| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,448 |
1,439 |
$195K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,612 |
1,593 |
$121K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,465 |
1,368 |
$91K |
| 99460 |
|
1,441 |
1,430 |
$81K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,088 |
975 |
$62K |
| 99462 |
|
1,978 |
1,524 |
$59K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,187 |
1,045 |
$43K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
62,058 |
61,955 |
$38K |
| 76820 |
|
1,102 |
887 |
$37K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
21,780 |
21,739 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35,053 |
33,887 |
$33K |
| 59425 |
|
522 |
436 |
$32K |
| 99215 |
Prolong outpt/office vis |
2,550 |
2,430 |
$29K |
| 90834 |
Psychotherapy, 45 minutes with patient |
299 |
178 |
$24K |
| 76813 |
|
243 |
242 |
$20K |
| 76801 |
|
260 |
257 |
$14K |
| 90832 |
Psychotherapy, 30 minutes with patient |
251 |
197 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45,351 |
44,296 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20,522 |
20,519 |
$9K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,556 |
1,384 |
$9K |
| 99241 |
|
294 |
284 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
103 |
82 |
$5K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
12,954 |
12,158 |
$4K |
| 59025 |
Fetal non-stress test |
351 |
154 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,166 |
4,158 |
$3K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
2,745 |
2,745 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
11,402 |
11,343 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,263 |
5,259 |
$2K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,277 |
2,274 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,470 |
1,463 |
$2K |
| 92060 |
|
2,675 |
2,640 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
874 |
864 |
$1K |
| 92015 |
Determination of refractive state |
9,776 |
9,723 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
32 |
12 |
$1K |
| 88304 |
|
1,238 |
1,234 |
$1K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,624 |
1,623 |
$765.18 |
| 93320 |
|
1,157 |
1,154 |
$673.80 |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
1,005 |
1,003 |
$664.95 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
843 |
821 |
$645.74 |
| 17110 |
|
2,650 |
2,623 |
$636.62 |
| 51798 |
|
2,633 |
2,402 |
$458.70 |
| 93325 |
|
2,346 |
2,322 |
$450.14 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,558 |
2,554 |
$411.42 |
| H2027 |
Psychoeducational service, per 15 minutes |
14 |
14 |
$393.16 |
| 90686 |
|
510 |
508 |
$292.46 |
| 51741 |
|
3,346 |
3,066 |
$266.24 |
| 93227 |
|
129 |
129 |
$248.31 |
| 88300 |
|
1,190 |
1,188 |
$222.03 |
| 99243 |
|
1,079 |
1,079 |
$183.26 |
| 99205 |
Prolong outpt/office vis |
234 |
234 |
$181.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,062 |
1,060 |
$166.94 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29,217 |
28,211 |
$152.78 |
| 94010 |
|
2,723 |
2,710 |
$107.14 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
4,809 |
4,808 |
$93.29 |
| 81025 |
|
2,723 |
2,692 |
$55.44 |
| 93790 |
|
55 |
54 |
$53.31 |
| 73630 |
|
2,807 |
2,705 |
$39.48 |
| 51784 |
|
516 |
436 |
$35.14 |
| 73590 |
|
1,262 |
1,117 |
$33.88 |
| 90656 |
|
32 |
32 |
$29.49 |
| 90688 |
|
22 |
22 |
$24.53 |
| 99201 |
|
925 |
925 |
$21.98 |
| S0265 |
Genetic counseling, under physician supervision, each 15 minutes |
26 |
25 |
$16.50 |
| 92504 |
|
525 |
504 |
$14.65 |
| 97139 |
|
79,168 |
21,915 |
$0.00 |
| 81001 |
|
3,519 |
3,438 |
$0.00 |
| 88341 |
|
14 |
12 |
$0.00 |
| 86140 |
|
2,451 |
2,383 |
$0.00 |
| 81000 |
|
6,390 |
6,353 |
$0.00 |
| 85027 |
|
2,872 |
2,818 |
$0.00 |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
26,005 |
10,870 |
$0.00 |
| 81015 |
|
390 |
382 |
$0.00 |
| 92587 |
|
768 |
768 |
$0.00 |
| 72170 |
|
2,146 |
2,140 |
$0.00 |
| 97165 |
|
720 |
469 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
8,921 |
8,602 |
$0.00 |
| 87081 |
|
6,154 |
6,125 |
$0.00 |
| 97750 |
|
22,064 |
11,538 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,533 |
11,137 |
$0.00 |
| 97802 |
|
843 |
843 |
$0.00 |
| 83735 |
|
952 |
846 |
$0.00 |
| 0710 |
|
986 |
980 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
268 |
264 |
$0.00 |
| 87071 |
|
829 |
821 |
$0.00 |
| 0519 |
|
1,348 |
1,281 |
$0.00 |
| 80069 |
|
123 |
116 |
$0.00 |
| 74240 |
|
14 |
14 |
$0.00 |
| 85652 |
|
2,617 |
2,561 |
$0.00 |
| 87581 |
|
1,206 |
1,183 |
$0.00 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
1,333 |
1,312 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,589 |
3,576 |
$0.00 |
| 82784 |
|
2,264 |
2,256 |
$0.00 |
| 73560 |
|
246 |
242 |
$0.00 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
8,444 |
4,149 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
8,012 |
7,789 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
6,374 |
6,345 |
$0.00 |
| J3490 |
Unclassified drugs |
3,740 |
3,401 |
$0.00 |
| 29075 |
|
467 |
454 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
33,823 |
32,268 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
4,910 |
4,827 |
$0.00 |
| 85730 |
|
1,042 |
1,025 |
$0.00 |
| 74019 |
|
757 |
756 |
$0.00 |
| 83550 |
|
1,921 |
1,896 |
$0.00 |
| H0033 |
Oral medication administration, direct observation |
1,839 |
1,809 |
$0.00 |
| 76870 |
|
835 |
833 |
$0.00 |
| 92523 |
|
3,030 |
3,028 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,470 |
2,462 |
$0.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,173 |
1,173 |
$0.00 |
| 82728 |
|
2,091 |
2,056 |
$0.00 |
| 11900 |
|
369 |
362 |
$0.00 |
| 92567 |
|
7,461 |
7,448 |
$0.00 |
| 72082 |
|
1,960 |
1,957 |
$0.00 |
| 82550 |
|
282 |
279 |
$0.00 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
707 |
701 |
$0.00 |
| 84315 |
|
675 |
643 |
$0.00 |
| 99070 |
|
538 |
515 |
$0.00 |
| 84436 |
|
2,484 |
2,478 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
656 |
617 |
$0.00 |
| 73660 |
|
244 |
229 |
$0.00 |
| 93786 |
|
296 |
294 |
$0.00 |
| 92508 |
Group treatment of speech, language, voice, communication, and/or auditory processing disorder |
5,301 |
2,179 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,487 |
2,443 |
$0.00 |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
2,701 |
2,237 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,762 |
1,684 |
$0.00 |
| 83993 |
|
491 |
489 |
$0.00 |
| 93788 |
|
296 |
294 |
$0.00 |
| 87205 |
|
682 |
674 |
$0.00 |
| 83690 |
|
700 |
681 |
$0.00 |
| 86769 |
|
215 |
212 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,690 |
3,483 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
466 |
456 |
$0.00 |
| 87046 |
|
249 |
247 |
$0.00 |
| 73090 |
|
2,889 |
2,488 |
$0.00 |
| 95819 |
|
512 |
512 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
309 |
305 |
$0.00 |
| 92522 |
|
26 |
26 |
$0.00 |
| 82043 |
|
199 |
195 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
528 |
510 |
$0.00 |
| 92700 |
|
1,411 |
1,409 |
$0.00 |
| 99000 |
|
125 |
118 |
$0.00 |
| 51600 |
|
130 |
129 |
$0.00 |
| A9150 |
Non-prescription drugs |
877 |
852 |
$0.00 |
| 94760 |
|
672 |
641 |
$0.00 |
| 84478 |
|
670 |
653 |
$0.00 |
| 74455 |
|
130 |
129 |
$0.00 |
| 29130 |
|
133 |
133 |
$0.00 |
| 73620 |
|
263 |
261 |
$0.00 |
| 97003 |
|
101 |
72 |
$0.00 |
| 87181 |
|
13 |
13 |
$0.00 |
| 87486 |
|
1,206 |
1,183 |
$0.00 |
| 87015 |
|
102 |
101 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
908 |
672 |
$0.00 |
| 87340 |
|
49 |
49 |
$0.00 |
| 86850 |
|
12 |
12 |
$0.00 |
| 73564 |
|
677 |
677 |
$0.00 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
75 |
43 |
$0.00 |
| 82607 |
|
26 |
26 |
$0.00 |
| 87503 |
|
403 |
401 |
$0.00 |
| 99050 |
|
704 |
682 |
$0.00 |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
14 |
14 |
$0.00 |
| 23500 |
|
39 |
39 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
66 |
63 |
$0.00 |
| 86901 |
|
58 |
56 |
$0.00 |
| 73060 |
|
14 |
12 |
$0.00 |
| 86376 |
|
13 |
13 |
$0.00 |
| S9446 |
Patient education, not otherwise classified, non-physician provider, group, per session |
143 |
80 |
$0.00 |
| 86803 |
|
37 |
37 |
$0.00 |
| 95115 |
|
86 |
36 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
104 |
103 |
$0.00 |
| 76536 |
|
87 |
87 |
$0.00 |
| 85018 |
|
29 |
29 |
$0.00 |
| 29065 |
|
62 |
62 |
$0.00 |
| 87070 |
|
15 |
15 |
$0.00 |
| 80050 |
General health panel |
12 |
12 |
$0.00 |
| 96127 |
|
15 |
15 |
$0.00 |
| 93000 |
|
15 |
15 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
23 |
15 |
$0.00 |
| 90378 |
|
24 |
24 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
19 |
19 |
$0.00 |
| 86160 |
|
16 |
15 |
$0.00 |
| 88342 |
|
12 |
12 |
$0.00 |
| 82390 |
|
16 |
16 |
$0.00 |
| 73120 |
|
27 |
25 |
$0.00 |
| 99451 |
|
18 |
18 |
$0.00 |
| 80197 |
|
13 |
12 |
$0.00 |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
39 |
25 |
$0.00 |
| 24530 |
|
12 |
12 |
$0.00 |
| 82977 |
|
3,227 |
3,094 |
$0.00 |
| 92585 |
|
96 |
95 |
$0.00 |
| 93976 |
|
1,068 |
1,065 |
$0.00 |
| 73140 |
|
2,753 |
2,554 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
16,025 |
15,881 |
$0.00 |
| 82947 |
|
1,461 |
1,452 |
$0.00 |
| 80076 |
|
3,344 |
3,242 |
$0.00 |
| 74018 |
|
3,006 |
2,930 |
$0.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
3,084 |
2,948 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
514 |
502 |
$0.00 |
| 82570 |
|
1,326 |
1,267 |
$0.00 |
| 92579 |
|
814 |
814 |
$0.00 |
| 97803 |
|
412 |
410 |
$0.00 |
| 73100 |
|
3,155 |
2,904 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,741 |
3,136 |
$0.00 |
| 76770 |
|
4,566 |
4,563 |
$0.00 |
| 0456 |
|
79,079 |
75,380 |
$0.00 |
| 86628 |
|
27 |
27 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,533 |
6,471 |
$0.00 |
| 87045 |
|
250 |
248 |
$0.00 |
| 77073 |
|
783 |
783 |
$0.00 |
| 92557 |
|
5,786 |
5,778 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
7,139 |
7,109 |
$0.00 |
| 95782 |
|
198 |
197 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
87 |
81 |
$0.00 |
| 94060 |
|
395 |
392 |
$0.00 |
| 81003 |
|
1,455 |
1,422 |
$0.00 |
| 73000 |
|
546 |
536 |
$0.00 |
| 25600 |
|
1,191 |
1,191 |
$0.00 |
| 83540 |
|
2,059 |
2,033 |
$0.00 |
| 92588 |
|
5,660 |
5,640 |
$0.00 |
| 84100 |
|
844 |
773 |
$0.00 |
| 97799 |
|
32,498 |
10,089 |
$0.00 |
| 99051 |
|
4,899 |
4,697 |
$0.00 |
| 26720 |
|
451 |
451 |
$0.00 |
| 93975 |
|
1,901 |
1,898 |
$0.00 |
| 97163 |
|
2,637 |
1,995 |
$0.00 |
| 73610 |
|
3,322 |
3,173 |
$0.00 |
| 73070 |
|
1,435 |
1,330 |
$0.00 |
| 73030 |
|
60 |
58 |
$0.00 |
| 0510 |
|
115,975 |
109,038 |
$0.00 |
| 85610 |
|
1,932 |
1,854 |
$0.00 |
| 83516 |
|
1,262 |
1,253 |
$0.00 |
| 84460 |
|
1,921 |
1,897 |
$0.00 |
| 27786 |
|
45 |
45 |
$0.00 |
| 86900 |
|
58 |
56 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,150 |
8,072 |
$0.00 |
| 86003 |
|
1,447 |
1,378 |
$0.00 |
| 84439 |
|
2,767 |
2,760 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,010 |
995 |
$0.00 |
| 70450 |
Computed tomography, head or brain; without contrast material |
26 |
25 |
$0.00 |
| 51701 |
|
514 |
513 |
$0.00 |
| 84550 |
|
121 |
119 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,390 |
1,350 |
$0.00 |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
3,707 |
3,228 |
$0.00 |
| 73110 |
|
1,010 |
972 |
$0.00 |
| 73130 |
|
1,447 |
1,375 |
$0.00 |
| 83655 |
|
1,083 |
1,078 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
299 |
298 |
$0.00 |
| 82465 |
|
890 |
872 |
$0.00 |
| 73562 |
|
614 |
609 |
$0.00 |
| 84450 |
|
1,843 |
1,820 |
$0.00 |
| 99072 |
|
1,138 |
1,120 |
$0.00 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
150 |
77 |
$0.00 |
| 80061 |
Lipid panel |
4,835 |
4,818 |
$0.00 |
| 83525 |
|
403 |
403 |
$0.00 |
| 85007 |
|
518 |
506 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
111 |
111 |
$0.00 |
| 84156 |
|
900 |
864 |
$0.00 |
| 87186 |
|
1,337 |
1,325 |
$0.00 |
| 29125 |
|
83 |
83 |
$0.00 |
| 77072 |
|
1,807 |
1,807 |
$0.00 |
| 92582 |
|
490 |
490 |
$0.00 |
| 85045 |
|
1,176 |
1,125 |
$0.00 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
29 |
29 |
$0.00 |
| 82785 |
|
669 |
669 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
402 |
400 |
$0.00 |
| 76882 |
|
26 |
24 |
$0.00 |
| 93321 |
|
398 |
397 |
$0.00 |
| 29425 |
|
141 |
130 |
$0.00 |
| G9920 |
Screening performed and negative |
230 |
229 |
$0.00 |
| 93226 |
|
188 |
186 |
$0.00 |
| 73080 |
|
798 |
747 |
$0.00 |
| 98940 |
|
37 |
29 |
$0.00 |
| 97161 |
|
247 |
236 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
93 |
92 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
80 |
79 |
$0.00 |
| 99053 |
|
363 |
356 |
$0.00 |
| 92550 |
|
433 |
433 |
$0.00 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
1,210 |
1,187 |
$0.00 |
| 87899 |
|
205 |
102 |
$0.00 |
| 87420 |
|
53 |
52 |
$0.00 |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
40 |
26 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
51 |
27 |
$0.00 |
| 94664 |
|
171 |
170 |
$0.00 |
| 97039 |
|
1,195 |
416 |
$0.00 |
| 85384 |
|
150 |
148 |
$0.00 |
| 95816 |
|
36 |
36 |
$0.00 |
| 87631 |
|
113 |
112 |
$0.00 |
| 93225 |
|
188 |
186 |
$0.00 |
| 76775 |
|
56 |
56 |
$0.00 |
| 80074 |
|
36 |
36 |
$0.00 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
359 |
357 |
$0.00 |
| 98960 |
|
45 |
45 |
$0.00 |
| 92555 |
|
62 |
62 |
$0.00 |
| 93304 |
|
81 |
81 |
$0.00 |
| 84681 |
|
12 |
12 |
$0.00 |
| 99157 |
|
42 |
42 |
$0.00 |
| 82272 |
|
64 |
61 |
$0.00 |
| 99155 |
|
39 |
39 |
$0.00 |
| 87400 |
|
30 |
29 |
$0.00 |
| 11750 |
|
51 |
51 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
36 |
36 |
$0.00 |
| 84702 |
|
31 |
30 |
$0.00 |
| 99245 |
|
29 |
29 |
$0.00 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
188 |
188 |
$0.00 |
| 72100 |
|
27 |
27 |
$0.00 |
| 82310 |
|
88 |
80 |
$0.00 |
| 71048 |
|
12 |
12 |
$0.00 |
| 69210 |
|
33 |
33 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
87 |
87 |
$0.00 |
| 93308 |
|
42 |
42 |
$0.00 |
| 87806 |
|
14 |
14 |
$0.00 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
20 |
20 |
$0.00 |
| 95808 |
|
13 |
13 |
$0.00 |
| 88399 |
|
12 |
12 |
$0.00 |
| 87338 |
|
12 |
12 |
$0.00 |
| 97164 |
|
16 |
12 |
$0.00 |