| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
188,566 |
172,588 |
$12.49M |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
20,503 |
19,466 |
$2.92M |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
5,296 |
5,124 |
$1.85M |
| Z7502 |
|
45,870 |
45,543 |
$1.72M |
| 99199 |
Unlisted special service, procedure or report |
16,896 |
15,533 |
$1.26M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
6,479 |
6,231 |
$1.25M |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
19,126 |
17,616 |
$1.10M |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
36,622 |
32,867 |
$930K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
780 |
772 |
$926K |
| 80053 |
Comprehensive metabolic panel |
75,746 |
69,739 |
$881K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
31,496 |
29,516 |
$868K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,436 |
6,253 |
$757K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
1,887 |
1,779 |
$723K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
78,121 |
70,634 |
$665K |
| 0949 |
|
25,222 |
21,984 |
$661K |
| 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 |
12,505 |
10,845 |
$543K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,747 |
2,610 |
$506K |
| 0270 |
|
60,513 |
33,034 |
$503K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
5,878 |
5,796 |
$447K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
9,310 |
8,521 |
$428K |
| 93975 |
|
1,977 |
1,939 |
$400K |
| 71046 |
Radiologic examination, chest; 2 views |
17,407 |
16,886 |
$399K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14,043 |
12,513 |
$353K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,994 |
1,967 |
$345K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,005 |
4,692 |
$334K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
11,488 |
9,445 |
$325K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
9,342 |
8,695 |
$303K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,409 |
3,253 |
$302K |
| 76801 |
|
4,598 |
4,052 |
$297K |
| 76830 |
Ultrasound, transvaginal |
4,618 |
4,548 |
$291K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
6,408 |
6,396 |
$283K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
1,386 |
1,378 |
$281K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
4,493 |
4,417 |
$272K |
| 99221 |
|
11,203 |
9,774 |
$269K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
8,777 |
6,878 |
$265K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,364 |
2,296 |
$242K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
3,652 |
3,565 |
$238K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
4,434 |
4,035 |
$230K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
926 |
873 |
$228K |
| 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 |
3,896 |
3,586 |
$224K |
| 93976 |
|
1,124 |
1,091 |
$214K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
3,275 |
2,906 |
$214K |
| 71045 |
Radiologic examination, chest; single view |
16,049 |
15,470 |
$213K |
| 95811 |
|
949 |
937 |
$200K |
| J3490 |
Unclassified drugs |
60,582 |
35,109 |
$193K |
| 0360 |
|
2,116 |
1,496 |
$186K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
6,784 |
5,602 |
$185K |
| 93971 |
|
1,608 |
1,578 |
$178K |
| 84484 |
|
15,333 |
13,654 |
$173K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
5,043 |
5,037 |
$172K |
| 0301 |
|
1,651 |
1,441 |
$170K |
| P9016 |
Red blood cells, leukocytes reduced, each unit |
656 |
572 |
$153K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
2,922 |
1,131 |
$153K |
| 83690 |
|
20,986 |
20,083 |
$151K |
| 0760 |
|
6,356 |
5,066 |
$144K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,170 |
1,154 |
$141K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,705 |
1,818 |
$140K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,895 |
1,970 |
$136K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,630 |
1,099 |
$133K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,392 |
1,484 |
$129K |
| Q3014 |
Telehealth originating site facility fee |
5,261 |
5,098 |
$126K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
4,903 |
2,080 |
$124K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
2,594 |
2,402 |
$123K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
449 |
443 |
$122K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,900 |
2,856 |
$117K |
| 0250 |
|
68,883 |
38,271 |
$117K |
| 76642 |
|
3,339 |
3,276 |
$114K |
| 81001 |
|
31,800 |
30,449 |
$107K |
| 73610 |
|
3,551 |
3,472 |
$104K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
12,961 |
10,090 |
$103K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
498 |
491 |
$99K |
| 85730 |
|
15,887 |
15,265 |
$96K |
| 83880 |
|
3,267 |
3,104 |
$95K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
7,701 |
7,448 |
$94K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
11,982 |
11,567 |
$93K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
1,828 |
1,800 |
$92K |
| 90715 |
|
2,027 |
2,003 |
$92K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
599 |
589 |
$90K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
2,719 |
2,683 |
$90K |
| 84703 |
|
13,945 |
13,357 |
$89K |
| 77066 |
Tomosynthesis, mammo |
1,803 |
1,782 |
$86K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
9,845 |
8,680 |
$86K |
| 73630 |
|
3,054 |
2,991 |
$84K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
480 |
476 |
$83K |
| 94729 |
|
1,815 |
1,798 |
$81K |
| 36415 |
Collection of venous blood by venipuncture |
22,996 |
19,784 |
$79K |
| 97010 |
|
2,538 |
942 |
$76K |
| 84702 |
|
5,649 |
4,989 |
$76K |
| 76770 |
|
1,176 |
1,167 |
$75K |
| 93325 |
|
661 |
649 |
$74K |
| J2704 |
Injection, propofol, 10 mg |
3,032 |
2,248 |
$74K |
| 94726 |
|
1,759 |
1,742 |
$73K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,933 |
1,891 |
$72K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,975 |
1,934 |
$72K |
| 0710 |
|
2,669 |
2,602 |
$72K |
| 87486 |
|
1,855 |
1,752 |
$70K |
| 93970 |
|
423 |
420 |
$69K |
| 87581 |
|
1,859 |
1,752 |
$68K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
1,871 |
1,761 |
$67K |
| 73110 |
|
2,258 |
2,201 |
$67K |
| 85610 |
|
16,700 |
16,013 |
$65K |
| 73030 |
|
2,606 |
2,540 |
$65K |
| 94060 |
|
1,754 |
1,738 |
$64K |
| 73562 |
|
2,337 |
2,289 |
$64K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
2,177 |
1,385 |
$63K |
| 73130 |
|
2,193 |
2,145 |
$62K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
373 |
372 |
$62K |
| 77065 |
Tomosynthesis, mammo |
1,416 |
1,366 |
$61K |
| 70486 |
|
477 |
475 |
$60K |
| 85027 |
|
10,266 |
9,484 |
$60K |
| Z7610 |
|
23,916 |
13,325 |
$58K |
| 93798 |
|
2,311 |
444 |
$58K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
6,412 |
5,578 |
$53K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
9,229 |
8,664 |
$53K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,168 |
1,910 |
$53K |
| J7050 |
Infusion, normal saline solution, 250 cc |
7,944 |
5,019 |
$53K |
| Z7514 |
|
901 |
414 |
$52K |
| 76536 |
|
939 |
928 |
$52K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,316 |
2,019 |
$51K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,093 |
5,236 |
$51K |
| 94664 |
|
3,607 |
3,446 |
$50K |
| 82947 |
|
14,560 |
9,791 |
$49K |
| 80305 |
|
3,665 |
3,408 |
$49K |
| 76870 |
|
932 |
913 |
$47K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,612 |
1,555 |
$47K |
| 96376 |
|
1,587 |
1,099 |
$47K |
| 97116 |
|
2,578 |
1,213 |
$47K |
| 0272 |
|
6,630 |
6,286 |
$44K |
| 73080 |
|
1,404 |
1,365 |
$42K |
| 86923 |
|
946 |
893 |
$42K |
| 0160 |
|
918 |
552 |
$39K |
| 73564 |
|
1,279 |
1,272 |
$39K |
| 73502 |
|
1,151 |
1,123 |
$38K |
| 87186 |
|
4,031 |
3,887 |
$37K |
| 87507 |
|
89 |
89 |
$37K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,404 |
2,284 |
$37K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
893 |
808 |
$35K |
| 87040 |
|
2,494 |
2,280 |
$35K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
876 |
846 |
$34K |
| 86901 |
|
9,936 |
8,511 |
$34K |
| 86003 |
|
344 |
248 |
$32K |
| L3984 |
Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment |
316 |
310 |
$30K |
| 93320 |
|
421 |
417 |
$30K |
| 94010 |
|
1,768 |
1,739 |
$30K |
| 86900 |
|
9,902 |
8,494 |
$30K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
4,213 |
3,166 |
$29K |
| 73590 |
|
1,160 |
1,119 |
$28K |
| 81025 |
|
5,247 |
5,107 |
$28K |
| 97014 |
|
1,395 |
624 |
$27K |
| 0720 |
|
1,450 |
1,208 |
$26K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
280 |
275 |
$26K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
917 |
758 |
$26K |
| 83605 |
|
2,290 |
2,099 |
$26K |
| 80143 |
|
1,276 |
1,149 |
$26K |
| 80179 |
|
1,264 |
1,138 |
$25K |
| 73140 |
|
1,419 |
1,366 |
$25K |
| 87077 |
|
2,787 |
2,659 |
$25K |
| 96417 |
|
575 |
360 |
$25K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,713 |
3,299 |
$24K |
| 74018 |
|
1,080 |
1,061 |
$24K |
| 80306 |
|
1,313 |
1,221 |
$23K |
| 87088 |
|
3,143 |
3,052 |
$23K |
| 96367 |
|
793 |
702 |
$22K |
| 81003 |
|
9,373 |
9,058 |
$21K |
| 82803 |
|
1,135 |
1,073 |
$21K |
| 86850 |
|
4,882 |
4,689 |
$21K |
| 73090 |
|
908 |
872 |
$21K |
| 85007 |
|
6,662 |
6,091 |
$20K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
162 |
162 |
$20K |
| 83735 |
|
3,125 |
2,132 |
$19K |
| 72110 |
|
590 |
584 |
$19K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
4,844 |
3,781 |
$19K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
3,384 |
1,828 |
$19K |
| 86140 |
|
3,510 |
3,401 |
$18K |
| H1000 |
Prenatal care, at-risk assessment |
143 |
143 |
$18K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,554 |
3,257 |
$18K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,886 |
2,399 |
$18K |
| 73560 |
|
851 |
818 |
$18K |
| A4649 |
Surgical supply; miscellaneous |
3,517 |
2,146 |
$18K |
| 72100 |
|
542 |
522 |
$17K |
| 97802 |
|
168 |
168 |
$17K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,770 |
1,736 |
$16K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
327 |
317 |
$16K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
2,177 |
1,595 |
$16K |
| 87808 |
|
1,578 |
1,544 |
$16K |
| 77336 |
|
254 |
105 |
$15K |
| 71250 |
|
157 |
156 |
$15K |
| 0636 |
|
2,292 |
1,716 |
$14K |
| 76775 |
|
407 |
402 |
$14K |
| 36416 |
|
4,348 |
3,736 |
$13K |
| 85379 |
|
1,097 |
1,077 |
$13K |
| 0300 |
|
804 |
579 |
$12K |
| 95813 |
|
301 |
299 |
$12K |
| 80061 |
Lipid panel |
1,112 |
1,096 |
$12K |
| J0475 |
Injection, baclofen, 10 mg |
13 |
13 |
$11K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
463 |
458 |
$11K |
| 84145 |
|
530 |
487 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
126 |
125 |
$11K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
353 |
351 |
$11K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
3,407 |
3,230 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
186 |
119 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,216 |
2,164 |
$10K |
| 87070 |
|
1,060 |
1,027 |
$10K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
359 |
269 |
$10K |
| 97162 |
|
180 |
170 |
$10K |
| 97163 |
|
124 |
122 |
$9K |
| 99070 |
|
2,102 |
1,012 |
$9K |
| 71020 |
|
251 |
127 |
$9K |
| Z7500 |
|
259 |
238 |
$9K |
| 87147 |
|
1,634 |
1,571 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
280 |
231 |
$8K |
| 74178 |
|
38 |
37 |
$8K |
| J1644 |
Injection, heparin sodium, per 1000 units |
683 |
393 |
$8K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,714 |
1,565 |
$8K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
206 |
204 |
$8K |
| 97597 |
|
164 |
114 |
$7K |
| 87503 |
|
281 |
276 |
$7K |
| 84100 |
|
1,784 |
1,146 |
$7K |
| 72197 |
|
30 |
30 |
$7K |
| 87210 |
|
1,698 |
1,662 |
$7K |
| A4217 |
Sterile water/saline, 500 ml |
657 |
524 |
$7K |
| 51701 |
|
356 |
332 |
$7K |
| 87106 |
|
236 |
223 |
$7K |
| 77080 |
|
305 |
304 |
$7K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
212 |
211 |
$7K |
| 85652 |
|
1,979 |
1,920 |
$6K |
| 84439 |
|
761 |
728 |
$6K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
964 |
835 |
$6K |
| 0510 |
|
462 |
429 |
$5K |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
551 |
505 |
$5K |
| A9573 |
Injection, gadopiclenol, 1 ml |
158 |
158 |
$5K |
| 87205 |
|
1,185 |
1,138 |
$5K |
| 85384 |
|
511 |
505 |
$5K |
| 99001 |
|
4,580 |
4,330 |
$5K |
| 94618 |
|
334 |
329 |
$4K |
| 99234 |
|
820 |
756 |
$4K |
| 0372 |
|
92 |
92 |
$4K |
| 84460 |
|
762 |
743 |
$4K |
| 84450 |
|
765 |
745 |
$4K |
| 12001 |
|
292 |
286 |
$4K |
| J7070 |
Infusion, d5w, 1000 cc |
390 |
341 |
$4K |
| 59025 |
Fetal non-stress test |
685 |
251 |
$4K |
| 12011 |
|
212 |
210 |
$4K |
| 0761 |
|
130 |
118 |
$4K |
| 72040 |
|
130 |
130 |
$4K |
| 74021 |
|
129 |
125 |
$4K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
509 |
458 |
$4K |
| 82150 |
|
487 |
481 |
$4K |
| 0258 |
|
821 |
721 |
$3K |
| 73660 |
|
195 |
193 |
$3K |
| 0361 |
|
33 |
30 |
$3K |
| 97113 |
|
86 |
37 |
$3K |
| 82248 |
|
584 |
485 |
$3K |
| 74183 |
|
14 |
14 |
$3K |
| J1815 |
Injection, insulin, per 5 units |
572 |
291 |
$3K |
| 82247 |
|
546 |
439 |
$3K |
| 82550 |
|
397 |
379 |
$3K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
12 |
12 |
$3K |
| 97124 |
|
103 |
44 |
$3K |
| 93017 |
|
52 |
49 |
$3K |
| 59430 |
|
43 |
43 |
$3K |
| 96415 |
|
82 |
64 |
$3K |
| 0324 |
|
192 |
188 |
$3K |
| 82785 |
|
155 |
154 |
$2K |
| 82728 |
|
192 |
186 |
$2K |
| 70360 |
|
127 |
127 |
$2K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
294 |
224 |
$2K |
| 10060 |
|
165 |
162 |
$2K |
| 0700 |
|
72 |
60 |
$2K |
| 0750 |
|
14 |
14 |
$2K |
| 73060 |
|
55 |
51 |
$2K |
| 90686 |
|
85 |
85 |
$2K |
| 86592 |
|
470 |
462 |
$2K |
| 74019 |
|
77 |
76 |
$2K |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
217 |
200 |
$2K |
| 88312 |
|
156 |
156 |
$2K |
| 77334 |
|
28 |
25 |
$2K |
| 87116 |
|
120 |
119 |
$2K |
| 75574 |
|
13 |
13 |
$2K |
| 87102 |
|
135 |
134 |
$2K |
| 87430 |
|
203 |
195 |
$2K |
| 95012 |
|
72 |
69 |
$2K |
| 87081 |
|
286 |
269 |
$2K |
| 72141 |
|
13 |
13 |
$2K |
| 82378 |
|
89 |
77 |
$1K |
| 29125 |
|
231 |
227 |
$1K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
256 |
244 |
$1K |
| 82010 |
|
193 |
182 |
$1K |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
126 |
125 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$1K |
| 71010 |
|
43 |
15 |
$1K |
| 81000 |
|
495 |
330 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
25 |
$1K |
| 82330 |
|
83 |
78 |
$1K |
| 76937 |
|
51 |
50 |
$1K |
| 87206 |
|
166 |
162 |
$1K |
| 87015 |
|
120 |
119 |
$1K |
| 71100 |
|
38 |
38 |
$1K |
| 72131 |
|
12 |
12 |
$1K |
| G1010 |
Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program |
2,108 |
1,972 |
$996.87 |
| J2060 |
Injection, lorazepam, 2 mg |
262 |
228 |
$978.66 |
| 0515 |
|
40 |
40 |
$960.79 |
| 99499 |
|
14 |
12 |
$959.38 |
| 82784 |
|
106 |
105 |
$936.78 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
308 |
153 |
$930.04 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
12 |
12 |
$924.70 |
| 73552 |
|
28 |
25 |
$914.61 |
| 72170 |
|
41 |
41 |
$892.88 |
| 72072 |
|
36 |
36 |
$886.73 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
77 |
55 |
$872.90 |
| A9541 |
Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries |
26 |
26 |
$830.26 |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
26 |
26 |
$829.06 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
98 |
92 |
$721.66 |
| 72050 |
|
24 |
24 |
$696.39 |
| 85044 |
|
254 |
249 |
$685.32 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
21 |
12 |
$665.99 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
93 |
66 |
$638.45 |
| J0134 |
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
40 |
40 |
$623.22 |
| 84156 |
|
221 |
166 |
$613.59 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
54 |
43 |
$593.31 |
| 81002 |
|
366 |
363 |
$583.87 |
| 83550 |
|
72 |
71 |
$523.11 |
| 92567 |
|
18 |
17 |
$521.90 |
| 97803 |
|
19 |
12 |
$500.52 |
| 0401 |
|
13 |
13 |
$500.48 |
| 83540 |
|
85 |
84 |
$500.01 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
21 |
13 |
$457.40 |
| 74022 |
|
13 |
12 |
$428.60 |
| 90656 |
|
15 |
15 |
$406.83 |
| 86308 |
|
70 |
70 |
$396.60 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
86 |
70 |
$395.60 |
| 99000 |
|
106 |
99 |
$393.32 |
| 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) |
17 |
12 |
$376.87 |
| 83615 |
|
74 |
71 |
$375.62 |
| 73521 |
|
14 |
14 |
$361.42 |
| 84132 |
|
124 |
114 |
$360.38 |
| 0306 |
|
128 |
111 |
$313.22 |
| 36600 |
|
16 |
15 |
$301.30 |
| 99401 |
|
23 |
16 |
$301.01 |
| 90658 |
|
17 |
17 |
$283.53 |
| 87075 |
|
26 |
26 |
$277.94 |
| 84481 |
|
16 |
15 |
$251.92 |
| 91010 |
|
13 |
12 |
$224.85 |
| 0305 |
|
75 |
66 |
$223.55 |
| 83520 |
|
12 |
12 |
$212.86 |
| 87390 |
|
12 |
12 |
$182.21 |
| 27500 |
|
17 |
17 |
$165.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
58 |
51 |
$157.45 |
| 85014 |
|
77 |
74 |
$133.89 |
| 84295 |
|
41 |
37 |
$131.86 |
| 31720 |
|
15 |
14 |
$127.20 |
| 86703 |
|
12 |
12 |
$118.73 |
| 82570 |
|
14 |
13 |
$99.54 |
| 29515 |
|
15 |
15 |
$80.13 |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
22 |
13 |
$35.06 |
| 84550 |
|
12 |
12 |
$25.51 |
| 86364 |
|
12 |
12 |
$20.32 |
| 99072 |
|
96 |
62 |
$8.99 |
| 0302 |
|
31 |
29 |
$0.00 |
| Q4051 |
Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) |
33 |
12 |
$0.00 |