| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59,063 |
55,287 |
$9.20M |
| 90832 |
Psychotherapy, 30 minutes with patient |
42,919 |
26,285 |
$5.53M |
| H0040 |
Assertive community treatment program, per diem |
2,884 |
2,882 |
$5.42M |
| 90834 |
Psychotherapy, 45 minutes with patient |
34,851 |
22,699 |
$5.37M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
27,262 |
24,493 |
$4.63M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,952 |
13,246 |
$2.11M |
| 80053 |
Comprehensive metabolic panel |
78,298 |
71,744 |
$1.46M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
9,192 |
9,182 |
$1.45M |
| 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 |
27,057 |
22,999 |
$1.41M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,814 |
4,706 |
$1.32M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,049 |
6,695 |
$1.28M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
8,888 |
8,451 |
$1.26M |
| 81025 |
|
7,419 |
7,168 |
$1.08M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
10,804 |
3,520 |
$931K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,959 |
5,659 |
$919K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,076 |
1,073 |
$881K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,581 |
2,540 |
$802K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
7,879 |
7,288 |
$770K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
2,942 |
2,899 |
$748K |
| 36415 |
Collection of venous blood by venipuncture |
57,025 |
45,098 |
$723K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
23,820 |
23,577 |
$700K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
8,527 |
8,305 |
$633K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,313 |
2,273 |
$624K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
375 |
375 |
$489K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,540 |
2,381 |
$484K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,660 |
1,653 |
$479K |
| 90837 |
Psychotherapy, 53 minutes with patient |
3,404 |
2,613 |
$464K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,153 |
554 |
$441K |
| 90791 |
Psychiatric diagnostic evaluation |
1,747 |
1,468 |
$394K |
| 12001 |
|
812 |
808 |
$358K |
| 84443 |
Thyroid stimulating hormone (TSH) |
42,837 |
42,085 |
$357K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
272 |
272 |
$356K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,471 |
2,470 |
$350K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,558 |
1,541 |
$333K |
| 87631 |
|
3,839 |
3,729 |
$324K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
9,150 |
7,857 |
$316K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
10,881 |
10,673 |
$292K |
| 59025 |
Fetal non-stress test |
1,296 |
1,007 |
$261K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
9,603 |
2,867 |
$253K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
957 |
923 |
$246K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
10,880 |
10,672 |
$231K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
4,039 |
3,857 |
$227K |
| 80061 |
Lipid panel |
36,288 |
35,926 |
$218K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
7,151 |
2,502 |
$213K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
22,911 |
22,674 |
$207K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,585 |
3,583 |
$197K |
| 97162 |
|
1,263 |
1,253 |
$190K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
73,834 |
67,597 |
$182K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
626 |
626 |
$174K |
| 99402 |
|
1,635 |
1,568 |
$170K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
3,036 |
2,756 |
$164K |
| 84439 |
|
19,446 |
19,110 |
$162K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
5,304 |
5,299 |
$151K |
| 82607 |
|
12,411 |
12,210 |
$143K |
| 99401 |
|
1,908 |
1,809 |
$142K |
| 29125 |
|
598 |
593 |
$141K |
| 87660 |
|
9,991 |
9,799 |
$126K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
6,356 |
5,767 |
$123K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
414 |
412 |
$121K |
| 82728 |
|
9,353 |
9,128 |
$119K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
19,775 |
18,666 |
$114K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,434 |
3,406 |
$109K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
4,413 |
4,187 |
$104K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
769 |
702 |
$101K |
| 76770 |
|
784 |
781 |
$99K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
5,773 |
5,741 |
$96K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,657 |
2,637 |
$95K |
| 86481 |
|
1,825 |
1,816 |
$92K |
| 87480 |
|
7,617 |
7,481 |
$91K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
368 |
363 |
$88K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,808 |
1,760 |
$88K |
| 87625 |
|
3,285 |
3,282 |
$82K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,640 |
5,350 |
$79K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,820 |
2,698 |
$78K |
| 87510 |
|
6,698 |
6,582 |
$76K |
| 93320 |
|
245 |
243 |
$74K |
| 86003 |
|
849 |
843 |
$71K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
375 |
292 |
$70K |
| 76830 |
Ultrasound, transvaginal |
1,354 |
1,339 |
$68K |
| 71250 |
|
794 |
783 |
$67K |
| 93971 |
|
977 |
959 |
$67K |
| 84702 |
|
6,203 |
4,427 |
$67K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
2,467 |
2,462 |
$65K |
| 71046 |
Radiologic examination, chest; 2 views |
9,171 |
8,968 |
$65K |
| 76641 |
|
2,475 |
2,095 |
$64K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
413 |
410 |
$64K |
| 83880 |
|
1,900 |
1,724 |
$60K |
| 97602 |
|
107 |
64 |
$60K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
1,880 |
1,830 |
$58K |
| 82746 |
|
4,860 |
4,782 |
$56K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
210 |
210 |
$55K |
| 84153 |
|
2,855 |
2,832 |
$53K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
329 |
326 |
$53K |
| 87522 |
Neg quan hep c or qual rna |
1,150 |
1,097 |
$52K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
543 |
543 |
$48K |
| 90899 |
|
26 |
26 |
$44K |
| 83540 |
|
9,375 |
9,183 |
$44K |
| 12011 |
|
103 |
102 |
$43K |
| 90715 |
|
1,096 |
1,087 |
$41K |
| 76536 |
|
2,055 |
2,047 |
$41K |
| 77080 |
|
833 |
832 |
$40K |
| 86618 |
|
2,576 |
2,527 |
$40K |
| 97161 |
|
366 |
363 |
$39K |
| 83550 |
|
8,343 |
8,191 |
$39K |
| 86706 |
|
4,195 |
4,150 |
$38K |
| 86780 |
|
3,246 |
3,214 |
$38K |
| 83655 |
|
2,861 |
2,854 |
$37K |
| 86704 |
|
3,975 |
3,935 |
$37K |
| 86850 |
|
3,046 |
2,947 |
$36K |
| 71271 |
|
1,584 |
1,581 |
$36K |
| 93017 |
|
732 |
732 |
$36K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
16 |
16 |
$35K |
| 86708 |
|
3,852 |
3,810 |
$35K |
| 70486 |
|
215 |
214 |
$32K |
| 10060 |
|
103 |
103 |
$32K |
| 86900 |
|
3,142 |
3,017 |
$31K |
| 87486 |
|
1,132 |
1,121 |
$30K |
| 83735 |
|
8,074 |
7,013 |
$30K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
6,131 |
5,963 |
$29K |
| 87070 |
|
4,752 |
4,660 |
$29K |
| 86762 |
|
2,007 |
1,974 |
$29K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,914 |
680 |
$28K |
| 84144 |
|
1,319 |
1,285 |
$28K |
| 87077 |
|
5,169 |
5,029 |
$27K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
1,002 |
988 |
$27K |
| 82043 |
|
5,629 |
5,568 |
$26K |
| 81001 |
|
12,044 |
11,278 |
$25K |
| 99406 |
|
918 |
772 |
$25K |
| H2011 |
Crisis intervention service, per 15 minutes |
127 |
117 |
$24K |
| 87581 |
|
1,132 |
1,121 |
$24K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
141 |
119 |
$23K |
| 84403 |
|
860 |
831 |
$23K |
| 80074 |
|
808 |
797 |
$22K |
| 86140 |
|
6,779 |
6,337 |
$22K |
| 86696 |
|
1,394 |
1,104 |
$22K |
| 86803 |
|
2,404 |
2,391 |
$22K |
| 82784 |
|
1,652 |
1,635 |
$21K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
13 |
13 |
$21K |
| 87186 |
|
5,167 |
5,027 |
$21K |
| 87807 |
|
2,098 |
2,075 |
$21K |
| 85027 |
|
6,840 |
6,367 |
$20K |
| 87340 |
|
1,974 |
1,965 |
$20K |
| 81003 |
|
22,111 |
20,816 |
$19K |
| 84146 |
|
932 |
922 |
$18K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
212 |
211 |
$18K |
| 83001 |
|
944 |
932 |
$18K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,588 |
1,391 |
$18K |
| 12002 |
|
37 |
37 |
$17K |
| 84481 |
|
1,954 |
1,937 |
$17K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,238 |
5,853 |
$16K |
| 86038 |
|
3,171 |
3,106 |
$16K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
165 |
162 |
$15K |
| 77066 |
Tomosynthesis, mammo |
269 |
269 |
$15K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
9,527 |
8,638 |
$15K |
| 72110 |
|
997 |
995 |
$14K |
| 80076 |
|
2,127 |
2,068 |
$14K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
323 |
319 |
$14K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,331 |
2,330 |
$14K |
| 85610 |
|
7,039 |
5,883 |
$14K |
| 84550 |
|
3,373 |
3,289 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,036 |
2,684 |
$14K |
| 85652 |
|
6,867 |
6,505 |
$12K |
| 86787 |
|
1,581 |
1,549 |
$12K |
| 86800 |
|
944 |
933 |
$12K |
| 86376 |
|
835 |
827 |
$12K |
| 88304 |
|
397 |
397 |
$12K |
| 93225 |
|
248 |
248 |
$12K |
| 74018 |
|
2,097 |
2,016 |
$11K |
| 83690 |
|
6,182 |
5,811 |
$11K |
| 99201 |
|
86 |
86 |
$10K |
| 73630 |
|
2,552 |
2,467 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
4,712 |
4,495 |
$10K |
| 72100 |
|
1,352 |
1,344 |
$10K |
| 82248 |
|
2,541 |
2,380 |
$10K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
466 |
463 |
$10K |
| 73564 |
|
1,270 |
1,208 |
$10K |
| 84480 |
|
1,758 |
1,712 |
$10K |
| 84425 |
|
648 |
639 |
$9K |
| 73562 |
|
1,487 |
1,403 |
$9K |
| 90686 |
|
213 |
213 |
$9K |
| 87081 |
|
4,333 |
4,277 |
$9K |
| 82550 |
|
2,386 |
2,253 |
$9K |
| 99215 |
Prolong outpt/office vis |
81 |
79 |
$9K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
156 |
156 |
$9K |
| 82150 |
|
2,546 |
2,477 |
$8K |
| 72072 |
|
538 |
537 |
$8K |
| 85730 |
|
4,174 |
3,992 |
$8K |
| 86665 |
|
375 |
230 |
$8K |
| 73130 |
|
2,098 |
2,022 |
$7K |
| G0168 |
Wound closure utilizing tissue adhesive(s) only |
42 |
42 |
$7K |
| 73610 |
|
2,202 |
2,138 |
$7K |
| 0099U |
|
287 |
285 |
$7K |
| 74019 |
|
843 |
830 |
$7K |
| 86255 |
|
1,254 |
1,251 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
311 |
304 |
$6K |
| 82670 |
|
231 |
223 |
$6K |
| 82570 |
|
1,376 |
1,360 |
$6K |
| 73030 |
|
1,052 |
1,038 |
$6K |
| 86430 |
|
1,271 |
1,267 |
$6K |
| 77065 |
Tomosynthesis, mammo |
129 |
129 |
$6K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
196 |
196 |
$6K |
| 93880 |
|
43 |
43 |
$5K |
| 97597 |
|
16 |
12 |
$5K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
96 |
96 |
$5K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
94 |
37 |
$5K |
| 83002 |
|
290 |
281 |
$5K |
| 73502 |
|
858 |
848 |
$5K |
| 82950 |
|
1,015 |
1,014 |
$5K |
| 82962 |
|
2,300 |
1,363 |
$5K |
| 88312 |
|
508 |
506 |
$5K |
| 87328 |
|
376 |
366 |
$5K |
| 73110 |
|
1,416 |
1,376 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
85 |
84 |
$5K |
| 84703 |
|
5,312 |
5,126 |
$5K |
| 86431 |
|
920 |
914 |
$5K |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
559 |
393 |
$4K |
| 76870 |
|
70 |
70 |
$4K |
| 85379 |
|
1,897 |
1,807 |
$4K |
| 85007 |
|
3,947 |
3,546 |
$4K |
| 86141 |
|
423 |
421 |
$4K |
| 86617 |
|
238 |
161 |
$4K |
| 86592 |
|
1,355 |
1,348 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
13 |
$4K |
| 69209 |
|
25 |
25 |
$4K |
| 87205 |
|
2,202 |
2,123 |
$4K |
| 84100 |
|
984 |
796 |
$4K |
| 73020 |
|
827 |
822 |
$4K |
| 82785 |
|
318 |
315 |
$4K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
57 |
13 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
98 |
98 |
$4K |
| 0012A |
|
127 |
125 |
$4K |
| 99254 |
|
57 |
57 |
$4K |
| 82947 |
|
863 |
855 |
$4K |
| 83615 |
|
903 |
801 |
$4K |
| 97014 |
|
162 |
66 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$3K |
| 86235 |
|
264 |
263 |
$3K |
| 77062 |
|
83 |
83 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,670 |
4,249 |
$3K |
| 72141 |
|
12 |
12 |
$3K |
| 82803 |
|
80 |
70 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$3K |
| 72050 |
|
360 |
357 |
$3K |
| 99221 |
|
82 |
82 |
$3K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$3K |
| 70491 |
|
12 |
12 |
$3K |
| 0011A |
|
122 |
122 |
$3K |
| 84484 |
|
5,143 |
4,396 |
$3K |
| 85044 |
|
1,811 |
1,776 |
$3K |
| 29130 |
|
12 |
12 |
$2K |
| G0426 |
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth |
33 |
32 |
$2K |
| 83516 |
|
208 |
114 |
$2K |
| 88142 |
|
105 |
105 |
$2K |
| 97163 |
|
13 |
12 |
$2K |
| 87653 |
|
71 |
71 |
$2K |
| H0049 |
Alcohol and/or drug screening |
42 |
41 |
$2K |
| 72040 |
|
222 |
221 |
$2K |
| 93226 |
|
26 |
26 |
$2K |
| G0425 |
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth |
25 |
12 |
$2K |
| 93351 |
|
79 |
77 |
$2K |
| 82274 |
|
558 |
550 |
$2K |
| G0378 |
Hospital observation service, per hour |
13 |
13 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
213 |
211 |
$2K |
| 80047 |
|
53 |
53 |
$2K |
| 83993 |
|
132 |
131 |
$1K |
| 73140 |
|
403 |
395 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,897 |
2,866 |
$1K |
| 90688 |
|
45 |
45 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
13 |
$1K |
| 82565 |
|
318 |
306 |
$1K |
| 93325 |
|
129 |
127 |
$1K |
| 86308 |
|
468 |
461 |
$1K |
| 84460 |
|
255 |
252 |
$1K |
| 84410 |
|
24 |
24 |
$1K |
| 82533 |
|
73 |
62 |
$1K |
| 83970 |
|
30 |
27 |
$1K |
| 71101 |
|
213 |
211 |
$1K |
| 80164 |
|
127 |
120 |
$1K |
| 82627 |
|
53 |
52 |
$1K |
| 87046 |
|
380 |
376 |
$1K |
| 99253 |
|
98 |
82 |
$1K |
| 87040 |
|
1,747 |
1,023 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
86 |
86 |
$1K |
| 86769 |
|
63 |
35 |
$1K |
| J7050 |
Infusion, normal saline solution, 250 cc |
2,162 |
1,928 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
56 |
24 |
$822.55 |
| 99407 |
|
73 |
73 |
$785.34 |
| 84156 |
|
267 |
221 |
$779.73 |
| 99051 |
|
73 |
54 |
$761.04 |
| 94060 |
|
31 |
31 |
$691.83 |
| 84165 |
|
110 |
85 |
$661.60 |
| 0031A |
|
20 |
20 |
$612.61 |
| 88112 |
|
24 |
24 |
$589.21 |
| 82977 |
|
114 |
107 |
$546.66 |
| 99460 |
|
54 |
54 |
$532.00 |
| 80178 |
|
89 |
88 |
$529.41 |
| 96367 |
|
27 |
26 |
$497.08 |
| 90656 |
|
37 |
37 |
$471.31 |
| 89055 |
|
148 |
147 |
$468.74 |
| 80320 |
|
2,084 |
1,950 |
$464.91 |
| 84450 |
|
101 |
91 |
$442.26 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
129 |
111 |
$420.88 |
| 73590 |
|
123 |
118 |
$400.67 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,453 |
2,298 |
$365.26 |
| 0001A |
|
28 |
28 |
$359.48 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
23 |
12 |
$350.59 |
| 86200 |
|
41 |
41 |
$338.03 |
| 83605 |
|
1,953 |
1,818 |
$332.77 |
| 83498 |
|
13 |
13 |
$327.40 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
8,687 |
8,012 |
$319.29 |
| 0002A |
|
26 |
26 |
$316.56 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
13 |
13 |
$316.46 |
| 82390 |
|
41 |
39 |
$290.64 |
| 83525 |
|
25 |
25 |
$289.17 |
| 87338 |
|
38 |
38 |
$288.27 |
| 73100 |
|
17 |
16 |
$261.92 |
| 82951 |
|
37 |
37 |
$256.86 |
| 94726 |
|
17 |
16 |
$241.10 |
| 94729 |
|
17 |
16 |
$239.55 |
| Q3014 |
Telehealth originating site facility fee |
31 |
30 |
$237.51 |
| 86160 |
|
12 |
12 |
$237.18 |
| 73620 |
|
38 |
38 |
$191.08 |
| 81015 |
|
883 |
848 |
$187.48 |
| 76882 |
|
27 |
26 |
$179.51 |
| 82140 |
|
15 |
13 |
$179.22 |
| 86765 |
|
13 |
13 |
$170.02 |
| 84155 |
|
45 |
43 |
$161.22 |
| 82103 |
|
14 |
14 |
$155.37 |
| 99252 |
|
40 |
39 |
$155.22 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,962 |
5,540 |
$153.98 |
| 73090 |
|
58 |
56 |
$153.47 |
| 73070 |
|
69 |
66 |
$152.40 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
991 |
965 |
$149.96 |
| J2704 |
Injection, propofol, 10 mg |
3,009 |
2,986 |
$135.31 |
| 99462 |
|
27 |
25 |
$134.40 |
| 73600 |
|
13 |
12 |
$107.47 |
| 84479 |
|
149 |
147 |
$102.63 |
| 97802 |
|
26 |
26 |
$87.49 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
469 |
441 |
$70.88 |
| 82247 |
|
14 |
12 |
$70.78 |
| 82952 |
|
37 |
37 |
$56.10 |
| 83520 |
|
17 |
12 |
$55.73 |
| 73560 |
|
12 |
12 |
$48.78 |
| J1815 |
Injection, insulin, per 5 units |
12 |
12 |
$40.26 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,119 |
1,048 |
$34.64 |
| 80329 |
|
2,477 |
1,276 |
$23.42 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,124 |
1,010 |
$19.69 |
| C9113 |
Injection, pantoprazole sodium, per vial |
590 |
507 |
$17.34 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,457 |
2,431 |
$17.20 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,189 |
4,826 |
$17.08 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
388 |
368 |
$16.71 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,121 |
2,101 |
$14.79 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,237 |
1,137 |
$13.36 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
573 |
568 |
$12.00 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
83 |
83 |
$11.16 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
334 |
325 |
$8.53 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
554 |
514 |
$6.76 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
456 |
431 |
$6.38 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,882 |
1,867 |
$4.33 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
843 |
806 |
$3.32 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
123 |
108 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
28 |
28 |
$0.00 |
| 87210 |
|
41 |
38 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
47 |
46 |
$0.00 |
| 90785 |
|
14 |
13 |
$0.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
14 |
13 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
158 |
147 |
$0.00 |
| 96376 |
|
130 |
122 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
34 |
34 |
$0.00 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
56 |
46 |
$0.00 |
| 94760 |
|
31 |
29 |
$0.00 |