| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
145,223 |
116,985 |
$20.87M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
68,833 |
64,187 |
$14.30M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
47,903 |
45,853 |
$10.39M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43,006 |
38,205 |
$5.18M |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
22,372 |
21,628 |
$4.88M |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
24,849 |
23,717 |
$4.34M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25,507 |
23,809 |
$3.76M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23,276 |
22,190 |
$3.52M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
14,988 |
14,630 |
$3.27M |
| 80053 |
Comprehensive metabolic panel |
84,652 |
75,809 |
$2.77M |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
60,590 |
57,450 |
$2.57M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,905 |
1,896 |
$1.73M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
9,557 |
9,310 |
$1.64M |
| 70450 |
Computed tomography, head or brain; without contrast material |
7,410 |
7,285 |
$1.43M |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
6,534 |
6,336 |
$1.36M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,928 |
8,352 |
$1.10M |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
5,516 |
3,717 |
$1.04M |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
983 |
976 |
$954K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,820 |
7,413 |
$935K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
13,303 |
6,959 |
$910K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
24,193 |
23,675 |
$888K |
| 86850 |
|
13,717 |
13,024 |
$853K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,993 |
3,856 |
$824K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,477 |
4,436 |
$762K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,855 |
3,796 |
$760K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
611 |
608 |
$648K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
3,407 |
3,401 |
$639K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
3,675 |
3,655 |
$628K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
10,866 |
10,719 |
$620K |
| 36415 |
Collection of venous blood by venipuncture |
21,125 |
16,768 |
$576K |
| 76818 |
|
7,293 |
3,221 |
$551K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
6,071 |
6,034 |
$543K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,875 |
3,812 |
$531K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,355 |
4,130 |
$525K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,944 |
2,909 |
$501K |
| 92551 |
|
4,486 |
4,474 |
$460K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,394 |
3,367 |
$457K |
| 90832 |
Psychotherapy, 30 minutes with patient |
3,453 |
2,275 |
$443K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
13,804 |
9,780 |
$441K |
| 97162 |
|
3,028 |
3,005 |
$403K |
| 86480 |
|
6,298 |
6,243 |
$375K |
| 97010 |
|
10,281 |
5,506 |
$345K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,667 |
2,508 |
$328K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,787 |
2,776 |
$326K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
961 |
663 |
$314K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
11,298 |
10,888 |
$297K |
| 1159F |
|
17,486 |
13,743 |
$297K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,279 |
2,239 |
$293K |
| 1126F |
|
13,411 |
9,660 |
$291K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,410 |
2,278 |
$289K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,098 |
2,074 |
$284K |
| 93970 |
|
1,775 |
1,757 |
$277K |
| 76770 |
|
1,384 |
1,375 |
$276K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,783 |
1,769 |
$267K |
| 12001 |
|
818 |
817 |
$262K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,612 |
4,240 |
$248K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,363 |
3,137 |
$248K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,879 |
4,784 |
$240K |
| 80061 |
Lipid panel |
27,586 |
27,374 |
$240K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,536 |
15,448 |
$235K |
| 99381 |
|
1,594 |
1,570 |
$234K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,825 |
1,717 |
$225K |
| 99215 |
Prolong outpt/office vis |
1,338 |
1,283 |
$222K |
| 76000 |
|
698 |
687 |
$216K |
| 86901 |
|
13,841 |
13,177 |
$212K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
1,065 |
1,059 |
$212K |
| 12011 |
|
611 |
611 |
$210K |
| 86710 |
|
26,813 |
23,924 |
$206K |
| 87623 |
|
4,177 |
4,167 |
$186K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
9,681 |
9,626 |
$185K |
| 76830 |
Ultrasound, transvaginal |
3,971 |
3,813 |
$183K |
| 76801 |
|
2,235 |
2,041 |
$181K |
| 82948 |
|
31,782 |
25,260 |
$178K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,087 |
1,901 |
$177K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,671 |
1,650 |
$177K |
| 29580 |
|
822 |
538 |
$176K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,422 |
5,945 |
$172K |
| 76641 |
|
2,574 |
2,483 |
$167K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
1,517 |
1,508 |
$166K |
| 87536 |
|
2,778 |
2,751 |
$164K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
14,662 |
14,517 |
$163K |
| 86900 |
|
13,849 |
13,186 |
$159K |
| 84703 |
|
33,031 |
30,961 |
$156K |
| A0425 |
Ground mileage, per statute mile |
29,164 |
27,660 |
$154K |
| 77066 |
Tomosynthesis, mammo |
1,433 |
1,427 |
$150K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,845 |
1,529 |
$148K |
| 90461 |
|
7,317 |
7,281 |
$147K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
81,860 |
76,783 |
$143K |
| 88142 |
|
5,771 |
5,755 |
$143K |
| 99205 |
Prolong outpt/office vis |
756 |
751 |
$142K |
| J1756 |
Injection, iron sucrose, 1 mg |
3,137 |
1,523 |
$140K |
| 1125F |
|
4,993 |
3,643 |
$127K |
| 90670 |
|
5,279 |
5,266 |
$122K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
690 |
370 |
$121K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
5,548 |
5,522 |
$113K |
| 90649 |
|
1,975 |
1,969 |
$112K |
| 86360 |
|
2,813 |
2,796 |
$107K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
2,504 |
2,376 |
$105K |
| 83655 |
|
8,449 |
8,406 |
$100K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,040 |
976 |
$94K |
| 29125 |
|
538 |
529 |
$93K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
266 |
265 |
$93K |
| 0002A |
|
3,501 |
3,484 |
$91K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26,140 |
25,859 |
$90K |
| 99385 |
|
729 |
727 |
$90K |
| 0001A |
|
3,966 |
3,948 |
$90K |
| 76536 |
|
1,450 |
1,421 |
$89K |
| 83970 |
|
2,619 |
2,587 |
$88K |
| 71046 |
Radiologic examination, chest; 2 views |
17,709 |
17,437 |
$88K |
| 70486 |
|
1,355 |
1,342 |
$86K |
| 84443 |
Thyroid stimulating hormone (TSH) |
24,607 |
24,265 |
$84K |
| 96161 |
|
1,607 |
1,589 |
$84K |
| 10060 |
|
288 |
283 |
$83K |
| 11721 |
|
1,315 |
1,279 |
$82K |
| 90686 |
|
4,657 |
4,647 |
$82K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
414 |
403 |
$80K |
| 86708 |
|
7,683 |
7,626 |
$73K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
394 |
380 |
$70K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,944 |
1,505 |
$68K |
| 71250 |
|
770 |
755 |
$67K |
| 81025 |
|
1,218 |
1,210 |
$67K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,824 |
1,807 |
$67K |
| 84439 |
|
14,615 |
14,432 |
$66K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,176 |
1,175 |
$65K |
| 97014 |
|
4,687 |
2,607 |
$64K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
54 |
54 |
$64K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
375 |
365 |
$59K |
| 77065 |
Tomosynthesis, mammo |
776 |
753 |
$59K |
| 80074 |
|
2,502 |
2,486 |
$55K |
| 86780 |
|
12,815 |
12,716 |
$55K |
| 76813 |
|
798 |
782 |
$55K |
| 81001 |
|
45,672 |
43,581 |
$54K |
| 73630 |
|
4,968 |
4,554 |
$53K |
| 86706 |
|
10,564 |
10,476 |
$53K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
222 |
215 |
$53K |
| 82803 |
|
841 |
807 |
$51K |
| 85610 |
|
17,680 |
16,743 |
$51K |
| 96160 |
|
1,045 |
1,039 |
$51K |
| 76642 |
|
1,220 |
1,207 |
$51K |
| 86803 |
|
9,710 |
9,626 |
$50K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,362 |
6,292 |
$49K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
492 |
491 |
$48K |
| 87631 |
|
1,267 |
1,226 |
$48K |
| 84702 |
|
10,048 |
9,090 |
$45K |
| 58558 |
|
39 |
39 |
$45K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,227 |
1,375 |
$43K |
| 94060 |
|
1,369 |
1,350 |
$43K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12,279 |
11,715 |
$43K |
| 82607 |
|
5,116 |
5,064 |
$42K |
| 74240 |
|
539 |
538 |
$41K |
| 72131 |
|
336 |
335 |
$41K |
| 74160 |
|
226 |
225 |
$41K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,661 |
1,634 |
$40K |
| 90647 |
|
3,958 |
3,947 |
$40K |
| 90651 |
|
567 |
566 |
$40K |
| 90715 |
|
1,910 |
1,896 |
$39K |
| 97016 |
|
629 |
384 |
$38K |
| 81002 |
|
1,413 |
1,113 |
$38K |
| 99386 |
|
336 |
334 |
$38K |
| 86704 |
|
7,835 |
7,772 |
$38K |
| 82652 |
|
2,015 |
2,002 |
$37K |
| 90714 |
|
2,434 |
2,370 |
$37K |
| 29515 |
|
195 |
188 |
$36K |
| 77080 |
|
1,078 |
1,074 |
$35K |
| 83880 |
|
1,815 |
1,750 |
$34K |
| 83013 |
|
696 |
695 |
$33K |
| 94729 |
|
1,540 |
1,533 |
$33K |
| 31575 |
|
260 |
258 |
$33K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
149 |
145 |
$32K |
| 90633 |
|
2,893 |
2,885 |
$31K |
| 82728 |
|
4,472 |
4,402 |
$31K |
| 73562 |
|
2,839 |
2,757 |
$31K |
| 12002 |
|
77 |
77 |
$31K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
218 |
217 |
$31K |
| 0004A |
|
961 |
960 |
$30K |
| 85730 |
|
15,804 |
15,111 |
$30K |
| 92557 |
|
553 |
552 |
$30K |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
1,043 |
995 |
$29K |
| 99173 |
|
3,160 |
3,151 |
$28K |
| 92567 |
|
856 |
852 |
$28K |
| A4649 |
Surgical supply; miscellaneous |
5,659 |
5,201 |
$28K |
| 77062 |
|
641 |
640 |
$28K |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
251 |
246 |
$28K |
| 1003F |
|
1,556 |
1,258 |
$28K |
| 76870 |
|
484 |
461 |
$28K |
| 93971 |
|
382 |
376 |
$28K |
| 73610 |
|
3,178 |
2,917 |
$27K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,049 |
1,043 |
$27K |
| 88304 |
|
1,222 |
1,213 |
$27K |
| 82746 |
|
3,915 |
3,875 |
$27K |
| 86769 |
|
1,097 |
1,096 |
$26K |
| 90677 |
|
984 |
984 |
$26K |
| 92250 |
|
492 |
484 |
$26K |
| 92201 |
|
517 |
511 |
$25K |
| 72100 |
|
2,138 |
2,127 |
$25K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
289 |
289 |
$25K |
| 90681 |
|
3,123 |
3,120 |
$24K |
| 80076 |
|
2,288 |
2,225 |
$24K |
| 94727 |
|
1,026 |
1,022 |
$24K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
336 |
321 |
$24K |
| 90716 |
|
1,469 |
1,465 |
$23K |
| 73030 |
|
2,772 |
2,498 |
$23K |
| 90723 |
|
2,990 |
2,983 |
$23K |
| 1005F |
|
366 |
364 |
$23K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
2,627 |
1,481 |
$22K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,337 |
4,250 |
$22K |
| 97597 |
|
68 |
45 |
$22K |
| 90750 |
|
141 |
141 |
$21K |
| 87480 |
|
2,442 |
2,424 |
$21K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
115 |
115 |
$20K |
| 90734 |
|
1,219 |
1,214 |
$20K |
| 73110 |
|
2,026 |
1,764 |
$20K |
| 86762 |
|
2,391 |
2,376 |
$19K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,251 |
1,240 |
$18K |
| 87807 |
|
23,613 |
22,843 |
$18K |
| 11043 |
|
54 |
36 |
$18K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
153 |
153 |
$18K |
| 93454 |
|
12 |
12 |
$18K |
| 88312 |
|
1,587 |
1,578 |
$18K |
| 99243 |
|
168 |
167 |
$18K |
| 84481 |
|
4,709 |
4,654 |
$18K |
| 82043 |
|
5,280 |
5,238 |
$17K |
| 36600 |
|
911 |
864 |
$16K |
| 99442 |
|
417 |
410 |
$16K |
| 87660 |
|
2,432 |
2,414 |
$16K |
| 87510 |
|
2,420 |
2,402 |
$16K |
| 90707 |
|
1,498 |
1,494 |
$15K |
| 90739 |
|
199 |
195 |
$15K |
| 73130 |
|
2,626 |
2,540 |
$15K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
214 |
214 |
$15K |
| 88720 |
|
250 |
208 |
$15K |
| 87340 |
|
5,327 |
5,297 |
$14K |
| 90694 |
|
301 |
300 |
$14K |
| 84153 |
|
1,804 |
1,788 |
$14K |
| 90620 |
|
610 |
605 |
$14K |
| 86609 |
|
1,478 |
1,433 |
$14K |
| 74150 |
|
85 |
84 |
$14K |
| 97161 |
|
135 |
135 |
$14K |
| 99404 |
|
162 |
159 |
$14K |
| 90657 |
|
6,407 |
6,386 |
$13K |
| 83001 |
|
1,109 |
1,099 |
$13K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
560 |
555 |
$13K |
| 86787 |
|
2,607 |
2,590 |
$13K |
| 90698 |
|
1,492 |
1,491 |
$13K |
| G0378 |
Hospital observation service, per hour |
27 |
13 |
$13K |
| 90791 |
Psychiatric diagnostic evaluation |
69 |
68 |
$13K |
| 88160 |
|
254 |
240 |
$13K |
| 84402 |
|
700 |
695 |
$12K |
| 84146 |
|
931 |
924 |
$12K |
| 97164 |
|
176 |
168 |
$12K |
| 84144 |
|
505 |
476 |
$12K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
43 |
43 |
$12K |
| 97022 |
|
246 |
138 |
$12K |
| 76827 |
|
297 |
288 |
$12K |
| 82105 |
|
1,188 |
1,174 |
$12K |
| 29540 |
|
67 |
57 |
$12K |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
954 |
832 |
$12K |
| M0247 |
Intravenous infusion, sotrovimab, includes infusion and post administration monitoring |
48 |
47 |
$12K |
| 80305 |
|
4,077 |
4,017 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
6,622 |
6,351 |
$11K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
76 |
72 |
$11K |
| 72110 |
|
649 |
647 |
$11K |
| 99201 |
|
110 |
110 |
$11K |
| 69210 |
|
175 |
171 |
$10K |
| 99496 |
|
94 |
91 |
$10K |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
1,031 |
1,027 |
$10K |
| 72050 |
|
590 |
586 |
$10K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
275 |
272 |
$10K |
| J3490 |
Unclassified drugs |
817 |
732 |
$10K |
| 99401 |
|
336 |
333 |
$10K |
| 87070 |
|
1,909 |
1,870 |
$10K |
| 70491 |
|
54 |
53 |
$9K |
| 90710 |
|
951 |
950 |
$9K |
| 92083 |
|
174 |
172 |
$9K |
| 96367 |
|
181 |
179 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,004 |
1,950 |
$9K |
| 82950 |
|
1,485 |
1,483 |
$9K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,256 |
2,079 |
$9K |
| 86141 |
|
2,166 |
2,117 |
$8K |
| 90685 |
|
411 |
410 |
$8K |
| 90700 |
|
1,336 |
1,330 |
$8K |
| 83020 |
|
1,271 |
1,266 |
$8K |
| 83550 |
|
3,237 |
3,195 |
$8K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
137 |
129 |
$8K |
| 64483 |
|
13 |
13 |
$8K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
401 |
401 |
$8K |
| 90696 |
|
811 |
809 |
$8K |
| 73502 |
|
839 |
815 |
$8K |
| 94726 |
|
294 |
293 |
$8K |
| 96127 |
|
2,805 |
2,795 |
$8K |
| 94375 |
|
372 |
371 |
$8K |
| S0028 |
Injection, famotidine, 20 mg |
1,281 |
1,061 |
$8K |
| 86709 |
|
1,736 |
1,727 |
$7K |
| 31231 |
|
52 |
52 |
$7K |
| 86696 |
|
1,070 |
1,060 |
$7K |
| 76881 |
|
139 |
135 |
$7K |
| 88313 |
|
1,613 |
1,601 |
$7K |
| 99241 |
|
78 |
76 |
$7K |
| M0239 |
Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring |
26 |
26 |
$7K |
| 86765 |
|
853 |
849 |
$7K |
| C9290 |
Injection, bupivacaine liposome, 1 mg |
277 |
271 |
$7K |
| 99443 |
|
124 |
121 |
$6K |
| 74019 |
|
1,815 |
1,792 |
$6K |
| 73564 |
|
705 |
699 |
$6K |
| 90656 |
|
1,840 |
1,835 |
$6K |
| 86702 |
|
87 |
87 |
$6K |
| 73080 |
|
848 |
782 |
$6K |
| 4040F |
|
93 |
92 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
864 |
860 |
$6K |
| 20610 |
|
28 |
27 |
$6K |
| 86694 |
|
873 |
867 |
$6K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
14 |
14 |
$6K |
| 29130 |
|
37 |
36 |
$6K |
| 73560 |
|
375 |
339 |
$6K |
| 87522 |
Neg quan hep c or qual rna |
170 |
168 |
$6K |
| 0072A |
|
140 |
139 |
$6K |
| 92588 |
|
72 |
72 |
$6K |
| 73090 |
|
864 |
794 |
$6K |
| 73590 |
|
1,043 |
1,003 |
$6K |
| 86376 |
|
504 |
500 |
$5K |
| 97018 |
|
59 |
39 |
$5K |
| 96368 |
|
137 |
135 |
$5K |
| 92226 |
|
99 |
92 |
$5K |
| 94010 |
|
545 |
544 |
$5K |
| 86695 |
|
857 |
850 |
$5K |
| 36591 |
|
180 |
98 |
$5K |
| G0008 |
Administration of influenza virus vaccine |
515 |
514 |
$5K |
| 0124A |
|
129 |
129 |
$5K |
| 83735 |
|
3,889 |
3,712 |
$5K |
| 82248 |
|
1,231 |
1,134 |
$5K |
| 90697 |
|
459 |
459 |
$5K |
| 93925 |
|
51 |
51 |
$5K |
| 99242 |
|
87 |
85 |
$5K |
| 86800 |
|
437 |
435 |
$4K |
| 86735 |
|
858 |
852 |
$4K |
| 0003A |
|
136 |
136 |
$4K |
| 92202 |
|
141 |
139 |
$4K |
| 92134 |
|
90 |
89 |
$4K |
| 29581 |
|
36 |
24 |
$4K |
| 70496 |
|
24 |
24 |
$4K |
| J2704 |
Injection, propofol, 10 mg |
4,787 |
4,618 |
$4K |
| 87081 |
|
1,492 |
1,454 |
$4K |
| 86038 |
|
963 |
956 |
$4K |
| 85379 |
|
1,035 |
1,020 |
$4K |
| 88162 |
|
84 |
84 |
$4K |
| Q3014 |
Telehealth originating site facility fee |
145 |
144 |
$4K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
4,080 |
3,853 |
$4K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
4,332 |
4,213 |
$4K |
| 82677 |
|
559 |
558 |
$4K |
| 68761 |
|
62 |
51 |
$4K |
| 83525 |
|
401 |
400 |
$3K |
| 92015 |
Determination of refractive state |
301 |
301 |
$3K |
| 20550 |
|
14 |
13 |
$3K |
| 87186 |
|
2,011 |
1,953 |
$3K |
| 82274 |
|
564 |
562 |
$3K |
| 72141 |
|
16 |
15 |
$3K |
| 0064A |
|
98 |
98 |
$3K |
| 0071A |
|
80 |
80 |
$3K |
| 99219 |
|
53 |
52 |
$3K |
| 1111F |
|
376 |
361 |
$3K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
780 |
741 |
$3K |
| 3008F |
|
2,151 |
2,109 |
$3K |
| 84100 |
|
3,261 |
3,148 |
$3K |
| 94664 |
|
226 |
211 |
$3K |
| 91320 |
|
60 |
59 |
$3K |
| C1769 |
Guide wire |
191 |
185 |
$3K |
| 90662 |
|
134 |
134 |
$3K |
| 84425 |
|
326 |
323 |
$3K |
| 72193 |
|
184 |
183 |
$3K |
| 85651 |
|
2,775 |
2,723 |
$3K |
| 72081 |
|
136 |
136 |
$3K |
| 74246 |
|
24 |
24 |
$3K |
| 1036F |
|
418 |
413 |
$3K |
| 84156 |
|
1,292 |
1,243 |
$3K |
| 94760 |
|
1,404 |
1,393 |
$3K |
| 87800 |
|
199 |
198 |
$3K |
| 99406 |
|
68 |
68 |
$2K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
134 |
132 |
$2K |
| 92225 |
|
37 |
37 |
$2K |
| 82627 |
|
178 |
177 |
$2K |
| 92133 |
|
63 |
63 |
$2K |
| 90746 |
|
55 |
55 |
$2K |
| 82270 |
|
665 |
659 |
$2K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
27 |
27 |
$2K |
| 90671 |
|
149 |
149 |
$2K |
| 1160F |
|
14,661 |
12,874 |
$2K |
| 87205 |
|
2,240 |
2,169 |
$2K |
| 84484 |
|
7,556 |
6,858 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
68 |
68 |
$2K |
| 71270 |
|
12 |
12 |
$2K |
| 84590 |
|
269 |
266 |
$2K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
5,153 |
4,885 |
$2K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
474 |
469 |
$2K |
| 84480 |
|
429 |
425 |
$2K |
| 83690 |
|
8,756 |
8,390 |
$2K |
| 84550 |
|
805 |
769 |
$2K |
| 87350 |
|
351 |
351 |
$2K |
| 59430 |
|
12 |
12 |
$2K |
| 94200 |
|
343 |
343 |
$2K |
| 73620 |
|
281 |
273 |
$2K |
| 84436 |
|
566 |
563 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,007 |
991 |
$2K |
| 73521 |
|
129 |
129 |
$2K |
| 94150 |
|
474 |
471 |
$2K |
| 11730 |
|
19 |
17 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
17,554 |
16,232 |
$2K |
| 1000F |
|
575 |
486 |
$2K |
| 71271 |
|
55 |
55 |
$2K |
| 99495 |
|
25 |
25 |
$2K |
| 86617 |
|
137 |
137 |
$1K |
| 86336 |
|
588 |
587 |
$1K |
| 92553 |
|
14 |
14 |
$1K |
| 87338 |
|
183 |
183 |
$1K |
| 2022F |
|
227 |
221 |
$1K |
| 0031A |
|
58 |
58 |
$1K |
| 73140 |
|
247 |
236 |
$1K |
| 90675 |
|
29 |
12 |
$1K |
| 84446 |
|
171 |
168 |
$1K |
| 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 |
557 |
484 |
$1K |
| 93923 |
|
25 |
25 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
5,301 |
5,097 |
$1K |
| 86592 |
|
887 |
874 |
$1K |
| 99441 |
|
61 |
59 |
$1K |
| 86403 |
|
406 |
404 |
$1K |
| 73120 |
|
112 |
96 |
$1K |
| 74241 |
|
13 |
13 |
$1K |
| 1220F |
|
1,038 |
1,023 |
$1K |
| 92579 |
|
24 |
24 |
$1K |
| 82550 |
|
764 |
755 |
$1K |
| 86705 |
|
328 |
325 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
6,705 |
6,143 |
$1K |
| 88307 |
|
28 |
28 |
$1K |
| 83615 |
|
668 |
636 |
$1K |
| 90732 |
|
146 |
144 |
$999.52 |
| 83498 |
|
56 |
56 |
$992.82 |
| J7050 |
Infusion, normal saline solution, 250 cc |
387 |
303 |
$973.38 |
| 90480 |
|
36 |
35 |
$970.12 |
| 80329 |
|
401 |
223 |
$940.73 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
108 |
108 |
$928.46 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
4,603 |
4,432 |
$920.69 |
| 73600 |
|
28 |
28 |
$905.79 |
| Q2039 |
Influenza virus vaccine, not otherwise specified |
91 |
90 |
$904.79 |
| 72072 |
|
92 |
92 |
$885.32 |
| 87328 |
|
59 |
54 |
$884.09 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
8,886 |
8,265 |
$870.48 |
| 80050 |
General health panel |
41 |
41 |
$868.04 |
| 84466 |
|
157 |
154 |
$859.19 |
| J1817 |
Insulin for administration through dme (i.e., insulin pump) per 50 units |
26 |
25 |
$836.78 |
| 97803 |
|
30 |
30 |
$828.31 |
| 90674 |
|
43 |
43 |
$824.46 |
| 88300 |
|
279 |
278 |
$795.70 |
| 83540 |
|
333 |
329 |
$758.89 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
2,148 |
1,888 |
$752.73 |
| 0012A |
|
63 |
63 |
$739.98 |
| 73100 |
|
74 |
55 |
$737.81 |
| 81003 |
|
770 |
762 |
$731.83 |
| 87040 |
|
2,542 |
2,480 |
$697.86 |
| 0011A |
|
39 |
39 |
$678.47 |
| 90473 |
|
246 |
246 |
$644.27 |
| 84235 |
|
17 |
17 |
$629.81 |
| 87329 |
|
58 |
53 |
$628.46 |
| 87045 |
|
89 |
84 |
$622.20 |
| 82465 |
|
348 |
348 |
$616.47 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
4,321 |
3,444 |
$604.76 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,338 |
968 |
$603.25 |
| 0054A |
|
16 |
16 |
$603.02 |
| 36410 |
|
30 |
30 |
$601.74 |
| 87209 |
|
74 |
68 |
$592.50 |
| 3017F |
|
101 |
79 |
$579.29 |
| 0502F |
|
87 |
70 |
$579.26 |
| 87184 |
|
295 |
291 |
$575.27 |
| 84207 |
|
27 |
27 |
$570.73 |
| 71101 |
|
66 |
66 |
$561.14 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
1,088 |
1,086 |
$550.04 |
| 83002 |
|
46 |
45 |
$524.42 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,975 |
2,841 |
$518.56 |
| 97802 |
|
12 |
12 |
$514.65 |
| 72192 |
|
67 |
65 |
$492.85 |
| 82670 |
|
28 |
28 |
$472.18 |
| 77061 |
|
13 |
13 |
$471.43 |
| 82180 |
|
113 |
110 |
$455.12 |
| 84403 |
|
26 |
26 |
$438.77 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,515 |
1,435 |
$434.91 |
| 82784 |
|
88 |
84 |
$433.87 |
| 86593 |
|
372 |
367 |
$429.00 |
| 93017 |
|
12 |
12 |
$424.38 |
| 90660 |
|
18 |
18 |
$391.98 |
| 70498 |
|
14 |
14 |
$390.54 |
| 86320 |
|
15 |
15 |
$379.65 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,052 |
1,746 |
$374.05 |
| 84134 |
|
64 |
63 |
$360.91 |
| 84154 |
|
29 |
29 |
$356.60 |
| 82150 |
|
449 |
442 |
$341.66 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,491 |
1,366 |
$339.13 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
331 |
263 |
$333.81 |
| 83605 |
|
1,201 |
1,149 |
$333.09 |
| 80320 |
|
1,685 |
1,613 |
$321.82 |
| 74018 |
|
70 |
69 |
$320.39 |
| 4035F |
|
247 |
247 |
$300.96 |
| 86580 |
|
40 |
39 |
$295.09 |
| 82525 |
|
37 |
37 |
$274.54 |
| 82951 |
|
42 |
42 |
$271.33 |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
265 |
254 |
$269.59 |
| 90653 |
|
35 |
33 |
$242.60 |
| 82533 |
|
26 |
25 |
$240.45 |
| 87430 |
|
254 |
251 |
$231.61 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
211 |
196 |
$226.92 |
| J7510 |
Prednisolone oral, per 5 mg |
276 |
269 |
$225.83 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
1,071 |
956 |
$218.47 |
| 91312 |
|
103 |
103 |
$212.43 |
| J1644 |
Injection, heparin sodium, per 1000 units |
626 |
470 |
$201.98 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
126 |
76 |
$199.67 |
| Q0247 |
Injection, sotrovimab, 500 mg |
43 |
42 |
$198.99 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
52 |
52 |
$195.55 |
| 86225 |
|
69 |
65 |
$193.79 |
| 84630 |
|
39 |
39 |
$193.16 |
| 88311 |
|
66 |
65 |
$192.45 |
| 86160 |
|
28 |
28 |
$190.45 |
| 85044 |
|
220 |
209 |
$190.35 |
| 92552 |
|
19 |
12 |
$178.58 |
| 3046F |
|
309 |
297 |
$177.00 |
| 1170F |
|
694 |
677 |
$177.00 |
| 1006F |
|
107 |
104 |
$177.00 |
| 71048 |
|
14 |
14 |
$176.58 |
| 90381 |
|
15 |
15 |
$175.77 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
5,959 |
5,141 |
$172.20 |
| 72040 |
|
28 |
28 |
$164.16 |
| 86430 |
|
57 |
56 |
$160.43 |
| 72070 |
|
12 |
12 |
$159.72 |
| 73552 |
|
25 |
24 |
$143.25 |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
38 |
38 |
$130.00 |
| 73060 |
|
15 |
14 |
$124.60 |
| 85660 |
|
49 |
49 |
$124.32 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
325 |
295 |
$122.41 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
338 |
337 |
$122.35 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
2,239 |
1,428 |
$114.50 |
| 83519 |
|
12 |
12 |
$99.12 |
| 88302 |
|
71 |
53 |
$89.64 |
| 82552 |
|
65 |
65 |
$81.06 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
40 |
39 |
$78.53 |
| J1815 |
Injection, insulin, per 5 units |
47 |
39 |
$78.30 |
| 93000 |
|
57 |
57 |
$76.20 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
126 |
114 |
$67.91 |
| 87210 |
|
34 |
34 |
$66.62 |
| 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 |
1,279 |
1,190 |
$59.80 |
| J2060 |
Injection, lorazepam, 2 mg |
629 |
596 |
$59.40 |
| 83516 |
|
17 |
16 |
$58.79 |
| J1741 |
Injection, ibuprofen, 100 mg |
14 |
13 |
$57.69 |
| 84132 |
|
324 |
313 |
$53.99 |
| J1953 |
Injection, levetiracetam, 10 mg |
31 |
24 |
$49.00 |
| 85384 |
|
40 |
38 |
$48.30 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
27 |
27 |
$47.60 |
| 90658 |
|
119 |
119 |
$46.28 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
198 |
193 |
$40.69 |
| 73070 |
|
12 |
12 |
$39.86 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
48 |
46 |
$37.89 |
| J1630 |
Injection, haloperidol, up to 5 mg |
181 |
159 |
$24.85 |
| S0077 |
Injection, clindamycin phosphate, 300 mg |
13 |
13 |
$20.68 |
| A6223 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing |
97 |
96 |
$15.51 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
27 |
27 |
$13.82 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
27 |
27 |
$12.58 |
| 70360 |
|
39 |
39 |
$12.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$11.06 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
13 |
12 |
$10.36 |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
137 |
137 |
$10.00 |
| J0736 |
Injection, clindamycin phosphate, 300 mg |
15 |
13 |
$9.60 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
41 |
41 |
$6.50 |
| 91300 |
|
6,793 |
5,912 |
$6.24 |
| 82009 |
|
41 |
39 |
$6.11 |
| J1836 |
Injection, metronidazole, 10 mg |
12 |
12 |
$3.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
17 |
16 |
$1.80 |
| 91307 |
|
90 |
85 |
$0.66 |
| 91305 |
|
17 |
17 |
$0.15 |
| 91301 |
|
118 |
118 |
$0.14 |
| Q0243 |
Injection, casirivimab and imdevimab, 2400 mg |
35 |
23 |
$0.09 |
| 91306 |
|
44 |
43 |
$0.07 |
| 3079F |
|
755 |
743 |
$0.06 |
| 3074F |
|
1,293 |
1,273 |
$0.05 |
| 3075F |
|
485 |
476 |
$0.05 |
| 3078F |
|
1,431 |
1,407 |
$0.04 |
| 3051F |
|
99 |
98 |
$0.02 |
| 4004F |
|
130 |
55 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
5,683 |
5,600 |
$0.00 |
| 3288F |
|
429 |
415 |
$0.00 |
| 3077F |
|
381 |
375 |
$0.00 |
| 3016F |
|
66 |
66 |
$0.00 |
| 99499 |
|
38 |
25 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
10,452 |
9,889 |
$0.00 |
| 3023F |
|
253 |
253 |
$0.00 |
| A4550 |
Surgical trays |
76 |
76 |
$0.00 |
| 73000 |
|
12 |
12 |
$0.00 |
| 3045F |
|
31 |
30 |
$0.00 |
| A4246 |
Betadine or phisohex solution, per pint |
12 |
12 |
$0.00 |
| 99080 |
|
42 |
12 |
$0.00 |
| S1015 |
Iv tubing extension set |
27 |
27 |
$0.00 |
| J0295 |
Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm |
18 |
12 |
$0.00 |
| A4320 |
Irrigation tray with bulb or piston syringe, any purpose |
36 |
36 |
$0.00 |
| 3048F |
|
244 |
241 |
$0.00 |
| 2015F |
|
279 |
279 |
$0.00 |
| 3080F |
|
42 |
42 |
$0.00 |
| 3044F |
|
822 |
794 |
$0.00 |
| 3052F |
|
16 |
16 |
$0.00 |
| A4461 |
Surgical dressing holder, non-reusable, each |
274 |
274 |
$0.00 |
| 99429 |
|
776 |
464 |
$0.00 |
| 99024 |
|
15 |
15 |
$0.00 |
| 2016F |
|
318 |
318 |
$0.00 |
| 4037F |
|
457 |
455 |
$0.00 |
| 3049F |
|
128 |
127 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
98 |
94 |
$0.00 |
| S2900 |
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) |
12 |
12 |
$0.00 |
| 91303 |
|
42 |
42 |
$0.00 |