| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
|
753 |
750 |
$0.00 |
| 90707 |
|
140 |
138 |
$0.00 |
| 1159F |
|
268 |
252 |
$0.00 |
| 87880 |
|
534 |
519 |
$0.00 |
| 80202 |
|
36 |
21 |
$0.00 |
| 99212 |
|
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 |
|
65 |
29 |
$0.00 |
| 88175 |
|
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 |
|
146 |
146 |
$0.00 |
| 92552 |
|
474 |
463 |
$0.00 |
| 99392 |
|
890 |
865 |
$0.00 |
| 99203 |
|
658 |
652 |
$0.00 |
| 83721 |
|
26 |
26 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
573 |
524 |
$0.00 |
| 92012 |
|
31 |
31 |
$0.00 |
| 86480 |
|
121 |
114 |
$0.00 |
| 81003 |
|
740 |
708 |
$0.00 |
| 80307 |
|
379 |
350 |
$0.00 |
| 87798 |
|
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 |
|
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 |
|
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 |
|
106 |
103 |
$0.00 |
| 72110 |
|
34 |
31 |
$0.00 |
| 90648 |
|
64 |
63 |
$0.00 |
| 99391 |
|
390 |
366 |
$0.00 |
| 76856 |
|
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 |
|
129 |
101 |
$0.00 |
| 84460 |
|
146 |
127 |
$0.00 |
| 29125 |
|
12 |
12 |
$0.00 |
| 2014F |
|
19 |
19 |
$0.00 |
| 70553 |
|
24 |
24 |
$0.00 |
| 73030 |
|
56 |
50 |
$0.00 |
| 76642 |
|
28 |
25 |
$0.00 |
| 17110 |
|
29 |
26 |
$0.00 |
| 74176 |
|
91 |
88 |
$0.00 |
| 80061 |
|
2,162 |
2,125 |
$0.00 |
| 93010 |
|
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 |
|
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 |
|
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 |
|
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 |
|
950 |
856 |
$0.00 |
| 87150 |
|
29 |
29 |
$0.00 |
| 84439 |
|
551 |
540 |
$0.00 |
| 70551 |
|
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 |
|
1,258 |
1,242 |
$0.00 |
| 99396 |
|
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 |
|
226 |
74 |
$0.00 |
| 82948 |
|
41 |
40 |
$0.00 |
| 88312 |
|
20 |
20 |
$0.00 |
| 84481 |
|
68 |
67 |
$0.00 |
| 99395 |
|
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 |
|
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 |
|
453 |
431 |
$0.00 |
| 92015 |
|
12 |
12 |
$0.00 |
| 92014 |
|
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 |
|
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 |
|
88 |
82 |
$0.00 |
| 99222 |
|
79 |
76 |
$0.00 |
| 99231 |
|
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 |
|
13 |
13 |
$0.00 |
| S0191 |
Misoprostol, oral, 200 mcg |
16 |
16 |
$0.00 |
| 90460 |
|
79 |
78 |
$0.00 |
| 90472 |
|
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 |
|
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 |
|
72 |
69 |
$0.00 |
| 86708 |
|
26 |
26 |
$0.00 |
| 59409 |
|
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 |
|
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 |
|
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 |
|
49 |
44 |
$0.00 |
| 36415 |
|
1,359 |
1,310 |
$0.00 |
| 99283 |
|
2,529 |
2,419 |
$0.00 |
| 86695 |
|
112 |
110 |
$0.00 |
| 99214 |
|
5,952 |
5,345 |
$0.00 |
| 87480 |
|
347 |
344 |
$0.00 |
| 99213 |
|
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 |
|
258 |
233 |
$0.00 |
| 99285 |
|
1,040 |
977 |
$0.00 |
| 82105 |
|
33 |
33 |
$0.00 |
| 93000 |
|
137 |
135 |
$0.00 |
| 76700 |
|
136 |
135 |
$0.00 |
| 86592 |
|
391 |
389 |
$0.00 |
| 82670 |
|
18 |
18 |
$0.00 |
| 72148 |
|
43 |
39 |
$0.00 |
| 81000 |
|
598 |
587 |
$0.00 |
| 85018 |
|
2,420 |
2,364 |
$0.00 |
| 87591 |
|
1,242 |
1,226 |
$0.00 |
| D1206 |
|
578 |
566 |
$0.00 |
| 87040 |
|
108 |
88 |
$0.00 |
| 3074F |
|
159 |
151 |
$0.00 |
| 94640 |
|
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 |
|
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 |
|
366 |
362 |
$0.00 |
| 99000 |
|
180 |
176 |
$0.00 |
| 88307 |
|
66 |
65 |
$0.00 |
| 93971 |
|
13 |
12 |
$0.00 |
| 96372 |
|
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 |
|
68 |
68 |
$0.00 |
| 85025 |
|
4,960 |
3,808 |
$0.00 |
| 71275 |
|
39 |
38 |
$0.00 |
| D0120 |
|
65 |
63 |
$0.00 |
| 97139 |
|
409 |
108 |
$0.00 |
| 80053 |
|
2,964 |
2,724 |
$0.00 |
| 96374 |
|
20 |
19 |
$0.00 |
| 86704 |
|
37 |
36 |
$0.00 |
| 71020 |
|
75 |
39 |
$0.00 |
| 89060 |
|
22 |
21 |
$0.00 |
| 90471 |
|
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 |
|
639 |
361 |
$0.00 |
| 99232 |
|
1,008 |
310 |
$0.00 |
| 82306 |
|
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 |
|
34 |
32 |
$0.00 |
| 76815 |
|
228 |
160 |
$0.00 |
| 83036 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
233 |
221 |
$0.00 |
| 82950 |
|
143 |
138 |
$0.00 |
| 97140 |
|
392 |
129 |
$0.00 |
| 84443 |
|
2,020 |
1,958 |
$0.00 |
| 87086 |
|
532 |
525 |
$0.00 |
| 87624 |
|
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 |
|
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 |
|
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 |
|
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 |
|
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 |
|
62 |
62 |
$0.00 |
| 99172 |
|
42 |
42 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13 |
13 |
$0.00 |
| 99282 |
|
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 |