| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0378 |
Hospital observation service, per hour |
11,903 |
10,557 |
$14.43M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
43,424 |
41,464 |
$9.60M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
43,363 |
40,923 |
$9.52M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
43,322 |
40,949 |
$9.30M |
| J2350 |
Injection, ocrelizumab, 1 mg |
1,080 |
1,001 |
$6.40M |
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
706 |
622 |
$2.20M |
| H0013 |
Alcohol and/or drug services; acute detoxification (residential addiction program outpatient) |
5,168 |
1,446 |
$2.12M |
| J9271 |
Injection, pembrolizumab, 1 mg |
1,833 |
1,481 |
$2.00M |
| P9040 |
Red blood cells, leukocytes reduced, irradiated, each unit |
1,724 |
1,387 |
$1.84M |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
695 |
662 |
$1.67M |
| 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 |
15,094 |
13,965 |
$1.13M |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
6,270 |
4,239 |
$869K |
| A9555 |
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries |
254 |
240 |
$749K |
| H2011 |
Crisis intervention service, per 15 minutes |
1,098 |
1,029 |
$706K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,886 |
3,694 |
$671K |
| 77386 |
|
1,862 |
178 |
$525K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,376 |
1,341 |
$512K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,586 |
3,521 |
$501K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,708 |
1,637 |
$496K |
| 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 |
340 |
326 |
$409K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
493 |
442 |
$395K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
514 |
490 |
$392K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
570 |
554 |
$383K |
| 74183 |
|
794 |
759 |
$356K |
| 36415 |
Collection of venous blood by venipuncture |
109,199 |
86,539 |
$337K |
| 99235 |
|
303 |
244 |
$311K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,276 |
3,109 |
$299K |
| 72197 |
|
588 |
558 |
$297K |
| A0436 |
Rotary wing air mileage, per statute mile |
663 |
571 |
$294K |
| J9144 |
Injection, daratumumab, 10 mg and hyaluronidase-fihj |
624 |
413 |
$288K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
2,893 |
2,770 |
$282K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
995 |
949 |
$267K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
292 |
276 |
$253K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
65,060 |
52,424 |
$250K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,416 |
2,372 |
$248K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,938 |
3,706 |
$243K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12,963 |
12,537 |
$230K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
46,218 |
38,972 |
$226K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
4,178 |
2,641 |
$224K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,182 |
962 |
$215K |
| 78431 |
|
226 |
213 |
$210K |
| 36430 |
|
1,692 |
1,290 |
$197K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
10,474 |
9,375 |
$196K |
| 80053 |
Comprehensive metabolic panel |
27,282 |
19,076 |
$190K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
21,483 |
18,649 |
$182K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,390 |
1,317 |
$181K |
| OP250 |
|
4,350 |
2,589 |
$171K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
870 |
783 |
$165K |
| 72141 |
|
571 |
553 |
$161K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
590 |
568 |
$159K |
| 93325 |
|
479 |
452 |
$151K |
| 76830 |
Ultrasound, transvaginal |
2,317 |
2,235 |
$143K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
305 |
274 |
$141K |
| J9299 |
Injection, nivolumab, 1 mg |
69 |
51 |
$139K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
407 |
390 |
$138K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,617 |
2,634 |
$134K |
| 76801 |
|
2,375 |
2,218 |
$129K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
6,417 |
6,071 |
$128K |
| 59025 |
Fetal non-stress test |
7,170 |
3,950 |
$125K |
| T1015 |
Clinic visit/encounter, all-inclusive |
5,465 |
4,881 |
$123K |
| 71250 |
|
1,597 |
1,519 |
$122K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
539 |
520 |
$120K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,432 |
2,344 |
$117K |
| 85027 |
|
19,253 |
15,649 |
$117K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,659 |
1,426 |
$114K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
5,883 |
5,699 |
$113K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
549 |
527 |
$113K |
| G0483 |
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; 22 or more drug class(es), including metabolite(s) if performed |
902 |
773 |
$112K |
| 77066 |
Tomosynthesis, mammo |
932 |
909 |
$110K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,311 |
1,253 |
$110K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
6,638 |
5,263 |
$109K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,303 |
1,215 |
$106K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
221 |
215 |
$104K |
| 81329 |
|
1,492 |
1,445 |
$102K |
| J9035 |
Injection, bevacizumab, 10 mg |
20 |
13 |
$99K |
| 36591 |
|
1,022 |
688 |
$98K |
| 84443 |
Thyroid stimulating hormone (TSH) |
6,905 |
6,258 |
$97K |
| 72156 |
|
322 |
304 |
$97K |
| 77412 |
|
1,498 |
207 |
$96K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
6,764 |
5,549 |
$93K |
| 71046 |
Radiologic examination, chest; 2 views |
6,454 |
5,739 |
$93K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,235 |
1,207 |
$88K |
| 96415 |
|
1,809 |
1,433 |
$88K |
| 77338 |
|
81 |
68 |
$86K |
| J1756 |
Injection, iron sucrose, 1 mg |
3,939 |
2,288 |
$86K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
13,548 |
11,491 |
$86K |
| OP710 |
|
642 |
445 |
$84K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,415 |
2,239 |
$83K |
| 72157 |
|
300 |
278 |
$83K |
| J9395 |
Injection, fulvestrant, 25 mg |
145 |
135 |
$83K |
| 83735 |
|
23,914 |
17,096 |
$82K |
| 76642 |
|
1,395 |
1,157 |
$82K |
| 70543 |
|
181 |
174 |
$82K |
| 77387 |
|
1,230 |
150 |
$81K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
407 |
374 |
$81K |
| 76818 |
|
824 |
532 |
$79K |
| 73221 |
|
280 |
257 |
$79K |
| 95811 |
|
147 |
142 |
$79K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,114 |
1,052 |
$79K |
| 87536 |
|
998 |
923 |
$78K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,948 |
3,734 |
$78K |
| 36592 |
|
124 |
74 |
$78K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
806 |
768 |
$77K |
| 96417 |
|
1,102 |
705 |
$74K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
10,588 |
10,240 |
$72K |
| 86902 |
|
660 |
521 |
$70K |
| 76536 |
|
1,009 |
978 |
$67K |
| 80061 |
Lipid panel |
6,764 |
6,460 |
$65K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
626 |
602 |
$65K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,405 |
2,361 |
$64K |
| 77336 |
|
1,231 |
541 |
$64K |
| 82803 |
|
4,457 |
3,824 |
$64K |
| 77334 |
|
472 |
345 |
$64K |
| 81420 |
Fetal chromosomal aneuploidy genomic sequence analysis panel |
486 |
479 |
$63K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,415 |
2,284 |
$62K |
| 86900 |
|
8,867 |
7,537 |
$59K |
| 70486 |
|
519 |
499 |
$57K |
| 86850 |
|
7,087 |
6,037 |
$56K |
| 80076 |
|
13,043 |
11,439 |
$56K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
359 |
329 |
$56K |
| 96376 |
|
1,259 |
864 |
$54K |
| 77301 |
|
72 |
63 |
$54K |
| 84484 |
|
5,915 |
4,812 |
$51K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
2,346 |
2,328 |
$49K |
| 93971 |
|
829 |
770 |
$49K |
| J2785 |
Injection, regadenoson, 0.1 mg |
1,193 |
1,166 |
$49K |
| 19083 |
|
80 |
78 |
$48K |
| 76820 |
|
1,216 |
727 |
$48K |
| 95708 |
|
317 |
171 |
$48K |
| 86803 |
|
3,046 |
2,950 |
$47K |
| 83880 |
|
2,378 |
2,102 |
$47K |
| 36512 |
|
552 |
467 |
$46K |
| 94729 |
|
1,212 |
1,174 |
$45K |
| 86480 |
|
815 |
791 |
$45K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,564 |
1,540 |
$44K |
| 77065 |
Tomosynthesis, mammo |
487 |
468 |
$44K |
| 70491 |
|
430 |
411 |
$44K |
| 72158 |
|
149 |
145 |
$44K |
| 36593 |
|
171 |
134 |
$44K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
9,399 |
9,026 |
$43K |
| 80197 |
|
3,917 |
2,276 |
$41K |
| 94010 |
|
2,534 |
2,332 |
$41K |
| 86360 |
|
907 |
847 |
$41K |
| 86832 |
|
593 |
544 |
$40K |
| 74178 |
|
148 |
144 |
$40K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,163 |
2,916 |
$39K |
| 70544 |
|
182 |
175 |
$39K |
| 72146 |
|
185 |
177 |
$38K |
| 74174 |
|
168 |
160 |
$37K |
| 86833 |
|
595 |
545 |
$37K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
232 |
219 |
$37K |
| 76770 |
|
666 |
634 |
$37K |
| 86790 |
|
133 |
126 |
$37K |
| 93356 |
|
390 |
367 |
$36K |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
6,975 |
4,555 |
$36K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
5,226 |
5,056 |
$35K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
6,846 |
6,420 |
$35K |
| 70496 |
|
217 |
205 |
$34K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
858 |
677 |
$33K |
| 73630 |
|
2,089 |
1,510 |
$32K |
| 86359 |
|
920 |
859 |
$32K |
| 93017 |
|
566 |
538 |
$32K |
| 94726 |
|
964 |
937 |
$32K |
| 93970 |
|
291 |
283 |
$32K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
784 |
749 |
$31K |
| 85610 |
|
11,324 |
8,625 |
$31K |
| 43235 |
|
67 |
66 |
$31K |
| 95700 |
|
148 |
144 |
$30K |
| Q3014 |
Telehealth originating site facility fee |
10,281 |
7,616 |
$29K |
| 93975 |
|
309 |
299 |
$29K |
| 77300 |
|
464 |
385 |
$29K |
| 96411 |
|
429 |
279 |
$29K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
87 |
82 |
$29K |
| 81025 |
|
10,137 |
9,335 |
$29K |
| 86901 |
|
7,327 |
6,217 |
$28K |
| 93320 |
|
483 |
444 |
$28K |
| 84100 |
|
9,139 |
6,686 |
$28K |
| 36561 |
|
12 |
12 |
$27K |
| 77062 |
|
893 |
877 |
$27K |
| 82728 |
|
2,772 |
2,529 |
$27K |
| 82784 |
|
1,464 |
1,249 |
$26K |
| 10005 |
|
45 |
41 |
$26K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
336 |
287 |
$26K |
| 84702 |
|
2,463 |
2,045 |
$26K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,741 |
1,273 |
$25K |
| 95886 |
|
545 |
526 |
$25K |
| 77290 |
|
327 |
288 |
$25K |
| 85730 |
|
5,969 |
4,941 |
$25K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
8,889 |
8,167 |
$25K |
| 77295 |
|
70 |
62 |
$24K |
| 87088 |
|
4,934 |
4,659 |
$23K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
88 |
83 |
$23K |
| 71045 |
Radiologic examination, chest; single view |
3,830 |
3,469 |
$23K |
| 84466 |
|
2,238 |
2,060 |
$23K |
| 76813 |
|
306 |
299 |
$23K |
| Q9950 |
Injection, sulfur hexafluoride lipid microspheres, per ml |
406 |
396 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,208 |
2,698 |
$23K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,311 |
1,173 |
$22K |
| 70498 |
|
155 |
145 |
$22K |
| 84134 |
|
1,343 |
646 |
$21K |
| 77080 |
|
412 |
395 |
$21K |
| 76376 |
|
544 |
518 |
$20K |
| 73564 |
|
913 |
781 |
$20K |
| 80050 |
General health panel |
538 |
505 |
$20K |
| 83605 |
|
4,489 |
3,798 |
$20K |
| A0434 |
Specialty care transport (sct) |
13 |
12 |
$20K |
| 83970 |
|
719 |
670 |
$19K |
| 88185 |
|
136 |
124 |
$19K |
| 83690 |
|
6,920 |
6,277 |
$19K |
| 77049 |
|
73 |
70 |
$19K |
| 87340 |
|
1,897 |
1,806 |
$19K |
| 74240 |
|
314 |
299 |
$18K |
| 86592 |
|
6,406 |
6,196 |
$18K |
| 58558 |
|
13 |
13 |
$18K |
| 87653 |
|
650 |
637 |
$17K |
| 93923 |
|
311 |
296 |
$17K |
| J9070 |
Cyclophosphamide, 100 mg |
194 |
116 |
$17K |
| 86762 |
|
1,196 |
1,164 |
$17K |
| 96367 |
|
1,002 |
647 |
$17K |
| 82330 |
|
3,663 |
3,122 |
$16K |
| 86923 |
|
331 |
255 |
$16K |
| 77280 |
|
397 |
339 |
$16K |
| 73030 |
|
883 |
768 |
$16K |
| 82607 |
|
1,731 |
1,655 |
$15K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
80 |
72 |
$15K |
| 72100 |
|
620 |
587 |
$15K |
| 81003 |
|
8,972 |
8,368 |
$15K |
| A9503 |
Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries |
123 |
112 |
$15K |
| 83540 |
|
2,430 |
2,251 |
$15K |
| 84153 |
|
928 |
869 |
$15K |
| 95911 |
|
171 |
165 |
$14K |
| 82570 |
|
3,074 |
2,835 |
$14K |
| 77061 |
|
462 |
446 |
$14K |
| 85007 |
|
4,788 |
3,262 |
$14K |
| 82375 |
|
3,645 |
3,142 |
$14K |
| 88173 |
|
147 |
136 |
$14K |
| 87497 |
|
613 |
320 |
$14K |
| G0277 |
Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval |
41 |
13 |
$13K |
| 83020 |
|
1,839 |
1,393 |
$13K |
| 78306 |
|
177 |
160 |
$12K |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
1,106 |
1,049 |
$12K |
| 73610 |
|
668 |
575 |
$12K |
| 86141 |
|
1,364 |
811 |
$12K |
| 73562 |
|
540 |
416 |
$11K |
| 73130 |
|
853 |
682 |
$11K |
| J1453 |
Injection, fosaprepitant, 1 mg |
892 |
638 |
$11K |
| 76377 |
|
491 |
457 |
$11K |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
12 |
12 |
$11K |
| 82947 |
|
5,127 |
4,655 |
$11K |
| 81001 |
|
4,832 |
4,447 |
$11K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
42 |
28 |
$11K |
| 83883 |
|
603 |
504 |
$11K |
| OP370 |
|
80 |
56 |
$11K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
104 |
100 |
$10K |
| 72110 |
|
333 |
318 |
$10K |
| 96416 |
|
62 |
39 |
$10K |
| 82105 |
|
855 |
779 |
$10K |
| 93880 |
|
95 |
92 |
$10K |
| 88313 |
|
180 |
168 |
$10K |
| 73502 |
|
400 |
382 |
$10K |
| 86704 |
|
794 |
763 |
$10K |
| 83516 |
|
489 |
324 |
$9K |
| 87631 |
|
149 |
139 |
$9K |
| C1769 |
Guide wire |
533 |
493 |
$9K |
| 76870 |
|
161 |
158 |
$9K |
| J3489 |
Injection, zoledronic acid, 1 mg |
173 |
169 |
$9K |
| 87522 |
Neg quan hep c or qual rna |
345 |
321 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
460 |
436 |
$9K |
| 87799 |
|
327 |
220 |
$9K |
| 88321 |
|
186 |
169 |
$8K |
| 84403 |
|
496 |
466 |
$8K |
| 82962 |
|
8,388 |
6,465 |
$8K |
| 86706 |
|
1,058 |
1,007 |
$8K |
| 88360 |
|
209 |
186 |
$8K |
| 86160 |
|
647 |
301 |
$8K |
| 93505 |
|
21 |
14 |
$8K |
| 96402 |
|
322 |
278 |
$8K |
| 86922 |
|
479 |
360 |
$8K |
| 82043 |
|
1,346 |
1,298 |
$8K |
| 95816 |
|
215 |
207 |
$7K |
| 83615 |
|
2,038 |
1,517 |
$7K |
| J0610 |
Injection, calcium gluconate (fresenius kabi), per 10 ml |
693 |
503 |
$7K |
| 86300 |
|
423 |
331 |
$7K |
| 87077 |
|
1,688 |
1,551 |
$7K |
| J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg |
83 |
76 |
$7K |
| 72040 |
|
332 |
308 |
$7K |
| 86787 |
|
532 |
513 |
$7K |
| 95910 |
|
90 |
87 |
$7K |
| 81479 |
Unlisted molecular pathology procedure |
42 |
29 |
$6K |
| 82746 |
|
816 |
777 |
$6K |
| J9045 |
Injection, carboplatin, 50 mg |
1,201 |
831 |
$6K |
| 75561 |
|
13 |
13 |
$6K |
| 80320 |
|
894 |
827 |
$6K |
| 80364 |
|
388 |
375 |
$6K |
| 86038 |
|
502 |
488 |
$6K |
| 83050 |
|
3,550 |
3,060 |
$6K |
| 86147 |
|
103 |
99 |
$6K |
| 73521 |
|
196 |
190 |
$6K |
| 87186 |
|
1,256 |
1,182 |
$5K |
| 84439 |
|
884 |
811 |
$5K |
| 31575 |
|
37 |
29 |
$5K |
| 85652 |
|
2,162 |
1,985 |
$5K |
| 86235 |
|
144 |
121 |
$5K |
| J8540 |
Dexamethasone, oral, 0.25 mg |
8,722 |
4,365 |
$5K |
| 73110 |
|
396 |
347 |
$5K |
| 73560 |
|
239 |
178 |
$5K |
| 82550 |
|
1,057 |
889 |
$5K |
| 87517 |
|
148 |
140 |
$5K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
16,207 |
13,878 |
$5K |
| 72195 |
|
16 |
16 |
$5K |
| 84146 |
|
264 |
255 |
$5K |
| 84165 |
|
700 |
614 |
$4K |
| 86146 |
|
103 |
99 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,373 |
2,944 |
$4K |
| 87040 |
|
602 |
521 |
$4K |
| 85379 |
|
869 |
805 |
$4K |
| 82977 |
|
580 |
412 |
$4K |
| 82248 |
|
863 |
666 |
$4K |
| 96523 |
|
320 |
221 |
$4K |
| 49083 |
|
15 |
12 |
$4K |
| 86140 |
|
1,575 |
1,470 |
$4K |
| 84156 |
|
1,752 |
1,574 |
$4K |
| 82670 |
|
257 |
240 |
$4K |
| 78434 |
|
215 |
202 |
$4K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
95 |
92 |
$4K |
| 88341 |
|
193 |
181 |
$4K |
| 86355 |
|
129 |
120 |
$4K |
| 83520 |
|
250 |
239 |
$4K |
| 10060 |
|
28 |
27 |
$4K |
| 87070 |
|
1,060 |
970 |
$4K |
| 94618 |
|
272 |
258 |
$3K |
| 74246 |
|
69 |
68 |
$3K |
| 88342 |
|
349 |
318 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
568 |
535 |
$3K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
2,627 |
2,309 |
$3K |
| 87081 |
|
1,044 |
1,023 |
$3K |
| 82378 |
|
408 |
315 |
$3K |
| 86334 |
|
235 |
217 |
$3K |
| 88184 |
|
160 |
147 |
$3K |
| 77470 |
|
62 |
51 |
$3K |
| 84436 |
|
570 |
528 |
$3K |
| 74220 |
|
98 |
92 |
$3K |
| 70549 |
|
13 |
13 |
$3K |
| 90715 |
|
895 |
875 |
$3K |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
906 |
890 |
$3K |
| 74019 |
|
150 |
143 |
$3K |
| J9267 |
Injection, paclitaxel, 1 mg |
923 |
470 |
$3K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
5,509 |
3,227 |
$3K |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
131 |
114 |
$3K |
| 86225 |
|
224 |
200 |
$3K |
| 86304 |
|
216 |
186 |
$3K |
| 76000 |
|
93 |
83 |
$3K |
| A0425 |
Ground mileage, per statute mile |
213 |
169 |
$3K |
| 84479 |
|
554 |
513 |
$3K |
| 70487 |
|
26 |
25 |
$3K |
| 72131 |
|
25 |
25 |
$3K |
| J9263 |
Injection, oxaliplatin, 0.5 mg |
551 |
318 |
$3K |
| 88307 |
|
229 |
211 |
$3K |
| 84550 |
|
752 |
642 |
$3K |
| 88177 |
|
30 |
27 |
$3K |
| 81000 |
|
805 |
734 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
60 |
57 |
$3K |
| 84402 |
|
122 |
117 |
$2K |
| 83001 |
|
206 |
198 |
$2K |
| 88172 |
|
31 |
28 |
$2K |
| 80353 |
|
341 |
318 |
$2K |
| 76882 |
|
187 |
174 |
$2K |
| 76937 |
|
267 |
246 |
$2K |
| 84207 |
|
97 |
90 |
$2K |
| 87205 |
|
962 |
902 |
$2K |
| 96401 |
|
30 |
12 |
$2K |
| 74018 |
|
145 |
129 |
$2K |
| 87467 |
|
332 |
329 |
$2K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
5,228 |
3,377 |
$2K |
| 86800 |
|
177 |
156 |
$2K |
| 86708 |
|
219 |
211 |
$2K |
| 84295 |
|
3,341 |
2,843 |
$2K |
| 85045 |
|
674 |
577 |
$2K |
| 73080 |
|
197 |
175 |
$2K |
| 72070 |
|
85 |
80 |
$2K |
| 84478 |
|
390 |
307 |
$2K |
| 88112 |
|
169 |
151 |
$2K |
| 87506 |
|
14 |
13 |
$2K |
| 73590 |
|
150 |
137 |
$2K |
| 86301 |
|
176 |
122 |
$2K |
| 93308 |
|
136 |
114 |
$2K |
| 81351 |
|
12 |
12 |
$2K |
| 84432 |
|
112 |
99 |
$2K |
| 74230 |
|
50 |
45 |
$2K |
| 82565 |
|
801 |
745 |
$1K |
| 81015 |
|
876 |
844 |
$1K |
| 84480 |
|
238 |
220 |
$1K |
| 86431 |
|
229 |
224 |
$1K |
| J2997 |
Injection, alteplase recombinant, 1 mg |
470 |
387 |
$1K |
| C1729 |
Catheter, drainage |
43 |
40 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
165 |
148 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
7,135 |
5,218 |
$1K |
| 78264 |
|
13 |
12 |
$1K |
| 82533 |
|
156 |
145 |
$1K |
| 92133 |
|
84 |
79 |
$1K |
| 83921 |
|
103 |
99 |
$1K |
| 86735 |
|
38 |
37 |
$1K |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
3,655 |
2,772 |
$1K |
| 82150 |
|
326 |
244 |
$1K |
| 92083 |
|
46 |
41 |
$1K |
| 83002 |
|
94 |
92 |
$1K |
| 85018 |
|
2,783 |
2,396 |
$1K |
| 93296 |
|
246 |
212 |
$1K |
| 82247 |
|
303 |
240 |
$1K |
| 72050 |
|
30 |
25 |
$1K |
| 84425 |
|
248 |
236 |
$1K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
13,077 |
9,865 |
$1K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
4,354 |
3,929 |
$999.67 |
| 85613 |
|
102 |
97 |
$994.25 |
| 81513 |
|
159 |
158 |
$993.49 |
| 96368 |
|
154 |
117 |
$961.56 |
| 94060 |
|
41 |
41 |
$941.52 |
| 73552 |
|
47 |
41 |
$896.55 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
7,009 |
5,778 |
$895.06 |
| 95819 |
|
31 |
29 |
$879.96 |
| 86200 |
|
90 |
89 |
$878.54 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13,091 |
10,687 |
$828.47 |
| 84132 |
|
1,392 |
1,252 |
$825.96 |
| 76942 |
|
29 |
27 |
$793.21 |
| 82274 |
|
332 |
322 |
$792.32 |
| 73120 |
|
65 |
38 |
$790.78 |
| 80177 |
|
77 |
66 |
$787.51 |
| 86618 |
|
30 |
30 |
$785.57 |
| 88312 |
|
64 |
60 |
$738.75 |
| 84255 |
|
12 |
12 |
$737.55 |
| 84460 |
|
282 |
238 |
$736.84 |
| 95909 |
|
12 |
12 |
$718.24 |
| 36000 |
|
296 |
285 |
$706.93 |
| 86255 |
|
74 |
47 |
$684.42 |
| 73090 |
|
62 |
55 |
$678.67 |
| 85660 |
|
347 |
284 |
$653.59 |
| 86765 |
|
66 |
64 |
$639.62 |
| 84450 |
|
249 |
214 |
$615.62 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
3,717 |
2,880 |
$611.06 |
| OP270 |
|
71 |
50 |
$611.02 |
| G0008 |
Administration of influenza virus vaccine |
175 |
170 |
$610.56 |
| 82951 |
|
69 |
64 |
$601.45 |
| A9541 |
Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries |
26 |
26 |
$582.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
4,875 |
3,810 |
$576.24 |
| J0640 |
Injection, leucovorin calcium, per 50 mg |
104 |
65 |
$567.24 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,826 |
2,547 |
$549.46 |
| 87481 |
|
156 |
155 |
$543.35 |
| 90686 |
|
80 |
76 |
$541.56 |
| 86593 |
|
121 |
113 |
$540.31 |
| 97802 |
|
43 |
39 |
$532.22 |
| 87529 |
|
45 |
42 |
$514.70 |
| 82088 |
|
26 |
25 |
$513.87 |
| 95885 |
|
12 |
12 |
$507.24 |
| 81050 |
|
86 |
85 |
$472.00 |
| 87015 |
|
196 |
179 |
$451.16 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
997 |
807 |
$445.66 |
| J1940 |
Injection, furosemide, up to 20 mg |
1,348 |
1,047 |
$416.53 |
| 84075 |
|
196 |
171 |
$414.46 |
| 73140 |
|
39 |
34 |
$413.27 |
| J3490 |
Unclassified drugs |
4,031 |
3,320 |
$409.25 |
| 80164 |
|
28 |
27 |
$409.13 |
| 82040 |
|
152 |
136 |
$399.32 |
| 86870 |
|
80 |
69 |
$389.53 |
| 84630 |
|
39 |
39 |
$378.61 |
| 87493 |
|
30 |
28 |
$377.36 |
| 80354 |
|
12 |
12 |
$366.29 |
| 83021 |
|
27 |
24 |
$364.15 |
| 82010 |
|
201 |
181 |
$363.27 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
688 |
578 |
$359.42 |
| J3480 |
Injection, potassium chloride, per 2 meq |
1,017 |
724 |
$348.82 |
| 87328 |
|
27 |
27 |
$347.41 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,946 |
1,027 |
$333.27 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,753 |
1,564 |
$314.94 |
| 86077 |
|
15 |
13 |
$305.78 |
| 84481 |
|
12 |
12 |
$304.76 |
| 94680 |
|
12 |
12 |
$301.74 |
| 51798 |
|
59 |
52 |
$299.44 |
| 82435 |
|
287 |
244 |
$296.41 |
| 80143 |
|
70 |
63 |
$294.43 |
| 87116 |
|
144 |
132 |
$286.48 |
| 87102 |
|
111 |
102 |
$270.48 |
| 77333 |
|
15 |
15 |
$263.18 |
| 80179 |
|
62 |
59 |
$252.36 |
| 84166 |
|
15 |
15 |
$249.40 |
| 84155 |
|
98 |
92 |
$248.69 |
| 82785 |
|
15 |
14 |
$230.74 |
| 92134 |
|
42 |
39 |
$227.82 |
| 92557 |
|
16 |
14 |
$227.13 |
| 80325 |
|
28 |
28 |
$222.78 |
| 85008 |
|
370 |
276 |
$217.02 |
| 73060 |
|
13 |
13 |
$215.76 |
| 11102 |
|
38 |
28 |
$214.99 |
| 86780 |
|
29 |
29 |
$214.02 |
| 86769 |
|
14 |
13 |
$199.47 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
3,689 |
2,937 |
$197.16 |
| 82465 |
|
76 |
67 |
$193.98 |
| 89050 |
|
122 |
92 |
$185.03 |
| 99201 |
|
164 |
147 |
$177.54 |
| 82525 |
|
24 |
24 |
$175.59 |
| 85014 |
|
307 |
258 |
$173.34 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
872 |
811 |
$171.61 |
| J1815 |
Injection, insulin, per 5 units |
1,012 |
750 |
$162.11 |
| J2060 |
Injection, lorazepam, 2 mg |
1,514 |
1,229 |
$158.61 |
| 90662 |
|
36 |
36 |
$158.34 |
| 82103 |
|
24 |
24 |
$158.18 |
| 82104 |
|
24 |
24 |
$157.00 |
| 94200 |
|
12 |
12 |
$152.96 |
| 89051 |
|
50 |
43 |
$148.67 |
| 83012 |
|
28 |
25 |
$145.79 |
| 82310 |
|
31 |
25 |
$144.95 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
84 |
67 |
$129.97 |
| 85384 |
|
28 |
27 |
$126.96 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
3,802 |
2,413 |
$115.83 |
| 86309 |
|
14 |
12 |
$114.25 |
| 87206 |
|
145 |
133 |
$114.11 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
179 |
170 |
$109.76 |
| 87329 |
|
29 |
29 |
$101.08 |
| 88311 |
|
17 |
17 |
$100.83 |
| 86376 |
|
13 |
13 |
$100.76 |
| 72170 |
|
15 |
13 |
$97.73 |
| 82390 |
|
14 |
14 |
$86.48 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
506 |
420 |
$85.15 |
| 82952 |
|
42 |
37 |
$83.73 |
| J9190 |
Injection, fluorouracil, 500 mg |
236 |
137 |
$74.92 |
| 87046 |
|
44 |
42 |
$69.36 |
| J1630 |
Injection, haloperidol, up to 5 mg |
650 |
568 |
$60.44 |
| 84157 |
|
12 |
12 |
$42.39 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$39.59 |
| C1725 |
Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) |
16 |
13 |
$34.10 |
| 87147 |
|
24 |
24 |
$28.90 |
| 90837 |
Psychotherapy, 53 minutes with patient |
204 |
124 |
$26.84 |
| Q9963 |
High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml |
14 |
14 |
$26.64 |
| 80329 |
|
12 |
12 |
$23.19 |
| C9113 |
Injection, pantoprazole sodium, per vial |
548 |
313 |
$19.20 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
1,222 |
708 |
$16.24 |
| S5000 |
Prescription drug, generic |
652 |
451 |
$3.31 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
661 |
629 |
$1.53 |
| S0028 |
Injection, famotidine, 20 mg |
2,909 |
2,405 |
$1.17 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
874 |
729 |
$0.02 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
1,868 |
1,216 |
$0.00 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
129 |
90 |
$0.00 |
| J1920 |
Injection, labetalol hydrochloride, 5 mg |
212 |
182 |
$0.00 |
| J1790 |
Injection, droperidol, up to 5 mg |
421 |
362 |
$0.00 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
69 |
59 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
3,353 |
2,145 |
$0.00 |
| J0461 |
Injection, atropine sulfate, 0.01 mg |
81 |
53 |
$0.00 |
| J0613 |
Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg |
641 |
523 |
$0.00 |
| 83521 |
|
28 |
24 |
$0.00 |
| Q5121 |
Injection, infliximab-axxq, biosimilar, (avsola), 10 mg |
232 |
211 |
$0.00 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
101 |
65 |
$0.00 |
| J0456 |
Injection, azithromycin, 500 mg |
64 |
53 |
$0.00 |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
86 |
56 |
$0.00 |
| J0185 |
Injection, aprepitant, 1 mg |
549 |
398 |
$0.00 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
168 |
139 |
$0.00 |
| J0611 |
Injection, calcium gluconate (wg critical care), per 10 ml |
80 |
64 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
313 |
301 |
$0.00 |
| C2627 |
Catheter, suprapubic/cystoscopic |
43 |
39 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
28 |
25 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
29 |
25 |
$0.00 |
| J2471 |
Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg |
29 |
25 |
$0.00 |
| 88304 |
|
15 |
14 |
$0.00 |
| J7612 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg |
18 |
14 |
$0.00 |
| J1953 |
Injection, levetiracetam, 10 mg |
217 |
178 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
693 |
682 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
571 |
490 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
14 |
12 |
$0.00 |
| J9201 |
Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg |
132 |
77 |
$0.00 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
320 |
275 |
$0.00 |
| Q5107 |
Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg |
45 |
26 |
$0.00 |
| J3380 |
Injection, vedolizumab, intravenous, 1 mg |
26 |
26 |
$0.00 |
| J0612 |
Injection, calcium gluconate, not otherwise specified, 10 mg |
105 |
81 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
123 |
117 |
$0.00 |
| J9000 |
Injection, doxorubicin hydrochloride, 10 mg |
13 |
13 |
$0.00 |
| Q0163 |
Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen |
31 |
27 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
330 |
196 |
$0.00 |
| J0295 |
Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm |
15 |
12 |
$0.00 |
| J9206 |
Injection, irinotecan, 20 mg |
67 |
40 |
$0.00 |
| J9060 |
Injection, cisplatin, powder or solution, 10 mg |
30 |
12 |
$0.00 |
| J0897 |
Injection, denosumab, 1 mg |
26 |
24 |
$0.00 |
| J3250 |
Injection, trimethobenzamide hcl, up to 200 mg |
30 |
27 |
$0.00 |
| J1956 |
Injection, levofloxacin, 250 mg |
18 |
13 |
$0.00 |
| J1230 |
Injection, methadone hcl, up to 10 mg |
17 |
13 |
$0.00 |