperidine hydrochloride, per 100 mg 453 361 $79.40
J3411 Injection, thiamine hcl, 100 mg 414 213 $79.18
0173A 133 128 $79.08
69220 13 12 $78.97
00918 17 13 $77.12
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 188 171 $73.42
J2540 Injection, penicillin g potassium, up to 600,000 units 124 99 $71.34
J2470 Injection, pantoprazole sodium, 40 mg 178 125 $69.07
81000 131 96 $61.79
J9267 Injection, paclitaxel, 1 mg 1,284 542 $60.64
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 116 62 $55.44
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 28 27 $55.24
J1171 Injection, hydromorphone, 0.1 mg 303 224 $54.65
88364 16 13 $53.01
J2305 Injection, nitroglycerin, 5 mg 114 96 $52.54
36140 17 13 $49.86
87071 108 84 $49.56
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 925 825 $49.06
G0103 Prostate cancer screening; prostate specific antigen test (psa) 486 421 $47.24
72020 24 24 $47.03
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 689 584 $45.36
82435 94 84 $42.26
A9585 Injection, gadobutrol, 0.1 ml 534 454 $39.84
J1630 Injection, haloperidol, up to 5 mg 236 184 $38.08
83051 18 12 $37.31
85347 39 25 $36.03
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 137 124 $35.44
J7042 5% dextrose/normal saline (500 ml = 1 unit) 349 191 $34.68
01402 44 24 $33.55
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 16 12 $32.74
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 84 65 $31.36
J7507 Tacrolimus, immediate release, oral, 1 mg 72 12 $29.01
J2003 Injection, lidocaine hydrochloride, 1 mg 668 619 $26.02
87430 68 53 $25.98
L8509 Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type 14 12 $25.85
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 311 145 $21.40
96167 21 20 $20.13
89343 70 47 $20.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 6,083 4,524 $18.92
J1920 Injection, labetalol hydrochloride, 5 mg 222 204 $18.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 104 91 $15.70
91312 3,241 1,602 $14.88
87185 18 13 $14.36
90611 93 35 $13.89
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 217 209 $11.68
J0737 Injection, clindamycin phosphate (baxter), not therapeutically equivalent to j0736, 300 mg 14 13 $8.46
J0736 Injection, clindamycin phosphate, 300 mg 47 43 $7.15
J0456 Injection, azithromycin, 500 mg 316 222 $6.26
91305 1,005 783 $5.94
91307 802 558 $5.44
J7060 5% dextrose/water (500 ml = 1 unit) 1,734 758 $5.29
91308 750 338 $4.98
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 259 238 $4.74
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 438 383 $3.29
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 147 76 $3.20
Q4049 Finger splint, static 79 76 $2.63
J1956 Injection, levofloxacin, 250 mg 15 12 $2.30
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing 183 169 $1.58
91315 108 65 $1.06
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 355 321 $0.87
J0290 Injection, ampicillin sodium, 500 mg 31 27 $0.82
91306 17 17 $0.14
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 14 13 $0.14
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 16 15 $0.13
91303 13 12 $0.11
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 422 373 $0.07
3078F 295,319 275,834 $0.02
3074F 326,000 304,012 $0.00
3075F 16,734 15,834 $0.00
3079F 46,930 43,743 $0.00
3080F 2,184 2,048 $0.00
3044F 225 223 $0.00
1220F 105 101 $0.00
31629 24 12 $0.00
1123F 370 320 $0.00
1111F 91 73 $0.00
A9561 Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries 199 185 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 95 77 $0.00
V2632 Posterior chamber intraocular lens 238 168 $0.00
87808 43 42 $0.00
J2787 Riboflavin 5'-phosphate, ophthalmic solution, up to 3 ml 16 13 $0.00
J1110 Injection, dihydroergotamine mesylate, per 1 mg 47 20 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 60 40 $0.00
91317 42 42 $0.00
C1753 Catheter, intravascular ultrasound 18 12 $0.00
C1733 Catheter, electrophysiology, diagnostic/ablation, other than 3d or vector mapping, other than cool-tip 15 13 $0.00
Q9968 Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg 12 12 $0.00
82985 15 14 $0.00
C1759 Catheter, intracardiac echocardiography 27 13 $0.00
A9567 Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries 18 13 $0.00
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 30 27 $0.00
3077F 11,214 10,575 $0.00
J9190 Injection, fluorouracil, 500 mg 2,050 746 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 2,229 1,909 $0.00
3046F 200 173 $0.00
C2625 Stent, non-coronary, temporary, with delivery system 213 179 $0.00
00402 405 290 $0.00
99091 15 13 $0.00
C1758 Catheter, ureteral 171 128 $0.00
1124F 18 15 $0.00
98966 16 16 $0.00
3051F 12 12 $0.00
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml 52 43 $0.00
43450 16 13 $0.00
J3250 Injection, trimethobenzamide hcl, up to 200 mg 38 26 $0.00
0502F 16 14 $0.00
C1762 Connective tissue, human (includes fascia lata) 16 16 $0.00