| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
133,462 |
126,240 |
$202K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53,963 |
51,591 |
$103K |
| 3008F |
|
141,211 |
135,642 |
$31K |
| 3078F |
|
108,961 |
105,252 |
$23K |
| 3074F |
|
111,527 |
107,658 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19,994 |
18,831 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,231 |
7,205 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,312 |
4,309 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16,295 |
16,270 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,730 |
2,730 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,128 |
4,092 |
$7K |
| 1036F |
|
27,762 |
25,973 |
$5K |
| 3079F |
|
19,991 |
19,503 |
$5K |
| 99442 |
|
196 |
193 |
$4K |
| 3077F |
|
7,526 |
7,281 |
$4K |
| 11721 |
|
3,089 |
3,079 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,663 |
1,659 |
$4K |
| 1000F |
|
22,949 |
21,617 |
$3K |
| 92551 |
|
10,913 |
10,905 |
$3K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
32,484 |
20,016 |
$3K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
25,722 |
15,193 |
$2K |
| 90651 |
|
641 |
641 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,522 |
5,443 |
$2K |
| 97161 |
|
4,832 |
4,814 |
$2K |
| 17110 |
|
1,773 |
1,706 |
$2K |
| 90686 |
|
4,097 |
4,087 |
$1K |
| 90670 |
|
3,457 |
3,449 |
$1K |
| 99499 |
|
10,833 |
10,076 |
$1K |
| 3075F |
|
8,247 |
8,114 |
$1K |
| 90688 |
|
1,791 |
1,788 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14,475 |
13,927 |
$988.36 |
| 99441 |
|
675 |
642 |
$775.59 |
| 93000 |
|
3,433 |
3,404 |
$766.75 |
| 99205 |
Prolong outpt/office vis |
477 |
476 |
$766.09 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
686 |
684 |
$760.35 |
| 99215 |
Prolong outpt/office vis |
1,305 |
1,114 |
$687.28 |
| 85018 |
|
6,328 |
6,264 |
$672.95 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
258 |
221 |
$637.34 |
| 81002 |
|
1,135 |
1,124 |
$615.33 |
| 99233 |
Prolong inpt eval add15 m |
2,680 |
1,077 |
$588.50 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,205 |
1,628 |
$582.12 |
| 11103 |
|
291 |
290 |
$577.03 |
| 90698 |
|
1,827 |
1,820 |
$522.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,319 |
1,292 |
$464.18 |
| 97010 |
|
23,391 |
15,083 |
$456.90 |
| 3080F |
|
1,661 |
1,612 |
$396.99 |
| 99223 |
Prolong inpt eval add15 m |
757 |
737 |
$350.00 |
| 99000 |
|
1,619 |
1,602 |
$327.44 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
983 |
969 |
$265.64 |
| 90633 |
|
1,140 |
1,138 |
$261.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
184 |
183 |
$246.60 |
| 11056 |
|
238 |
236 |
$227.58 |
| 90744 |
|
698 |
697 |
$207.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
481 |
480 |
$186.63 |
| 82962 |
|
1,854 |
1,828 |
$183.31 |
| 99222 |
Initial hospital care, per day, moderate complexity |
650 |
633 |
$181.35 |
| 90680 |
|
973 |
970 |
$162.00 |
| 90685 |
|
216 |
216 |
$157.62 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,666 |
1,505 |
$157.14 |
| 94760 |
|
1,693 |
1,581 |
$127.46 |
| 1034F |
|
99 |
93 |
$121.10 |
| 1160F |
|
3,281 |
3,145 |
$120.00 |
| 1159F |
|
3,362 |
3,218 |
$120.00 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,009 |
969 |
$105.74 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,334 |
1,305 |
$101.52 |
| 90734 |
|
338 |
338 |
$99.00 |
| 99245 |
|
277 |
277 |
$91.98 |
| 97164 |
|
171 |
168 |
$77.10 |
| 11102 |
|
1,935 |
1,917 |
$75.87 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,485 |
2,438 |
$72.63 |
| 90620 |
|
134 |
134 |
$63.00 |
| 99242 |
|
842 |
842 |
$61.69 |
| 99349 |
|
45 |
41 |
$51.08 |
| 84443 |
Thyroid stimulating hormone (TSH) |
10,192 |
10,116 |
$41.50 |
| G0008 |
Administration of influenza virus vaccine |
19 |
18 |
$35.38 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13,335 |
12,575 |
$33.37 |
| 80061 |
Lipid panel |
11,020 |
10,990 |
$33.06 |
| 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) |
230 |
218 |
$31.41 |
| 90656 |
|
257 |
257 |
$27.00 |
| 80053 |
Comprehensive metabolic panel |
13,285 |
12,800 |
$26.08 |
| 99607 |
|
1,752 |
1,683 |
$24.00 |
| 82378 |
|
268 |
266 |
$23.41 |
| 99173 |
|
12,111 |
12,101 |
$20.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
8,188 |
8,161 |
$19.68 |
| 82728 |
|
1,918 |
1,907 |
$16.83 |
| 86200 |
|
207 |
206 |
$15.98 |
| 99051 |
|
2,406 |
2,381 |
$15.59 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,400 |
1,322 |
$12.96 |
| 36415 |
Collection of venous blood by venipuncture |
15,934 |
15,077 |
$12.00 |
| 90461 |
|
3,712 |
3,675 |
$12.00 |
| 84439 |
|
3,978 |
3,948 |
$11.13 |
| 83550 |
|
1,977 |
1,967 |
$10.79 |
| 87186 |
|
673 |
661 |
$10.67 |
| 87088 |
|
2,084 |
2,032 |
$9.99 |
| 87077 |
|
709 |
696 |
$9.97 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,932 |
2,844 |
$9.96 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
275 |
270 |
$9.13 |
| 84436 |
|
1,521 |
1,520 |
$8.48 |
| 83540 |
|
2,461 |
2,450 |
$7.99 |
| 81001 |
|
7,191 |
7,035 |
$7.84 |
| 82043 |
|
2,742 |
2,733 |
$7.14 |
| 85652 |
|
2,269 |
2,227 |
$6.66 |
| 86140 |
|
1,516 |
1,482 |
$6.39 |
| 82570 |
|
2,953 |
2,920 |
$6.39 |
| 86580 |
|
340 |
340 |
$3.33 |
| 93246 |
|
39 |
38 |
$2.72 |
| 93248 |
|
15 |
15 |
$1.82 |
| 97012 |
|
591 |
377 |
$0.78 |
| 88142 |
|
250 |
250 |
$0.00 |
| 86160 |
|
127 |
127 |
$0.00 |
| 82550 |
|
975 |
965 |
$0.00 |
| S0612 |
Annual gynecological examination, established patient |
26 |
25 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
7,941 |
7,916 |
$0.00 |
| 80081 |
|
194 |
193 |
$0.00 |
| 83735 |
|
1,604 |
1,547 |
$0.00 |
| 82670 |
|
278 |
277 |
$0.00 |
| 97014 |
|
1,532 |
626 |
$0.00 |
| 85651 |
|
272 |
272 |
$0.00 |
| 99606 |
|
1,401 |
1,347 |
$0.00 |
| 81000 |
|
746 |
738 |
$0.00 |
| 84480 |
|
1,477 |
1,474 |
$0.00 |
| 84703 |
|
170 |
170 |
$0.00 |
| 82105 |
|
91 |
90 |
$0.00 |
| 82607 |
|
3,549 |
3,539 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
569 |
532 |
$0.00 |
| 83090 |
|
145 |
145 |
$0.00 |
| 86592 |
|
2,083 |
2,069 |
$0.00 |
| 86706 |
|
413 |
409 |
$0.00 |
| 99024 |
|
218 |
214 |
$0.00 |
| 86376 |
|
382 |
379 |
$0.00 |
| 82950 |
|
210 |
206 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,397 |
3,336 |
$0.00 |
| 76641 |
|
366 |
232 |
$0.00 |
| 83690 |
|
339 |
337 |
$0.00 |
| 97035 |
|
518 |
190 |
$0.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
290 |
290 |
$0.00 |
| 82746 |
|
2,892 |
2,883 |
$0.00 |
| E0570 |
Nebulizer, with compressor |
12 |
12 |
$0.00 |
| 83001 |
|
523 |
521 |
$0.00 |
| 85027 |
|
2,630 |
2,560 |
$0.00 |
| 80349 |
|
57 |
57 |
$0.00 |
| 84144 |
|
91 |
88 |
$0.00 |
| 76536 |
|
100 |
100 |
$0.00 |
| K0001 |
Standard wheelchair |
192 |
189 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
61 |
61 |
$0.00 |
| 36410 |
|
41 |
40 |
$0.00 |
| 1111F |
|
591 |
567 |
$0.00 |
| E0562 |
Humidifier, heated, used with positive airway pressure device |
184 |
184 |
$0.00 |
| 83014 |
|
175 |
175 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
122 |
122 |
$0.00 |
| 86430 |
|
12 |
12 |
$0.00 |
| 98967 |
|
178 |
156 |
$0.00 |
| 83002 |
|
370 |
368 |
$0.00 |
| 86695 |
|
348 |
346 |
$0.00 |
| 88141 |
|
195 |
195 |
$0.00 |
| 92250 |
|
48 |
48 |
$0.00 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
53 |
41 |
$0.00 |
| S9141 |
Diabetic management program, follow-up visit to md provider |
381 |
374 |
$0.00 |
| 82150 |
|
288 |
286 |
$0.00 |
| 85730 |
|
1,040 |
1,021 |
$0.00 |
| 84560 |
|
29 |
29 |
$0.00 |
| 87070 |
|
699 |
691 |
$0.00 |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
195 |
186 |
$0.00 |
| 84153 |
|
1,753 |
1,741 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,610 |
1,605 |
$0.00 |
| 84479 |
|
1,201 |
1,200 |
$0.00 |
| 86762 |
|
43 |
41 |
$0.00 |
| 88738 |
|
267 |
267 |
$0.00 |
| 87147 |
|
209 |
208 |
$0.00 |
| 90716 |
|
57 |
57 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
14 |
13 |
$0.00 |
| 84154 |
|
25 |
25 |
$0.00 |
| 82784 |
|
67 |
66 |
$0.00 |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
238 |
105 |
$0.00 |
| 80345 |
|
29 |
29 |
$0.00 |
| 92002 |
|
122 |
122 |
$0.00 |
| 99443 |
|
257 |
161 |
$0.00 |
| 86141 |
|
523 |
523 |
$0.00 |
| 84484 |
|
37 |
26 |
$0.00 |
| 87081 |
|
279 |
279 |
$0.00 |
| 87340 |
|
845 |
842 |
$0.00 |
| 87480 |
|
13 |
13 |
$0.00 |
| 86901 |
|
63 |
61 |
$0.00 |
| 83615 |
|
123 |
117 |
$0.00 |
| 97802 |
|
167 |
167 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
195 |
194 |
$0.00 |
| 86225 |
|
177 |
176 |
$0.00 |
| 81015 |
|
13 |
13 |
$0.00 |
| 86780 |
|
12 |
12 |
$0.00 |
| 86803 |
|
1,101 |
1,098 |
$0.00 |
| 92228 |
|
80 |
80 |
$0.00 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
29 |
28 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
180 |
180 |
$0.00 |
| 86300 |
|
29 |
26 |
$0.00 |
| 99381 |
|
30 |
30 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,708 |
1,701 |
$0.00 |
| 95117 |
|
161 |
89 |
$0.00 |
| 99243 |
|
113 |
113 |
$0.00 |
| 72040 |
|
40 |
40 |
$0.00 |
| 86704 |
|
198 |
197 |
$0.00 |
| 99174 |
|
65 |
65 |
$0.00 |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
26 |
26 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
81 |
81 |
$0.00 |
| 82330 |
|
29 |
28 |
$0.00 |
| 86304 |
|
91 |
83 |
$0.00 |
| J3490 |
Unclassified drugs |
83 |
68 |
$0.00 |
| 96151 |
|
13 |
13 |
$0.00 |
| 86301 |
|
12 |
12 |
$0.00 |
| 36416 |
|
385 |
385 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
32 |
29 |
$0.00 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
59 |
58 |
$0.00 |
| 99241 |
|
14 |
14 |
$0.00 |
| 96127 |
|
16 |
16 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
51 |
50 |
$0.00 |
| 92226 |
|
47 |
47 |
$0.00 |
| 2000F |
|
15 |
12 |
$0.00 |
| 80359 |
|
13 |
13 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 80069 |
|
12 |
12 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
54 |
47 |
$0.00 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
48 |
12 |
$0.00 |
| 87510 |
|
13 |
13 |
$0.00 |
| 86317 |
|
49 |
49 |
$0.00 |
| 87276 |
|
58 |
56 |
$0.00 |
| 86800 |
|
27 |
27 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
29 |
28 |
$0.00 |
| 73560 |
|
18 |
12 |
$0.00 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
32 |
25 |
$0.00 |
| 87046 |
|
73 |
70 |
$0.00 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
60 |
54 |
$0.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
28 |
28 |
$0.00 |
| 88150 |
|
50 |
50 |
$0.00 |
| 84402 |
|
75 |
75 |
$0.00 |
| 82951 |
|
43 |
42 |
$0.00 |
| A7037 |
Tubing used with positive airway pressure device |
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
17 |
12 |
$0.00 |
| 83880 |
|
43 |
43 |
$0.00 |
| 95115 |
|
54 |
29 |
$0.00 |
| 80324 |
|
14 |
14 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
29 |
28 |
$0.00 |
| 80358 |
|
28 |
28 |
$0.00 |
| 80353 |
|
14 |
14 |
$0.00 |
| 2010F |
|
15 |
12 |
$0.00 |
| 94010 |
|
13 |
13 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
15 |
15 |
$0.00 |
| A0398 |
Als routine disposable supplies |
12 |
12 |
$0.00 |
| 86335 |
|
12 |
12 |
$0.00 |
| 97162 |
|
13 |
13 |
$0.00 |
| 17000 |
|
24 |
24 |
$0.00 |
| 97032 |
|
48 |
12 |
$0.00 |
| E0603 |
Breast pump, electric (ac and/or dc), any type |
15 |
15 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
1,831 |
1,827 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,926 |
8,536 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
65 |
65 |
$0.00 |
| 81003 |
|
2,082 |
2,069 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,641 |
6,606 |
$0.00 |
| A0425 |
Ground mileage, per statute mile |
855 |
511 |
$0.00 |
| 72100 |
|
82 |
82 |
$0.00 |
| 86431 |
|
698 |
694 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
317 |
301 |
$0.00 |
| 86003 |
|
460 |
455 |
$0.00 |
| 85610 |
|
1,325 |
1,233 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
284 |
283 |
$0.00 |
| 84460 |
|
39 |
39 |
$0.00 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,403 |
2,403 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,218 |
1,218 |
$0.00 |
| E0601 |
Continuous positive airway pressure (cpap) device |
211 |
211 |
$0.00 |
| 92081 |
|
101 |
101 |
$0.00 |
| 84481 |
|
1,090 |
1,084 |
$0.00 |
| 84100 |
|
507 |
460 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
370 |
367 |
$0.00 |
| 98968 |
|
122 |
118 |
$0.00 |
| 82652 |
|
43 |
43 |
$0.00 |
| 82947 |
|
329 |
327 |
$0.00 |
| 83525 |
|
15 |
15 |
$0.00 |
| 90713 |
|
27 |
27 |
$0.00 |
| 84165 |
|
41 |
41 |
$0.00 |
| 92552 |
|
576 |
576 |
$0.00 |
| 82274 |
|
870 |
865 |
$0.00 |
| 99401 |
|
137 |
127 |
$0.00 |
| 86038 |
|
828 |
819 |
$0.00 |
| 76642 |
|
184 |
175 |
$0.00 |
| 90707 |
|
56 |
55 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
319 |
318 |
$0.00 |
| 99001 |
|
285 |
242 |
$0.00 |
| 87338 |
|
196 |
196 |
$0.00 |
| 80369 |
|
13 |
13 |
$0.00 |
| 87512 |
|
147 |
145 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
760 |
759 |
$0.00 |
| 80076 |
|
814 |
810 |
$0.00 |
| 85045 |
|
59 |
59 |
$0.00 |
| 80074 |
|
591 |
591 |
$0.00 |
| 83013 |
|
426 |
424 |
$0.00 |
| 83026 |
|
91 |
91 |
$0.00 |
| 87481 |
|
572 |
143 |
$0.00 |
| 11057 |
|
64 |
64 |
$0.00 |
| 86696 |
|
410 |
408 |
$0.00 |
| 87427 |
|
73 |
70 |
$0.00 |
| 98966 |
|
14 |
12 |
$0.00 |
| 11100 |
|
118 |
118 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
3,409 |
3,348 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
163 |
154 |
$0.00 |
| 86235 |
|
155 |
152 |
$0.00 |
| 84550 |
|
2,523 |
2,515 |
$0.00 |
| 83970 |
|
275 |
274 |
$0.00 |
| 84702 |
|
460 |
407 |
$0.00 |
| 86480 |
|
225 |
225 |
$0.00 |
| 94150 |
|
128 |
112 |
$0.00 |
| 84156 |
|
179 |
178 |
$0.00 |
| 82785 |
|
378 |
375 |
$0.00 |
| 86708 |
|
153 |
151 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
28 |
26 |
$0.00 |
| 80365 |
|
146 |
146 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
224 |
222 |
$0.00 |
| 97799 |
|
512 |
210 |
$0.00 |
| 87275 |
|
60 |
57 |
$0.00 |
| 86039 |
|
270 |
267 |
$0.00 |
| 83655 |
|
565 |
564 |
$0.00 |
| 82977 |
|
257 |
257 |
$0.00 |
| 82465 |
|
197 |
197 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
143 |
106 |
$0.00 |
| 3725F |
|
405 |
404 |
$0.00 |
| 72110 |
|
71 |
71 |
$0.00 |
| 82248 |
|
976 |
974 |
$0.00 |
| 87799 |
|
445 |
149 |
$0.00 |
| 83516 |
|
114 |
96 |
$0.00 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
13 |
13 |
$0.00 |
| 84403 |
|
547 |
539 |
$0.00 |
| 87177 |
|
43 |
40 |
$0.00 |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
254 |
217 |
$0.00 |
| 82948 |
|
143 |
139 |
$0.00 |
| 86765 |
|
29 |
29 |
$0.00 |
| 80356 |
|
13 |
13 |
$0.00 |
| 77066 |
Tomosynthesis, mammo |
26 |
26 |
$0.00 |
| 72050 |
|
13 |
13 |
$0.00 |
| 86735 |
|
25 |
25 |
$0.00 |
| A4267 |
Contraceptive supply, condom, male, each |
14 |
14 |
$0.00 |
| 80372 |
|
16 |
16 |
$0.00 |
| 92134 |
|
95 |
91 |
$0.00 |
| 73562 |
|
146 |
108 |
$0.00 |
| K0195 |
Elevating leg rests, pair (for use with capped rental wheelchair base) |
53 |
53 |
$0.00 |
| 90671 |
|
309 |
309 |
$0.00 |
| 84520 |
|
14 |
13 |
$0.00 |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
238 |
225 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
67 |
66 |
$0.00 |
| 90648 |
|
14 |
14 |
$0.00 |
| 80346 |
|
27 |
27 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
260 |
213 |
$0.00 |
| 90700 |
|
57 |
57 |
$0.00 |
| 83992 |
|
29 |
29 |
$0.00 |
| 83721 |
|
26 |
26 |
$0.00 |
| 90710 |
|
26 |
26 |
$0.00 |
| 86787 |
|
90 |
88 |
$0.00 |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
24 |
24 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
90 |
90 |
$0.00 |
| 87045 |
|
73 |
70 |
$0.00 |
| 81025 |
|
28 |
27 |
$0.00 |
| 82627 |
|
67 |
67 |
$0.00 |
| 90658 |
|
53 |
53 |
$0.00 |
| 90715 |
|
27 |
27 |
$0.00 |
| 0521F |
|
61 |
58 |
$0.00 |
| 84146 |
|
299 |
295 |
$0.00 |
| 80361 |
|
104 |
104 |
$0.00 |
| 86900 |
|
59 |
57 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
61 |
61 |
$0.00 |
| 95144 |
|
28 |
12 |
$0.00 |
| 86709 |
|
14 |
14 |
$0.00 |
| A4259 |
Lancets, per box of 100 |
50 |
47 |
$0.00 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
122 |
38 |
$0.00 |
| 80348 |
|
14 |
14 |
$0.00 |
| 69210 |
|
37 |
37 |
$0.00 |
| 82397 |
|
12 |
12 |
$0.00 |
| 80321 |
|
14 |
14 |
$0.00 |
| 99236 |
Prolong inpt eval add15 m |
27 |
27 |
$0.00 |
| A7035 |
Headgear used with positive airway pressure device |
17 |
16 |
$0.00 |
| 97001 |
|
102 |
60 |
$0.00 |
| 73630 |
|
52 |
41 |
$0.00 |
| 80354 |
|
15 |
15 |
$0.00 |
| 99605 |
|
62 |
62 |
$0.00 |
| 93970 |
|
13 |
12 |
$0.00 |
| 73030 |
|
113 |
92 |
$0.00 |
| 82565 |
|
14 |
13 |
$0.00 |
| 92015 |
Determination of refractive state |
17 |
17 |
$0.00 |
| 85378 |
|
12 |
12 |
$0.00 |
| 87209 |
|
31 |
28 |
$0.00 |
| 99201 |
|
42 |
42 |
$0.00 |
| 80373 |
|
17 |
17 |
$0.00 |
| 59425 |
|
16 |
12 |
$0.00 |
| 84450 |
|
12 |
12 |
$0.00 |
| 77080 |
|
12 |
12 |
$0.00 |
| 90621 |
|
13 |
13 |
$0.00 |
| 87660 |
|
13 |
13 |
$0.00 |