| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
95,050 |
88,121 |
$6.51M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
80,493 |
78,600 |
$5.33M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
50,741 |
49,294 |
$5.05M |
| 99233 |
Prolong inpt eval add15 m |
54,388 |
20,982 |
$3.82M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38,423 |
36,049 |
$3.56M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
15,897 |
7,361 |
$2.65M |
| 90791 |
Psychiatric diagnostic evaluation |
2,332 |
2,105 |
$2.12M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
22,912 |
22,247 |
$1.90M |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
36,820 |
14,085 |
$1.86M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24,048 |
22,661 |
$1.85M |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,272 |
3,010 |
$901K |
| 70450 |
Computed tomography, head or brain; without contrast material |
18,234 |
17,133 |
$810K |
| 99222 |
Initial hospital care, per day, moderate complexity |
8,443 |
7,444 |
$671K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
5,671 |
5,389 |
$642K |
| 99223 |
Prolong inpt eval add15 m |
4,768 |
4,406 |
$541K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,986 |
1,899 |
$541K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
8,431 |
7,783 |
$502K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
66,779 |
55,373 |
$484K |
| 99215 |
Prolong outpt/office vis |
4,243 |
4,101 |
$483K |
| 71045 |
Radiologic examination, chest; single view |
67,903 |
48,063 |
$448K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
8,345 |
7,811 |
$437K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
6,126 |
5,879 |
$434K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,442 |
5,246 |
$417K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,164 |
6,105 |
$386K |
| 99442 |
|
5,227 |
4,934 |
$351K |
| 88307 |
|
2,494 |
2,349 |
$340K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,516 |
4,120 |
$339K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
3,265 |
3,056 |
$331K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,391 |
4,365 |
$301K |
| 99221 |
|
5,026 |
4,615 |
$292K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,103 |
2,031 |
$287K |
| 36415 |
Collection of venous blood by venipuncture |
19,394 |
18,118 |
$285K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,085 |
4,826 |
$284K |
| 80053 |
Comprehensive metabolic panel |
7,787 |
7,110 |
$269K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,543 |
4,498 |
$265K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,421 |
2,406 |
$257K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
6,503 |
5,171 |
$247K |
| 71046 |
Radiologic examination, chest; 2 views |
29,362 |
28,470 |
$234K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,451 |
1,177 |
$208K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
7,368 |
3,074 |
$186K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,947 |
2,925 |
$185K |
| 93970 |
|
4,898 |
4,288 |
$148K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,203 |
2,193 |
$143K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
4,477 |
4,363 |
$142K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,659 |
1,633 |
$140K |
| 92551 |
|
7,526 |
7,503 |
$137K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
1,205 |
412 |
$120K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,447 |
1,392 |
$115K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,592 |
2,584 |
$112K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,874 |
3,772 |
$111K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,467 |
2,391 |
$109K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,169 |
2,786 |
$107K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,451 |
1,399 |
$106K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,248 |
2,177 |
$101K |
| 86850 |
|
2,395 |
2,107 |
$97K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,215 |
1,205 |
$96K |
| 99468 |
|
131 |
127 |
$92K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
278 |
139 |
$90K |
| 99443 |
|
880 |
852 |
$87K |
| 76818 |
|
1,855 |
1,112 |
$85K |
| 93308 |
|
1,659 |
1,464 |
$85K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,625 |
2,292 |
$85K |
| 81025 |
|
3,566 |
2,827 |
$83K |
| 86900 |
|
3,941 |
2,149 |
$80K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,940 |
2,803 |
$79K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
2,767 |
2,660 |
$75K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
451 |
343 |
$73K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
558 |
548 |
$72K |
| 99205 |
Prolong outpt/office vis |
491 |
489 |
$70K |
| 76641 |
|
2,007 |
1,935 |
$69K |
| 76830 |
Ultrasound, transvaginal |
2,361 |
2,274 |
$66K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
765 |
741 |
$65K |
| 70486 |
|
1,653 |
1,600 |
$64K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
736 |
735 |
$62K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
346 |
337 |
$61K |
| 86901 |
|
2,403 |
2,110 |
$59K |
| 88312 |
|
1,691 |
1,571 |
$57K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,774 |
1,609 |
$56K |
| 88304 |
|
2,394 |
2,232 |
$55K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
447 |
438 |
$54K |
| 92250 |
|
2,943 |
2,828 |
$52K |
| 97803 |
|
1,409 |
1,371 |
$51K |
| 82803 |
|
2,418 |
2,260 |
$50K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,734 |
2,632 |
$47K |
| 99234 |
|
381 |
229 |
$42K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
785 |
768 |
$41K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,211 |
2,143 |
$41K |
| 71250 |
|
1,325 |
1,276 |
$40K |
| 76813 |
|
740 |
734 |
$40K |
| 76770 |
|
1,331 |
1,270 |
$40K |
| 93976 |
|
1,187 |
1,144 |
$39K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
490 |
487 |
$36K |
| 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 |
462 |
462 |
$34K |
| 97802 |
|
841 |
829 |
$32K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
727 |
666 |
$31K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,632 |
1,513 |
$30K |
| 83880 |
|
1,208 |
1,180 |
$30K |
| 59025 |
Fetal non-stress test |
663 |
603 |
$30K |
| 99173 |
|
6,127 |
6,108 |
$28K |
| 80061 |
Lipid panel |
2,712 |
2,683 |
$28K |
| 99226 |
|
334 |
78 |
$27K |
| 90715 |
|
791 |
790 |
$25K |
| 99462 |
|
814 |
595 |
$25K |
| 99460 |
|
382 |
379 |
$25K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,845 |
1,791 |
$25K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
583 |
567 |
$23K |
| 90961 |
|
141 |
141 |
$23K |
| 74018 |
|
3,279 |
2,410 |
$22K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
740 |
738 |
$22K |
| 94375 |
|
668 |
659 |
$22K |
| 90686 |
|
779 |
778 |
$22K |
| 73630 |
|
4,656 |
4,021 |
$22K |
| 73610 |
|
4,106 |
3,395 |
$20K |
| 73130 |
|
4,270 |
3,676 |
$19K |
| 73560 |
|
3,808 |
3,179 |
$19K |
| 92015 |
Determination of refractive state |
1,207 |
1,191 |
$18K |
| 80076 |
|
1,497 |
1,426 |
$18K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
461 |
405 |
$18K |
| 93000 |
|
1,660 |
1,643 |
$17K |
| 70498 |
|
246 |
244 |
$16K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
690 |
689 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,594 |
11,420 |
$15K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
871 |
805 |
$15K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
134 |
24 |
$14K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
170 |
113 |
$14K |
| 86480 |
|
241 |
241 |
$14K |
| 99441 |
|
446 |
423 |
$14K |
| 31575 |
|
130 |
130 |
$14K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
391 |
391 |
$14K |
| 73030 |
|
2,435 |
2,156 |
$13K |
| 73110 |
|
2,781 |
2,294 |
$13K |
| 99292 |
|
109 |
102 |
$13K |
| 95816 |
|
300 |
295 |
$12K |
| 94010 |
|
1,360 |
1,131 |
$12K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
649 |
627 |
$12K |
| 93298 |
|
556 |
556 |
$12K |
| 12011 |
|
79 |
71 |
$12K |
| 76604 |
|
527 |
488 |
$11K |
| 73590 |
|
2,666 |
2,258 |
$11K |
| 43281 |
|
13 |
12 |
$11K |
| 86580 |
|
595 |
593 |
$11K |
| 96127 |
|
15,967 |
15,421 |
$11K |
| 92020 |
|
618 |
614 |
$11K |
| 76775 |
|
397 |
363 |
$10K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,488 |
2,381 |
$9K |
| 12001 |
|
53 |
49 |
$9K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
2,065 |
2,037 |
$9K |
| 93923 |
|
520 |
503 |
$9K |
| 93016 |
|
519 |
511 |
$9K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
828 |
824 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,487 |
2,432 |
$8K |
| 72100 |
|
1,213 |
1,185 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,799 |
1,580 |
$8K |
| 94726 |
|
1,111 |
859 |
$8K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
161 |
158 |
$8K |
| 93297 |
|
441 |
441 |
$8K |
| 77066 |
Tomosynthesis, mammo |
215 |
215 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,486 |
2,458 |
$7K |
| 72170 |
|
1,599 |
1,546 |
$7K |
| 83655 |
|
451 |
448 |
$7K |
| 73502 |
|
795 |
713 |
$7K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
46 |
46 |
$7K |
| 87536 |
|
180 |
175 |
$7K |
| 93018 |
|
525 |
517 |
$6K |
| 94729 |
|
1,109 |
855 |
$6K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
27 |
27 |
$6K |
| 31231 |
|
33 |
33 |
$6K |
| 77065 |
Tomosynthesis, mammo |
191 |
177 |
$5K |
| 86803 |
|
1,823 |
1,800 |
$5K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,839 |
1,734 |
$5K |
| 93320 |
|
459 |
401 |
$5K |
| 84439 |
|
1,504 |
1,470 |
$5K |
| S9470 |
Nutritional counseling, dietitian visit |
666 |
666 |
$5K |
| 94618 |
|
357 |
289 |
$5K |
| 73562 |
|
891 |
789 |
$5K |
| 12002 |
|
12 |
12 |
$5K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,707 |
1,646 |
$5K |
| 94664 |
|
3,036 |
2,882 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
92 |
91 |
$5K |
| 88302 |
|
201 |
201 |
$4K |
| 87340 |
|
1,271 |
1,253 |
$4K |
| J3490 |
Unclassified drugs |
877 |
804 |
$4K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
53 |
24 |
$4K |
| 88142 |
|
121 |
121 |
$4K |
| 73552 |
|
593 |
518 |
$4K |
| 73090 |
|
1,109 |
982 |
$4K |
| 84702 |
|
1,948 |
1,783 |
$4K |
| 49905 |
|
14 |
13 |
$4K |
| 73080 |
|
914 |
834 |
$4K |
| 81001 |
|
6,842 |
4,250 |
$4K |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
1,610 |
1,393 |
$4K |
| 85730 |
|
3,240 |
3,119 |
$4K |
| 99402 |
|
120 |
115 |
$4K |
| 93971 |
|
205 |
187 |
$4K |
| 92587 |
|
215 |
214 |
$3K |
| 20553 |
|
64 |
63 |
$3K |
| 72131 |
|
76 |
73 |
$3K |
| 76536 |
|
175 |
175 |
$3K |
| 90670 |
|
178 |
178 |
$3K |
| 57454 |
|
24 |
24 |
$3K |
| 85610 |
|
3,211 |
3,062 |
$3K |
| 92556 |
|
98 |
98 |
$3K |
| 69210 |
|
270 |
268 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,874 |
2,720 |
$3K |
| 93227 |
|
131 |
116 |
$3K |
| 36556 |
|
21 |
12 |
$3K |
| 97804 |
|
222 |
90 |
$3K |
| 99219 |
|
26 |
26 |
$3K |
| 82728 |
|
414 |
405 |
$2K |
| J2704 |
Injection, propofol, 10 mg |
1,034 |
1,027 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
229 |
229 |
$2K |
| 99403 |
|
46 |
46 |
$2K |
| 43235 |
|
34 |
29 |
$2K |
| 87070 |
|
690 |
679 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,526 |
1,434 |
$2K |
| 92563 |
|
104 |
104 |
$2K |
| 88342 |
|
68 |
45 |
$2K |
| 93325 |
|
982 |
844 |
$2K |
| 99225 |
|
33 |
28 |
$2K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
257 |
257 |
$2K |
| D1120 |
Prophylaxis - child |
49 |
49 |
$2K |
| 93975 |
|
30 |
30 |
$2K |
| 88300 |
|
583 |
512 |
$2K |
| 86592 |
|
1,527 |
1,496 |
$2K |
| 86360 |
|
62 |
58 |
$2K |
| 92002 |
|
37 |
37 |
$2K |
| 86706 |
|
489 |
485 |
$2K |
| C9290 |
Injection, bupivacaine liposome, 1 mg |
12 |
12 |
$2K |
| 82607 |
|
332 |
324 |
$2K |
| 99497 |
|
22 |
14 |
$2K |
| 92550 |
|
105 |
105 |
$2K |
| 99464 |
|
25 |
24 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
40 |
40 |
$1K |
| 99465 |
|
12 |
12 |
$1K |
| 87088 |
|
985 |
954 |
$1K |
| J8540 |
Dexamethasone, oral, 0.25 mg |
304 |
280 |
$1K |
| 88141 |
|
102 |
102 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,395 |
3,182 |
$1K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
293 |
276 |
$1K |
| 82962 |
|
4,767 |
3,827 |
$1K |
| 86355 |
|
44 |
41 |
$1K |
| 92133 |
|
81 |
80 |
$1K |
| 76820 |
|
65 |
38 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
88 |
88 |
$1K |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,030 |
824 |
$1K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
13 |
13 |
$1K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
766 |
758 |
$1K |
| 93295 |
|
57 |
57 |
$1K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
410 |
400 |
$1K |
| 90962 |
|
12 |
12 |
$1K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
40 |
40 |
$1K |
| 86780 |
|
762 |
722 |
$1K |
| 93296 |
|
128 |
128 |
$1K |
| 73060 |
|
275 |
242 |
$1K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
32 |
32 |
$1K |
| 99407 |
|
53 |
52 |
$996.51 |
| 76000 |
|
79 |
75 |
$987.75 |
| 99417 |
Prolong home eval add 15m |
56 |
55 |
$966.19 |
| 99218 |
|
12 |
12 |
$944.63 |
| 76514 |
|
157 |
156 |
$894.03 |
| 76801 |
|
21 |
21 |
$888.95 |
| 84100 |
|
1,232 |
1,149 |
$881.01 |
| 86357 |
|
44 |
41 |
$836.26 |
| 86359 |
|
44 |
41 |
$836.26 |
| 93925 |
|
25 |
24 |
$803.17 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,925 |
1,835 |
$791.00 |
| 73140 |
|
251 |
224 |
$773.95 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,865 |
1,786 |
$735.70 |
| 87650 |
|
140 |
139 |
$729.31 |
| 82043 |
|
316 |
309 |
$710.31 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
13 |
13 |
$654.19 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,053 |
1,044 |
$647.76 |
| 99418 |
Prolong nursin fac eval 15m |
20 |
12 |
$635.38 |
| 82746 |
|
164 |
162 |
$612.16 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
421 |
409 |
$578.14 |
| 94060 |
|
81 |
50 |
$554.79 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
58 |
57 |
$552.01 |
| D0140 |
Limited oral evaluation - problem focused |
40 |
40 |
$546.00 |
| 82248 |
|
2,716 |
2,587 |
$531.92 |
| 80305 |
|
475 |
467 |
$477.19 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
41 |
41 |
$454.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
174 |
169 |
$446.25 |
| 86593 |
|
662 |
654 |
$441.55 |
| 99457 |
|
14 |
13 |
$437.56 |
| 81003 |
|
845 |
824 |
$422.16 |
| 73600 |
|
131 |
125 |
$410.29 |
| 83970 |
|
12 |
12 |
$407.41 |
| 73565 |
|
66 |
66 |
$404.55 |
| 90671 |
|
13 |
13 |
$396.30 |
| 83735 |
|
2,312 |
2,077 |
$372.19 |
| 88311 |
|
15 |
15 |
$304.31 |
| 82652 |
|
13 |
12 |
$303.62 |
| 77080 |
|
84 |
83 |
$296.97 |
| 3074F |
|
41,925 |
39,282 |
$280.34 |
| 3078F |
|
39,997 |
37,519 |
$270.73 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,580 |
1,557 |
$259.25 |
| 80321 |
|
469 |
453 |
$245.75 |
| 1159F |
|
142,461 |
132,264 |
$243.63 |
| 84484 |
|
2,824 |
2,487 |
$242.83 |
| 83690 |
|
2,268 |
2,169 |
$230.22 |
| 1160F |
|
117,086 |
109,142 |
$225.13 |
| D0230 |
Intraoral - periapical each additional radiographic image |
25 |
25 |
$220.00 |
| 83550 |
|
88 |
87 |
$213.51 |
| 82570 |
|
74 |
70 |
$203.15 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
13 |
13 |
$200.00 |
| D0220 |
Intraoral - periapical first radiographic image |
25 |
25 |
$200.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,005 |
982 |
$199.27 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
501 |
497 |
$198.25 |
| 73564 |
|
21 |
16 |
$187.26 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
168 |
160 |
$185.58 |
| 85732 |
|
87 |
84 |
$182.11 |
| 92226 |
|
14 |
14 |
$176.34 |
| 77062 |
|
27 |
27 |
$169.02 |
| 1126F |
|
31,155 |
29,406 |
$165.15 |
| 82947 |
|
1,209 |
1,023 |
$142.32 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
157 |
140 |
$141.81 |
| 84156 |
|
76 |
70 |
$139.46 |
| 99152 |
|
13 |
12 |
$138.82 |
| J1630 |
Injection, haloperidol, up to 5 mg |
116 |
108 |
$130.09 |
| 84703 |
|
517 |
499 |
$126.70 |
| 86140 |
|
112 |
108 |
$126.66 |
| 3008F |
|
96,468 |
91,343 |
$126.43 |
| 86704 |
|
42 |
42 |
$116.43 |
| 86762 |
|
24 |
24 |
$96.91 |
| 70360 |
|
12 |
12 |
$92.45 |
| 3079F |
|
8,137 |
7,859 |
$90.03 |
| 72040 |
|
12 |
12 |
$86.74 |
| 82550 |
|
513 |
496 |
$86.21 |
| 83605 |
|
1,353 |
1,186 |
$80.80 |
| 86710 |
|
249 |
142 |
$74.95 |
| 73620 |
|
16 |
15 |
$66.24 |
| 87400 |
|
97 |
95 |
$65.00 |
| 94760 |
|
1,002 |
966 |
$55.98 |
| 3044F |
|
31,157 |
28,845 |
$50.01 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
26 |
26 |
$41.06 |
| 3046F |
|
2,218 |
2,094 |
$40.00 |
| 86141 |
|
28 |
27 |
$36.53 |
| J2060 |
Injection, lorazepam, 2 mg |
29 |
26 |
$26.36 |
| 81002 |
|
224 |
166 |
$25.30 |
| 93042 |
|
25 |
25 |
$24.09 |
| 80320 |
|
795 |
767 |
$15.15 |
| 36416 |
|
219 |
216 |
$12.42 |
| 1125F |
|
28,147 |
26,260 |
$10.40 |
| 85651 |
|
31 |
29 |
$8.00 |
| 3075F |
|
4,520 |
4,376 |
$7.51 |
| 87450 |
|
18 |
17 |
$7.50 |
| 85652 |
|
28 |
27 |
$6.06 |
| 1036F |
|
45,581 |
41,904 |
$5.39 |
| 3080F |
|
544 |
521 |
$5.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
12 |
12 |
$3.00 |
| 0503F |
|
62 |
58 |
$0.18 |
| 3048F |
|
5,524 |
4,979 |
$0.00 |
| 1170F |
|
23,417 |
21,490 |
$0.00 |
| 3061F |
|
7,932 |
7,218 |
$0.00 |
| 1034F |
|
2,341 |
2,011 |
$0.00 |
| 4010F |
|
3,883 |
3,470 |
$0.00 |
| 4000F |
|
1,738 |
1,656 |
$0.00 |
| 1000F |
|
493 |
482 |
$0.00 |
| 3049F |
|
1,060 |
929 |
$0.00 |
| 1035F |
|
112 |
91 |
$0.00 |
| 1031F |
|
118 |
118 |
$0.00 |
| G0378 |
Hospital observation service, per hour |
14 |
14 |
$0.00 |
| 1111F |
|
1,175 |
1,009 |
$0.00 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
81 |
79 |
$0.00 |
| 90680 |
|
25 |
25 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
31 |
30 |
$0.00 |
| 84999 |
|
60 |
59 |
$0.00 |
| 96376 |
|
17 |
14 |
$0.00 |
| 87040 |
|
57 |
51 |
$0.00 |
| 90480 |
|
12 |
12 |
$0.00 |
| 99024 |
|
14 |
13 |
$0.00 |
| 85008 |
|
12 |
12 |
$0.00 |
| 3725F |
|
13,820 |
13,347 |
$0.00 |
| 3062F |
|
11,457 |
10,179 |
$0.00 |
| 3288F |
|
22,465 |
20,623 |
$0.00 |
| 1033F |
|
12,202 |
11,366 |
$0.00 |
| 3077F |
|
4,866 |
4,661 |
$0.00 |
| 1032F |
|
1,208 |
1,111 |
$0.00 |
| 3050F |
|
479 |
434 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
401 |
386 |
$0.00 |
| 99080 |
|
222 |
73 |
$0.00 |
| 90461 |
|
248 |
246 |
$0.00 |
| 90648 |
|
24 |
24 |
$0.00 |
| 0502F |
|
16 |
15 |
$0.00 |