Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › BRONX › MONTEFIORE MEDICAL CENTER

MONTEFIORE MEDICAL CENTER

NPI: 1952476988 · BRONX, NY 10467 · General Acute Care Hospital · NPI assigned 11/22/2006

$961.14M
Total Medicaid Paid
17,112,336
Total Claims
14,680,462
Beneficiaries
1445
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBLYE, COLLEN (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date11/22/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 606,561 $24.12M
2019 1,659,479 $74.51M
2020 2,569,875 $135.89M
2021 3,132,626 $150.90M
2022 3,038,053 $211.29M
2023 3,379,216 $217.88M
2024 2,726,526 $146.56M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 574,884 509,794 $91.39M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 413,654 367,386 $69.10M
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) 235,703 90,809 $47.31M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 870,230 109,766 $31.32M
99282 Emergency department visit for the evaluation and management, low to moderate severity 145,168 138,414 $29.17M
90832 Psychotherapy, 30 minutes with patient 213,317 150,860 $26.89M
99283 Emergency department visit for the evaluation and management, moderate severity 135,654 129,145 $26.44M
99281 Emergency department visit for the evaluation and management, self-limited or minor 124,499 118,120 $25.47M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 166,900 142,747 $25.36M
99201 301,067 281,198 $20.95M
99215 Prolong outpt/office vis 91,035 83,839 $17.03M
J9271 Injection, pembrolizumab, 1 mg 1,952 1,568 $16.53M
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 119,555 70,564 $14.72M
99284 Emergency department visit for the evaluation and management, high severity 73,057 69,631 $13.87M
96361 Intravenous infusion, hydration; each additional hour 68,498 58,026 $11.68M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 6,757 3,631 $11.24M
90834 Psychotherapy, 45 minutes with patient 63,466 39,043 $11.20M
80053 Comprehensive metabolic panel 504,368 438,504 $10.88M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 58,301 53,748 $10.72M
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 165,926 155,050 $10.67M
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 58,520 39,389 $9.61M
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 129,355 122,615 $9.25M
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 79,343 67,240 $5.64M
86850 137,379 122,443 $5.15M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 40,108 39,948 $4.87M
J9144 Injection, daratumumab, 10 mg and hyaluronidase-fihj 1,040 663 $4.80M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 33,321 32,690 $4.69M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 39,169 38,984 $4.62M
92551 55,367 54,877 $4.59M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 25,490 24,982 $4.51M
J1561 Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg 2,083 903 $4.51M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 68,425 23,937 $4.18M
74177 Computed tomography, abdomen and pelvis; with contrast material 28,434 28,158 $4.16M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 107,030 97,513 $4.16M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 5,274 5,187 $3.88M
90791 Psychiatric diagnostic evaluation 17,452 17,047 $3.87M
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 2,321 2,242 $3.74M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 24,779 16,413 $3.53M
77067 Screening mammography, bilateral, including computer-aided detection 39,410 39,264 $3.44M
J3380 Injection, vedolizumab, intravenous, 1 mg 805 711 $3.40M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 28,430 28,107 $3.38M
80048 Basic metabolic panel (calcium, ionized) 174,264 164,504 $3.22M
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 4,645 4,603 $3.19M
70450 Computed tomography, head or brain; without contrast material 22,281 21,876 $3.18M
87631 43,160 42,187 $3.10M
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 130,339 128,840 $3.09M
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 27,022 26,804 $3.07M
96415 9,285 7,600 $3.06M
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 121,820 116,707 $3.03M
19318 1,170 988 $3.00M
86480 48,058 47,479 $2.99M
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 8,941 8,904 $2.96M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 26,696 23,479 $2.91M
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 26,201 26,005 $2.91M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 23,664 22,731 $2.90M
45380 Colonoscopy, flexible; with biopsy, single or multiple 3,806 3,736 $2.79M
76770 19,528 19,386 $2.77M
42820 Tonsillectomy and adenoidectomy; younger than age 12 1,863 1,855 $2.73M
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 164,640 160,683 $2.68M
88305 Level IV - Surgical pathology, gross and microscopic examination 43,243 42,004 $2.65M
93458 1,792 1,744 $2.64M
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 19,674 18,785 $2.64M
80061 Lipid panel 243,061 240,358 $2.62M
93970 12,364 12,178 $2.62M
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg 1,591 937 $2.58M
J2505 Injection, pegfilgrastim, 6 mg 773 597 $2.56M
H0005 Alcohol and/or drug services; group counseling by a clinician 26,936 7,329 $2.39M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 46,303 39,836 $2.36M
P9016 Red blood cells, leukocytes reduced, each unit 5,490 4,641 $2.27M
77386 8,833 935 $2.27M
87536 26,227 25,889 $2.23M
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 2,534 1,378 $2.18M
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 2,387 2,361 $2.17M
54161 1,661 1,647 $2.09M
90836 19,233 12,648 $2.09M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12,295 12,189 $2.07M
77412 7,190 1,141 $2.03M
86901 135,557 123,265 $1.89M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 9,888 9,785 $1.86M
90847 Family psychotherapy with the patient present, 50 minutes 7,138 4,580 $1.83M
90792 Psychiatric diagnostic evaluation with medical services 7,820 7,761 $1.82M
87507 6,472 6,341 $1.77M
90686 85,187 84,890 $1.75M
36415 Collection of venous blood by venipuncture 151,527 139,730 $1.74M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 77,958 58,586 $1.72M
52000 1,642 1,631 $1.71M
J0897 Injection, denosumab, 1 mg 1,357 1,310 $1.71M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 5,642 5,601 $1.68M
96110 Developmental screening, with scoring and documentation, per standardized instrument 13,708 13,662 $1.67M
20610 6,310 5,578 $1.65M
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 681 630 $1.63M
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 6,842 6,717 $1.63M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 42,839 33,871 $1.63M
59025 Fetal non-stress test 12,356 10,211 $1.62M
J0585 Injection, onabotulinumtoxina, 1 unit 2,680 1,865 $1.61M
96375 Therapeutic injection; each additional sequential IV push 68,617 50,955 $1.60M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 5,903 5,676 $1.55M
64483 1,766 1,712 $1.50M
51798 5,954 5,821 $1.50M
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 27,874 26,033 $1.49M
86900 135,605 123,306 $1.48M
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 80,695 78,885 $1.48M
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 5,684 5,631 $1.46M
36512 1,398 1,316 $1.45M
J1439 Injection, ferric carboxymaltose, 1 mg 2,175 1,560 $1.45M
85025 Blood count; complete (CBC), automated, and automated differential WBC count 642,069 581,728 $1.43M
99401 23,111 15,622 $1.42M
76700 Ultrasound, abdominal, real time with image documentation; complete 14,411 14,307 $1.40M
81513 22,153 21,710 $1.39M
J9299 Injection, nivolumab, 1 mg 264 169 $1.39M
D0120 Periodic oral evaluation - established patient 30,745 19,247 $1.34M
77336 5,515 2,743 $1.34M
J9306 Injection, pertuzumab, 1 mg 235 182 $1.30M
93976 6,303 6,192 $1.29M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 69,766 65,557 $1.28M
74176 Computed tomography, abdomen and pelvis; without contrast material 10,087 9,993 $1.27M
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 8,882 8,195 $1.27M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 8,747 7,426 $1.26M
41899 Unlisted procedure, dentoalveolar structures 798 786 $1.26M
19083 898 883 $1.25M
99244 Office or other outpatient consultation, moderate to high complexity 6,118 6,086 $1.25M
83036 Hemoglobin; glycosylated (A1C) 261,197 258,674 $1.24M
76818 15,311 6,913 $1.22M
H0004 Behavioral health counseling and therapy, per 15 minutes 17,591 13,786 $1.20M
70551 Magnetic resonance imaging, brain; without contrast material 6,445 6,397 $1.19M
Q5116 Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg 910 534 $1.17M
J3490 Unclassified drugs 34,579 24,757 $1.17M
87481 24,219 23,718 $1.16M
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 37,510 37,396 $1.10M
92567 19,089 18,878 $1.09M
99381 7,598 7,568 $1.09M
D0150 Comprehensive oral evaluation - new or established patient 17,555 7,933 $1.07M
90853 Group psychotherapy (other than of a multiple-family group) 13,172 5,234 $1.07M
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,598 1,462 $1.04M
87806 56,645 56,101 $1.04M
92557 11,963 11,803 $1.03M
72148 Magnetic resonance imaging, lumbar spine; without contrast material 5,907 5,878 $1.03M
47562 577 569 $1.02M
71260 Computed tomography, thorax, diagnostic; with contrast material 8,631 8,568 $1.01M
80076 60,710 59,252 $1.00M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 3,845 2,992 $1.00M
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 68,506 68,015 $993K
86359 24,587 23,799 $986K
90651 17,402 17,298 $982K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,828 1,809 $978K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 10,882 10,686 $976K
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 917 698 $973K
Q5119 Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg 608 298 $968K
74183 3,531 3,499 $963K
64493 1,224 1,073 $953K
99385 8,255 8,209 $941K
86780 116,326 114,857 $927K
90670 29,200 29,154 $925K
J9312 Injection, rituximab, 10 mg 268 162 $910K
88142 39,983 39,849 $892K
J9035 Injection, bevacizumab, 10 mg 206 113 $878K
71250 11,311 11,217 $875K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 4,625 4,557 $867K
90846 Family psychotherapy without the patient present, 50 minutes 5,521 3,684 $844K
86360 24,310 23,797 $841K
90837 Psychotherapy, 53 minutes with patient 4,511 2,735 $831K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 62,789 56,853 $826K
H2010 Comprehensive medication services, per 15 minutes 8,517 7,494 $824K
81243 8,849 8,794 $816K
12001 2,770 2,722 $808K
J1950 Injection, leuprolide acetate (for depot suspension), per 3.75 mg 495 478 $800K
90935 Hemodialysis procedure with single evaluation by a physician 6,893 1,256 $799K
84443 Thyroid stimulating hormone (TSH) 158,159 155,056 $797K
76830 Ultrasound, transvaginal 14,423 14,277 $790K
88342 10,801 10,520 $784K
95782 973 878 $778K
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg 169 107 $771K
67028 Intravitreal injection of a pharmacologic agent 6,342 3,715 $771K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 3,441 3,392 $755K
31237 517 437 $751K
99243 3,924 3,906 $751K
J9145 Injection, daratumumab, 10 mg 243 89 $750K
36430 6,074 4,456 $749K
71275 Computed tomographic angiography, chest, with contrast material 4,894 4,861 $749K
90750 6,399 6,356 $746K
82728 84,343 81,772 $741K
46607 1,016 929 $722K
86803 84,244 83,551 $722K
96127 142,051 138,174 $718K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 9,480 8,617 $713K
J9202 Goserelin acetate implant, per 3.6 mg 1,299 1,238 $710K
90671 4,689 4,688 $703K
83655 54,886 54,521 $702K
80050 General health panel 32,605 32,167 $691K
71046 Radiologic examination, chest; 2 views 88,360 85,776 $690K
81001 188,523 168,268 $687K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 80,221 78,745 $685K
V2632 Posterior chamber intraocular lens 13,271 2,723 $684K
76705 Ultrasound, abdominal, real time with image documentation; limited 15,835 15,608 $681K
12011 2,364 2,323 $678K
43235 815 813 $676K
99442 6,647 6,260 $660K
92134 8,157 7,385 $657K
86769 19,216 19,035 $656K
95117 9,803 6,217 $653K
31231 5,704 5,547 $652K
82607 70,062 69,327 $652K
83970 19,779 19,169 $648K
J9041 Injection, bortezomib, 0.1 mg 1,139 311 $644K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 12,781 12,256 $639K
62323 951 941 $634K
77334 3,064 2,245 $631K
10060 2,837 2,737 $628K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 16,763 16,244 $612K
Q5118 Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg 597 186 $607K
90715 26,666 26,580 $605K
77066 Tomosynthesis, mammo 6,564 6,479 $602K
99386 5,191 5,167 $599K
83520 6,246 6,082 $599K
84439 103,710 101,484 $597K
73221 2,892 2,873 $591K
81329 7,722 7,614 $584K
88307 3,168 3,103 $583K
D1351 Sealant - per tooth 14,034 3,758 $580K
72141 3,156 3,138 $572K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 602 601 $572K
20611 596 573 $568K
76536 9,518 9,449 $567K
86003 12,345 11,592 $556K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 20,073 9,248 $552K
83880 29,316 28,126 $547K
G2078 Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure 16,764 8,817 $545K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 12,477 11,082 $542K
99205 Prolong outpt/office vis 2,646 2,613 $528K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 18,118 17,677 $523K
97162 4,089 4,074 $516K
Q5111 Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg 326 266 $513K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 9,337 4,945 $504K
72197 1,483 1,471 $504K
H0001 Alcohol and/or drug assessment 2,457 1,815 $502K
29881 646 641 $496K
99443 4,620 4,198 $496K
77300 1,794 1,479 $490K
87799 9,872 7,545 $487K
93320 7,697 7,505 $486K
Q5120 Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg 204 163 $485K
92083 6,563 5,372 $476K
J2357 Injection, omalizumab, 5 mg 2,676 2,243 $475K
86832 2,284 2,162 $469K
77290 1,466 1,142 $469K
74178 2,897 2,881 $467K
77065 Tomosynthesis, mammo 7,439 7,078 $463K
76642 10,724 10,552 $461K
83021 25,758 24,128 $457K
84466 60,239 58,697 $456K
96367 6,763 5,504 $448K
81025 20,974 19,614 $446K
86833 2,281 2,159 $446K
31575 4,101 4,018 $445K
77063 Screening digital breast tomosynthesis, bilateral 16,897 16,856 $438K
11900 1,478 1,443 $437K
H0049 Alcohol and/or drug screening 14,992 14,897 $436K
D1120 Prophylaxis - child 9,898 8,162 $434K
99383 3,378 3,368 $428K
75574 2,681 2,669 $416K
0002A 10,945 10,943 $412K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 4,362 2,049 $412K
87086 Culture, bacterial; quantitative colony count, urine 135,804 129,075 $411K
99441 4,432 4,213 $411K
93325 9,449 9,103 $407K
77301 680 599 $405K
87497 12,301 8,002 $403K
90739 3,132 3,116 $401K
90732 3,920 3,903 $397K
0001A 12,320 12,303 $395K
30140 224 204 $390K
87490 51,519 49,479 $387K
C1769 Guide wire 6,321 6,167 $385K
95250 1,825 1,759 $385K
88185 2,916 2,319 $383K
93925 2,138 2,092 $382K
82803 14,904 13,713 $381K
J0791 Injection, crizanlizumab-tmca, 5 mg 125 64 $378K
64615 980 968 $378K
29827 188 188 $378K
85610 130,595 121,023 $374K
96401 5,241 3,329 $373K
70491 2,715 2,693 $371K
84403 16,637 16,297 $361K
70486 4,242 4,212 $360K
87340 69,683 68,970 $357K
76825 1,810 1,648 $357K
58558 282 282 $352K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 8,935 8,897 $351K
T2022 Case management, per month 4,216 2,684 $350K
D1110 Prophylaxis - adult 7,828 6,077 $348K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 4,307 4,124 $347K
29876 254 250 $343K
0223U 2,801 2,770 $339K
86762 28,293 28,116 $338K
12002 1,115 1,092 $337K
J1453 Injection, fosaprepitant, 1 mg 4,129 2,826 $337K
82784 25,134 22,481 $337K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 828 808 $330K
52356 228 223 $327K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 831 648 $324K
91322 4,057 4,054 $320K
87563 13,751 13,559 $320K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 2,621 2,577 $316K
C1889 Implantable/insertable device, not otherwise classified 2,196 2,188 $316K
97010 19,886 8,202 $315K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,851 2,693 $313K
99384 2,565 2,519 $312K
70544 1,866 1,848 $310K
87522 Neg quan hep c or qual rna 8,022 7,772 $307K
92133 4,346 4,145 $306K
86765 28,795 28,609 $306K
87486 5,735 5,636 $304K
86923 5,603 4,983 $304K
29888 118 118 $302K
94060 4,930 4,542 $302K
84702 83,188 75,241 $296K
86706 39,855 39,492 $295K
77338 1,155 915 $293K
J9070 Cyclophosphamide, 100 mg 1,008 592 $291K
97803 5,340 4,877 $290K
20550 1,113 1,057 $289K
11721 4,177 3,776 $288K
J0561 Injection, penicillin g benzathine, 100,000 units 2,660 2,337 $286K
77280 994 832 $286K
88341 4,192 4,081 $283K
99402 4,285 3,536 $282K
82746 32,110 31,843 $280K
86317 1,007 822 $275K
83735 138,273 118,820 $273K
90734 14,297 14,213 $272K
97802 4,344 4,325 $270K
J2469 Injection, palonosetron hcl, 25 mcg 7,982 5,285 $269K
81337 6,114 6,041 $268K
80321 9,166 5,657 $266K
95816 1,108 1,034 $265K
94726 7,239 6,759 $263K
C1732 Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping 262 261 $262K
77062 3,403 3,390 $262K
99382 1,928 1,925 $261K
77385 1,164 117 $260K
92526 1,920 1,392 $259K
94010 7,977 7,419 $259K
96417 5,380 3,766 $258K
83540 79,768 77,725 $257K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 99,492 93,498 $256K
96156 1,385 1,299 $256K
76641 4,082 4,048 $255K
26055 236 202 $254K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 75,157 47,302 $253K
82570 75,733 72,775 $252K
93971 3,516 3,475 $252K
76801 3,356 3,055 $250K
84402 11,519 11,378 $248K
96409 2,906 1,633 $245K
92579 4,281 4,235 $242K
90633 16,277 16,201 $241K
92555 3,211 3,187 $238K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,607 1,520 $238K
81229 269 266 $237K
93880 1,589 1,564 $233K
97530 Therapeutic activities, direct patient contact, each 15 minutes 6,676 4,083 $232K
87517 5,205 5,070 $232K
84207 9,127 9,058 $230K
90680 18,414 18,404 $222K
94729 7,641 7,133 $217K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 5,763 5,372 $216K
84153 21,134 20,538 $215K
92587 4,176 3,790 $213K
76882 4,046 3,829 $212K
11901 695 667 $209K
C1781 Mesh (implantable) 1,138 1,130 $207K
88304 5,550 5,485 $206K
73562 11,562 11,161 $205K
A9585 Injection, gadobutrol, 0.1 ml 17,096 12,122 $205K
J3535 Drug administered through a metered dose inhaler 8,382 7,919 $204K
87902 738 717 $204K
J2785 Injection, regadenoson, 0.1 mg 2,094 2,082 $203K
51741 1,234 1,148 $203K
81003 76,217 71,074 $200K
93923 2,852 2,816 $199K
83001 12,728 12,577 $197K
95024 926 894 $196K
81401 1,189 1,187 $196K
49650 100 97 $196K
77080 5,101 4,920 $195K
84146 11,657 11,470 $195K
76942 1,497 1,357 $195K
46600 1,003 1,000 $193K
87081 43,014 41,966 $192K
72110 6,429 6,399 $192K
70543 539 537 $186K
55700 162 162 $186K
90707 8,186 8,143 $186K
92610 1,514 1,507 $184K
80197 26,018 16,226 $183K
77061 2,917 2,902 $183K
93017 3,869 3,844 $182K
D0274 Bitewings - four radiographic images 7,936 7,498 $181K
88112 2,951 2,596 $181K
96416 729 409 $181K
82043 49,137 48,606 $180K
73700 1,523 1,513 $179K
76870 4,602 4,529 $176K
90697 9,325 9,321 $175K
58661 134 131 $175K
84445 2,474 2,439 $174K
86787 25,711 25,534 $174K
85730 101,037 96,869 $172K
99173 6,484 6,455 $172K
96411 3,186 2,287 $171K
72195 921 915 $169K
76857 14,604 14,424 $169K
73630 15,004 14,600 $168K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 236 235 $168K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,698 2,422 $166K
86161 10,969 10,672 $166K
96402 2,705 2,587 $164K
83516 11,211 11,091 $163K
99188 3,033 3,031 $163K
88360 1,806 1,757 $162K
93975 862 853 $161K
86704 21,622 21,369 $160K
20680 100 97 $159K
84100 90,318 77,634 $158K
71271 2,233 2,209 $157K
C1760 Closure device, vascular (implantable/insertable) 1,227 1,208 $157K
69210 3,895 3,847 $156K
72125 Computed tomography, cervical spine; without contrast material 4,315 4,254 $156K
73030 12,499 12,065 $155K
87077 35,507 34,574 $155K
74240 1,906 1,897 $155K
90999 Unlisted dialysis procedure, inpatient or outpatient 688 168 $155K
97165 1,391 1,388 $154K
93351 1,296 1,284 $153K
58100 478 475 $153K
86902 1,037 951 $152K
87088 34,593 33,524 $151K
90460 Immunization administration through 18 years of age via any route, first or only component 44,857 44,468 $150K
72100 11,660 11,557 $150K
78582 369 365 $148K
86922 2,677 2,212 $147K
84255 6,722 6,675 $147K
77295 631 561 $144K
99245 673 671 $143K
99406 3,518 3,414 $143K
83002 9,953 9,807 $143K
41010 132 132 $142K
C1887 Catheter, guiding (may include infusion/perfusion capability) 2,316 2,252 $141K
90656 10,951 10,853 $138K
G2068 Medication assisted treatment, buprenorphine (oral); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) 531 220 $137K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2,865 2,592 $136K
82670 5,766 5,626 $136K
72156 535 531 $135K
97804 2,578 2,560 $135K
87653 4,189 4,167 $134K
84425 10,539 10,454 $134K
31579 437 428 $134K
57454 355 354 $134K
90619 1,351 1,307 $134K
72082 3,314 3,278 $133K
73130 11,801 11,287 $133K
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) 86 77 $133K
97163 936 931 $132K
90716 7,331 7,298 $132K
86235 7,509 7,275 $131K
29125 861 851 $131K
J1050 Injection, medroxyprogesterone acetate, 1 mg 5,257 5,242 $131K
72146 830 827 $130K
81479 Unlisted molecular pathology procedure 854 828 $129K
42830 81 81 $129K
90698 9,621 9,611 $128K
86140 49,292 47,414 $127K
87529 3,320 3,275 $127K
93225 1,653 1,619 $126K
74174 865 849 $126K
72131 1,656 1,650 $126K
J9264 Injection, paclitaxel protein-bound particles, 1 mg 75 25 $125K
86735 16,995 16,921 $124K
52310 113 113 $124K
93886 410 388 $123K
64400 333 256 $122K
73610 12,137 11,577 $122K
83615 38,957 31,093 $122K
D1330 6,599 5,007 $120K
90849 1,203 594 $120K
72158 452 448 $120K
84446 10,014 9,933 $120K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,855 1,754 $119K
73560 9,726 9,522 $118K
90710 8,841 8,804 $118K
51702 550 493 $117K
83605 80,134 74,270 $117K
82330 80,852 74,916 $117K
C1776 Joint device (implantable) 26 26 $116K
74160 1,071 1,063 $115K
95913 987 898 $114K
82948 53,630 46,636 $114K
96112 851 838 $114K
0003A 3,061 3,057 $113K
86021 5,595 5,230 $113K
73200 1,026 1,017 $113K
92552 1,182 1,168 $111K
90746 2,676 2,656 $111K
84597 9,239 9,173 $111K
76775 3,641 3,625 $110K
D1208 Topical application of fluoride, excluding varnish 7,251 6,892 $109K
90381 313 312 $108K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 554 542 $108K
76827 1,814 1,650 $108K
83883 5,100 4,085 $107K
73110 8,799 8,067 $107K
87070 20,328 19,764 $106K
90472 Immunization administration, each additional vaccine (list separately) 21,865 21,695 $106K
29848 53 52 $105K
P9035 Platelets, pheresis, leukocytes reduced, each unit 243 119 $104K
90648 7,120 7,103 $104K
99397 950 945 $104K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 11,546 11,428 $103K
82785 10,114 9,875 $102K
84590 10,182 10,092 $101K
75561 336 335 $101K
97161 960 957 $101K
90696 7,386 7,348 $99K
87581 5,784 5,684 $99K
83690 85,298 80,578 $98K
0124A 2,767 2,760 $97K
82525 9,992 9,899 $96K
76813 1,367 1,286 $96K
90662 3,074 3,059 $95K
82627 5,428 5,367 $95K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 110 110 $94K
93505 60 50 $93K
99407 1,893 1,747 $93K
92136 936 930 $93K
86708 10,403 10,335 $93K
86355 2,278 2,180 $90K
58301 655 650 $89K
10005 492 486 $89K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 577 569 $89K
84703 30,962 29,445 $88K
86200 5,579 5,525 $88K
D0220 Intraoral - periapical first radiographic image 8,439 8,022 $88K
H0033 Oral medication administration, direct observation 2,453 355 $88K
99232 Subsequent hospital care, per day, moderate complexity 811 239 $87K
J1750 Injection, iron dextran, 50 mg 494 465 $86K
J2704 Injection, propofol, 10 mg 52,007 48,367 $86K
92340 Fitting of spectacles, except for aphakia; monofocal 933 926 $85K
92235 442 431 $85K
49591 54 54 $85K
70547 566 560 $84K
82610 6,086 5,062 $84K
84156 34,371 31,796 $84K
86376 7,601 7,551 $82K
71045 Radiologic examination, chest; single view 18,737 17,888 $82K
90691 984 979 $82K
73502 6,230 6,132 $82K
82375 80,197 74,326 $82K
82550 79,261 73,637 $82K
76514 781 734 $81K
77085 732 690 $81K
H0038 Self-help/peer services, per 15 minutes 1,477 1,108 $81K
0202U Oncology (prostate), multianalyte, gene expression profiling 2,831 2,806 $81K
0071A 2,344 2,333 $81K
72040 4,642 4,612 $81K
70496 757 753 $81K
90620 1,588 1,584 $81K
88108 2,085 2,000 $80K
58300 603 599 $78K
90723 5,087 5,079 $78K
84432 3,737 3,683 $77K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 26,346 23,962 $77K
87338 10,594 10,535 $76K
17110 232 227 $76K
88262 838 828 $75K
82397 3,823 3,786 $75K
84550 27,206 23,819 $74K
87186 24,141 23,497 $74K
96376 9,071 8,316 $73K
D0230 Intraoral - periapical each additional radiographic image 7,052 7,029 $71K
93226 1,222 1,199 $71K
86870 2,919 2,713 $71K
88184 2,586 2,204 $71K
87400 3,721 2,721 $71K
70498 478 474 $71K
19281 80 80 $70K
74230 1,168 1,164 $70K
81382 247 243 $70K
97022 2,239 1,092 $70K
11982 203 203 $70K
83498 3,228 3,193 $69K
84484 70,514 64,440 $68K
90480 2,147 2,147 $68K
70480 633 632 $68K
80069 8,716 7,977 $68K
90700 5,555 5,541 $67K
11981 223 222 $67K
84630 10,722 10,644 $67K
93246 1,140 1,135 $66K
82951 9,062 9,019 $66K
81206 571 514 $66K
82652 1,824 1,797 $66K
C1726 Catheter, balloon dilatation, non-vascular 489 461 $66K
93613 105 105 $65K
99459 2,598 2,582 $64K
J1631 Injection, haloperidol decanoate, per 50 mg 2,467 1,639 $64K
86695 3,066 3,034 $64K
76886 909 892 $64K
V2788 Presbyopia correcting function of intraocular lens 872 206 $64K
72050 2,124 2,118 $64K
97166 516 515 $64K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 2,175 1,588 $64K
J7030 Infusion, normal saline solution , 1000 cc 74,725 67,735 $62K
85245 2,340 2,298 $62K
93242 637 636 $61K
83550 16,951 16,536 $61K
82378 4,716 3,988 $60K
95811 119 109 $60K
90378 166 138 $59K
29515 360 359 $58K
90744 3,921 3,905 $58K
86038 13,904 13,787 $58K
77373 81 29 $57K
87147 10,116 9,918 $57K
82157 2,501 2,477 $57K
92582 645 639 $57K
84154 5,134 5,077 $57K
64405 324 269 $57K
30520 83 83 $57K
73521 3,015 2,990 $56K
92020 617 614 $56K
97116 2,098 1,332 $56K
82565 22,874 22,432 $56K
93248 705 702 $55K
86682 3,899 3,827 $55K
A4648 Tissue marker, implantable, any type, each 492 484 $55K
82533 4,306 3,915 $55K
86696 4,804 4,758 $55K
88173 2,071 1,948 $55K
82105 9,260 8,900 $55K
74018 4,798 4,637 $54K
86592 9,533 9,298 $54K
11056 242 234 $54K
86335 2,151 2,104 $54K
G0475 Hiv antigen/antibody, combination assay, screening 2,903 2,862 $54K
64635 82 69 $53K
85246 3,427 3,342 $53K
74221 1,073 1,065 $53K
A6410 Eye pad, sterile, each 1,652 1,171 $52K
D9239 476 71 $52K
82088 1,339 1,304 $52K
85652 40,828 39,346 $52K
J8501 Aprepitant, oral, 5 mg 3,274 3,243 $51K
0012A 1,432 1,430 $51K
93978 466 465 $51K
0072A 1,290 1,288 $51K
96160 1,168 1,156 $51K
J9045 Injection, carboplatin, 50 mg 1,896 1,381 $51K
J9263 Injection, oxaliplatin, 0.5 mg 2,104 852 $51K
91200 2,350 2,333 $50K
51600 76 74 $50K
95885 987 912 $50K
86147 3,193 3,146 $49K
D1206 Topical application of fluoride varnish 1,640 1,632 $49K
96167 1,089 959 $49K
69200 845 784 $49K
72070 3,259 3,244 $49K
90717 382 381 $48K
86304 3,273 2,635 $48K
73564 1,911 1,839 $48K
86255 3,301 3,047 $48K
93798 1,183 202 $47K
99223 Prolong inpt eval add15 m 175 164 $47K
D0272 Bitewings - two radiographic images 3,433 3,384 $47K
86357 2,289 2,191 $47K
84480 9,772 9,433 $46K
87205 21,725 21,100 $46K
82180 5,459 5,433 $46K
94618 1,759 1,600 $45K
86334 3,346 3,142 $45K
88275 278 271 $45K
86800 4,453 4,401 $45K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 4,570 4,377 $45K
J9267 Injection, paclitaxel, 1 mg 2,545 1,189 $45K
73140 4,299 4,051 $44K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 9,158 8,646 $44K
73590 5,141 4,929 $44K
95886 653 595 $44K
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 398 373 $44K
88300 2,690 2,643 $44K
84270 1,700 1,686 $44K
0011A 1,661 1,660 $43K
29826 139 139 $43K
C1753 Catheter, intravascular ultrasound 119 116 $43K
59841 50 50 $43K
82800 67,560 62,739 $43K
C1759 Catheter, intracardiac echocardiography 98 97 $43K
82977 13,547 12,419 $43K
86945 1,555 1,074 $43K
73522 1,400 1,387 $43K
86225 10,993 10,751 $42K
90678 249 249 $42K
81257 485 484 $42K
D1354 2,304 734 $41K
D0330 Panoramic radiographic image 1,394 1,376 $41K
83993 3,931 3,878 $40K
86812 898 887 $40K
98968 784 671 $40K
83921 2,944 2,908 $40K
86618 3,293 3,274 $39K
73080 4,579 4,253 $39K
54150 37 36 $39K
82542 2,433 2,375 $38K
90647 2,399 2,398 $37K
90375 12 12 $37K
J7050 Infusion, normal saline solution, 250 cc 64,643 41,752 $37K
82164 2,175 2,151 $37K
84244 1,545 1,509 $37K
86431 10,068 9,996 $37K
0742T 180 176 $37K
94760 6,774 6,383 $37K
88271 655 640 $36K
J1756 Injection, iron sucrose, 1 mg 1,182 548 $36K
72157 149 148 $36K
92082 266 254 $36K
82024 946 896 $36K
88312 1,757 1,735 $35K
J7120 Ringers lactate infusion, up to 1000 cc 42,575 40,557 $35K
64721 43 40 $35K
88237 220 215 $35K
86880 2,624 2,438 $35K
82247 5,331 3,783 $35K
30420 12 12 $34K
92285 432 411 $34K
51728 88 87 $34K
84305 2,293 2,266 $34K
10061 174 171 $34K
92611 380 334 $34K
82947 91,530 85,547 $34K
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 339 337 $34K
96900 1,167 267 $34K
73720 96 96 $34K
91321 838 838 $33K
92025 265 256 $33K
76981 470 466 $33K
97164 433 426 $33K
90675 320 175 $33K
C1874 Stent, coated/covered, with delivery system 28 28 $33K
J0178 Injection, aflibercept, 1 mg 34 25 $33K
92060 386 355 $33K
86141 4,488 4,362 $33K
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 14,671 14,523 $32K
83050 80,127 74,265 $32K
88313 2,738 2,691 $32K
86008 1,623 1,571 $32K
86146 3,002 2,862 $32K
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 635 603 $31K
0064A 984 975 $31K
77072 2,056 2,036 $31K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 575 573 $31K
D7140 Extraction, erupted tooth or exposed root 596 436 $31K
77073 1,390 1,379 $31K
90632 542 539 $31K
71270 174 170 $30K
82150 26,786 25,613 $30K
85046 20,995 18,289 $30K
92250 398 369 $30K
D9997 646 301 $30K
J0640 Injection, leucovorin calcium, per 50 mg 764 447 $30K
D0210 Intraoral - complete series of radiographic images 3,615 3,590 $29K
83519 1,209 1,187 $29K
84144 1,569 1,460 $28K
76819 Fetal biophysical profile; without non-stress testing 505 318 $28K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 41,906 37,086 $28K
81207 232 217 $28K
J0882 Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) 652 138 $28K
82672 1,536 1,525 $28K
J0741 Injection, cabotegravir and rilpivirine, 2mg/3mg 935 923 $28K
99233 Prolong inpt eval add15 m 217 64 $28K
84681 1,811 1,786 $28K
15830 13 12 $28K
C2617 Stent, non-coronary, temporary, without delivery system 460 437 $28K
86665 2,289 2,219 $28K
85240 2,489 2,439 $27K
A4314 Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) 2,100 2,021 $27K
0296T 471 471 $27K
J1741 Injection, ibuprofen, 100 mg 4,796 4,749 $27K
95912 214 185 $27K
36561 26 25 $27K
86849 2,753 2,594 $27K
84295 88,534 82,626 $27K
93244 391 391 $27K
73552 2,423 2,362 $27K
87040 9,277 8,945 $26K
95911 254 224 $26K
86777 1,647 1,624 $26K
J8540 Dexamethasone, oral, 0.25 mg 12,498 10,477 $26K
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 2,959 2,615 $26K
74019 5,314 5,221 $26K
90677 151 151 $25K
0134A 734 733 $25K
84155 11,252 10,036 $25K
J9171 Injection, docetaxel, 1 mg 268 201 $25K
J9000 Injection, doxorubicin hydrochloride, 10 mg 1,121 665 $24K
J3010 Injection, fentanyl citrate, 0.1 mg 48,369 40,849 $24K
C1764 Event recorder, cardiac (implantable) 91 91 $24K
98960 1,303 1,201 $24K
93280 374 341 $24K
D9310 509 309 $24K
P9037 Platelets, pheresis, leukocytes reduced, irradiated, each unit 50 27 $24K
84520 18,428 17,710 $24K
86325 515 496 $23K
84436 6,698 6,511 $23K
96368 1,233 1,017 $23K
G0297 Low dose ct scan (ldct) for lung cancer screening 174 171 $23K
86644 2,203 2,179 $23K
J2250 Injection, midazolam hydrochloride, per 1 mg 37,717 36,669 $23K
86301 2,264 1,792 $23K
74455 71 69 $23K
90785 1,665 1,424 $23K
82085 1,791 1,721 $23K
C1758 Catheter, ureteral 1,322 1,291 $23K
28296 12 12 $23K
19081 12 12 $23K
92524 153 153 $23K
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 625 619 $23K
72081 848 836 $23K
D0160 327 164 $22K
90380 95 95 $22K
83521 2,726 2,004 $22K
29130 147 146 $22K
83695 2,342 2,330 $21K
12013 76 76 $21K
J9206 Injection, irinotecan, 20 mg 1,096 401 $21K
84132 72,503 67,884 $21K
82310 13,446 12,904 $21K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 36,511 34,101 $21K
86593 3,873 3,792 $20K
62321 14 14 $20K
96450 37 26 $20K
A9581 Injection, gadoxetate disodium, 1 ml 324 321 $20K
54640 15 15 $20K
J2997 Injection, alteplase recombinant, 1 mg 15 13 $20K
73090 3,466 3,222 $20K
51797 75 74 $20K
82657 866 857 $20K
72170 2,072 2,046 $19K
29879 29 29 $19K
49652 12 12 $19K
88230 390 388 $19K
96377 1,344 1,043 $19K
80164 2,922 2,809 $19K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 1,301 1,290 $19K
J1030 Injection, methylprednisolone acetate, 40 mg 4,510 4,435 $19K
81270 390 380 $18K
81596 510 505 $18K
64494 959 899 $18K
82950 4,074 4,051 $18K
71101 2,227 2,204 $18K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 1,826 1,703 $18K
85044 17,002 14,940 $18K
82248 5,262 3,762 $18K
70360 1,507 1,491 $18K
83010 2,102 1,887 $18K
64450 111 94 $18K
J0592 Injection, buprenorphine hydrochloride, 0.1 mg 1,217 138 $18K
20552 101 80 $18K
66982 12 12 $18K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,990 2,594 $18K
83090 1,393 1,381 $18K
85613 2,764 2,737 $17K
83525 1,863 1,849 $17K
J9370 Vincristine sulfate, 1 mg 1,914 1,253 $17K
93990 339 327 $17K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 6,319 6,174 $17K
93282 182 174 $17K
76098 94 82 $17K
17250 75 70 $17K
73060 2,147 2,074 $17K
87530 344 341 $16K
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg 688 285 $16K
86039 4,379 4,327 $16K
85247 1,208 1,180 $16K
96158 220 180 $16K
J9190 Injection, fluorouracil, 500 mg 1,190 651 $16K
J2680 Injection, fluphenazine decanoate, up to 25 mg 597 243 $16K
92556 321 321 $16K
97168 259 246 $16K
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 844 593 $16K
J0690 Injection, cefazolin sodium, 500 mg 17,891 17,523 $15K
D0140 Limited oral evaluation - problem focused 1,412 1,386 $15K
78264 72 71 $15K
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 524 300 $15K
52332 13 12 $15K
70490 89 89 $15K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 410 385 $15K
74246 220 220 $15K
85384 3,962 3,623 $15K
80349 2,141 1,342 $15K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 4,498 4,405 $15K
96116 170 169 $15K
51784 438 375 $15K
Q9957 Injection, perflutren lipid microspheres, per ml 388 386 $15K
82677 1,042 1,036 $15K
86162 1,217 1,139 $15K
73718 61 61 $14K
15853 760 752 $14K
11402 12 12 $14K
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 1,445 1,265 $14K
36224 12 12 $14K
84481 2,641 2,505 $14K
J1270 Injection, doxercalciferol, 1 mcg 391 26 $14K
88346 273 270 $14K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 2,521 2,506 $14K
J0330 Injection, succinylcholine chloride, up to 20 mg 5,606 5,529 $14K
77370 64 62 $14K
92508 Group treatment of speech, language, voice, communication, and/or auditory processing disorder 521 255 $14K
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 73 72 $14K
96113 131 129 $14K
94645 1,118 1,083 $14K
90681 1,045 1,044 $13K
90713 886 881 $13K
86341 993 966 $13K
82787 1,167 1,071 $13K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 6,024 5,956 $13K
93312 41 41 $13K
97760 172 140 $13K
85362 9,902 9,687 $13K
80180 1,702 1,568 $13K
29405 56 51 $13K
94664 1,494 1,468 $12K
82390 2,108 2,089 $12K
G0008 Administration of influenza virus vaccine 1,393 1,385 $12K
G2077 Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code 180 159 $12K
72052 357 356 $12K
87177 1,562 1,453 $12K
67228 29 24 $12K
85660 2,166 2,155 $12K
J2270 Injection, morphine sulfate, up to 10 mg 12,561 10,990 $12K
96523 255 243 $12K
0154A 343 342 $12K
0051A 324 323 $12K
82668 1,056 1,024 $12K
98967 251 212 $12K
84134 1,902 1,862 $12K
J1885 Injection, ketorolac tromethamine, per 15 mg 44,255 41,899 $12K
D2930 Prefabricated stainless steel crown - primary tooth 103 95 $12K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 5,501 5,375 $11K
86645 1,950 1,934 $11K
89051 1,779 1,572 $11K
82270 2,914 2,863 $11K
C9257 Injection, bevacizumab, 0.25 mg 1,892 1,704 $11K
87634 2,804 2,749 $11K
J2405 Injection, ondansetron hydrochloride, per 1 mg 56,582 51,222 $11K
92523 53 53 $11K
27096 42 38 $11K
82465 3,922 3,898 $11K
95180 38 35 $11K
J0401 Injection, aripiprazole (abilify maintena), 1 mg 46 27 $11K
51705 53 50 $11K
83835 773 715 $11K
82374 10,663 10,529 $11K
85651 9,017 8,660 $10K
97597 55 47 $10K
96154 436 414 $10K
64644 31 31 $10K
82274 2,779 2,770 $10K
D9430 134 82 $10K
24640 29 26 $10K
85380 645 644 $10K
76377 187 186 $10K
72128 160 160 $10K
80323 2,100 2,048 $10K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 161 154 $10K
87593 95 90 $10K
J7060 5% dextrose/water (500 ml = 1 unit) 8,582 5,310 $10K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 2,567 2,368 $9K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 1,088 986 $9K
80178 1,817 1,706 $9K
70487 70 69 $9K
52287 12 12 $9K
93270 119 118 $9K
90685 549 549 $9K
95807 13 13 $9K
73000 721 683 $9K
20605 38 37 $9K
86709 1,151 1,139 $9K
93656 13 13 $9K
11102 14 12 $9K
J1200 Injection, diphenhydramine hcl, up to 50 mg 22,280 18,035 $9K
80354 201 189 $9K
87449 2,774 2,460 $8K
86403 1,831 1,811 $8K
D9110 586 580 $8K
82103 888 878 $8K
95018 46 45 $8K
78306 71 64 $8K
11104 13 12 $8K
86705 1,470 1,447 $8K
86774 589 583 $8K
20526 36 36 $8K
87075 2,338 2,254 $8K
86778 677 665 $8K
43762 72 69 $8K
29505 56 55 $8K
92550 125 125 $8K
80177 1,860 1,773 $8K
J0696 Injection, ceftriaxone sodium, per 250 mg 12,043 11,451 $8K
96161 161 160 $8K
95028 28 27 $8K
99195 166 135 $8K
82960 2,765 2,749 $8K
86905 291 290 $7K
88311 645 636 $7K
80361 556 513 $7K
64413 14 12 $7K
29075 27 27 $7K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 17 17 $7K
80156 1,087 1,056 $7K
C8930 Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision 15 15 $7K
77049 25 25 $7K
72220 669 665 $7K
99454 113 111 $7K
11730 39 39 $7K
J9250 Methotrexate sodium, 5 mg 2,487 1,072 $7K
J9046 Injection, bortezomib (dr. reddy's), not therapeutically equivalent to j9041, 0.1 mg 470 120 $7K
85018 1,154 1,052 $7K
11100 12 12 $7K
97167 50 50 $7K
A9540 Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries 572 559 $7K
J1170 Injection, hydromorphone, up to 4 mg 6,347 5,319 $7K
96150 194 184 $7K
87209 864 804 $7K
80230 722 695 $7K
J1626 Injection, granisetron hydrochloride, 100 mcg 2,173 1,046 $7K
86747 379 374 $7K
84238 208 208 $7K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 229 224 $7K
80329 1,283 1,236 $7K
90714 278 278 $7K
31624 12 12 $7K
29065 28 27 $7K
92978 40 39 $6K
P9100 Pathogen(s) test for platelets 181 83 $6K
86160 710 695 $6K
20553 27 24 $6K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 115 111 $6K
J1644 Injection, heparin sodium, per 1000 units 8,308 4,068 $6K
L8600 Implantable breast prosthesis, silicone or equal 571 567 $6K
10160 24 24 $6K
97018 386 215 $6K
J3475 Injection, magnesium sulfate, per 500 mg 6,423 5,439 $6K
82523 612 598 $6K
81403 63 61 $6K
77470 73 70 $6K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 512 351 $6K
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 2,174 1,935 $6K
86920 66 65 $6K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 183 183 $6K
81050 2,129 2,059 $6K
J2370 Injection, phenylephrine hcl, up to 1 ml 6,925 6,818 $6K
92201 80 79 $6K
99417 Prolong home eval add 15m 838 825 $6K
82077 7,003 6,501 $6K
J2765 Injection, metoclopramide hcl, up to 10 mg 21,100 19,937 $6K
86060 1,513 1,500 $6K
82575 1,076 1,067 $6K
0173A 144 142 $6K
93985 39 38 $6K
77332 18 16 $6K
82239 575 526 $6K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 8,429 7,237 $6K
G2074 Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) 354 248 $5K
99242 38 38 $5K
84145 1,220 1,197 $5K
77075 52 52 $5K
85347 693 682 $5K
83020 603 576 $5K
72193 24 24 $5K
86580 1,033 987 $5K
87324 1,343 1,307 $5K
80348 788 651 $5K
38222 13 12 $5K
0053A 128 127 $5K
88302 589 575 $5K
95012 140 138 $5K
64484 26 26 $5K
95800 85 77 $5K
77002 95 94 $5K
92553 64 64 $5K
94644 1,838 1,785 $5K
81370 103 102 $5K
82435 10,682 10,548 $5K
36000 136 132 $5K
91312 1,405 1,403 $5K
88143 202 199 $5K
81376 130 129 $5K
87350 678 659 $5K
A6223 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing 127 127 $5K
83721 1,508 1,498 $5K
84112 261 254 $5K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 4,138 3,649 $5K
82232 546 464 $5K
85305 369 361 $4K
C2639 Brachytherapy source, non-stranded, iodine-125, per source 27 27 $4K
92520 54 53 $4K
85097 73 70 $4K
80195 634 416 $4K
87210 1,067 1,003 $4K
72083 113 111 $4K
J0694 Injection, cefoxitin sodium, 1 gm 1,682 1,612 $4K
82172 481 478 $4K
90738 17 13 $4K
85597 289 283 $4K
93623 24 24 $4K
82104 466 461 $4K
86648 491 485 $4K
81241 97 96 $4K
J9060 Injection, cisplatin, powder or solution, 10 mg 306 155 $4K
80365 644 597 $4K
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml 1,100 1,017 $4K
S0020 Injection, bupivicaine hydrochloride, 30 ml 536 536 $4K
74181 12 12 $4K
Q3014 Telehealth originating site facility fee 148 141 $4K
G0499 Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result 225 165 $4K
84075 1,485 1,456 $4K
91010 37 37 $4K
86701 552 534 $4K
81364 13 12 $4K
J3370 Injection, vancomycin hcl, 500 mg 2,081 1,817 $4K
99254 17 15 $4K
D1310 97 43 $4K
91313 438 437 $4K
85397 236 208 $4K
73660 610 598 $4K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 4,255 4,173 $4K
J7042 5% dextrose/normal saline (500 ml = 1 unit) 4,498 4,066 $4K
99457 91 91 $4K
C1730 Catheter, electrophysiology, diagnostic, other than 3d mapping (19 or fewer electrodes) 12 12 $3K
J2919 Injection, methylprednisolone sodium succinate, 5 mg 475 396 $3K
77001 12 12 $3K
92511 126 125 $3K
95910 51 41 $3K
86340 365 359 $3K
A6258 Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 243 242 $3K
92002 20 20 $3K
82040 1,997 1,945 $3K
99451 375 359 $3K
C1729 Catheter, drainage 80 72 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 9,828 9,635 $3K
86702 447 435 $3K
80299 368 329 $3K
73070 482 457 $3K
76604 87 86 $3K
D2331 55 54 $3K
L3670 Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf 1,180 1,175 $3K
82985 553 548 $3K
86336 515 512 $3K
A9567 Technetium tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries 167 166 $3K
C1731 Catheter, electrophysiology, diagnostic, other than 3d mapping (20 or more electrodes) 12 12 $3K
99152 993 974 $3K
77012 25 25 $3K
97032 56 40 $3K
J1630 Injection, haloperidol, up to 5 mg 3,196 2,686 $3K
81240 66 65 $3K
80158 450 297 $3K
J1953 Injection, levetiracetam, 10 mg 530 466 $3K
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 943 881 $3K
87101 377 375 $3K
G0103 Prostate cancer screening; prostate specific antigen test (psa) 520 505 $3K
J2003 Injection, lidocaine hydrochloride, 1 mg 1,220 1,142 $3K
D9920 165 150 $3K
72202 108 104 $3K
86707 301 298 $3K
80143 2,754 2,655 $3K
93662 67 67 $3K
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 2,583 2,572 $3K
11055 12 12 $3K
86300 221 215 $2K
92342 26 25 $2K
90658 186 186 $2K
87184 945 933 $2K
92588 81 77 $2K
84300 792 762 $2K
73223 13 13 $2K
82010 3,018 2,917 $2K
83030 1,063 1,018 $2K
J3489 Injection, zoledronic acid, 1 mg 105 95 $2K
0031A 61 61 $2K
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 50 50 $2K
96040 25 25 $2K
83992 109 100 $2K
84460 812 808 $2K
82626 125 125 $2K
J0612 Injection, calcium gluconate, not otherwise specified, 10 mg 497 399 $2K
80179 2,597 2,520 $2K
85300 256 253 $2K
A6224 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing 301 300 $2K
89320 214 207 $2K
J1010 Injection, methylprednisolone acetate, 1 mg 728 719 $2K
87116 421 397 $2K
82955 313 312 $2K
64643 12 12 $2K
87102 455 431 $2K
93308 14 14 $2K
J1815 Injection, insulin, per 5 units 3,251 2,586 $2K
86353 14 14 $2K
P9045 Infusion, albumin (human), 5%, 250 ml 14 14 $2K
86703 151 150 $2K
64495 327 304 $2K
80356 200 186 $2K
76776 37 37 $2K
85303 178 176 $2K
D0240 172 171 $2K
99238 Hospital discharge day management, 30 minutes or less 12 12 $2K
C1766 Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away 26 26 $2K
95076 14 12 $2K
G8996 Swallowing functional limitation, current status at therapy episode outset and at reporting intervals 108 69 $2K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 46 46 $2K
83935 415 387 $2K
94727 62 49 $2K
81002 3,131 2,866 $2K
74170 12 12 $2K
80358 256 229 $2K
J0780 Injection, prochlorperazine, up to 10 mg 1,140 1,110 $2K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 10,375 9,182 $2K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 44 44 $2K
J7999 Compounded drug, not otherwise classified 242 224 $2K
A5112 Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each 142 118 $2K
95873 70 57 $2K
90688 107 107 $2K
J3480 Injection, potassium chloride, per 2 meq 1,986 1,156 $2K
J2315 Injection, naltrexone, depot form, 1 mg 14 14 $2K
99239 Hospital discharge day management, more than 30 minutes 12 12 $2K
86308 1,016 1,008 $2K
96151 64 61 $2K
96130 32 28 $2K
93285 12 12 $2K
85460 183 176 $1K
81599 33 33 $1K
82656 222 219 $1K
99452 101 95 $1K
96136 41 36 $1K
A6257 Transparent film, sterile, 16 sq. in. or less, each dressing 145 145 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 27 14 $1K
73120 53 51 $1K
85732 402 388 $1K
75571 39 38 $1K
99050 97 95 $1K
J7510 Prednisolone oral, per 5 mg 3,964 3,891 $1K
80175 171 169 $1K
86784 179 178 $1K
G0009 Administration of pneumococcal vaccine 170 167 $1K
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 427 357 $1K
V5011 Fitting/orientation/checking of hearing aid 13 13 $1K
82952 900 897 $1K
D0270 210 209 $1K
87305 284 177 $1K
88368 12 12 $1K
73620 58 57 $1K
90672 120 120 $1K
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 903 851 $1K
80320 3,253 3,041 $1K
72084 22 22 $1K
99153 Mod sedat endo service >5yrs 525 514 $1K
80162 212 163 $1K
S9441 Asthma education, non-physician provider, per session 462 461 $1K
D2335 12 12 $1K
80145 50 50 $1K
C9399 Unclassified drugs or biologicals 53 43 $1K
J1580 Injection, garamycin, gentamicin, up to 80 mg 855 842 $1K
85027 647 602 $1K
J0461 Injection, atropine sulfate, 0.01 mg 576 404 $1K
76506 13 13 $984.00
87493 38 38 $955.33
80346 143 132 $949.97
93284 12 12 $945.70
98966 13 12 $927.69
C9113 Injection, pantoprazole sodium, per vial 601 528 $926.24
J3411 Injection, thiamine hcl, 100 mg 606 531 $911.30
V2787 Astigmatism correcting function of intraocular lens 32 28 $910.80
J2060 Injection, lorazepam, 2 mg 3,148 2,714 $907.12
76937 15 15 $899.48
81470 27 27 $895.72
90611 13 13 $887.01
74150 13 13 $871.00
D0145 Oral evaluation for a patient under three years of age 29 29 $870.00
0225U 158 158 $868.12
82360 219 214 $863.54
97535 Self-care/home management training, each 15 minutes 22 14 $834.96
86664 95 95 $830.91
84999 84 82 $827.15
84080 107 102 $814.87
90461 2,650 2,638 $810.15
71111 64 64 $806.95
A4615 Cannula, nasal 178 172 $797.90
73600 65 63 $796.96
86606 104 100 $795.66
90474 2,068 2,067 $794.70
J1596 Injection, glycopyrrolate, 0.1 mg 1,577 1,575 $784.11
96131 23 20 $767.82
97750 27 26 $736.03
0054A 17 16 $732.39
G0117 Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist 68 68 $723.43
77081 27 26 $698.54
87533 19 12 $694.53
C1788 Port, indwelling (implantable) 12 12 $693.60
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 20,487 19,809 $692.67
70030 26 26 $671.93
99292 15 15 $660.00
86256 83 78 $641.02
J2598 Injection, vasopressin, 1 unit 50 49 $640.79
J0360 Injection, hydralazine hcl, up to 20 mg 421 403 $613.79
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 14 14 $606.82
87015 326 308 $603.67
85007 649 604 $600.57
80353 71 68 $588.41
83718 338 338 $588.02
74175 12 12 $586.19
82140 205 199 $583.56
94799 989 971 $576.07
76820 18 12 $574.91
0013A 15 15 $572.47
85598 58 57 $571.29
83930 164 158 $567.71
73100 54 51 $559.44
93352 26 26 $555.94
72114 15 15 $553.24
99458 13 13 $525.88
93288 18 15 $518.36
87206 316 296 $517.22
96137 25 23 $517.13
90674 19 19 $515.82
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 60 58 $486.48
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 17,674 15,248 $475.85
J3371 Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg 112 112 $462.15
90660 32 32 $461.58
97124 21 12 $461.04
85520 45 30 $460.99
J3360 Injection, diazepam, up to 5 mg 232 187 $457.85
87046 228 223 $455.27
91315 148 148 $435.01
88141 13 13 $425.10
J1940 Injection, furosemide, up to 20 mg 788 702 $424.58
82810 283 274 $421.71
J2795 Injection, ropivacaine hydrochloride, 1 mg 230 229 $419.41
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 87 57 $414.20
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 708 650 $399.15
93356 40 40 $393.75
82340 102 102 $384.66
80235 26 26 $341.68
88274 39 37 $334.01
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine 308 55 $326.71
J8597 Antiemetic drug, oral, not otherwise specified 3,049 2,950 $318.32
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 226 209 $311.80
J2720 Injection, protamine sulfate, per 10 mg 182 181 $285.64
86337 28 28 $266.62
86663 26 26 $265.28
L1832 Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise 12 12 $258.26
80185 61 55 $253.37
86316 26 24 $253.20
82747 16 14 $248.18
84450 100 100 $247.95
84202 41 36 $220.89
61782 29 29 $211.36
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 182 182 $197.51
J2305 Injection, nitroglycerin, 5 mg 327 320 $191.30
Q0244 Injection, casirivimab and imdevimab, 1200 mg 79 79 $190.68
A4333 Urinary catheter anchoring device, adhesive skin attachment, each 174 155 $189.08
G8510 Screening for depression is documented as negative, a follow-up plan is not required 12 12 $187.20
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 359 346 $176.63
J9260 Injection, methotrexate sodium, 50 mg 56 42 $171.14
83789 14 13 $170.28
82945 98 91 $148.35
80500 26 25 $146.92
J1250 Injection, dobutamine hydrochloride, per 250 mg 14 14 $143.97
82962 852 820 $143.32
73551 39 39 $140.89
96373 12 12 $137.18
70250 13 13 $129.76
82705 42 40 $129.44
J2470 Injection, pantoprazole sodium, 40 mg 65 57 $128.86
J2310 Injection, naloxone hydrochloride, per 1 mg 13 12 $127.48
J0736 Injection, clindamycin phosphate, 300 mg 89 89 $109.93
Q0166 Granisetron hydrochloride, 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 24 hour dosage regimen 22 12 $94.98
S0028 Injection, famotidine, 20 mg 62 40 $90.33
OP250 76 50 $89.06
J0136 Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg 97 97 $88.27
J8499 Prescription drug, oral, non chemotherapeutic, nos 96 96 $75.43
84482 13 13 $73.70
J0613 Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg 24 24 $71.92
J1920 Injection, labetalol hydrochloride, 5 mg 139 135 $71.37
87045 14 14 $67.18
84157 38 38 $59.36
80183 13 13 $57.58
A6203 Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 164 164 $52.71
87450 97 96 $51.82
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 710 708 $49.73
96159 15 13 $46.24
84478 129 121 $40.24
87899 24 24 $37.32
J7121 5% dextrose in lactated ringers infusion, up to 1000 cc 20 17 $35.08
80362 13 13 $35.00
89060 12 12 $31.14
76010 14 14 $28.51
J1171 Injection, hydromorphone, 0.1 mg 117 98 $27.25
64636 72 65 $25.66
A4357 Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each 15 13 $21.90
A6222 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 122 121 $18.54
A6446 Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard 37 36 $15.81
82595 15 15 $14.25
85014 24 24 $12.41
A6454 Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard 96 96 $10.75
A4340 Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each 13 12 $5.68
J1650 Injection, enoxaparin sodium, 10 mg 12 12 $5.28
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 51 51 $4.94
A6403 Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing 73 73 $4.84
91300 72 72 $3.23
J1071 Injection, testosterone cypionate, 1 mg 52 36 $1.39
A6252 Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing 17 17 $1.30
A6253 Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing 72 71 $0.65
A6445 Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard 19 19 $0.41
Q0243 Injection, casirivimab and imdevimab, 2400 mg 44 30 $0.39
Q0222 Injection, bebtelovimab, 175 mg 52 52 $0.22
J1836 Injection, metronidazole, 10 mg 27 26 $0.18
Q0239 Injection, bamlanivimab-xxxx, 700 mg 58 58 $0.17
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 306 305 $0.06
G8997 Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 43 40 $0.02
D9999 Unspecified adjunctive procedure, by report 264 256 $0.00
D6999 142 125 $0.00
99429 9,367 6,514 $0.00
D9215 515 480 $0.00
D5899 390 308 $0.00
D9630 412 412 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 239 239 $0.00
99024 27 25 $0.00
G8998 Swallowing functional limitation, discharge status, at discharge from therapy or to end reporting 14 13 $0.00
D1320 15 15 $0.00
A4338 Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each 13 13 $0.00
A9539 Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries 15 15 $0.00
99080 105,724 24,151 $0.00
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 39 39 $0.00
99199 Unlisted special service, procedure or report 407 346 $0.00
99499 800 441 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 39 39 $0.00