| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
57,007 |
54,739 |
$11.89M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
56,139 |
53,520 |
$10.80M |
| G0378 |
Hospital observation service, per hour |
8,160 |
6,661 |
$10.59M |
| H2011 |
Crisis intervention service, per 15 minutes |
16,823 |
13,979 |
$8.42M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
23,011 |
21,979 |
$3.92M |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
20,567 |
18,817 |
$3.07M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30,848 |
28,997 |
$2.37M |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
1,396 |
1,306 |
$1.93M |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
1,177 |
1,147 |
$1.84M |
| 90837 |
Psychotherapy, 53 minutes with patient |
14,095 |
6,118 |
$1.37M |
| 62323 |
|
1,764 |
1,701 |
$1.17M |
| T1015 |
Clinic visit/encounter, all-inclusive |
18,711 |
15,209 |
$1.16M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,167 |
1,076 |
$1.10M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,992 |
19,802 |
$992K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
6,687 |
6,414 |
$978K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18,776 |
14,922 |
$971K |
| 99215 |
Prolong outpt/office vis |
8,320 |
6,701 |
$843K |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,294 |
3,418 |
$752K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
645 |
578 |
$584K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
567 |
549 |
$564K |
| 90832 |
Psychotherapy, 30 minutes with patient |
5,966 |
4,192 |
$558K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
4,098 |
2,418 |
$539K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
5,291 |
5,238 |
$510K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
10,144 |
8,971 |
$500K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,325 |
3,221 |
$480K |
| 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 |
12,403 |
11,419 |
$477K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
3,950 |
3,902 |
$454K |
| 19318 |
|
292 |
258 |
$452K |
| H0034 |
Medication training and support, per 15 minutes |
5,069 |
3,663 |
$425K |
| S5000 |
Prescription drug, generic |
67,048 |
25,939 |
$405K |
| 99235 |
|
491 |
435 |
$405K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,263 |
3,213 |
$359K |
| 59025 |
Fetal non-stress test |
9,461 |
5,656 |
$274K |
| 76818 |
|
3,629 |
2,218 |
$273K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
5,737 |
4,422 |
$263K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,909 |
3,693 |
$261K |
| 76801 |
|
4,305 |
4,208 |
$233K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
4,435 |
3,801 |
$230K |
| 76813 |
|
3,333 |
3,294 |
$193K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,910 |
2,868 |
$184K |
| 95811 |
|
315 |
305 |
$177K |
| 64483 |
|
248 |
237 |
$174K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
503 |
488 |
$170K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,334 |
2,443 |
$163K |
| J9355 |
Injection, trastuzumab, excludes biosimilar, 10 mg |
48 |
24 |
$146K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,108 |
2,021 |
$144K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,483 |
2,164 |
$142K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
13,026 |
10,278 |
$141K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
619 |
567 |
$136K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
392 |
389 |
$133K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
5,282 |
5,230 |
$131K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
461 |
442 |
$130K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
505 |
480 |
$118K |
| 77066 |
Tomosynthesis, mammo |
1,211 |
1,152 |
$117K |
| 19083 |
|
194 |
171 |
$117K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
45,227 |
37,092 |
$115K |
| 43235 |
|
129 |
120 |
$115K |
| 64721 |
|
84 |
79 |
$112K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
602 |
577 |
$105K |
| 20610 |
|
370 |
347 |
$103K |
| 73564 |
|
4,267 |
3,674 |
$101K |
| 95886 |
|
2,313 |
2,216 |
$100K |
| 80053 |
Comprehensive metabolic panel |
15,283 |
11,583 |
$99K |
| 76830 |
Ultrasound, transvaginal |
1,887 |
1,830 |
$96K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
680 |
647 |
$93K |
| Q5111 |
Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg |
31 |
26 |
$91K |
| 73562 |
|
4,593 |
3,605 |
$90K |
| 76820 |
|
2,349 |
1,487 |
$84K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,184 |
1,161 |
$84K |
| 77065 |
Tomosynthesis, mammo |
1,174 |
1,101 |
$81K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
301 |
292 |
$79K |
| 76642 |
|
1,443 |
1,260 |
$79K |
| 73610 |
|
3,968 |
3,532 |
$79K |
| 72110 |
|
2,514 |
2,455 |
$77K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,679 |
5,416 |
$77K |
| Q3014 |
Telehealth originating site facility fee |
5,242 |
4,889 |
$77K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
687 |
682 |
$76K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
20,929 |
18,764 |
$75K |
| 49083 |
|
267 |
127 |
$74K |
| 36415 |
Collection of venous blood by venipuncture |
23,403 |
17,857 |
$74K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
410 |
389 |
$72K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,142 |
1,104 |
$70K |
| 93017 |
|
1,135 |
1,082 |
$69K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
19,718 |
15,029 |
$68K |
| 72141 |
|
313 |
303 |
$68K |
| 81000 |
|
4,264 |
3,733 |
$67K |
| 73221 |
|
254 |
243 |
$66K |
| 58661 |
|
62 |
42 |
$66K |
| 71250 |
|
910 |
862 |
$62K |
| Q0138 |
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) |
141 |
88 |
$61K |
| 0011A |
|
1,312 |
1,284 |
$60K |
| 71046 |
Radiologic examination, chest; 2 views |
6,964 |
6,571 |
$60K |
| 0012A |
|
1,178 |
1,138 |
$59K |
| 99219 |
|
239 |
228 |
$58K |
| 77412 |
|
1,009 |
103 |
$55K |
| G0008 |
Administration of influenza virus vaccine |
4,076 |
3,913 |
$51K |
| 99201 |
|
802 |
380 |
$49K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
447 |
343 |
$49K |
| 73630 |
|
3,468 |
3,000 |
$49K |
| J2785 |
Injection, regadenoson, 0.1 mg |
913 |
894 |
$49K |
| 0001A |
|
939 |
915 |
$48K |
| 73130 |
|
3,382 |
2,713 |
$48K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,569 |
2,368 |
$47K |
| 93970 |
|
524 |
488 |
$46K |
| 76536 |
|
883 |
854 |
$46K |
| 97602 |
|
176 |
132 |
$45K |
| 73030 |
|
2,591 |
2,233 |
$43K |
| 74183 |
|
96 |
91 |
$42K |
| 0002A |
|
799 |
781 |
$42K |
| 11982 |
|
45 |
41 |
$42K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,748 |
4,201 |
$41K |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
7,130 |
6,521 |
$41K |
| 58300 |
|
61 |
59 |
$41K |
| 99205 |
Prolong outpt/office vis |
283 |
278 |
$41K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,092 |
2,014 |
$41K |
| 58301 |
|
39 |
39 |
$37K |
| 95911 |
|
484 |
469 |
$35K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
604 |
584 |
$35K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
910 |
877 |
$34K |
| 73502 |
|
1,520 |
1,444 |
$34K |
| 83735 |
|
25,278 |
19,365 |
$34K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,767 |
2,718 |
$33K |
| 93971 |
|
708 |
662 |
$32K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
694 |
661 |
$31K |
| 96417 |
|
402 |
279 |
$31K |
| 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 |
241 |
236 |
$31K |
| 80197 |
|
3,044 |
1,325 |
$30K |
| 85027 |
|
8,829 |
6,054 |
$30K |
| 71271 |
|
365 |
362 |
$28K |
| 58558 |
|
28 |
24 |
$27K |
| 77080 |
|
473 |
465 |
$27K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
346 |
317 |
$27K |
| 99243 |
|
365 |
356 |
$27K |
| 95806 |
|
273 |
270 |
$26K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
605 |
568 |
$26K |
| 93975 |
|
373 |
358 |
$25K |
| 84100 |
|
23,555 |
18,564 |
$25K |
| 95913 |
|
252 |
242 |
$25K |
| 77062 |
|
865 |
838 |
$24K |
| 99245 |
|
151 |
144 |
$24K |
| 90686 |
|
3,174 |
3,108 |
$23K |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
1,511 |
1,490 |
$22K |
| 73110 |
|
1,644 |
1,444 |
$22K |
| C1769 |
Guide wire |
934 |
842 |
$22K |
| 73523 |
|
517 |
494 |
$22K |
| 77336 |
|
482 |
193 |
$22K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,716 |
1,579 |
$22K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
495 |
465 |
$21K |
| 96367 |
|
916 |
626 |
$21K |
| 94729 |
|
599 |
570 |
$20K |
| 93923 |
|
365 |
342 |
$20K |
| 59430 |
|
359 |
339 |
$20K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
144 |
133 |
$19K |
| 72100 |
|
959 |
928 |
$19K |
| 47562 |
|
12 |
12 |
$19K |
| 77061 |
|
751 |
717 |
$19K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
719 |
692 |
$17K |
| 94726 |
|
569 |
546 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,643 |
2,496 |
$17K |
| 70496 |
|
366 |
344 |
$17K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,199 |
1,085 |
$17K |
| 93356 |
|
657 |
630 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
4,794 |
4,389 |
$17K |
| 72050 |
|
495 |
477 |
$17K |
| 73560 |
|
1,236 |
997 |
$17K |
| 82248 |
|
7,808 |
6,135 |
$17K |
| 99242 |
|
235 |
234 |
$16K |
| 76775 |
|
379 |
360 |
$16K |
| J1756 |
Injection, iron sucrose, 1 mg |
2,678 |
1,167 |
$15K |
| 76770 |
|
339 |
322 |
$15K |
| 94060 |
|
708 |
677 |
$15K |
| 91200 |
|
376 |
362 |
$15K |
| 96415 |
|
446 |
314 |
$15K |
| 64493 |
|
35 |
32 |
$14K |
| 77334 |
|
95 |
83 |
$14K |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
349 |
343 |
$14K |
| 82803 |
|
2,601 |
2,273 |
$14K |
| 82962 |
|
11,196 |
8,019 |
$13K |
| 84702 |
|
1,542 |
1,163 |
$13K |
| 90732 |
|
393 |
377 |
$13K |
| 90715 |
|
1,491 |
1,434 |
$12K |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
133 |
125 |
$12K |
| 81025 |
|
11,840 |
11,098 |
$12K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
958 |
891 |
$12K |
| 93880 |
|
130 |
126 |
$11K |
| 0013A |
|
245 |
231 |
$11K |
| 70486 |
|
358 |
346 |
$11K |
| 26055 |
|
19 |
14 |
$11K |
| 74174 |
|
127 |
115 |
$11K |
| 95910 |
|
162 |
156 |
$10K |
| 70498 |
|
320 |
301 |
$10K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,077 |
577 |
$10K |
| 92558 |
|
50 |
49 |
$10K |
| 72040 |
|
510 |
490 |
$9K |
| 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 |
76 |
76 |
$9K |
| 83880 |
|
1,563 |
1,327 |
$9K |
| 73590 |
|
717 |
632 |
$9K |
| 99407 |
|
374 |
367 |
$9K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
770 |
512 |
$8K |
| 87631 |
|
273 |
251 |
$8K |
| 74178 |
|
43 |
41 |
$8K |
| 64494 |
|
42 |
31 |
$8K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,288 |
2,053 |
$8K |
| C1725 |
Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) |
78 |
73 |
$8K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,235 |
1,181 |
$7K |
| 72114 |
|
275 |
264 |
$7K |
| 96376 |
|
1,059 |
787 |
$7K |
| 76376 |
|
185 |
177 |
$7K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,871 |
1,706 |
$7K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
953 |
310 |
$7K |
| 90656 |
|
559 |
552 |
$7K |
| 84484 |
|
7,296 |
6,016 |
$7K |
| 90714 |
|
1,167 |
1,117 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
136 |
135 |
$7K |
| 94618 |
|
374 |
351 |
$7K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,485 |
1,434 |
$7K |
| 72070 |
|
288 |
283 |
$6K |
| 86832 |
|
73 |
69 |
$6K |
| 86833 |
|
73 |
69 |
$6K |
| 99153 |
Mod sedat endo service >5yrs |
276 |
253 |
$6K |
| 93226 |
|
125 |
122 |
$5K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
675 |
337 |
$5K |
| 93350 |
|
81 |
80 |
$5K |
| 76821 |
|
85 |
58 |
$5K |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
444 |
405 |
$5K |
| G0009 |
Administration of pneumococcal vaccine |
474 |
453 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,827 |
4,499 |
$5K |
| 76870 |
|
131 |
126 |
$5K |
| 0003A |
|
113 |
106 |
$5K |
| 73552 |
|
350 |
313 |
$5K |
| 81003 |
|
6,057 |
5,689 |
$5K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
486 |
475 |
$5K |
| 72197 |
|
12 |
12 |
$5K |
| 88341 |
|
80 |
75 |
$5K |
| 99152 |
|
280 |
262 |
$4K |
| 96040 |
|
176 |
173 |
$4K |
| 85610 |
|
3,977 |
3,261 |
$4K |
| 29580 |
|
23 |
12 |
$4K |
| 86850 |
|
1,892 |
1,708 |
$4K |
| 92250 |
|
78 |
76 |
$4K |
| 96402 |
|
144 |
136 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
483 |
467 |
$4K |
| 73080 |
|
389 |
356 |
$4K |
| 74018 |
|
267 |
251 |
$4K |
| 93925 |
|
64 |
60 |
$4K |
| 96127 |
|
49 |
47 |
$4K |
| 76519 |
|
113 |
107 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,283 |
1,201 |
$4K |
| 87497 |
|
114 |
66 |
$4K |
| 85730 |
|
2,596 |
2,252 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,108 |
1,020 |
$4K |
| 73090 |
|
350 |
313 |
$4K |
| 93225 |
|
143 |
140 |
$4K |
| 86900 |
|
2,263 |
2,061 |
$4K |
| 73140 |
|
322 |
294 |
$4K |
| 93978 |
|
85 |
79 |
$4K |
| J7297 |
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
13 |
12 |
$3K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
5,544 |
4,359 |
$3K |
| 77300 |
|
30 |
28 |
$3K |
| 80061 |
Lipid panel |
824 |
761 |
$3K |
| 80320 |
|
810 |
625 |
$3K |
| 70491 |
|
54 |
53 |
$3K |
| 88342 |
|
682 |
629 |
$3K |
| 83605 |
|
2,940 |
2,510 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,447 |
1,396 |
$3K |
| 80305 |
|
316 |
220 |
$3K |
| 87070 |
|
915 |
734 |
$3K |
| 82247 |
|
400 |
339 |
$3K |
| 97162 |
|
227 |
206 |
$3K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
210 |
179 |
$3K |
| 78306 |
|
42 |
39 |
$3K |
| 86901 |
|
2,101 |
1,907 |
$3K |
| P9016 |
Red blood cells, leukocytes reduced, each unit |
37 |
30 |
$2K |
| 81001 |
|
4,493 |
4,144 |
$2K |
| 36430 |
|
69 |
51 |
$2K |
| 97161 |
|
231 |
216 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
335 |
299 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
246 |
242 |
$2K |
| 83690 |
|
3,662 |
3,257 |
$2K |
| C1729 |
Catheter, drainage |
73 |
64 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
597 |
581 |
$2K |
| 10060 |
|
78 |
73 |
$2K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,563 |
1,879 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
982 |
945 |
$2K |
| 89051 |
|
409 |
260 |
$2K |
| 73060 |
|
223 |
198 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
158 |
146 |
$2K |
| A4648 |
Tissue marker, implantable, any type, each |
17 |
15 |
$2K |
| J1940 |
Injection, furosemide, up to 20 mg |
142 |
96 |
$2K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
4,413 |
4,020 |
$2K |
| J1630 |
Injection, haloperidol, up to 5 mg |
469 |
413 |
$2K |
| 86803 |
|
469 |
428 |
$2K |
| 72170 |
|
333 |
319 |
$2K |
| 87205 |
|
674 |
499 |
$2K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
2,128 |
1,520 |
$2K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
1,147 |
1,110 |
$2K |
| 87340 |
|
304 |
274 |
$2K |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
448 |
387 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
251 |
220 |
$2K |
| 95812 |
|
27 |
26 |
$2K |
| J1815 |
Injection, insulin, per 5 units |
1,265 |
716 |
$2K |
| 88173 |
|
16 |
12 |
$2K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
15 |
14 |
$2K |
| 81002 |
|
422 |
398 |
$1K |
| 77002 |
|
50 |
46 |
$1K |
| 73600 |
|
81 |
72 |
$1K |
| 82570 |
|
448 |
382 |
$1K |
| 72081 |
|
39 |
39 |
$1K |
| 74170 |
|
12 |
12 |
$1K |
| 77280 |
|
31 |
28 |
$1K |
| 96411 |
|
21 |
13 |
$1K |
| 87522 |
Neg quan hep c or qual rna |
64 |
52 |
$1K |
| 86593 |
|
540 |
519 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
6,407 |
5,768 |
$1K |
| 76882 |
|
65 |
60 |
$1K |
| 82728 |
|
358 |
329 |
$927.32 |
| J2790 |
Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) |
37 |
36 |
$888.28 |
| G0010 |
Administration of hepatitis b vaccine |
56 |
54 |
$885.23 |
| 90746 |
|
138 |
135 |
$818.91 |
| 90734 |
|
68 |
66 |
$801.20 |
| 86706 |
|
184 |
158 |
$776.74 |
| A4212 |
Non-coring needle or stylet with or without catheter |
103 |
99 |
$765.82 |
| 97166 |
|
34 |
30 |
$743.49 |
| 86592 |
|
543 |
522 |
$739.90 |
| 84156 |
|
422 |
359 |
$716.40 |
| 87186 |
|
504 |
474 |
$687.63 |
| 73000 |
|
45 |
39 |
$682.53 |
| 97010 |
|
619 |
195 |
$681.79 |
| 82607 |
|
311 |
291 |
$668.70 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,483 |
1,997 |
$663.58 |
| 95909 |
|
15 |
14 |
$624.42 |
| 83540 |
|
316 |
290 |
$621.21 |
| 80329 |
|
237 |
224 |
$608.31 |
| 93280 |
|
52 |
52 |
$588.85 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
91 |
81 |
$581.27 |
| 36416 |
|
143 |
103 |
$549.46 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,197 |
1,843 |
$542.89 |
| 97116 |
|
366 |
230 |
$489.14 |
| 86580 |
|
119 |
104 |
$480.17 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
687 |
382 |
$474.97 |
| 29125 |
|
114 |
112 |
$468.42 |
| 90662 |
|
47 |
43 |
$463.40 |
| 76937 |
|
121 |
114 |
$445.17 |
| 82746 |
|
227 |
209 |
$430.92 |
| 77331 |
|
20 |
16 |
$428.30 |
| J3490 |
Unclassified drugs |
2,562 |
1,931 |
$399.83 |
| 76857 |
|
14 |
14 |
$398.90 |
| 74420 |
|
27 |
24 |
$393.99 |
| 73100 |
|
28 |
24 |
$382.51 |
| 72052 |
|
13 |
13 |
$373.28 |
| 85384 |
|
110 |
97 |
$356.53 |
| 88307 |
|
149 |
145 |
$328.95 |
| 84703 |
|
349 |
331 |
$320.08 |
| J1644 |
Injection, heparin sodium, per 1000 units |
2,393 |
1,411 |
$319.74 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
154 |
76 |
$314.78 |
| 87081 |
|
224 |
204 |
$308.97 |
| 87040 |
|
335 |
303 |
$304.72 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
263 |
236 |
$297.79 |
| 83550 |
|
241 |
225 |
$291.52 |
| 92083 |
|
12 |
12 |
$287.02 |
| 86704 |
|
31 |
27 |
$282.07 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
829 |
736 |
$276.60 |
| 99417 |
Prolong home eval add 15m |
28 |
28 |
$274.42 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
105 |
42 |
$272.93 |
| 71101 |
|
27 |
26 |
$269.72 |
| 92133 |
|
13 |
13 |
$264.92 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
4,540 |
4,086 |
$242.18 |
| 73070 |
|
31 |
27 |
$240.16 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
12 |
12 |
$239.25 |
| 77417 |
|
27 |
14 |
$224.98 |
| 84550 |
|
84 |
72 |
$223.81 |
| 82550 |
|
372 |
325 |
$216.45 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
315 |
190 |
$215.92 |
| S0028 |
Injection, famotidine, 20 mg |
1,117 |
843 |
$206.39 |
| 93282 |
|
12 |
12 |
$179.15 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
439 |
396 |
$174.61 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
1,330 |
1,124 |
$171.08 |
| 83615 |
|
88 |
74 |
$170.97 |
| 92228 |
|
17 |
17 |
$165.35 |
| 87102 |
|
30 |
27 |
$162.50 |
| 84439 |
|
212 |
191 |
$158.75 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,524 |
5,583 |
$150.25 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,260 |
3,580 |
$146.77 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,732 |
1,373 |
$142.39 |
| 88304 |
|
266 |
254 |
$138.17 |
| 12001 |
|
77 |
76 |
$137.85 |
| 99406 |
|
13 |
13 |
$126.83 |
| 82043 |
|
31 |
30 |
$125.19 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
129 |
99 |
$124.93 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
32 |
25 |
$123.42 |
| 73620 |
|
17 |
13 |
$115.34 |
| 85007 |
|
33 |
26 |
$110.00 |
| 82150 |
|
18 |
15 |
$103.73 |
| 85652 |
|
298 |
280 |
$103.14 |
| 86140 |
|
312 |
293 |
$99.02 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,947 |
1,766 |
$98.93 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
41 |
40 |
$98.80 |
| 87116 |
|
16 |
16 |
$98.30 |
| A9503 |
Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries |
80 |
70 |
$91.58 |
| 77001 |
|
15 |
13 |
$86.20 |
| 80164 |
|
35 |
28 |
$74.88 |
| J7121 |
5% dextrose in lactated ringers infusion, up to 1000 cc |
33 |
24 |
$73.96 |
| 85045 |
|
75 |
65 |
$63.97 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,189 |
1,082 |
$44.51 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,438 |
1,349 |
$43.53 |
| 87206 |
|
16 |
16 |
$39.31 |
| 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 |
2,045 |
1,801 |
$37.18 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,390 |
1,217 |
$26.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
201 |
126 |
$20.76 |
| J2060 |
Injection, lorazepam, 2 mg |
263 |
218 |
$17.63 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
1,772 |
1,366 |
$16.04 |
| 82436 |
|
20 |
18 |
$12.56 |
| 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 |
1,104 |
952 |
$12.48 |
| 84300 |
|
20 |
18 |
$12.16 |
| 84133 |
|
20 |
18 |
$10.74 |
| J3480 |
Injection, potassium chloride, per 2 meq |
40 |
37 |
$5.68 |
| 82010 |
|
64 |
57 |
$5.00 |
| 84560 |
|
19 |
17 |
$4.50 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
464 |
425 |
$4.37 |
| 83935 |
|
19 |
17 |
$3.00 |
| 83014 |
|
28 |
28 |
$1.38 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
330 |
318 |
$0.00 |
| J1750 |
Injection, iron dextran, 50 mg |
78 |
64 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
63 |
56 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
86 |
61 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
89 |
85 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
99 |
94 |
$0.00 |
| 88302 |
|
17 |
15 |
$0.00 |
| J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg |
14 |
13 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
15 |
15 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
273 |
244 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
49 |
49 |
$0.00 |
| 84540 |
|
18 |
17 |
$0.00 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
863 |
759 |
$0.00 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
46 |
31 |
$0.00 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
37 |
28 |
$0.00 |
| V2632 |
Posterior chamber intraocular lens |
39 |
38 |
$0.00 |
| 86780 |
|
119 |
113 |
$0.00 |
| J1439 |
Injection, ferric carboxymaltose, 1 mg |
36 |
24 |
$0.00 |
| J1790 |
Injection, droperidol, up to 5 mg |
127 |
122 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
51 |
44 |
$0.00 |
| 12002 |
|
28 |
28 |
$0.00 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
22 |
17 |
$0.00 |
| C1781 |
Mesh (implantable) |
16 |
14 |
$0.00 |
| 88300 |
|
17 |
15 |
$0.00 |