| Code | Description | Claims | Beneficiaries | Total Paid |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
372,174 |
313,004 |
$47.32M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
148,331 |
125,230 |
$13.69M |
| J2350 |
Injection, ocrelizumab, 1 mg |
1,223 |
1,064 |
$8.60M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
23,167 |
20,604 |
$8.58M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
49,924 |
45,721 |
$7.04M |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
22,689 |
19,131 |
$6.86M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
39,413 |
36,170 |
$5.75M |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
278,056 |
219,901 |
$5.45M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
25,930 |
23,352 |
$4.75M |
| 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 |
73,136 |
64,424 |
$4.08M |
| G0378 |
Hospital observation service, per hour |
27,861 |
20,914 |
$3.84M |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13,938 |
13,288 |
$3.70M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
63,354 |
28,043 |
$3.37M |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
3,136 |
1,672 |
$2.97M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
5,014 |
4,885 |
$2.77M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
21,107 |
20,003 |
$2.56M |
| 90834 |
Psychotherapy, 45 minutes with patient |
41,592 |
24,358 |
$2.56M |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
4,395 |
4,272 |
$2.50M |
| J3380 |
Injection, vedolizumab, intravenous, 1 mg |
1,317 |
1,074 |
$2.39M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48,692 |
47,250 |
$2.20M |
| J2323 |
Injection, natalizumab, 1 mg |
906 |
824 |
$2.13M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13,974 |
13,338 |
$2.02M |
| 59025 |
Fetal non-stress test |
7,873 |
4,830 |
$1.94M |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
7,944 |
6,787 |
$1.84M |
| J3490 |
Unclassified drugs |
25,371 |
18,354 |
$1.66M |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
8,302 |
7,014 |
$1.61M |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
1,941 |
1,854 |
$1.53M |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
17,106 |
14,241 |
$1.52M |
| J2357 |
Injection, omalizumab, 5 mg |
2,622 |
1,816 |
$1.50M |
| Q5103 |
Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg |
1,462 |
971 |
$1.43M |
| 70450 |
Computed tomography, head or brain; without contrast material |
12,087 |
11,097 |
$1.37M |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
19,800 |
19,546 |
$1.28M |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
48,954 |
46,950 |
$1.24M |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
48,981 |
46,974 |
$1.24M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
8,684 |
8,451 |
$1.23M |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
2,085 |
2,035 |
$1.23M |
| S9485 |
Crisis intervention mental health services, per diem |
2,012 |
1,439 |
$1.18M |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
8,319 |
7,787 |
$1.16M |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
11,008 |
10,673 |
$1.16M |
| J7298 |
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
1,014 |
985 |
$1.16M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
29,477 |
25,936 |
$1.15M |
| 74183 |
|
4,811 |
4,620 |
$1.07M |
| 76830 |
Ultrasound, transvaginal |
10,807 |
10,392 |
$1.02M |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
6,310 |
5,956 |
$1.01M |
| 76801 |
|
9,783 |
8,801 |
$966K |
| 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 |
55,380 |
48,311 |
$875K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
6,648 |
6,459 |
$842K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
11,453 |
7,373 |
$825K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
24,132 |
20,863 |
$825K |
| 71046 |
Radiologic examination, chest; 2 views |
40,870 |
37,383 |
$801K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
190,955 |
159,931 |
$789K |
| 96415 |
|
2,913 |
2,448 |
$782K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
2,388 |
1,749 |
$774K |
| 97161 |
|
13,316 |
12,802 |
$754K |
| J0485 |
Injection, belatacept, 1 mg |
2,192 |
1,124 |
$750K |
| 93308 |
|
4,282 |
4,010 |
$728K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
5,435 |
5,272 |
$714K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
592 |
567 |
$700K |
| 20610 |
|
5,868 |
5,387 |
$695K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
21,361 |
18,054 |
$693K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
8,308 |
7,960 |
$681K |
| 77300 |
|
2,414 |
2,017 |
$661K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
3,419 |
3,192 |
$651K |
| D1110 |
Prophylaxis - adult |
19,757 |
14,774 |
$646K |
| 99215 |
Prolong outpt/office vis |
5,922 |
5,564 |
$637K |
| 72197 |
|
2,827 |
2,712 |
$636K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
4,852 |
4,717 |
$630K |
| 76642 |
|
7,125 |
6,268 |
$623K |
| 62323 |
|
1,730 |
1,692 |
$623K |
| 84443 |
Thyroid stimulating hormone (TSH) |
69,454 |
66,899 |
$617K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
38,740 |
37,613 |
$616K |
| 93971 |
|
4,250 |
4,059 |
$615K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
1,023 |
984 |
$615K |
| D9450 |
|
48,440 |
30,078 |
$612K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
23,014 |
18,381 |
$610K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
25,885 |
11,982 |
$607K |
| 86481 |
|
11,306 |
10,881 |
$604K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,905 |
4,598 |
$595K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,953 |
8,859 |
$594K |
| 87631 |
|
7,596 |
7,201 |
$593K |
| 71250 |
|
9,691 |
9,305 |
$588K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
10,549 |
9,586 |
$568K |
| 92551 |
|
10,598 |
9,350 |
$565K |
| 93970 |
|
3,155 |
3,021 |
$555K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
33,039 |
32,070 |
$553K |
| 43235 |
|
885 |
859 |
$537K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
11,447 |
10,958 |
$535K |
| 11102 |
|
1,282 |
1,228 |
$535K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
10,638 |
9,687 |
$517K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
3,153 |
3,014 |
$507K |
| J1569 |
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg |
824 |
339 |
$497K |
| 36561 |
|
473 |
452 |
$493K |
| 58300 |
|
1,897 |
1,846 |
$488K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
98,871 |
96,199 |
$477K |
| 70496 |
|
2,415 |
2,303 |
$476K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
9,336 |
8,890 |
$470K |
| 76813 |
|
5,644 |
5,519 |
$468K |
| 76536 |
|
5,086 |
4,962 |
$461K |
| J9312 |
Injection, rituximab, 10 mg |
285 |
255 |
$454K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
37,438 |
25,022 |
$418K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
3,268 |
3,063 |
$411K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
4,264 |
4,012 |
$410K |
| 11900 |
|
2,237 |
2,125 |
$404K |
| D2751 |
Crown - porcelain fused to predominantly base metal |
871 |
649 |
$403K |
| 72141 |
|
3,027 |
2,920 |
$401K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,909 |
7,153 |
$388K |
| 99201 |
|
3,224 |
3,087 |
$386K |
| 90837 |
Psychotherapy, 53 minutes with patient |
7,519 |
4,730 |
$385K |
| 90651 |
|
3,620 |
3,594 |
$385K |
| 90686 |
|
29,153 |
28,746 |
$379K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53,313 |
52,005 |
$379K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,338 |
3,166 |
$377K |
| 70544 |
|
2,512 |
2,384 |
$377K |
| 77386 |
|
1,017 |
105 |
$375K |
| 11104 |
|
762 |
727 |
$375K |
| 81513 |
|
5,897 |
5,478 |
$375K |
| 76770 |
|
2,910 |
2,824 |
$370K |
| D0120 |
Periodic oral evaluation - established patient |
21,929 |
17,419 |
$370K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
15,957 |
15,165 |
$369K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
18,743 |
16,842 |
$366K |
| 77334 |
|
2,108 |
1,753 |
$365K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
4,525 |
4,066 |
$363K |
| 93017 |
|
5,297 |
5,103 |
$359K |
| 77080 |
|
7,084 |
7,005 |
$356K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
15,485 |
15,121 |
$355K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
16,219 |
15,909 |
$347K |
| 64493 |
|
708 |
670 |
$341K |
| 17110 |
|
2,070 |
1,959 |
$329K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,269 |
3,204 |
$327K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
5,783 |
4,831 |
$320K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,377 |
1,287 |
$315K |
| ATP15 |
|
40,826 |
31,381 |
$312K |
| 83880 |
|
17,272 |
15,680 |
$311K |
| 58100 |
|
1,132 |
1,095 |
$306K |
| 82728 |
|
37,410 |
36,142 |
$306K |
| 77301 |
|
945 |
788 |
$305K |
| 83735 |
|
85,543 |
63,452 |
$302K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
7,393 |
3,960 |
$301K |
| 78451 |
|
1,105 |
1,071 |
$298K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
72,973 |
64,160 |
$292K |
| 57454 |
|
962 |
913 |
$292K |
| 86780 |
|
28,168 |
27,404 |
$290K |
| 84702 |
|
22,170 |
18,197 |
$289K |
| 85027 |
|
81,529 |
70,478 |
$289K |
| D1120 |
Prophylaxis - child |
5,663 |
5,604 |
$284K |
| 73221 |
|
1,788 |
1,687 |
$283K |
| 76820 |
|
7,296 |
4,311 |
$281K |
| ATP08 |
|
45,322 |
35,927 |
$260K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
8,054 |
7,352 |
$259K |
| 58301 |
|
1,196 |
1,155 |
$258K |
| 90715 |
|
11,742 |
11,507 |
$255K |
| 97802 |
|
3,966 |
3,829 |
$251K |
| 84484 |
|
27,790 |
23,247 |
$246K |
| 86803 |
|
27,261 |
26,519 |
$246K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
3,915 |
2,986 |
$246K |
| D0274 |
Bitewings - four radiographic images |
9,916 |
7,806 |
$245K |
| 97803 |
|
4,181 |
3,750 |
$244K |
| 94010 |
|
5,914 |
5,554 |
$237K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
192,435 |
155,329 |
$235K |
| 86850 |
|
32,968 |
30,166 |
$233K |
| 20553 |
|
1,783 |
1,702 |
$230K |
| J2182 |
Injection, mepolizumab, 1 mg |
271 |
235 |
$223K |
| 77062 |
|
2,465 |
2,412 |
$221K |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,650 |
6,317 |
$221K |
| 99173 |
|
11,741 |
11,210 |
$219K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
41,577 |
38,096 |
$218K |
| 19083 |
|
283 |
278 |
$218K |
| 71045 |
Radiologic examination, chest; single view |
10,328 |
8,811 |
$216K |
| 83970 |
|
14,120 |
13,541 |
$214K |
| 82607 |
|
27,434 |
26,639 |
$209K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
19,882 |
19,628 |
$208K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
22,149 |
19,514 |
$208K |
| 97165 |
|
2,754 |
2,589 |
$206K |
| Q5115 |
Injection, rituximab-abbs, biosimilar, (truxima), 10 mg |
68 |
55 |
$203K |
| 0001A |
|
6,659 |
6,215 |
$198K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
708 |
678 |
$197K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
3,652 |
2,095 |
$197K |
| ATP14 |
|
25,713 |
22,195 |
$180K |
| 10005 |
|
572 |
548 |
$180K |
| 0002A |
|
5,736 |
5,351 |
$178K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
4,090 |
2,184 |
$172K |
| 81025 |
|
31,040 |
29,000 |
$170K |
| 72156 |
|
1,843 |
1,748 |
$170K |
| 76882 |
|
1,809 |
1,655 |
$166K |
| 77470 |
|
715 |
671 |
$164K |
| 87632 |
|
1,605 |
1,529 |
$161K |
| 77065 |
Tomosynthesis, mammo |
3,802 |
3,558 |
$161K |
| 70491 |
|
1,367 |
1,314 |
$156K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
17,763 |
17,663 |
$155K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
5,435 |
4,408 |
$153K |
| 72158 |
|
1,303 |
1,235 |
$149K |
| 77061 |
|
1,444 |
1,425 |
$148K |
| D7140 |
Extraction, erupted tooth or exposed root |
3,161 |
1,283 |
$148K |
| 87536 |
|
3,647 |
3,497 |
$147K |
| 83690 |
|
32,110 |
28,954 |
$146K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,870 |
2,825 |
$146K |
| 90750 |
|
2,288 |
2,272 |
$145K |
| 93296 |
|
5,015 |
4,924 |
$142K |
| 90791 |
Psychiatric diagnostic evaluation |
2,049 |
1,980 |
$141K |
| 73030 |
|
7,352 |
6,682 |
$139K |
| 83605 |
|
17,916 |
15,369 |
$137K |
| 73630 |
|
8,662 |
7,531 |
$136K |
| 74246 |
|
909 |
895 |
$134K |
| 83550 |
|
28,149 |
27,225 |
$133K |
| 87481 |
|
5,839 |
5,443 |
$131K |
| 88307 |
|
2,017 |
1,646 |
$127K |
| 81001 |
|
72,039 |
64,211 |
$124K |
| 86141 |
|
20,282 |
18,223 |
$123K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,463 |
1,624 |
$123K |
| 10060 |
|
712 |
685 |
$123K |
| 11100 |
|
507 |
468 |
$123K |
| D0140 |
Limited oral evaluation - problem focused |
4,577 |
3,020 |
$122K |
| 80076 |
|
93,281 |
79,626 |
$120K |
| 85610 |
|
55,166 |
41,881 |
$118K |
| 11056 |
|
1,377 |
1,272 |
$117K |
| 73610 |
|
6,720 |
5,958 |
$116K |
| 73564 |
|
7,047 |
6,196 |
$115K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
2,287 |
1,122 |
$113K |
| 87340 |
|
14,956 |
14,501 |
$112K |
| 88341 |
|
2,687 |
2,543 |
$111K |
| 95886 |
|
590 |
569 |
$110K |
| 77336 |
|
1,683 |
856 |
$110K |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
135 |
134 |
$108K |
| 86235 |
|
2,855 |
2,769 |
$108K |
| 87077 |
|
18,854 |
17,777 |
$108K |
| 97162 |
|
2,266 |
2,155 |
$107K |
| 73502 |
|
6,392 |
5,994 |
$107K |
| 17000 |
|
1,325 |
1,286 |
$106K |
| D1206 |
Topical application of fluoride varnish |
3,941 |
3,906 |
$105K |
| 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 |
8,404 |
7,308 |
$104K |
| 73130 |
|
6,683 |
5,314 |
$104K |
| 83540 |
|
28,959 |
27,987 |
$102K |
| 91065 |
|
633 |
603 |
$102K |
| 72100 |
|
5,308 |
5,171 |
$101K |
| 82784 |
|
11,079 |
10,537 |
$101K |
| 82803 |
|
6,659 |
5,568 |
$100K |
| 77290 |
|
189 |
172 |
$98K |
| 82746 |
|
12,222 |
11,896 |
$97K |
| 80050 |
General health panel |
6,482 |
6,311 |
$96K |
| D0210 |
Intraoral - complete series of radiographic images |
2,432 |
1,700 |
$96K |
| 73562 |
|
6,439 |
5,631 |
$95K |
| 78431 |
|
221 |
214 |
$95K |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
6,538 |
2,943 |
$95K |
| 86762 |
|
8,403 |
8,165 |
$95K |
| ATP03 |
|
31,074 |
26,532 |
$95K |
| 88342 |
|
5,106 |
4,869 |
$94K |
| 77002 |
|
2,488 |
2,311 |
$93K |
| 86003 |
|
2,128 |
2,076 |
$90K |
| J7999 |
Compounded drug, not otherwise classified |
7,711 |
5,125 |
$89K |
| 86900 |
|
33,467 |
30,620 |
$89K |
| 95117 |
|
4,185 |
2,479 |
$88K |
| 72157 |
|
1,620 |
1,544 |
$88K |
| 77295 |
|
171 |
166 |
$87K |
| 0124A |
|
3,420 |
3,340 |
$87K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
3,384 |
3,136 |
$87K |
| 92587 |
|
452 |
441 |
$85K |
| 70498 |
|
1,829 |
1,736 |
$82K |
| 84439 |
|
16,954 |
16,163 |
$82K |
| 87070 |
|
14,744 |
13,660 |
$82K |
| ATP17 |
|
11,566 |
10,067 |
$82K |
| 74178 |
|
595 |
581 |
$81K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
3,261 |
2,830 |
$81K |
| 87088 |
|
15,016 |
14,163 |
$81K |
| 91200 |
|
1,091 |
1,070 |
$81K |
| 77338 |
|
1,075 |
859 |
$80K |
| 94060 |
|
1,428 |
1,346 |
$78K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,198 |
9,068 |
$77K |
| 87081 |
|
19,633 |
18,372 |
$77K |
| 11981 |
|
268 |
260 |
$76K |
| 88185 |
|
384 |
354 |
$74K |
| 86901 |
|
33,275 |
30,442 |
$74K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,554 |
2,538 |
$74K |
| G0481 |
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; 8-14 drug class(es), including metabolite(s) if performed |
986 |
686 |
$73K |
| J1644 |
Injection, heparin sodium, per 1000 units |
10,519 |
5,463 |
$72K |
| 99385 |
|
1,007 |
986 |
$72K |
| ATP11 |
|
12,249 |
10,613 |
$72K |
| 70486 |
|
1,126 |
1,058 |
$70K |
| ATP16 |
|
9,041 |
6,447 |
$70K |
| 64615 |
|
369 |
363 |
$69K |
| G0105 |
Colorectal cancer screening; colonoscopy on individual at high risk |
89 |
88 |
$68K |
| 82570 |
|
33,537 |
30,251 |
$68K |
| 76942 |
|
1,025 |
970 |
$67K |
| 87040 |
|
6,087 |
5,077 |
$67K |
| 80053 |
Comprehensive metabolic panel |
83,591 |
73,899 |
$66K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
35,133 |
29,649 |
$66K |
| 94726 |
|
1,610 |
1,539 |
$65K |
| J9310 |
Injection, rituximab, 100 mg |
102 |
88 |
$64K |
| 84146 |
|
5,237 |
4,965 |
$64K |
| 74174 |
|
1,167 |
1,101 |
$64K |
| 86787 |
|
6,410 |
6,194 |
$64K |
| 82670 |
|
3,474 |
3,044 |
$62K |
| 87799 |
|
6,622 |
4,617 |
$62K |
| 0004A |
|
2,630 |
2,446 |
$61K |
| 88173 |
|
958 |
915 |
$61K |
| 99381 |
|
795 |
788 |
$61K |
| 84403 |
|
4,267 |
4,128 |
$60K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,833 |
5,585 |
$60K |
| 62370 |
|
1,853 |
1,687 |
$60K |
| 95885 |
|
320 |
308 |
$60K |
| 87186 |
|
12,438 |
11,663 |
$59K |
| 84153 |
|
6,323 |
6,126 |
$59K |
| 96367 |
|
490 |
440 |
$59K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
31,193 |
25,631 |
$59K |
| 86355 |
|
4,468 |
4,253 |
$59K |
| 93321 |
|
714 |
688 |
$58K |
| J9999 |
Not otherwise classified, antineoplastic drugs |
2,216 |
1,477 |
$57K |
| ATP18 |
|
8,099 |
6,924 |
$57K |
| 83001 |
|
4,746 |
4,541 |
$56K |
| 73110 |
|
3,549 |
3,039 |
$56K |
| 77001 |
|
1,385 |
1,319 |
$56K |
| 77066 |
Tomosynthesis, mammo |
3,814 |
3,717 |
$56K |
| 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 |
1,274 |
1,071 |
$56K |
| 76775 |
|
684 |
662 |
$56K |
| 87653 |
|
1,959 |
1,927 |
$55K |
| 81003 |
|
38,128 |
34,323 |
$55K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
423 |
392 |
$55K |
| 86706 |
|
8,159 |
7,835 |
$53K |
| 87522 |
Neg quan hep c or qual rna |
2,419 |
2,290 |
$52K |
| D2331 |
|
1,251 |
571 |
$52K |
| 85730 |
|
9,912 |
8,732 |
$52K |
| 83516 |
|
5,927 |
5,644 |
$51K |
| 92610 |
|
403 |
379 |
$51K |
| 82043 |
|
24,418 |
23,591 |
$50K |
| 86140 |
|
19,273 |
18,025 |
$49K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
540 |
322 |
$49K |
| 84425 |
|
4,125 |
4,039 |
$48K |
| 86360 |
|
2,670 |
2,571 |
$48K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,146 |
1,597 |
$48K |
| 85379 |
|
7,283 |
6,900 |
$48K |
| J7050 |
Infusion, normal saline solution, 250 cc |
23,852 |
17,702 |
$47K |
| D0220 |
Intraoral - periapical first radiographic image |
4,729 |
3,083 |
$47K |
| 73560 |
|
3,177 |
2,799 |
$47K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
3,023 |
2,868 |
$47K |
| 11982 |
|
241 |
238 |
$47K |
| 76937 |
|
1,944 |
1,833 |
$47K |
| 73080 |
|
1,866 |
1,717 |
$46K |
| 94729 |
|
2,331 |
2,238 |
$46K |
| 90677 |
|
2,039 |
1,994 |
$46K |
| 75574 |
|
390 |
383 |
$45K |
| 93325 |
|
1,181 |
1,127 |
$45K |
| 86160 |
|
3,974 |
3,805 |
$45K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
29,239 |
25,295 |
$45K |
| 76857 |
|
708 |
635 |
$45K |
| 64483 |
|
132 |
125 |
$44K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
14,303 |
9,846 |
$43K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
3,541 |
2,059 |
$43K |
| 80061 |
Lipid panel |
83,173 |
80,785 |
$43K |
| 76604 |
|
538 |
508 |
$42K |
| 99496 |
|
675 |
647 |
$42K |
| 74018 |
|
1,328 |
1,178 |
$42K |
| 72040 |
|
2,036 |
1,968 |
$41K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
17,787 |
14,740 |
$41K |
| 85652 |
|
29,975 |
27,746 |
$40K |
| 86038 |
|
6,114 |
5,939 |
$40K |
| 90746 |
|
1,832 |
1,806 |
$39K |
| 83520 |
|
4,358 |
4,069 |
$39K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
2,079 |
980 |
$39K |
| 83021 |
|
2,320 |
2,261 |
$38K |
| 86359 |
|
2,672 |
2,574 |
$38K |
| 99386 |
|
651 |
629 |
$38K |
| 86832 |
|
572 |
541 |
$38K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
938 |
894 |
$38K |
| 80197 |
|
13,502 |
8,643 |
$37K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12,911 |
12,735 |
$37K |
| D1351 |
Sealant - per tooth |
1,015 |
404 |
$37K |
| 83655 |
|
3,474 |
3,433 |
$37K |
| 99205 |
Prolong outpt/office vis |
226 |
221 |
$37K |
| 0054A |
|
1,830 |
1,704 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,598 |
1,535 |
$36K |
| 90732 |
|
2,613 |
2,551 |
$35K |
| 84402 |
|
2,390 |
2,315 |
$35K |
| J2704 |
Injection, propofol, 10 mg |
25,393 |
21,670 |
$34K |
| 87497 |
|
3,786 |
2,689 |
$34K |
| 87184 |
|
7,981 |
7,518 |
$34K |
| 86357 |
|
2,245 |
2,162 |
$34K |
| 0071A |
|
786 |
754 |
$34K |
| 94621 |
|
303 |
290 |
$33K |
| 76870 |
|
332 |
314 |
$33K |
| ATP07 |
|
5,627 |
4,916 |
$33K |
| 86833 |
|
541 |
514 |
$32K |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
9,492 |
8,240 |
$32K |
| 86334 |
|
3,859 |
3,711 |
$32K |
| 86704 |
|
4,657 |
4,480 |
$32K |
| 95816 |
|
156 |
150 |
$31K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
6,423 |
5,228 |
$31K |
| ATP09 |
|
5,569 |
4,161 |
$31K |
| J2791 |
Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu |
138 |
125 |
$31K |
| 72146 |
|
875 |
829 |
$31K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
312 |
265 |
$30K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
3,962 |
3,192 |
$30K |
| 93975 |
|
321 |
310 |
$30K |
| 86147 |
|
1,138 |
1,098 |
$30K |
| 86765 |
|
3,473 |
3,351 |
$30K |
| D0272 |
Bitewings - two radiographic images |
1,089 |
1,028 |
$30K |
| 83002 |
|
2,428 |
2,173 |
$29K |
| 72170 |
|
1,559 |
1,485 |
$29K |
| 88304 |
|
1,614 |
1,464 |
$29K |
| 70548 |
|
176 |
169 |
$28K |
| 73552 |
|
1,340 |
1,219 |
$28K |
| 86225 |
|
4,269 |
4,107 |
$28K |
| 86769 |
|
1,282 |
1,247 |
$27K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
1,705 |
1,673 |
$27K |
| 93880 |
|
435 |
423 |
$26K |
| 20550 |
|
173 |
153 |
$26K |
| 73700 |
|
535 |
504 |
$25K |
| 84590 |
|
3,874 |
3,779 |
$25K |
| 88360 |
|
478 |
460 |
$25K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
181 |
161 |
$25K |
| 84480 |
|
2,982 |
2,825 |
$25K |
| 90662 |
|
8,001 |
7,841 |
$25K |
| 87338 |
|
2,823 |
2,768 |
$24K |
| 20552 |
|
193 |
185 |
$24K |
| 91320 |
|
1,725 |
1,697 |
$24K |
| Q0139 |
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) |
62 |
42 |
$24K |
| 90670 |
|
5,734 |
5,638 |
$24K |
| 99443 |
|
4,447 |
4,269 |
$24K |
| 83020 |
|
2,244 |
2,133 |
$23K |
| D2160 |
|
495 |
280 |
$23K |
| 75561 |
|
116 |
112 |
$23K |
| 84156 |
|
14,463 |
11,798 |
$23K |
| 49083 |
|
73 |
37 |
$23K |
| 82950 |
|
5,407 |
5,338 |
$22K |
| 73140 |
|
964 |
890 |
$22K |
| 86618 |
|
2,229 |
2,156 |
$22K |
| Q0138 |
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) |
80 |
52 |
$22K |
| 90480 |
|
2,259 |
2,230 |
$22K |
| 90714 |
|
891 |
886 |
$22K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
42,619 |
39,433 |
$21K |
| 72070 |
|
738 |
709 |
$21K |
| 99495 |
|
544 |
526 |
$21K |
| 71271 |
|
881 |
874 |
$21K |
| 0072A |
|
461 |
460 |
$21K |
| 87517 |
|
1,079 |
1,039 |
$21K |
| 86677 |
|
1,988 |
1,950 |
$21K |
| D2140 |
|
570 |
322 |
$20K |
| 82330 |
|
3,107 |
2,438 |
$20K |
| Q3014 |
Telehealth originating site facility fee |
13,432 |
12,415 |
$20K |
| ATP10 |
|
3,844 |
3,261 |
$20K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
26,979 |
25,379 |
$20K |
| 82533 |
|
2,301 |
2,058 |
$19K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
469 |
253 |
$19K |
| 19081 |
|
28 |
27 |
$19K |
| 99397 |
|
927 |
827 |
$19K |
| 86923 |
|
1,283 |
1,030 |
$19K |
| 73590 |
|
2,077 |
1,850 |
$19K |
| 96409 |
|
36 |
35 |
$19K |
| 72131 |
|
635 |
592 |
$19K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
11,642 |
10,458 |
$18K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
9,670 |
8,312 |
$18K |
| 96900 |
|
433 |
60 |
$18K |
| 84165 |
|
4,533 |
4,335 |
$18K |
| ATP23 |
|
1,992 |
1,375 |
$18K |
| 87625 |
|
992 |
967 |
$18K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
914 |
853 |
$18K |
| 87102 |
|
3,415 |
3,235 |
$18K |
| 80179 |
|
1,425 |
1,338 |
$17K |
| 64494 |
|
563 |
536 |
$17K |
| 88108 |
|
661 |
644 |
$17K |
| J1756 |
Injection, iron sucrose, 1 mg |
409 |
250 |
$17K |
| 86708 |
|
2,581 |
2,488 |
$16K |
| 93976 |
|
174 |
167 |
$16K |
| 84100 |
|
35,003 |
25,881 |
$16K |
| 86200 |
|
2,357 |
2,301 |
$16K |
| 94664 |
|
487 |
461 |
$16K |
| 86735 |
|
1,926 |
1,846 |
$15K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
4,845 |
2,676 |
$15K |
| 82088 |
|
778 |
739 |
$15K |
| 82105 |
|
1,879 |
1,829 |
$15K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
169 |
167 |
$15K |
| 73060 |
|
427 |
379 |
$14K |
| 82785 |
|
1,637 |
1,587 |
$14K |
| 99188 |
|
1,139 |
1,119 |
$14K |
| 86376 |
|
1,472 |
1,423 |
$14K |
| 82024 |
|
664 |
636 |
$14K |
| 82627 |
|
849 |
829 |
$14K |
| 90691 |
|
590 |
579 |
$13K |
| 29581 |
|
142 |
61 |
$13K |
| 87529 |
|
569 |
551 |
$13K |
| 88184 |
|
493 |
457 |
$13K |
| 87210 |
|
4,951 |
3,320 |
$13K |
| 90696 |
|
866 |
861 |
$13K |
| 83993 |
|
1,188 |
1,149 |
$13K |
| 0031A |
|
405 |
349 |
$13K |
| 86146 |
|
814 |
791 |
$13K |
| 86255 |
|
1,740 |
1,558 |
$13K |
| 81229 |
|
13 |
12 |
$12K |
| 70543 |
|
40 |
38 |
$12K |
| 85045 |
|
6,468 |
5,120 |
$12K |
| ATP04 |
|
2,197 |
1,889 |
$12K |
| 90734 |
|
2,468 |
2,458 |
$12K |
| J0248 |
Injection, remdesivir, 1 mg |
31 |
17 |
$12K |
| 82610 |
|
3,135 |
2,838 |
$12K |
| 64450 |
|
58 |
50 |
$12K |
| 87252 |
|
595 |
558 |
$11K |
| 95076 |
|
12 |
12 |
$11K |
| 86431 |
|
3,769 |
3,680 |
$11K |
| 80299 |
|
982 |
856 |
$11K |
| G0008 |
Administration of influenza virus vaccine |
11,182 |
11,060 |
$11K |
| J3370 |
Injection, vancomycin hcl, 500 mg |
2,872 |
1,929 |
$11K |
| 96376 |
|
7,136 |
5,934 |
$11K |
| 90461 |
|
3,383 |
3,347 |
$11K |
| 87106 |
|
1,468 |
1,405 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
131,369 |
108,738 |
$11K |
| 87400 |
|
747 |
730 |
$11K |
| J1726 |
Injection, hydroxyprogesterone caproate, (makena), 10 mg |
217 |
76 |
$11K |
| 88112 |
|
370 |
351 |
$11K |
| C1769 |
Guide wire |
2,760 |
2,552 |
$11K |
| 93923 |
|
186 |
181 |
$11K |
| 77081 |
|
448 |
442 |
$11K |
| 11901 |
|
70 |
69 |
$11K |
| 11721 |
|
459 |
429 |
$11K |
| 0051A |
|
287 |
287 |
$10K |
| 80143 |
|
1,321 |
1,234 |
$10K |
| 87205 |
|
4,452 |
3,961 |
$10K |
| 87177 |
|
2,044 |
1,743 |
$10K |
| 84134 |
|
1,805 |
1,420 |
$10K |
| 83921 |
|
1,178 |
1,160 |
$10K |
| 80164 |
|
1,836 |
1,655 |
$10K |
| 87046 |
|
1,640 |
1,563 |
$10K |
| 81450 |
|
111 |
104 |
$10K |
| 82550 |
|
8,970 |
7,988 |
$10K |
| 0081A |
|
224 |
224 |
$10K |
| 87209 |
|
1,043 |
872 |
$9K |
| 86800 |
|
1,105 |
1,072 |
$9K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
5,274 |
5,029 |
$9K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
2,293 |
2,230 |
$9K |
| ATP12 |
|
1,449 |
1,241 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
454 |
449 |
$9K |
| D0330 |
Panoramic radiographic image |
227 |
153 |
$9K |
| 82274 |
|
1,208 |
1,180 |
$9K |
| 84244 |
|
838 |
800 |
$9K |
| 87045 |
|
1,593 |
1,522 |
$8K |
| 73523 |
|
741 |
695 |
$8K |
| 88313 |
|
361 |
352 |
$8K |
| J3262 |
Injection, tocilizumab, 1 mg |
53 |
36 |
$8K |
| 90716 |
|
1,509 |
1,499 |
$8K |
| D2330 |
|
227 |
104 |
$8K |
| 77332 |
|
79 |
66 |
$8K |
| 82565 |
|
9,137 |
8,533 |
$8K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
7,192 |
5,973 |
$8K |
| 83721 |
|
2,379 |
2,311 |
$8K |
| 92083 |
|
214 |
202 |
$8K |
| 97116 |
|
351 |
238 |
$8K |
| 80175 |
|
1,747 |
1,634 |
$8K |
| 82951 |
|
658 |
650 |
$8K |
| 95913 |
|
88 |
83 |
$8K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
887 |
872 |
$8K |
| 87324 |
|
1,433 |
1,350 |
$7K |
| 80177 |
|
1,334 |
1,240 |
$7K |
| 64650 |
|
24 |
24 |
$7K |
| J7300 |
Intrauterine copper contraceptive (paragard) |
129 |
127 |
$7K |
| 0154A |
|
211 |
204 |
$7K |
| 20605 |
|
53 |
50 |
$7K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
4,453 |
4,072 |
$7K |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
2,858 |
2,639 |
$7K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
9,054 |
8,233 |
$7K |
| 83615 |
|
6,991 |
5,358 |
$7K |
| 76376 |
|
646 |
617 |
$7K |
| 78264 |
|
38 |
38 |
$7K |
| 73720 |
|
31 |
29 |
$7K |
| 84445 |
|
181 |
177 |
$7K |
| ATP05 |
|
1,088 |
954 |
$7K |
| 0082A |
|
147 |
145 |
$7K |
| 90707 |
|
1,685 |
1,673 |
$7K |
| J3489 |
Injection, zoledronic acid, 1 mg |
205 |
192 |
$7K |
| 72195 |
|
53 |
52 |
$6K |
| 85007 |
|
3,598 |
2,870 |
$6K |
| 93299 |
|
169 |
166 |
$6K |
| 93298 |
|
288 |
282 |
$6K |
| 84144 |
|
421 |
314 |
$6K |
| 86039 |
|
1,021 |
1,002 |
$6K |
| 94618 |
|
161 |
161 |
$6K |
| 84550 |
|
8,958 |
8,072 |
$6K |
| 82010 |
|
1,185 |
1,043 |
$6K |
| D0145 |
Oral evaluation for a patient under three years of age |
227 |
224 |
$6K |
| G0127 |
Trimming of dystrophic nails, any number |
2,968 |
2,799 |
$6K |
| 85613 |
|
1,018 |
981 |
$6K |
| 74221 |
|
51 |
51 |
$6K |
| 90656 |
|
625 |
595 |
$6K |
| 84630 |
|
631 |
618 |
$6K |
| 86694 |
|
538 |
515 |
$6K |
| 58558 |
|
13 |
12 |
$6K |
| ATP02 |
|
1,445 |
1,230 |
$6K |
| J2060 |
Injection, lorazepam, 2 mg |
4,097 |
3,112 |
$6K |
| 85597 |
|
535 |
522 |
$5K |
| 90632 |
|
314 |
301 |
$5K |
| 86665 |
|
318 |
294 |
$5K |
| 85018 |
|
2,744 |
2,708 |
$5K |
| 84432 |
|
643 |
623 |
$5K |
| 69209 |
|
43 |
39 |
$5K |
| 87641 |
|
206 |
198 |
$5K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
19 |
17 |
$5K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
269 |
246 |
$5K |
| C7900 |
Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 15-29 minutes, provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service |
731 |
538 |
$5K |
| 84681 |
|
462 |
438 |
$5K |
| 86828 |
|
459 |
435 |
$5K |
| 83718 |
|
798 |
786 |
$5K |
| 87116 |
|
868 |
760 |
$5K |
| 93356 |
|
1,471 |
1,413 |
$5K |
| 87075 |
|
1,023 |
948 |
$5K |
| 0064A |
|
217 |
207 |
$4K |
| 0012A |
|
207 |
200 |
$4K |
| 57456 |
|
14 |
13 |
$4K |
| 86580 |
|
628 |
599 |
$4K |
| 85384 |
|
773 |
622 |
$4K |
| 10061 |
|
28 |
26 |
$4K |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
654 |
570 |
$4K |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
3,257 |
2,964 |
$4K |
| J0134 |
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
1,164 |
1,006 |
$4K |
| 85014 |
|
2,032 |
1,989 |
$4K |
| 97166 |
|
51 |
51 |
$4K |
| 88312 |
|
521 |
500 |
$4K |
| 86162 |
|
390 |
380 |
$4K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
28,218 |
24,059 |
$4K |
| 83519 |
|
441 |
423 |
$4K |
| 84305 |
|
357 |
345 |
$4K |
| 83525 |
|
567 |
557 |
$4K |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
1,023 |
788 |
$4K |
| M0220 |
Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring |
95 |
89 |
$4K |
| 86352 |
|
105 |
96 |
$4K |
| 99153 |
Mod sedat endo service >5yrs |
7,868 |
7,374 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
37 |
$4K |
| C7901 |
Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 30-60 minutes, provided remotely by hospital staff who are licensed to provided mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service |
2,951 |
1,761 |
$4K |
| 80074 |
|
106 |
102 |
$4K |
| 81206 |
|
260 |
241 |
$4K |
| 73090 |
|
326 |
294 |
$4K |
| 86356 |
|
439 |
425 |
$4K |
| 0011A |
|
211 |
203 |
$4K |
| 89051 |
|
1,192 |
1,030 |
$4K |
| J0692 |
Injection, cefepime hydrochloride, 500 mg |
512 |
336 |
$3K |
| 86644 |
|
433 |
400 |
$3K |
| 96127 |
|
336 |
324 |
$3K |
| 0003A |
|
181 |
180 |
$3K |
| 86870 |
|
240 |
209 |
$3K |
| 84132 |
|
4,253 |
3,835 |
$3K |
| ATP19 |
|
471 |
367 |
$3K |
| 88346 |
|
152 |
146 |
$3K |
| 0074A |
|
80 |
80 |
$3K |
| 90682 |
|
170 |
163 |
$3K |
| ATP13 |
|
376 |
350 |
$3K |
| 88350 |
|
61 |
60 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
14,436 |
13,709 |
$3K |
| 82947 |
|
2,832 |
2,527 |
$3K |
| 87015 |
|
848 |
743 |
$3K |
| D0270 |
|
374 |
230 |
$3K |
| 0052A |
|
62 |
62 |
$3K |
| 86682 |
|
436 |
417 |
$3K |
| 80178 |
|
920 |
838 |
$3K |
| 83498 |
|
130 |
127 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
446 |
219 |
$3K |
| 87206 |
|
882 |
772 |
$2K |
| 82150 |
|
577 |
524 |
$2K |
| 77370 |
|
19 |
13 |
$2K |
| 99152 |
|
5,751 |
5,334 |
$2K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
2,062 |
1,954 |
$2K |
| 72110 |
|
192 |
190 |
$2K |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
2,784 |
2,644 |
$2K |
| 99442 |
|
884 |
852 |
$2K |
| 89343 |
|
65 |
62 |
$2K |
| 93225 |
|
52 |
52 |
$2K |
| 83930 |
|
707 |
635 |
$2K |
| 82390 |
|
363 |
352 |
$2K |
| 84300 |
|
1,107 |
978 |
$2K |
| 82952 |
|
657 |
649 |
$2K |
| 98940 |
|
368 |
193 |
$2K |
| 87150 |
|
186 |
178 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,243 |
969 |
$2K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,421 |
1,328 |
$2K |
| 84163 |
|
133 |
133 |
$2K |
| 93280 |
|
259 |
250 |
$2K |
| 90620 |
|
38 |
38 |
$2K |
| 82140 |
|
306 |
284 |
$2K |
| 77012 |
|
208 |
189 |
$2K |
| 17003 |
|
420 |
411 |
$2K |
| 86593 |
|
724 |
690 |
$2K |
| 82725 |
|
189 |
186 |
$2K |
| 83835 |
|
187 |
180 |
$2K |
| 84154 |
|
268 |
260 |
$2K |
| 36430 |
|
12 |
12 |
$2K |
| 84270 |
|
146 |
143 |
$2K |
| 84460 |
|
6,892 |
6,575 |
$2K |
| 86941 |
|
205 |
177 |
$2K |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
1,621 |
1,123 |
$2K |
| 82248 |
|
4,742 |
4,080 |
$2K |
| 83010 |
|
348 |
287 |
$2K |
| 73718 |
|
12 |
12 |
$2K |
| 82525 |
|
169 |
167 |
$2K |
| 73218 |
|
14 |
13 |
$2K |
| 87563 |
|
69 |
66 |
$2K |
| 94727 |
|
42 |
41 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
3,577 |
3,377 |
$2K |
| 82465 |
|
910 |
894 |
$2K |
| D2335 |
|
30 |
14 |
$2K |
| 82787 |
|
112 |
109 |
$2K |
| 82103 |
|
221 |
215 |
$2K |
| 82085 |
|
291 |
266 |
$2K |
| D2332 |
|
27 |
13 |
$2K |
| 86705 |
|
211 |
205 |
$1K |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
541 |
508 |
$1K |
| 86341 |
|
123 |
120 |
$1K |
| D9110 |
|
63 |
37 |
$1K |
| 93350 |
|
79 |
78 |
$1K |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
3,491 |
3,318 |
$1K |
| 95018 |
|
12 |
12 |
$1K |
| 95911 |
|
12 |
12 |
$1K |
| D7111 |
|
18 |
13 |
$1K |
| 92133 |
|
71 |
69 |
$1K |
| 82310 |
|
1,254 |
1,171 |
$1K |
| 90474 |
|
1,972 |
1,952 |
$1K |
| 86805 |
|
14 |
14 |
$1K |
| G0009 |
Administration of pneumococcal vaccine |
2,584 |
2,548 |
$1K |
| J0897 |
Injection, denosumab, 1 mg |
15 |
13 |
$1K |
| 95250 |
|
83 |
80 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
27 |
$1K |
| J1630 |
Injection, haloperidol, up to 5 mg |
1,021 |
892 |
$1K |
| 87640 |
|
206 |
198 |
$1K |
| 72050 |
|
97 |
96 |
$1K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
1,511 |
1,487 |
$1K |
| 88348 |
|
39 |
39 |
$1K |
| 84207 |
|
64 |
64 |
$1K |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
17 |
13 |
$1K |
| 86317 |
|
96 |
95 |
$984.13 |
| P9040 |
Red blood cells, leukocytes reduced, irradiated, each unit |
573 |
477 |
$980.10 |
| 95024 |
|
37 |
37 |
$972.43 |
| 83935 |
|
397 |
361 |
$959.13 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
2,627 |
2,442 |
$957.91 |
| 11103 |
|
12 |
12 |
$937.60 |
| 90688 |
|
61 |
61 |
$916.27 |
| 82962 |
|
10,201 |
8,868 |
$909.95 |
| 73200 |
|
26 |
25 |
$886.15 |
| 86664 |
|
100 |
91 |
$821.89 |
| 90678 |
|
46 |
43 |
$821.64 |
| 82542 |
|
83 |
78 |
$814.25 |
| 82731 |
|
15 |
13 |
$797.04 |
| 87505 |
|
16 |
15 |
$792.05 |
| 94761 |
|
319 |
192 |
$785.50 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
314 |
294 |
$759.43 |
| 90636 |
|
12 |
12 |
$744.45 |
| 87329 |
|
105 |
102 |
$739.46 |
| 84450 |
|
4,116 |
3,868 |
$738.97 |
| 93926 |
|
13 |
12 |
$732.47 |
| 82270 |
|
363 |
338 |
$732.12 |
| 83695 |
|
154 |
151 |
$718.11 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
17 |
13 |
$679.68 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
561 |
546 |
$679.65 |
| J0688 |
Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg |
1,007 |
848 |
$646.36 |
| 83521 |
|
930 |
888 |
$642.95 |
| 84446 |
|
86 |
81 |
$630.62 |
| 82247 |
|
1,093 |
938 |
$618.79 |
| 11720 |
|
15 |
12 |
$615.92 |
| 84166 |
|
68 |
67 |
$605.45 |
| 90836 |
|
253 |
248 |
$597.94 |
| 88302 |
|
54 |
51 |
$572.90 |
| 80069 |
|
2,642 |
2,414 |
$569.71 |
| 87181 |
|
206 |
196 |
$563.72 |
| 99493 |
|
29 |
29 |
$559.18 |
| 83090 |
|
58 |
53 |
$551.88 |
| 97750 |
|
62 |
55 |
$538.15 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
863 |
849 |
$533.47 |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
17 |
17 |
$508.32 |
| 82985 |
|
56 |
56 |
$481.25 |
| 74220 |
|
27 |
26 |
$470.86 |
| 84080 |
|
84 |
82 |
$466.34 |
| 84466 |
|
50 |
50 |
$464.94 |
| 0053A |
|
14 |
14 |
$458.70 |
| 82378 |
|
50 |
49 |
$454.20 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
2,428 |
2,312 |
$452.39 |
| 84145 |
|
2,615 |
2,199 |
$438.51 |
| 90674 |
|
13 |
13 |
$435.24 |
| 74175 |
|
42 |
39 |
$432.22 |
| S0028 |
Injection, famotidine, 20 mg |
462 |
431 |
$416.82 |
| 85347 |
|
132 |
95 |
$388.09 |
| 73000 |
|
14 |
13 |
$380.35 |
| 0034A |
|
15 |
15 |
$366.96 |
| 84436 |
|
142 |
136 |
$341.85 |
| 85240 |
|
26 |
26 |
$326.60 |
| J1836 |
Injection, metronidazole, 10 mg |
268 |
214 |
$317.78 |
| ATP06 |
|
78 |
69 |
$315.12 |
| 96158 |
|
19 |
12 |
$312.97 |
| 71100 |
|
29 |
25 |
$312.22 |
| 86645 |
|
27 |
26 |
$295.80 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
5,779 |
4,939 |
$290.27 |
| 99383 |
|
15 |
13 |
$289.13 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
407 |
258 |
$279.98 |
| 82040 |
|
1,811 |
1,725 |
$279.55 |
| 62368 |
|
14 |
12 |
$278.30 |
| J1920 |
Injection, labetalol hydrochloride, 5 mg |
120 |
70 |
$275.06 |
| 84295 |
|
1,297 |
1,140 |
$266.04 |
| 93283 |
|
12 |
12 |
$254.22 |
| 82166 |
|
18 |
12 |
$238.42 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
29 |
29 |
$231.88 |
| 0013A |
|
12 |
12 |
$229.35 |
| 82977 |
|
887 |
847 |
$224.80 |
| 86308 |
|
58 |
57 |
$221.32 |
| 99177 |
|
128 |
72 |
$218.05 |
| 84478 |
|
940 |
669 |
$205.15 |
| J1720 |
Injection, hydrocortisone sodium succinate, up to 100 mg |
114 |
89 |
$199.25 |
| 87147 |
|
50 |
45 |
$197.58 |
| 72128 |
|
26 |
25 |
$196.75 |
| 86663 |
|
29 |
27 |
$177.15 |
| 84075 |
|
890 |
851 |
$153.12 |
| 73503 |
|
48 |
47 |
$150.82 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
5,733 |
5,549 |
$149.41 |
| 82340 |
|
52 |
52 |
$148.50 |
| 90633 |
|
3,055 |
3,024 |
$139.50 |
| 96368 |
|
16 |
12 |
$134.50 |
| 86304 |
|
13 |
12 |
$132.93 |
| 80183 |
|
26 |
25 |
$130.19 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
1,700 |
1,540 |
$118.15 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
19 |
18 |
$115.16 |
| 74019 |
|
27 |
24 |
$114.10 |
| 82180 |
|
28 |
27 |
$106.67 |
| 87299 |
|
26 |
24 |
$106.29 |
| 82131 |
|
12 |
12 |
$104.34 |
| 86709 |
|
12 |
12 |
$102.70 |
| 96040 |
|
1,635 |
1,551 |
$102.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
118 |
115 |
$99.03 |
| 80235 |
|
40 |
38 |
$95.64 |
| 93786 |
|
31 |
30 |
$93.52 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
307 |
277 |
$85.06 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
2,478 |
2,302 |
$79.19 |
| 80201 |
|
15 |
14 |
$73.57 |
| J1940 |
Injection, furosemide, up to 20 mg |
747 |
519 |
$66.01 |
| J0610 |
Injection, calcium gluconate (fresenius kabi), per 10 ml |
417 |
301 |
$63.79 |
| J1956 |
Injection, levofloxacin, 250 mg |
30 |
24 |
$62.14 |
| 80156 |
|
13 |
13 |
$60.12 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
164 |
162 |
$57.26 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
49 |
48 |
$55.10 |
| 99494 |
|
15 |
15 |
$55.03 |
| J0670 |
Injection, mepivacaine hydrochloride, per 10 ml |
306 |
291 |
$48.65 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
752 |
676 |
$47.43 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
325 |
197 |
$45.76 |
| 89060 |
|
14 |
13 |
$39.12 |
| 80158 |
|
12 |
12 |
$37.24 |
| 51701 |
|
57 |
56 |
$35.97 |
| 90713 |
|
171 |
170 |
$35.37 |
| 90710 |
|
1,153 |
1,140 |
$32.65 |
| 86036 |
|
476 |
455 |
$29.85 |
| 87185 |
|
14 |
14 |
$29.34 |
| 36410 |
|
326 |
298 |
$28.98 |
| 85598 |
|
13 |
13 |
$28.86 |
| 84520 |
|
1,644 |
1,474 |
$26.19 |
| Q9969 |
Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose |
652 |
628 |
$24.56 |
| 95991 |
|
17 |
14 |
$18.20 |
| 86381 |
|
154 |
149 |
$17.82 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$8.32 |
| J0613 |
Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg |
111 |
93 |
$6.96 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
135 |
94 |
$4.35 |
| 90685 |
|
301 |
295 |
$2.36 |
| J0744 |
Injection, ciprofloxacin for intravenous infusion, 200 mg |
659 |
504 |
$1.59 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
1,747 |
1,445 |
$1.47 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
958 |
915 |
$0.39 |
| G0010 |
Administration of hepatitis b vaccine |
101 |
100 |
$0.09 |
| 90749 |
|
14 |
14 |
$0.05 |
| 90698 |
|
2,859 |
2,826 |
$0.00 |
| J3480 |
Injection, potassium chloride, per 2 meq |
418 |
303 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
3,449 |
3,004 |
$0.00 |
| 90744 |
|
1,872 |
1,843 |
$0.00 |
| G8980 |
Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting |
222 |
208 |
$0.00 |
| 82435 |
|
552 |
497 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
474 |
436 |
$0.00 |
| 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 |
349 |
331 |
$0.00 |
| G8987 |
Self care functional limitation, current status, at therapy episode outset and at reporting intervals |
165 |
152 |
$0.00 |
| 90680 |
|
3,180 |
3,149 |
$0.00 |
| D1330 |
|
387 |
247 |
$0.00 |
| 91301 |
|
138 |
125 |
$0.00 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
159 |
154 |
$0.00 |
| J2785 |
Injection, regadenoson, 0.1 mg |
453 |
432 |
$0.00 |
| 90697 |
|
110 |
109 |
$0.00 |
| A9555 |
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries |
213 |
205 |
$0.00 |
| G8982 |
Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
116 |
113 |
$0.00 |
| 88300 |
|
12 |
12 |
$0.00 |
| 81596 |
|
268 |
264 |
$0.00 |
| 91303 |
|
283 |
229 |
$0.00 |
| 95012 |
|
314 |
304 |
$0.00 |
| 93246 |
|
39 |
38 |
$0.00 |
| G8988 |
Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
207 |
188 |
$0.00 |
| 90723 |
|
336 |
335 |
$0.00 |
| 96139 |
|
13 |
13 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
40 |
28 |
$0.00 |
| G8981 |
Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals |
96 |
93 |
$0.00 |
| 89322 |
|
25 |
24 |
$0.00 |
| C1725 |
Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) |
12 |
12 |
$0.00 |
| 87484 |
|
14 |
12 |
$0.00 |
| J1790 |
Injection, droperidol, up to 5 mg |
68 |
55 |
$0.00 |
| J0611 |
Injection, calcium gluconate (wg critical care), per 10 ml |
52 |
43 |
$0.00 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
54 |
50 |
$0.00 |
| 96132 |
|
28 |
27 |
$0.00 |
| 93788 |
|
31 |
30 |
$0.00 |
| L1810 |
Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
13 |
13 |
$0.00 |
| J3411 |
Injection, thiamine hcl, 100 mg |
17 |
13 |
$0.00 |
| G8986 |
Carrying, moving & handling objects functional limitation, discharge status, at discharge from therapy or to end reporting |
12 |
12 |
$0.00 |
| J0461 |
Injection, atropine sulfate, 0.01 mg |
43 |
35 |
$0.00 |
| 81370 |
|
13 |
13 |
$0.00 |
| A9503 |
Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries |
14 |
12 |
$0.00 |
| D2750 |
|
19 |
12 |
$0.00 |
| 88331 |
|
14 |
14 |
$0.00 |
| C1819 |
Surgical tissue localization and excision device (implantable) |
13 |
13 |
$0.00 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
18 |
18 |
$0.00 |
| 95874 |
|
13 |
12 |
$0.00 |
| 90648 |
|
1,518 |
1,505 |
$0.00 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
789 |
583 |
$0.00 |
| C1758 |
Catheter, ureteral |
40 |
38 |
$0.00 |
| L0626 |
Lumbar orthosis, sagittal control, with rigid posterior panel(s), posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
284 |
268 |
$0.00 |
| 91300 |
|
10,320 |
8,662 |
$0.00 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
1,048 |
974 |
$0.00 |
| 90700 |
|
1,063 |
1,052 |
$0.00 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
27 |
27 |
$0.00 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
1,152 |
1,059 |
$0.00 |
| 80348 |
|
478 |
345 |
$0.00 |
| 86015 |
|
139 |
136 |
$0.00 |
| G8985 |
Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
309 |
294 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
7,160 |
5,986 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
363 |
278 |
$0.00 |
| 80361 |
|
403 |
313 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
199 |
131 |
$0.00 |
| Q9956 |
Injection, octafluoropropane microspheres, per ml |
767 |
736 |
$0.00 |
| G8984 |
Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals |
283 |
273 |
$0.00 |
| 91312 |
|
867 |
847 |
$0.00 |
| 90672 |
|
76 |
76 |
$0.00 |
| C1729 |
Catheter, drainage |
214 |
187 |
$0.00 |
| 96133 |
|
28 |
27 |
$0.00 |
| C8929 |
Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography |
105 |
101 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
306 |
188 |
$0.00 |
| 80346 |
|
480 |
347 |
$0.00 |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
16 |
13 |
$0.00 |
| 78434 |
|
120 |
116 |
$0.00 |
| 80362 |
|
403 |
313 |
$0.00 |
| A9541 |
Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries |
92 |
91 |
$0.00 |
| D0160 |
|
16 |
14 |
$0.00 |
| 84155 |
|
29 |
27 |
$0.00 |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
24 |
24 |
$0.00 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
62 |
56 |
$0.00 |
| 80365 |
|
478 |
345 |
$0.00 |
| G8989 |
Self care functional limitation, discharge status, at discharge from therapy or to end reporting |
13 |
12 |
$0.00 |
| 96136 |
|
12 |
12 |
$0.00 |
| 0121A |
|
16 |
16 |
$0.00 |
| Q0220 |
Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 300 mg |
18 |
16 |
$0.00 |
| A9526 |
Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries |
12 |
12 |
$0.00 |
| 11101 |
|
12 |
12 |
$0.00 |
| C1788 |
Port, indwelling (implantable) |
12 |
12 |
$0.00 |
| 96138 |
|
13 |
13 |
$0.00 |
| 86008 |
|
12 |
12 |
$0.00 |