| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
51,323 |
48,469 |
$782K |
| 97110 |
|
25,633 |
8,336 |
$676K |
| 92507 |
|
8,963 |
1,687 |
$585K |
| 99223 |
Prolong inpt eval add15 m |
3,381 |
3,093 |
$492K |
| 99204 |
|
6,756 |
6,717 |
$461K |
| 99213 |
|
184,727 |
168,749 |
$446K |
| 99215 |
Prolong outpt/office vis |
6,499 |
6,169 |
$419K |
| 77067 |
|
4,490 |
4,463 |
$355K |
| 67028 |
|
1,783 |
1,234 |
$336K |
| 99232 |
|
6,571 |
1,873 |
$252K |
| 99233 |
Prolong inpt eval add15 m |
4,681 |
1,444 |
$194K |
| 93306 |
|
1,404 |
1,379 |
$169K |
| 99205 |
Prolong outpt/office vis |
1,568 |
1,550 |
$159K |
| 92134 |
|
2,691 |
2,191 |
$155K |
| 99283 |
|
5,603 |
5,550 |
$149K |
| J9035 |
Bevacizumab injection |
1,657 |
1,147 |
$146K |
| 59409 |
|
281 |
279 |
$145K |
| 76641 |
|
1,222 |
1,127 |
$144K |
| S9083 |
Urgent care center global |
3,660 |
3,428 |
$143K |
| 87491 |
|
38,089 |
36,978 |
$140K |
| 87591 |
|
35,041 |
34,089 |
$135K |
| E1390 |
Oxygen concentrator |
1,062 |
1,057 |
$123K |
| 99203 |
|
4,182 |
4,129 |
$118K |
| 99285 |
|
2,333 |
2,284 |
$118K |
| 92012 |
|
2,450 |
2,209 |
$102K |
| 99284 |
|
2,882 |
2,828 |
$102K |
| 97039 |
|
3,486 |
1,241 |
$101K |
| 95144 |
|
2,538 |
1,491 |
$101K |
| 92250 |
|
2,392 |
2,137 |
$101K |
| 99309 |
|
1,171 |
359 |
$94K |
| 97140 |
|
8,100 |
2,824 |
$92K |
| 99244 |
|
1,232 |
1,227 |
$88K |
| 92235 |
|
1,233 |
787 |
$87K |
| 92004 |
|
2,428 |
2,428 |
$76K |
| H1001 |
Antepartum management |
1,634 |
1,041 |
$75K |
| 92014 |
|
1,921 |
1,754 |
$70K |
| 67500 |
|
594 |
401 |
$69K |
| 99222 |
|
785 |
748 |
$69K |
| 93000 |
|
3,054 |
3,012 |
$67K |
| 90960 |
|
265 |
265 |
$63K |
| 77063 |
|
1,208 |
1,206 |
$60K |
| 59514 |
|
166 |
134 |
$57K |
| 97014 |
|
5,233 |
2,102 |
$52K |
| 99221 |
|
2,766 |
2,433 |
$50K |
| 76811 |
|
590 |
590 |
$49K |
| 85025 |
|
83,353 |
71,082 |
$44K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,512 |
2,152 |
$43K |
| 97803 |
|
2,426 |
2,261 |
$42K |
| 99308 |
|
973 |
481 |
$42K |
| 93010 |
|
2,966 |
2,642 |
$39K |
| 43239 |
|
288 |
286 |
$39K |
| V2020 |
Vision svcs frames purchases |
2,172 |
2,167 |
$37K |
| 97162 |
|
643 |
639 |
$37K |
| 76700 |
|
652 |
651 |
$36K |
| T4541 |
Large disposable underpad |
1,154 |
1,142 |
$36K |
| 20610 |
|
719 |
454 |
$36K |
| 76830 |
|
846 |
846 |
$36K |
| 76856 |
|
921 |
921 |
$35K |
| 92340 |
|
1,918 |
1,916 |
$35K |
| 99211 |
|
6,629 |
5,039 |
$35K |
| 97802 |
|
2,247 |
2,140 |
$35K |
| 80053 |
|
91,200 |
81,693 |
$34K |
| 81025 |
|
7,174 |
6,874 |
$33K |
| 76512 |
|
500 |
337 |
$32K |
| E0601 |
Cont airway pressure device |
610 |
606 |
$31K |
| 67210 |
|
162 |
128 |
$31K |
| 88305 |
|
2,695 |
2,643 |
$31K |
| G8427 |
Docrev cur meds by elig clin |
630 |
559 |
$30K |
| 96413 |
|
86 |
56 |
$30K |
| E0443 |
Portable 02 contents, gas |
605 |
605 |
$29K |
| 99199 |
|
961 |
857 |
$28K |
| 99291 |
|
211 |
87 |
$28K |
| K0001 |
Standard wheelchair |
598 |
589 |
$27K |
| 45380 |
|
135 |
134 |
$26K |
| 76815 |
|
684 |
468 |
$26K |
| 99238 |
|
729 |
710 |
$25K |
| 71045 |
|
3,503 |
3,056 |
$23K |
| 99212 |
|
28,537 |
26,690 |
$22K |
| 99241 |
|
1,357 |
1,351 |
$22K |
| E0603 |
Electric breast pump |
237 |
235 |
$22K |
| 71046 |
|
1,439 |
1,431 |
$21K |
| 81000 |
|
2,592 |
2,245 |
$21K |
| 20553 |
|
521 |
464 |
$21K |
| 95117 |
|
2,338 |
871 |
$20K |
| 99152 |
|
198 |
186 |
$19K |
| 67228 |
|
100 |
76 |
$19K |
| 59425 |
|
2,502 |
1,701 |
$19K |
| 92015 |
|
3,496 |
3,495 |
$18K |
| 59025 |
|
711 |
388 |
$18K |
| A4649 |
Surgical supplies |
786 |
597 |
$18K |
| 76805 |
|
415 |
411 |
$18K |
| J3490 |
Drugs unclassified injection |
1,542 |
1,344 |
$17K |
| 96367 |
|
131 |
78 |
$17K |
| E0431 |
Portable gaseous 02 |
824 |
822 |
$16K |
| 95115 |
|
3,494 |
1,508 |
$16K |
| 77066 |
Tomosynthesis, mammo |
169 |
167 |
$15K |
| T4535 |
Disposable liner/shield/pad |
479 |
477 |
$14K |
| 92226 |
|
509 |
338 |
$14K |
| 99245 |
|
123 |
123 |
$14K |
| 99153 |
Mod sedat endo service >5yrs |
110 |
103 |
$13K |
| 97530 |
|
296 |
80 |
$13K |
| T4522 |
Adult size brief/diaper med |
158 |
154 |
$13K |
| 95004 |
|
127 |
118 |
$13K |
| 66984 |
|
13 |
12 |
$13K |
| 93320 |
|
150 |
150 |
$12K |
| A4267 |
Male condom |
565 |
561 |
$12K |
| 45378 |
|
102 |
102 |
$12K |
| 92060 |
|
398 |
391 |
$12K |
| 99239 |
|
245 |
240 |
$12K |
| 99243 |
|
227 |
226 |
$11K |
| 80048 |
|
13,372 |
9,471 |
$11K |
| 77065 |
Tomosynthesis, mammo |
82 |
80 |
$11K |
| 93970 |
|
146 |
145 |
$11K |
| J1885 |
Ketorolac tromethamine inj |
545 |
486 |
$11K |
| 17380 |
|
125 |
42 |
$10K |
| Q3014 |
Telehealth facility fee |
266 |
257 |
$10K |
| J2001 |
Lidocaine injection |
806 |
580 |
$10K |
| A4670 |
Automatic bp monitor, dial |
187 |
187 |
$10K |
| 96372 |
|
721 |
595 |
$10K |
| E0570 |
Nebulizer with compression |
126 |
123 |
$10K |
| E0562 |
Humidifier heated used w pap |
341 |
338 |
$9K |
| A4461 |
Surgicl dress hold non-reuse |
334 |
285 |
$9K |
| J0702 |
Betamethasone acet&sod phosp |
242 |
199 |
$9K |
| U0004 |
Cov-19 test non-cdc hgh thru |
1,248 |
649 |
$9K |
| E0143 |
Walker folding wheeled w/o s |
145 |
142 |
$9K |
| 76801 |
|
232 |
227 |
$9K |
| 72275 |
|
146 |
144 |
$9K |
| 72148 |
|
34 |
34 |
$9K |
| 70553 |
|
27 |
26 |
$9K |
| T4527 |
Adult size pull-on lg |
98 |
97 |
$9K |
| 85730 |
|
6,841 |
6,124 |
$9K |
| 93978 |
|
93 |
93 |
$8K |
| 93325 |
|
179 |
179 |
$8K |
| J1040 |
Methylprednisolone 80 mg inj |
402 |
195 |
$8K |
| 93351 |
|
147 |
147 |
$8K |
| H1003 |
Prenatal at risk education |
2,291 |
1,808 |
$8K |
| 93880 |
|
93 |
93 |
$8K |
| 11721 |
|
484 |
482 |
$8K |
| 97161 |
|
194 |
194 |
$8K |
| 85027 |
|
16,413 |
14,280 |
$8K |
| 83861 |
|
476 |
239 |
$7K |
| 92521 |
|
128 |
128 |
$7K |
| 97010 |
|
1,472 |
492 |
$7K |
| 81003 |
|
5,595 |
5,337 |
$7K |
| 93976 |
|
95 |
93 |
$7K |
| 80307 |
|
2,411 |
2,106 |
$7K |
| 81001 |
|
34,072 |
32,507 |
$7K |
| 99000 |
|
9,173 |
8,801 |
$7K |
| 80061 |
|
59,979 |
58,939 |
$7K |
| 87806 |
|
417 |
415 |
$7K |
| J3301 |
Triamcinolone acet inj nos |
263 |
259 |
$7K |
| 95819 |
|
12 |
12 |
$6K |
| U0005 |
Infec agen detec ampli probe |
1,623 |
1,034 |
$6K |
| 93015 |
|
136 |
135 |
$6K |
| 84443 |
|
44,021 |
43,079 |
$6K |
| H1000 |
Prenatal care atrisk assessm |
155 |
154 |
$6K |
| 93925 |
|
101 |
101 |
$6K |
| 95886 |
|
51 |
38 |
$6K |
| 73721 |
|
36 |
33 |
$6K |
| 62323 |
|
129 |
127 |
$6K |
| 99401 |
|
2,531 |
2,321 |
$6K |
| 85610 |
|
9,929 |
8,637 |
$6K |
| 99460 |
|
139 |
139 |
$6K |
| 92133 |
|
199 |
177 |
$6K |
| G0482 |
Drug test def 15-21 classes |
322 |
304 |
$6K |
| K0553 |
Ther cgm supply allowance |
27 |
27 |
$6K |
| 99231 |
|
181 |
70 |
$6K |
| 94150 |
|
1,114 |
409 |
$6K |
| U0002 |
Covid-19 lab test non-cdc |
270 |
249 |
$6K |
| T4523 |
Adult size brief/diaper lg |
48 |
48 |
$6K |
| 01810 |
|
203 |
168 |
$6K |
| 83036 |
|
59,432 |
58,387 |
$5K |
| 68761 |
|
94 |
46 |
$5K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
41 |
38 |
$5K |
| 92083 |
|
201 |
179 |
$5K |
| 36415 |
|
54,373 |
50,889 |
$5K |
| 90471 |
|
15,269 |
15,144 |
$5K |
| 83690 |
|
4,962 |
4,535 |
$5K |
| T4526 |
Adult size pull-on med |
100 |
100 |
$5K |
| 83516 |
|
806 |
579 |
$5K |
| 92020 |
|
126 |
125 |
$5K |
| 82306 |
|
17,442 |
17,144 |
$4K |
| G2023 |
Specimen collect covid-19 |
529 |
395 |
$4K |
| 81420 |
|
12 |
12 |
$4K |
| 17004 |
|
83 |
82 |
$4K |
| 84484 |
|
3,119 |
2,512 |
$4K |
| 94760 |
|
1,509 |
1,346 |
$4K |
| 17110 |
|
44 |
41 |
$4K |
| 70450 |
|
112 |
104 |
$4K |
| 99310 |
Prolong nursin fac eval 15m |
67 |
50 |
$4K |
| 87086 |
|
14,747 |
14,038 |
$4K |
| S9088 |
Services provided in urgent |
602 |
566 |
$4K |
| G0283 |
Elec stim other than wound |
678 |
270 |
$4K |
| A4580 |
Cast supplies (plaster) |
128 |
73 |
$4K |
| 76642 |
|
64 |
54 |
$4K |
| 81002 |
|
6,599 |
5,631 |
$4K |
| 72141 |
|
12 |
12 |
$4K |
| 76819 |
|
61 |
27 |
$3K |
| 83735 |
|
4,599 |
2,460 |
$3K |
| 74177 |
|
45 |
45 |
$3K |
| 31231 |
|
13 |
13 |
$3K |
| 73130 |
|
106 |
94 |
$3K |
| G0483 |
Drug test def 22+ classes |
110 |
51 |
$3K |
| 99335 |
|
93 |
93 |
$3K |
| A6250 |
Skin seal protect moisturizr |
233 |
231 |
$3K |
| 85018 |
|
14,418 |
14,232 |
$3K |
| K0195 |
Elevating whlchair leg rests |
165 |
165 |
$3K |
| 87389 |
|
23,711 |
23,421 |
$3K |
| 74176 |
|
45 |
45 |
$3K |
| 87635 |
|
670 |
619 |
$3K |
| 99307 |
|
160 |
125 |
$3K |
| 76816 |
|
59 |
57 |
$3K |
| 99282 |
|
108 |
103 |
$3K |
| 76705 |
|
104 |
103 |
$3K |
| 73560 |
|
85 |
70 |
$3K |
| 83880 |
|
1,220 |
1,093 |
$3K |
| 99202 |
|
863 |
863 |
$2K |
| 73030 |
|
76 |
71 |
$2K |
| 80076 |
|
3,969 |
3,552 |
$2K |
| 86592 |
|
24,869 |
24,424 |
$2K |
| 76770 |
|
44 |
43 |
$2K |
| 92651 |
|
29 |
29 |
$2K |
| 88312 |
|
64 |
64 |
$2K |
| 87661 |
|
439 |
435 |
$2K |
| 93224 |
|
27 |
27 |
$2K |
| 78452 |
|
44 |
44 |
$2K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
30 |
29 |
$2K |
| R0070 |
Transport portable x-ray |
13 |
13 |
$2K |
| 73110 |
|
39 |
31 |
$2K |
| 85007 |
|
3,130 |
2,130 |
$2K |
| 80055 |
|
615 |
497 |
$2K |
| 73630 |
|
76 |
66 |
$2K |
| 82728 |
|
4,091 |
4,012 |
$2K |
| 97112 |
|
257 |
93 |
$2K |
| 86901 |
|
1,573 |
1,424 |
$2K |
| A4590 |
Special casting material |
93 |
55 |
$2K |
| 3008F |
|
10,513 |
9,468 |
$2K |
| 87799 |
|
56 |
55 |
$2K |
| G0279 |
Tomosynthesis, mammo |
38 |
38 |
$2K |
| A4335 |
Incontinence supply |
259 |
257 |
$2K |
| 90736 |
|
137 |
131 |
$2K |
| 83550 |
|
4,051 |
4,003 |
$2K |
| 77080 |
|
100 |
100 |
$2K |
| 86003 |
|
1,087 |
1,082 |
$2K |
| 86803 |
|
11,706 |
11,567 |
$2K |
| A6402 |
Sterile gauze <= 16 sq in |
84 |
81 |
$2K |
| 87481 |
|
59 |
58 |
$2K |
| 92202 |
|
122 |
118 |
$2K |
| 82948 |
|
4,660 |
3,997 |
$2K |
| 86900 |
|
1,584 |
1,431 |
$2K |
| A7035 |
Pos airway press headgear |
81 |
80 |
$2K |
| 82570 |
|
10,517 |
10,307 |
$2K |
| 93005 |
|
115 |
114 |
$2K |
| 87624 |
|
5,805 |
5,786 |
$2K |
| Q0144 |
Azithromycin dihydrate, oral |
13 |
13 |
$2K |
| 83970 |
|
427 |
417 |
$1K |
| 10040 |
|
55 |
52 |
$1K |
| 86769 |
|
251 |
241 |
$1K |
| 82607 |
|
4,097 |
4,054 |
$1K |
| 84702 |
|
2,113 |
1,810 |
$1K |
| 88304 |
|
104 |
104 |
$1K |
| 73562 |
|
64 |
55 |
$1K |
| 87798 |
|
105 |
95 |
$1K |
| 88175 |
|
7,677 |
7,609 |
$1K |
| 76536 |
|
29 |
29 |
$1K |
| 70551 |
|
13 |
13 |
$1K |
| 93303 |
|
16 |
16 |
$1K |
| 80305 |
|
65 |
63 |
$1K |
| 92587 |
|
44 |
44 |
$1K |
| 15852 |
|
46 |
41 |
$1K |
| 84439 |
|
7,710 |
7,578 |
$1K |
| 73610 |
|
41 |
40 |
$1K |
| 92557 |
|
42 |
41 |
$1K |
| 90715 |
|
2,438 |
2,435 |
$1K |
| 76817 |
|
36 |
33 |
$1K |
| 82947 |
|
5,551 |
5,168 |
$1K |
| 11720 |
|
70 |
70 |
$1K |
| E0295 |
Hosp bed semi-elect w/o matt |
12 |
12 |
$1K |
| 97163 |
|
25 |
25 |
$1K |
| 90670 |
|
1,213 |
1,212 |
$1K |
| 87340 |
|
5,668 |
5,611 |
$1K |
| 99201 |
|
749 |
505 |
$1K |
| 86140 |
|
2,776 |
2,536 |
$1K |
| 82962 |
|
4,259 |
3,695 |
$1K |
| 51798 |
|
49 |
45 |
$1K |
| G9920 |
Scrning perf and negative |
368 |
365 |
$1K |
| 45385 |
|
26 |
26 |
$1K |
| 84100 |
|
1,779 |
1,210 |
$1K |
| 86850 |
|
687 |
648 |
$1K |
| 87081 |
|
2,289 |
2,200 |
$976.23 |
| 87040 |
|
799 |
726 |
$975.07 |
| 87088 |
|
8,803 |
8,503 |
$966.14 |
| A4217 |
Sterile water/saline, 500 ml |
27 |
25 |
$949.66 |
| 72100 |
|
40 |
40 |
$921.13 |
| 99051 |
|
135 |
119 |
$910.07 |
| S4993 |
Contraceptive pills for bc |
27 |
27 |
$902.18 |
| 87186 |
|
2,357 |
2,264 |
$859.76 |
| 3074F |
|
4,058 |
3,669 |
$857.35 |
| 88307 |
|
53 |
53 |
$844.88 |
| E0114 |
Crutch underarm pair no wood |
27 |
27 |
$841.09 |
| 83540 |
|
4,829 |
4,760 |
$839.47 |
| E0163 |
Commode chair with fixed arm |
12 |
12 |
$822.48 |
| 84703 |
|
1,159 |
1,124 |
$809.02 |
| 97139 |
|
157 |
47 |
$800.00 |
| 92586 |
|
12 |
12 |
$789.96 |
| 11100 |
|
12 |
12 |
$786.38 |
| 99442 |
|
868 |
805 |
$779.90 |
| 87070 |
|
2,807 |
2,730 |
$764.41 |
| 86235 |
|
321 |
315 |
$715.26 |
| 83605 |
|
408 |
328 |
$712.85 |
| 95816 |
|
12 |
12 |
$710.00 |
| 90686 |
|
6,057 |
6,055 |
$655.65 |
| 87522 |
Neg quan hep c or qual rna |
615 |
603 |
$644.78 |
| T1014 |
Telehealth transmit, per min |
52 |
49 |
$635.88 |
| 90472 |
|
3,413 |
3,399 |
$631.48 |
| 87077 |
|
2,390 |
2,297 |
$605.12 |
| 0760 |
|
67 |
62 |
$594.75 |
| 11901 |
|
41 |
41 |
$585.91 |
| A7038 |
Pos airway pressure filter |
95 |
93 |
$577.43 |
| G9551 |
Imag no les |
28 |
27 |
$574.96 |
| 76813 |
|
12 |
12 |
$574.35 |
| 83615 |
|
1,475 |
1,363 |
$556.87 |
| 87210 |
|
983 |
970 |
$550.32 |
| 90688 |
|
1,922 |
1,912 |
$544.00 |
| 82043 |
|
10,679 |
10,565 |
$538.29 |
| 82247 |
|
453 |
270 |
$531.36 |
| 86038 |
|
1,736 |
1,719 |
$529.65 |
| V5008 |
Hearing screening |
29 |
29 |
$518.81 |
| 82652 |
|
1,164 |
1,158 |
$493.73 |
| 69210 |
|
61 |
60 |
$485.83 |
| 76857 |
|
13 |
13 |
$481.80 |
| 82746 |
|
3,013 |
2,980 |
$480.76 |
| 3078F |
|
4,093 |
3,714 |
$462.81 |
| 84153 |
|
2,504 |
2,454 |
$461.47 |
| 86160 |
|
296 |
288 |
$460.01 |
| 84481 |
|
1,088 |
1,080 |
$432.37 |
| 82550 |
|
594 |
574 |
$418.44 |
| 59430 |
|
28 |
27 |
$393.89 |
| 92100 |
|
14 |
12 |
$375.51 |
| 84403 |
|
1,544 |
1,516 |
$371.89 |
| 15851 |
|
13 |
13 |
$336.92 |
| A7005 |
Nondisposable nebulizer set |
19 |
19 |
$335.74 |
| 92341 |
|
24 |
24 |
$333.90 |
| 82248 |
|
3,082 |
2,881 |
$330.09 |
| 83021 |
|
309 |
309 |
$326.47 |
| 93018 |
|
12 |
12 |
$322.80 |
| A6216 |
Non-sterile gauze<=16 sq in |
16 |
15 |
$322.79 |
| 90732 |
|
63 |
63 |
$321.03 |
| 72040 |
|
12 |
12 |
$312.16 |
| 85652 |
|
4,525 |
4,424 |
$298.33 |
| 81015 |
|
576 |
553 |
$288.50 |
| 86780 |
|
870 |
840 |
$286.68 |
| 73221 |
|
15 |
14 |
$282.09 |
| 96150 |
|
152 |
149 |
$270.36 |
| 3725F |
|
6,243 |
5,624 |
$270.21 |
| 84460 |
|
2,244 |
2,229 |
$267.85 |
| 1160F |
|
3,831 |
3,273 |
$266.00 |
| 84550 |
|
2,441 |
2,410 |
$263.72 |
| 93016 |
|
12 |
12 |
$260.46 |
| 92081 |
|
74 |
74 |
$255.00 |
| 82274 |
|
3,852 |
3,766 |
$246.39 |
| H0049 |
Alcohol/drug screening |
5,367 |
4,737 |
$239.22 |
| 80074 |
|
1,937 |
1,883 |
$237.43 |
| 83002 |
|
706 |
702 |
$232.52 |
| 90658 |
|
394 |
394 |
$230.42 |
| E0971 |
Wheelchair anti-tipping devi |
13 |
13 |
$230.05 |
| 86360 |
|
76 |
75 |
$228.18 |
| 84156 |
|
393 |
364 |
$225.70 |
| 82565 |
|
549 |
531 |
$225.63 |
| 83986 |
|
44 |
44 |
$221.26 |
| 87205 |
|
311 |
282 |
$214.41 |
| 87880 |
|
746 |
740 |
$212.64 |
| 82120 |
|
27 |
27 |
$211.30 |
| 86225 |
|
413 |
409 |
$209.74 |
| Q0092 |
Set up port xray equipment |
15 |
14 |
$199.78 |
| 84155 |
|
397 |
262 |
$199.55 |
| 92551 |
|
5,763 |
5,757 |
$198.36 |
| 96110 |
|
1,310 |
1,309 |
$197.10 |
| 90723 |
|
136 |
136 |
$197.10 |
| 82270 |
|
379 |
375 |
$197.10 |
| 86701 |
|
211 |
211 |
$185.52 |
| 83498 |
|
177 |
177 |
$166.14 |
| 82533 |
|
90 |
82 |
$164.64 |
| 83001 |
|
1,113 |
1,104 |
$160.70 |
| 82378 |
|
418 |
368 |
$160.70 |
| 73080 |
|
26 |
26 |
$156.38 |
| 99396 |
|
1,613 |
1,598 |
$156.00 |
| 80047 |
|
53 |
44 |
$149.10 |
| 86706 |
|
3,049 |
3,031 |
$147.39 |
| 82776 |
|
108 |
108 |
$146.94 |
| 99406 |
|
781 |
695 |
$144.11 |
| 1036F |
|
2,428 |
2,250 |
$144.00 |
| 84436 |
|
1,659 |
1,649 |
$142.07 |
| 82785 |
|
770 |
769 |
$140.28 |
| 82261 |
|
108 |
108 |
$135.96 |
| Q0091 |
Obtaining screen pap smear |
449 |
449 |
$135.92 |
| 85045 |
|
306 |
294 |
$131.63 |
| 86703 |
|
166 |
165 |
$128.76 |
| 84450 |
|
1,246 |
1,237 |
$127.70 |
| 86762 |
|
304 |
304 |
$120.30 |
| 83789 |
|
111 |
111 |
$114.93 |
| 99281 |
|
775 |
742 |
$114.38 |
| 96900 |
|
14 |
13 |
$113.26 |
| 99173 |
|
13,251 |
13,227 |
$112.49 |
| 86431 |
|
1,261 |
1,248 |
$111.87 |
| 99441 |
|
360 |
347 |
$111.76 |
| 87804 |
|
435 |
429 |
$111.54 |
| 17340 |
|
18 |
17 |
$109.29 |
| 83655 |
|
4,181 |
4,161 |
$109.01 |
| 82670 |
|
631 |
625 |
$107.36 |
| 86039 |
|
305 |
302 |
$105.00 |
| 82150 |
|
282 |
265 |
$104.38 |
| 82105 |
|
161 |
155 |
$101.98 |
| 92567 |
|
46 |
46 |
$99.19 |
| 84146 |
|
1,024 |
1,010 |
$97.58 |
| 71010 |
|
30 |
14 |
$96.88 |
| 29540 |
|
56 |
43 |
$96.50 |
| 88142 |
|
2,107 |
2,105 |
$87.73 |
| 80202 |
|
136 |
80 |
$86.81 |
| 96151 |
|
258 |
257 |
$85.71 |
| 3044F |
|
380 |
380 |
$84.89 |
| 87536 |
|
2,184 |
2,166 |
$84.25 |
| 84480 |
|
413 |
412 |
$83.23 |
| 86376 |
|
435 |
431 |
$82.58 |
| 82553 |
|
19 |
13 |
$79.25 |
| 80051 |
|
211 |
207 |
$79.06 |
| 82977 |
|
1,145 |
1,140 |
$77.75 |
| 86800 |
|
282 |
278 |
$77.63 |
| S9445 |
Pt education noc individ |
515 |
427 |
$75.69 |
| 84520 |
|
429 |
347 |
$70.62 |
| G8417 |
Calc bmi abv up param f/u |
2,313 |
2,105 |
$70.00 |
| 36416 |
|
311 |
300 |
$68.70 |
| 80320 |
|
78 |
72 |
$66.82 |
| 86696 |
|
309 |
305 |
$66.42 |
| 85651 |
|
15 |
12 |
$66.35 |
| 90698 |
|
364 |
364 |
$66.15 |
| 81005 |
|
32 |
26 |
$64.92 |
| 82803 |
|
122 |
44 |
$63.62 |
| 86317 |
|
1,213 |
1,206 |
$63.32 |
| 82310 |
|
222 |
200 |
$63.14 |
| 96160 |
|
720 |
698 |
$63.00 |
| 87209 |
|
206 |
202 |
$62.35 |
| 86480 |
|
2,616 |
2,602 |
$61.98 |
| 90746 |
|
254 |
252 |
$56.21 |
| 99392 |
|
3,499 |
3,492 |
$53.63 |
| 83013 |
|
462 |
456 |
$53.34 |
| 3045F |
|
313 |
308 |
$50.00 |
| J3010 |
Fentanyl citrate injection |
12 |
12 |
$48.82 |
| 0501F |
|
27 |
27 |
$46.98 |
| 86695 |
|
300 |
298 |
$45.33 |
| G2024 |
Spec coll snf/lab covid-19 |
16 |
15 |
$44.56 |
| 86765 |
|
118 |
117 |
$44.25 |
| 83721 |
|
156 |
156 |
$43.72 |
| 84466 |
|
13 |
13 |
$43.60 |
| 80197 |
|
82 |
63 |
$42.77 |
| 80164 |
|
32 |
29 |
$39.13 |
| 86787 |
|
273 |
272 |
$38.62 |
| 86304 |
|
96 |
89 |
$37.63 |
| 82627 |
|
316 |
314 |
$37.20 |
| 82951 |
|
328 |
325 |
$33.48 |
| 87177 |
|
206 |
202 |
$30.90 |
| 86704 |
|
3,443 |
3,419 |
$29.80 |
| 84075 |
|
116 |
114 |
$27.70 |
| 83525 |
|
262 |
261 |
$27.19 |
| 84133 |
|
51 |
42 |
$26.23 |
| 80069 |
|
436 |
429 |
$25.11 |
| 85060 |
|
156 |
155 |
$25.00 |
| 84479 |
|
1,248 |
1,244 |
$24.81 |
| T1003 |
Lpn/lvn services up to 15min |
4,198 |
3,902 |
$24.26 |
| 87075 |
|
26 |
26 |
$23.94 |
| J0696 |
Ceftriaxone sodium injection |
105 |
105 |
$23.75 |
| 99395 |
|
856 |
851 |
$23.49 |
| 87905 |
|
309 |
307 |
$23.49 |
| 87390 |
|
227 |
227 |
$23.49 |
| 0500F |
|
99 |
97 |
$23.49 |
| 82465 |
|
1,590 |
1,584 |
$22.03 |
| 87338 |
|
1,216 |
1,212 |
$21.99 |
| 86300 |
|
245 |
224 |
$21.80 |
| 80329 |
|
83 |
78 |
$21.71 |
| 82784 |
|
174 |
172 |
$20.91 |
| 87502 |
|
26 |
24 |
$20.28 |
| A7015 |
Aerosol mask used w nebulize |
14 |
14 |
$17.03 |
| 82950 |
|
1,857 |
1,851 |
$15.82 |
| 85379 |
|
13 |
12 |
$15.61 |
| 87480 |
|
519 |
515 |
$14.70 |
| 87510 |
|
520 |
516 |
$14.70 |
| 87660 |
|
515 |
511 |
$14.43 |
| 83718 |
|
1,054 |
1,052 |
$13.16 |
| 86593 |
|
844 |
812 |
$10.62 |
| 87147 |
|
613 |
601 |
$9.78 |
| 83020 |
|
138 |
138 |
$9.47 |
| 86709 |
|
299 |
298 |
$8.91 |
| 82040 |
|
45 |
44 |
$7.90 |
| 85014 |
|
277 |
266 |
$7.09 |
| 82952 |
|
205 |
204 |
$3.43 |
| 85041 |
|
44 |
41 |
$2.39 |
| 86200 |
|
594 |
592 |
$2.10 |
| 1000F |
|
5,265 |
4,935 |
$0.08 |
| 0502F |
|
950 |
670 |
$0.00 |
| 99393 |
|
4,188 |
4,183 |
$0.00 |
| 3288F |
|
1,115 |
952 |
$0.00 |
| 99394 |
|
2,573 |
2,572 |
$0.00 |
| 90734 |
|
1,088 |
1,087 |
$0.00 |
| T1015 |
Clinic service |
8,459 |
7,524 |
$0.00 |
| 90649 |
|
481 |
481 |
$0.00 |
| 99001 |
|
536 |
514 |
$0.00 |
| 3077F |
|
224 |
220 |
$0.00 |
| 81220 |
|
364 |
364 |
$0.00 |
| 1159F |
|
3,205 |
2,739 |
$0.00 |
| 4004F |
|
311 |
289 |
$0.00 |
| 98966 |
|
517 |
453 |
$0.00 |
| 83026 |
|
156 |
156 |
$0.00 |
| 90461 |
|
694 |
536 |
$0.00 |
| 90832 |
|
447 |
294 |
$0.00 |
| S3645 |
Hiv-1 antibody testing of or |
232 |
228 |
$0.00 |
| 90687 |
|
364 |
364 |
$0.00 |
| 92552 |
|
4,253 |
4,245 |
$0.00 |
| 86708 |
|
3,153 |
3,133 |
$0.00 |
| 90460 |
|
2,930 |
2,907 |
$0.00 |
| 90710 |
|
403 |
403 |
$0.00 |
| 90633 |
|
936 |
936 |
$0.00 |
| 0450 |
|
162 |
150 |
$0.00 |
| 0002A |
|
1,063 |
1,054 |
$0.00 |
| 90707 |
|
288 |
288 |
$0.00 |
| 90713 |
|
103 |
103 |
$0.00 |
| 84445 |
|
54 |
54 |
$0.00 |
| G0402 |
Initial preventive exam |
44 |
44 |
$0.00 |
| 91300 |
|
2,380 |
2,179 |
$0.00 |
| 90644 |
|
286 |
286 |
$0.00 |
| 99391 |
|
923 |
921 |
$0.00 |
| G0444 |
Depression screen annual |
1,216 |
1,024 |
$0.00 |
| 99404 |
|
119 |
112 |
$0.00 |
| 90396 |
|
63 |
63 |
$0.00 |
| 99072 |
|
1,086 |
911 |
$0.00 |
| G2012 |
Brief check in by md/qhp |
219 |
200 |
$0.00 |
| 85613 |
|
39 |
39 |
$0.00 |
| 98942 |
|
191 |
118 |
$0.00 |
| 86735 |
|
99 |
99 |
$0.00 |
| 90700 |
|
257 |
257 |
$0.00 |
| 90791 |
|
66 |
58 |
$0.00 |
| G8431 |
Pos clin depres scrn f/u doc |
122 |
98 |
$0.00 |
| 2028F |
|
180 |
162 |
$0.00 |
| 3046F |
|
214 |
214 |
$0.00 |
| J1050 |
Medroxyprogesterone acetate |
25 |
25 |
$0.00 |
| 59426 |
|
132 |
85 |
$0.00 |
| D0220 |
|
13 |
12 |
$0.00 |
| P9604 |
One-way allow prorated trip |
293 |
184 |
$0.00 |
| 99080 |
|
49 |
49 |
$0.00 |
| G0511 |
Ccm/bhi by rhc/fqhc 20min mo |
56 |
56 |
$0.00 |
| 87045 |
|
86 |
86 |
$0.00 |
| 87427 |
|
85 |
85 |
$0.00 |
| D0190 |
|
316 |
316 |
$0.00 |
| 86147 |
|
55 |
55 |
$0.00 |
| 76818 |
|
19 |
13 |
$0.00 |
| 90681 |
|
67 |
67 |
$0.00 |
| A4218 |
Sterile saline or water |
76 |
76 |
$0.00 |
| 90685 |
|
31 |
31 |
$0.00 |
| H1002 |
Carecoordination prenatal |
12 |
12 |
$0.00 |
| G0438 |
Ppps, initial visit |
44 |
44 |
$0.00 |
| 86689 |
|
12 |
12 |
$0.00 |
| 86318 |
|
21 |
20 |
$0.00 |
| 90648 |
|
204 |
204 |
$0.00 |
| A0425 |
Ground mileage |
42 |
42 |
$0.00 |
| 98940 |
|
17 |
15 |
$0.00 |
| 99490 |
Ccm add 20min |
44 |
44 |
$0.00 |
| 86644 |
|
14 |
14 |
$0.00 |
| G0459 |
Telehealth inpt pharm mgmt |
26 |
24 |
$0.00 |
| 11056 |
|
35 |
35 |
$0.00 |
| S0199 |
Med abortion inc all ex drug |
12 |
12 |
$0.00 |
| 82085 |
|
47 |
47 |
$0.00 |
| 87535 |
|
52 |
52 |
$0.00 |
| 90672 |
|
20 |
20 |
$0.00 |
| 90756 |
|
40 |
40 |
$0.00 |
| 76827 |
|
26 |
26 |
$0.00 |
| G0127 |
Trim nail(s) |
12 |
12 |
$0.00 |
| 90837 |
|
37 |
30 |
$0.00 |
| 86328 |
|
15 |
12 |
$0.00 |
| 87633 |
|
30 |
29 |
$0.00 |
| 86705 |
|
27 |
27 |
$0.00 |
| 3015F |
|
56 |
56 |
$0.00 |
| 87329 |
|
12 |
12 |
$0.00 |
| 87631 |
|
12 |
12 |
$0.00 |
| 0360 |
|
12 |
12 |
$0.00 |
| 2022F |
|
15 |
14 |
$0.00 |
| 99188 |
|
17 |
17 |
$0.00 |
| 98941 |
|
561 |
385 |
$0.00 |
| 84999 |
|
605 |
605 |
$0.00 |
| 1126F |
|
669 |
597 |
$0.00 |
| 1170F |
|
2,103 |
1,843 |
$0.00 |
| G0467 |
Fqhc visit, estab pt |
288 |
257 |
$0.00 |
| 0001A |
|
1,356 |
1,347 |
$0.00 |
| 90651 |
|
1,445 |
1,445 |
$0.00 |
| 59400 |
|
87 |
87 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
547 |
526 |
$0.00 |
| G9008 |
Mccd,phys coor-care ovrsght |
88 |
71 |
$0.00 |
| 80081 |
|
965 |
960 |
$0.00 |
| 99402 |
|
193 |
180 |
$0.00 |
| 91301 |
|
851 |
830 |
$0.00 |
| 88141 |
|
698 |
698 |
$0.00 |
| G0480 |
Drug test def 1-7 classes |
78 |
75 |
$0.00 |
| 99385 |
|
192 |
192 |
$0.00 |
| H0033 |
Oral med adm direct observe |
240 |
212 |
$0.00 |
| 90696 |
|
367 |
367 |
$0.00 |
| 90834 |
|
931 |
587 |
$0.00 |
| 87430 |
|
390 |
382 |
$0.00 |
| 1111F |
|
292 |
282 |
$0.00 |
| 92002 |
|
99 |
99 |
$0.00 |
| 99386 |
|
84 |
84 |
$0.00 |
| D0140 |
|
180 |
180 |
$0.00 |
| D1310 |
|
66 |
66 |
$0.00 |
| 99495 |
|
164 |
162 |
$0.00 |
| 96156 |
|
349 |
348 |
$0.00 |
| G8418 |
Calc bmi blw low param f/u |
224 |
212 |
$0.00 |
| H2000 |
Comp multidisipln evaluation |
125 |
125 |
$0.00 |
| 86707 |
|
256 |
254 |
$0.00 |
| 90744 |
|
267 |
267 |
$0.00 |
| 87808 |
|
323 |
321 |
$0.00 |
| 4000F |
|
387 |
361 |
$0.00 |
| 3075F |
|
231 |
229 |
$0.00 |
| 86361 |
|
1,213 |
1,205 |
$0.00 |
| 86580 |
|
1,250 |
1,234 |
$0.00 |
| T1002 |
Rn services up to 15 minutes |
765 |
739 |
$0.00 |
| 87046 |
|
85 |
85 |
$0.00 |
| 84402 |
|
481 |
476 |
$0.00 |
| 90716 |
|
252 |
252 |
$0.00 |
| 0011A |
|
687 |
686 |
$0.00 |
| 84154 |
|
81 |
81 |
$0.00 |
| T1004 |
Nsg aide service up to 15min |
967 |
956 |
$0.00 |
| 84132 |
|
40 |
29 |
$0.00 |
| 86880 |
|
15 |
14 |
$0.00 |
| 92082 |
|
185 |
185 |
$0.00 |
| 84270 |
|
29 |
29 |
$0.00 |
| 99403 |
|
296 |
293 |
$0.00 |
| 87350 |
|
257 |
255 |
$0.00 |
| 2001F |
|
119 |
116 |
$0.00 |
| 90620 |
|
173 |
172 |
$0.00 |
| H0002 |
Alcohol and/or drug screenin |
304 |
245 |
$0.00 |
| 87426 |
|
87 |
82 |
$0.00 |
| 3079F |
|
423 |
414 |
$0.00 |
| 90647 |
|
59 |
59 |
$0.00 |
| G0439 |
Ppps, subseq visit |
44 |
44 |
$0.00 |
| 83014 |
|
37 |
37 |
$0.00 |
| 84144 |
|
42 |
42 |
$0.00 |
| D1330 |
|
66 |
66 |
$0.00 |
| J7611 |
Albuterol non-comp con |
16 |
15 |
$0.00 |
| 3072F |
|
34 |
33 |
$0.00 |
| 86255 |
|
25 |
25 |
$0.00 |
| 87625 |
|
12 |
12 |
$0.00 |
| 0012A |
|
688 |
688 |
$0.00 |
| 2010F |
|
31 |
31 |
$0.00 |
| 0710 |
|
45 |
44 |
$0.00 |
| A9500 |
Tc99m sestamibi |
32 |
32 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
197 |
186 |
$0.00 |
| 94640 |
|
31 |
30 |
$0.00 |
| 90674 |
|
231 |
231 |
$0.00 |
| 90656 |
|
29 |
29 |
$0.00 |
| 86777 |
|
28 |
28 |
$0.00 |
| 1034F |
|
166 |
161 |
$0.00 |
| 84478 |
|
45 |
42 |
$0.00 |
| 1125F |
|
76 |
67 |
$0.00 |
| 99412 |
|
57 |
55 |
$0.00 |
| S9452 |
Nutrition class |
75 |
75 |
$0.00 |
| 2000F |
|
42 |
42 |
$0.00 |
| G0442 |
Annual alcohol screen 15 min |
57 |
56 |
$0.00 |
| 94010 |
|
149 |
149 |
$0.00 |
| 3080F |
|
79 |
75 |
$0.00 |
| 3351F |
|
53 |
52 |
$0.00 |
| J1815 |
Insulin injection |
17 |
17 |
$0.00 |
| 85660 |
|
47 |
47 |
$0.00 |
| 87486 |
|
12 |
12 |
$0.00 |
| 99429 |
|
202 |
189 |
$0.00 |
| S8110 |
Peak expiratory flow rate (p |
50 |
46 |
$0.00 |
| B4160 |
Ef ped caloric dense>/=0.7kc |
25 |
23 |
$0.00 |
| 86812 |
|
12 |
12 |
$0.00 |
| 0031A |
|
48 |
48 |
$0.00 |
| 99383 |
|
34 |
34 |
$0.00 |
| 90792 |
|
16 |
15 |
$0.00 |
| 87529 |
|
14 |
14 |
$0.00 |
| 92227 |
|
17 |
17 |
$0.00 |
| J7613 |
Albuterol non-comp unit |
42 |
41 |
$0.00 |
| G8433 |
Scr for dep not cpt doc rsn |
12 |
12 |
$0.00 |
| 87490 |
|
13 |
13 |
$0.00 |
| 0241U |
|
12 |
12 |
$0.00 |
| 87650 |
|
13 |
13 |
$0.00 |
| 3014F |
|
14 |
14 |
$0.00 |
| 83520 |
|
12 |
12 |
$0.00 |
| G0447 |
Behavior counsel obesity 15m |
15 |
14 |
$0.00 |
| V2100 |
Lens spher single plano 4.00 |
12 |
12 |
$0.00 |
| 99606 |
|
13 |
13 |
$0.00 |
| 4086F |
|
12 |
12 |
$0.00 |
| 87181 |
|
13 |
13 |
$0.00 |
| 86141 |
|
14 |
14 |
$0.00 |
| G0471 |
Ven blood coll snf/hha |
20 |
12 |
$0.00 |
| 87581 |
|
12 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
13 |
13 |
$0.00 |
| S9446 |
Pt education noc group |
21 |
14 |
$0.00 |