| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
753 |
750 |
$0.00 |
| 90707 |
|
140 |
138 |
$0.00 |
| 1159F |
|
268 |
252 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
534 |
519 |
$0.00 |
| 80202 |
|
36 |
21 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,978 |
1,832 |
$0.00 |
| T4530 |
Pediatric sized disposable incontinence product, brief/diaper, large size, each |
15 |
15 |
$0.00 |
| J7607 |
Levalbuterol, inhalation solution, compounded product, administered through dme, concentrated form, 0.5 mg |
45 |
27 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
984 |
858 |
$0.00 |
| 01961 |
|
30 |
28 |
$0.00 |
| 82776 |
|
85 |
81 |
$0.00 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
65 |
29 |
$0.00 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
486 |
482 |
$0.00 |
| 73562 |
|
72 |
64 |
$0.00 |
| G0482 |
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; 15-21 drug class(es), including metabolite(s) if performed |
44 |
43 |
$0.00 |
| 81025 |
|
1,125 |
1,027 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
146 |
146 |
$0.00 |
| 92552 |
|
474 |
463 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
890 |
865 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
658 |
652 |
$0.00 |
| 83721 |
|
26 |
26 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
573 |
524 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
31 |
31 |
$0.00 |
| 86480 |
|
121 |
114 |
$0.00 |
| 81003 |
|
740 |
708 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
379 |
350 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
195 |
177 |
$0.00 |
| 97803 |
|
61 |
58 |
$0.00 |
| 81002 |
|
1,982 |
1,707 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
13 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
344 |
338 |
$0.00 |
| 59425 |
|
1,093 |
747 |
$0.00 |
| 87481 |
|
158 |
154 |
$0.00 |
| 90734 |
|
144 |
141 |
$0.00 |
| 3078F |
|
154 |
145 |
$0.00 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,045 |
1,959 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
275 |
245 |
$0.00 |
| 99173 |
|
1,547 |
1,531 |
$0.00 |
| 90700 |
|
152 |
149 |
$0.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
106 |
103 |
$0.00 |
| 72110 |
|
34 |
31 |
$0.00 |
| 90648 |
|
64 |
63 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
390 |
366 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
160 |
155 |
$0.00 |
| 76770 |
|
55 |
53 |
$0.00 |
| 99233 |
Prolong inpt eval add15 m |
540 |
222 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
754 |
481 |
$0.00 |
| 83540 |
|
241 |
235 |
$0.00 |
| 99053 |
|
14 |
14 |
$0.00 |
| 80074 |
|
153 |
146 |
$0.00 |
| 82274 |
|
98 |
97 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
129 |
101 |
$0.00 |
| 84460 |
|
146 |
127 |
$0.00 |
| 29125 |
|
12 |
12 |
$0.00 |
| 2014F |
|
19 |
19 |
$0.00 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
24 |
24 |
$0.00 |
| 73030 |
|
56 |
50 |
$0.00 |
| 76642 |
|
28 |
25 |
$0.00 |
| 17110 |
|
29 |
26 |
$0.00 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
91 |
88 |
$0.00 |
| 80061 |
Lipid panel |
2,162 |
2,125 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
591 |
503 |
$0.00 |
| 86038 |
|
146 |
143 |
$0.00 |
| 84550 |
|
441 |
422 |
$0.00 |
| 90670 |
|
382 |
361 |
$0.00 |
| 87186 |
|
186 |
176 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
171 |
166 |
$0.00 |
| 90658 |
|
386 |
385 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$0.00 |
| 84403 |
|
47 |
44 |
$0.00 |
| 90715 |
|
105 |
103 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
57 |
56 |
$0.00 |
| S4993 |
Contraceptive pills for birth control |
26 |
25 |
$0.00 |
| 73110 |
|
48 |
43 |
$0.00 |
| 82947 |
|
438 |
413 |
$0.00 |
| 70450 |
Computed tomography, head or brain; without contrast material |
208 |
186 |
$0.00 |
| 73080 |
|
15 |
13 |
$0.00 |
| 1160F |
|
105 |
95 |
$0.00 |
| 82570 |
|
313 |
300 |
$0.00 |
| 80076 |
|
513 |
414 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
13 |
13 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
145 |
139 |
$0.00 |
| T4541 |
Incontinence product, disposable underpad, large, each |
281 |
277 |
$0.00 |
| 92081 |
|
112 |
111 |
$0.00 |
| 82248 |
|
119 |
105 |
$0.00 |
| 84155 |
|
13 |
13 |
$0.00 |
| 73610 |
|
88 |
85 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
950 |
856 |
$0.00 |
| 87150 |
|
29 |
29 |
$0.00 |
| 84439 |
|
551 |
540 |
$0.00 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
18 |
18 |
$0.00 |
| 77066 |
Tomosynthesis, mammo |
30 |
30 |
$0.00 |
| 94060 |
|
30 |
26 |
$0.00 |
| 86696 |
|
119 |
116 |
$0.00 |
| S0199 |
Medically induced abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by hcg, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs |
14 |
14 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,258 |
1,242 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
122 |
121 |
$0.00 |
| 82140 |
|
92 |
48 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
52 |
48 |
$0.00 |
| 90633 |
|
187 |
183 |
$0.00 |
| 59025 |
Fetal non-stress test |
226 |
74 |
$0.00 |
| 82948 |
|
41 |
40 |
$0.00 |
| 88312 |
|
20 |
20 |
$0.00 |
| 84481 |
|
68 |
67 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
104 |
100 |
$0.00 |
| 76942 |
|
23 |
18 |
$0.00 |
| 87338 |
|
42 |
42 |
$0.00 |
| A4267 |
Contraceptive supply, condom, male, each |
189 |
185 |
$0.00 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
166 |
157 |
$0.00 |
| 84100 |
|
472 |
221 |
$0.00 |
| 90685 |
|
330 |
313 |
$0.00 |
| 99490 |
Ccm add 20min |
16 |
14 |
$0.00 |
| 83516 |
|
111 |
111 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
453 |
431 |
$0.00 |
| 92015 |
Determination of refractive state |
12 |
12 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
27 |
26 |
$0.00 |
| 87660 |
|
350 |
347 |
$0.00 |
| 99401 |
|
317 |
284 |
$0.00 |
| 87075 |
|
29 |
25 |
$0.00 |
| 73130 |
|
66 |
60 |
$0.00 |
| 84702 |
|
317 |
266 |
$0.00 |
| 11100 |
|
16 |
16 |
$0.00 |
| 87641 |
|
60 |
51 |
$0.00 |
| 77003 |
|
24 |
24 |
$0.00 |
| 83655 |
|
374 |
368 |
$0.00 |
| 94150 |
|
176 |
160 |
$0.00 |
| 85610 |
|
490 |
361 |
$0.00 |
| 73070 |
|
14 |
13 |
$0.00 |
| 84520 |
|
48 |
39 |
$0.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
707 |
242 |
$0.00 |
| 83013 |
|
25 |
25 |
$0.00 |
| 76813 |
|
43 |
42 |
$0.00 |
| 80305 |
|
45 |
45 |
$0.00 |
| 72100 |
|
46 |
45 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
13 |
13 |
$0.00 |
| G9578 |
Documentation of signed opioid treatment agreement at least once during opioid therapy |
22 |
20 |
$0.00 |
| 84450 |
|
84 |
70 |
$0.00 |
| A4927 |
Gloves, non-sterile, per 100 |
26 |
26 |
$0.00 |
| J0135 |
Injection, adalimumab, 20 mg |
23 |
20 |
$0.00 |
| T4525 |
Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
21 |
21 |
$0.00 |
| 10061 |
|
12 |
12 |
$0.00 |
| 87210 |
|
94 |
89 |
$0.00 |
| 82465 |
|
13 |
13 |
$0.00 |
| 83970 |
|
54 |
48 |
$0.00 |
| 87045 |
|
19 |
18 |
$0.00 |
| 84156 |
|
91 |
78 |
$0.00 |
| 74018 |
|
49 |
43 |
$0.00 |
| 64418 |
|
24 |
13 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
88 |
82 |
$0.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
79 |
76 |
$0.00 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
32 |
20 |
$0.00 |
| 86703 |
|
47 |
45 |
$0.00 |
| 90621 |
|
31 |
31 |
$0.00 |
| 86003 |
|
58 |
58 |
$0.00 |
| 73630 |
|
76 |
72 |
$0.00 |
| 84146 |
|
27 |
27 |
$0.00 |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
36 |
36 |
$0.00 |
| 86900 |
|
339 |
283 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
31 |
29 |
$0.00 |
| 99152 |
|
66 |
58 |
$0.00 |
| 90649 |
|
98 |
98 |
$0.00 |
| 86431 |
|
104 |
103 |
$0.00 |
| 87427 |
|
19 |
18 |
$0.00 |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
20 |
19 |
$0.00 |
| 85014 |
|
100 |
97 |
$0.00 |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
46 |
43 |
$0.00 |
| 99201 |
|
61 |
61 |
$0.00 |
| 86923 |
|
60 |
38 |
$0.00 |
| 92134 |
|
28 |
26 |
$0.00 |
| 69210 |
|
14 |
13 |
$0.00 |
| 90655 |
|
22 |
22 |
$0.00 |
| 90746 |
|
36 |
36 |
$0.00 |
| 88313 |
|
16 |
16 |
$0.00 |
| 87177 |
|
14 |
14 |
$0.00 |
| 82565 |
|
121 |
93 |
$0.00 |
| 10060 |
|
13 |
13 |
$0.00 |
| 20552 |
|
38 |
33 |
$0.00 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
13 |
13 |
$0.00 |
| S0191 |
Misoprostol, oral, 200 mcg |
16 |
16 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
79 |
78 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
69 |
69 |
$0.00 |
| 80306 |
|
14 |
13 |
$0.00 |
| 87806 |
|
107 |
104 |
$0.00 |
| 86765 |
|
34 |
33 |
$0.00 |
| L0643 |
Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
13 |
13 |
$0.00 |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
72 |
31 |
$0.00 |
| A4357 |
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
12 |
12 |
$0.00 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
16 |
13 |
$0.00 |
| 87592 |
|
51 |
51 |
$0.00 |
| 86787 |
|
57 |
55 |
$0.00 |
| 27096 |
|
37 |
16 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
94 |
89 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
43 |
33 |
$0.00 |
| 82785 |
|
19 |
19 |
$0.00 |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
72 |
69 |
$0.00 |
| 86708 |
|
26 |
26 |
$0.00 |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
15 |
15 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
15 |
15 |
$0.00 |
| 84466 |
|
42 |
37 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
107 |
95 |
$0.00 |
| 82247 |
|
152 |
94 |
$0.00 |
| 86200 |
|
21 |
21 |
$0.00 |
| 00812 |
|
12 |
12 |
$0.00 |
| 3077F |
|
29 |
29 |
$0.00 |
| 86318 |
|
55 |
55 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
15 |
13 |
$0.00 |
| 73140 |
|
15 |
14 |
$0.00 |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
48 |
48 |
$0.00 |
| S0190 |
Mifepristone, oral, 200 mg |
14 |
14 |
$0.00 |
| 73100 |
|
17 |
15 |
$0.00 |
| 73590 |
|
30 |
30 |
$0.00 |
| 82977 |
|
27 |
26 |
$0.00 |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
59 |
59 |
$0.00 |
| 99221 |
|
32 |
30 |
$0.00 |
| A4558 |
Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz |
13 |
13 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
28 |
28 |
$0.00 |
| 86235 |
|
20 |
20 |
$0.00 |
| 90713 |
|
26 |
26 |
$0.00 |
| 87400 |
|
17 |
17 |
$0.00 |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
56 |
56 |
$0.00 |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
153 |
151 |
$0.00 |
| 86331 |
|
12 |
12 |
$0.00 |
| 2028F |
|
20 |
20 |
$0.00 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
24 |
12 |
$0.00 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
16 |
16 |
$0.00 |
| A0425 |
Ground mileage, per statute mile |
16 |
13 |
$0.00 |
| 84295 |
|
60 |
42 |
$0.00 |
| 85045 |
|
27 |
15 |
$0.00 |
| 87653 |
|
78 |
74 |
$0.00 |
| 87209 |
|
14 |
14 |
$0.00 |
| 86677 |
|
16 |
16 |
$0.00 |
| 74178 |
|
14 |
14 |
$0.00 |
| 86709 |
|
16 |
16 |
$0.00 |
| 98940 |
|
24 |
13 |
$0.00 |
| 86735 |
|
35 |
34 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
49 |
44 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,359 |
1,310 |
$0.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,529 |
2,419 |
$0.00 |
| 86695 |
|
112 |
110 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,952 |
5,345 |
$0.00 |
| 87480 |
|
347 |
344 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,997 |
14,217 |
$0.00 |
| 90688 |
|
415 |
408 |
$0.00 |
| 3008F |
|
477 |
444 |
$0.00 |
| 90657 |
|
35 |
35 |
$0.00 |
| 90647 |
|
37 |
37 |
$0.00 |
| 76536 |
|
13 |
13 |
$0.00 |
| 81001 |
|
1,486 |
1,359 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
258 |
233 |
$0.00 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,040 |
977 |
$0.00 |
| 82105 |
|
33 |
33 |
$0.00 |
| 93000 |
|
137 |
135 |
$0.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
136 |
135 |
$0.00 |
| 86592 |
|
391 |
389 |
$0.00 |
| 82670 |
|
18 |
18 |
$0.00 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
43 |
39 |
$0.00 |
| 81000 |
|
598 |
587 |
$0.00 |
| 85018 |
|
2,420 |
2,364 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,242 |
1,226 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
578 |
566 |
$0.00 |
| 87040 |
|
108 |
88 |
$0.00 |
| 3074F |
|
159 |
151 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
267 |
242 |
$0.00 |
| 64483 |
|
24 |
12 |
$0.00 |
| 3080F |
|
19 |
19 |
$0.00 |
| 3079F |
|
35 |
35 |
$0.00 |
| 87077 |
|
49 |
46 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,053 |
484 |
$0.00 |
| 82378 |
|
54 |
50 |
$0.00 |
| 82803 |
|
134 |
67 |
$0.00 |
| 97124 |
|
25 |
14 |
$0.00 |
| 82962 |
|
477 |
404 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
366 |
362 |
$0.00 |
| 99000 |
|
180 |
176 |
$0.00 |
| 88307 |
|
66 |
65 |
$0.00 |
| 93971 |
|
13 |
12 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
269 |
249 |
$0.00 |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
14 |
14 |
$0.00 |
| 86140 |
|
194 |
177 |
$0.00 |
| 1036F |
|
57 |
48 |
$0.00 |
| 86803 |
|
135 |
131 |
$0.00 |
| 86580 |
|
409 |
406 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
68 |
68 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,960 |
3,808 |
$0.00 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
39 |
38 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
65 |
63 |
$0.00 |
| 97139 |
|
409 |
108 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
2,964 |
2,724 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
20 |
19 |
$0.00 |
| 86704 |
|
37 |
36 |
$0.00 |
| 71020 |
|
75 |
39 |
$0.00 |
| 89060 |
|
22 |
21 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
459 |
446 |
$0.00 |
| 94760 |
|
216 |
210 |
$0.00 |
| 87340 |
|
222 |
218 |
$0.00 |
| 94010 |
|
27 |
14 |
$0.00 |
| 90686 |
|
603 |
590 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
639 |
361 |
$0.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,008 |
310 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
999 |
979 |
$0.00 |
| 82550 |
|
104 |
99 |
$0.00 |
| 90698 |
|
192 |
175 |
$0.00 |
| 20553 |
|
17 |
17 |
$0.00 |
| 83880 |
|
174 |
129 |
$0.00 |
| 83986 |
|
54 |
54 |
$0.00 |
| 83735 |
|
619 |
250 |
$0.00 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
34 |
32 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
228 |
160 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,924 |
1,876 |
$0.00 |
| 86317 |
|
22 |
22 |
$0.00 |
| 84479 |
|
150 |
144 |
$0.00 |
| 84480 |
|
103 |
98 |
$0.00 |
| 83789 |
|
85 |
81 |
$0.00 |
| 97750 |
|
13 |
13 |
$0.00 |
| 84153 |
|
210 |
206 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 90744 |
|
54 |
49 |
$0.00 |
| 87510 |
|
344 |
341 |
$0.00 |
| 82607 |
|
374 |
368 |
$0.00 |
| 82746 |
|
212 |
209 |
$0.00 |
| 86225 |
|
46 |
45 |
$0.00 |
| 85652 |
|
210 |
206 |
$0.00 |
| 92551 |
|
1,392 |
1,387 |
$0.00 |
| 90723 |
|
36 |
36 |
$0.00 |
| 90651 |
|
55 |
55 |
$0.00 |
| 99460 |
|
12 |
12 |
$0.00 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
64 |
63 |
$0.00 |
| 86901 |
|
350 |
293 |
$0.00 |
| 95117 |
|
146 |
66 |
$0.00 |
| 88142 |
|
80 |
78 |
$0.00 |
| 83520 |
|
23 |
20 |
$0.00 |
| 85651 |
|
54 |
47 |
$0.00 |
| 85730 |
|
225 |
167 |
$0.00 |
| 83001 |
|
49 |
47 |
$0.00 |
| J3490 |
Unclassified drugs |
403 |
315 |
$0.00 |
| 87081 |
|
127 |
126 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
69 |
69 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
239 |
232 |
$0.00 |
| 83002 |
|
40 |
38 |
$0.00 |
| 2010F |
|
276 |
263 |
$0.00 |
| 87449 |
|
19 |
19 |
$0.00 |
| 84703 |
|
85 |
77 |
$0.00 |
| 86800 |
|
22 |
21 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
113 |
110 |
$0.00 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
254 |
232 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
54 |
53 |
$0.00 |
| 97014 |
|
295 |
98 |
$0.00 |
| 84436 |
|
299 |
288 |
$0.00 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
73 |
70 |
$0.00 |
| 82043 |
|
427 |
419 |
$0.00 |
| 86376 |
|
44 |
42 |
$0.00 |
| 82330 |
|
23 |
13 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
64 |
58 |
$0.00 |
| 93042 |
|
21 |
21 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
97 |
93 |
$0.00 |
| 84402 |
|
14 |
13 |
$0.00 |
| 83550 |
|
168 |
165 |
$0.00 |
| 90680 |
|
108 |
99 |
$0.00 |
| 97802 |
|
83 |
80 |
$0.00 |
| 3048F |
|
12 |
12 |
$0.00 |
| 87088 |
|
293 |
264 |
$0.00 |
| 85027 |
|
533 |
359 |
$0.00 |
| 83690 |
|
316 |
280 |
$0.00 |
| 90716 |
|
134 |
132 |
$0.00 |
| 83615 |
|
95 |
66 |
$0.00 |
| 36416 |
|
145 |
129 |
$0.00 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
64 |
63 |
$0.00 |
| 70544 |
|
14 |
14 |
$0.00 |
| 82728 |
|
160 |
152 |
$0.00 |
| A7015 |
Aerosol mask, used with dme nebulizer |
24 |
12 |
$0.00 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
233 |
221 |
$0.00 |
| 82950 |
|
143 |
138 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
392 |
129 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,020 |
1,958 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
532 |
525 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
238 |
237 |
$0.00 |
| 76801 |
|
34 |
30 |
$0.00 |
| 82044 |
|
19 |
19 |
$0.00 |
| 82261 |
|
80 |
79 |
$0.00 |
| L2630 |
Addition to lower extremity, pelvic control, band and belt, unilateral |
16 |
16 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
61 |
57 |
$0.00 |
| 80055 |
|
30 |
27 |
$0.00 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
56 |
55 |
$0.00 |
| 86850 |
|
303 |
257 |
$0.00 |
| 95115 |
|
31 |
17 |
$0.00 |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
191 |
171 |
$0.00 |
| 80329 |
|
20 |
20 |
$0.00 |
| 84132 |
|
60 |
41 |
$0.00 |
| 64484 |
|
17 |
12 |
$0.00 |
| 81005 |
|
117 |
81 |
$0.00 |
| 86762 |
|
143 |
142 |
$0.00 |
| 3075F |
|
20 |
20 |
$0.00 |
| 87070 |
|
126 |
114 |
$0.00 |
| 83021 |
|
118 |
116 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
25 |
13 |
$0.00 |
| 86593 |
|
25 |
23 |
$0.00 |
| 96151 |
|
101 |
77 |
$0.00 |
| 87503 |
|
100 |
95 |
$0.00 |
| 97010 |
|
43 |
21 |
$0.00 |
| 87015 |
|
54 |
54 |
$0.00 |
| 80320 |
|
62 |
58 |
$0.00 |
| 87581 |
|
21 |
20 |
$0.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
123 |
111 |
$0.00 |
| 86706 |
|
67 |
65 |
$0.00 |
| 86141 |
|
55 |
52 |
$0.00 |
| 94200 |
|
12 |
12 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
12 |
12 |
$0.00 |
| 80069 |
|
65 |
41 |
$0.00 |
| 86780 |
|
254 |
225 |
$0.00 |
| 76870 |
|
14 |
13 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
48 |
48 |
$0.00 |
| 80047 |
|
633 |
532 |
$0.00 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
116 |
29 |
$0.00 |
| 87511 |
|
91 |
90 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
198 |
179 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
94 |
86 |
$0.00 |
| 83605 |
|
156 |
102 |
$0.00 |
| E0570 |
Nebulizer, with compressor |
24 |
12 |
$0.00 |
| 88342 |
|
34 |
31 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
71 |
68 |
$0.00 |
| 99243 |
|
62 |
62 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
181 |
178 |
$0.00 |
| 88304 |
|
58 |
57 |
$0.00 |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
40 |
40 |
$0.00 |
| 87046 |
|
19 |
18 |
$0.00 |
| 87430 |
|
20 |
20 |
$0.00 |
| 84154 |
|
15 |
14 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
27 |
26 |
$0.00 |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
124 |
89 |
$0.00 |
| 90656 |
|
67 |
66 |
$0.00 |
| 87205 |
|
60 |
49 |
$0.00 |
| 2001F |
|
25 |
25 |
$0.00 |
| 82150 |
|
42 |
41 |
$0.00 |
| 84484 |
|
318 |
231 |
$0.00 |
| 93990 |
|
19 |
15 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
64 |
64 |
$0.00 |
| A4335 |
Incontinence supply; miscellaneous |
141 |
139 |
$0.00 |
| 82270 |
|
15 |
15 |
$0.00 |
| T4534 |
Youth sized disposable incontinence product, protective underwear/pull-on, each |
14 |
14 |
$0.00 |
| V5298 |
Hearing aid, not otherwise classified |
13 |
13 |
$0.00 |
| 1126F |
|
28 |
20 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
69 |
67 |
$0.00 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
73 |
67 |
$0.00 |
| 80081 |
|
25 |
23 |
$0.00 |
| 88141 |
|
52 |
52 |
$0.00 |
| 73564 |
|
24 |
23 |
$0.00 |
| 82952 |
|
16 |
16 |
$0.00 |
| 99050 |
|
20 |
19 |
$0.00 |
| 82951 |
|
17 |
17 |
$0.00 |
| 83010 |
|
13 |
13 |
$0.00 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
57 |
56 |
$0.00 |
| 20610 |
|
23 |
15 |
$0.00 |
| 83883 |
|
12 |
12 |
$0.00 |
| 86880 |
|
14 |
13 |
$0.00 |
| 1125F |
|
18 |
18 |
$0.00 |
| 90674 |
|
40 |
40 |
$0.00 |
| 73090 |
|
22 |
21 |
$0.00 |
| A4322 |
Irrigation syringe, bulb or piston, each |
19 |
16 |
$0.00 |
| 00142 |
|
18 |
15 |
$0.00 |
| T4536 |
Incontinence product, protective underwear/pull-on, reusable, any size, each |
28 |
28 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
26 |
26 |
$0.00 |
| 83498 |
|
84 |
80 |
$0.00 |
| 86160 |
|
19 |
19 |
$0.00 |
| 80050 |
General health panel |
62 |
62 |
$0.00 |
| 99172 |
|
42 |
42 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13 |
13 |
$0.00 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
80 |
77 |
$0.00 |
| 85013 |
|
25 |
25 |
$0.00 |
| 85379 |
|
31 |
25 |
$0.00 |
| A4557 |
Lead wires, (e.g., apnea monitor), per pair |
13 |
13 |
$0.00 |
| T1024 |
Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter |
64 |
34 |
$0.00 |
| B4160 |
Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
18 |
18 |
$0.00 |
| 96111 |
|
32 |
32 |
$0.00 |
| 72072 |
|
14 |
14 |
$0.00 |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
15 |
15 |
$0.00 |
| 99174 |
|
15 |
15 |
$0.00 |