Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NM › ALBUQUERQUE › UNM HOSPITAL

UNM HOSPITAL

NPI: 1689747552 · ALBUQUERQUE, NM 87106 · Clinical Psychologist · NPI assigned 11/16/2006

$463.29M
Total Medicaid Paid
6,996,849
Total Claims
6,031,480
Beneficiaries
1105
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWHITE, BONNIE (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date11/16/2006

Related Entities

Other providers sharing the same authorized official: WHITE, BONNIE

ProviderCityStateTotal Paid
UNM HOSPITAL ALBUQUERQUE NM $17.62M
UNM HOSPITAL ALBUQUERQUE NM $283K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,209,785 $78.53M
2019 971,131 $65.64M
2020 796,299 $53.43M
2021 884,856 $56.74M
2022 969,528 $64.28M
2023 1,083,037 $70.84M
2024 1,082,213 $73.83M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0463 Hospital outpatient clinic visit for assessment and management of a patient 909,870 749,869 $72.29M
G9001 Coordinated care fee, initial rate 91,583 91,079 $31.64M
99283 Emergency department visit for the evaluation and management, moderate severity 115,115 107,233 $16.57M
95004 Percutaneous tests with allergenic extracts, immediate type reaction 2,843 2,767 $12.10M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 40,547 37,204 $10.53M
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 91,152 89,785 $10.52M
G0378 Hospital observation service, per hour 24,139 21,969 $10.20M
99284 Emergency department visit for the evaluation and management, high severity 49,773 45,750 $8.70M
A0430 Ambulance service, conventional air services, transport, one way (fixed wing) 3,243 3,036 $6.53M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 2,076 1,577 $6.41M
J9271 Injection, pembrolizumab, 1 mg 817 620 $6.40M
74177 Computed tomography, abdomen and pelvis; with contrast material 22,123 21,162 $5.81M
70450 Computed tomography, head or brain; without contrast material 26,872 24,922 $5.17M
A0435 Fixed wing air mileage, per statute mile 3,242 3,034 $5.03M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 80,634 75,161 $4.10M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 70,277 60,709 $4.04M
J9312 Injection, rituximab, 10 mg 784 507 $3.90M
80048 Basic metabolic panel (calcium, ionized) 229,644 186,092 $3.48M
H2017 Psychosocial rehabilitation services, per 15 minutes 35,903 3,690 $3.40M
J0585 Injection, onabotulinumtoxina, 1 unit 5,747 3,614 $3.28M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 75,741 53,318 $3.05M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 5,751 5,564 $3.04M
H0039 Assertive community treatment, face-to-face, per 15 minutes 18,439 2,082 $3.00M
71260 Computed tomography, thorax, diagnostic; with contrast material 11,516 11,245 $3.00M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 54,957 28,105 $2.86M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 7,024 6,816 $2.85M
H2033 Multisystemic therapy for juveniles, per 15 minutes 10,555 1,332 $2.76M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 6,135 6,036 $2.70M
97530 Therapeutic activities, direct patient contact, each 15 minutes 30,150 14,922 $2.42M
99282 Emergency department visit for the evaluation and management, low to moderate severity 26,574 25,631 $2.31M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 57,867 54,235 $2.22M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 18,781 12,005 $2.21M
71046 Radiologic examination, chest; 2 views 44,240 41,280 $2.19M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 26,777 25,335 $2.17M
72125 Computed tomography, cervical spine; without contrast material 8,787 8,417 $2.05M
71275 Computed tomographic angiography, chest, with contrast material 5,458 5,257 $1.90M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 40,154 38,261 $1.87M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 18,224 17,016 $1.86M
70551 Magnetic resonance imaging, brain; without contrast material 5,572 5,444 $1.83M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 4,468 4,338 $1.78M
G0390 Trauma response team associated with hospital critical care service 1,189 1,152 $1.77M
42820 Tonsillectomy and adenoidectomy; younger than age 12 1,154 1,143 $1.73M
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 21,203 20,393 $1.72M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 41,522 37,302 $1.71M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 139,585 114,808 $1.70M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 12,582 12,347 $1.63M
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 1,716 1,555 $1.62M
90837 Psychotherapy, 53 minutes with patient 17,241 10,619 $1.62M
77386 3,746 374 $1.57M
80076 118,249 104,431 $1.55M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 40,183 38,283 $1.55M
96375 Therapeutic injection; each additional sequential IV push 36,059 27,349 $1.54M
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 9,396 6,422 $1.52M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4,104 3,955 $1.51M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 17,715 14,318 $1.50M
70498 4,740 4,557 $1.49M
J2505 Injection, pegfilgrastim, 6 mg 484 380 $1.43M
92587 12,518 12,298 $1.43M
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) 921 537 $1.42M
H2015 Comprehensive community support services, per 15 minutes 12,149 5,022 $1.39M
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 37,802 37,063 $1.38M
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 2,821 2,612 $1.36M
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg 591 358 $1.33M
84443 Thyroid stimulating hormone (TSH) 55,156 53,403 $1.33M
76770 12,133 11,985 $1.31M
78815 Positron emission tomography (PET) for limited area imaging 1,940 1,905 $1.30M
76819 Fetal biophysical profile; without non-stress testing 10,702 5,461 $1.26M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 48,067 38,707 $1.24M
99215 Prolong outpt/office vis 16,481 15,598 $1.24M
73610 13,383 11,588 $1.22M
73130 18,138 14,835 $1.20M
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 3,191 3,127 $1.19M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 24,389 23,035 $1.18M
Q3014 Telehealth originating site facility fee 30,532 27,704 $1.17M
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,849 2,772 $1.17M
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 769 762 $1.16M
85027 135,027 114,950 $1.16M
73562 12,739 11,359 $1.09M
A0431 Ambulance service, conventional air services, transport, one way (rotary wing) 482 450 $1.06M
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 16,962 14,490 $1.03M
93976 8,877 8,587 $1.01M
J9299 Injection, nivolumab, 1 mg 132 102 $992K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 2,891 2,717 $981K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 42,669 39,967 $976K
73630 14,826 12,621 $976K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 7,446 7,030 $960K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 3,279 3,230 $948K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 5,205 5,160 $945K
20610 9,642 7,573 $938K
73110 13,571 11,366 $934K
83036 Hemoglobin; glycosylated (A1C) 67,914 66,229 $932K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 18,899 15,717 $917K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 1,541 1,404 $894K
99232 Subsequent hospital care, per day, moderate complexity 17,060 8,096 $887K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,149 1,136 $886K
59025 Fetal non-stress test 7,882 5,347 $861K
88305 Level IV - Surgical pathology, gross and microscopic examination 19,135 18,537 $854K
72170 9,549 9,319 $854K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 43,513 42,996 $850K
94010 6,418 6,281 $847K
97597 12,558 5,441 $827K
86003 1,730 1,681 $812K
71045 Radiologic examination, chest; single view 18,287 16,591 $809K
73030 10,113 9,037 $800K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 824 760 $800K
90472 Immunization administration, each additional vaccine (list separately) 24,113 23,944 $782K
74183 2,016 1,996 $771K
J1561 Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg 354 226 $763K
81513 7,478 7,151 $757K
93325 8,543 8,253 $752K
20553 5,536 4,874 $746K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2,245 2,196 $744K
90870 1,943 680 $742K
87086 Culture, bacterial; quantitative colony count, urine 49,556 45,796 $736K
0225U 3,635 3,555 $735K
76700 Ultrasound, abdominal, real time with image documentation; complete 6,090 5,932 $729K
20680 460 447 $715K
72082 5,905 5,843 $711K
J9310 Injection, rituximab, 100 mg 160 125 $699K
43235 1,625 1,575 $694K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12,539 12,317 $691K
72141 2,229 2,211 $675K
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose 3,379 1,753 $671K
95811 1,027 1,020 $670K
73080 9,156 8,048 $670K
73590 10,009 8,813 $666K
80061 Lipid panel 42,845 41,888 $658K
J0897 Injection, denosumab, 1 mg 998 965 $653K
70486 3,139 3,040 $645K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 8,573 7,620 $639K
70496 2,348 2,229 $639K
92557 5,825 5,718 $630K
77067 Screening mammography, bilateral, including computer-aided detection 5,764 5,738 $630K
A0436 Rotary wing air mileage, per statute mile 482 450 $630K
84702 28,913 25,663 $629K
96361 Intravenous infusion, hydration; each additional hour 9,475 8,058 $628K
J0178 Injection, aflibercept, 1 mg 495 482 $623K
83735 76,262 60,777 $622K
87536 7,051 6,910 $615K
73090 8,263 7,221 $608K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 6,151 5,975 $608K
J3490 Unclassified drugs 43,115 30,646 $604K
76705 Ultrasound, abdominal, real time with image documentation; limited 5,092 4,900 $597K
76801 5,857 5,381 $589K
74018 8,576 7,943 $578K
92567 12,901 12,730 $576K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5,810 5,688 $558K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,955 2,859 $553K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 7,802 3,884 $547K
71250 4,094 4,008 $537K
96110 Developmental screening, with scoring and documentation, per standardized instrument 10,250 10,095 $527K
93975 3,713 3,638 $523K
84484 34,902 23,262 $518K
36415 Collection of venous blood by venipuncture 65,241 60,812 $514K
86850 25,894 23,043 $499K
20552 3,725 3,451 $497K
36430 2,430 1,605 $490K
C8930 Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision 1,357 1,340 $488K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,675 5,618 $480K
73564 4,415 4,118 $471K
73221 1,525 1,444 $467K
76830 Ultrasound, transvaginal 5,186 5,035 $459K
84100 81,913 66,309 $455K
81001 80,304 73,932 $454K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 11,147 7,264 $440K
90832 Psychotherapy, 30 minutes with patient 8,064 6,696 $436K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 5,962 5,822 $429K
72100 5,283 5,102 $427K
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 9,728 9,280 $427K
96376 13,236 9,744 $425K
76825 810 762 $423K
76000 2,977 2,872 $421K
80053 Comprehensive metabolic panel 51,696 44,420 $419K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 7,306 5,578 $419K
86780 20,482 19,958 $413K
87481 10,424 9,928 $405K
97542 2,497 2,443 $404K
96416 2,403 1,342 $398K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 964 941 $398K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 4,054 3,888 $394K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 4,736 4,082 $393K
99281 Emergency department visit for the evaluation and management, self-limited or minor 6,777 6,535 $384K
72110 4,169 4,090 $383K
96415 6,047 4,407 $383K
93320 5,598 5,413 $382K
97602 6,509 3,417 $381K
93971 4,165 3,995 $381K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 14,614 14,055 $379K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 976 950 $376K
96417 4,190 2,853 $376K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,254 4,074 $371K
83880 13,639 12,169 $370K
92579 3,335 3,320 $368K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 5,404 4,734 $364K
82077 12,385 11,336 $363K
72197 811 798 $363K
83690 41,716 38,166 $362K
87040 11,147 8,327 $360K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13,319 12,497 $359K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 4,043 3,927 $358K
70491 1,394 1,362 $357K
54161 246 245 $357K
29075 2,248 2,159 $354K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms 2,905 2,754 $353K
73552 5,194 4,708 $344K
84439 28,235 27,295 $343K
51102 457 366 $341K
77073 2,949 2,924 $337K
90847 Family psychotherapy with the patient present, 50 minutes 2,153 1,423 $335K
96367 6,458 4,767 $335K
83970 8,120 7,725 $333K
90834 Psychotherapy, 45 minutes with patient 4,225 2,992 $332K
83655 7,565 7,428 $329K
90461 7,900 7,867 $323K
44970 110 104 $318K
90791 Psychiatric diagnostic evaluation 3,196 3,038 $318K
80074 4,761 4,666 $314K
29405 1,751 1,480 $312K
67028 Intravitreal injection of a pharmacologic agent 1,834 1,777 $311K
82728 18,652 18,007 $310K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 7,487 4,788 $310K
P9016 Red blood cells, leukocytes reduced, each unit 1,215 973 $310K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 10,694 10,183 $309K
76642 3,125 3,084 $307K
77336 2,923 1,433 $298K
86803 14,733 14,476 $297K
93970 2,331 2,281 $296K
29581 5,684 1,737 $294K
90715 13,900 13,645 $288K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,770 2,742 $287K
72146 897 883 $287K
76536 3,098 3,058 $285K
Q9957 Injection, perflutren lipid microspheres, per ml 3,455 3,387 $282K
73060 4,431 4,073 $279K
86480 5,650 5,546 $278K
88307 2,172 2,108 $277K
74181 795 786 $276K
36591 7,694 6,120 $276K
73502 4,909 4,731 $274K
96127 6,859 6,700 $274K
C1769 Guide wire 5,220 4,658 $274K
97535 Self-care/home management training, each 15 minutes 9,794 7,582 $273K
82803 10,170 9,633 $273K
72072 3,398 3,293 $270K
94060 2,409 2,369 $268K
87077 20,459 19,235 $266K
92134 8,738 8,263 $265K
92526 3,281 1,988 $264K
99173 3,932 3,882 $264K
87522 Neg quan hep c or qual rna 4,298 4,184 $263K
86160 6,286 5,850 $263K
81025 18,165 17,326 $260K
90460 Immunization administration through 18 years of age via any route, first or only component 12,084 12,017 $252K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,894 2,847 $252K
74178 1,104 1,083 $252K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 6,619 6,479 $251K
G0009 Administration of pneumococcal vaccine 13,351 13,246 $251K
86235 3,126 3,028 $250K
86140 38,874 35,332 $249K
72050 2,628 2,595 $248K
G0384 Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 1,165 1,141 $248K
82570 35,861 32,844 $244K
72158 551 538 $244K
99172 1,845 1,804 $243K
77334 1,021 779 $241K
64615 2,049 1,941 $237K
77063 Screening digital breast tomosynthesis, bilateral 3,980 3,963 $236K
83605 16,327 13,711 $228K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 4,823 4,666 $226K
88185 853 752 $225K
88342 5,124 4,914 $225K
76870 1,870 1,806 $224K
94760 14,481 13,758 $224K
85610 49,515 42,005 $223K
72156 502 493 $221K
J2704 Injection, propofol, 10 mg 22,117 20,916 $220K
95812 1,247 1,232 $212K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 2,303 2,265 $211K
58300 1,262 1,232 $211K
97760 3,994 3,236 $207K
67311 110 110 $206K
69210 2,299 2,247 $205K
52000 575 567 $202K
76820 2,784 1,361 $202K
87186 15,918 15,038 $202K
87653 4,261 4,155 $201K
29065 1,153 1,123 $198K
97163 2,698 2,666 $197K
43264 271 263 $194K
99442 3,665 3,474 $194K
84403 6,488 6,279 $193K
17110 1,926 1,852 $190K
C1889 Implantable/insertable device, not otherwise classified 1,103 1,043 $189K
J2405 Injection, ondansetron hydrochloride, per 1 mg 54,967 44,973 $188K
72195 469 463 $187K
80305 17,008 15,817 $187K
76813 2,933 2,898 $186K
93226 1,638 1,619 $183K
36592 5,768 4,201 $183K
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg 94 38 $183K
97161 8,097 7,908 $178K
96116 1,036 1,019 $175K
94660 2,244 2,027 $175K
81514 1,593 1,542 $174K
92083 3,371 3,273 $174K
94729 2,554 2,520 $171K
92610 2,102 2,045 $170K
92133 4,603 4,505 $170K
97162 4,441 4,332 $169K
86147 1,561 1,532 $166K
86361 5,817 5,742 $164K
82607 9,896 9,731 $164K
A9577 Injection, gadobenate dimeglumine (multihance), per ml 7,268 7,118 $163K
31231 1,197 1,183 $163K
93017 934 908 $162K
64721 184 174 $160K
77080 2,653 2,620 $160K
82785 2,620 2,549 $159K
77066 Tomosynthesis, mammo 1,852 1,834 $159K
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) 8,543 8,090 $159K
74230 1,857 1,836 $158K
P9047 Infusion, albumin (human), 25%, 50 ml 941 444 $157K
G0475 Hiv antigen/antibody, combination assay, screening 18,776 18,384 $156K
L1960 Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated 317 195 $155K
31575 1,121 1,097 $155K
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 16,068 13,669 $154K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 15,670 15,123 $153K
82043 14,852 14,514 $153K
94726 1,375 1,355 $153K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,670 3,599 $152K
96409 1,610 1,057 $151K
51798 3,962 3,841 $151K
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 6,292 6,173 $151K
83520 5,272 4,099 $151K
J3010 Injection, fentanyl citrate, 0.1 mg 47,157 43,828 $148K
83550 14,824 14,449 $148K
11102 1,071 1,053 $145K
36416 13,740 12,487 $144K
87340 10,077 9,804 $143K
49083 696 314 $142K
12001 1,393 1,366 $140K
77412 1,342 163 $140K
77301 157 147 $138K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 2,606 2,459 $138K
86923 2,181 1,823 $137K
C8908 Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral 352 352 $137K
J1885 Injection, ketorolac tromethamine, per 15 mg 30,012 27,011 $137K
82784 8,528 8,207 $135K
99153 Mod sedat endo service >5yrs 7,637 7,378 $134K
96900 4,643 923 $134K
47562 56 54 $134K
51701 1,732 1,655 $133K
J9035 Injection, bevacizumab, 10 mg 58 26 $131K
80143 6,105 5,552 $130K
77065 Tomosynthesis, mammo 1,860 1,763 $129K
12002 1,284 1,254 $129K
80179 6,013 5,468 $127K
83540 16,376 15,948 $127K
99205 Prolong outpt/office vis 980 972 $126K
11981 687 679 $125K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 4,297 3,781 $125K
97116 3,898 2,904 $124K
82670 3,821 3,754 $124K
94761 4,455 3,419 $123K
86900 28,032 23,541 $123K
92555 1,152 1,135 $123K
12011 1,141 1,112 $121K
43259 288 274 $120K
85730 16,556 15,685 $120K
92611 1,501 1,486 $120K
87480 4,701 4,507 $119K
87510 4,702 4,508 $119K
87660 4,702 4,508 $119K
72040 1,332 1,278 $118K
88304 3,886 3,764 $118K
86901 28,073 23,566 $118K
76886 1,099 1,043 $116K
93923 1,549 1,515 $114K
H2010 Comprehensive medication services, per 15 minutes 861 498 $114K
83516 5,131 4,548 $114K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,818 1,755 $114K
85652 31,611 28,912 $114K
J2997 Injection, alteplase recombinant, 1 mg 645 570 $113K
G0008 Administration of influenza virus vaccine 14,366 14,305 $112K
84156 23,163 21,097 $111K
90670 10,775 10,709 $111K
90474 5,178 5,141 $110K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,269 1,232 $110K
72190 1,108 1,056 $109K
58301 458 447 $109K
96161 2,858 2,829 $109K
73000 1,550 1,438 $107K
J7050 Infusion, normal saline solution, 250 cc 10,964 7,866 $107K
J2560 Injection, phenobarbital sodium, up to 120 mg 2,800 2,021 $107K
J1439 Injection, ferric carboxymaltose, 1 mg 178 111 $106K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,616 1,585 $106K
72157 243 237 $106K
J1050 Injection, medroxyprogesterone acetate, 1 mg 5,348 5,263 $105K
82805 2,544 1,898 $104K
99080 27,972 27,718 $104K
64642 415 408 $103K
86038 6,828 6,689 $102K
C1773 Retrieval device, insertable (used to retrieve fractured medical devices) 2,835 2,774 $102K
82378 4,263 3,565 $101K
77300 437 400 $100K
88312 1,642 1,597 $100K
87632 432 425 $99K
74174 305 296 $99K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 8,519 8,255 $99K
92558 1,801 1,793 $99K
95700 503 487 $97K
87799 2,453 2,220 $96K
69209 1,469 1,402 $96K
97113 630 326 $95K
96119 230 230 $94K
90732 1,246 1,207 $94K
83615 10,784 9,297 $93K
90651 4,322 4,289 $92K
J1453 Injection, fosaprepitant, 1 mg 758 542 $92K
J9070 Cyclophosphamide, 100 mg 186 111 $92K
J8501 Aprepitant, oral, 5 mg 936 663 $92K
10060 983 940 $92K
25600 564 553 $91K
97802 1,540 1,529 $90K
J0696 Injection, ceftriaxone sodium, per 250 mg 7,661 5,984 $90K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 34,037 28,904 $89K
87070 5,716 5,421 $89K
C1887 Catheter, guiding (may include infusion/perfusion capability) 1,126 1,071 $89K
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 925 903 $89K
54640 39 39 $88K
81002 13,631 12,563 $88K
97803 2,131 2,066 $88K
86225 5,034 4,772 $87K
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 16 15 $86K
36000 5,941 5,766 $86K
A9575 Injection, gadoterate meglumine, 0.1 ml 2,114 2,070 $86K
99152 3,905 3,699 $86K
95886 1,124 1,106 $86K
82550 9,921 9,021 $86K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 1,678 1,602 $85K
88313 1,555 1,495 $85K
82248 8,481 6,708 $85K
87902 275 275 $85K
82105 4,124 3,907 $85K
97167 996 984 $83K
80197 6,160 4,201 $82K
96401 2,076 1,170 $82K
96523 2,174 1,825 $82K
99443 1,192 1,129 $82K
95713 212 203 $82K
97165 3,437 3,377 $82K
96411 1,622 1,128 $81K
99606 3,237 2,847 $80K
95782 86 85 $80K
92652 316 307 $79K
82565 14,351 13,730 $79K
J0561 Injection, penicillin g benzathine, 100,000 units 447 392 $78K
84480 4,423 4,135 $78K
72081 934 917 $78K
92582 612 600 $78K
73560 1,182 1,073 $77K
84460 9,720 9,429 $77K
J0690 Injection, cefazolin sodium, 500 mg 15,087 13,623 $77K
G0010 Administration of hepatitis b vaccine 3,792 3,761 $77K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 2,895 2,815 $76K
84270 4,368 4,230 $76K
J1631 Injection, haloperidol decanoate, per 50 mg 1,183 1,049 $76K
73523 591 584 $76K
96118 237 237 $76K
82746 4,662 4,595 $76K
64483 224 222 $75K
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml 890 866 $74K
86762 5,083 4,925 $74K
J0475 Injection, baclofen, 10 mg 285 275 $74K
86146 1,526 1,500 $73K
85384 6,438 5,924 $73K
70543 153 152 $73K
87650 1,623 1,606 $73K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 7,476 4,791 $72K
82140 4,082 3,801 $72K
84450 9,418 9,142 $72K
43244 164 160 $71K
J2250 Injection, midazolam hydrochloride, per 1 mg 35,085 33,095 $71K
86787 5,503 5,339 $71K
94618 803 781 $70K
73140 1,003 956 $70K
93225 1,345 1,328 $69K
11976 162 158 $69K
84153 3,632 3,519 $68K
76942 941 916 $67K
85379 4,756 4,432 $67K
86706 4,856 4,766 $66K
11900 641 619 $66K
78816 70 68 $65K
J1815 Injection, insulin, per 5 units 3,343 1,970 $64K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 4,645 4,569 $64K
96450 265 202 $63K
76827 534 506 $62K
70355 1,523 1,472 $62K
73700 301 280 $62K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 707 617 $62K
76882 648 604 $60K
83001 2,374 2,328 $59K
J3380 Injection, vedolizumab, intravenous, 1 mg 15 12 $59K
11104 418 407 $58K
86945 589 379 $58K
70360 909 871 $58K
84146 2,203 2,151 $58K
11100 546 535 $57K
H2011 Crisis intervention service, per 15 minutes 2,094 1,960 $56K
93246 1,132 1,116 $56K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 1,941 1,902 $56K
82247 4,000 2,609 $56K
70487 198 191 $55K
J9190 Injection, fluorouracil, 500 mg 1,971 1,149 $55K
85018 8,598 8,392 $53K
86800 2,433 2,305 $53K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,939 2,881 $53K
95813 309 298 $53K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 349 251 $53K
86356 379 369 $53K
86870 387 361 $52K
81420 Fetal chromosomal aneuploidy genomic sequence analysis panel 99 95 $51K
26055 70 52 $51K
86708 3,308 3,248 $51K
99496 674 649 $51K
51702 999 918 $51K
86430 4,136 4,014 $50K
82977 5,116 4,623 $50K
86334 1,176 1,068 $49K
74022 537 522 $49K
86376 2,253 2,214 $49K
87497 1,647 1,341 $49K
86704 4,109 4,022 $48K
87338 2,702 2,667 $48K
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 3,253 2,559 $46K
J1644 Injection, heparin sodium, per 1000 units 7,673 4,159 $46K
87505 1,433 1,340 $46K
96160 1,222 1,213 $45K
95951 91 59 $45K
86200 2,880 2,822 $45K
87205 6,720 6,293 $44K
64493 102 99 $44K
94727 518 511 $44K
97166 1,490 1,440 $44K
86304 1,529 1,405 $43K
76937 728 679 $42K
93321 1,827 1,797 $42K
J1650 Injection, enoxaparin sodium, 10 mg 7,942 3,683 $42K
J2795 Injection, ropivacaine hydrochloride, 1 mg 2,500 2,422 $42K
87075 2,540 1,943 $42K
86355 1,231 1,159 $42K
J9263 Injection, oxaliplatin, 0.5 mg 502 205 $41K
84550 7,035 6,316 $41K
77077 376 371 $41K
83002 1,737 1,700 $41K
94664 504 495 $41K
81373 193 193 $40K
70544 123 118 $40K
87206 2,944 2,377 $39K
86255 2,000 1,942 $39K
57454 184 182 $39K
84481 1,889 1,831 $39K
Q5119 Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg 41 14 $39K
85246 1,124 1,018 $39K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 10,178 5,322 $39K
81375 132 131 $38K
90853 Group psychotherapy (other than of a multiple-family group) 1,305 1,060 $38K
90677 804 794 $38K
86359 589 559 $38K
77295 38 37 $38K
88184 935 805 $38K
87529 598 583 $38K
96139 300 299 $38K
70250 454 421 $37K
43762 184 180 $37K
58661 16 16 $37K
C1726 Catheter, balloon dilatation, non-vascular 325 298 $37K
95251 1,325 1,312 $37K
96402 1,597 1,494 $37K
C9399 Unclassified drugs or biologicals 976 943 $37K
88112 1,576 1,507 $37K
90785 4,901 3,010 $36K
84305 1,143 1,058 $36K
J3370 Injection, vancomycin hcl, 500 mg 2,856 2,137 $36K
88720 3,984 2,967 $36K
J2270 Injection, morphine sulfate, up to 10 mg 12,213 9,761 $36K
J3475 Injection, magnesium sulfate, per 500 mg 3,121 2,357 $36K
87102 2,507 2,395 $35K
77338 229 211 $35K
88341 2,070 1,918 $35K
92523 353 339 $34K
L4361 Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 254 243 $34K
93880 349 339 $34K
85014 9,789 8,496 $34K
92250 557 543 $34K
20550 253 242 $34K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 382 378 $33K
99177 2,437 2,422 $33K
80164 1,540 1,437 $33K
84134 1,910 1,767 $32K
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 1,755 1,726 $32K
36593 293 264 $32K
92585 132 127 $32K
J0694 Injection, cefoxitin sodium, 1 gm 1,571 1,011 $32K
95117 1,185 558 $32K
81508 1,168 1,130 $31K
95956 58 30 $31K
87631 230 227 $31K
86256 2,103 1,936 $31K
J1200 Injection, diphenhydramine hcl, up to 50 mg 10,676 8,720 $30K
84165 2,861 2,589 $30K
17000 664 650 $30K
82330 1,983 1,570 $29K
72052 315 306 $29K
82610 2,276 2,194 $29K
96132 176 172 $29K
99495 509 505 $29K
L2840 Addition to lower extremity orthosis, tibial length sock, fracture or equal, each 429 262 $28K
67228 70 58 $28K
90792 Psychiatric diagnostic evaluation with medical services 353 323 $28K
74019 255 245 $27K
J3480 Injection, potassium chloride, per 2 meq 3,115 2,183 $27K
J9045 Injection, carboplatin, 50 mg 833 589 $27K
83993 1,704 1,671 $26K
85613 1,518 1,498 $26K
77091 925 900 $26K
92551 445 443 $26K
J1170 Injection, hydromorphone, up to 4 mg 6,745 5,167 $26K
86360 470 452 $26K
85049 4,832 4,650 $25K
86665 500 449 $25K
92552 227 227 $25K
82075 1,016 969 $25K
25605 73 71 $24K
90473 1,201 1,197 $24K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 3,491 3,260 $24K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 3,540 3,224 $24K
86300 758 674 $24K
86258 2,608 2,574 $24K
J0780 Injection, prochlorperazine, up to 10 mg 2,696 2,431 $24K
84145 1,498 1,169 $23K
86039 1,696 1,663 $23K
84445 329 326 $23K
72070 288 279 $23K
77072 263 261 $23K
80299 1,048 989 $23K
71101 247 236 $23K
86364 2,607 2,572 $23K
87116 1,350 1,203 $22K
80177 2,035 1,929 $22K
J0640 Injection, leucovorin calcium, per 50 mg 420 248 $22K
J0330 Injection, succinylcholine chloride, up to 20 mg 2,076 1,779 $22K
99607 896 733 $21K
64450 49 41 $21K
90734 3,107 3,094 $21K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 41 41 $21K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,929 1,766 $21K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 248 243 $21K
J1953 Injection, levetiracetam, 10 mg 1,274 1,071 $21K
82533 1,095 941 $21K
82085 1,498 1,357 $20K
88300 1,731 1,713 $20K
29125 165 162 $20K
89051 2,019 1,367 $20K
97763 313 254 $20K
92524 173 172 $19K
83521 1,691 1,189 $19K
82950 3,974 3,927 $19K
95115 772 350 $19K
20605 135 133 $19K
99233 Prolong inpt eval add15 m 307 155 $19K
20611 116 109 $19K
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) 1,899 1,733 $19K
H0033 Oral medication administration, direct observation 68 68 $19K
J3489 Injection, zoledronic acid, 1 mg 361 345 $19K
87015 1,841 1,548 $19K
P9045 Infusion, albumin (human), 5%, 250 ml 88 52 $18K
64566 216 112 $18K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,113 1,573 $18K
J9171 Injection, docetaxel, 1 mg 76 41 $18K
81003 3,333 3,193 $18K
82040 4,009 3,738 $18K
11721 511 504 $18K
80180 1,848 1,560 $17K
83721 1,418 1,372 $17K
J9370 Vincristine sulfate, 1 mg 1,178 729 $17K
86828 883 842 $17K
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 114 113 $17K
J7120 Ringers lactate infusion, up to 1000 cc 2,244 1,934 $17K
45381 60 56 $16K
93798 455 127 $16K
93271 157 144 $16K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 3,865 3,722 $16K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 6,150 5,877 $16K
43760 93 86 $16K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 36 36 $16K
82951 1,063 1,051 $15K
93296 721 711 $15K
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 3,016 101 $15K
J2060 Injection, lorazepam, 2 mg 6,135 5,036 $15K
J1950 Injection, leuprolide acetate (for depot suspension), per 3.75 mg 13 12 $15K
74455 97 94 $15K
87641 671 553 $15K
C1874 Stent, coated/covered, with delivery system 27 27 $15K
82150 1,565 1,481 $15K
85048 4,191 4,047 $15K
J7030 Infusion, normal saline solution , 1000 cc 1,720 1,237 $15K
81511 398 389 $14K
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 748 455 $14K
90686 8,420 8,387 $14K
J7300 Intrauterine copper contraceptive (paragard) 13 13 $14K
74021 160 139 $14K
86357 514 495 $14K
95991 181 174 $13K
93299 467 459 $13K
92025 318 313 $13K
J3411 Injection, thiamine hcl, 100 mg 1,076 820 $13K
90746 194 190 $13K
92081 287 278 $13K
93356 113 104 $13K
93308 64 60 $13K
74241 115 115 $12K
92553 98 97 $12K
64643 128 123 $12K
99406 744 731 $12K
17003 170 169 $12K
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg 335 142 $12K
29515 140 133 $12K
95911 106 106 $12K
87901 45 44 $12K
91320 314 307 $12K
C9257 Injection, bevacizumab, 0.25 mg 537 532 $12K
90480 1,050 1,036 $11K
64494 67 64 $11K
88173 265 240 $11K
86592 1,966 1,917 $11K
51700 121 94 $11K
31579 50 50 $11K
99441 376 353 $11K
80175 765 737 $11K
11982 40 40 $11K
87486 303 298 $11K
70480 66 64 $11K
J2550 Injection, promethazine hcl, up to 50 mg 3,162 2,630 $11K
J1790 Injection, droperidol, up to 5 mg 2,384 2,175 $11K
C2617 Stent, non-coronary, temporary, without delivery system 247 233 $10K
58100 110 108 $10K
84466 744 734 $10K
A0434 Specialty care transport (sct) 81 81 $10K
D1208 Topical application of fluoride, excluding varnish 104 103 $10K
86301 453 398 $10K
43273 16 15 $10K
90688 710 705 $10K
87581 305 300 $10K
84432 548 487 $10K
88108 296 242 $10K
J9267 Injection, paclitaxel, 1 mg 600 316 $10K
87449 921 897 $10K
87324 571 559 $10K
52287 12 12 $10K
92609 278 146 $9K
92504 649 635 $9K
95250 76 75 $9K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 2,032 1,824 $9K
A0425 Ground mileage, per statute mile 610 598 $9K
49082 37 26 $9K
84436 978 962 $9K
51741 171 168 $9K
J7060 5% dextrose/water (500 ml = 1 unit) 1,147 786 $9K
82390 723 715 $9K
C9113 Injection, pantoprazole sodium, per vial 1,739 1,075 $9K
87081 658 641 $9K
36561 14 12 $9K
90685 4,552 4,528 $9K
J2800 Injection, methocarbamol, up to 10 ml 578 384 $8K
26720 57 56 $8K
84112 210 202 $8K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 922 645 $8K
91065 57 54 $8K
77001 231 219 $8K
84520 1,794 1,737 $8K
95819 49 49 $8K
99383 72 71 $8K
92588 90 90 $8K
97164 384 380 $8K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 453 252 $8K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 72 69 $8K
88360 67 65 $8K
97598 195 107 $7K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 26 26 $7K
99195 116 100 $7K
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 806 789 $7K
92228 118 118 $7K
11056 110 108 $7K
64616 56 51 $7K
92560 1,118 1,113 $7K
T1502 Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit 2,394 2,047 $7K
96138 336 330 $7K
82947 1,069 1,051 $7K
76519 163 160 $7K
T1016 Case management, each 15 minutes 136,468 76,376 $7K
76821 77 62 $7K
82397 460 445 $7K
26600 42 41 $6K
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 19 19 $6K
L3807 Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 88 87 $6K
87328 328 317 $6K
J1580 Injection, garamycin, gentamicin, up to 80 mg 1,591 1,455 $6K
J3111 Injection, romosozumab-aqqg, 1 mg 12 12 $6K
94626 124 39 $6K
80195 331 272 $6K
89220 194 191 $6K
H0038 Self-help/peer services, per 15 minutes 277 233 $6K
78306 25 25 $6K
96368 243 181 $6K
84681 193 191 $6K
80178 558 521 $6K
73720 14 12 $5K
29105 62 61 $5K
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 866 410 $5K
73600 59 54 $5K
J1630 Injection, haloperidol, up to 5 mg 1,434 1,302 $5K
J1940 Injection, furosemide, up to 20 mg 1,618 1,069 $5K
97010 608 408 $5K
86880 553 528 $5K
86036 739 719 $5K
J1040 Injection, methylprednisolone acetate, 80 mg 459 450 $5K
92227 145 145 $5K
J0670 Injection, mepivacaine hydrochloride, per 10 ml 1,080 1,049 $5K
64644 25 25 $5K
11719 111 111 $5K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 12 12 $5K
90716 2,580 2,563 $5K
92136 106 103 $5K
72202 57 56 $5K
93280 202 200 $5K
77290 14 12 $5K
99231 Subsequent hospital care, per day, straightforward or low complexity 171 109 $5K
99201 209 205 $5K
49450 13 13 $5K
11101 77 75 $5K
72114 47 46 $5K
99384 43 41 $5K
87906 45 44 $5K
84157 821 746 $5K
84590 273 268 $5K
90621 614 613 $5K
86352 25 24 $5K
64405 29 25 $5K
87517 119 118 $4K
77075 28 27 $4K
88377 15 12 $4K
86593 1,107 1,087 $4K
J8499 Prescription drug, oral, non chemotherapeutic, nos 3,860 1,975 $4K
87329 364 355 $4K
82945 707 649 $4K
84425 282 277 $4K
72131 26 25 $4K
94668 100 77 $4K
84155 1,313 1,190 $4K
85240 142 130 $4K
73070 57 51 $4K
83498 137 129 $4K
84446 297 291 $4K
75635 12 12 $4K
80156 180 174 $4K
J0613 Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg 309 180 $4K
88311 515 485 $4K
92556 68 68 $4K
77076 39 39 $4K
97032 110 74 $4K
87900 40 38 $4K
76512 52 49 $4K
84132 515 466 $4K
J8540 Dexamethasone, oral, 0.25 mg 1,950 1,475 $4K
85520 157 95 $4K
G0381 Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 54 54 $3K
85651 541 515 $3K
51600 85 84 $3K
74240 37 37 $3K
82627 126 122 $3K
80069 483 445 $3K
82164 138 135 $3K
G0444 Annual depression screening, 5 to 15 minutes 256 249 $3K
80185 155 133 $3K
85046 1,446 1,288 $3K
90707 2,560 2,543 $3K
Q2039 Influenza virus vaccine, not otherwise specified 214 214 $3K
86381 226 223 $3K
85045 510 418 $3K
90846 Family psychotherapy without the patient present, 50 minutes 18 13 $3K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 117 114 $3K
80230 189 181 $3K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 371 282 $3K
78264 13 12 $3K
29345 13 12 $3K
D7140 Extraction, erupted tooth or exposed root 14 13 $3K
86015 416 409 $3K
89050 629 554 $3K
12053 12 12 $3K
J2765 Injection, metoclopramide hcl, up to 10 mg 1,130 1,027 $3K
U0001 Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel 59 59 $3K
C2628 Catheter, occlusion 42 40 $3K
92520 38 38 $3K
95910 38 38 $3K
92225 70 69 $3K
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 371 296 $3K
95873 40 38 $3K
90636 44 44 $3K
71271 28 28 $3K
77081 271 260 $3K
29126 48 46 $3K
82340 272 263 $2K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 2,677 2,015 $2K
72220 40 40 $2K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 18 14 $2K
J2400 Injection, chloroprocaine hydrochloride, per 30 ml 132 126 $2K
96381 148 147 $2K
93926 27 26 $2K
86148 84 83 $2K
74170 12 12 $2K
82104 138 136 $2K
73620 32 27 $2K
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units 31 12 $2K
87899 95 93 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 50 49 $2K
76514 83 79 $2K
J0461 Injection, atropine sulfate, 0.01 mg 378 296 $2K
11720 56 56 $2K
85245 43 38 $2K
72080 26 26 $2K
82952 821 815 $2K
85004 276 264 $2K
86141 111 110 $2K
J2370 Injection, phenylephrine hcl, up to 1 ml 512 488 $2K
J1805 Injection, esmolol hydrochloride, 10 mg 307 280 $2K
88172 75 65 $2K
A6211 Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing 31 27 $2K
86341 82 80 $2K
77280 12 12 $2K
J9250 Methotrexate sodium, 5 mg 270 173 $2K
C1729 Catheter, drainage 33 29 $2K
76885 13 13 $2K
95977 13 13 $2K
93985 13 13 $2K
27750 12 12 $2K
84478 232 183 $2K
C1780 Lens, intraocular (new technology) 1,480 1,347 $2K
J1596 Injection, glycopyrrolate, 0.1 mg 421 407 $2K
64612 14 14 $2K
90632 29 29 $2K
82310 264 246 $2K
87184 77 72 $2K
86008 13 13 $2K
86645 76 74 $2K
82232 144 127 $2K
72192 12 12 $2K
74220 24 24 $2K
C1781 Mesh (implantable) 15 13 $2K
86316 83 79 $1K
86777 67 66 $1K
12013 16 16 $1K
J1756 Injection, iron sucrose, 1 mg 63 29 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 155 150 $1K
85130 132 129 $1K
L0984 Protective body sock, prefabricated, off-the-shelf, each 27 12 $1K
95909 25 25 $1K
96136 65 65 $1K
99407 95 92 $1K
J9000 Injection, doxorubicin hydrochloride, 10 mg 46 26 $1K
87088 190 184 $1K
73503 12 12 $1K
82024 40 39 $1K
82274 82 79 $1K
J2598 Injection, vasopressin, 1 unit 91 82 $1K
88302 56 55 $1K
80145 55 52 $1K
95874 42 39 $1K
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml 98 64 $1K
0296T 28 27 $1K
99156 25 25 $1K
88740 103 103 $1K
Q9968 Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg 12 12 $1K
95012 28 28 $1K
A4315 Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone 43 43 $1K
76604 13 13 $1K
86644 49 49 $1K
88237 13 13 $1K
83020 46 41 $1K
82103 63 63 $1K
87176 171 158 $987.53
84075 176 172 $981.28
17250 50 41 $962.99
90700 809 803 $918.18
90648 3,074 3,065 $903.04
97018 50 32 $884.68
99151 41 40 $880.30
J7999 Compounded drug, not otherwise classified 40 38 $859.96
J0692 Injection, cefepime hydrochloride, 500 mg 64 45 $842.78
0141U 104 101 $839.02
74270 12 12 $830.83
86696 28 24 $804.09
J1030 Injection, methylprednisolone acetate, 40 mg 134 133 $791.03
80183 90 87 $784.31
J9260 Injection, methotrexate sodium, 50 mg 57 37 $774.34
46600 12 12 $748.57
88350 12 12 $746.44
77012 12 12 $724.71
J2471 Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg 185 128 $718.63
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 16 15 $699.36
J1171 Injection, hydromorphone, 0.1 mg 247 203 $698.67
84300 148 141 $694.15
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 132 99 $687.72
91200 41 41 $685.64
0552T 14 14 $682.89
77002 38 37 $620.91
82955 44 44 $617.04
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units 23 13 $590.22
86663 28 28 $574.06
95908 13 13 $570.40
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 12 12 $566.10
J1836 Injection, metronidazole, 10 mg 74 58 $566.08
92082 16 16 $549.41
82365 27 27 $549.14
86695 28 24 $526.42
93298 98 97 $522.26
84244 25 24 $505.52
86308 52 51 $504.15
Q0177 Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 395 302 $486.35
86337 26 25 $464.74
77417 41 28 $447.50
J2003 Injection, lidocaine hydrochloride, 1 mg 204 181 $444.34
84154 25 25 $441.49
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 12,846 11,687 $437.20
J9060 Injection, cisplatin, powder or solution, 10 mg 33 12 $433.83
96137 13 13 $432.25
92060 15 15 $431.01
G0380 Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) 12 12 $423.73
88346 12 12 $416.63
86618 13 13 $408.18
86664 16 16 $403.38
80203 52 51 $387.22
82139 12 12 $363.22
S0280 Medical home program, comprehensive care coordination and planning, initial plan 9,124 7,979 $348.01
80202 19 12 $343.81
83921 14 14 $339.58
86580 36 35 $338.64
88142 12 12 $337.87
82465 53 38 $331.17
86705 26 26 $328.11
80235 26 26 $320.13
86735 28 27 $307.67
82525 25 25 $304.95
92020 14 13 $303.67
80201 13 12 $301.65
83010 16 15 $281.17
88331 15 12 $280.31
82653 24 24 $276.88
84144 12 12 $272.89
J1626 Injection, granisetron hydrochloride, 100 mcg 43 43 $265.82
82375 12 12 $265.28
90698 6,827 6,784 $263.05
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml 28 28 $244.96
97016 25 14 $239.41
J0173 Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg 92 84 $230.80
J1010 Injection, methylprednisolone acetate, 1 mg 31 30 $218.49
86060 17 17 $215.86
83006 56 55 $197.41
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 12 12 $186.82
83937 12 12 $180.60
82523 32 32 $165.70
90713 84 83 $157.68
82962 42 42 $148.80
82010 12 12 $144.98
86765 13 12 $141.06
J0360 Injection, hydralazine hcl, up to 20 mg 42 40 $138.46
87147 14 13 $131.27
90633 5,346 5,315 $119.27
98960 12 12 $118.80
90744 3,017 2,979 $107.18
A6260 Wound cleansers, any type, any size 13 12 $97.26
83930 12 12 $83.77
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 360 345 $80.00
J3430 Injection, phytonadione (vitamin k), per 1 mg 16 16 $79.98
84133 18 17 $76.57
G0127 Trimming of dystrophic nails, any number 27 27 $70.92
J0290 Injection, ampicillin sodium, 500 mg 28 25 $67.22
J2720 Injection, protamine sulfate, per 10 mg 15 15 $64.21
90696 2,085 2,079 $42.54
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 13 13 $42.49
81015 16 15 $34.53
90680 6,636 6,610 $32.25
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 130 121 $28.06
V2632 Posterior chamber intraocular lens 250 226 $19.33
90723 2,655 2,647 $0.97
90710 2,396 2,389 $0.86
90647 44 44 $0.04
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 339 324 $0.00
J2590 Injection, oxytocin, up to 10 units 32 28 $0.00
90681 14 14 $0.00
0159T 13 13 $0.00
T2030 Assisted living, waiver; per month 48 48 $0.00
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 24 24 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 99 92 $0.00