| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
107,078 |
96,946 |
$3.67M |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
31,835 |
27,448 |
$2.34M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56,156 |
50,870 |
$1.34M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
28,025 |
23,083 |
$1.33M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
8,964 |
7,613 |
$472K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
5,917 |
5,746 |
$428K |
| 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 |
7,328 |
6,079 |
$391K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
10,470 |
9,218 |
$325K |
| 90834 |
Psychotherapy, 45 minutes with patient |
11,043 |
7,899 |
$300K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
9,167 |
8,058 |
$284K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
4,098 |
2,068 |
$263K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
9,485 |
8,579 |
$236K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
5,524 |
4,754 |
$232K |
| 84443 |
Thyroid stimulating hormone (TSH) |
15,819 |
14,377 |
$221K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,297 |
2,144 |
$199K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,611 |
4,263 |
$185K |
| 80061 |
Lipid panel |
16,962 |
15,413 |
$183K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,110 |
2,995 |
$164K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
643 |
556 |
$154K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,816 |
4,639 |
$150K |
| 99215 |
Prolong outpt/office vis |
3,272 |
2,933 |
$144K |
| 88142 |
|
7,725 |
6,876 |
$142K |
| 80050 |
General health panel |
3,718 |
3,230 |
$139K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,488 |
2,289 |
$128K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,905 |
4,467 |
$124K |
| 81514 |
|
1,288 |
1,168 |
$123K |
| 87505 |
|
1,150 |
976 |
$119K |
| 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 |
17,590 |
16,106 |
$118K |
| 80053 |
Comprehensive metabolic panel |
14,467 |
12,760 |
$118K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
3,922 |
3,490 |
$115K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,167 |
2,104 |
$112K |
| 71046 |
Radiologic examination, chest; 2 views |
16,079 |
14,526 |
$109K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
6,224 |
5,688 |
$102K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,445 |
2,278 |
$101K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,892 |
2,755 |
$101K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,821 |
5,252 |
$95K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,822 |
1,638 |
$94K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
2,584 |
940 |
$92K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
4,479 |
3,900 |
$91K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,160 |
1,970 |
$91K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13,184 |
11,433 |
$91K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
997 |
867 |
$90K |
| 82728 |
|
7,505 |
6,797 |
$88K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14,919 |
12,562 |
$87K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
16,699 |
13,740 |
$86K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,268 |
925 |
$86K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
10,811 |
9,894 |
$83K |
| 87634 |
|
1,372 |
1,275 |
$77K |
| 92015 |
Determination of refractive state |
10,062 |
8,485 |
$71K |
| 87081 |
|
10,366 |
9,283 |
$69K |
| 88307 |
|
1,157 |
1,044 |
$69K |
| 88141 |
|
3,801 |
3,470 |
$65K |
| 90674 |
|
7,086 |
6,706 |
$63K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
611 |
111 |
$60K |
| 73630 |
|
7,746 |
5,996 |
$60K |
| 86803 |
|
4,626 |
4,117 |
$58K |
| 88342 |
|
2,572 |
2,129 |
$57K |
| 83655 |
|
4,970 |
4,515 |
$56K |
| 88112 |
|
1,514 |
1,295 |
$54K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
8,124 |
7,214 |
$54K |
| 87481 |
|
2,032 |
832 |
$53K |
| 92341 |
|
2,419 |
2,078 |
$53K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,383 |
1,287 |
$50K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
1,254 |
1,082 |
$49K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,080 |
1,014 |
$49K |
| 83970 |
|
1,446 |
1,297 |
$47K |
| 84439 |
|
5,909 |
5,339 |
$46K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
201 |
193 |
$46K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,062 |
2,930 |
$46K |
| 3008F |
|
5,202 |
4,905 |
$46K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,121 |
1,943 |
$46K |
| 87340 |
|
4,842 |
4,253 |
$44K |
| 82607 |
|
3,354 |
2,989 |
$44K |
| 71045 |
Radiologic examination, chest; single view |
12,042 |
10,187 |
$43K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,179 |
2,633 |
$43K |
| 85610 |
|
12,849 |
7,274 |
$43K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,831 |
1,719 |
$42K |
| 64493 |
|
333 |
209 |
$40K |
| 84153 |
|
2,644 |
2,375 |
$40K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,226 |
1,154 |
$39K |
| D0160 |
|
608 |
598 |
$39K |
| G0481 |
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; 8-14 drug class(es), including metabolite(s) if performed |
520 |
470 |
$39K |
| 86618 |
|
2,530 |
2,203 |
$38K |
| 86780 |
|
4,373 |
3,793 |
$36K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
588 |
561 |
$36K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
386 |
361 |
$36K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,259 |
1,037 |
$33K |
| 87186 |
|
4,265 |
3,580 |
$32K |
| 90756 |
|
3,331 |
3,198 |
$32K |
| 83550 |
|
4,308 |
3,874 |
$32K |
| 84402 |
|
1,459 |
1,265 |
$31K |
| 84702 |
|
2,471 |
1,896 |
$31K |
| 64483 |
|
249 |
217 |
$30K |
| 86762 |
|
2,296 |
2,001 |
$29K |
| 82784 |
|
2,694 |
2,298 |
$29K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,330 |
1,364 |
$29K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
475 |
442 |
$28K |
| D9239 |
|
391 |
381 |
$28K |
| 87522 |
Neg quan hep c or qual rna |
658 |
581 |
$27K |
| 83540 |
|
4,554 |
4,103 |
$25K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,830 |
1,665 |
$24K |
| 83516 |
|
2,403 |
1,725 |
$23K |
| 73610 |
|
2,755 |
2,416 |
$23K |
| D7240 |
Removal of impacted tooth - completely bony |
101 |
38 |
$23K |
| 73562 |
|
3,240 |
2,593 |
$23K |
| 73030 |
|
2,963 |
2,449 |
$22K |
| 86038 |
|
2,232 |
1,773 |
$22K |
| D9243 |
|
270 |
228 |
$20K |
| 87088 |
|
2,844 |
2,439 |
$20K |
| 83001 |
|
1,244 |
1,084 |
$20K |
| 82746 |
|
1,526 |
1,340 |
$19K |
| D0140 |
Limited oral evaluation - problem focused |
999 |
975 |
$19K |
| 84146 |
|
1,072 |
979 |
$19K |
| 84481 |
|
1,425 |
1,275 |
$19K |
| 72100 |
|
1,984 |
1,820 |
$18K |
| 87510 |
|
920 |
788 |
$18K |
| D7230 |
|
121 |
54 |
$18K |
| 87493 |
|
683 |
601 |
$18K |
| 99310 |
Prolong nursin fac eval 15m |
763 |
733 |
$18K |
| 87480 |
|
894 |
761 |
$18K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
30 |
26 |
$18K |
| 87660 |
|
888 |
757 |
$18K |
| 86706 |
|
1,835 |
1,617 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
868 |
806 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
348 |
329 |
$18K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
191 |
162 |
$17K |
| 94060 |
|
582 |
554 |
$17K |
| 82105 |
|
1,139 |
994 |
$17K |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
1,386 |
1,224 |
$16K |
| 87077 |
|
2,197 |
1,865 |
$16K |
| 82043 |
|
3,289 |
3,009 |
$16K |
| 86704 |
|
1,431 |
1,264 |
$15K |
| 86140 |
|
3,227 |
2,883 |
$14K |
| 93000 |
|
1,616 |
1,487 |
$14K |
| 86708 |
|
1,252 |
1,110 |
$14K |
| 87328 |
|
1,193 |
964 |
$13K |
| 86850 |
|
3,271 |
2,820 |
$13K |
| 85027 |
|
2,567 |
2,299 |
$13K |
| 88304 |
|
1,662 |
1,472 |
$13K |
| 99001 |
|
4,191 |
3,380 |
$13K |
| 81001 |
|
5,045 |
4,457 |
$12K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
595 |
556 |
$12K |
| 88312 |
|
583 |
490 |
$12K |
| 87070 |
|
1,438 |
1,240 |
$11K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
338 |
319 |
$11K |
| 80164 |
|
904 |
820 |
$11K |
| 88341 |
|
473 |
387 |
$11K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
48 |
48 |
$11K |
| 64635 |
|
36 |
26 |
$11K |
| 83735 |
|
2,102 |
1,741 |
$11K |
| 90688 |
|
2,854 |
2,736 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
303 |
277 |
$11K |
| 84403 |
|
475 |
431 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
176 |
165 |
$10K |
| 90670 |
|
3,356 |
3,232 |
$10K |
| 83690 |
|
1,703 |
1,503 |
$10K |
| 74018 |
|
1,822 |
1,596 |
$10K |
| 90961 |
|
196 |
193 |
$10K |
| 82670 |
|
422 |
376 |
$10K |
| 11721 |
|
954 |
915 |
$10K |
| 84460 |
|
2,015 |
1,725 |
$9K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
135 |
123 |
$9K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
142 |
133 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
384 |
357 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
309 |
289 |
$9K |
| 76770 |
|
267 |
238 |
$9K |
| 82570 |
|
2,006 |
1,686 |
$9K |
| 82274 |
|
661 |
548 |
$8K |
| 83993 |
|
513 |
461 |
$8K |
| 99233 |
Prolong inpt eval add15 m |
484 |
212 |
$8K |
| 83002 |
|
473 |
411 |
$8K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
253 |
207 |
$8K |
| 86703 |
|
722 |
668 |
$8K |
| 81025 |
|
1,167 |
1,068 |
$7K |
| 82533 |
|
515 |
445 |
$7K |
| 73130 |
|
1,059 |
738 |
$7K |
| 90698 |
|
2,344 |
2,252 |
$7K |
| 58661 |
|
15 |
14 |
$7K |
| 80076 |
|
990 |
867 |
$7K |
| 82565 |
|
1,534 |
1,309 |
$7K |
| 82677 |
|
275 |
244 |
$7K |
| 92567 |
|
537 |
507 |
$7K |
| 86900 |
|
2,357 |
2,056 |
$6K |
| 82977 |
|
1,013 |
820 |
$6K |
| 86431 |
|
1,213 |
1,071 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
166 |
160 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
187 |
181 |
$6K |
| 86901 |
|
2,244 |
1,950 |
$6K |
| 87529 |
|
167 |
152 |
$6K |
| 84450 |
|
1,258 |
1,112 |
$6K |
| 82947 |
|
1,751 |
1,523 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
155 |
144 |
$6K |
| 99441 |
|
1,056 |
961 |
$6K |
| 73502 |
|
953 |
873 |
$6K |
| 64721 |
|
13 |
13 |
$5K |
| 64494 |
|
113 |
87 |
$5K |
| 0012A |
|
173 |
166 |
$5K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
102 |
88 |
$5K |
| 99460 |
|
60 |
51 |
$5K |
| D0330 |
Panoramic radiographic image |
98 |
97 |
$5K |
| 0001A |
|
176 |
173 |
$5K |
| 0002A |
|
160 |
156 |
$5K |
| 86376 |
|
387 |
359 |
$5K |
| 90686 |
|
1,657 |
1,606 |
$5K |
| 76830 |
Ultrasound, transvaginal |
141 |
128 |
$5K |
| 86696 |
|
266 |
234 |
$5K |
| 93976 |
|
147 |
139 |
$5K |
| 86200 |
|
405 |
355 |
$5K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
98 |
92 |
$5K |
| 99442 |
|
607 |
580 |
$5K |
| 36416 |
|
2,144 |
1,325 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
120 |
112 |
$4K |
| 86336 |
|
275 |
244 |
$4K |
| D7140 |
Extraction, erupted tooth or exposed root |
123 |
25 |
$4K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
50 |
12 |
$4K |
| 99306 |
Prolong nursin fac eval 15m |
224 |
207 |
$4K |
| 90846 |
Family psychotherapy without the patient present, 50 minutes |
50 |
37 |
$4K |
| 87338 |
|
315 |
291 |
$4K |
| 99443 |
|
231 |
214 |
$4K |
| 92557 |
|
209 |
201 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
210 |
191 |
$4K |
| 82150 |
|
659 |
602 |
$4K |
| 84165 |
|
391 |
347 |
$4K |
| 84156 |
|
1,289 |
1,059 |
$4K |
| 85652 |
|
1,609 |
1,465 |
$4K |
| 82248 |
|
847 |
646 |
$4K |
| 87205 |
|
917 |
791 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
204 |
197 |
$4K |
| 73110 |
|
445 |
381 |
$4K |
| 76642 |
|
160 |
106 |
$4K |
| 80197 |
|
342 |
243 |
$4K |
| 86364 |
|
312 |
286 |
$3K |
| 72040 |
|
411 |
369 |
$3K |
| 94010 |
|
210 |
197 |
$3K |
| 86695 |
|
252 |
223 |
$3K |
| V5266 |
Battery for use in hearing device |
292 |
281 |
$3K |
| 90680 |
|
1,086 |
1,041 |
$3K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
97 |
52 |
$3K |
| 88173 |
|
146 |
128 |
$3K |
| 0011A |
|
143 |
140 |
$3K |
| 87147 |
|
607 |
520 |
$3K |
| 86235 |
|
17 |
16 |
$3K |
| Q3014 |
Telehealth originating site facility fee |
322 |
304 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
108 |
104 |
$3K |
| 88313 |
|
172 |
160 |
$3K |
| 64484 |
|
41 |
38 |
$3K |
| 86617 |
|
109 |
82 |
$3K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
67 |
63 |
$3K |
| 80306 |
|
177 |
152 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
107 |
93 |
$2K |
| 85018 |
|
1,110 |
1,022 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
93 |
88 |
$2K |
| 83880 |
|
71 |
64 |
$2K |
| 83615 |
|
458 |
359 |
$2K |
| 86255 |
|
190 |
167 |
$2K |
| 64636 |
|
15 |
13 |
$2K |
| 95886 |
|
46 |
25 |
$2K |
| 86160 |
|
166 |
79 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
65,668 |
54,904 |
$2K |
| 20610 |
|
92 |
80 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
45 |
42 |
$2K |
| 82310 |
|
476 |
419 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
59 |
57 |
$2K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
21 |
12 |
$2K |
| 76536 |
|
81 |
75 |
$2K |
| 82950 |
|
420 |
384 |
$2K |
| 72141 |
|
42 |
36 |
$2K |
| 84550 |
|
436 |
396 |
$2K |
| 84100 |
|
406 |
334 |
$2K |
| 88302 |
|
351 |
310 |
$2K |
| 80178 |
|
272 |
221 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
16 |
12 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
30 |
25 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
90 |
62 |
$2K |
| 84134 |
|
228 |
213 |
$2K |
| 90744 |
|
511 |
477 |
$2K |
| 82550 |
|
223 |
200 |
$1K |
| 82024 |
|
47 |
40 |
$1K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
77 |
26 |
$1K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
64 |
36 |
$1K |
| 85730 |
|
237 |
188 |
$1K |
| 76801 |
|
32 |
30 |
$1K |
| 88311 |
|
179 |
143 |
$1K |
| 90633 |
|
436 |
426 |
$1K |
| G0127 |
Trimming of dystrophic nails, any number |
189 |
187 |
$1K |
| 86769 |
|
70 |
61 |
$1K |
| 84703 |
|
159 |
150 |
$1K |
| 82247 |
|
257 |
147 |
$1K |
| 80069 |
|
177 |
155 |
$1K |
| 86039 |
|
126 |
108 |
$1K |
| 82140 |
|
79 |
69 |
$1K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
132 |
59 |
$1K |
| 87075 |
|
112 |
97 |
$1K |
| 86812 |
|
43 |
39 |
$1K |
| 90715 |
|
92 |
89 |
$1K |
| 90651 |
|
308 |
299 |
$1K |
| 88360 |
|
15 |
14 |
$1K |
| 72082 |
|
121 |
111 |
$1K |
| 97597 |
|
86 |
53 |
$1K |
| 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 |
53 |
45 |
$1K |
| 92134 |
|
133 |
124 |
$1K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
30 |
12 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
985 |
794 |
$1K |
| 64490 |
|
17 |
12 |
$1K |
| 77080 |
|
89 |
73 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
65 |
52 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
58 |
57 |
$1K |
| 94729 |
|
122 |
115 |
$1K |
| 87040 |
|
72 |
60 |
$1K |
| 82657 |
|
45 |
43 |
$1K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
29 |
26 |
$975.52 |
| 82951 |
|
99 |
91 |
$965.84 |
| 99245 |
|
13 |
12 |
$960.75 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
202 |
175 |
$958.18 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
94 |
73 |
$951.65 |
| 00731 |
|
25 |
24 |
$935.83 |
| 86800 |
|
47 |
46 |
$887.94 |
| 93970 |
|
31 |
27 |
$780.44 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
33 |
25 |
$768.01 |
| 73564 |
|
53 |
41 |
$765.30 |
| 71250 |
|
14 |
14 |
$765.05 |
| 86677 |
|
123 |
112 |
$753.88 |
| 77002 |
|
15 |
12 |
$730.70 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
144 |
139 |
$723.68 |
| 86225 |
|
51 |
45 |
$719.60 |
| 92342 |
|
37 |
26 |
$707.63 |
| 83721 |
|
75 |
64 |
$703.35 |
| 82627 |
|
26 |
26 |
$687.39 |
| 11102 |
|
14 |
13 |
$687.21 |
| 92587 |
|
13 |
13 |
$650.89 |
| 99354 |
|
12 |
12 |
$618.95 |
| 87517 |
|
14 |
12 |
$606.09 |
| 99316 |
|
26 |
26 |
$594.65 |
| 82378 |
|
29 |
26 |
$583.47 |
| 96158 |
|
24 |
12 |
$572.71 |
| 83525 |
|
59 |
55 |
$563.75 |
| 86787 |
|
91 |
81 |
$557.42 |
| 73221 |
|
15 |
13 |
$523.29 |
| G0250 |
Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests |
1,298 |
1,272 |
$517.41 |
| 84132 |
|
129 |
105 |
$511.12 |
| 0031A |
|
19 |
18 |
$498.37 |
| 90734 |
|
126 |
123 |
$494.83 |
| 95807 |
|
15 |
14 |
$457.62 |
| 87329 |
|
53 |
48 |
$411.88 |
| 96118 |
|
13 |
12 |
$391.22 |
| 84630 |
|
30 |
29 |
$384.20 |
| 81003 |
|
233 |
211 |
$381.31 |
| 96159 |
|
22 |
12 |
$356.22 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
27 |
12 |
$350.01 |
| 87210 |
|
81 |
73 |
$348.99 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
114 |
95 |
$347.98 |
| 84295 |
|
76 |
63 |
$342.88 |
| V2020 |
Frames, purchases |
66 |
44 |
$341.15 |
| 82962 |
|
120 |
99 |
$329.05 |
| 97162 |
|
12 |
12 |
$302.06 |
| 85046 |
|
46 |
44 |
$298.24 |
| 80175 |
|
25 |
25 |
$281.21 |
| 84144 |
|
14 |
13 |
$276.18 |
| J9035 |
Injection, bevacizumab, 10 mg |
14 |
13 |
$262.33 |
| 96116 |
|
12 |
12 |
$246.68 |
| 96152 |
|
21 |
12 |
$235.89 |
| 84484 |
|
50 |
29 |
$235.71 |
| 82040 |
|
41 |
38 |
$226.99 |
| 76937 |
|
32 |
27 |
$226.09 |
| 89051 |
|
40 |
27 |
$209.14 |
| 86709 |
|
14 |
13 |
$182.76 |
| 77072 |
|
37 |
28 |
$170.36 |
| 82465 |
|
45 |
43 |
$164.97 |
| 85379 |
|
16 |
13 |
$157.06 |
| 72072 |
|
19 |
17 |
$156.74 |
| 93971 |
|
14 |
12 |
$151.48 |
| 80177 |
|
14 |
13 |
$145.67 |
| 87184 |
|
30 |
18 |
$145.15 |
| 99222 |
Initial hospital care, per day, moderate complexity |
28 |
27 |
$139.59 |
| 77001 |
|
15 |
14 |
$133.52 |
| 72110 |
|
13 |
12 |
$130.84 |
| 69209 |
|
16 |
16 |
$129.92 |
| 87102 |
|
12 |
12 |
$122.22 |
| 80047 |
|
45 |
41 |
$115.98 |
| 73590 |
|
14 |
12 |
$114.12 |
| 93296 |
|
12 |
12 |
$112.74 |
| 73140 |
|
16 |
16 |
$111.42 |
| 87206 |
|
16 |
14 |
$108.35 |
| 82390 |
|
13 |
12 |
$103.90 |
| 90707 |
|
12 |
12 |
$102.94 |
| 99307 |
|
41 |
40 |
$100.81 |
| 85060 |
|
19 |
14 |
$93.15 |
| 86308 |
|
25 |
24 |
$91.20 |
| 73080 |
|
14 |
13 |
$87.75 |
| 90687 |
|
28 |
27 |
$86.18 |
| 74019 |
|
14 |
14 |
$84.63 |
| 89190 |
|
15 |
14 |
$78.48 |
| 51798 |
|
14 |
13 |
$73.96 |
| 99152 |
|
12 |
12 |
$68.95 |
| 90685 |
|
26 |
25 |
$66.60 |
| 85014 |
|
27 |
25 |
$65.28 |
| 83605 |
|
15 |
14 |
$62.90 |
| 72170 |
|
14 |
12 |
$61.06 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
12 |
12 |
$50.50 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
73 |
71 |
$49.99 |
| 81015 |
|
16 |
16 |
$49.37 |
| 81050 |
|
16 |
13 |
$48.48 |
| 90658 |
|
14 |
14 |
$44.03 |
| G0008 |
Administration of influenza virus vaccine |
5,064 |
4,786 |
$42.97 |
| 90716 |
|
12 |
12 |
$41.35 |
| 90700 |
|
12 |
12 |
$37.44 |
| 83718 |
|
12 |
12 |
$33.99 |
| 92310 |
|
12 |
12 |
$30.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
18 |
17 |
$25.36 |
| 70355 |
|
40 |
40 |
$22.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
310 |
295 |
$16.09 |
| G8916 |
Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time |
239 |
223 |
$0.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
28 |
27 |
$0.00 |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
2,050 |
1,841 |
$0.00 |
| G8918 |
Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis |
1,614 |
1,448 |
$0.00 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
68 |
42 |
$0.00 |
| 0124A |
|
52 |
48 |
$0.00 |