| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
135,081 |
120,422 |
$17.63M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
74,790 |
71,232 |
$13.49M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75,695 |
69,771 |
$11.68M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
57,792 |
55,576 |
$11.55M |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
4,984 |
4,559 |
$10.36M |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
10,656 |
9,573 |
$10.01M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
36,285 |
34,272 |
$9.70M |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
8,437 |
5,933 |
$7.73M |
| J1561 |
Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg |
4,042 |
3,113 |
$7.55M |
| 41899 |
Unlisted procedure, dentoalveolar structures |
4,012 |
3,807 |
$7.22M |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
4,364 |
4,306 |
$6.99M |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
3,109 |
3,088 |
$6.79M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
8,492 |
7,289 |
$5.54M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
5,455 |
5,314 |
$5.27M |
| J3490 |
Unclassified drugs |
17,887 |
14,189 |
$4.55M |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12,440 |
11,974 |
$4.54M |
| G0378 |
Hospital observation service, per hour |
34,661 |
18,650 |
$4.28M |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
14,615 |
13,659 |
$4.22M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13,274 |
12,465 |
$3.84M |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
14,927 |
9,793 |
$3.68M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30,078 |
28,257 |
$3.61M |
| Q5103 |
Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg |
1,640 |
1,458 |
$3.57M |
| 90834 |
Psychotherapy, 45 minutes with patient |
10,878 |
5,892 |
$3.41M |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
63,187 |
59,391 |
$3.26M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29,844 |
29,782 |
$3.18M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
18,811 |
17,939 |
$3.18M |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
4,158 |
4,001 |
$3.13M |
| 76770 |
|
16,075 |
15,608 |
$3.10M |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
3,109 |
2,917 |
$3.08M |
| 49452 |
|
2,643 |
2,427 |
$2.94M |
| 99215 |
Prolong outpt/office vis |
14,452 |
12,981 |
$2.84M |
| J1569 |
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg |
1,212 |
943 |
$2.74M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27,851 |
27,817 |
$2.69M |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
17,246 |
4,241 |
$2.67M |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
2,165 |
2,130 |
$2.46M |
| 42830 |
|
1,128 |
1,123 |
$2.23M |
| D1120 |
Prophylaxis - child |
49,812 |
42,970 |
$2.20M |
| 54161 |
|
1,087 |
1,084 |
$2.08M |
| 95782 |
|
1,739 |
1,720 |
$2.01M |
| 97803 |
|
25,407 |
24,323 |
$2.00M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19,849 |
19,810 |
$2.00M |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
14,881 |
14,291 |
$1.92M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
19,937 |
9,885 |
$1.86M |
| 92567 |
|
34,355 |
33,611 |
$1.81M |
| 93325 |
|
18,820 |
17,458 |
$1.80M |
| D7140 |
Extraction, erupted tooth or exposed root |
22,293 |
7,763 |
$1.73M |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
20,651 |
10,263 |
$1.71M |
| 92587 |
|
9,292 |
9,195 |
$1.66M |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,056 |
1,033 |
$1.64M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12,459 |
12,155 |
$1.59M |
| 99219 |
|
11,764 |
6,858 |
$1.46M |
| 92610 |
|
10,554 |
10,080 |
$1.43M |
| D1206 |
Topical application of fluoride varnish |
64,475 |
55,508 |
$1.42M |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
34,700 |
31,940 |
$1.41M |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
7,270 |
7,053 |
$1.36M |
| D0120 |
Periodic oral evaluation - established patient |
53,894 |
46,235 |
$1.34M |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
50,181 |
48,687 |
$1.32M |
| 94010 |
|
11,938 |
11,171 |
$1.26M |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17,171 |
12,469 |
$1.23M |
| 95819 |
|
3,372 |
3,269 |
$1.14M |
| D8670 |
Periodic orthodontic treatment visit |
7,432 |
5,687 |
$1.12M |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
59,850 |
54,478 |
$1.09M |
| 97802 |
|
13,024 |
12,767 |
$1.09M |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
5,821 |
5,611 |
$1.08M |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
7,860 |
2,918 |
$1.06M |
| 87631 |
|
9,483 |
9,257 |
$1.02M |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
3,430 |
3,251 |
$987K |
| 64640 |
|
1,092 |
836 |
$985K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
14,917 |
12,413 |
$964K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,294 |
10,214 |
$959K |
| 36430 |
|
2,176 |
1,723 |
$951K |
| 71046 |
Radiologic examination, chest; 2 views |
29,320 |
27,012 |
$914K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
12,034 |
11,526 |
$901K |
| 29075 |
|
3,178 |
2,847 |
$860K |
| D1351 |
Sealant - per tooth |
30,184 |
8,707 |
$845K |
| 92555 |
|
11,111 |
10,896 |
$833K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
17,832 |
16,521 |
$830K |
| D1110 |
Prophylaxis - adult |
13,844 |
12,014 |
$787K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
114,872 |
102,822 |
$785K |
| 95708 |
|
1,624 |
1,018 |
$770K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,732 |
5,644 |
$768K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
6,112 |
5,868 |
$767K |
| 74230 |
|
4,290 |
4,192 |
$746K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
24,534 |
23,509 |
$715K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
7,467 |
7,422 |
$715K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
24,737 |
23,721 |
$711K |
| 51600 |
|
1,452 |
1,422 |
$707K |
| 72082 |
|
8,591 |
8,326 |
$697K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
7,817 |
4,298 |
$686K |
| 92579 |
|
11,702 |
11,496 |
$654K |
| 92607 |
|
5,457 |
5,277 |
$650K |
| 99173 |
|
22,921 |
22,863 |
$647K |
| 84443 |
Thyroid stimulating hormone (TSH) |
44,121 |
42,805 |
$631K |
| D0272 |
Bitewings - two radiographic images |
25,570 |
22,145 |
$620K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
3,343 |
3,197 |
$616K |
| 29065 |
|
2,229 |
1,968 |
$608K |
| 97161 |
|
5,880 |
5,744 |
$608K |
| 81229 |
|
968 |
876 |
$575K |
| 95953 |
|
742 |
494 |
$570K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,127 |
704 |
$566K |
| J2704 |
Injection, propofol, 10 mg |
44,079 |
41,787 |
$565K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
7,957 |
4,550 |
$558K |
| D8080 |
Comprehensive orthodontic treatment of the adolescent dentition |
715 |
516 |
$557K |
| 87632 |
|
3,607 |
3,506 |
$549K |
| S9485 |
Crisis intervention mental health services, per diem |
951 |
475 |
$545K |
| 86003 |
|
9,545 |
9,222 |
$541K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,969 |
3,906 |
$533K |
| 92060 |
|
7,077 |
6,844 |
$531K |
| D0140 |
Limited oral evaluation - problem focused |
13,684 |
11,463 |
$513K |
| 76820 |
|
4,535 |
4,129 |
$505K |
| D0330 |
Panoramic radiographic image |
8,910 |
7,559 |
$500K |
| 97162 |
|
3,955 |
3,855 |
$499K |
| 92523 |
|
3,743 |
3,645 |
$498K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
87,024 |
85,605 |
$496K |
| 51741 |
|
1,947 |
1,812 |
$491K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
9,876 |
8,690 |
$485K |
| 92552 |
|
4,608 |
4,556 |
$457K |
| 96127 |
|
9,658 |
9,611 |
$453K |
| J3380 |
Injection, vedolizumab, intravenous, 1 mg |
65 |
64 |
$448K |
| 82728 |
|
37,047 |
34,679 |
$447K |
| 90791 |
Psychiatric diagnostic evaluation |
894 |
863 |
$433K |
| 92582 |
|
8,570 |
8,385 |
$430K |
| 92558 |
|
12,308 |
12,271 |
$426K |
| 92611 |
|
3,958 |
3,868 |
$420K |
| 76886 |
|
2,587 |
2,495 |
$394K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
9,890 |
9,566 |
$391K |
| 77072 |
|
5,957 |
5,796 |
$380K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
2,760 |
2,684 |
$365K |
| 88307 |
|
1,185 |
1,055 |
$363K |
| 73521 |
|
6,053 |
5,858 |
$361K |
| D0274 |
Bitewings - four radiographic images |
10,487 |
9,144 |
$360K |
| 95812 |
|
623 |
612 |
$360K |
| 82784 |
|
28,397 |
26,807 |
$357K |
| 92557 |
|
3,176 |
3,101 |
$355K |
| 12011 |
|
1,239 |
1,213 |
$339K |
| 85027 |
|
57,667 |
53,921 |
$329K |
| 29405 |
|
1,146 |
901 |
$328K |
| 93976 |
|
2,056 |
1,984 |
$325K |
| 54640 |
|
196 |
196 |
$324K |
| 76536 |
|
2,224 |
2,161 |
$323K |
| 72081 |
|
4,108 |
4,008 |
$322K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,938 |
1,208 |
$316K |
| 99381 |
|
3,153 |
2,955 |
$315K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
742 |
596 |
$311K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
6,195 |
5,637 |
$311K |
| 90651 |
|
3,246 |
3,213 |
$310K |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,247 |
990 |
$309K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
3,645 |
2,077 |
$308K |
| 76882 |
|
2,160 |
2,061 |
$303K |
| 83735 |
|
53,370 |
46,143 |
$300K |
| 72141 |
|
1,575 |
1,532 |
$297K |
| 80053 |
Comprehensive metabolic panel |
35,628 |
32,422 |
$293K |
| 94618 |
|
1,898 |
1,769 |
$293K |
| 83655 |
|
26,030 |
25,871 |
$292K |
| 95715 |
|
304 |
246 |
$292K |
| 86481 |
|
4,003 |
3,947 |
$292K |
| 86923 |
|
5,237 |
4,541 |
$291K |
| 74455 |
|
1,302 |
1,278 |
$287K |
| 72197 |
|
409 |
405 |
$287K |
| 76870 |
|
2,140 |
2,067 |
$285K |
| 73610 |
|
6,870 |
6,339 |
$285K |
| 73630 |
|
6,310 |
5,962 |
$284K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19,679 |
18,977 |
$282K |
| 81025 |
|
30,942 |
28,463 |
$282K |
| 93017 |
|
2,054 |
1,985 |
$277K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
9,531 |
9,149 |
$273K |
| 73590 |
|
5,297 |
4,568 |
$262K |
| 84439 |
|
33,337 |
32,145 |
$262K |
| 83970 |
|
7,586 |
7,169 |
$256K |
| 72170 |
|
3,932 |
3,803 |
$252K |
| 74018 |
|
4,177 |
3,910 |
$250K |
| D0220 |
Intraoral - periapical first radiographic image |
16,025 |
13,267 |
$246K |
| 90686 |
|
15,529 |
15,291 |
$240K |
| 87799 |
|
5,621 |
4,796 |
$238K |
| 93975 |
|
827 |
795 |
$235K |
| 92250 |
|
5,311 |
4,972 |
$232K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26,817 |
26,150 |
$232K |
| 81479 |
Unlisted molecular pathology procedure |
685 |
592 |
$229K |
| 99441 |
|
1,539 |
1,508 |
$228K |
| 92551 |
|
1,752 |
1,751 |
$228K |
| 73090 |
|
4,929 |
3,889 |
$223K |
| 73560 |
|
4,894 |
4,631 |
$222K |
| 73100 |
|
3,113 |
2,433 |
$219K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
30,027 |
25,028 |
$219K |
| 94060 |
|
1,250 |
1,195 |
$218K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
4,861 |
4,687 |
$215K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
531 |
439 |
$215K |
| 74019 |
|
9,051 |
8,612 |
$213K |
| 92585 |
|
674 |
643 |
$213K |
| 86008 |
|
2,409 |
2,258 |
$206K |
| 76821 |
|
2,971 |
2,691 |
$203K |
| 82248 |
|
42,797 |
38,368 |
$200K |
| 86832 |
|
1,132 |
987 |
$197K |
| D2330 |
|
2,914 |
1,473 |
$196K |
| 86141 |
|
16,081 |
14,442 |
$196K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
340 |
336 |
$191K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
11,198 |
8,913 |
$191K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
9,043 |
7,526 |
$189K |
| 73140 |
|
4,077 |
3,644 |
$188K |
| 94726 |
|
1,583 |
1,509 |
$188K |
| 86833 |
|
1,102 |
959 |
$186K |
| 92556 |
|
4,214 |
4,156 |
$183K |
| 93320 |
|
15,037 |
14,008 |
$183K |
| 92553 |
|
1,618 |
1,594 |
$182K |
| 86480 |
|
3,485 |
3,432 |
$182K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
25,632 |
24,147 |
$179K |
| 88185 |
|
746 |
685 |
$178K |
| 76825 |
|
2,829 |
2,690 |
$177K |
| 44970 |
|
39 |
39 |
$177K |
| 92015 |
Determination of refractive state |
9,530 |
9,270 |
$176K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
2,043 |
1,283 |
$176K |
| D2331 |
|
2,249 |
1,079 |
$175K |
| 87081 |
|
30,489 |
29,561 |
$174K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
43,499 |
39,299 |
$174K |
| 92608 |
|
3,677 |
3,560 |
$173K |
| 83540 |
|
30,612 |
29,133 |
$167K |
| 83550 |
|
22,599 |
21,634 |
$166K |
| 0001A |
|
3,841 |
3,782 |
$161K |
| 0002A |
|
3,616 |
3,569 |
$160K |
| 93225 |
|
2,095 |
2,032 |
$160K |
| 97165 |
|
1,250 |
1,233 |
$157K |
| 80051 |
|
26,896 |
24,907 |
$157K |
| 51728 |
|
290 |
278 |
$156K |
| 86850 |
|
13,069 |
11,551 |
$155K |
| 70486 |
|
893 |
837 |
$152K |
| 77077 |
|
2,678 |
2,592 |
$152K |
| T2023 |
Targeted case management; per month |
631 |
630 |
$152K |
| 86140 |
|
34,055 |
31,471 |
$152K |
| 88184 |
|
1,779 |
1,390 |
$150K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
7,621 |
7,472 |
$150K |
| 83516 |
|
11,977 |
11,237 |
$149K |
| 91200 |
|
1,130 |
1,106 |
$147K |
| 82785 |
|
9,764 |
9,411 |
$147K |
| C1769 |
Guide wire |
3,118 |
2,666 |
$147K |
| 73080 |
|
3,287 |
2,892 |
$144K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
895 |
868 |
$143K |
| 83001 |
|
6,527 |
6,369 |
$142K |
| 92285 |
|
2,676 |
2,570 |
$139K |
| 20680 |
|
42 |
36 |
$136K |
| 84403 |
|
6,189 |
6,067 |
$134K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,460 |
2,306 |
$133K |
| 80076 |
|
25,381 |
23,815 |
$130K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
6,036 |
3,578 |
$129K |
| 31526 |
|
215 |
200 |
$126K |
| 87077 |
|
15,166 |
14,365 |
$123K |
| 76827 |
|
2,829 |
2,690 |
$121K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
17,766 |
16,784 |
$120K |
| 0071A |
|
2,657 |
2,625 |
$120K |
| 86317 |
|
3,660 |
2,240 |
$119K |
| 73552 |
|
2,089 |
1,871 |
$116K |
| 86355 |
|
4,005 |
3,682 |
$116K |
| 0399T |
|
923 |
874 |
$115K |
| J1720 |
Injection, hydrocortisone sodium succinate, up to 100 mg |
5,158 |
4,737 |
$115K |
| 0072A |
|
2,527 |
2,510 |
$114K |
| 92609 |
|
1,246 |
944 |
$114K |
| 74183 |
|
374 |
373 |
$114K |
| 73110 |
|
3,183 |
2,916 |
$113K |
| J2997 |
Injection, alteplase recombinant, 1 mg |
691 |
109 |
$112K |
| 99383 |
|
1,115 |
1,112 |
$112K |
| 86356 |
|
1,526 |
891 |
$112K |
| 96415 |
|
182 |
162 |
$111K |
| 49500 |
|
29 |
29 |
$109K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,485 |
2,476 |
$108K |
| 99442 |
|
703 |
700 |
$107K |
| 82565 |
|
38,193 |
35,030 |
$107K |
| 73130 |
|
2,760 |
2,529 |
$107K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
1,442 |
1,393 |
$106K |
| 82805 |
|
1,676 |
1,565 |
$105K |
| 80061 |
Lipid panel |
19,956 |
18,868 |
$104K |
| 92083 |
|
1,596 |
1,509 |
$103K |
| 83002 |
|
6,500 |
6,342 |
$103K |
| 99382 |
|
942 |
940 |
$103K |
| 85045 |
|
29,147 |
25,377 |
$102K |
| 74240 |
|
474 |
472 |
$99K |
| 80050 |
General health panel |
4,930 |
4,766 |
$99K |
| 85652 |
|
41,606 |
38,529 |
$98K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
40,220 |
39,865 |
$96K |
| 92018 |
|
173 |
160 |
$96K |
| 84466 |
|
9,006 |
8,540 |
$95K |
| 80197 |
|
9,159 |
5,752 |
$93K |
| 24538 |
|
26 |
26 |
$93K |
| 82627 |
|
4,682 |
4,580 |
$90K |
| D2335 |
|
714 |
316 |
$88K |
| 92133 |
|
1,789 |
1,710 |
$88K |
| 96401 |
|
14 |
12 |
$88K |
| 73070 |
|
1,320 |
1,150 |
$88K |
| 74712 |
|
354 |
339 |
$87K |
| 97804 |
|
953 |
948 |
$87K |
| 86360 |
|
3,550 |
3,325 |
$86K |
| 83718 |
|
11,774 |
11,627 |
$86K |
| 83690 |
|
14,992 |
14,166 |
$86K |
| 85246 |
|
4,358 |
3,973 |
$86K |
| 93226 |
|
2,097 |
2,033 |
$83K |
| D2140 |
|
1,218 |
781 |
$83K |
| 87070 |
|
11,479 |
10,954 |
$83K |
| 83021 |
|
4,909 |
4,655 |
$82K |
| 84305 |
|
4,766 |
4,642 |
$82K |
| J1644 |
Injection, heparin sodium, per 1000 units |
5,945 |
1,928 |
$81K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
30,137 |
23,217 |
$81K |
| 64643 |
|
438 |
428 |
$80K |
| 83520 |
|
2,611 |
2,282 |
$80K |
| 87186 |
|
10,447 |
9,833 |
$79K |
| 90378 |
|
194 |
187 |
$78K |
| D0230 |
Intraoral - periapical each additional radiographic image |
7,862 |
4,442 |
$77K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
15,353 |
13,453 |
$77K |
| D0210 |
Intraoral - complete series of radiographic images |
1,810 |
1,442 |
$74K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
1,053 |
997 |
$73K |
| 76857 |
|
396 |
384 |
$73K |
| 84146 |
|
4,489 |
4,361 |
$72K |
| 85007 |
|
22,604 |
19,710 |
$71K |
| 94729 |
|
1,287 |
1,212 |
$71K |
| 86357 |
|
3,382 |
3,154 |
$70K |
| 0054A |
|
1,631 |
1,594 |
$70K |
| 83880 |
|
2,565 |
2,294 |
$69K |
| 87497 |
|
2,148 |
1,900 |
$68K |
| 90480 |
|
1,916 |
1,887 |
$68K |
| 85610 |
|
19,307 |
17,477 |
$68K |
| 85730 |
|
12,898 |
12,031 |
$67K |
| 84100 |
|
54,954 |
46,941 |
$67K |
| 88342 |
|
2,181 |
1,974 |
$67K |
| 99384 |
|
603 |
601 |
$66K |
| 82150 |
|
10,411 |
9,911 |
$66K |
| 92134 |
|
1,213 |
1,141 |
$65K |
| 87040 |
|
7,379 |
6,794 |
$65K |
| 92604 |
|
53 |
41 |
$63K |
| 93356 |
|
6,855 |
6,335 |
$63K |
| 93304 |
|
138 |
128 |
$63K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
949 |
508 |
$62K |
| 86160 |
|
3,329 |
3,002 |
$62K |
| 82607 |
|
4,850 |
4,679 |
$62K |
| 90691 |
|
2,469 |
2,465 |
$61K |
| 86803 |
|
4,826 |
4,721 |
$61K |
| 71250 |
|
294 |
284 |
$60K |
| 82040 |
|
8,360 |
7,628 |
$59K |
| D8660 |
|
2,780 |
2,461 |
$59K |
| 70360 |
|
1,434 |
1,383 |
$58K |
| 92652 |
|
862 |
841 |
$58K |
| 77080 |
|
494 |
473 |
$57K |
| 95816 |
|
161 |
159 |
$56K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
592 |
386 |
$56K |
| 71555 |
|
217 |
210 |
$56K |
| 70450 |
Computed tomography, head or brain; without contrast material |
249 |
245 |
$56K |
| 90670 |
|
4,690 |
4,616 |
$55K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
492 |
455 |
$55K |
| D0145 |
Oral evaluation for a patient under three years of age |
2,192 |
2,078 |
$55K |
| 64642 |
|
312 |
302 |
$54K |
| 85055 |
|
1,822 |
1,633 |
$54K |
| 81003 |
|
26,820 |
25,204 |
$54K |
| 12001 |
|
193 |
190 |
$53K |
| 82570 |
|
10,977 |
9,780 |
$52K |
| 87496 |
|
1,943 |
1,707 |
$52K |
| 72195 |
|
251 |
249 |
$52K |
| D2332 |
|
449 |
266 |
$52K |
| 82247 |
|
12,429 |
10,620 |
$51K |
| 86665 |
|
1,808 |
1,735 |
$51K |
| ATP16 |
|
6,303 |
5,141 |
$51K |
| 72146 |
|
1,123 |
1,093 |
$51K |
| 87184 |
|
5,463 |
5,190 |
$50K |
| ATP09 |
|
7,802 |
5,781 |
$50K |
| 86900 |
|
13,599 |
12,021 |
$49K |
| 87205 |
|
9,614 |
9,234 |
$49K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,105 |
5,676 |
$49K |
| 82139 |
|
3,683 |
2,694 |
$48K |
| A0434 |
Specialty care transport (sct) |
71 |
68 |
$47K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
1,902 |
1,801 |
$46K |
| 73564 |
|
647 |
638 |
$46K |
| 84270 |
|
2,360 |
2,326 |
$46K |
| D9920 |
|
1,229 |
775 |
$46K |
| 84702 |
|
3,646 |
3,394 |
$46K |
| ATP07 |
|
6,856 |
5,826 |
$46K |
| 86901 |
|
13,165 |
11,676 |
$45K |
| 83498 |
|
1,941 |
1,905 |
$45K |
| 82465 |
|
14,047 |
13,819 |
$44K |
| C1725 |
Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) |
328 |
258 |
$44K |
| 87046 |
|
2,273 |
2,153 |
$44K |
| 71045 |
Radiologic examination, chest; single view |
1,956 |
1,806 |
$44K |
| 67311 |
|
12 |
12 |
$44K |
| 76776 |
|
250 |
248 |
$43K |
| 86376 |
|
3,319 |
3,232 |
$42K |
| 29345 |
|
156 |
126 |
$42K |
| 64644 |
|
369 |
354 |
$42K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
11,137 |
8,590 |
$42K |
| 81001 |
|
15,188 |
14,252 |
$41K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
179 |
178 |
$41K |
| 82397 |
|
3,011 |
2,888 |
$40K |
| 73000 |
|
724 |
660 |
$39K |
| 90715 |
|
2,248 |
2,229 |
$39K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
11,770 |
11,384 |
$39K |
| 82379 |
|
2,908 |
2,731 |
$39K |
| 86038 |
|
3,696 |
3,556 |
$38K |
| 70544 |
|
321 |
304 |
$38K |
| ATP14 |
|
4,458 |
3,855 |
$38K |
| 87467 |
|
1,249 |
1,214 |
$38K |
| 80069 |
|
6,588 |
5,478 |
$38K |
| 84134 |
|
3,188 |
2,991 |
$38K |
| 86618 |
|
1,994 |
1,902 |
$37K |
| 84460 |
|
35,309 |
32,440 |
$37K |
| D0340 |
|
1,311 |
1,165 |
$37K |
| 82533 |
|
2,168 |
2,001 |
$36K |
| 82610 |
|
2,586 |
2,467 |
$36K |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
8,371 |
7,452 |
$36K |
| 82670 |
|
1,439 |
1,403 |
$36K |
| 97164 |
|
398 |
389 |
$35K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
433 |
429 |
$34K |
| 84446 |
|
3,004 |
2,881 |
$34K |
| 86706 |
|
3,632 |
3,531 |
$34K |
| D0240 |
|
2,564 |
1,930 |
$34K |
| ATP08 |
|
4,677 |
4,041 |
$33K |
| 95700 |
|
2,113 |
1,835 |
$33K |
| 83525 |
|
3,280 |
3,177 |
$33K |
| 86364 |
|
5,632 |
5,457 |
$32K |
| 86255 |
|
1,883 |
1,786 |
$32K |
| 82105 |
|
2,011 |
1,933 |
$32K |
| 84590 |
|
3,489 |
3,339 |
$32K |
| 82746 |
|
2,515 |
2,435 |
$32K |
| 93308 |
|
168 |
166 |
$31K |
| 94680 |
|
615 |
595 |
$31K |
| 86834 |
|
109 |
91 |
$31K |
| 90734 |
|
1,053 |
1,046 |
$30K |
| 31624 |
|
25 |
25 |
$30K |
| 82977 |
|
20,109 |
17,859 |
$30K |
| 84132 |
|
2,710 |
1,988 |
$30K |
| 84450 |
|
25,820 |
23,076 |
$30K |
| 83631 |
|
1,936 |
1,847 |
$29K |
| 84520 |
|
37,122 |
33,838 |
$29K |
| 86774 |
|
2,173 |
2,093 |
$29K |
| 99188 |
|
1,118 |
1,093 |
$29K |
| 88304 |
|
2,129 |
2,097 |
$29K |
| 84630 |
|
3,106 |
2,972 |
$29K |
| 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 |
602 |
572 |
$29K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
5,896 |
5,184 |
$29K |
| 31622 |
|
24 |
24 |
$28K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
11,171 |
9,911 |
$28K |
| 51798 |
|
1,572 |
1,451 |
$28K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
5,918 |
4,908 |
$27K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
15,906 |
13,182 |
$27K |
| 86800 |
|
2,037 |
1,866 |
$27K |
| 85240 |
|
1,627 |
1,556 |
$27K |
| 0004A |
|
659 |
636 |
$27K |
| 86835 |
|
111 |
92 |
$27K |
| 36000 |
|
592 |
543 |
$27K |
| 80164 |
|
2,463 |
2,271 |
$26K |
| 84156 |
|
8,490 |
7,427 |
$26K |
| 82043 |
|
5,442 |
4,983 |
$25K |
| 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 |
20,128 |
18,722 |
$25K |
| 0052A |
|
566 |
553 |
$25K |
| 85245 |
|
1,229 |
1,200 |
$25K |
| 87209 |
|
1,291 |
1,179 |
$25K |
| 72100 |
|
606 |
600 |
$24K |
| P9040 |
Red blood cells, leukocytes reduced, irradiated, each unit |
1,036 |
840 |
$24K |
| ATP17 |
|
3,029 |
2,428 |
$24K |
| 10060 |
|
108 |
106 |
$24K |
| 93321 |
|
394 |
374 |
$24K |
| 91322 |
|
906 |
883 |
$23K |
| 90716 |
|
1,865 |
1,857 |
$23K |
| 54163 |
|
12 |
12 |
$23K |
| 86592 |
|
5,651 |
5,522 |
$22K |
| 86352 |
|
280 |
245 |
$22K |
| ATP15 |
|
2,597 |
2,213 |
$22K |
| 73030 |
|
611 |
580 |
$22K |
| 83993 |
|
1,494 |
1,416 |
$22K |
| 95951 |
|
39 |
25 |
$21K |
| 0051A |
|
471 |
464 |
$21K |
| 80177 |
|
1,950 |
1,841 |
$21K |
| 82525 |
|
2,015 |
1,928 |
$21K |
| 82947 |
|
24,614 |
23,024 |
$21K |
| D9310 |
|
384 |
372 |
$21K |
| C1893 |
Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away |
411 |
322 |
$21K |
| 83605 |
|
2,203 |
1,961 |
$20K |
| 85379 |
|
2,322 |
2,084 |
$20K |
| 87106 |
|
2,076 |
2,015 |
$20K |
| 84480 |
|
1,598 |
1,511 |
$20K |
| G0008 |
Administration of influenza virus vaccine |
11,386 |
11,350 |
$20K |
| 85384 |
|
2,548 |
2,357 |
$20K |
| 0111A |
|
440 |
433 |
$20K |
| 90685 |
|
1,781 |
1,777 |
$20K |
| D1354 |
|
1,646 |
654 |
$19K |
| 82542 |
|
861 |
792 |
$19K |
| G0483 |
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; 22 or more drug class(es), including metabolite(s) if performed |
373 |
353 |
$19K |
| V5264 |
Ear mold/insert, not disposable, any type |
441 |
387 |
$19K |
| ATP03 |
|
3,490 |
2,914 |
$19K |
| 82652 |
|
559 |
544 |
$18K |
| 82550 |
|
8,253 |
7,523 |
$18K |
| J0295 |
Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm |
2,130 |
1,311 |
$18K |
| 90633 |
|
3,679 |
3,639 |
$18K |
| 90680 |
|
5,299 |
5,202 |
$18K |
| 70543 |
|
66 |
64 |
$18K |
| 0112A |
|
391 |
389 |
$18K |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
2,310 |
1,551 |
$17K |
| 88313 |
|
634 |
585 |
$17K |
| 86341 |
|
530 |
322 |
$17K |
| 87529 |
|
294 |
287 |
$17K |
| 87340 |
|
1,882 |
1,824 |
$17K |
| 82010 |
|
2,271 |
1,886 |
$17K |
| ATP02 |
|
4,050 |
3,388 |
$17K |
| 87501 |
|
375 |
191 |
$17K |
| 83615 |
|
13,067 |
11,384 |
$17K |
| 83789 |
|
744 |
676 |
$17K |
| ATP04 |
|
3,036 |
2,497 |
$17K |
| 88161 |
|
435 |
375 |
$17K |
| 83721 |
|
3,531 |
3,389 |
$16K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,332 |
1,948 |
$16K |
| 86769 |
|
405 |
396 |
$16K |
| 82803 |
|
971 |
858 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
141 |
139 |
$16K |
| 73060 |
|
338 |
306 |
$16K |
| 73522 |
|
180 |
173 |
$15K |
| 75573 |
|
30 |
28 |
$15K |
| 80195 |
|
1,350 |
1,001 |
$15K |
| 81002 |
|
6,891 |
6,687 |
$15K |
| 90677 |
|
3,304 |
3,262 |
$15K |
| 88341 |
|
217 |
180 |
$15K |
| 87427 |
|
1,294 |
1,265 |
$14K |
| 90707 |
|
1,791 |
1,784 |
$14K |
| 81228 |
|
99 |
86 |
$14K |
| 82681 |
|
1,350 |
1,311 |
$14K |
| D2390 |
|
108 |
52 |
$14K |
| A0425 |
Ground mileage, per statute mile |
70 |
67 |
$14K |
| 87634 |
|
257 |
257 |
$14K |
| 82310 |
|
7,491 |
6,832 |
$13K |
| 84436 |
|
2,813 |
2,728 |
$13K |
| 73700 |
|
86 |
80 |
$13K |
| 73718 |
|
53 |
52 |
$13K |
| 73562 |
|
176 |
172 |
$12K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
428 |
358 |
$12K |
| 51785 |
|
65 |
62 |
$12K |
| 82272 |
|
3,624 |
3,474 |
$12K |
| 97763 |
|
157 |
128 |
$12K |
| 87177 |
|
1,284 |
1,173 |
$12K |
| 87045 |
|
1,417 |
1,389 |
$12K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
6,169 |
5,462 |
$12K |
| 0154A |
|
270 |
258 |
$12K |
| 82340 |
|
1,857 |
1,766 |
$12K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
110 |
53 |
$11K |
| 81243 |
|
699 |
521 |
$11K |
| 76376 |
|
1,602 |
1,495 |
$11K |
| 82787 |
|
498 |
484 |
$11K |
| 80183 |
|
959 |
900 |
$11K |
| 73660 |
|
220 |
203 |
$11K |
| 84145 |
|
1,220 |
1,140 |
$11K |
| 88108 |
|
363 |
327 |
$11K |
| 75557 |
|
129 |
120 |
$10K |
| ATP10 |
|
1,543 |
1,296 |
$10K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
51 |
51 |
$10K |
| ATP06 |
|
1,700 |
1,412 |
$10K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,557 |
1,216 |
$10K |
| 85018 |
|
4,777 |
4,725 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
65 |
65 |
$10K |
| 90620 |
|
224 |
223 |
$10K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
79 |
78 |
$10K |
| 69210 |
|
135 |
134 |
$10K |
| 83883 |
|
899 |
876 |
$10K |
| 84484 |
|
905 |
828 |
$10K |
| 94760 |
|
7,985 |
7,371 |
$10K |
| 84075 |
|
8,524 |
7,384 |
$10K |
| 86231 |
|
1,191 |
1,161 |
$10K |
| 86258 |
|
1,111 |
1,104 |
$9K |
| 76000 |
|
495 |
467 |
$9K |
| 94681 |
|
61 |
61 |
$9K |
| 89230 |
|
193 |
192 |
$9K |
| 87449 |
|
938 |
898 |
$9K |
| 87338 |
|
675 |
674 |
$9K |
| 86905 |
|
707 |
664 |
$9K |
| 82103 |
|
719 |
701 |
$9K |
| 88262 |
|
83 |
78 |
$9K |
| 43762 |
|
39 |
37 |
$9K |
| 0074A |
|
190 |
190 |
$9K |
| ATP05 |
|
1,384 |
1,187 |
$9K |
| 92524 |
|
63 |
63 |
$8K |
| 90474 |
|
11,865 |
11,788 |
$8K |
| 86235 |
|
118 |
104 |
$8K |
| J7050 |
Infusion, normal saline solution, 250 cc |
677 |
545 |
$8K |
| V5275 |
Ear impression, each |
577 |
561 |
$8K |
| 73502 |
|
98 |
92 |
$8K |
| 82017 |
|
575 |
534 |
$8K |
| 87324 |
|
762 |
725 |
$8K |
| 82085 |
|
974 |
845 |
$8K |
| 73620 |
|
87 |
84 |
$8K |
| 99157 |
|
89 |
88 |
$8K |
| 72142 |
|
99 |
99 |
$7K |
| 76506 |
|
61 |
61 |
$7K |
| 73221 |
|
29 |
28 |
$7K |
| 93243 |
|
471 |
458 |
$7K |
| 86787 |
|
597 |
581 |
$7K |
| 80180 |
|
404 |
249 |
$7K |
| 93242 |
|
472 |
458 |
$7K |
| 86664 |
|
369 |
364 |
$7K |
| 90696 |
|
1,294 |
1,288 |
$7K |
| 76642 |
|
67 |
63 |
$7K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
12,180 |
10,469 |
$7K |
| 86580 |
|
332 |
325 |
$7K |
| 96367 |
|
27 |
24 |
$7K |
| 51797 |
|
375 |
359 |
$7K |
| 84255 |
|
380 |
369 |
$7K |
| 90710 |
|
1,089 |
1,085 |
$7K |
| J0136 |
Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg |
1,397 |
1,217 |
$7K |
| 91122 |
|
12 |
12 |
$7K |
| 82330 |
|
729 |
647 |
$6K |
| 80175 |
|
665 |
625 |
$6K |
| 92593 |
|
89 |
85 |
$6K |
| 93788 |
|
66 |
66 |
$6K |
| M0247 |
Intravenous infusion, sotrovimab, includes infusion and post administration monitoring |
14 |
14 |
$6K |
| 93971 |
|
87 |
82 |
$6K |
| 82390 |
|
677 |
659 |
$6K |
| 72040 |
|
222 |
217 |
$6K |
| 88142 |
|
340 |
336 |
$6K |
| V5160 |
Dispensing fee, binaural |
12 |
12 |
$6K |
| 99443 |
|
35 |
35 |
$6K |
| 86039 |
|
609 |
550 |
$6K |
| 58300 |
|
12 |
12 |
$6K |
| J3360 |
Injection, diazepam, up to 5 mg |
1,334 |
1,236 |
$6K |
| D0270 |
|
412 |
371 |
$6K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
70 |
61 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
196 |
187 |
$6K |
| 82657 |
|
210 |
149 |
$5K |
| D9248 |
|
134 |
123 |
$5K |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
2,559 |
2,477 |
$5K |
| 97166 |
|
36 |
36 |
$5K |
| 99402 |
|
46 |
46 |
$5K |
| ATP11 |
|
710 |
623 |
$5K |
| G0379 |
Direct admission of patient for hospital observation care |
79 |
78 |
$5K |
| 97168 |
|
44 |
44 |
$5K |
| D8999 |
|
126 |
104 |
$5K |
| 97116 |
|
124 |
70 |
$5K |
| 80502 |
|
287 |
181 |
$5K |
| 86225 |
|
402 |
395 |
$5K |
| 87536 |
|
77 |
73 |
$4K |
| 90656 |
|
2,658 |
2,644 |
$4K |
| 82960 |
|
779 |
775 |
$4K |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
9,826 |
8,090 |
$4K |
| 93886 |
|
24 |
24 |
$4K |
| 75565 |
|
393 |
378 |
$4K |
| 84478 |
|
3,023 |
2,820 |
$4K |
| 82140 |
|
309 |
267 |
$4K |
| D1510 |
|
20 |
13 |
$4K |
| 86644 |
|
330 |
310 |
$4K |
| 84550 |
|
3,524 |
3,293 |
$4K |
| 86682 |
|
317 |
314 |
$4K |
| 86308 |
|
809 |
797 |
$4K |
| 86337 |
|
198 |
196 |
$4K |
| 70250 |
|
139 |
130 |
$4K |
| ATP12 |
|
588 |
483 |
$4K |
| 51701 |
|
4,290 |
4,182 |
$4K |
| 82157 |
|
137 |
137 |
$4K |
| 81405 |
|
16 |
12 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
32 |
29 |
$3K |
| 90713 |
|
295 |
293 |
$3K |
| 0003A |
|
92 |
91 |
$3K |
| 72070 |
|
99 |
98 |
$3K |
| 72083 |
|
37 |
37 |
$3K |
| 82507 |
|
143 |
139 |
$3K |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
3,180 |
2,904 |
$3K |
| 86147 |
|
52 |
51 |
$3K |
| 77073 |
|
55 |
53 |
$3K |
| 74181 |
|
19 |
13 |
$3K |
| 83986 |
|
912 |
880 |
$3K |
| 86902 |
|
42 |
37 |
$3K |
| 99385 |
|
27 |
27 |
$3K |
| ATP18 |
|
393 |
300 |
$3K |
| 90675 |
|
28 |
14 |
$3K |
| 92025 |
|
33 |
33 |
$3K |
| 83010 |
|
223 |
174 |
$3K |
| 88300 |
|
699 |
672 |
$3K |
| J7510 |
Prednisolone oral, per 5 mg |
569 |
460 |
$2K |
| 95012 |
|
1,703 |
1,645 |
$2K |
| 72147 |
|
87 |
87 |
$2K |
| 86704 |
|
221 |
218 |
$2K |
| A4215 |
Needle, sterile, any size, each |
243 |
233 |
$2K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
1,453 |
1,353 |
$2K |
| 80230 |
|
44 |
41 |
$2K |
| 86015 |
|
235 |
228 |
$2K |
| 87269 |
|
148 |
141 |
$2K |
| J1265 |
Injection, dopamine hcl, 40 mg |
840 |
658 |
$2K |
| 92588 |
|
29 |
29 |
$2K |
| 96376 |
|
722 |
581 |
$2K |
| 89051 |
|
347 |
302 |
$2K |
| 94664 |
|
26 |
25 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
19 |
12 |
$2K |
| 88230 |
|
30 |
30 |
$2K |
| 82024 |
|
65 |
64 |
$2K |
| 86431 |
|
431 |
418 |
$2K |
| 86256 |
|
192 |
183 |
$2K |
| 92595 |
|
26 |
25 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| J1756 |
Injection, iron sucrose, 1 mg |
675 |
199 |
$2K |
| 69209 |
|
68 |
68 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
63 |
48 |
$2K |
| 76010 |
|
47 |
47 |
$2K |
| 90714 |
|
28 |
28 |
$2K |
| V5266 |
Battery for use in hearing device |
731 |
698 |
$2K |
| 82725 |
|
115 |
108 |
$2K |
| 93568 |
|
26 |
24 |
$2K |
| 99177 |
|
13,551 |
13,518 |
$2K |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
1,113 |
789 |
$2K |
| G0009 |
Administration of pneumococcal vaccine |
3,984 |
3,979 |
$2K |
| 84295 |
|
2,115 |
1,870 |
$2K |
| J3535 |
Drug administered through a metered dose inhaler |
79 |
67 |
$2K |
| 84155 |
|
2,506 |
2,366 |
$2K |
| J8540 |
Dexamethasone, oral, 0.25 mg |
7,646 |
7,002 |
$2K |
| 92370 |
|
35 |
25 |
$2K |
| S0077 |
Injection, clindamycin phosphate, 300 mg |
41 |
27 |
$2K |
| 76604 |
|
27 |
27 |
$2K |
| 83919 |
|
140 |
126 |
$2K |
| 82180 |
|
209 |
206 |
$2K |
| 94727 |
|
32 |
28 |
$2K |
| 84681 |
|
100 |
97 |
$2K |
| 87210 |
|
780 |
758 |
$2K |
| 90381 |
|
179 |
178 |
$2K |
| 83930 |
|
265 |
253 |
$2K |
| 83090 |
|
146 |
141 |
$2K |
| 85014 |
|
763 |
631 |
$1K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
853 |
801 |
$1K |
| 87522 |
Neg quan hep c or qual rna |
38 |
38 |
$1K |
| 99417 |
Prolong home eval add 15m |
367 |
357 |
$1K |
| 51792 |
|
51 |
51 |
$1K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
1,119 |
991 |
$1K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
1,204 |
1,170 |
$1K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
510 |
478 |
$1K |
| G0010 |
Administration of hepatitis b vaccine |
2,424 |
2,422 |
$1K |
| 87220 |
|
312 |
306 |
$1K |
| 87101 |
|
164 |
155 |
$1K |
| 0296T |
|
65 |
56 |
$1K |
| 82435 |
|
1,307 |
1,179 |
$1K |
| 90717 |
|
13 |
13 |
$1K |
| 64645 |
|
100 |
97 |
$1K |
| 82820 |
|
97 |
90 |
$1K |
| 86880 |
|
136 |
121 |
$1K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
76 |
69 |
$1K |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
683 |
647 |
$969.08 |
| 0297T |
|
65 |
56 |
$967.74 |
| 87254 |
|
24 |
24 |
$912.89 |
| ATP13 |
|
140 |
115 |
$903.87 |
| 83921 |
|
53 |
52 |
$869.37 |
| 88312 |
|
66 |
63 |
$863.99 |
| 86146 |
|
26 |
26 |
$853.10 |
| 86359 |
|
781 |
716 |
$851.51 |
| 88311 |
|
52 |
51 |
$844.02 |
| 90632 |
|
40 |
40 |
$822.90 |
| 70355 |
|
12 |
12 |
$806.60 |
| 82962 |
|
1,962 |
1,777 |
$795.09 |
| 84202 |
|
61 |
61 |
$791.44 |
| 84207 |
|
38 |
38 |
$788.00 |
| 99156 |
|
84 |
79 |
$771.55 |
| 0141A |
|
35 |
35 |
$769.27 |
| 92341 |
|
63 |
54 |
$765.60 |
| 83020 |
|
59 |
57 |
$743.12 |
| J1815 |
Injection, insulin, per 5 units |
59 |
38 |
$743.10 |
| V5020 |
Conformity evaluation |
28 |
27 |
$727.52 |
| 80235 |
|
31 |
27 |
$696.59 |
| 85008 |
|
598 |
509 |
$693.54 |
| 86162 |
|
46 |
43 |
$692.78 |
| 85670 |
|
111 |
102 |
$681.21 |
| 76377 |
|
85 |
82 |
$679.55 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
222 |
205 |
$638.55 |
| 84999 |
|
131 |
127 |
$636.45 |
| 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 |
2,650 |
2,251 |
$617.14 |
| D3120 |
|
18 |
12 |
$600.00 |
| 88346 |
|
14 |
13 |
$588.43 |
| 86765 |
|
40 |
39 |
$578.81 |
| 86945 |
|
30 |
26 |
$555.60 |
| 82626 |
|
24 |
24 |
$547.06 |
| J0610 |
Injection, calcium gluconate (fresenius kabi), per 10 ml |
80 |
70 |
$526.11 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
226 |
196 |
$518.22 |
| 86735 |
|
38 |
38 |
$496.50 |
| L3906 |
Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment |
1,483 |
1,430 |
$473.50 |
| Q9958 |
High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml |
478 |
463 |
$456.20 |
| 90658 |
|
554 |
543 |
$402.06 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
225 |
224 |
$390.22 |
| ATP19 |
|
43 |
37 |
$389.70 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
53 |
50 |
$386.09 |
| 0164A |
|
12 |
12 |
$383.73 |
| 80203 |
|
42 |
40 |
$372.67 |
| 85660 |
|
78 |
78 |
$359.96 |
| 82232 |
|
28 |
25 |
$348.21 |
| 86645 |
|
25 |
25 |
$341.78 |
| 86663 |
|
29 |
28 |
$296.87 |
| 90473 |
|
640 |
638 |
$276.40 |
| 86200 |
|
29 |
25 |
$251.24 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
771 |
698 |
$244.86 |
| 84425 |
|
13 |
13 |
$243.36 |
| D9420 |
|
5,027 |
3,985 |
$240.00 |
| 84210 |
|
28 |
24 |
$233.87 |
| 84157 |
|
53 |
51 |
$209.73 |
| 86684 |
|
14 |
14 |
$195.58 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
13 |
12 |
$191.75 |
| 82945 |
|
41 |
39 |
$181.63 |
| 86694 |
|
13 |
13 |
$171.95 |
| 80143 |
|
12 |
12 |
$164.40 |
| 51784 |
|
55 |
51 |
$161.74 |
| 86762 |
|
12 |
12 |
$160.08 |
| 80201 |
|
13 |
12 |
$159.90 |
| 86708 |
|
13 |
12 |
$135.21 |
| 81015 |
|
474 |
441 |
$129.40 |
| 86777 |
|
15 |
13 |
$127.34 |
| 83529 |
|
12 |
12 |
$123.88 |
| J2305 |
Injection, nitroglycerin, 5 mg |
14 |
13 |
$119.45 |
| 83051 |
|
27 |
16 |
$109.65 |
| 91305 |
|
848 |
776 |
$101.26 |
| 85732 |
|
15 |
15 |
$85.65 |
| 85049 |
|
17 |
12 |
$68.20 |
| 93288 |
|
14 |
13 |
$55.26 |
| 99411 |
|
16 |
16 |
$53.91 |
| 87299 |
|
14 |
12 |
$38.59 |
| J2060 |
Injection, lorazepam, 2 mg |
28 |
26 |
$38.10 |
| 91300 |
|
2,502 |
2,063 |
$37.18 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
1,222 |
1,038 |
$35.78 |
| J1250 |
Injection, dobutamine hydrochloride, per 250 mg |
297 |
282 |
$35.06 |
| J0735 |
Injection, clonidine hydrochloride, 1 mg |
231 |
228 |
$28.96 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
17 |
14 |
$27.02 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
87 |
69 |
$26.35 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
178 |
171 |
$20.74 |
| A4344 |
Indwelling catheter, foley type, two-way, all silicone or polyurethane, each |
25 |
24 |
$18.85 |
| 95873 |
|
218 |
208 |
$9.81 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
448 |
389 |
$4.70 |
| 91321 |
|
601 |
600 |
$4.65 |
| 82374 |
|
46 |
38 |
$4.30 |
| 96381 |
|
48 |
48 |
$1.81 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
50 |
44 |
$1.76 |
| 90619 |
|
2,613 |
2,602 |
$1.00 |
| 90744 |
|
2,422 |
2,375 |
$0.26 |
| 90648 |
|
1,498 |
1,489 |
$0.00 |
| D0350 |
|
2,284 |
2,023 |
$0.00 |
| D2940 |
|
279 |
185 |
$0.00 |
| 91311 |
|
147 |
137 |
$0.00 |
| 90700 |
|
1,525 |
1,517 |
$0.00 |
| D9996 |
|
1,293 |
1,280 |
$0.00 |
| 72149 |
|
73 |
73 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
69 |
49 |
$0.00 |
| 90380 |
|
32 |
30 |
$0.00 |
| 80339 |
|
26 |
25 |
$0.00 |
| 76001 |
|
25 |
25 |
$0.00 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
25 |
14 |
$0.00 |
| J1643 |
Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units |
66 |
13 |
$0.00 |
| 90661 |
|
73 |
73 |
$0.00 |
| D0470 |
|
1,277 |
1,031 |
$0.00 |
| 90657 |
|
267 |
265 |
$0.00 |
| 90698 |
|
2,953 |
2,905 |
$0.00 |
| 91307 |
|
958 |
854 |
$0.00 |
| 90697 |
|
2,801 |
2,744 |
$0.00 |
| D1330 |
|
2,110 |
1,983 |
$0.00 |
| D1353 |
|
596 |
273 |
$0.00 |
| D9995 |
|
2,842 |
2,648 |
$0.00 |
| 90634 |
|
436 |
435 |
$0.00 |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
59 |
57 |
$0.00 |
| 80352 |
|
60 |
52 |
$0.00 |
| J1940 |
Injection, furosemide, up to 20 mg |
19 |
14 |
$0.00 |
| 93246 |
|
13 |
13 |
$0.00 |
| J1836 |
Injection, metronidazole, 10 mg |
65 |
53 |
$0.00 |
| 90723 |
|
67 |
67 |
$0.00 |
| 93247 |
|
13 |
13 |
$0.00 |
| C9285 |
Lidocaine 70 mg/tetracaine 70 mg, per patch |
16 |
16 |
$0.00 |
| 91315 |
|
30 |
18 |
$0.00 |