Total Spending
$6.4B
Providers
7,118
Total Claims
141,297,211
Unique Procedures
3,132

Procedures by Expenditure

All procedure codes billed by Medicaid providers in Clark County, sorted by total payments from highest to lowest.

# Code Description Total Paid % of County Claims Avg/Claim
1T1019Personal care services — a helper who assists with daily activities like bathing, dressing, and eating (per 15 minutes)$697,972,807
10.9%
8,529,453$82
2T2017Residential habilitation — living in a group home or facility for people with disabilities (per 15 minutes, waiver program)$465,703,577
7.2%
218,445$2,132
3T1017Targeted case management — a social worker helping coordinate your care (per 15 minutes)$271,076,261
4.2%
1,672,799$162
499214Office visit for a moderate problem (established patient)$260,146,671
4.0%
4,032,860$65
599213Office visit for a simple problem (established patient)$233,017,017
3.6%
4,967,682$47
699285Emergency room visit for a severe or life-threatening problem$184,196,866
2.9%
1,617,213$114
790999Dialysis or kidney treatment — other related procedure$148,745,456
2.3%
2,249,925$66
8A0427Ambulance ride with advanced life support — emergency (ALS 1 — paramedics on board)$141,878,542
2.2%
461,003$308
990876Individual psychophysiological therapy — biofeedback training$126,793,004
2.0%
1,565,938$81
10H2011Crisis intervention — emergency help during a mental health crisis (per 15 minutes)$126,424,267
2.0%
309,603$408
1199233Hospital care — daily check by your doctor (complex update)$126,294,130
2.0%
1,947,888$65
1299284Emergency room visit for a serious problem$125,488,019
2.0%
1,453,912$86
13S9123Registered nurse visiting your home to provide medical care (per hour)$107,685,805
1.7%
179,977$598
1490837Individual therapy session (60 minutes)$104,746,862
1.6%
1,297,174$81
1597530Therapeutic activities — exercises and tasks to improve daily function$101,780,157
1.6%
1,844,926$55
1699283Emergency room visit for a moderate problem$89,738,438
1.4%
1,510,797$59
1799232Hospital care — daily check by your doctor (moderate update)$86,055,232
1.3%
2,274,868$38
18S9480Intensive outpatient psychiatric program — structured daily mental health treatment without staying overnight$77,205,076
1.2%
561,840$137
19S9124Licensed practical nurse visiting your home to provide medical care (per hour)$74,345,828
1.2%
185,055$402
20T2016Residential habilitation — living in a group home or facility for people with disabilities (per day, waiver program)$68,551,564
1.1%
191,339$358
21S5102Adult day care — daytime program with activities and supervision (per day)$68,308,890
1.1%
514,903$133
2299223Hospital admission — first day, complex or serious problem$62,521,488
1.0%
481,791$130
2392507Speech therapy session — treatment for speech, language, or swallowing problems$57,912,458
0.9%
1,099,616$53
24T2020Day habilitation — daytime program teaching daily living skills (per day, waiver program)$54,222,292
0.8%
533,534$102
25H0004Behavioral health counseling session (per 15 minutes) — for drug, alcohol, or mental health treatment$53,920,562
0.8%
417,811$129
26A0429Ambulance ride with basic life support — emergency (BLS — EMTs on board)$49,340,809
0.8%
229,154$215
2774177CT scan of the abdomen and pelvis (with contrast dye)$46,184,956
0.7%
332,084$139
28T2014Pre-vocational training — learning basic job skills before starting work (per day, waiver program)$41,611,905
0.6%
658,860$63
29G0378Hospital observation services — being watched and monitored in the hospital (per hour)$39,716,310
0.6%
365,746$109
3099203New patient office visit — moderate problem$34,011,502
0.5%
476,135$71
3199204New patient office visit — detailed visit for a serious problem$32,254,083
0.5%
312,476$103
32D1120Dental cleaning for children (prophylaxis)$31,051,973
0.5%
742,211$42
3341899Dental or mouth surgery — other procedure not listed elsewhere$30,092,874
0.5%
39,386$764
34A0431Helicopter ambulance ride (rotary wing air transport)$29,661,214
0.5%
18,530$1,601
3599391Wellness checkup — infant (under 1 year)$26,508,111
0.4%
349,179$76
3690460Giving a vaccine to a child, including talking with the family about it$26,394,317
0.4%
734,921$36
3799392Wellness checkup — ages 1-4$25,777,472
0.4%
322,217$80
38D1206Fluoride treatment — painted on teeth to prevent cavities$25,572,518
0.4%
740,277$35
39T1040Community mental health center services — a full day of behavioral health treatment at a local clinic$25,131,870
0.4%
152,844$164
4099291Critical care — intensive treatment for a life-threatening condition (first 30-74 minutes)$24,455,769
0.4%
157,759$155
4197110Physical therapy exercises to build strength, flexibility, or range of motion$23,864,875
0.4%
1,237,585$19
4270450CT scan of the head (without contrast dye)$23,635,575
0.4%
461,648$51
4392508Group speech therapy session$23,442,817
0.4%
995,085$24
4480307Drug test — checking urine or blood for multiple types of drugs$23,127,394
0.4%
1,010,933$23
4599239Hospital discharge — doctor manages your release (more than 30 minutes)$20,110,335
0.3%
273,360$74
46T1015All-inclusive clinic visit — covers everything in one trip to the clinic$19,327,629
0.3%
47,136$410
47A0436Ambulance mileage — per mile for helicopter ambulance$19,291,443
0.3%
18,442$1,046
48U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique$19,253,885
0.3%
334,911$57
4993306Heart ultrasound (echocardiogram)$18,661,133
0.3%
209,513$89
5090834Individual therapy session (45 minutes)$18,402,044
0.3%
366,222$50
5199309Nursing facility visit — moderate problem$18,254,089
0.3%
486,371$38
5299308Nursing facility visit — simple problem$17,898,400
0.3%
815,798$22
5399393Wellness checkup — ages 5-11$17,723,333
0.3%
227,366$78
54H2027Psychoeducational service, per 15 minutes$17,530,446
0.3%
7,581$2,312
5574176CT scan of the abdomen and pelvis (without contrast)$16,356,870
0.3%
153,257$107
56D8080Full braces (comprehensive orthodontic treatment, adolescent)$15,940,924
0.2%
7,043$2,263
57T2018Habilitation, supported employment, waiver; per day$15,896,601
0.2%
222,013$72
5890833Individual therapy session added to a regular doctor visit (30 minutes)$15,759,494
0.2%
475,388$33
59H2019Therapeutic behavioral services — behavior management and support (per 15 minutes)$15,489,647
0.2%
361,382$43
60Q3014Telehealth originating site facility fee$14,770,660
0.2%
833,677$18
61H2017Psychosocial rehabilitation — helping rebuild social and daily living skills (per 15 minutes)$14,508,280
0.2%
129,604$112
62D1351Dental sealant — protective coating on a tooth to prevent cavities$14,035,856
0.2%
689,382$20
6399222Hospital admission — first day, moderate to serious problem$13,895,607
0.2%
166,253$84
6401967Anesthesia for a medical procedure$13,411,480
0.2%
28,499$471
6595165Allergy testing or treatment$13,283,748
0.2%
48,742$273
66T2033Residential care, not otherwise specified (nos), waiver; per day$13,011,740
0.2%
198,573$66
67H0035Mental health partial hospitalization, treatment, less than 24 hours$12,918,194
0.2%
54,113$239
6896374IV push — giving medicine quickly through an IV (single injection)$12,823,918
0.2%
641,670$20
69G0483Advanced drug testing — checking for 22 or more types of drugs in urine or blood$12,769,908
0.2%
158,805$80
7071275CT angiography of the chest (looking at blood vessels)$12,544,964
0.2%
84,653$148
71H2014Skills training and development — learning coping and life skills (per 15 minutes)$12,462,316
0.2%
89,737$139
72H0031Mental health assessment by a non-physician$12,424,531
0.2%
102,577$121
7399394Wellness checkup — ages 12-17$12,210,803
0.2%
144,564$84
74H0047Alcohol and/or other drug abuse services, not otherwise specified$12,138,109
0.2%
139,049$87
75G0470Federally qualified health center (community health center) visit, mental health, established patient; a medically-necessary$12,130,424
0.2%
149,644$81
76H0034Medication training and management (learning to take medications correctly)$12,055,511
0.2%
104,523$115
77D0120Regular dental checkup and exam$11,958,494
0.2%
513,441$23
7897112Neuromuscular re-education — retraining muscles and movement patterns$11,813,112
0.2%
462,585$26
7990868Mental health service$11,732,314
0.2%
77,302$152
80T2025Supported employment — job coaching and help for people with disabilities at their workplace (per 15 minutes, waiver program)$11,681,240
0.2%
157,250$74
8192014Eye exam or vision test$11,487,722
0.2%
216,385$53
82D7210Surgical tooth extraction — requires cutting into gum or removing bone$11,455,047
0.2%
183,712$62
83V2020Frames, purchases$11,357,760
0.2%
427,485$27
8499282Emergency room visit for a minor problem$11,339,609
0.2%
239,710$47
85A0425Ground mileage — per mile for ambulance transportation$11,328,413
0.2%
736,920$15
8699212Office visit for a minor problem (established patient)$11,293,450
0.2%
355,269$32
8792526Treatment for swallowing problems$10,995,982
0.2%
185,115$59
8876818Ultrasound$10,828,190
0.2%
94,775$114
8990847Family therapy session with the patient present$10,811,099
0.2%
119,422$91
90D0150Comprehensive dental exam — thorough check of teeth, gums, and mouth$10,729,495
0.2%
368,055$29
91T2021Day habilitation, waiver; per 15 minutes$10,375,623
0.2%
81,324$128
92T1016Case management — a coordinator helping you navigate your healthcare (per 15 minutes)$10,357,498
0.2%
224,635$46
9371045Chest X-ray (single view)$9,892,152
0.2%
1,635,508$6
9490791Mental health evaluation — first visit with a therapist or psychiatrist$9,239,087
0.1%
97,756$95
9543239Upper endoscopy with biopsy (camera down the throat to look at stomach, with tissue sample)$9,169,616
0.1%
67,553$136
96H0033Oral medication administration, direct observation$8,953,540
0.1%
227,277$39
97G0299Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes$8,948,023
0.1%
931,152$10
9878452Nuclear medicine imaging (using small amounts of radioactive material)$8,893,393
0.1%
38,316$232
9992004Eye exam or vision test$8,871,834
0.1%
177,612$50
100H0015Intensive outpatient treatment for alcohol or drug problems (per hour)$8,797,381
0.1%
97,971$90
10196372IV infusion or injection of medication$8,710,076
0.1%
592,122$15
10299215Office visit for a complex or serious problem (established patient)$8,574,022
0.1%
118,428$72
10398960Medical service or procedure$8,385,584
0.1%
202,653$41
10476830Transvaginal ultrasound of the uterus$8,368,227
0.1%
99,491$84
105E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate$8,180,975
0.1%
252,543$32
106D0140Limited dental exam — for a specific problem (like a toothache)$8,163,967
0.1%
275,391$30
107T2022Case management, per month$8,012,271
0.1%
26,641$301
108T4541Incontinence product, disposable underpad, large, each$7,931,735
0.1%
252,364$31
109D0274Dental X-ray — bitewings (four films)$7,910,239
0.1%
380,312$21
11099349Home visit follow-up — complex problem$7,844,119
0.1%
124,326$63
11180053Comprehensive metabolic panel blood test (checks liver, kidney, blood sugar, electrolytes)$7,799,473
0.1%
2,082,782$4
11299211Simple office visit — quick check-in with a nurse or doctor$7,732,884
0.1%
574,994$13
113G0467Federally Qualified Health Center visit — a community health center visit for regular patients$7,729,191
0.1%
108,748$71
11496361IV infusion — additional hour$7,628,023
0.1%
410,188$19
11597032Physical therapy, occupational therapy, or rehabilitation$7,448,930
0.1%
257,069$29
116D0330Panoramic dental X-ray (full view of all teeth and jaw)$7,439,847
0.1%
246,112$30
117D2930Stainless steel crown — prefabricated (primary tooth)$7,380,363
0.1%
115,890$64
11877067Screening mammogram (breast cancer screening)$7,307,880
0.1%
83,884$87
11996375IV push — additional medication through an IV$7,307,068
0.1%
527,306$14
12099244Office consultation — serious problem$7,191,796
0.1%
46,529$155
121D2392Tooth-colored (resin) filling — two surfaces, back tooth$7,119,513
0.1%
153,506$46
122E0465Home ventilator, any type, used with invasive interface, (for example., tracheostomy tube)$7,088,781
0.1%
9,505$746
12376816Follow-up ultrasound of pregnancy$7,084,303
0.1%
63,924$111
124S9482Family stabilization services, per 15 minutes$7,056,969
0.1%
43,632$162
125S5100Adult day care — daytime program with activities and supervision (per half day)$6,917,391
0.1%
69,740$99
12693303Heart ultrasound (echocardiogram)$6,833,465
0.1%
45,920$149
127U00042019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc$6,758,179
0.1%
148,135$46
12872125Spine imaging (X-ray, CT, or MRI)$6,711,772
0.1%
92,534$73
129D0230Additional dental X-ray$6,693,731
0.1%
1,065,035$6
13090792Mental health evaluation — includes medication assessment$6,645,484
0.1%
79,539$84
131H2012Behavioral health day treatment — full day of mental health programming (per hour)$6,547,448
0.1%
170,148$38
13271046Chest X-ray (two views — front and side)$6,540,681
0.1%
535,974$12
133G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including$6,537,654
0.1%
182,461$36
134D0220Single dental X-ray (of one tooth)$6,522,784
0.1%
588,727$11
135T2003Non-emergency transportation; encounter/trip$6,442,784
0.1%
69,196$93
13699469Neonatal critical care — continued intensive care (additional days)$6,404,996
0.1%
19,569$327
137B4161Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber$6,322,079
0.1%
6,771$934
138T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each$6,122,516
0.1%
83,985$73
139H0020Alcohol or drug methadone administration and services$6,072,539
0.1%
859,863$7
140T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each$6,011,795
0.1%
81,996$73
14100170Anesthesia for a medical procedure$5,845,412
0.1%
28,185$207
142D0210Full set of dental X-rays$5,806,969
0.1%
116,116$50
14395004Allergy testing or treatment$5,621,897
0.1%
23,842$236
14485025Complete blood count (CBC) — checks red cells, white cells, and platelets$5,462,646
0.1%
2,160,912$3
14576817Transvaginal ultrasound of pregnancy$5,403,406
0.1%
84,914$64
14664635Brain, spine, or nerve surgery$5,391,241
0.1%
14,787$365
14745380Colonoscopy with biopsy (tissue sample)$5,384,004
0.1%
27,265$197
14864483Nerve block injection — epidural for back pain$5,354,663
0.1%
38,501$139
14999310Nursing facility visit — complex problem$5,265,219
0.1%
71,254$74
15076856Pelvic ultrasound (complete)$5,257,811
0.1%
85,884$61
15193975Blood vessel ultrasound or study$5,242,952
0.1%
48,742$108
152B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape$5,168,117
0.1%
29,114$178
15388305Tissue examination under a microscope (surgical pathology)$5,153,995
0.1%
249,910$21
154D0272Dental X-ray — bitewings (two films)$5,081,834
0.1%
309,287$16
155T2047Habilitation, prevocational, waiver; per 15 minutes$4,974,885
0.1%
49,700$100
156T1023Screening and assessment — checking a patient's health and needs to create a care plan$4,950,386
0.1%
34,742$142
157D7140Tooth extraction — pulling a tooth that has erupted$4,923,634
0.1%
133,566$37
15899220Medical service or procedure$4,913,900
0.1%
40,155$122
15999202New patient office visit — simple problem$4,905,320
0.1%
103,869$47
16087491Chlamydia test$4,861,427
0.1%
426,962$11
161S5130Homemaker services — help with cooking, shopping, and housekeeping (per 15 minutes)$4,796,758
0.1%
71,381$67
16287591Gonorrhea test$4,790,369
0.1%
436,325$11
16359400Routine obstetric care — prenatal visits, vaginal delivery, and follow-up$4,615,954
0.1%
2,532$1,823
164H0005Group alcohol and/or drug counseling (per 15 minutes)$4,614,071
0.1%
183,278$25
165B4160Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.$4,589,761
0.1%
12,598$364
16687426Microbiology test — checking for infections (bacteria, viruses, fungi)$4,578,898
0.1%
257,664$18
16776700Ultrasound of the abdomen (complete)$4,536,567
0.1%
66,493$68
16876811Detailed ultrasound of pregnancy (high-risk)$4,535,361
0.1%
28,598$159
16987798Microbiology test — checking for infections (bacteria, viruses, fungi)$4,474,411
0.1%
58,113$77
170T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each$4,467,620
0.1%
51,676$86
17199480Medical service or procedure$4,399,147
0.1%
43,276$102
17299395Wellness checkup — ages 18-39$4,372,922
0.1%
46,255$95
173V2100Sphere, single vision, plano to plus or minus 4.00, per lens$4,365,888
0.1%
171,088$26
17499238Hospital discharge — doctor manages your release (30 minutes or less)$4,306,614
0.1%
85,993$50
17595810Brain wave test (EEG) or nerve test$4,253,059
0.1%
11,455$371
17690472Additional vaccine injection at the same visit$4,237,183
0.1%
206,771$20
17796365IV infusion of medication — giving medicine through an IV (first hour)$4,235,794
0.1%
168,498$25
178G9001Coordinated care fee, initial rate$4,233,106
0.1%
17,136$247
179A4223Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)$4,202,152
0.1%
46,625$90
18099348Home visit follow-up — moderate problem$4,175,737
0.1%
53,278$78
18190471Giving a vaccine by injection (shot)$4,126,211
0.1%
276,357$15
18295816Brain wave test (EEG) or nerve test$4,125,030
0.1%
32,157$128
18378815Nuclear medicine imaging (using small amounts of radioactive material)$4,122,315
0.1%
6,206$664
18497153Physical therapy, occupational therapy, or rehabilitation$4,040,435
0.1%
24,094$168
18590378Immune globulin (antibody) injection$4,024,504
0.1%
1,096$3,672
186S5126Attendant care services; per day$4,012,348
0.1%
6,140$653
18770553MRI of the brain (with and without contrast dye)$4,004,300
0.1%
27,789$144
18893010Heart monitoring test (ECG/EKG)$3,988,110
0.1%
806,640$5
18992340Eye exam or vision test$3,942,010
0.1%
214,273$18
19095811Brain wave test (EEG) or nerve test$3,941,676
0.1%
9,603$410
191J0585Injection, onabotulinumtoxina, 1 unit$3,921,310
0.1%
9,521$412
19295886Brain wave test (EEG) or nerve test$3,868,857
0.1%
33,509$115
19354161Male reproductive system surgery$3,843,524
0.1%
14,231$270
194J2357Injection, omalizumab, 5 mg$3,756,412
0.1%
10,905$344
19576805Ultrasound of pregnancy (after first trimester)$3,745,068
0.1%
36,179$104
19666984Cataract surgery (removing a cloudy lens from the eye and replacing it)$3,722,144
0.1%
13,405$278
19745378Colonoscopy — camera exam of the large intestine (diagnostic)$3,673,335
0.1%
16,781$219
19899205New patient office visit — comprehensive visit for a complex problem$3,553,386
0.1%
28,351$125
19990853Group therapy session$3,543,849
0.1%
169,846$21
200T4523Adult sized disposable incontinence product, brief/diaper, large, each$3,543,237
0.1%
43,862$81
20164493Brain, spine, or nerve surgery$3,475,261
0.1%
18,331$190
202T1003Lpn/lvn services, up to 15 minutes$3,463,950
0.1%
92,087$38
20390832Individual therapy session (30 minutes)$3,331,751
0.1%
121,754$27
20492015Eye exam or vision test$3,308,739
0.1%
278,000$12
20597155Physical therapy, occupational therapy, or rehabilitation$3,300,047
0.1%
17,596$188
206T4524Adult sized disposable incontinence product, brief/diaper, extra large, each$3,247,067
0.1%
32,458$100
20780050General health panel blood test$3,223,065
0.1%
363,806$9
208S5161Emergency response system; service fee, per month (excludes installation and testing)$3,145,793
0.0%
81,803$38
209E0466Home ventilator, any type, used with non-invasive interface, (for example., mask, chest shell)$3,140,104
0.0%
14,925$210
21093005Heart monitoring test (ECG/EKG)$3,133,107
0.0%
777,885$4
21170551MRI of the brain (without contrast dye)$3,127,647
0.0%
34,414$91
21236902Artery and vein surgery$3,123,879
0.0%
4,835$646
21397140Manual therapy — hands-on treatment like massage or joint mobilization$3,102,490
0.0%
286,217$11
21472148MRI of the lower spine (without contrast)$3,057,302
0.0%
33,639$91
215A0428Ambulance ride with basic life support (non-emergency, BLS)$3,054,560
0.0%
32,619$94
216G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including$3,048,704
0.0%
37,727$81
217D8660Braces or orthodontic treatment$2,982,336
0.0%
73,763$40
21859025Pregnancy, delivery, and maternity care$2,969,478
0.0%
117,494$25
21999479Medical service or procedure$2,967,938
0.0%
27,428$108
220S1040Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s)$2,957,660
0.0%
2,542$1,164
22196360IV infusion — giving fluids through an IV (first hour)$2,935,003
0.0%
113,266$26
22295913Brain wave test (EEG) or nerve test$2,913,651
0.0%
16,801$173
22390945Peritoneal dialysis — cleaning blood through the belly (single treatment)$2,874,548
0.0%
61,391$47
224G0447Face-to-face behavioral counseling for obesity, 15 minutes$2,864,530
0.0%
185,208$15
22580061Cholesterol and lipid panel blood test$2,856,751
0.0%
915,085$3
22699281Emergency room visit for a very minor problem$2,853,971
0.0%
73,023$39
22711042Wound cleaning — removing dead tissue from a wound$2,844,305
0.0%
75,684$38
22892609Hearing or speech test or therapy$2,830,263
0.0%
38,334$74
229T2019Day habilitation — daytime program teaching daily living skills (per 15 minutes, waiver program)$2,811,297
0.0%
29,832$94
23097803Medical service or procedure$2,797,997
0.0%
112,611$25
23199243Office consultation — moderate problem$2,790,560
0.0%
27,755$101
232Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml$2,766,460
0.0%
279,928$10
23387636Microbiology test — checking for infections (bacteria, viruses, fungi)$2,752,034
0.0%
45,313$61
234V5261Hearing aid, digital, binaural, bte$2,750,552
0.0%
4,716$583
235T4522Adult sized disposable incontinence product, brief/diaper, medium, each$2,727,575
0.0%
43,815$62
23676705Ultrasound of the abdomen (limited)$2,716,432
0.0%
68,648$40
237D1110Dental cleaning for adults (prophylaxis)$2,709,873
0.0%
93,891$29
238G2023Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source$2,698,299
0.0%
220,888$12
23999306Nursing facility admission — complex first day care$2,693,085
0.0%
34,538$78
24090960End-stage kidney disease monthly care — for patients 20 and older, 4+ visits$2,645,393
0.0%
27,849$95
241D7240Removal of an impacted tooth — completely bony (deeply stuck in jawbone)$2,592,658
0.0%
20,838$124
24297016Physical therapy, occupational therapy, or rehabilitation$2,579,162
0.0%
175,294$15
24382306Vitamin D blood test$2,577,062
0.0%
373,152$7
244S0281Medical home program, comprehensive care coordination and planning, maintenance of plan$2,557,382
0.0%
73,183$35
245H0002Behavioral health screening to determine need for treatment$2,537,704
0.0%
101,378$25
246D9248Other dental service$2,497,556
0.0%
31,503$79
24799231Hospital care — daily check by your doctor (minor update)$2,490,529
0.0%
122,786$20
24884484Troponin test (checks for heart damage or heart attack)$2,468,169
0.0%
661,877$4
24984443Thyroid function test (TSH)$2,464,330
0.0%
566,961$4
250D2391Tooth-colored (resin) filling — one surface, back tooth$2,446,888
0.0%
70,514$35
251E2402Negative pressure wound therapy electrical pump, stationary or portable$2,433,875
0.0%
5,080$479
25293970Blood vessel ultrasound or study$2,414,686
0.0%
50,836$47
253T1002Rn services, up to 15 minutes$2,392,834
0.0%
32,939$73
254T2031Assisted living; waiver, per day$2,391,145
0.0%
3,093$773
255D9310Dental consultation — specialist opinion on a dental problem$2,376,145
0.0%
47,792$50
25693000Heart monitoring test (ECG/EKG)$2,355,542
0.0%
214,660$11
257D9230Analgesia (pain management during dental work, like nitrous oxide/laughing gas)$2,335,175
0.0%
164,789$14
258B4149Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber$2,287,047
0.0%
7,283$314
25999472Pediatric critical care — continued intensive care (additional days)$2,285,358
0.0%
6,649$344
26076815Limited ultrasound of pregnancy (quick check)$2,282,778
0.0%
60,146$38
26180048Basic metabolic panel blood test (checks kidney function, blood sugar, electrolytes)$2,249,345
0.0%
656,535$3
26270486CT scan of the sinuses$2,214,011
0.0%
21,511$103
263G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including$2,202,661
0.0%
45,407$49
26496413IV infusion or injection of medication$2,195,588
0.0%
28,018$78
265Q4205Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)$2,189,862
0.0%
501$4,371
26699350Home visit follow-up — unstable condition$2,188,194
0.0%
53,675$41
26777063Breast imaging (mammogram or MRI)$2,177,781
0.0%
51,959$42
26887635Microbiology test — checking for infections (bacteria, viruses, fungi)$2,168,601
0.0%
88,248$25
26964494Brain, spine, or nerve surgery$2,150,218
0.0%
15,723$137
27090901Biofeedback training$2,142,697
0.0%
79,814$27
271G0439Annual wellness visit — follow-up$2,117,868
0.0%
44,381$48
272T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each$2,100,812
0.0%
88,673$24
273V2025Deluxe frame$2,062,071
0.0%
69,159$30
274Q4275Esano aca, per square centimeter (add-on, list separately in addition to primary procedure)$2,060,687
0.0%
401$5,139
27576801Ultrasound of pregnancy (first trimester)$2,051,930
0.0%
35,423$58
27699254Medical service or procedure$2,026,343
0.0%
14,022$145
27796376IV infusion or injection of medication$2,012,918
0.0%
198,594$10
278E0570Nebulizer, with compressor$2,010,063
0.0%
75,214$27
27954360Male reproductive system surgery$1,994,028
0.0%
2,719$733
28092060Eye exam or vision test$1,985,857
0.0%
35,726$56
2810450Anesthesia for a medical procedure$1,976,975
0.0%
44,079$45
282A0433Ambulance ride with advanced life support — serious emergency (ALS 2)$1,963,679
0.0%
6,852$287
283V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens$1,954,930
0.0%
178,277$11
28487804Flu test (rapid)$1,943,333
0.0%
255,855$8
28576770Ultrasound of the abdomen and kidneys (complete)$1,942,952
0.0%
32,436$60
28695819Brain wave test (EEG) or nerve test$1,939,014
0.0%
24,225$80
28736415Drawing blood from a vein (routine blood draw)$1,938,648
0.0%
1,686,485$1
288A8003Helmet, protective, hard, custom fabricated, includes all components and accessories$1,911,451
0.0%
860$2,223
28945385Colonoscopy with removal of polyps (growths)$1,885,931
0.0%
10,382$182
29083036Hemoglobin A1c test (shows average blood sugar over 3 months — used for diabetes)$1,876,164
0.0%
830,968$2
29187428Microbiology test — checking for infections (bacteria, viruses, fungi)$1,875,862
0.0%
72,252$26
29299396Wellness checkup — ages 40-64$1,845,803
0.0%
20,665$89
29392250Eye exam or vision test$1,835,921
0.0%
38,215$48
29490869Mental health service$1,824,103
0.0%
4,570$399
29568761Eye surgery$1,820,471
0.0%
47,615$38
29683880Blood chemistry test (checking specific substances in your blood)$1,812,372
0.0%
177,562$10
29792523Speech and language evaluation — comprehensive$1,804,144
0.0%
15,452$117
298A0434Specialized ambulance for very sick patients (specialty care transport)$1,792,933
0.0%
7,085$253
29985027Complete blood count — automated$1,783,243
0.0%
899,844$2
300D2150Silver (amalgam) filling — two surfaces$1,753,384
0.0%
32,810$53
30173721MRI of a joint in the lower body (hip, knee, or ankle)$1,740,290
0.0%
22,205$78
30270498Head and brain imaging (X-ray, CT, or MRI)$1,734,783
0.0%
9,063$191
303Q5001Hospice or home health care provided in patient's home/residence$1,728,630
0.0%
237,831$7
304E0601Continuous positive airway pressure (cpap) device$1,727,241
0.0%
88,682$19
30586003Immune system or allergy test$1,724,482
0.0%
54,905$31
30699070Special medical service$1,712,921
0.0%
192,794$9
30794640Breathing test or lung function test$1,706,147
0.0%
156,640$11
30893971Blood vessel ultrasound or study$1,702,035
0.0%
52,201$33
309T4525Adult sized disposable incontinence product, protective underwear/pull-on, small size, each$1,697,392
0.0%
23,656$72
310J1726Injection, hydroxyprogesterone caproate, (makena), 10 mg$1,688,265
0.0%
690$2,447
31193320Heart ultrasound (echocardiogram)$1,687,087
0.0%
48,276$35
31299058Special medical service$1,672,442
0.0%
103,525$16
31387880Strep throat test (rapid)$1,669,859
0.0%
240,183$7
31492134Eye exam or vision test$1,667,364
0.0%
84,308$20
315H0001Alcohol and/or drug assessment$1,661,507
0.0%
14,803$112
316J0178Injection, aflibercept, 1 mg$1,645,861
0.0%
1,872$879
31799385Wellness checkup — new patient, ages 18-39$1,635,906
0.0%
18,477$89
31894010Breathing test or lung function test$1,633,701
0.0%
66,069$25
31992606Hearing or speech test or therapy$1,617,020
0.0%
28,039$58
32064484Brain, spine, or nerve surgery$1,606,277
0.0%
16,705$96
32154300Male reproductive system surgery$1,600,428
0.0%
1,698$943
32299490Chronic care management — monthly coordination for patients with multiple ongoing conditions$1,591,073
0.0%
101,719$16
32314040Skin flap surgery — moving skin to cover a wound$1,574,468
0.0%
5,981$263
32474018X-ray of the abdomen (single view)$1,564,198
0.0%
186,317$8
32572141MRI of the neck/upper spine (without contrast)$1,561,867
0.0%
17,905$87
32672131CT scan of the lower spine (without contrast)$1,535,430
0.0%
14,264$108
32799460Newborn baby care — first exam in the hospital$1,533,317
0.0%
21,882$70
328A7030Full face mask used with positive airway pressure device, each$1,520,445
0.0%
31,892$48
32995812Brain wave test (EEG) or nerve test$1,505,584
0.0%
14,761$102
330A0435Ambulance mileage — per mile for fixed wing air ambulance$1,501,559
0.0%
1,023$1,468
33184702Blood chemistry test (checking specific substances in your blood)$1,473,690
0.0%
272,895$5
332U0005Infectious 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$1,458,502
0.0%
209,543$7
333A0426Ambulance ride with advanced life support (non-emergency, ALS 1)$1,455,963
0.0%
11,644$125
33401992Anesthesia for a medical procedure$1,447,943
0.0%
14,531$100
33576536Ultrasound of the head and neck soft tissue$1,431,400
0.0%
16,811$85
33636478Artery and vein surgery$1,399,932
0.0%
1,052$1,331
337D0340Dental exam, X-ray, or screening$1,393,166
0.0%
42,171$33
33854304Male reproductive system surgery$1,376,980
0.0%
1,827$754
33900731Anesthesia for a medical procedure$1,366,199
0.0%
13,249$103
340A0430Ambulance ride with special medical equipment (fixed wing airplane)$1,365,913
0.0%
1,009$1,354
34125020Forearm and wrist surgery$1,356,067
0.0%
4,183$324
342E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing$1,332,629
0.0%
189,279$7
34373630X-ray of the foot$1,318,362
0.0%
86,929$15
34496138Psychological testing — administered by a technician (first 30 min)$1,306,130
0.0%
61,553$21
34599152Medical service or procedure$1,300,333
0.0%
56,649$23
346G0438Annual wellness visit — first time$1,291,424
0.0%
15,544$83
34770496Head and brain imaging (X-ray, CT, or MRI)$1,289,761
0.0%
7,025$184
348T2012Habilitation, educational; waiver, per day$1,287,832
0.0%
4,495$287
34973564Lower extremity imaging (hip, knee, leg, foot)$1,286,381
0.0%
62,421$21
35073130X-ray of the hand$1,252,663
0.0%
70,883$18
351J0561Injection, penicillin g benzathine, 100,000 units$1,252,320
0.0%
5,978$209
352D0350Dental exam, X-ray, or screening$1,250,864
0.0%
139,306$9
35383690Blood chemistry test (checking specific substances in your blood)$1,244,689
0.0%
481,520$3
35497535Self-care training — learning to do daily activities like dressing, cooking, or bathing$1,234,774
0.0%
157,937$8
35529848Arthroscopy — looking inside a joint with a tiny camera$1,228,200
0.0%
4,979$247
35676825Ultrasound$1,213,298
0.0%
5,282$230
357J2785Injection, regadenoson, 0.1 mg$1,211,508
0.0%
13,540$89
35896366IV infusion or injection of medication$1,190,055
0.0%
55,012$22
35987086Urine culture — checking for a urinary tract infection$1,189,263
0.0%
471,223$3
36095782Brain wave test (EEG) or nerve test$1,184,585
0.0%
1,746$678
36193229Heart rhythm monitoring (Holter monitor or event recorder)$1,183,790
0.0%
3,029$391
36299219Medical service or procedure$1,178,556
0.0%
11,681$101
363A0130Non-emergency transportation: wheelchair van$1,175,524
0.0%
14,116$83
36428003Foot and toe surgery$1,168,160
0.0%
5,026$232
365D9223Other dental service$1,165,368
0.0%
22,282$52
36690715Tdap vaccine (tetanus, diphtheria, and whooping cough booster)$1,152,423
0.0%
58,549$20
367A9500Technetium tc-99m sestamibi, diagnostic, per study dose$1,145,717
0.0%
16,423$70
368D7220Removal of an impacted tooth — soft tissue (stuck under the gums)$1,142,386
0.0%
10,753$106
36967028Injection of medicine into the eye$1,136,197
0.0%
20,329$56
37017110Destruction of warts or skin bumps (up to 14)$1,134,642
0.0%
22,876$50
371B4034Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape$1,124,843
0.0%
10,817$104
37299188Other medical service$1,121,407
0.0%
103,437$11
37320610Joint injection or draining fluid from a large joint (knee, shoulder, hip)$1,116,977
0.0%
34,819$32
37487389Microbiology test — checking for infections (bacteria, viruses, fungi)$1,116,670
0.0%
174,560$6
37581025Pregnancy test (urine)$1,115,837
0.0%
364,250$3
37681001Urinalysis — checking your pee for infections or health problems (with microscope)$1,107,710
0.0%
1,003,302$1
37701936Anesthesia for a medical procedure$1,102,457
0.0%
10,261$107
378G0181Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidiscip...$1,088,680
0.0%
65,199$17
37987660Microbiology test — checking for infections (bacteria, viruses, fungi)$1,083,828
0.0%
120,565$9
38064479Brain, spine, or nerve surgery$1,071,422
0.0%
6,944$154
381D0240Dental X-ray of the whole mouth (panoramic)$1,068,157
0.0%
75,040$14
382V2784Lens, polycarbonate or equal, any index, per lens$1,064,108
0.0%
150,566$7
38390461Additional vaccine given to a child at the same visit$1,049,700
0.0%
62,602$17
38487502Microbiology test — checking for infections (bacteria, viruses, fungi)$1,032,811
0.0%
26,319$39
385D9999Other dental service$1,026,180
0.0%
30,597$34
386L8679Implantable neurostimulator, pulse generator, any type$1,019,674
0.0%
1,147$889
387V5110Dispensing fee, bilateral$1,007,556
0.0%
2,464$409
388D8020Braces or orthodontic treatment$1,004,082
0.0%
1,008$996
38994014Breathing test or lung function test$989,332
0.0%
22,967$43
39087624HPV test (checks for cancer-causing virus)$989,163
0.0%
118,023$8
391T4544Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each$988,648
0.0%
6,541$151
39288175Pap smear — cervical cancer screening (liquid-based)$981,221
0.0%
132,264$7
393A4624Tracheal suction catheter, any type other than closed system, each$972,835
0.0%
5,227$186
39499344Home visit — serious, comprehensive problem$969,720
0.0%
6,958$139
39511043Wound cleaning — removing dead tissue down to muscle$965,134
0.0%
26,036$37
39664495Brain, spine, or nerve surgery$960,019
0.0%
7,716$124
397V5160Dispensing fee, binaural$945,788
0.0%
2,473$382
398S5125Attendant care — personal assistant to help with daily activities (per 15 minutes)$941,909
0.0%
13,548$70
39964633Brain, spine, or nerve surgery$941,763
0.0%
2,288$412
40093325Heart ultrasound (echocardiogram)$937,499
0.0%
59,555$16
40172100X-ray of the lower spine (lumbar)$931,895
0.0%
54,282$17
40296110Developmental screening test for children (autism, learning, speech)$931,280
0.0%
153,576$6
40380074Blood test panel (checking multiple things at once)$926,570
0.0%
74,809$12
40497014Physical therapy, occupational therapy, or rehabilitation$923,252
0.0%
98,795$9
40587510Microbiology test — checking for infections (bacteria, viruses, fungi)$919,674
0.0%
97,001$9
40687480Microbiology test — checking for infections (bacteria, viruses, fungi)$919,102
0.0%
96,903$9
40799401Medical service or procedure$902,559
0.0%
63,490$14
40892567Hearing or speech test or therapy$897,403
0.0%
82,195$11
40999245Office consultation — complex problem$896,963
0.0%
4,490$200
41083605Blood chemistry test (checking specific substances in your blood)$893,682
0.0%
202,609$4
41174178CT scan of the abdomen and pelvis (with and without contrast)$885,264
0.0%
4,030$220
41276641Ultrasound$884,350
0.0%
9,642$92
413V2203Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens$873,221
0.0%
23,761$37
41473221MRI of a joint in the upper body (shoulder, elbow, or wrist)$873,166
0.0%
11,596$75
41573610X-ray of the ankle (complete)$861,556
0.0%
53,585$16
41677066Breast imaging (mammogram or MRI)$842,373
0.0%
8,355$101
41790716Chickenpox (varicella) vaccine$841,569
0.0%
36,737$23
41880305Drug or substance testing$836,547
0.0%
113,261$7
41990839Crisis therapy — emergency mental health treatment (first 60 minutes)$833,647
0.0%
9,919$84
42083735Blood chemistry test (checking specific substances in your blood)$827,284
0.0%
460,541$2
421D9222Other dental service$817,887
0.0%
16,650$49
42297597Physical therapy, occupational therapy, or rehabilitation$817,309
0.0%
21,217$39
423D3220Pulp treatment for a baby tooth — removing infection from inside the tooth$815,197
0.0%
19,233$42
42494618Breathing test or lung function test$813,434
0.0%
30,377$27
42571250CT scan of the chest (without contrast dye)$806,695
0.0%
10,601$76
426J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (for example., liquid), 500 mg$806,693
0.0%
263$3,067
42795912Brain wave test (EEG) or nerve test$805,636
0.0%
5,097$158
42871260CT scan of the chest (with contrast dye)$801,387
0.0%
9,322$86
429C1713Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)$801,172
0.0%
5,618$143
43059514Cesarean delivery only$800,083
0.0%
4,429$181
43176813Ultrasound$797,955
0.0%
7,573$105
43295800Brain wave test (EEG) or nerve test$794,813
0.0%
8,137$98
433D8670Braces or orthodontic treatment$793,200
0.0%
9,585$83
43487040Blood culture — test to see if bacteria are growing in your blood$792,595
0.0%
185,658$4
43597162Physical therapy evaluation — moderate problem$789,184
0.0%
30,945$26
436K0001Standard wheelchair$788,131
0.0%
41,252$19
43787661Microbiology test — checking for infections (bacteria, viruses, fungi)$787,689
0.0%
114,342$7
43873110X-ray of the wrist (complete)$779,119
0.0%
36,327$21
43987637Microbiology test — checking for infections (bacteria, viruses, fungi)$776,768
0.0%
17,145$45
44064634Brain, spine, or nerve surgery$772,391
0.0%
1,794$431
441A7031Face mask interface, replacement for full face mask, each$770,513
0.0%
32,195$24
442A4605Tracheal suction catheter, closed system, each$763,017
0.0%
4,816$158
44384703Blood chemistry test (checking specific substances in your blood)$761,341
0.0%
273,031$3
444G9920Screening performed and negative$759,243
0.0%
26,234$29
44587651Microbiology test — checking for infections (bacteria, viruses, fungi)$752,975
0.0%
43,504$17
44684439Blood chemistry test (checking specific substances in your blood)$744,037
0.0%
374,143$2
447D1208Dental preventive care (cleaning, fluoride, sealant)$740,764
0.0%
83,744$9
448D0365Dental exam, X-ray, or screening$740,152
0.0%
4,617$160
44986480Immune system or allergy test$738,342
0.0%
45,475$16
45093880Blood vessel ultrasound or study$732,556
0.0%
11,940$61
451L2280Addition to lower extremity, molded inner boot$729,212
0.0%
1,436$508
45297161Physical therapy evaluation — simple problem$728,832
0.0%
40,949$18
45373030X-ray of the shoulder$727,802
0.0%
55,061$13
454D0366Dental exam, X-ray, or screening$726,333
0.0%
4,564$159
45588307Tissue examination under a microscope (surgical pathology)$724,473
0.0%
17,705$41
45699224Medical service or procedure$719,428
0.0%
28,941$25
45799383Wellness checkup — new patient, ages 5-11$713,705
0.0%
8,715$82
45899381Wellness checkup — new patient, infant (under 1 year)$712,815
0.0%
9,161$78
45943775Stomach surgery$703,038
0.0%
1,021$689
46064490Brain, spine, or nerve surgery$700,596
0.0%
3,626$193
46195117Allergy testing or treatment$699,893
0.0%
88,684$8
462G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes$696,181
0.0%
209,183$3
46399307Nursing facility visit — minor problem$692,546
0.0%
58,623$12
46494667Breathing test or lung function test$691,764
0.0%
35,995$19
465E0562Humidifier, heated, used with positive airway pressure device$688,850
0.0%
35,697$19
466B4088Gastrostomy/jejunostomy tube, low-profile, any material, any type, each$684,865
0.0%
8,658$79
467A7526Tracheostomy tube collar/holder, each$684,053
0.0%
8,620$79
46896152Medical service or procedure$683,034
0.0%
12,882$53
46900920Anesthesia for a medical procedure$682,820
0.0%
4,598$149
47082607Blood chemistry test (checking specific substances in your blood)$682,546
0.0%
194,908$4
47194060Breathing test or lung function test$681,171
0.0%
17,569$39
47296132Neuropsychological testing — evaluation by a psychologist (first hour)$675,142
0.0%
17,491$39
47392587Hearing or speech test or therapy$668,465
0.0%
96,772$7
47401961Anesthesia for a medical procedure$666,347
0.0%
2,861$233
475A4231Infusion set for external insulin pump, needle type$663,430
0.0%
5,139$129
476D2393Tooth-colored (resin) filling — three surfaces, back tooth$657,956
0.0%
12,478$53
477Q4253Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)$654,335
0.0%
484$1,352
47885730Partial thromboplastin time (PTT) — blood clotting test$654,086
0.0%
378,338$2
479D2140Silver (amalgam) filling — one surface$653,636
0.0%
16,286$40
480J7030IV fluid — normal saline (salt water, 1000 ml)$649,251
0.0%
318,739$2
481R0070Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen$648,805
0.0%
49,106$13
482A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries$644,333
0.0%
5,208$124
48310060Drainage of an abscess (simple — draining an infected lump)$635,533
0.0%
10,391$61
484Q4250Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure)$631,828
0.0%
243$2,600
48500811Anesthesia for a medical procedure$630,098
0.0%
6,430$98
486D1353Dental preventive care (cleaning, fluoride, sealant)$629,969
0.0%
47,076$13
487E1399Durable medical equipment, miscellaneous$624,114
0.0%
951$656
48897163Physical therapy evaluation — complex problem$623,686
0.0%
26,639$23
4890241UMedical service or procedure$623,185
0.0%
51,745$12
49087811Microbiology test — checking for infections (bacteria, viruses, fungi)$622,023
0.0%
36,280$17
49194664Breathing test or lung function test$619,379
0.0%
60,224$10
49297010Physical therapy, occupational therapy, or rehabilitation$618,620
0.0%
315,284$2
493S9083Global fee urgent care centers$617,553
0.0%
11,114$56
49431231Sinus surgery$613,576
0.0%
7,952$77
49587801Microbiology test — checking for infections (bacteria, viruses, fungi)$611,968
0.0%
32,584$19
49687150Microbiology test — checking for infections (bacteria, viruses, fungi)$606,508
0.0%
3,222$188
497J0887Injection, epoetin beta, 1 microgram, (for end-stage kidney disease on dialysis)$603,455
0.0%
100,319$6
49882728Blood chemistry test (checking specific substances in your blood)$599,922
0.0%
249,698$2
499J2270Injection of morphine (strong pain medicine)$596,598
0.0%
283,954$2
500A6531Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each$595,745
0.0%
8,666$69
50144970Appendix surgery$592,621
0.0%
438$1,353
50285610Prothrombin time (PT) — blood clotting test$592,474
0.0%
522,300$1
503G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography$592,361
0.0%
4,392$135
50480076Liver function blood test panel$590,862
0.0%
200,151$3
50592012Eye exam or vision test$585,500
0.0%
21,713$27
506D0999Dental exam, X-ray, or screening$584,910
0.0%
19,321$30
507D9430Other dental service$577,999
0.0%
16,601$35
50880081Blood test panel (checking multiple things at once)$576,009
0.0%
38,496$15
50994760Breathing test or lung function test$575,167
0.0%
391,040$1
510T2001Non-emergency transportation; patient attendant/escort$573,236
0.0%
54,791$10
51127603Knee and lower leg surgery$572,727
0.0%
3,389$169
512D7311Tooth extraction or oral surgery$572,371
0.0%
8,195$70
51395983Brain wave test (EEG) or nerve test$572,337
0.0%
27,037$21
51495941Brain wave test (EEG) or nerve test$571,244
0.0%
1,535$372
51597802Medical service or procedure$571,076
0.0%
118,894$5
51699366Medical service or procedure$570,830
0.0%
21,480$27
51782550Blood chemistry test (checking specific substances in your blood)$561,567
0.0%
248,515$2
518G0444Annual depression screening$560,608
0.0%
75,167$7
519G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session$559,405
0.0%
2,131$263
52099386Wellness checkup — new patient, ages 40-64$558,121
0.0%
5,626$99
52176642Ultrasound$556,083
0.0%
11,682$48
52210061Drainage of an abscess (complicated)$553,522
0.0%
18,751$30
52393015Heart monitoring test (ECG/EKG)$552,579
0.0%
16,319$34
524D0470Dental exam, X-ray, or screening$551,450
0.0%
27,363$20
525A7520Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each$548,815
0.0%
10,728$51
52699221Hospital admission — first day, simple to moderate problem$541,912
0.0%
9,513$57
527T4534Youth sized disposable incontinence product, protective underwear/pull-on, each$541,544
0.0%
7,990$68
528T2005Non-emergency transportation; stretcher van$540,405
0.0%
6,838$79
529T4521Adult sized disposable incontinence product, brief/diaper, small, each$537,596
0.0%
9,576$56
530E1028Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other$537,584
0.0%
5,041$107
531T4542Incontinence product, disposable underpad, small size, each$537,263
0.0%
15,976$34
532A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap$537,049
0.0%
16,765$32
53399345Home visit — unstable or life-threatening condition$530,222
0.0%
4,291$124
534A6550Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories$529,571
0.0%
3,423$155
53595911Brain wave test (EEG) or nerve test$528,228
0.0%
4,015$132
536D7510Drainage of an abscess in the mouth (intraoral)$526,440
0.0%
7,297$72
53797150Group therapy session (physical, occupational, or speech)$524,353
0.0%
63,474$8
538D7241Removal of an impacted tooth — completely bony, with complications$522,288
0.0%
2,824$185
53990846Family therapy session without the patient present$521,688
0.0%
7,183$73
54090746Hepatitis B vaccine (adult dose)$521,001
0.0%
10,325$50
54115002Skin graft or tissue transfer$520,408
0.0%
3,928$132
54299255Medical service or procedure$520,112
0.0%
3,514$148
543D7230Removal of an impacted tooth — partially bony (stuck in the jawbone)$517,692
0.0%
4,911$105
54463650Brain, spine, or nerve surgery$514,354
0.0%
660$779
545J9035Injection, bevacizumab, 10 mg$514,301
0.0%
12,496$41
54693976Blood vessel ultrasound or study$511,882
0.0%
6,222$82
54764491Brain, spine, or nerve surgery$510,501
0.0%
3,305$154
548E0143Walker, folding, wheeled, adjustable or fixed height$509,731
0.0%
19,940$26
549T2024Service assessment/plan of care development, waiver$506,655
0.0%
9,405$54
55092610Swallowing evaluation$506,142
0.0%
12,180$42
55192546Hearing or speech test or therapy$505,331
0.0%
8,736$58
552A0180Non-emergency transportation: ancillary: lodging-recipient$502,920
0.0%
981$513
55399409Medical service or procedure$502,633
0.0%
14,735$34
55499217Medical service or procedure$501,690
0.0%
9,390$53
55587088Microbiology test — checking for infections (bacteria, viruses, fungi)$500,433
0.0%
249,108$2
55670491Head and brain imaging (X-ray, CT, or MRI)$496,222
0.0%
3,762$132
557B4152Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals$493,615
0.0%
4,647$106
55887481Microbiology test — checking for infections (bacteria, viruses, fungi)$485,146
0.0%
29,305$17
559G0399Home 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$482,099
0.0%
3,354$144
560V2200Sphere, bifocal, plano to plus or minus 4.00d, per lens$481,556
0.0%
11,833$41
56188312Tissue examination under a microscope (surgical pathology)$480,292
0.0%
30,905$16
562G0466Federally qualified health center (community health center) visit, new patient; a medically-necessary$478,495
0.0%
7,855$61
56359409Vaginal delivery only$476,646
0.0%
642$742
56487070Culture test — checking a sample for bacteria$471,056
0.0%
136,654$3
56559510Cesarean delivery (C-section) — includes prenatal and follow-up care$469,802
0.0%
286$1,643
56675574Heart and blood vessel imaging$468,013
0.0%
1,634$286
567G0300Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes$467,218
0.0%
236,540$2
568A4629Tracheostomy care kit for established tracheostomy$465,093
0.0%
6,325$74
56984481Blood chemistry test (checking specific substances in your blood)$464,740
0.0%
111,895$4
57090707MMR vaccine (protects against measles, mumps, rubella)$461,526
0.0%
34,971$13
57195813Brain wave test (EEG) or nerve test$460,992
0.0%
1,583$291
57299439Medical service or procedure$460,800
0.0%
15,069$31
57333440Heart and blood vessel surgery$459,999
0.0%
232$1,983
57483970Blood chemistry test (checking specific substances in your blood)$458,396
0.0%
147,780$3
575D0603Dental exam, X-ray, or screening$455,152
0.0%
163,560$3
576G0101Cervical or vaginal cancer screening — pelvic and breast exam$453,634
0.0%
15,878$29
57793886Blood vessel ultrasound or study$453,111
0.0%
1,995$227
57890651HPV vaccine (protects against cancer-causing virus)$446,265
0.0%
48,800$9
57996156Medical service or procedure$444,922
0.0%
26,031$17
58084403Blood chemistry test (checking specific substances in your blood)$444,614
0.0%
67,097$7
581D5110Complete upper denture$444,441
0.0%
1,164$382
582K0108Wheelchair component or accessory, not otherwise specified$443,274
0.0%
3,995$111
583V2785Processing, preserving and transporting corneal tissue$443,136
0.0%
1,689$262
58482746Blood chemistry test (checking specific substances in your blood)$443,103
0.0%
134,145$3
585H0049Alcohol and/or drug screening$441,862
0.0%
58,794$8
5860365TMedical service or procedure$439,340
0.0%
2,346$187
58700797Anesthesia for a medical procedure$434,247
0.0%
1,437$302
588T1001Nursing assessment / evaluation$432,367
0.0%
26,222$16
589Q0138Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-end-stage kidney disease use)$430,222
0.0%
690$624
590L2275Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined$425,656
0.0%
2,978$143
59199497Medical service or procedure$425,250
0.0%
64,044$7
592J0696Injection of ceftriaxone (antibiotic, usually given for serious infections)$423,963
0.0%
141,501$3
59397116Gait training — learning or re-learning how to walk$422,088
0.0%
123,213$3
594J2469Injection, palonosetron hcl, 25 mcg$419,885
0.0%
5,779$73
59586803Immune system or allergy test$419,238
0.0%
110,800$4
59692548Hearing or speech test or therapy$418,865
0.0%
6,945$60
59792521Evaluation of speech fluency (stuttering assessment)$418,803
0.0%
5,553$75
598A9276Sensor; invasive (for example., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply$418,061
0.0%
764$547
59990935Dialysis — single treatment to clean the blood when kidneys don't work$413,322
0.0%
15,823$26
600E2361Power wheelchair accessory, 22nf sealed lead acid battery, each, (for example., gel cell, absorbed glassmat)$412,564
0.0%
2,458$168
60164615Brain, spine, or nerve surgery$411,764
0.0%
6,075$68
60283013Blood chemistry test (checking specific substances in your blood)$407,793
0.0%
28,088$15
60387186Microbiology test — checking for infections (bacteria, viruses, fungi)$406,695
0.0%
141,249$3
604D9420Hospital dental care — using the hospital for dental treatment (per hour)$401,058
0.0%
12,411$32
60599236Hospital observation — admission and discharge on the same day (complex)$398,041
0.0%
2,278$175
606E0470Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, for example.$397,057
0.0%
10,333$38
607A4604Tubing with integrated heating element for use with positive airway pressure device$395,340
0.0%
19,111$21
60886235Immune system or allergy test$394,164
0.0%
27,079$15
60996127Brief emotional or behavioral screening (like a depression or anxiety questionnaire)$392,371
0.0%
117,615$3
61087653Microbiology test — checking for infections (bacteria, viruses, fungi)$390,458
0.0%
27,797$14
61199499Medical service or procedure$388,701
0.0%
58,906$7
61296130Psychological or neuropsychological testing — evaluation by a psychologist (first hour)$387,564
0.0%
22,774$17
61387799Microbiology test — checking for infections (bacteria, viruses, fungi)$386,686
0.0%
26,265$15
614S9366Home infusion therapy, total parenteral nutrition (tpn); more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination$386,170
0.0%
1,406$275
61512001Wound repair — stitching a cut or laceration (simple or layered)$385,072
0.0%
9,282$41
616J0878Injection, daptomycin, 1 mg$384,409
0.0%
1,568$245
617R0075Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen$384,272
0.0%
20,070$19
618J0485Injection, belatacept, 1 mg$380,252
0.0%
1,894$201
619D2933Dental filling, crown, or restoration$379,442
0.0%
4,460$85
62087536Microbiology test — checking for infections (bacteria, viruses, fungi)$378,074
0.0%
19,574$19
621A7032Cushion for use on nasal mask interface, replacement only, each$374,608
0.0%
15,598$24
622J3300Injection, triamcinolone acetonide, preservative free, 1 mg$374,325
0.0%
2,893$129
62385379Blood cell or clotting test$373,616
0.0%
92,453$4
62415004Skin graft or tissue transfer$373,523
0.0%
2,473$151
62597533Physical therapy, occupational therapy, or rehabilitation$369,140
0.0%
5,369$69
62664492Brain, spine, or nerve surgery$367,671
0.0%
2,631$140
627E0443Portable oxygen contents, gaseous, 1 month's supply = 1 unit$366,644
0.0%
9,307$39
62847562Gallbladder removal surgery (laparoscopic)$366,358
0.0%
348$1,053
62972110X-ray of the lower spine (complete, multiple views)$364,695
0.0%
8,999$41
63012011Wound repair — stitching a cut or laceration (simple or layered)$362,995
0.0%
7,078$51
63177065Breast imaging (mammogram or MRI)$362,994
0.0%
4,992$73
632G8510Screening for depression is documented as negative, a follow-up plan is not required$361,561
0.0%
53,581$7
633B4150Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube$360,935
0.0%
4,651$78
63481003Urinalysis — automated test$360,178
0.0%
440,102$1
63596136Psychological testing — administered by a psychologist (first 30 min)$358,760
0.0%
14,556$25
63664636Brain, spine, or nerve surgery$357,187
0.0%
11,560$31
63788185Cell examination under a microscope$355,780
0.0%
3,678$97
63880047Blood test panel (checking multiple things at once)$355,029
0.0%
84,866$4
639J3490Unclassified drug injection$354,950
0.0%
133,668$3
64081513Medical service or procedure$354,299
0.0%
23,664$15
64120553Musculoskeletal surgery (bones, joints, muscles)$353,180
0.0%
12,556$28
64231525Windpipe (trachea) or voice box surgery$352,303
0.0%
2,882$122
64365778Eye surgery$349,484
0.0%
5,254$67
644V5008Hearing screening$349,308
0.0%
21,351$16
64596158Medical service or procedure$348,652
0.0%
21,953$16
646D0190Dental exam, X-ray, or screening$347,925
0.0%
54,011$6
64787077Culture test — checking for specific bacteria$347,461
0.0%
130,627$3
64890875Mental health service$346,504
0.0%
6,770$51
64981002Urinalysis — quick dipstick test$343,493
0.0%
262,064$1
650G0108Diabetes self-management training for individuals$342,054
0.0%
17,665$19
65187486Microbiology test — checking for infections (bacteria, viruses, fungi)$340,199
0.0%
29,290$12
65200813Anesthesia for a medical procedure$338,320
0.0%
3,011$112
65317000Destruction of a precancerous skin growth (first growth)$338,101
0.0%
8,961$38
654D7970Tooth extraction or oral surgery$337,036
0.0%
1,493$226
655D5750Denture reline (upper, sent to a lab)$335,628
0.0%
2,187$153
65690840Crisis therapy — continued emergency treatment (additional 30 minutes)$335,476
0.0%
5,468$61
65799358Medical service or procedure$335,412
0.0%
22,252$15
65899343Home visit — complex problem$334,862
0.0%
2,472$135
65999316Medical service or procedure$333,466
0.0%
5,033$66
66076827Ultrasound$332,440
0.0%
5,401$62
66187581Microbiology test — checking for infections (bacteria, viruses, fungi)$328,318
0.0%
29,208$11
662J1885Injection, ketorolac tromethamine, per 15 mg$328,230
0.0%
311,215$1
66397166Occupational therapy evaluation — moderate problem$327,986
0.0%
13,553$24
664Q0092Set-up portable x-ray equipment$326,927
0.0%
72,407$5
665L4360Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled$324,911
0.0%
1,576$206
666A7035Headgear used with positive airway pressure device$321,838
0.0%
32,767$10
667E0603Breast pump, electric (ac and/or dc), any type$321,563
0.0%
3,149$102
66862323Epidural injection for pain (lumbar/sacral)$319,650
0.0%
2,586$124
66916020Medical service or procedure$317,555
0.0%
8,203$39
67099442Medical service or procedure$316,948
0.0%
15,896$20
67183550Iron binding capacity test$315,890
0.0%
262,302$1
67280069Kidney function blood test panel$313,548
0.0%
195,976$2
673D4355Gum disease treatment (periodontics)$312,327
0.0%
7,422$42
674D7473Tooth extraction or oral surgery$311,059
0.0%
2,961$105
675A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose$310,840
0.0%
6,273$50
67693925Blood vessel ultrasound or study$310,820
0.0%
3,619$86
67784153PSA blood test (prostate cancer screening)$309,849
0.0%
81,926$4
67892570Hearing or speech test or therapy$308,441
0.0%
13,184$23
679K0816Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds$308,334
0.0%
2,881$107
68011102Skin biopsy — taking a small sample of skin to test for disease$307,840
0.0%
5,536$56
681A7037Tubing used with positive airway pressure device$306,737
0.0%
31,421$10
682A7507Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each$305,428
0.0%
4,659$66
683Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory$303,394
0.0%
22,008$14
68496367IV infusion or injection of medication$301,394
0.0%
21,790$14
68577002Imaging guidance for a needle procedure$299,747
0.0%
7,141$42
68692083Eye exam or vision test$298,545
0.0%
8,527$35
68786140Immune system or allergy test$297,533
0.0%
196,036$2
68865400Eye surgery$293,564
0.0%
1,046$281
68999226Medical service or procedure$292,366
0.0%
3,478$84
690V2410Variable asphericity lens, single vision, full field, glass or plastic, per lens$290,773
0.0%
3,778$77
691D2740Crown (cap) — porcelain or ceramic$290,202
0.0%
768$378
6920369TMedical service or procedure$289,802
0.0%
1,783$163
69376820Ultrasound$289,623
0.0%
6,627$44
69499336Medical service or procedure$289,374
0.0%
9,597$30
69568840Eye surgery$288,157
0.0%
9,863$29
69690961End-stage kidney disease monthly care — for patients 20 and older, 2-3 visits$287,654
0.0%
3,818$75
69795957Brain wave test (EEG) or nerve test$285,035
0.0%
15,117$19
69890785Medical service or procedure$283,531
0.0%
65,051$4
69982652Blood chemistry test (checking specific substances in your blood)$283,225
0.0%
38,228$7
700V2104Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens$282,208
0.0%
31,207$9
70183540Iron blood test$282,149
0.0%
299,286$1
70272050Spine imaging (X-ray, CT, or MRI)$281,866
0.0%
10,543$27
70374019X-ray of the abdomen (two views)$280,260
0.0%
16,102$17
70499335Medical service or procedure$279,513
0.0%
7,110$39
70599354Medical service or procedure$278,196
0.0%
7,603$37
706L2820Addition to lower extremity orthosis, soft interface for molded plastic, below knee section$277,188
0.0%
2,991$93
70794626Breathing test or lung function test$277,008
0.0%
2,696$103
70886769Immune system or allergy test$274,795
0.0%
8,604$32
70964718Brain, spine, or nerve surgery$274,153
0.0%
1,085$253
71086696Immune system or allergy test$271,740
0.0%
46,741$6
711J1756Injection, iron sucrose, 1 mg$271,350
0.0%
403,803$1
71211045Wound cleaning — removing dead or damaged tissue$270,291
0.0%
2,662$102
713J1335Injection, ertapenem sodium, 500 mg$269,858
0.0%
1,005$269
714J2505Injection, pegfilgrastim, 6 mg$269,174
0.0%
58$4,641
71554150Male reproductive system surgery$268,833
0.0%
2,131$126
716A4351Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each$267,943
0.0%
1,815$148
717A7005Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable$266,912
0.0%
26,762$10
71826180Hand and finger surgery$266,366
0.0%
1,335$200
719D7550Tooth extraction or oral surgery$263,409
0.0%
971$271
72099334Medical service or procedure$263,227
0.0%
7,160$37
721Q5107Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg$262,422
0.0%
167$1,571
72297129Physical therapy, occupational therapy, or rehabilitation$262,067
0.0%
29,984$9
72396137Psychological testing — additional 30 minutes$261,865
0.0%
7,900$33
72487430Microbiology test — checking for infections (bacteria, viruses, fungi)$260,010
0.0%
41,049$6
72573502X-ray of the hip$259,747
0.0%
18,012$14
726J2777Injection, faricimab-svoa, 0.1 mg$258,645
0.0%
214$1,209
72792551Hearing or speech test or therapy$258,220
0.0%
40,237$6
72893017Heart monitoring test (ECG/EKG)$257,822
0.0%
18,308$14
72995700Brain wave test (EEG) or nerve test$257,786
0.0%
7,261$36
730A6532Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each$257,292
0.0%
2,286$113
73194016Breathing test or lung function test$257,221
0.0%
16,659$15
73292575Hearing or speech test or therapy$256,407
0.0%
5,535$46
73382670Blood chemistry test (checking specific substances in your blood)$255,634
0.0%
34,989$7
734E0245Tub stool or bench$255,108
0.0%
4,354$59
73526440Hand and finger surgery$255,037
0.0%
1,040$245
736D7310Tooth extraction or oral surgery$254,952
0.0%
3,870$66
73762322Brain, spine, or nerve surgery$254,391
0.0%
2,842$90
738D9995Other dental service$254,329
0.0%
8,005$32
739K0739Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes$253,048
0.0%
6,994$36
74073080X-ray of the forearm$252,513
0.0%
14,112$18
74192557Hearing or speech test or therapy$251,351
0.0%
10,903$23
74273562X-ray of the knee (3 views)$250,895
0.0%
11,521$22
74393978Blood vessel ultrasound or study$250,840
0.0%
2,405$104
744E2366Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each$250,014
0.0%
1,519$165
74567210Eye surgery$249,564
0.0%
3,133$80
746J1453Injection, fosaprepitant, 1 mg$248,127
0.0%
3,037$82
74717311Medical service or procedure$247,773
0.0%
689$360
74897165Occupational therapy evaluation — simple problem$247,704
0.0%
11,478$22
74987400Microbiology test — checking for infections (bacteria, viruses, fungi)$247,638
0.0%
22,201$11
750G0463Hospital outpatient clinic visit$246,200
0.0%
27,801$9
75199305Nursing facility admission — moderate first day care$246,147
0.0%
5,883$42
75236569Artery and vein surgery$242,891
0.0%
629$386
753A7000Canister, disposable, used with suction pump, each$242,117
0.0%
12,340$20
75492136Eye exam or vision test$241,293
0.0%
9,945$24
75542820Throat, adenoid, and tonsil surgery$240,568
0.0%
530$454
756K0552Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each$238,370
0.0%
3,407$70
757A7038Filter, disposable, used with positive airway pressure device$238,154
0.0%
86,634$3
758D3330Root canal — molar tooth$237,876
0.0%
1,129$211
75995806Brain wave test (EEG) or nerve test$237,713
0.0%
2,312$103
760H0010Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient)$236,625
0.0%
470$503
76182570Blood chemistry test (checking specific substances in your blood)$235,261
0.0%
245,332$1
76293922Blood vessel ultrasound or study$235,010
0.0%
6,223$38
76399252Medical service or procedure$234,438
0.0%
3,985$59
76482977Blood chemistry test (checking specific substances in your blood)$234,338
0.0%
74,320$3
765D2950Crown buildup — rebuilding a broken tooth so a crown can be placed$232,214
0.0%
4,104$57
76674174Abdomen imaging (X-ray, CT, or MRI)$231,288
0.0%
577$401
76795923Brain wave test (EEG) or nerve test$229,697
0.0%
3,484$66
76811750Nail surgery or treatment$229,337
0.0%
2,076$110
769D0160Dental exam, X-ray, or screening$228,030
0.0%
10,572$22
770D9612Other dental service$226,188
0.0%
7,637$30
77184100Phosphorus blood test$225,200
0.0%
233,321$1
77283001Blood chemistry test (checking specific substances in your blood)$224,921
0.0%
47,844$5
77369436Ear surgery$224,723
0.0%
526$427
77476819Ultrasound$224,427
0.0%
2,748$82
77583655Blood chemistry test (checking specific substances in your blood)$223,866
0.0%
44,464$5
77687340Microbiology test — checking for infections (bacteria, viruses, fungi)$223,733
0.0%
104,790$2
77729125Casting, splinting, or strapping for a broken bone or injury$223,651
0.0%
6,818$33
778D7261Tooth extraction or oral surgery$223,284
0.0%
814$274
77976000Diagnostic ultrasound or fluoroscopy$223,247
0.0%
6,641$34
78074183Abdomen imaging (X-ray, CT, or MRI)$221,980
0.0%
1,261$176
78199459Medical service or procedure$221,521
0.0%
13,539$16
78226055Hand and finger surgery$221,409
0.0%
1,660$133
78399382Wellness checkup — new patient, ages 1-4$217,980
0.0%
2,857$76
78473090X-ray of the wrist$216,162
0.0%
14,210$15
785C9803Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source$215,863
0.0%
117,684$2
78692341Eye exam or vision test$215,157
0.0%
7,191$30
78796131Psychological or neuropsychological testing — additional testing time$215,029
0.0%
2,112$102
788A5120Skin barrier, wipes or swabs, each$214,711
0.0%
25,130$9
78999468Neonatal critical care — intensive care for a very sick baby (first day)$213,845
0.0%
267$801
79092285Eye exam or vision test$212,783
0.0%
18,218$12
791G0468Federally Qualified Health Center visit — a community health center visit for new patients$212,070
0.0%
2,752$77
792J3370Injection, vancomycin hcl, 500 mg$211,908
0.0%
28,166$8
79336416Finger or heel stick for blood collection$210,602
0.0%
88,251$2
79499407Medical service or procedure$207,652
0.0%
24,418$9
795E0784External ambulatory infusion pump, insulin$207,383
0.0%
54$3,840
79695251Medical service or procedure$207,240
0.0%
7,999$26
79784402Blood chemistry test (checking specific substances in your blood)$206,200
0.0%
34,587$6
79872040Spine imaging (X-ray, CT, or MRI)$205,538
0.0%
9,107$23
79936475Artery and vein surgery$205,106
0.0%
945$217
80099384Wellness checkup — new patient, ages 12-17$205,016
0.0%
2,744$75
801E0600Respiratory suction pump, home model, portable or stationary, electric$203,084
0.0%
4,948$41
802T4533Youth sized disposable incontinence product, brief/diaper, each$202,725
0.0%
2,380$85
803A4353Intermittent urinary catheter, with insertion supplies$202,286
0.0%
223$907
80412002Wound repair — stitching a cut or laceration (simple or layered)$202,258
0.0%
4,634$44
80592025Eye exam or vision test$201,942
0.0%
8,236$25
80691065Digestive system test$201,410
0.0%
3,621$56
80701938Anesthesia for a medical procedure$201,197
0.0%
2,648$76
808E1007Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction$201,081
0.0%
75$2,681
80999406Medical service or procedure$200,940
0.0%
40,778$5
810A5500For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe$200,913
0.0%
3,317$61
81199484Medical service or procedure$200,763
0.0%
28,617$7
81290863Mental health service$199,682
0.0%
7,003$29
81387902Microbiology test — checking for infections (bacteria, viruses, fungi)$199,525
0.0%
3,128$64
814J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose$199,174
0.0%
239$833
81594150Breathing test or lung function test$197,403
0.0%
14,920$13
81694729Breathing test or lung function test$196,975
0.0%
7,573$26
817D5761Dentures or removable dental prosthetics$196,425
0.0%
1,502$131
81886038Immune system or allergy test$196,187
0.0%
69,646$3
81997602Physical therapy, occupational therapy, or rehabilitation$195,428
0.0%
13,549$14
82092522Evaluation of speech sound production$191,897
0.0%
3,782$51
82192133Eye exam or vision test$191,583
0.0%
11,137$17
822A4623Tracheostomy, inner cannula$190,964
0.0%
1,622$118
82373590X-ray of the lower leg (tibia/fibula)$189,746
0.0%
16,954$11
824A9901Medical equipment delivery, set up, and/or dispensing service component of another procedure code code$189,210
0.0%
71,846$3
82595984Brain wave test (EEG) or nerve test$188,771
0.0%
6,344$30
826A5513For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch$188,738
0.0%
2,652$71
827J2405Injection, ondansetron hydrochloride, per 1 mg$188,500
0.0%
426,992$0
82899201New patient office visit — minor problem$188,233
0.0%
6,630$28
82986360Immune system or allergy test$188,004
0.0%
16,196$12
83049460Abdomen, hernia, or peritoneum surgery$187,494
0.0%
12,307$15
83182248Blood chemistry test (checking specific substances in your blood)$187,003
0.0%
113,975$2
83287522Microbiology test — checking for infections (bacteria, viruses, fungi)$186,737
0.0%
17,063$11
83383002Blood chemistry test (checking specific substances in your blood)$185,137
0.0%
39,865$5
83490836Individual therapy session added to a regular doctor visit (45 minutes)$183,637
0.0%
5,648$33
83564480Brain, spine, or nerve surgery$183,088
0.0%
1,760$104
8360368TMedical service or procedure$182,165
0.0%
4,808$38
83776870Ultrasound of the scrotum$181,345
0.0%
6,145$30
83885018Blood cell or clotting test$181,340
0.0%
318,341$1
839E1392Portable oxygen concentrator, rental$180,964
0.0%
22,640$8
84092540Hearing or speech test or therapy$180,439
0.0%
3,256$55
84184550Blood chemistry test (checking specific substances in your blood)$180,261
0.0%
142,136$1
84286592Immune system or allergy test$179,405
0.0%
162,534$1
84388142Cell examination under a microscope$178,838
0.0%
56,666$3
844U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc$178,549
0.0%
8,352$21
845A4222Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)$178,265
0.0%
5,320$34
846T4530Pediatric sized disposable incontinence product, brief/diaper, large size, each$177,768
0.0%
3,211$55
84711044Wound cleaning — removing dead tissue down to bone$177,161
0.0%
4,138$43
848J1100Injection of dexamethasone (steroid for inflammation, allergies, or breathing problems)$176,744
0.0%
224,585$1
84987511Microbiology test — checking for infections (bacteria, viruses, fungi)$176,628
0.0%
8,123$22
85087641Microbiology test — checking for infections (bacteria, viruses, fungi)$176,552
0.0%
28,883$6
85182330Blood chemistry test (checking specific substances in your blood)$176,251
0.0%
21,558$8
85299451Medical service or procedure$176,213
0.0%
26,740$7
85386850Blood type and antibody screening$175,810
0.0%
109,383$2
85484146Blood chemistry test (checking specific substances in your blood)$175,327
0.0%
33,763$5
85591320Medical service or procedure$175,235
0.0%
2,924$60
85682043Blood chemistry test (checking specific substances in your blood)$174,770
0.0%
163,538$1
857L3020Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each$174,737
0.0%
700$250
858J2930Injection, methylprednisolone sodium succinate, up to 125 mg$174,718
0.0%
30,249$6
85993042Heart monitoring test (ECG/EKG)$174,345
0.0%
96,754$2
86033866Heart and blood vessel surgery$173,858
0.0%
268$649
861G0469Federally qualified health center (community health center) visit, mental health, new patient; a medically-necessary$172,989
0.0%
3,567$48
86292273Eye exam or vision test$172,763
0.0%
2,331$74
86382962Blood chemistry test (checking specific substances in your blood)$172,361
0.0%
254,805$1
864E0260Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress$171,854
0.0%
11,786$15
865B9002Enteral nutrition infusion pump, any type$171,700
0.0%
5,852$29
86682785Blood chemistry test (checking specific substances in your blood)$171,495
0.0%
44,278$4
867G0383Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is l...$170,731
0.0%
5,600$30
86886695Immune system or allergy test$170,250
0.0%
43,392$4
869P9604Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge$169,570
0.0%
149,359$1
870L1960Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated$168,696
0.0%
347$486
871V2782Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens$167,682
0.0%
8,649$19
87299601Home infusion — a nurse giving IV medication at your home (first 2 hours)$166,860
0.0%
4,231$39
87320611Joint injection or draining with ultrasound guidance$166,622
0.0%
5,069$33
874L3660Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf$165,836
0.0%
2,514$66
87594015Breathing test or lung function test$165,379
0.0%
10,347$16
87683615Blood chemistry test (checking specific substances in your blood)$164,233
0.0%
83,656$2
877G0152Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes$163,605
0.0%
45,456$4
878G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present)$163,003
0.0%
25,187$6
879H0043Supported housing, per day$162,750
0.0%
133$1,224
88083525Blood chemistry test (checking specific substances in your blood)$162,433
0.0%
63,090$3
88193458Heart catheterization — looking at heart arteries with dye$161,674
0.0%
744$217
88286901Blood typing — Rh (determines if you're Rh positive or negative)$160,819
0.0%
165,823$1
88390867Mental health service$160,533
0.0%
568$283
884D2929Dental filling, crown, or restoration$159,600
0.0%
1,427$112
8850012AMedical service or procedure$159,397
0.0%
9,361$17
88686780Immune system or allergy test$159,266
0.0%
31,821$5
887J2315Injection, naltrexone, depot form, 1 mg$158,555
0.0%
469$338
888D9243Other dental service$158,437
0.0%
1,390$114
889D5751Denture reline (lower, sent to a lab)$157,763
0.0%
990$159
89099464Newborn resuscitation — emergency breathing help for a baby$157,605
0.0%
2,483$63
891J1170Injection, hydromorphone, up to 4 mg$156,710
0.0%
93,567$2
892V2107Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens$156,660
0.0%
14,766$11
89300812Anesthesia for a medical procedure$156,183
0.0%
1,820$86
89472128Spine imaging (X-ray, CT, or MRI)$155,811
0.0%
1,949$80
89543281Esophagus (swallowing tube) surgery$155,636
0.0%
254$613
89600142Anesthesia for eye surgery$155,461
0.0%
2,430$64
8970011AMedical service or procedure$155,134
0.0%
10,062$15
89887640Microbiology test — checking for infections (bacteria, viruses, fungi)$155,082
0.0%
16,734$9
899D0145Oral evaluation for a patient under 3 years old$155,058
0.0%
8,707$18
900V5010Assessment for hearing aid$154,731
0.0%
3,079$50
901E0471Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, for example.$154,152
0.0%
1,936$80
90201810Anesthesia for a medical procedure$153,424
0.0%
1,543$99
903G0442Annual alcohol misuse screening, 5 to 15 minutes$153,385
0.0%
27,750$6
90490674Flu vaccine — standard injection$152,401
0.0%
12,080$13
9053074FMedical service or procedure$152,297
0.0%
279,752$1
906V2760Scratch resistant coating, per lens$151,511
0.0%
16,453$9
90777080Bone density scan (DEXA scan — checks for osteoporosis)$151,356
0.0%
5,736$26
90811046Wound cleaning — removing dead or damaged tissue$151,030
0.0%
12,811$12
90986376Immune system or allergy test$149,975
0.0%
43,697$3
91073140Upper extremity imaging (shoulder, arm, hand)$149,915
0.0%
12,289$12
91192226Eye exam or vision test$148,930
0.0%
9,014$17
91220552Musculoskeletal surgery (bones, joints, muscles)$148,170
0.0%
6,793$22
913D8691Braces or orthodontic treatment$148,020
0.0%
5,131$29
914V5264Ear mold/insert, not disposable, any type$147,645
0.0%
2,833$52
915J2182Injection, mepolizumab, 1 mg$146,928
0.0%
73$2,013
916D5120Complete lower denture$145,172
0.0%
356$408
917A7033Pillow for use on nasal cannula type interface, replacement only, pair$144,953
0.0%
7,816$19
918J1439Injection, ferric carboxymaltose, 1 mg$144,739
0.0%
1,795$81
91986900Blood typing — ABO (determines your blood group)$144,220
0.0%
158,854$1
920L3908Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf$143,706
0.0%
2,896$50
92174022Abdomen imaging (X-ray, CT, or MRI)$143,383
0.0%
6,862$21
92211721Nail surgery or treatment$143,363
0.0%
25,956$6
923J2543Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)$143,312
0.0%
30,313$5
92470544Head and brain imaging (X-ray, CT, or MRI)$142,949
0.0%
2,817$51
92596116Neurobehavioral exam — testing brain function and behavior$142,603
0.0%
20,429$7
926D2160Silver (amalgam) filling — three surfaces$142,453
0.0%
2,072$69
92787631Microbiology test — checking for infections (bacteria, viruses, fungi)$142,332
0.0%
33,023$4
92877014Imaging guidance for a needle procedure$141,976
0.0%
1,654$86
929D7111Extraction — pulling a baby tooth that's already loose$141,916
0.0%
5,429$26
93090838Individual therapy session added to a regular doctor visit (60 minutes)$141,574
0.0%
4,643$30
931D5214Partial lower denture — with resin base$141,145
0.0%
385$367
93282947Blood sugar (glucose) test$140,550
0.0%
72,588$2
93384144Blood chemistry test (checking specific substances in your blood)$139,379
0.0%
25,586$5
93497168Occupational therapy re-evaluation$139,114
0.0%
5,131$27
93536514Artery and vein surgery$138,687
0.0%
5,905$23
93617250Destruction or removal of a skin lesion (wart, precancerous growth, etc.)$138,585
0.0%
17,677$8
93773718MRI of the lower leg (without contrast)$138,468
0.0%
1,731$80
93831624Windpipe (trachea) or voice box surgery$137,456
0.0%
995$138
93988141Cell examination under a microscope$137,412
0.0%
27,886$5
94099496Medical service or procedure$137,040
0.0%
1,799$76
94196121Medical service or procedure$136,415
0.0%
15,910$9
942H0032Mental health service plan development by a non-physician$136,394
0.0%
711$192
94392625Hearing or speech test or therapy$136,316
0.0%
2,911$47
94480164Drug or substance testing$135,936
0.0%
24,410$6
94594644Breathing test or lung function test$135,665
0.0%
5,883$23
94673620Lower extremity imaging (hip, knee, leg, foot)$134,960
0.0%
8,747$15
94799443Medical service or procedure$134,918
0.0%
5,908$23
94897158Physical therapy, occupational therapy, or rehabilitation$134,718
0.0%
975$138
94997130Physical therapy, occupational therapy, or rehabilitation$134,546
0.0%
7,912$17
95082565Creatinine blood test (checks how well your kidneys are working)$134,130
0.0%
115,209$1
95184145Blood chemistry test (checking specific substances in your blood)$133,993
0.0%
16,459$8
95280051Blood test panel (checking multiple things at once)$133,804
0.0%
82,298$2
95399253Medical service or procedure$133,262
0.0%
2,548$52
95493304Heart ultrasound (echocardiogram)$132,880
0.0%
933$142
95599463Newborn baby care — admission and discharge on the same day$132,127
0.0%
1,841$72
95695938Brain wave test (EEG) or nerve test$131,560
0.0%
5,868$22
95778492Nuclear medicine imaging (using small amounts of radioactive material)$131,368
0.0%
984$134
95899462Newborn baby care — subsequent days$131,001
0.0%
4,252$31
95988304Tissue examination under a microscope (surgical pathology)$130,857
0.0%
22,385$6
96093888Blood vessel ultrasound or study$130,792
0.0%
961$136
96131579Windpipe (trachea) or voice box surgery$130,512
0.0%
1,388$94
96295976Brain wave test (EEG) or nerve test$130,081
0.0%
6,027$22
96315003Skin graft or tissue transfer$129,731
0.0%
842$154
964P9040Red blood cells, leukocytes reduced, irradiated, each unit$128,849
0.0%
1,681$77
96572170X-ray of the pelvis$127,171
0.0%
6,936$18
96687081Culture test — checking for a specific organism$127,109
0.0%
82,243$2
96782150Blood chemistry test (checking specific substances in your blood)$127,054
0.0%
51,816$2
968G0515Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes$125,652
0.0%
3,565$35
96972072Spine imaging (X-ray, CT, or MRI)$125,561
0.0%
6,812$18
970A4225Supplies for external insulin infusion pump, syringe type cartridge, sterile, each$124,988
0.0%
1,771$71
97196139Psychological testing — additional 30 minutes by a technician$124,785
0.0%
2,297$54
9720250Anesthesia for a medical procedure$124,505
0.0%
5,999$21
97382140Blood chemistry test (checking specific substances in your blood)$124,160
0.0%
25,559$5
97473560X-ray of the knee (1-2 views)$123,221
0.0%
12,141$10
97584134Blood chemistry test (checking specific substances in your blood)$122,829
0.0%
21,565$6
97687563Microbiology test — checking for infections (bacteria, viruses, fungi)$122,511
0.0%
9,230$13
977D1354Interim caries arresting treatment — applying medicine to stop a cavity from growing$122,494
0.0%
12,935$9
978K0823Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds$122,241
0.0%
1,818$67
979G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)$122,079
0.0%
2,538$48
98076857Pelvic ultrasound (limited)$122,037
0.0%
3,018$40
981E2386Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each$120,161
0.0%
687$175
98287512Microbiology test — checking for infections (bacteria, viruses, fungi)$120,137
0.0%
9,272$13
98397167Occupational therapy evaluation — complex problem$120,053
0.0%
5,012$24
984E0114Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips$119,370
0.0%
5,064$24
985D3120Root canal or dental pulp treatment$119,314
0.0%
8,480$14
98627096Hip and thigh surgery$119,043
0.0%
2,967$40
987D4346Gum disease treatment (periodontics)$118,649
0.0%
2,156$55
988E0955Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each$118,205
0.0%
1,723$69
98943235Esophagus (swallowing tube) surgery$117,749
0.0%
2,389$49
99082105Blood chemistry test (checking specific substances in your blood)$116,875
0.0%
27,540$4
991K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count$116,744
0.0%
15,279$8
99292002Eye exam or vision test$116,190
0.0%
2,844$41
993K0861Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds$115,946
0.0%
47$2,467
99482247Bilirubin blood test (checks liver function)$115,507
0.0%
58,009$2
995S5150Unskilled respite care — temporary relief for family caregivers (per 15 minutes)$115,345
0.0%
2,781$41
99699199Other medical service$114,492
0.0%
35,556$3
99793224Heart rhythm monitoring (Holter monitor or event recorder)$114,082
0.0%
1,924$59
99899325Medical service or procedure$113,322
0.0%
2,432$47
999J0780Injection, prochlorperazine, up to 10 mg$112,892
0.0%
21,621$5
100090620Vaccine or immunization$112,584
0.0%
7,521$15
1001V5266Battery for use in hearing device$112,313
0.0%
14,329$8
1002D1510Space maintainer — device to hold space for a permanent tooth (fixed)$112,185
0.0%
1,241$90
1003K0003Lightweight wheelchair$111,894
0.0%
5,286$21
100490480Vaccine or immunization$111,873
0.0%
3,948$28
100595956Brain wave test (EEG) or nerve test$111,838
0.0%
114$981
100682378Blood chemistry test (checking specific substances in your blood)$111,478
0.0%
21,585$5
100773100Upper extremity imaging (shoulder, arm, hand)$111,438
0.0%
4,352$26
1008V2797Vision supply, accessory and/or service component of another procedure code vision code$110,812
0.0%
38,941$3
100987541Microbiology test — checking for infections (bacteria, viruses, fungi)$110,547
0.0%
12,236$9
101082784Blood chemistry test (checking specific substances in your blood)$110,519
0.0%
29,617$4
1011G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes$110,446
0.0%
11,414$10
1012J7050IV fluid — normal saline (250 ml)$109,940
0.0%
84,751$1
101396133Neuropsychological testing — additional testing time$109,867
0.0%
914$120
101485652Blood cell or clotting test$109,532
0.0%
160,867$1
1015D3240Root canal or dental pulp treatment$109,488
0.0%
1,833$60
1016D7280Tooth extraction or oral surgery$108,716
0.0%
911$119
1017E2387Power wheelchair accessory, foam filled caster tire, any size, replacement only, each$108,082
0.0%
1,043$104
101886359Immune system or allergy test$107,998
0.0%
9,735$11
101988342Tissue examination under a microscope (surgical pathology)$107,922
0.0%
9,350$12
102094727Breathing test or lung function test$107,788
0.0%
5,105$21
10210364TMedical service or procedure$106,915
0.0%
2,346$46
102211900Skin injection or implant$106,379
0.0%
4,185$25
102384436Blood chemistry test (checking specific substances in your blood)$106,178
0.0%
63,439$2
102492081Eye exam or vision test$106,091
0.0%
5,299$20
102580202Drug or substance testing$106,047
0.0%
21,481$5
102676506Ultrasound$105,879
0.0%
4,608$23
1027D5760Dentures or removable dental prosthetics$105,756
0.0%
843$125
102884520Blood chemistry test (checking specific substances in your blood)$105,741
0.0%
208,043$1
102995024Allergy testing or treatment$105,485
0.0%
1,231$86
103084270Blood chemistry test (checking specific substances in your blood)$105,180
0.0%
18,302$6
103199174Other medical service$104,686
0.0%
20,851$5
103277427Radiation therapy for cancer$104,629
0.0%
987$106
1033A5121Skin barrier; solid, 6 x 6 or equivalent, each$103,804
0.0%
787$132
1034A4550Surgical trays$103,507
0.0%
16,216$6
1035G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present)$103,266
0.0%
12,862$8
103686706Immune system or allergy test$103,209
0.0%
52,885$2
103787420Microbiology test — checking for infections (bacteria, viruses, fungi)$102,412
0.0%
14,610$7
103895999Brain wave test (EEG) or nerve test$102,319
0.0%
1,533$67
1039Z7502Health information coding$101,711
0.0%
2,720$37
104063685Brain, spine, or nerve surgery$100,818
0.0%
14$7,201
104136430Blood transfusion$100,673
0.0%
5,845$17
104290671Vaccine or immunization$100,211
0.0%
19,836$5
104396160Medical service or procedure$100,096
0.0%
43,623$2
104443237Esophagus (swallowing tube) surgery$100,004
0.0%
876$114
104580306Drug or substance testing$99,710
0.0%
12,816$8
104699337Medical service or procedure$99,048
0.0%
1,528$65
1047D0367Dental exam, X-ray, or screening$98,778
0.0%
834$118
1048D5650Dentures or removable dental prosthetics$98,527
0.0%
1,772$56
104982805Blood chemistry test (checking specific substances in your blood)$98,469
0.0%
11,456$9
105092588Hearing or speech test or therapy$98,202
0.0%
4,064$24
105192201Eye exam or vision test$98,153
0.0%
5,875$17
1052A6212Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing$97,709
0.0%
1,368$71
1053L1830Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf$97,339
0.0%
1,785$55
105488173Cell examination under a microscope$95,751
0.0%
4,131$23
105590670Pneumonia vaccine (PCV13, protects against pneumonia)$95,725
0.0%
178,550$1
1056J1050Injection, medroxyprogesterone acetate, 1 mg$95,648
0.0%
2,984$32
105772080Spine imaging (X-ray, CT, or MRI)$95,310
0.0%
2,579$37
105899242Office consultation — simple problem$95,050
0.0%
989$96
1059A9579Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml$94,756
0.0%
9,089$10
1060J0360Injection, hydralazine hcl, up to 20 mg$94,384
0.0%
24,903$4
106111056Trimming or paring a skin lesion or callus$94,365
0.0%
24,547$4
106295953Brain wave test (EEG) or nerve test$93,349
0.0%
469$199
1063G0382Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is l...$93,255
0.0%
5,882$16
1064A6196Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing$93,254
0.0%
1,042$89
106598926Osteopathic treatment (hands-on manipulation)$92,840
0.0%
3,470$27
106693923Blood vessel ultrasound or study$92,744
0.0%
1,278$73
1067A6197Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing$92,670
0.0%
190$488
106883520Blood chemistry test (checking specific substances in your blood)$92,288
0.0%
19,971$5
106915274Skin graft or tissue transfer$91,768
0.0%
500$184
107017003Destruction of additional precancerous skin growths$91,732
0.0%
5,567$16
1071G0471Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (skilled nursing facility) or by a laboratory on behalf of a home heal...$91,564
0.0%
109,911$1
107282627Blood chemistry test (checking specific substances in your blood)$91,205
0.0%
15,738$6
107331575Windpipe (trachea) or voice box surgery$91,094
0.0%
1,500$61
107477003Imaging guidance for a needle procedure$90,696
0.0%
22,735$4
1075A4612Battery cables; replacement for patient-owned ventilator$90,494
0.0%
1,394$65
107697156Physical therapy, occupational therapy, or rehabilitation$90,372
0.0%
1,317$69
107772197Spine imaging (X-ray, CT, or MRI)$89,881
0.0%
664$135
107897012Physical therapy, occupational therapy, or rehabilitation$89,508
0.0%
17,197$5
1079J3301Injection of triamcinolone (steroid for inflammation or joint pain)$89,431
0.0%
32,232$3
108099452Medical service or procedure$89,241
0.0%
17,244$5
108187807Microbiology test — checking for infections (bacteria, viruses, fungi)$88,912
0.0%
12,849$7
1082J1200Injection, diphenhydramine hcl, up to 50 mg$88,830
0.0%
132,319$1
108399417Medical service or procedure$88,475
0.0%
2,173$41
1084J7120Ringer's lactate solution — IV fluid (1000 ml)$88,290
0.0%
40,119$2
108525600Treatment of a broken wrist (without surgery)$88,268
0.0%
339$260
108684460ALT blood test (checks for liver damage)$88,092
0.0%
49,833$2
1087D0601Dental exam, X-ray, or screening$88,051
0.0%
34,929$3
1088A7046Water chamber for humidifier, used with positive airway pressure device, replacement, each$87,965
0.0%
17,295$5
108901922Anesthesia for a medical procedure$87,533
0.0%
413$212
109086800Immune system or allergy test$87,525
0.0%
28,089$3
109196417IV infusion or injection of medication$87,166
0.0%
2,265$38
1092J1644Injection, heparin sodium, per 1000 units$86,824
0.0%
232,830$0
109397113Physical therapy, occupational therapy, or rehabilitation$86,435
0.0%
1,310$66
1094D7472Tooth extraction or oral surgery$86,259
0.0%
626$138
109592552Hearing or speech test or therapy$85,951
0.0%
5,605$15
1096J0881Injection, darbepoetin alfa, 1 microgram (non-end-stage kidney disease use)$85,282
0.0%
95$898
1097A4657Syringe, with or without needle, each$85,127
0.0%
743,968$0
109864488Brain, spine, or nerve surgery$84,835
0.0%
2,789$30
109986704Immune system or allergy test$84,790
0.0%
40,240$2
1100E0163Commode chair, mobile or stationary, with fixed arms$84,595
0.0%
3,162$27
110187210Wet mount — checking a sample under a microscope$84,509
0.0%
32,336$3
1102S5160Emergency response system; installation and testing$84,328
0.0%
2,028$42
110396101Psychological testing — administered and scored by a psychologist$83,962
0.0%
1,036$81
110420550Musculoskeletal surgery (bones, joints, muscles)$83,928
0.0%
3,030$28
110586008Immune system or allergy test$83,578
0.0%
7,739$11
110687529Microbiology test — checking for infections (bacteria, viruses, fungi)$83,246
0.0%
5,153$16
110786708Immune system or allergy test$83,017
0.0%
35,845$2
110892284Eye exam or vision test$82,862
0.0%
2,667$31
1109H2016Comprehensive community support services, per day$82,452
0.0%
272$303
1110A4221Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)$82,400
0.0%
5,941$14
111186147Immune system or allergy test$82,044
0.0%
5,272$16
111271270Chest imaging (X-ray, CT, or MRI)$81,987
0.0%
617$133
1113E0261Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress$81,494
0.0%
6,732$12
111484132Potassium blood test$81,097
0.0%
88,725$1
1115A4305Disposable drug delivery system, flow rate of 50 ml or greater per hour$80,827
0.0%
23,527$3
111684450AST blood test (checks for liver damage)$80,701
0.0%
44,091$2
111793297Pacemaker or defibrillator check$79,694
0.0%
6,890$12
111882803Blood chemistry test (checking specific substances in your blood)$79,613
0.0%
14,264$6
1119P9016Red blood cells, leukocytes reduced, each unit$79,439
0.0%
2,811$28
112072146Spine imaging (X-ray, CT, or MRI)$79,156
0.0%
1,007$79
1121J1650Injection, enoxaparin sodium, 10 mg$79,081
0.0%
32,318$2
112296125Medical service or procedure$78,829
0.0%
1,541$51
112395044Allergy testing or treatment$78,500
0.0%
321$245
1124D0602Dental exam, X-ray, or screening$78,451
0.0%
45,852$2
11250001AMedical service or procedure$78,424
0.0%
6,235$13
112697164Physical therapy re-evaluation$78,403
0.0%
3,004$26
112792283Eye exam or vision test$78,363
0.0%
1,727$45
1128D9239Other dental service$77,833
0.0%
1,127$69
112999235Hospital observation — admission and discharge on the same day (moderate)$77,751
0.0%
828$94
113090632Hepatitis A vaccine$77,690
0.0%
1,769$44
1131B4153Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber$77,679
0.0%
140$555
1132D5410Adjustment of a complete upper denture$77,648
0.0%
2,281$34
1133T4543Adult sized disposable incontinence product, protective brief/diaper, above extra large, each$77,604
0.0%
265$293
113464721Brain, spine, or nerve surgery$77,561
0.0%
293$265
113584112Blood chemistry test (checking specific substances in your blood)$77,514
0.0%
5,470$14
113684445Blood chemistry test (checking specific substances in your blood)$76,863
0.0%
7,148$11
113793018Heart monitoring test (ECG/EKG)$76,296
0.0%
9,645$8
113890474Additional oral or nasal vaccine at the same visit$76,044
0.0%
8,256$9
113999234Hospital observation — admission and discharge on the same day (simple)$75,563
0.0%
814$93
114087496Microbiology test — checking for infections (bacteria, viruses, fungi)$75,492
0.0%
6,886$11
1141L1970Ankle foot orthosis, plastic with ankle joint, custom fabricated$74,966
0.0%
105$714
114273700CT scan of the lower leg$74,961
0.0%
609$123
114382040Albumin blood test (checks for liver or kidney problems)$74,769
0.0%
80,837$1
114487532Microbiology test — checking for infections (bacteria, viruses, fungi)$74,748
0.0%
6,780$11
1145A9277Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system$74,711
0.0%
212$352
114686160Immune system or allergy test$74,683
0.0%
15,237$5
1147K0002Standard hemi (low seat) wheelchair$74,098
0.0%
3,372$22
114896409IV infusion or injection of medication$74,013
0.0%
1,026$72
1149A4670Automatic blood pressure monitor$73,990
0.0%
1,855$40
115090686Vaccine or immunization$73,601
0.0%
203,842$0
115182672Blood chemistry test (checking specific substances in your blood)$73,205
0.0%
12,647$6
1152G9919Screening performed and positive and provision of recommendations$73,050
0.0%
2,519$29
11530002AMedical service or procedure$72,859
0.0%
4,894$15
115466250Eye surgery$72,842
0.0%
426$171
115584075Blood chemistry test (checking specific substances in your blood)$72,806
0.0%
48,382$2
115684478Blood chemistry test (checking specific substances in your blood)$72,699
0.0%
25,966$3
1157D9110Emergency dental treatment — palliative (pain relief)$72,385
0.0%
2,585$28
115896112Medical service or procedure$72,372
0.0%
3,834$19
115986225Immune system or allergy test$72,233
0.0%
26,061$3
1160J3486Injection, ziprasidone mesylate, 10 mg$71,963
0.0%
3,536$20
1161E2311Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature$71,747
0.0%
100$717
1162B9998Not otherwise classified for enteral supplies$71,458
0.0%
2,352$30
116388189Cell examination under a microscope$71,372
0.0%
3,471$21
116469210Ear wax removal$71,201
0.0%
4,587$16
1165Q4221Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure)$71,037
0.0%
50$1,421
116695955Brain wave test (EEG) or nerve test$70,834
0.0%
4,249$17
116784681Blood chemistry test (checking specific substances in your blood)$70,740
0.0%
14,954$5
1168A6402Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing$70,618
0.0%
13,507$5
116991122Digestive system test$70,216
0.0%
489$144
117011100Skin biopsy — taking a small sample to test for disease$69,725
0.0%
1,217$57
117181420Genetic or molecular testing$69,388
0.0%
3,668$19
117286923Blood typing or transfusion medicine test$69,333
0.0%
8,609$8
117395951Brain wave test (EEG) or nerve test$69,068
0.0%
72$959
117471101Chest imaging (X-ray, CT, or MRI)$68,156
0.0%
3,860$18
117596416IV infusion or injection of medication$68,119
0.0%
667$102
117692225Eye exam or vision test$67,371
0.0%
2,563$26
117783516Blood chemistry test (checking specific substances in your blood)$67,194
0.0%
18,516$4
1178D8697Braces or orthodontic treatment$66,677
0.0%
2,934$23
1179K0195Elevating leg rests, pair (for use with capped rental wheelchair base)$66,620
0.0%
10,246$7
118085060Blood cell or clotting test$66,569
0.0%
11,554$6
118186200Immune system or allergy test$66,438
0.0%
23,441$3
118252000Cystoscopy — looking inside the bladder with a camera$66,184
0.0%
1,790$37
118395250Medical service or procedure$65,865
0.0%
720$91
118499156Medical service or procedure$65,863
0.0%
1,157$57
118577073Breast imaging (mammogram or MRI)$65,471
0.0%
1,711$38
1186D8696Braces or orthodontic treatment$64,661
0.0%
2,552$25
1187E0630Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)$64,589
0.0%
2,851$23
118880177Drug or substance testing$64,462
0.0%
11,108$6
1189D0270Dental X-ray — bitewing (single film, checks for cavities between teeth)$64,233
0.0%
7,847$8
119017312Medical service or procedure$64,164
0.0%
256$251
119187209Microbiology test — checking for infections (bacteria, viruses, fungi)$63,564
0.0%
15,443$4
1192A7002Tubing, used with suction pump, each$63,409
0.0%
13,150$5
1193D2332Tooth-colored (resin) filling — three surfaces, front tooth$63,162
0.0%
978$65
119486300Immune system or allergy test$62,825
0.0%
14,050$4
119572082Spine imaging (X-ray, CT, or MRI)$62,778
0.0%
1,713$37
1196D1999Dental preventive care (cleaning, fluoride, sealant)$62,649
0.0%
68,078$1
1197Q4081Injection, epoetin alfa, 100 units (for end-stage kidney disease on dialysis)$62,648
0.0%
823,290$0
119899487Complex chronic care management — for patients with very complicated health needs$62,634
0.0%
4,041$15
119999091Special medical service$62,306
0.0%
8,576$7
120092537Hearing or speech test or therapy$62,193
0.0%
2,893$21
1201A9585Injection, gadobutrol, 0.1 ml$62,017
0.0%
3,602$17
120200630Anesthesia for a medical procedure$61,806
0.0%
471$131
120346600Anus surgery$61,538
0.0%
2,656$23
120495861Brain wave test (EEG) or nerve test$61,466
0.0%
2,507$25
12050270Anesthesia for a medical procedure$61,259
0.0%
4,731$13
120699356Medical service or procedure$61,065
0.0%
1,096$56
1207J0153Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)$60,990
0.0%
1,116$55
120895922Brain wave test (EEG) or nerve test$60,947
0.0%
13,258$5
120972070X-ray of the spine (thoracic/middle back)$60,863
0.0%
2,738$22
121084154Blood chemistry test (checking specific substances in your blood)$60,698
0.0%
16,518$4
121147563Liver surgery$60,632
0.0%
86$705
121292584Hearing or speech test or therapy$60,521
0.0%
1,352$45
121376775Ultrasound$60,331
0.0%
2,919$21
121482024Blood chemistry test (checking specific substances in your blood)$60,160
0.0%
6,830$9
1215L4361Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf$59,882
0.0%
591$101
1216A7039Filter, non disposable, used with positive airway pressure device$59,752
0.0%
15,582$4
121788341Tissue examination under a microscope (surgical pathology)$59,531
0.0%
4,140$14
121899495Medical service or procedure$58,966
0.0%
207$285
121976882Ultrasound of a joint (limited)$58,964
0.0%
3,768$16
122020934Musculoskeletal surgery (bones, joints, muscles)$58,776
0.0%
120$490
122182677Blood chemistry test (checking specific substances in your blood)$58,417
0.0%
7,117$8
1222J3420Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg$58,218
0.0%
48,486$1
122386431Immune system or allergy test$58,190
0.0%
41,587$1
1224J1815Injection, insulin, per 5 units$58,018
0.0%
36,061$2
122595940Brain wave test (EEG) or nerve test$57,993
0.0%
601$96
122687901Microbiology test — checking for infections (bacteria, viruses, fungi)$57,728
0.0%
1,046$55
122790636Vaccine or immunization$57,574
0.0%
910$63
122882274Blood chemistry test (checking specific substances in your blood)$56,949
0.0%
15,524$4
1229L0650Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra$56,880
0.0%
60$948
1230J2060Injection, lorazepam, 2 mg$56,523
0.0%
97,542$1
123186146Immune system or allergy test$56,126
0.0%
3,787$15
1232J2765Injection, metoclopramide hcl, up to 10 mg$55,572
0.0%
74,150$1
123386039Immune system or allergy test$55,347
0.0%
22,036$3
123486355Immune system or allergy test$55,343
0.0%
4,846$11
1235A7003Administration set, with small volume nonfiltered pneumatic nebulizer, disposable$55,197
0.0%
29,912$2
1236G0398Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation$55,092
0.0%
355$155
1237D9630Other dental service$55,080
0.0%
6,605$8
123882533Blood chemistry test (checking specific substances in your blood)$54,562
0.0%
13,964$4
1239A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries$54,435
0.0%
945$58
124099457Medical service or procedure$54,122
0.0%
6,645$8
1241J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg$54,027
0.0%
6,075$9
12420513FMedical service or procedure$53,917
0.0%
11,688$5
124384207Blood chemistry test (checking specific substances in your blood)$53,843
0.0%
8,231$7
124490845Mental health service$53,732
0.0%
7,333$7
124594375Breathing test or lung function test$53,515
0.0%
1,928$28
124684155Blood chemistry test (checking specific substances in your blood)$53,473
0.0%
90,791$1
1247D5899Dentures or removable dental prosthetics$53,430
0.0%
2,459$22
124893356Medical service or procedure$53,202
0.0%
4,293$12
1249D3230Root canal or dental pulp treatment$53,049
0.0%
1,091$49
125087497Microbiology test — checking for infections (bacteria, viruses, fungi)$52,983
0.0%
4,876$11
125187205Gram stain — quick test to identify type of bacteria$52,885
0.0%
49,424$1
1252A4628Oral and/or oropharyngeal suction catheter, each$52,826
0.0%
8,270$6
125387634Microbiology test — checking for infections (bacteria, viruses, fungi)$52,119
0.0%
1,479$35
125485045Blood cell or clotting test$51,848
0.0%
33,762$2
1255J0500Injection, dicyclomine hcl, up to 20 mg$51,830
0.0%
2,170$24
125686357Immune system or allergy test$51,593
0.0%
4,457$12
125799408Medical service or procedure$51,484
0.0%
7,050$7
1258A6446Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard$51,276
0.0%
2,588$20
125986580TB skin test (tests for tuberculosis)$51,177
0.0%
11,034$5
1260E1012Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each$50,944
0.0%
181$281
1261V2105Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens$50,822
0.0%
4,912$10
1262D2330Tooth-colored (resin) filling — one surface, front tooth$50,776
0.0%
1,285$40
1263J1790Injection, droperidol, up to 5 mg$50,539
0.0%
9,175$6
126422853Spine surgery$50,323
0.0%
210$240
126596168Medical service or procedure$50,168
0.0%
511$98
126615273Skin graft or tissue transfer$50,132
0.0%
601$83
126764418Brain, spine, or nerve surgery$50,048
0.0%
233$215
126892579Hearing or speech test or therapy$49,714
0.0%
1,659$30
1269E0445Oximeter device for measuring blood oxygen levels non-invasively$49,455
0.0%
4,473$11
127099304Nursing facility admission — first day care$49,297
0.0%
2,417$20
127190734Meningitis vaccine$49,255
0.0%
33,560$1
127285390Blood cell or clotting test$49,241
0.0%
15,232$3
127373552X-ray of the thigh (femur)$48,856
0.0%
3,968$12
127492652Hearing or speech test or therapy$48,819
0.0%
822$59
127599157Medical service or procedure$48,808
0.0%
1,123$43
127629200Casting, splinting, or strapping for a broken bone or injury$48,608
0.0%
1,526$32
127782465Blood chemistry test (checking specific substances in your blood)$48,578
0.0%
22,156$2
1278D5422Adjustment of a partial lower denture$48,442
0.0%
1,431$34
12790124AMedical service or procedure$47,873
0.0%
1,654$29
1280J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg$47,781
0.0%
83$576
1281A4556Electrodes, (for example., apnea monitor), per pair$47,560
0.0%
2,128$22
128290756Vaccine or immunization$47,470
0.0%
4,236$11
1283C1781Mesh (implantable)$47,391
0.0%
506$94
128499177Other medical service$47,359
0.0%
8,787$5
12850202UMedical service or procedure$47,125
0.0%
2,031$23
128699342Home visit — moderate problem$47,070
0.0%
1,516$31
128787633Microbiology test — checking for infections (bacteria, viruses, fungi)$46,644
0.0%
13,305$4
128819083Breast surgery$46,641
0.0%
381$122
128992228Eye exam or vision test$46,619
0.0%
3,049$15
129099050Special medical service$46,588
0.0%
4,889$10
129193228Heart rhythm monitoring (Holter monitor or event recorder)$46,559
0.0%
3,041$15
129293893Blood vessel ultrasound or study$46,168
0.0%
179$258
1293A4558Conductive gel or paste, for use with electrical device (for example., tens, nmes), per oz$45,957
0.0%
11,292$4
129451701Inserting a bladder catheter (simple)$45,902
0.0%
2,347$20
129596368IV infusion or injection of medication$45,500
0.0%
9,896$5
129673600X-ray of the ankle$45,219
0.0%
3,414$13
1297J2704Injection of propofol (anesthesia for procedures)$45,148
0.0%
92,320$0
129851798Bladder surgery$45,115
0.0%
7,697$6
1299D2751Crown (cap) — porcelain fused to base metal$44,268
0.0%
93$476
130092650Hearing or speech test or therapy$44,120
0.0%
2,037$22
130194726Breathing test or lung function test$44,031
0.0%
1,689$26
1302E0973Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each$44,021
0.0%
650$68
130345300Rectum and colon surgery or exam$43,964
0.0%
994$44
1304G0381Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is l...$43,866
0.0%
2,554$17
130592612Flexible fiberoptic swallowing evaluation (camera down the throat)$43,713
0.0%
465$94
1306H0038Self-help or peer support services (someone with similar experience helping you)$43,650
0.0%
7,806$6
130747100Liver surgery$43,631
0.0%
225$194
1308L3670Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf$43,563
0.0%
589$74
130987999Microbiology test — checking for infections (bacteria, viruses, fungi)$43,426
0.0%
5,802$7
131084479Blood chemistry test (checking specific substances in your blood)$42,999
0.0%
31,652$1
131182075Blood chemistry test (checking specific substances in your blood)$42,955
0.0%
7,380$6
131284425Blood chemistry test (checking specific substances in your blood)$42,655
0.0%
9,490$4
1313K0815Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds$42,652
0.0%
13$3,281
131480197Drug or substance testing$42,556
0.0%
17,450$2
131585007Blood cell or clotting test$42,393
0.0%
31,339$1
1316G2087Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month$41,866
0.0%
872$48
131799218Medical service or procedure$41,544
0.0%
789$53
131894780Breathing test or lung function test$41,434
0.0%
1,011$41
1319S0621Routine ophthalmological examination including refraction; established patient$41,371
0.0%
968$43
1320A6252Specialty 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$41,369
0.0%
973$43
132184480Blood chemistry test (checking specific substances in your blood)$41,085
0.0%
18,755$2
132277049Breast imaging (mammogram or MRI)$40,992
0.0%
387$106
1323A0160Non-emergency transportation: per mile - case worker or social worker$40,941
0.0%
70,789$1
1324J7336Capsaicin 8% patch, per square centimeter$40,902
0.0%
12$3,409
132592020Eye exam or vision test$40,717
0.0%
2,837$14
132693241Heart rhythm monitoring (Holter monitor or event recorder)$40,349
0.0%
332$122
132787493Microbiology test — checking for infections (bacteria, viruses, fungi)$40,341
0.0%
3,609$11
1328V5011Fitting/orientation/checking of hearing aid$40,159
0.0%
3,902$10
1329Q4008Cast supplies, long arm cast, pediatric (0-10 years), fiberglass$40,097
0.0%
397$101
1330J3010Injection of fentanyl (strong pain medicine)$40,093
0.0%
100,868$0
133187147Microbiology test — checking for infections (bacteria, viruses, fungi)$39,973
0.0%
29,745$1
133286902Blood typing or transfusion medicine test$39,949
0.0%
1,067$37
1333L4350Ankle control orthosis, stirrup style, rigid, includes any type interface (for example., pneumatic, gel), prefabricated, off-the-shelf$39,864
0.0%
677$59
1334D8210Braces or orthodontic treatment$39,762
0.0%
170$234
133564450Brain, spine, or nerve surgery$39,741
0.0%
1,137$35
1336J1630Injection, haloperidol, up to 5 mg$39,441
0.0%
33,371$1
1337D5213Partial upper denture — with resin base$39,111
0.0%
145$270
1338J1953Injection, levetiracetam, 10 mg$38,988
0.0%
7,521$5
133984156Blood chemistry test (checking specific substances in your blood)$38,537
0.0%
47,802$1
134076881Ultrasound of a joint (complete)$38,411
0.0%
695$55
1341J0604Cinacalcet, oral, 1 mg, (for end-stage kidney disease on dialysis)$38,058
0.0%
42,391$1
134286141Immune system or allergy test$37,717
0.0%
13,304$3
134310005Fine needle biopsy — taking a tiny sample with a needle$37,502
0.0%
583$64
134401937Anesthesia for a medical procedure$37,106
0.0%
514$72
134582077Blood chemistry test (checking specific substances in your blood)$37,082
0.0%
16,077$2
134673060X-ray of the upper arm (humerus)$36,958
0.0%
3,357$11
134729515Casting, splinting, or strapping for a broken bone or injury$36,824
0.0%
1,074$34
1348E0956Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each$36,788
0.0%
339$109
134992593Hearing or speech test or therapy$36,465
0.0%
1,367$27
135096020Medical service or procedure$36,448
0.0%
456$80
1351E0776Iv pole$36,389
0.0%
3,512$10
135286336Immune system or allergy test$36,359
0.0%
7,267$5
1353G0422Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session$36,199
0.0%
2,311$16
1354J2358Injection, olanzapine, long-acting, 1 mg$35,671
0.0%
2,399$15
1355J0185Injection, aprepitant, 1 mg$35,664
0.0%
219$163
1356E2370Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only$35,580
0.0%
113$315
135787500Microbiology test — checking for infections (bacteria, viruses, fungi)$35,411
0.0%
4,854$7
1358J1030Injection, methylprednisolone acetate, 40 mg$35,287
0.0%
6,496$5
135901710Anesthesia for a medical procedure$35,257
0.0%
416$85
1360V2108Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens$35,112
0.0%
3,747$9
1361L1820Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled$35,043
0.0%
314$112
136299454Medical service or procedure$34,983
0.0%
4,327$8
136392585Hearing or speech test or therapy$34,777
0.0%
509$68
136473120Upper extremity imaging (shoulder, arm, hand)$34,680
0.0%
2,608$13
136599153Medical service or procedure$34,636
0.0%
6,924$5
136682950Glucose tolerance test — post glucose dose$34,394
0.0%
31,887$1
136799415Medical service or procedure$34,154
0.0%
6,507$5
136892561Hearing or speech test or therapy$34,105
0.0%
1,088$31
1369Q4010Cast supplies, short arm cast, adult (11 years +), fiberglass$34,090
0.0%
640$53
137096159Medical service or procedure$33,865
0.0%
4,121$8
1371D5411Adjustment of a complete lower denture$33,792
0.0%
954$35
137295937Brain wave test (EEG) or nerve test$33,726
0.0%
2,759$12
1373C9113Injection, pantoprazole sodium, per vial$33,652
0.0%
29,176$1
137496161Medical service or procedure$33,554
0.0%
15,117$2
137582107Blood chemistry test (checking specific substances in your blood)$33,440
0.0%
3,309$10
137685384Blood cell or clotting test$33,354
0.0%
8,417$4
137762321Brain, spine, or nerve surgery$33,289
0.0%
253$132
137895939Brain wave test (EEG) or nerve test$33,187
0.0%
1,002$33
137976821Ultrasound$33,125
0.0%
1,487$22
1380J8540Dexamethasone, oral, 0.25 mg$33,115
0.0%
18,908$2
138197154Physical therapy, occupational therapy, or rehabilitation$33,115
0.0%
1,552$21
13822015FMedical service or procedure$33,040
0.0%
4,603$7
1383Q5004Hospice care provided in skilled nursing facility (skilled nursing facility)$32,893
0.0%
2,656$12
138499471Pediatric critical care — intensive care for a critically ill child (first day)$32,821
0.0%
44$746
1385J7512Prednisone, immediate release or delayed release, oral, 1 mg$32,718
0.0%
25,330$1
138699483Medical service or procedure$32,398
0.0%
829$39
1387E2611General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware$32,025
0.0%
903$35
138886334Immune system or allergy test$31,982
0.0%
8,031$4
138988184Cell examination under a microscope$31,941
0.0%
3,666$9
1390J9190Injection, fluorouracil, 500 mg$31,844
0.0%
1,591$20
139185014Blood cell or clotting test$31,735
0.0%
41,350$1
1392E2601General use wheelchair seat cushion, width less than 22 inches, any depth$31,639
0.0%
1,641$19
139382951Blood chemistry test (checking specific substances in your blood)$31,581
0.0%
11,558$3
139401991Anesthesia for a medical procedure$31,557
0.0%
561$56
1395J0690Injection, cefazolin sodium, 500 mg$31,357
0.0%
48,725$1
139690677Vaccine or immunization$31,283
0.0%
10,842$3
139787177Microbiology test — checking for infections (bacteria, viruses, fungi)$31,275
0.0%
15,429$2
139885576Blood cell or clotting test$31,219
0.0%
1,810$17
139990688Vaccine or immunization$31,171
0.0%
13,738$2
1400D5630Dentures or removable dental prosthetics$30,996
0.0%
295$105
140168340Eye surgery$30,730
0.0%
307$100
1402K0800Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds$30,727
0.0%
520$59
140383090Blood chemistry test (checking specific substances in your blood)$30,697
0.0%
10,563$3
140451784Bladder surgery$30,660
0.0%
356$86
1405J0295Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm$30,565
0.0%
6,684$5
1406J3475Injection, magnesium sulfate, per 500 mg$30,537
0.0%
31,969$1
140783014Blood chemistry test (checking specific substances in your blood)$30,411
0.0%
17,966$2
14080031AMedical service or procedure$30,226
0.0%
1,320$23
140986255Immune system or allergy test$30,046
0.0%
8,521$4
1410J0456Injection, azithromycin, 500 mg$30,029
0.0%
14,020$2
141186162Immune system or allergy test$30,006
0.0%
5,392$6
141274181Abdomen imaging (X-ray, CT, or MRI)$29,999
0.0%
565$53
1413K0007Extra heavy duty wheelchair$29,865
0.0%
649$46
1414E0978Wheelchair accessory, positioning belt/safety belt/pelvic strap, each$29,794
0.0%
2,058$14
1415D0170Dental exam, X-ray, or screening$29,564
0.0%
2,024$15
141670487Head and brain imaging (X-ray, CT, or MRI)$29,542
0.0%
207$143
141786304Immune system or allergy test$29,411
0.0%
6,157$5
1418D2335Tooth-colored (resin) filling — four or more surfaces, front tooth$29,335
0.0%
431$68
141984165Blood chemistry test (checking specific substances in your blood)$29,261
0.0%
12,587$2
142097610Physical therapy, occupational therapy, or rehabilitation$29,107
0.0%
2,482$12
142187900Microbiology test — checking for infections (bacteria, viruses, fungi)$28,976
0.0%
1,046$28
142295927Brain wave test (EEG) or nerve test$28,971
0.0%
1,821$16
142388313Tissue examination under a microscope (surgical pathology)$28,944
0.0%
823$35
142499347Home visit follow-up — simple problem$28,907
0.0%
2,058$14
142590966End-stage kidney disease monthly care — for patients 20+, home dialysis$28,604
0.0%
494$58
1426G0257Unscheduled or emergency dialysis treatment for an end-stage kidney disease patient in a hospital outpatient department that is not certified as an end-stage kidney disease facility$28,568
0.0%
628$45
142795921Brain wave test (EEG) or nerve test$28,527
0.0%
6,142$5
142876514Ultrasound$27,957
0.0%
3,254$9
142986787Immune system or allergy test$27,875
0.0%
10,222$3
143096415IV infusion or injection of medication$27,844
0.0%
1,119$25
143101844Anesthesia for a medical procedure$27,635
0.0%
344$80
143287517Microbiology test — checking for infections (bacteria, viruses, fungi)$27,588
0.0%
3,310$8
143371271Chest imaging (X-ray, CT, or MRI)$27,526
0.0%
290$95
143482731Blood chemistry test (checking specific substances in your blood)$27,512
0.0%
1,578$17
143599292Critical care — continued intensive treatment (each additional 30 minutes)$27,442
0.0%
296$93
143615275Skin graft or tissue transfer$27,105
0.0%
756$36
14370071AMedical service or procedure$27,104
0.0%
857$32
1438S5199Personal care item, nos, each$26,981
0.0%
124$218
143990619Vaccine or immunization$26,677
0.0%
9,804$3
14403044FMedical service or procedure$26,477
0.0%
27,060$1
144196910Dermatology (skin) treatment$26,475
0.0%
400$66
144272275Spine imaging (X-ray, CT, or MRI)$26,447
0.0%
944$28
144393321Heart ultrasound (echocardiogram)$26,304
0.0%
933$28
144488112Cytopathology — examining cells under a microscope$26,270
0.0%
5,494$5
144596150Medical service or procedure$26,252
0.0%
5,435$5
144691322Medical service or procedure$26,155
0.0%
362$72
144736581Artery and vein surgery$26,150
0.0%
124$211
1448V2101Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens$25,892
0.0%
2,848$9
1449D1517Dental preventive care (cleaning, fluoride, sealant)$25,816
0.0%
225$115
145084305Blood chemistry test (checking specific substances in your blood)$25,796
0.0%
4,475$6
145146221Anus surgery$25,772
0.0%
156$165
1452D5421Adjustment of a partial upper denture$25,755
0.0%
779$33
1453J2001Injection of lidocaine (numbing medicine)$25,709
0.0%
76,824$0
145476942Ultrasound guidance for a needle procedure$25,659
0.0%
1,188$22
145599477Medical service or procedure$25,656
0.0%
96$267
1456A9577Injection, gadobenate dimeglumine (multihance), per ml$25,494
0.0%
1,040$25
145774021Abdomen imaging (X-ray, CT, or MRI)$25,346
0.0%
1,640$15
1458A6549Gradient compression garment, not otherwise specified, for daytime use, each$25,278
0.0%
62$408
145990698Vaccine or immunization$25,244
0.0%
54,785$0
1460A6507Compression burn garment, foot to knee length, custom fabricated$25,233
0.0%
107$236
146186762Immune system or allergy test$25,201
0.0%
6,109$4
146287498Microbiology test — checking for infections (bacteria, viruses, fungi)$25,002
0.0%
1,486$17
1463A4357Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each$24,914
0.0%
1,660$15
146499491Chronic care management — complex, requiring 30+ minutes per month$24,845
0.0%
2,791$9
146583993Blood chemistry test (checking specific substances in your blood)$24,655
0.0%
5,084$5
146682010Blood chemistry test (checking specific substances in your blood)$24,571
0.0%
7,976$3
1467G0127Trimming of dystrophic nails, any number$24,167
0.0%
14,561$2
146892275Eye exam or vision test$24,154
0.0%
171$141
146912013Wound repair — stitching a cut or laceration (simple or layered)$24,108
0.0%
583$41
147073521Lower extremity imaging (hip, knee, leg, foot)$23,872
0.0%
1,753$14
147190710MMRV vaccine (measles, mumps, rubella, and chickenpox)$23,836
0.0%
30,809$1
147229540Casting, splinting, or strapping for a broken bone or injury$23,699
0.0%
1,805$13
1473L1902Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf$23,555
0.0%
392$60
1474B4154Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals$23,513
0.0%
616$38
1475G9012Other specified case management service not elsewhere classified$23,400
0.0%
39$600
1476G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing$23,378
0.0%
9,381$2
1477J1750Injection, iron dextran, 50 mg$23,319
0.0%
217$107
147893295Pacemaker or defibrillator check$23,304
0.0%
740$31
147999489Complex chronic care management — additional 30 minutes$23,226
0.0%
1,620$14
148087449Microbiology test — checking for infections (bacteria, viruses, fungi)$23,196
0.0%
7,973$3
148129105Casting, splinting, or strapping for a broken bone or injury$23,189
0.0%
641$36
148290661Vaccine or immunization$23,153
0.0%
2,509$9
1483V2755U-v lens, per lens$23,067
0.0%
12,252$2
1484A4452Tape, waterproof, per 18 square inches$22,988
0.0%
2,840$8
1485A4456Adhesive remover, wipes, any type, each$22,925
0.0%
3,194$7
148681220Genetic or molecular testing$22,776
0.0%
1,470$15
148798961Medical service or procedure$22,690
0.0%
2,787$8
1488J1642Injection, heparin sodium, (heparin lock flush), per 10 units$22,689
0.0%
8,269$3
1489A9575Injection, gadoterate meglumine, 0.1 ml$22,653
0.0%
2,240$10
149065855Eye surgery$22,650
0.0%
345$66
149182088Blood chemistry test (checking specific substances in your blood)$22,569
0.0%
2,797$8
149283498Blood chemistry test (checking specific substances in your blood)$22,554
0.0%
3,704$6
149372020Spine imaging (X-ray, CT, or MRI)$22,420
0.0%
866$26
14940370TMedical service or procedure$22,389
0.0%
607$37
149597763Physical therapy, occupational therapy, or rehabilitation$22,294
0.0%
1,836$12
149670549Head and brain imaging (X-ray, CT, or MRI)$22,105
0.0%
90$246
149786593Immune system or allergy test$22,059
0.0%
17,668$1
149884466Blood chemistry test (checking specific substances in your blood)$21,990
0.0%
10,334$2
1499J3480Injection, potassium chloride, per 2 meq$21,869
0.0%
13,591$2
150087427Microbiology test — checking for infections (bacteria, viruses, fungi)$21,830
0.0%
7,114$3
150186920Blood typing or transfusion medicine test$21,817
0.0%
1,156$19
1502A7015Aerosol mask, used with medical equipment nebulizer$21,801
0.0%
25,780$1
150372081Spine imaging (X-ray, CT, or MRI)$21,720
0.0%
585$37
150495924Brain wave test (EEG) or nerve test$21,668
0.0%
320$68
150559425Pregnancy, delivery, and maternity care$21,656
0.0%
4,623$5
150696401IV infusion or injection of medication$21,655
0.0%
252$86
1507J9217Leuprolide acetate (for depot suspension), 7.5 mg$21,605
0.0%
62$348
150896111Developmental testing — detailed evaluation of a child's development$21,509
0.0%
340$63
150999458Medical service or procedure$21,202
0.0%
3,291$6
151086665Immune system or allergy test$21,196
0.0%
2,959$7
151188108Cell examination under a microscope$21,193
0.0%
3,448$6
1512B4103Enteral formula, for pediatrics, used to replace fluids and electrolytes (for example., clear liquids), 500 ml = 1 unit$21,023
0.0%
1,497$14
1513M0243Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring$20,971
0.0%
243$86
1514E0149Walker, heavy duty, wheeled, rigid or folding, any type$20,857
0.0%
657$32
1515K0738Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing$20,800
0.0%
3,123$7
151664520Brain, spine, or nerve surgery$20,788
0.0%
1,157$18
1517E0244Raised toilet seat$20,763
0.0%
551$38
1518E0951Heel loop/holder, any type, with or without ankle strap, each$20,619
0.0%
1,837$11
1519G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary servi...$20,598
0.0%
3,294$6
1520V2750Anti-reflective coating, per lens$20,561
0.0%
12,521$2
1521T1014Telehealth transmission, per minute, professional services bill separately$20,549
0.0%
1,965$10
15220072AMedical service or procedure$20,526
0.0%
654$31
1523E2365Power wheelchair accessory, u-1 sealed lead acid battery, each (for example., gel cell, absorbed glassmat)$20,508
0.0%
162$127
152420526Musculoskeletal surgery (bones, joints, muscles)$20,334
0.0%
470$43
152590750Vaccine or immunization$20,236
0.0%
220$92
152696167Medical service or procedure$20,125
0.0%
509$40
152793308Heart ultrasound (echocardiogram)$20,083
0.0%
845$24
152890680Vaccine or immunization$19,951
0.0%
88,084$0
152987338Microbiology test — checking for infections (bacteria, viruses, fungi)$19,926
0.0%
6,964$3
153077336Radiation therapy for cancer$19,892
0.0%
448$44
153136901Artery and vein surgery$19,804
0.0%
499$40
1532J7040IV fluid — normal saline with 5% dextrose (sugar water, 1000 ml)$19,731
0.0%
15,181$1
1533Q0114Fern test$19,277
0.0%
1,105$17
153485246Blood cell or clotting test$19,234
0.0%
3,566$5
1535K0462Temporary replacement for patient owned equipment being repaired, any type$19,233
0.0%
92$209
153683020Blood chemistry test (checking specific substances in your blood)$19,168
0.0%
5,799$3
153795822Brain wave test (EEG) or nerve test$19,145
0.0%
871$22
153886703HIV test$19,093
0.0%
3,086$6
153986364Immune system or allergy test$18,997
0.0%
7,517$3
1540Q0162Ondansetron 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$18,984
0.0%
27,828$1
154198942Chiropractic adjustment$18,876
0.0%
3,382$6
154222551Spine surgery$18,815
0.0%
26$724
1543A4224Supplies for maintenance of insulin infusion catheter, per week$18,779
0.0%
98$192
154485049Blood cell or clotting test$18,769
0.0%
8,302$2
154576937Ultrasound$18,725
0.0%
2,044$9
1546L0631Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra$18,632
0.0%
29$642
15470762Anesthesia for a medical procedure$18,534
0.0%
18$1,030
154886317Immune system or allergy test$18,446
0.0%
5,335$3
154978264Nuclear medicine imaging (using small amounts of radioactive material)$18,433
0.0%
110$168
155067228Eye surgery$18,379
0.0%
28$656
1551Q4038Cast supplies, short leg cast, adult (11 years +), fiberglass$18,340
0.0%
276$66
1552A4618Breathing circuits$18,303
0.0%
2,020$9
155390713Polio vaccine$18,238
0.0%
33,206$1
1554H0007Alcohol and/or drug services; crisis intervention (outpatient)$18,193
0.0%
853$21
155573070X-ray of the elbow$18,173
0.0%
1,510$12
155695115Allergy testing or treatment$18,148
0.0%
3,701$5
155773218Upper extremity imaging (shoulder, arm, hand)$18,136
0.0%
239$76
1558A6508Compression burn garment, foot to thigh length, custom fabricated$18,088
0.0%
68$266
1559A6530Gradient compression stocking, below knee, 18-30 mmhg, each$18,070
0.0%
481$38
1560G0315Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening$18,060
0.0%
809$22
156187625Microbiology test — checking for infections (bacteria, viruses, fungi)$17,976
0.0%
3,876$5
1562J9263Injection, oxaliplatin, 0.5 mg$17,964
0.0%
236$76
156380055Blood test panel (checking multiple things at once)$17,935
0.0%
755$24
156486705Immune system or allergy test$17,929
0.0%
6,405$3
156587045Microbiology test — checking for infections (bacteria, viruses, fungi)$17,865
0.0%
7,604$2
156658661Female reproductive system surgery$17,798
0.0%
20$890
156790714Td vaccine (tetanus and diphtheria booster)$17,707
0.0%
2,465$7
1568E2392Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each$17,673
0.0%
312$57
156958662Female reproductive system surgery$17,580
0.0%
13$1,352
157025500Forearm and wrist surgery$17,577
0.0%
56$314
1571D5660Adding a tooth to a partial denture$17,490
0.0%
177$99
1572B4155Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (for example., glucose polymers), proteins/amino acids (for example.$17,405
0.0%
642$27
157354162Male reproductive system surgery$17,395
0.0%
105$166
157480178Drug or substance testing$17,362
0.0%
6,229$3
1575J0131Injection, acetaminophen, not otherwise specified,10 mg$17,283
0.0%
7,418$2
157693040Heart monitoring test (ECG/EKG)$17,282
0.0%
3,863$4
157780185Drug or substance testing$17,266
0.0%
3,091$6
157883921Blood chemistry test (checking specific substances in your blood)$17,127
0.0%
5,797$3
1579V2207Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens$17,087
0.0%
932$18
15800503FMedical service or procedure$16,870
0.0%
4,071$4
158185245Blood cell or clotting test$16,832
0.0%
3,459$5
158292202Eye exam or vision test$16,660
0.0%
1,842$9
158331720Windpipe (trachea) or voice box surgery$16,660
0.0%
463$36
158449083Draining fluid from the abdomen with a needle$16,657
0.0%
243$69
158592556Hearing or speech test or therapy$16,599
0.0%
639$26
1586D1515Dental preventive care (cleaning, fluoride, sealant)$16,592
0.0%
189$88
1587E0277Powered pressure-reducing air mattress$16,591
0.0%
871$19
158884432Blood chemistry test (checking specific substances in your blood)$16,582
0.0%
6,047$3
158978227Nuclear medicine imaging (using small amounts of radioactive material)$16,528
0.0%
85$194
159092547Hearing or speech test or therapy$16,339
0.0%
3,925$4
1591J1940Injection, furosemide, up to 20 mg$16,315
0.0%
14,528$1
159290739Vaccine or immunization$16,266
0.0%
2,684$6
1593G0330Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (for example.$16,180
0.0%
513$32
159496105Medical service or procedure$16,156
0.0%
3,898$4
159599368Medical service or procedure$16,138
0.0%
786$21
1596A4606Oxygen probe for use with oximeter device, replacement$16,106
0.0%
4,279$4
1597L8000Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type$16,104
0.0%
301$54
1598B4158Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron$16,047
0.0%
96$167
159985240Blood cell or clotting test$16,029
0.0%
3,900$4
160099424Medical service or procedure$16,006
0.0%
572$28
1601K0040Adjustable angle footplate, each$15,944
0.0%
344$46
1602A7521Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each$15,941
0.0%
506$32
160380159Drug or substance testing$15,903
0.0%
1,934$8
160487075Microbiology test — checking for infections (bacteria, viruses, fungi)$15,860
0.0%
7,205$2
1605G8431Screening for depression is documented as being positive and a follow-up plan is documented$15,810
0.0%
3,644$4
160636246Artery and vein surgery$15,792
0.0%
240$66
160731237Sinus surgery$15,695
0.0%
113$139
1608P9603Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled$15,679
0.0%
52,781$0
1609E0971Manual wheelchair accessory, anti-tipping device, each$15,537
0.0%
1,197$13
1610A7045Exhalation port with or without swivel used with accessories for positive airway devices, replacement only$15,494
0.0%
1,253$12
161180363Drug or substance testing$15,469
0.0%
1,325$12
161267299Eye surgery$15,460
0.0%
314$49
161386021Immune system or allergy test$15,447
0.0%
5,008$3
1614D4341Deep cleaning (scaling and root planing) — per quadrant, 4+ teeth$15,358
0.0%
740$21
161515271Skin graft or tissue transfer$15,319
0.0%
2,811$5
161611055Trimming or paring a skin lesion or callus$15,290
0.0%
11,804$1
161767031Eye surgery$15,290
0.0%
196$78
161892653Hearing or speech test or therapy$15,273
0.0%
600$25
161986870Blood typing or transfusion medicine test$15,243
0.0%
1,755$9
16200121AMedical service or procedure$15,149
0.0%
586$26
1621G0238Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring)$15,119
0.0%
16,278$1
1622C1769Guide wire$15,038
0.0%
15,440$1
162383519Blood chemistry test (checking specific substances in your blood)$14,951
0.0%
4,681$3
1624Q9965Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml$14,931
0.0%
337$44
1625E2313Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each$14,912
0.0%
112$133
1626J2272Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg$14,836
0.0%
4,651$3
162799173Other medical service$14,717
0.0%
139,325$0
162876970Ultrasound$14,638
0.0%
180$81
162986635Immune system or allergy test$14,622
0.0%
2,865$5
163086341Immune system or allergy test$14,618
0.0%
2,350$6
163176377Diagnostic ultrasound or fluoroscopy$14,600
0.0%
540$27
1632E2377Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue$14,570
0.0%
98$149
163359430Pregnancy, delivery, and maternity care$14,541
0.0%
457$32
1634S5190Wellness assessment, performed by non-physician$14,498
0.0%
3,629$4
1635A4483Moisture exchanger, disposable, for use with invasive mechanical ventilation$14,416
0.0%
297$49
163687535Microbiology test — checking for infections (bacteria, viruses, fungi)$14,406
0.0%
1,905$8
163772156MRI of the neck/upper spine (with and without contrast)$14,287
0.0%
186$77
1638G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy$14,229
0.0%
438$32
1639D0703Dental exam, X-ray, or screening$14,197
0.0%
1,223$12
164050590Kidney stone removal using shock waves (lithotripsy)$14,185
0.0%
13$1,091
164190723DTaP-HepB-IPV combination vaccine$14,125
0.0%
42,016$0
164201940Anesthesia for a medical procedure$14,093
0.0%
144$98
164384295Blood chemistry test (checking specific substances in your blood)$14,067
0.0%
15,684$1
1644J0330Injection, succinylcholine chloride, up to 20 mg$14,050
0.0%
7,554$2
1645A7001Canister, non-disposable, used with suction pump, each$13,972
0.0%
652$21
164672220Spine imaging (X-ray, CT, or MRI)$13,966
0.0%
883$16
164793924Blood vessel ultrasound or study$13,953
0.0%
150$93
1648E0550Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery$13,951
0.0%
453$31
1649G0008Administration of influenza virus vaccine$13,938
0.0%
17,325$1
165051792Bladder surgery$13,865
0.0%
104$133
165111720Nail surgery or treatment$13,843
0.0%
21,355$1
165287324Microbiology test — checking for infections (bacteria, viruses, fungi)$13,842
0.0%
4,834$3
165391112Digestive system test$13,811
0.0%
28$493
165496146Medical service or procedure$13,778
0.0%
2,690$5
165588360Tissue examination under a microscope (surgical pathology)$13,669
0.0%
252$54
1656D0191Dental exam, X-ray, or screening$13,645
0.0%
785$17
165792620Hearing or speech test or therapy$13,636
0.0%
339$40
165872158Spine imaging (X-ray, CT, or MRI)$13,623
0.0%
248$55
165995974Brain wave test (EEG) or nerve test$13,595
0.0%
312$44
1660J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose$13,547
0.0%
964$14
1661Q5101Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram$13,462
0.0%
63$214
1662D9992Other dental service$13,459
0.0%
1,134$12
1663Q0144Azithromycin dihydrate, oral, capsules/powder, 1 gram$13,424
0.0%
1,560$9
166486301Immune system or allergy test$13,413
0.0%
3,162$4
166590732Pneumonia vaccine (PPSV23)$13,348
0.0%
943$14
166695930Brain wave test (EEG) or nerve test$13,283
0.0%
1,587$8
1667L8621Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each$13,265
0.0%
3,532$4
166893280Pacemaker or defibrillator check$13,111
0.0%
605$22
1669D9993Other dental service$13,095
0.0%
1,646$8
1670A6534Gradient compression stocking, thigh length, 30-40 mmhg, each$13,073
0.0%
961$14
167130140Nose surgery$13,060
0.0%
45$290
167296113Medical service or procedure$12,998
0.0%
69$188
167386880Blood typing or transfusion medicine test$12,878
0.0%
5,665$2
1674J2920Injection, methylprednisolone sodium succinate, up to 40 mg$12,855
0.0%
2,504$5
167524640Shoulder and upper arm surgery$12,846
0.0%
139$92
167600790Anesthesia for a medical procedure$12,824
0.0%
73$176
167785247Blood cell or clotting test$12,746
0.0%
3,340$4
16783075FMedical service or procedure$12,729
0.0%
26,779$0
167998941Chiropractic adjustment$12,685
0.0%
7,149$2
1680E0247Transfer bench for tub or toilet with or without commode opening$12,578
0.0%
409$31
168187329Microbiology test — checking for infections (bacteria, viruses, fungi)$12,454
0.0%
5,059$2
1682J0692Injection, cefepime hydrochloride, 500 mg$12,425
0.0%
3,427$4
1683D7250Surgical removal of remaining tooth root$12,407
0.0%
262$47
1684E2374Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware$12,404
0.0%
85$146
168594680Breathing test or lung function test$12,392
0.0%
278$45
168686381Immune system or allergy test$12,313
0.0%
2,355$5
168711047Wound cleaning — removing dead or damaged tissue$12,286
0.0%
109$113
168883021Blood chemistry test (checking specific substances in your blood)$12,282
0.0%
4,167$3
168943242Esophagus (swallowing tube) surgery$12,280
0.0%
98$125
169096118Medical service or procedure$12,230
0.0%
90$136
169192550Hearing or speech test or therapy$12,175
0.0%
865$14
169299355Medical service or procedure$12,140
0.0%
1,544$8
169317111Destruction or removal of a skin lesion (wart, precancerous growth, etc.)$12,119
0.0%
243$50
169482542Blood chemistry test (checking specific substances in your blood)$12,055
0.0%
2,940$4
169595724Brain wave test (EEG) or nerve test$11,949
0.0%
98$122
1696A4557Lead wires, (for example., apnea monitor), per pair$11,948
0.0%
107$112
1697J2250Injection of midazolam (sedation medicine for procedures)$11,823
0.0%
68,045$0
169854235Male reproductive system surgery$11,820
0.0%
729$16
1699A6533Gradient compression stocking, thigh length, 18-30 mmhg, each$11,791
0.0%
182$65
170090473Giving a vaccine by mouth or nose$11,784
0.0%
2,053$6
170194660Breathing test or lung function test$11,738
0.0%
119$99
1702E0118Crutch substitute, lower leg platform, with or without wheels, each$11,672
0.0%
367$32
170376140Diagnostic ultrasound or fluoroscopy$11,509
0.0%
267$43
1704D5512Denture repair — broken base (complete, lower)$11,494
0.0%
307$37
17050051AMedical service or procedure$11,480
0.0%
336$34
1706J0741Injection, cabotegravir and rilpivirine, 2mg/3mg$11,476
0.0%
159$72
1707L3206Orthopedic shoe, hightop with supinator or pronator, child$11,471
0.0%
243$47
170882553Blood chemistry test (checking specific substances in your blood)$11,471
0.0%
4,102$3
170986812Immune system or allergy test$11,452
0.0%
2,553$4
171073720Lower extremity imaging (hip, knee, leg, foot)$11,426
0.0%
124$92
1711A7012Water collection device, used with large volume nebulizer$11,420
0.0%
2,746$4
171229405Casting, splinting, or strapping for a broken bone or injury$11,363
0.0%
225$51
1713J2791Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu$11,304
0.0%
236$48
1714J2919Injection, methylprednisolone sodium succinate, 5 mg$11,286
0.0%
2,578$4
171590962End-stage kidney disease monthly care — for patients 20 and older, 1 visit$11,285
0.0%
194$58
1716Q4051Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)$11,250
0.0%
1,466$8
1717A7509Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each$11,245
0.0%
217$52
1718E0982Wheelchair accessory, back upholstery, replacement only, each$11,211
0.0%
305$37
171993298Pacemaker or defibrillator check$11,142
0.0%
753$15
1720D9994Other dental service$11,071
0.0%
1,759$6
172111730Partial removal of a toenail or fingernail$11,040
0.0%
2,994$4
172293930Blood vessel ultrasound or study$11,025
0.0%
79$140
1723J3372Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg$10,954
0.0%
720$15
172483721Blood chemistry test (checking specific substances in your blood)$10,952
0.0%
8,726$1
172511103Skin biopsy — taking a small sample to test for disease$10,902
0.0%
164$66
172696164Medical service or procedure$10,823
0.0%
2,430$4
172711104Punch biopsy — using a small circular tool to take a skin sample$10,810
0.0%
177$61
172876604Ultrasound$10,729
0.0%
432$25
1729V2111Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens$10,714
0.0%
1,301$8
1730Q4012Cast supplies, short arm cast, pediatric (0-10 years), fiberglass$10,670
0.0%
159$67
17310052AMedical service or procedure$10,638
0.0%
283$38
173287507Microbiology test — checking for infections (bacteria, viruses, fungi)$10,636
0.0%
357$30
173382390Blood chemistry test (checking specific substances in your blood)$10,622
0.0%
4,130$3
173482310Blood chemistry test (checking specific substances in your blood)$10,607
0.0%
81,892$0
1735E2394Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each$10,596
0.0%
222$48
1736V5260Hearing aid, digital, binaural, ite$10,500
0.0%
17$618
173794762Breathing test or lung function test$10,494
0.0%
1,806$6
173893296Pacemaker or defibrillator check$10,467
0.0%
779$13
173988230Genetic testing (chromosome analysis)$10,410
0.0%
370$28
1740Q4206Fluid flow or fluid gf, 1 cc$10,400
0.0%
13$800
1741A6021Collagen dressing, sterile, size 16 sq. in. or less, each$10,386
0.0%
45$231
1742D7961Tooth extraction or oral surgery$10,363
0.0%
101$103
17430064AMedical service or procedure$10,335
0.0%
2,686$4
174436592Artery and vein surgery$10,311
0.0%
1,154$9
1745E0184Dry pressure mattress$10,289
0.0%
373$28
174681596Medical service or procedure$10,236
0.0%
3,408$3
1747E0250Hospital bed, fixed height, with any type side rails, with mattress$10,225
0.0%
817$13
174896523IV infusion or injection of medication$10,214
0.0%
566$18
174999151Medical service or procedure$10,202
0.0%
754$14
1750E0981Wheelchair accessory, seat upholstery, replacement only, each$10,170
0.0%
281$36
175185651Blood cell or clotting test$10,144
0.0%
8,637$1
17520500FMedical service or procedure$10,095
0.0%
9,010$1
1753D2954Prefabricated post and core — support inside a tooth for a crown$10,080
0.0%
97$104
1754Q0081Infusion therapy, using other than chemotherapeutic drugs, per visit$10,040
0.0%
861$12
175592504Hearing or speech test or therapy$10,015
0.0%
553$18
175666821Eye surgery$9,991
0.0%
232$43
175792582Hearing or speech test or therapy$9,986
0.0%
207$48
175880320Drug or substance testing$9,973
0.0%
25,042$0
1759J0640Injection, leucovorin calcium, per 50 mg$9,968
0.0%
261$38
176080175Drug or substance testing$9,967
0.0%
2,451$4
1761J2710Injection, neostigmine methylsulfate, up to 0.5 mg$9,942
0.0%
4,949$2
176287102Microbiology test — checking for infections (bacteria, viruses, fungi)$9,921
0.0%
12,009$1
1763S0620Routine ophthalmological examination including refraction; new patient$9,852
0.0%
229$43
176429530Casting, splinting, or strapping for a broken bone or injury$9,828
0.0%
353$28
176583521Blood chemistry test (checking specific substances in your blood)$9,804
0.0%
2,170$5
176627687Knee and lower leg surgery$9,794
0.0%
12$816
176711740Draining blood from under a fingernail or toenail$9,793
0.0%
6,187$2
1768J2800Injection, methocarbamol, up to 10 ml$9,789
0.0%
2,902$3
176988356Tissue examination under a microscope (surgical pathology)$9,762
0.0%
59$165
177087046Microbiology test — checking for infections (bacteria, viruses, fungi)$9,709
0.0%
4,588$2
177197124Physical therapy, occupational therapy, or rehabilitation$9,697
0.0%
19,363$1
1772J7307Etonogestrel (contraceptive) implant system, including implant and supplies$9,685
0.0%
16$605
177383883Blood chemistry test (checking specific substances in your blood)$9,680
0.0%
2,682$4
177488262Genetic testing (chromosome analysis)$9,616
0.0%
301$32
1775L1845Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment$9,570
0.0%
86$111
1776E0156Seat attachment, walker$9,531
0.0%
3,696$3
177788720Special lab analysis$9,443
0.0%
4,624$2
177893454Heart catheterization — looking at heart arteries with dye$9,397
0.0%
92$102
1779A6209Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing$9,389
0.0%
136$69
1780L3260Surgical boot/shoe, each$9,352
0.0%
929$10
1781K0006Heavy duty wheelchair$9,336
0.0%
72$130
178292613Hearing or speech test or therapy$9,330
0.0%
464$20
1783Q4014Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass$9,295
0.0%
170$55
1784J2795Injection of ropivacaine (numbing medicine for nerve blocks)$9,292
0.0%
8,645$1
1785A5514For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot$9,285
0.0%
297$31
178600140Anesthesia for a medical procedure$9,196
0.0%
70$131
1787J2360Injection, orphenadrine citrate, up to 60 mg$9,127
0.0%
1,058$9
178895868Brain wave test (EEG) or nerve test$9,119
0.0%
596$15
178982397Blood chemistry test (checking specific substances in your blood)$9,037
0.0%
2,062$4
179077001Imaging guidance for a needle procedure$8,998
0.0%
784$11
179186709Immune system or allergy test$8,960
0.0%
3,943$2
1792J8499Prescription drug, oral, non chemotherapeutic, nos$8,902
0.0%
4,755$2
179384446Blood chemistry test (checking specific substances in your blood)$8,894
0.0%
2,207$4
179482172Blood chemistry test (checking specific substances in your blood)$8,833
0.0%
3,963$2
179585613Blood cell or clotting test$8,818
0.0%
4,303$2
179687275Microbiology test — checking for infections (bacteria, viruses, fungi)$8,740
0.0%
2,864$3
1797A6210Foam 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$8,679
0.0%
826$11
179836010Artery and vein surgery$8,663
0.0%
695$12
1799V5299Hearing service, miscellaneous$8,655
0.0%
69$125
180078431Nuclear medicine imaging (using small amounts of radioactive material)$8,642
0.0%
378$23
180167311Eye surgery$8,639
0.0%
15$576
180269200Ear surgery$8,598
0.0%
102$84
180382103Blood chemistry test (checking specific substances in your blood)$8,557
0.0%
2,442$4
180480372Drug or substance testing$8,547
0.0%
6,332$1
180587276Microbiology test — checking for infections (bacteria, viruses, fungi)$8,543
0.0%
2,862$3
180600400Anesthesia for skin or tissue surgery on arms or legs$8,540
0.0%
79$108
180786361Immune system or allergy test$8,532
0.0%
2,546$3
1808J7999Compounded drug, not otherwise classified$8,504
0.0%
2,079$4
180980373Drug or substance testing$8,502
0.0%
13,659$1
1810J1040Injection, methylprednisolone acetate, 80 mg$8,498
0.0%
903$9
181178582Nuclear medicine imaging (using small amounts of radioactive material)$8,472
0.0%
252$34
181295144Allergy testing or treatment$8,435
0.0%
64$132
1813D2331Tooth-colored (resin) filling — two surfaces, front tooth$8,419
0.0%
265$32
181487808Microbiology test — checking for infections (bacteria, viruses, fungi)$8,340
0.0%
2,664$3
181595012Allergy testing or treatment$8,328
0.0%
534$16
181682747Blood chemistry test (checking specific substances in your blood)$8,290
0.0%
1,949$4
1817A4385Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each$8,262
0.0%
807$10
181884244Blood chemistry test (checking specific substances in your blood)$8,200
0.0%
2,080$4
181965222Eye surgery$8,165
0.0%
556$15
1820E0141Walker, rigid, wheeled, adjustable or fixed height$8,139
0.0%
106$77
182190649Vaccine or immunization$8,135
0.0%
3,476$2
182251725Bladder surgery$8,097
0.0%
55$147
182390633Hepatitis A vaccine (child dose)$8,045
0.0%
86,425$0
182473000Upper extremity imaging (shoulder, arm, hand)$8,037
0.0%
536$15
182580361Drug or substance testing$7,968
0.0%
35,346$0
182680356Drug or substance testing$7,949
0.0%
8,540$1
182784630Blood chemistry test (checking specific substances in your blood)$7,934
0.0%
3,237$2
182880365Drug or substance testing$7,898
0.0%
31,731$0
182985380Blood cell or clotting test$7,894
0.0%
2,561$3
183036600Drawing blood from an artery$7,871
0.0%
2,763$3
183180348Drug or substance testing$7,870
0.0%
9,086$1
183280354Drug or substance testing$7,870
0.0%
8,804$1
1833A9270Non-covered item or service$7,820
0.0%
262,012$0
183480358Drug or substance testing$7,812
0.0%
9,267$1
183582668Blood chemistry test (checking specific substances in your blood)$7,788
0.0%
1,923$4
183630300Nose surgery$7,739
0.0%
38$204
183778226Nuclear medicine imaging (using small amounts of radioactive material)$7,716
0.0%
74$104
1838G0312Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21$7,709
0.0%
355$22
1839V5253Hearing aid, digitally programmable, binaural, bte$7,700
0.0%
16$481
1840D1516Space maintainer — device to hold space for a permanent tooth (fixed, bilateral)$7,679
0.0%
64$120
18413078FMedical service or procedure$7,670
0.0%
193,568$0
184287206Microbiology test — checking for infections (bacteria, viruses, fungi)$7,640
0.0%
4,408$2
1843D9212Other dental service$7,586
0.0%
1,591$5
184486664Immune system or allergy test$7,541
0.0%
2,394$3
184573723Lower extremity imaging (hip, knee, leg, foot)$7,539
0.0%
130$58
1846E0565Compressor, air power source for equipment which is not self-contained or cylinder driven$7,490
0.0%
447$17
184784590Blood chemistry test (checking specific substances in your blood)$7,460
0.0%
2,366$3
1848J1071Injection, testosterone cypionate, 1 mg$7,449
0.0%
2,805$3
1849J7510Prednisolone oral, per 5 mg$7,420
0.0%
1,071$7
185090744Hepatitis B vaccine (child dose)$7,367
0.0%
41,467$0
185190685Vaccine or immunization$7,331
0.0%
14,677$0
185270320Head and brain imaging (X-ray, CT, or MRI)$7,323
0.0%
553$13
1853E0994Arm rest, each$7,314
0.0%
224$33
1854L1930Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment$7,310
0.0%
31$236
18553085FMedical service or procedure$7,304
0.0%
1,512$5
185692145Eye exam or vision test$7,296
0.0%
1,406$5
185799241Office consultation — minor problem$7,261
0.0%
690$11
1858E0442Stationary oxygen contents, liquid, 1 month's supply = 1 unit$7,250
0.0%
1,955$4
185970480Head and brain imaging (X-ray, CT, or MRI)$7,202
0.0%
73$99
1860E0295Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress$7,149
0.0%
280$26
186182948Blood chemistry test (checking specific substances in your blood)$7,148
0.0%
6,682$1
1862E1038Transport chair, adult size, patient weight capacity up to and including 300 pounds$7,139
0.0%
1,990$4
1863D2394Tooth-colored (resin) filling — four or more surfaces, back tooth$7,112
0.0%
149$48
186464719Brain, spine, or nerve surgery$7,112
0.0%
13$547
1865A7525Tracheostomy mask, each$7,057
0.0%
4,063$2
186689190Other lab test$7,021
0.0%
4,409$2
1867V2204Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens$6,987
0.0%
714$10
1868A4250Urine test or reagent strips or tablets (100 tablets or strips)$6,965
0.0%
10,509$1
186975710Heart and blood vessel imaging$6,950
0.0%
249$28
187082232Blood chemistry test (checking specific substances in your blood)$6,950
0.0%
2,792$2
187190658Vaccine or immunization$6,921
0.0%
3,647$2
187280299Drug or substance testing$6,903
0.0%
1,752$4
187380156Drug or substance testing$6,875
0.0%
1,546$4
187499441Medical service or procedure$6,848
0.0%
2,414$3
18751160FMedical service or procedure$6,763
0.0%
182,072$0
187651741Bladder surgery$6,756
0.0%
917$7
187785306Blood cell or clotting test$6,724
0.0%
1,979$3
18780367TMedical service or procedure$6,711
0.0%
1,030$7
187922845Spine surgery$6,707
0.0%
16$419
188064616Brain, spine, or nerve surgery$6,697
0.0%
105$64
188186644Immune system or allergy test$6,667
0.0%
1,795$4
188271100Chest imaging (X-ray, CT, or MRI)$6,619
0.0%
567$12
188351600Bladder surgery$6,579
0.0%
40$164
18840509TMedical service or procedure$6,566
0.0%
148$44
1885S0028Injection, famotidine, 20 mg$6,559
0.0%
12,148$1
188684030Blood chemistry test (checking specific substances in your blood)$6,536
0.0%
3,619$2
188782435Blood chemistry test (checking specific substances in your blood)$6,536
0.0%
10,360$1
188899225Medical service or procedure$6,467
0.0%
187$35
1889K0042Standard size footplate, replacement only, each$6,444
0.0%
118$55
189095972Brain wave test (EEG) or nerve test$6,437
0.0%
488$13
1891A6257Transparent film, sterile, 16 sq. in. or less, each dressing$6,385
0.0%
39$164
189283010Blood chemistry test (checking specific substances in your blood)$6,326
0.0%
2,433$3
189398968Medical service or procedure$6,310
0.0%
322$20
189486777Immune system or allergy test$6,295
0.0%
1,858$3
1895A6253Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing$6,274
0.0%
62$101
1896J0171Injection, adrenalin, epinephrine, 0.1 mg$6,253
0.0%
2,979$2
1897A4248Chlorhexidine containing antiseptic, 1 ml$6,214
0.0%
1,728$4
189882164Blood chemistry test (checking specific substances in your blood)$6,202
0.0%
2,139$3
189995717Brain wave test (EEG) or nerve test$6,184
0.0%
335$18
1900C1751Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis)$6,161
0.0%
286$22
190186606Immune system or allergy test$6,154
0.0%
990$6
1902J1270Injection, doxercalciferol, 1 mcg$6,146
0.0%
457,682$0
1903D7320Tooth extraction or oral surgery$6,097
0.0%
70$87
1904K0019Arm pad, replacement only, each$6,086
0.0%
291$21
190576981Ultrasound$6,033
0.0%
107$56
190682085Blood chemistry test (checking specific substances in your blood)$6,030
0.0%
2,861$2
190743262Esophagus (swallowing tube) surgery$6,010
0.0%
47$128
1908J7620Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through medical equipment$5,953
0.0%
10,941$1
190984166Blood chemistry test (checking specific substances in your blood)$5,926
0.0%
2,141$3
191082653Blood chemistry test (checking specific substances in your blood)$5,918
0.0%
1,368$4
1911L2210Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint$5,895
0.0%
62$95
1912G0506Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)$5,846
0.0%
696$8
191380183Drug or substance testing$5,837
0.0%
1,320$4
191499318Medical service or procedure$5,831
0.0%
210$28
191583704Blood chemistry test (checking specific substances in your blood)$5,818
0.0%
1,636$4
1916M0247Intravenous infusion, sotrovimab, includes infusion and post administration monitoring$5,772
0.0%
60$96
191782525Blood chemistry test (checking specific substances in your blood)$5,769
0.0%
1,883$3
191887106Microbiology test — checking for infections (bacteria, viruses, fungi)$5,758
0.0%
4,078$1
191998967Medical service or procedure$5,746
0.0%
758$8
192095720Brain wave test (EEG) or nerve test$5,739
0.0%
41$140
1921L2200Addition to lower extremity, limited ankle motion, each joint$5,710
0.0%
105$54
1922E2363Power wheelchair accessory, group 24 sealed lead acid battery, each (for example., gel cell, absorbed glassmat)$5,709
0.0%
50$114
192394750Breathing test or lung function test$5,706
0.0%
90$63
192478306Nuclear medicine imaging (using small amounts of radioactive material)$5,697
0.0%
26$219
192597151Physical therapy, occupational therapy, or rehabilitation$5,672
0.0%
36$158
192695714Brain wave test (EEG) or nerve test$5,548
0.0%
79$70
192786015Immune system or allergy test$5,509
0.0%
2,620$2
1928L3809Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type$5,494
0.0%
59$93
192997157Physical therapy, occupational therapy, or rehabilitation$5,463
0.0%
186$29
193070360Head and brain imaging (X-ray, CT, or MRI)$5,462
0.0%
432$13
193186337Immune system or allergy test$5,453
0.0%
790$7
193287255Microbiology test — checking for infections (bacteria, viruses, fungi)$5,441
0.0%
1,234$4
193376512Eye ultrasound (checking inside the eye)$5,409
0.0%
120$45
1934A6206Contact layer, sterile, 16 sq. in. or less, each dressing$5,344
0.0%
112$48
193536591Artery and vein surgery$5,343
0.0%
1,185$5
193681000Urinalysis (urine test)$5,332
0.0%
5,274$1
193796165Medical service or procedure$5,327
0.0%
1,078$5
193892586Hearing or speech test or therapy$5,294
0.0%
132$40
193958571Female reproductive system surgery$5,284
0.0%
51$104
194064640Brain, spine, or nerve surgery$5,274
0.0%
41$129
19413079FMedical service or procedure$5,267
0.0%
106,700$0
194287116Microbiology test — checking for infections (bacteria, viruses, fungi)$5,266
0.0%
2,137$2
1943V2745Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens$5,262
0.0%
3,427$2
194429075Casting, splinting, or strapping for a broken bone or injury$5,253
0.0%
88$60
194574230Abdomen imaging (X-ray, CT, or MRI)$5,233
0.0%
215$24
194695870Brain wave test (EEG) or nerve test$5,177
0.0%
505$10
194786481Immune system or allergy test$5,167
0.0%
395$13
1948D7962Tooth extraction or oral surgery$5,137
0.0%
52$99
194970210Head and brain imaging (X-ray, CT, or MRI)$5,120
0.0%
306$17
195099053Special medical service$5,107
0.0%
158,996$0
195186738Immune system or allergy test$5,080
0.0%
574$9
195200810Anesthesia for lower intestine surgery$5,078
0.0%
40$127
195382157Blood chemistry test (checking specific substances in your blood)$5,041
0.0%
916$6
195484482Blood chemistry test (checking specific substances in your blood)$5,025
0.0%
1,370$4
1955E0960Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware$5,021
0.0%
83$60
195695874Brain wave test (EEG) or nerve test$5,021
0.0%
118$43
1957J3411Injection, thiamine hcl, 100 mg$4,998
0.0%
3,230$2
1958A9541Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries$4,967
0.0%
137$36
1959S5110Home care services by a trained home health aide (per hour)$4,945
0.0%
2,318$2
196099476Medical service or procedure$4,944
0.0%
17$291
196143274Esophagus (swallowing tube) surgery$4,944
0.0%
16$309
196282985Blood chemistry test (checking specific substances in your blood)$4,902
0.0%
1,866$3
196310140Incision and drainage of skin or tissue$4,893
0.0%
1,249$4
196445381Rectum and colon surgery or exam$4,867
0.0%
40$122
196586698Immune system or allergy test$4,846
0.0%
887$5
196685303Blood cell or clotting test$4,841
0.0%
1,838$3
196726600Hand and finger surgery$4,832
0.0%
26$186
1968Z7610Health information coding$4,831
0.0%
471$10
196981229Genetic or molecular testing$4,810
0.0%
578$8
197081015Urinalysis (urine test)$4,803
0.0%
6,359$1
1971E0444Portable oxygen contents, liquid, 1 month's supply = 1 unit$4,786
0.0%
1,365$4
197286735Immune system or allergy test$4,752
0.0%
1,829$3
19730054AMedical service or procedure$4,750
0.0%
141$34
19740134AMedical service or procedure$4,730
0.0%
154$31
1975J2359Injection, olanzapine, 0.5 mg$4,720
0.0%
459$10
197686036Immune system or allergy test$4,687
0.0%
1,953$2
197784252Blood chemistry test (checking specific substances in your blood)$4,670
0.0%
857$5
197886328Immune system or allergy test$4,659
0.0%
184$25
1979E0240Bath/shower chair, with or without wheels, any size$4,644
0.0%
499$9
198086335Immune system or allergy test$4,597
0.0%
1,080$4
198186765Immune system or allergy test$4,564
0.0%
1,838$2
198287149Microbiology test — checking for infections (bacteria, viruses, fungi)$4,558
0.0%
643$7
1983V2300Sphere, trifocal, plano to plus or minus 4.00d, per lens$4,543
0.0%
49$93
198493740Heart electrical study or treatment$4,508
0.0%
561$8
198599315Medical service or procedure$4,495
0.0%
165$27
198642900Throat, adenoid, and tonsil surgery$4,494
0.0%
15$300
198782681Blood chemistry test (checking specific substances in your blood)$4,484
0.0%
949$5
1988J3360Injection, diazepam, up to 5 mg$4,457
0.0%
649$7
198974240Abdomen imaging (X-ray, CT, or MRI)$4,453
0.0%
138$32
1990T2007Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments$4,450
0.0%
214$21
199182952Blood chemistry test (checking specific substances in your blood)$4,446
0.0%
5,241$1
199285046Blood cell or clotting test$4,445
0.0%
18,253$0
1993D3110Root canal or dental pulp treatment$4,386
0.0%
313$14
199482626Blood chemistry test (checking specific substances in your blood)$4,371
0.0%
1,007$4
1995G0453Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient$4,368
0.0%
226$19
199699327Medical service or procedure$4,354
0.0%
124$35
199780337Drug or substance testing$4,316
0.0%
5,816$1
199886618Immune system or allergy test$4,314
0.0%
1,214$4
1999L0180Cervical, multiple post collar, occipital/mandibular supports, adjustable$4,285
0.0%
13$330
2000C7513Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s)$4,271
0.0%
52$82
2001L8501Tracheostomy speaking valve$4,254
0.0%
58$73
200284238Blood chemistry test (checking specific substances in your blood)$4,250
0.0%
579$7
2003L2270Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad$4,236
0.0%
74$57
200485660Blood cell or clotting test$4,236
0.0%
3,799$1
2005A4927Gloves, non-sterile, per 100$4,233
0.0%
478$9
200629580Casting, splinting, or strapping for a broken bone or injury$4,221
0.0%
289$15
200786702Immune system or allergy test$4,184
0.0%
2,069$2
2008A4394Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce$4,178
0.0%
133$31
200982530Blood chemistry test (checking specific substances in your blood)$4,177
0.0%
1,310$3
201043762Replacement of a feeding tube through the nose$4,171
0.0%
130$32
201193268Heart rhythm monitoring (Holter monitor or event recorder)$4,165
0.0%
39$107
201276706Ultrasound$4,161
0.0%
88$47
2013J70425% dextrose/normal saline (500 ml = 1 unit)$4,145
0.0%
2,535$2
201401830Anesthesia for a medical procedure$4,119
0.0%
37$111
2015G0396Alcohol and/or substance (other than tobacco) misuse structured assessment (for example., audit, dast), and brief intervention 15 to 30 minutes$4,045
0.0%
2,542$2
201680329Drug or substance testing$4,038
0.0%
3,963$1
2017C1776Joint device (implantable)$4,015
0.0%
53$76
201896411IV infusion or injection of medication$4,008
0.0%
115$35
2019G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care$3,989
0.0%
7,865$1
2020G0268Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing$3,981
0.0%
536$7
202187521Microbiology test — checking for infections (bacteria, viruses, fungi)$3,950
0.0%
211$19
202273522Lower extremity imaging (hip, knee, leg, foot)$3,927
0.0%
249$16
2023A4216Sterile water, saline and/or dextrose, diluent/flush, 10 ml$3,901
0.0%
10,214$0
202480180Drug or substance testing$3,882
0.0%
589$7
2025G2058Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional$3,877
0.0%
582$7
202636561Insertion of an implanted port for giving medications (like chemotherapy)$3,831
0.0%
12$319
202796102Psychological testing — administered by a technician$3,824
0.0%
91$42
202881005Urinalysis (urine test)$3,797
0.0%
4,701$1
202987184Microbiology test — checking for infections (bacteria, viruses, fungi)$3,760
0.0%
1,247$3
203088300Tissue examination under a microscope (surgical pathology)$3,750
0.0%
3,985$1
203120936Musculoskeletal surgery (bones, joints, muscles)$3,745
0.0%
203$18
2032J7611Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, concentrated form, 1 mg$3,727
0.0%
6,093$1
203380325Drug or substance testing$3,722
0.0%
781$5
203411755Nail surgery or treatment$3,705
0.0%
77$48
20353008FMedical service or procedure$3,675
0.0%
307,731$0
2036G0443Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes$3,674
0.0%
977$4
203700670Anesthesia for a medical procedure$3,674
0.0%
14$262
2038D7520Tooth extraction or oral surgery$3,641
0.0%
30$121
2039D2940Protective restoration — temporary filling or covering for a tooth$3,640
0.0%
133$27
2040J70605% dextrose/water (500 ml = 1 unit)$3,627
0.0%
2,648$1
204190682Vaccine or immunization$3,625
0.0%
1,071$3
204291200Digestive system test$3,613
0.0%
196$18
204331526Windpipe (trachea) or voice box surgery$3,608
0.0%
29$124
2044G0390Trauma response team associated with hospital critical care service$3,605
0.0%
287$13
204587650Microbiology test — checking for infections (bacteria, viruses, fungi)$3,589
0.0%
491$7
2046J9370Vincristine sulfate, 1 mg$3,588
0.0%
596$6
2047V2112Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens$3,576
0.0%
464$8
2048J1000Injection, depo-estradiol cypionate, up to 5 mg$3,568
0.0%
256$14
2049D0383Dental exam, X-ray, or screening$3,538
0.0%
351$10
205087299Microbiology test — checking for infections (bacteria, viruses, fungi)$3,531
0.0%
640$6
205187516Microbiology test — checking for infections (bacteria, viruses, fungi)$3,519
0.0%
172$20
205287538Microbiology test — checking for infections (bacteria, viruses, fungi)$3,519
0.0%
187$19
205387101Microbiology test — checking for infections (bacteria, viruses, fungi)$3,482
0.0%
1,580$2
2054L0627Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra$3,442
0.0%
12$287
2055G0365Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit$3,440
0.0%
100$34
20560359TMedical service or procedure$3,439
0.0%
21$164
2057A7036Chinstrap used with positive airway pressure device$3,431
0.0%
556$6
205883695Blood chemistry test (checking specific substances in your blood)$3,417
0.0%
2,295$1
205984300Blood chemistry test (checking specific substances in your blood)$3,412
0.0%
3,576$1
206073660Lower extremity imaging (hip, knee, leg, foot)$3,411
0.0%
243$14
206136558Artery and vein surgery$3,408
0.0%
26$131
206269209Ear surgery$3,405
0.0%
413$8
20633046FMedical service or procedure$3,405
0.0%
1,112$3
206496521IV infusion or injection of medication$3,401
0.0%
43$79
206580162Drug or substance testing$3,386
0.0%
757$4
206686308Immune system or allergy test$3,374
0.0%
2,117$2
206700840Anesthesia for a medical procedure$3,345
0.0%
71$47
2068G0509Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth$3,324
0.0%
27$123
206997542Wheelchair management training$3,307
0.0%
4,261$1
207095910Brain wave test (EEG) or nerve test$3,300
0.0%
25$132
2071G0202Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed$3,289
0.0%
312$11
207295954Brain wave test (EEG) or nerve test$3,289
0.0%
201$16
2073D5621Dentures or removable dental prosthetics$3,278
0.0%
73$45
2074L4386Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled$3,278
0.0%
31$106
207586645Immune system or allergy test$3,260
0.0%
929$4
207685004Complete blood count with partial differential$3,251
0.0%
2,539$1
2077A6536Gradient compression stocking, full length/chap style, 18-30 mmhg, each$3,217
0.0%
82$39
207885041Blood cell or clotting test$3,216
0.0%
63,730$0
2079G0306Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count$3,208
0.0%
1,601$2
208015853Medical service or procedure$3,208
0.0%
541$6
208100120Anesthesia for a medical procedure$3,204
0.0%
14$229
20823077FMedical service or procedure$3,143
0.0%
30,044$0
208389051Other lab test$3,141
0.0%
1,774$2
208490656Vaccine or immunization$3,139
0.0%
8,502$0
20850013AMedical service or procedure$3,128
0.0%
192$16
208693294Pacemaker or defibrillator check$3,110
0.0%
186$17
2087V2109Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens$3,098
0.0%
388$8
2088J0588Injection, incobotulinumtoxin a, 1 unit$3,096
0.0%
149$21
208993990Blood vessel ultrasound or study$3,091
0.0%
29$107
2090G2211Visit 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 se...$3,085
0.0%
6,628$0
2091D5612Denture repair — broken base (partial, lower)$3,068
0.0%
113$27
2092A4358Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each$3,055
0.0%
329$9
209380369Drug or substance testing$3,052
0.0%
1,706$2
209429425Casting, splinting, or strapping for a broken bone or injury$3,051
0.0%
30$102
209587015Microbiology test — checking for infections (bacteria, viruses, fungi)$3,032
0.0%
2,098$1
2096G2012Brief communication technology-based service, for example. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services$3,009
0.0%
7,560$0
20970111AMedical service or procedure$3,008
0.0%
83$36
2098D9996Other dental service$3,003
0.0%
16,141$0
2099D9440Office visit — dental exam (after regular hours)$3,000
0.0%
90$33
210029581Casting, splinting, or strapping for a broken bone or injury$2,979
0.0%
1,068$3
2101J2470Injection, pantoprazole sodium, 40 mg$2,952
0.0%
1,632$2
2102E0251Hospital bed, fixed height, with any type side rails, without mattress$2,939
0.0%
237$12
210300600Anesthesia for a medical procedure$2,934
0.0%
14$210
210492591Hearing or speech test or therapy$2,927
0.0%
59$50
210592555Hearing or speech test or therapy$2,895
0.0%
155$19
210696450IV infusion or injection of medication$2,895
0.0%
24$121
210786617Immune system or allergy test$2,893
0.0%
322$9
210874246Abdomen imaging (X-ray, CT, or MRI)$2,884
0.0%
38$76
210962270Spinal tap (lumbar puncture — removing fluid from around the spine for testing)$2,884
0.0%
59$49
211080352Drug or substance testing$2,860
0.0%
756$4
211188302Tissue examination under a microscope (surgical pathology)$2,837
0.0%
798$4
2112G0508Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth$2,809
0.0%
22$128
211383698Blood chemistry test (checking specific substances in your blood)$2,792
0.0%
762$4
211411719Nail surgery or treatment$2,767
0.0%
8,239$0
2115J1245Injection, dipyridamole, per 10 mg$2,753
0.0%
446$6
211686701Immune system or allergy test$2,751
0.0%
2,072$1
2117V2430Variable asphericity lens, bifocal, full field, glass or plastic, per lens$2,750
0.0%
13$212
2118J7613Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, unit dose, 1 mg$2,747
0.0%
11,833$0
211913132Complex wound repair — stitching a difficult wound$2,738
0.0%
13$211
2120L3807Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$2,689
0.0%
12$224
2121L2220Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint$2,686
0.0%
29$93
2122G0145Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation$2,664
0.0%
1,914$1
212386413Immune system or allergy test$2,649
0.0%
109$24
212496380IV infusion or injection of medication$2,648
0.0%
130$20
212500103Anesthesia for a medical procedure$2,635
0.0%
18$146
212690696DTaP-IPV vaccine (protects against diphtheria, tetanus, whooping cough, and polio)$2,634
0.0%
9,222$0
212780235Drug or substance testing$2,625
0.0%
374$7
212897026Physical therapy, occupational therapy, or rehabilitation$2,617
0.0%
1,184$2
212999498Medical service or procedure$2,604
0.0%
228$11
213095885Brain wave test (EEG) or nerve test$2,603
0.0%
51$51
213174175Abdomen imaging (X-ray, CT, or MRI)$2,598
0.0%
26$100
2132G0445High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education$2,589
0.0%
200$13
2133L1940Ankle foot orthosis, plastic or other material, custom fabricated$2,588
0.0%
58$45
213420930Musculoskeletal surgery (bones, joints, muscles)$2,582
0.0%
115$22
213599423Medical service or procedure$2,579
0.0%
775$3
213693979Blood vessel ultrasound or study$2,565
0.0%
28$92
213780366Drug or substance testing$2,556
0.0%
6,678$0
213897035Physical therapy, occupational therapy, or rehabilitation$2,550
0.0%
6,111$0
213931500Windpipe (trachea) or voice box surgery$2,536
0.0%
35$72
214072193Spine imaging (X-ray, CT, or MRI)$2,534
0.0%
12$211
214173200Upper extremity imaging (shoulder, arm, hand)$2,529
0.0%
28$90
214280184Drug or substance testing$2,524
0.0%
633$4
214382175Blood chemistry test (checking specific substances in your blood)$2,523
0.0%
500$5
214480355Drug or substance testing$2,502
0.0%
5,741$0
214582104Blood chemistry test (checking specific substances in your blood)$2,495
0.0%
791$3
214697760Orthotic management and training (learning to use a brace or support device)$2,492
0.0%
621$4
214796103Psychological testing — done by computer$2,488
0.0%
642$4
214840800Lip surgery$2,481
0.0%
44$56
214981241Genetic or molecular testing$2,476
0.0%
1,206$2
215036465Artery and vein surgery$2,474
0.0%
1,012$2
2151C1760Closure device, vascular (implantable/insertable)$2,473
0.0%
117$21
215287556Microbiology test — checking for infections (bacteria, viruses, fungi)$2,466
0.0%
109$23
215385300Blood cell or clotting test$2,462
0.0%
1,017$2
215494200Breathing test or lung function test$2,400
0.0%
495$5
2155J2805Injection, sincalide, 5 micrograms$2,322
0.0%
53$44
215683835Blood chemistry test (checking specific substances in your blood)$2,320
0.0%
884$3
215783825Blood chemistry test (checking specific substances in your blood)$2,311
0.0%
565$4
2158J3415Injection, pyridoxine hcl, 100 mg$2,293
0.0%
3,107$1
215951728Bladder surgery$2,291
0.0%
21$109
216083930Blood chemistry test (checking specific substances in your blood)$2,290
0.0%
1,880$1
216145330Rectum and colon surgery or exam$2,275
0.0%
251$9
2162D9215Local anesthesia (numbing injection for dental work)$2,256
0.0%
3,522$1
216390849Group therapy session with multiple families$2,254
0.0%
135$17
216473565Lower extremity imaging (hip, knee, leg, foot)$2,241
0.0%
199$11
216586060Immune system or allergy test$2,224
0.0%
1,258$2
2166G0372Physician service required to establish and document the need for a power mobility device$2,213
0.0%
887$2
216773501Lower extremity imaging (hip, knee, leg, foot)$2,212
0.0%
478$5
216827786Knee and lower leg surgery$2,185
0.0%
16$137
216983527Blood chemistry test (checking specific substances in your blood)$2,179
0.0%
899$2
2170A4590Special casting material (for example., fiberglass)$2,174
0.0%
26$84
2171D5622Dentures or removable dental prosthetics$2,159
0.0%
64$34
217298927Osteopathic treatment (hands-on manipulation)$2,159
0.0%
49$44
217380349Drug or substance testing$2,150
0.0%
23,478$0
217400740Anesthesia for a medical procedure$2,139
0.0%
44$49
217590621Vaccine or immunization$2,137
0.0%
3,478$1
217620985Musculoskeletal surgery (bones, joints, muscles)$2,135
0.0%
25$85
2177A6222Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing$2,130
0.0%
757$3
217883935Blood chemistry test (checking specific substances in your blood)$2,116
0.0%
1,518$1
217993351Heart ultrasound (echocardiogram)$2,098
0.0%
13$161
218087301Microbiology test — checking for infections (bacteria, viruses, fungi)$2,090
0.0%
354$6
218182679Blood chemistry test (checking specific substances in your blood)$2,073
0.0%
396$5
2182Q5003Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)$2,065
0.0%
3,005$1
2183L2330Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only$2,055
0.0%
58$35
218496151Medical service or procedure$2,054
0.0%
205$10
2185D5850Dentures or removable dental prosthetics$2,050
0.0%
53$39
218695908Brain wave test (EEG) or nerve test$2,041
0.0%
91$22
218794450Breathing test or lung function test$2,040
0.0%
50$41
218899000Special medical service$2,005
0.0%
134,743$0
218957454Colposcopy with biopsy of the cervix$2,003
0.0%
17$118
2190Q9957Injection, perflutren lipid microspheres, per ml$1,998
0.0%
101$20
219194761Breathing test or lung function test$1,990
0.0%
1,286$2
21920112AMedical service or procedure$1,973
0.0%
52$38
2193D5511Denture repair — broken base (complete, upper)$1,968
0.0%
75$26
219476376Diagnostic ultrasound or fluoroscopy$1,950
0.0%
227$9
219588311Tissue examination under a microscope (surgical pathology)$1,947
0.0%
696$3
219680360Drug or substance testing$1,940
0.0%
5,676$0
219780359Drug or substance testing$1,939
0.0%
7,172$0
2198S0077Injection, clindamycin phosphate, 300 mg$1,930
0.0%
1,058$2
219980346Drug or substance testing$1,921
0.0%
13,424$0
220001935Anesthesia for a medical procedure$1,921
0.0%
19$101
220180201Drug or substance testing$1,914
0.0%
452$4
2202D5611Denture repair — broken base (partial, upper)$1,906
0.0%
83$23
220320600Musculoskeletal surgery (bones, joints, muscles)$1,904
0.0%
79$24
220476885Ultrasound$1,889
0.0%
12$157
220586316Immune system or allergy test$1,889
0.0%
586$3
2206A4409Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each$1,876
0.0%
65$29
220785048Blood cell or clotting test$1,868
0.0%
59,189$0
220884591Blood chemistry test (checking specific substances in your blood)$1,864
0.0%
1,712$1
220988314Tissue examination under a microscope (surgical pathology)$1,850
0.0%
55$34
2210A7527Tracheostomy/laryngectomy tube plug/stop, each$1,849
0.0%
395$5
221129085Casting, splinting, or strapping for a broken bone or injury$1,847
0.0%
37$50
221217106Destruction or removal of a skin lesion (wart, precancerous growth, etc.)$1,838
0.0%
85$22
221372114Spine imaging (X-ray, CT, or MRI)$1,837
0.0%
44$42
221483003Blood chemistry test (checking specific substances in your blood)$1,820
0.0%
945$2
2215Q4158Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)$1,815
0.0%
53$34
221693931Blood vessel ultrasound or study$1,812
0.0%
14$129
2217E2620Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware$1,792
0.0%
14$128
221880353Drug or substance testing$1,790
0.0%
6,930$0
221982340Blood chemistry test (checking specific substances in your blood)$1,780
0.0%
1,123$2
222095249Medical service or procedure$1,779
0.0%
46$39
222199251Medical service or procedure$1,776
0.0%
59$30
222280321Drug or substance testing$1,775
0.0%
8,899$0
222343760Stomach surgery$1,742
0.0%
178$10
2224A9503Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries$1,741
0.0%
83$21
2225G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system$1,732
0.0%
851$2
2226Q4022Cast supplies, short arm splint, adult (11 years +), fiberglass$1,732
0.0%
35$49
2227J2370Injection, phenylephrine hcl, up to 1 ml$1,731
0.0%
1,610$1
222856820Female reproductive system surgery$1,729
0.0%
43$40
2229G2086Office-based treatment for opioid use disorder, including development of the treatment plan, care coordination$1,722
0.0%
35$49
223094645Breathing test or lung function test$1,719
0.0%
146$12
223173223Upper extremity imaging (shoulder, arm, hand)$1,715
0.0%
29$59
223280345Drug or substance testing$1,712
0.0%
8,046$0
223370543Head and brain imaging (X-ray, CT, or MRI)$1,711
0.0%
12$143
223477300Radiation therapy for cancer$1,702
0.0%
24$71
22350366TMedical service or procedure$1,702
0.0%
999$2
2236C2617Stent, non-coronary, temporary, without delivery system$1,692
0.0%
28$60
223780368Drug or substance testing$1,682
0.0%
6,265$0
223800126Anesthesia for a medical procedure$1,679
0.0%
18$93
223910022Medical service or procedure$1,677
0.0%
30$56
224090648Haemophilus influenzae type b (Hib) vaccine (4-dose)$1,670
0.0%
47,764$0
2241G0103Prostate cancer screening; prostate specific antigen test (psa)$1,663
0.0%
3,340$0
224288104Cell examination under a microscope$1,654
0.0%
324$5
2243A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service$1,653
0.0%
13$127
2244Q5006Hospice care provided in inpatient hospice facility$1,648
0.0%
4,070$0
2245G0270Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis$1,646
0.0%
1,283$1
224601941Anesthesia for a medical procedure$1,643
0.0%
13$126
224724650Shoulder and upper arm surgery$1,636
0.0%
12$136
2248L0457Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine$1,629
0.0%
24$68
224989055Other lab test$1,613
0.0%
2,098$1
2250E2607Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth$1,612
0.0%
16$101
225130901Nose surgery$1,606
0.0%
28$57
22520272Anesthesia for a medical procedure$1,601
0.0%
279$6
225383050Blood chemistry test (checking specific substances in your blood)$1,592
0.0%
491$3
2254J0882Injection, darbepoetin alfa, 1 microgram (for end-stage kidney disease on dialysis)$1,580
0.0%
401$4
2255J1729Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg$1,572
0.0%
33$48
2256J7633Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, concentrated form, per 0.25 milligram$1,570
0.0%
523$3
22571125FMedical service or procedure$1,569
0.0%
43,320$0
225893041Heart monitoring test (ECG/EKG)$1,569
0.0%
3,151$0
225997605Physical therapy, occupational therapy, or rehabilitation$1,568
0.0%
142$11
2260E0935Continuous passive motion exercise device for use on knee only$1,560
0.0%
79$20
22610004AMedical service or procedure$1,536
0.0%
980$2
226286258Immune system or allergy test$1,533
0.0%
496$3
226387107Microbiology test — checking for infections (bacteria, viruses, fungi)$1,533
0.0%
449$3
22641126FMedical service or procedure$1,524
0.0%
47,464$0
226588361Tissue examination under a microscope (surgical pathology)$1,520
0.0%
38$40
2266L1810Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$1,514
0.0%
12$126
226717004Destruction or removal of a skin lesion (wart, precancerous growth, etc.)$1,509
0.0%
12$126
226872157MRI of the lower spine (with and without contrast)$1,493
0.0%
24$62
2269J1626Injection, granisetron hydrochloride, 100 mcg$1,476
0.0%
548$3
2270D7960Tooth extraction or oral surgery$1,476
0.0%
14$105
2271D5851Dentures or removable dental prosthetics$1,476
0.0%
41$36
2272E2201Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches$1,471
0.0%
27$54
2273A5512For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch$1,463
0.0%
111$13
227487503Microbiology test — checking for infections (bacteria, viruses, fungi)$1,460
0.0%
139$11
227582945Blood chemistry test (checking specific substances in your blood)$1,452
0.0%
1,394$1
2276J2916Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg$1,435
0.0%
73$20
227790697Vaccine or immunization$1,428
0.0%
10,660$0
227892270Eye exam or vision test$1,419
0.0%
33$43
2279E0165Commode chair, mobile or stationary, with detachable arms$1,418
0.0%
54$26
228082009Blood chemistry test (checking specific substances in your blood)$1,415
0.0%
845$2
228189050Other lab test$1,406
0.0%
1,565$1
2282D4910Periodontal maintenance — follow-up cleaning after gum disease treatment$1,406
0.0%
2,191$1
2283E0100Cane, includes canes of all materials, adjustable or fixed, with tip$1,397
0.0%
180$8
228480371Drug or substance testing$1,394
0.0%
748$2
2285A4402Lubricant, per ounce$1,378
0.0%
172$8
228694668Breathing test or lung function test$1,366
0.0%
16,240$0
2287J1171Injection, hydromorphone, 0.1 mg$1,361
0.0%
1,744$1
2288G3002Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation$1,337
0.0%
122$11
228988740Special lab analysis$1,333
0.0%
559$2
229058300Female reproductive system surgery$1,332
0.0%
26$51
229181479Genetic or molecular testing$1,325
0.0%
296$4
2292A4425Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each$1,313
0.0%
150$9
229393284Pacemaker or defibrillator check$1,312
0.0%
42$31
2294B4087Gastrostomy/jejunostomy tube, standard, any material, any type, each$1,312
0.0%
37$35
229586403Immune system or allergy test$1,301
0.0%
277$5
2296A6454Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard$1,281
0.0%
2,633$0
229786612Immune system or allergy test$1,276
0.0%
343$4
229882610Blood chemistry test (checking specific substances in your blood)$1,276
0.0%
300$4
229990672Flu vaccine — nasal spray$1,276
0.0%
3,179$0
2300D8999Braces or orthodontic treatment$1,270
0.0%
28$45
230188363Tissue examination under a microscope (surgical pathology)$1,262
0.0%
279$5
230293315Heart ultrasound (echocardiogram)$1,261
0.0%
16$79
230387220Microbiology test — checking for infections (bacteria, viruses, fungi)$1,252
0.0%
1,149$1
2304G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the prima...$1,252
0.0%
511$2
230510040Incision and drainage of skin or tissue$1,251
0.0%
30$42
2306Q0512Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period$1,248
0.0%
5,451$0
2307G2024Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a skilled nursing facility or by a laboratory on behalf...$1,246
0.0%
359$3
230831622Windpipe (trachea) or voice box surgery$1,196
0.0%
18$66
230987425Microbiology test — checking for infections (bacteria, viruses, fungi)$1,192
0.0%
365$3
2310S0020Injection, bupivicaine hydrochloride, 30 ml$1,184
0.0%
547$2
231187076Microbiology test — checking for infections (bacteria, viruses, fungi)$1,172
0.0%
508$2
231220939Musculoskeletal surgery (bones, joints, muscles)$1,153
0.0%
41$28
231384597Blood chemistry test (checking specific substances in your blood)$1,146
0.0%
299$4
231483992Blood chemistry test (checking specific substances in your blood)$1,133
0.0%
6,864$0
231595860Brain wave test (EEG) or nerve test$1,131
0.0%
28$40
2316J1094Injection, dexamethasone acetate, 1 mg$1,130
0.0%
476$2
2317D9610Other dental service$1,122
0.0%
226$5
231890700Vaccine or immunization$1,116
0.0%
46,626$0
2319L3202Orthopedic shoe, oxford with supinator or pronator, child$1,097
0.0%
27$41
232081243Genetic or molecular testing$1,096
0.0%
473$2
232187797Microbiology test — checking for infections (bacteria, viruses, fungi)$1,094
0.0%
102$11
232299453Medical service or procedure$1,094
0.0%
400$3
232387632Microbiology test — checking for infections (bacteria, viruses, fungi)$1,091
0.0%
152$7
232436589Artery and vein surgery$1,067
0.0%
29$37
232574455Urinary tract imaging$1,054
0.0%
40$26
2326D0502Dental exam, X-ray, or screening$1,051
0.0%
20$53
2327Q9963High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml$1,050
0.0%
244$4
232897018Physical therapy, occupational therapy, or rehabilitation$1,046
0.0%
2,035$1
232992605Hearing or speech test or therapy$1,044
0.0%
25$42
233081206Genetic or molecular testing$1,034
0.0%
582$2
233184157Blood chemistry test (checking specific substances in your blood)$1,030
0.0%
1,295$1
2332A4209Syringe with needle, sterile 5 cc or greater, each$1,020
0.0%
2,899$0
233364445Brain, spine, or nerve surgery$1,016
0.0%
57$18
233451702Inserting a bladder catheter (complex)$1,011
0.0%
171$6
233592553Hearing or speech test or therapy$1,006
0.0%
39$26
233693290Pacemaker or defibrillator check$1,005
0.0%
100$10
233715852Medical service or procedure$996
0.0%
13,938$0
23381055FMedical service or procedure$993
0.0%
7,991$0
2339D0460Dental exam, X-ray, or screening$990
0.0%
725$1
234086001Immune system or allergy test$984
0.0%
160$6
2341J7644Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, unit dose form, per milligram$979
0.0%
3,065$0
234281240Genetic or molecular testing$979
0.0%
633$2
234383986Blood chemistry test (checking specific substances in your blood)$978
0.0%
1,917$1
2344J2212Injection, methylnaltrexone, 0.1 mg$974
0.0%
20$49
234590662Vaccine or immunization$974
0.0%
3,059$0
23460034AMedical service or procedure$971
0.0%
39$25
234781270Genetic or molecular testing$968
0.0%
297$3
2348A7016Dome and mouthpiece, used with small volume ultrasonic nebulizer$963
0.0%
189$5
234937799Artery and vein surgery$960
0.0%
81$12
2350C1894Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser$959
0.0%
7,560$0
2351J1956Injection, levofloxacin, 250 mg$958
0.0%
113$8
2352K0825Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds$956
0.0%
24$40
2353E0265Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress$947
0.0%
235$4
235487350Microbiology test — checking for infections (bacteria, viruses, fungi)$943
0.0%
354$3
235592558Hearing or speech test or therapy$941
0.0%
133$7
2356J9206Injection, irinotecan, 20 mg$940
0.0%
45$21
235743236Esophagus (swallowing tube) surgery$935
0.0%
25$37
235857410Female reproductive system surgery$933
0.0%
16$58
2359G0659Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers)$932
0.0%
165$6
2360G2078Take-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$929
0.0%
2,201$0
236182166Blood chemistry test (checking specific substances in your blood)$922
0.0%
295$3
236290687Vaccine or immunization$911
0.0%
1,282$1
2363J1836Injection, metronidazole, 10 mg$910
0.0%
1,716$1
236470355Head and brain imaging (X-ray, CT, or MRI)$909
0.0%
128$7
236572195Spine imaging (X-ray, CT, or MRI)$907
0.0%
13$70
236684080Blood chemistry test (checking specific substances in your blood)$893
0.0%
563$2
236787280Microbiology test — checking for infections (bacteria, viruses, fungi)$882
0.0%
122$7
2368J3105Injection, terbutaline sulfate, up to 1 mg$873
0.0%
350$2
236986886Blood typing or transfusion medicine test$869
0.0%
555$2
237082507Blood chemistry test (checking specific substances in your blood)$856
0.0%
136$6
2371E0202Phototherapy (bilirubin) light with photometer$853
0.0%
114$7
237277061Breast imaging (mammogram or MRI)$852
0.0%
861$1
237393282Pacemaker or defibrillator check$852
0.0%
31$27
2374P9046Infusion, albumin (human), 25%, 20 ml$845
0.0%
35$24
23750362TMedical service or procedure$842
0.0%
16$53
23760363TMedical service or procedure$842
0.0%
16$53
2377G0384Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is l...$840
0.0%
141$6
2378S0119Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use procedure code q code)$837
0.0%
445$2
2379A4213Syringe, sterile, 20 cc or greater, each$830
0.0%
7,945$0
238085305Blood cell or clotting test$829
0.0%
386$2
238190644Vaccine or immunization$826
0.0%
1,710$0
2382D0273Dental exam, X-ray, or screening$825
0.0%
104$8
238388237Genetic testing (chromosome analysis)$825
0.0%
58$14
2384D5820Dentures or removable dental prosthetics$820
0.0%
20$41
2385L3923Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled$816
0.0%
20$41
238649326Abdomen, hernia, or peritoneum surgery$811
0.0%
49$17
2387J2550Injection of promethazine (anti-nausea medicine)$811
0.0%
529$2
2388A4215Needle, sterile, any size, each$806
0.0%
9,610$0
2389E0135Walker, folding (pickup), adjustable or fixed height$800
0.0%
29$28
239085598Blood cell or clotting test$792
0.0%
208$4
239199374Medical service or procedure$792
0.0%
88$9
239282787Blood chemistry test (checking specific substances in your blood)$783
0.0%
167$5
239336556Insertion of a central venous catheter (IV line into a large vein)$778
0.0%
15$52
239485597Blood cell or clotting test$777
0.0%
272$3
2395S0285Colonoscopy consultation performed prior to a screening colonoscopy procedure$776
0.0%
18$43
2396J7609Albuterol, inhalation solution, compounded product, administered through medical equipment, unit dose, 1 mg$775
0.0%
1,157$1
239784182Blood chemistry test (checking specific substances in your blood)$772
0.0%
39$20
2398C1729Catheter, drainage$772
0.0%
1,329$1
2399V2744Tint, photochromatic, per lens$772
0.0%
2,488$0
2400G0246Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a pati...$771
0.0%
590$1
240170250Head and brain imaging (X-ray, CT, or MRI)$768
0.0%
58$13
240290691Vaccine or immunization$768
0.0%
14$55
2403C9399Unclassified drugs or biologicals$768
0.0%
241$3
240436476Artery and vein surgery$767
0.0%
14$55
240576519Ultrasound$764
0.0%
13$59
2406A6223Gauze, 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$762
0.0%
16$48
240795977Brain wave test (EEG) or nerve test$762
0.0%
119$6
2408E1226Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each$761
0.0%
15$51
24092014FMedical service or procedure$760
0.0%
55$14
2410Q0511Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period$754
0.0%
2,565$0
241193926Blood vessel ultrasound or study$743
0.0%
43$17
2412D9410Other dental service$738
0.0%
13$57
241386148Immune system or allergy test$736
0.0%
977$1
2414V5275Ear impression, each$735
0.0%
17$43
241572202Spine imaging (X-ray, CT, or MRI)$734
0.0%
47$16
241686041Immune system or allergy test$732
0.0%
190$4
2417D1355Dental preventive care (cleaning, fluoride, sealant)$726
0.0%
60$12
241890647Haemophilus influenzae type b (Hib) vaccine$724
0.0%
32,392$0
2419Q0163Diphenhydramine 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...$724
0.0%
3,630$0
2420A7004Small volume nonfiltered pneumatic nebulizer, disposable$722
0.0%
616$1
242111106Skin biopsy — taking a small sample to test for disease$720
0.0%
14$51
242276828Ultrasound$716
0.0%
17$42
2423J7799Not otherwise classified drugs, other than inhalation drugs, administered through medical equipment$708
0.0%
858$1
242477012Imaging guidance for a needle procedure$704
0.0%
13$54
2425A9900Miscellaneous medical equipment supply, accessory, and/or service component of another procedure code code$703
0.0%
26$27
242685301Blood cell or clotting test$699
0.0%
490$1
24271157FMedical service or procedure$696
0.0%
19,580$0
242820931Musculoskeletal surgery (bones, joints, muscles)$696
0.0%
24$29
2429V2783Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens$690
0.0%
292$2
2430A9279Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified$690
0.0%
2,200$0
243182575Blood chemistry test (checking specific substances in your blood)$687
0.0%
327$2
2432U0001Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel$682
0.0%
121$6
24333045FMedical service or procedure$680
0.0%
453$2
2434A4314Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)$675
0.0%
510$1
2435A6545Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each$671
0.0%
51$13
2436G0380Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is l...$654
0.0%
42$16
243785302Blood cell or clotting test$652
0.0%
264$2
2438A9537Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries$652
0.0%
25$26
243911901Skin injection or implant$647
0.0%
17$38
2440D4342Deep cleaning (scaling and root planing) — per quadrant, 1-3 teeth$646
0.0%
674$1
2441D9991Other dental service$646
0.0%
368$2
244287652Microbiology test — checking for infections (bacteria, viruses, fungi)$643
0.0%
102$6
2443A4262Temporary, absorbable lacrimal duct implant, each$641
0.0%
6,452$0
2444A7013Filter, disposable, used with aerosol compressor or ultrasonic generator$631
0.0%
2,842$0
24451159FMedical service or procedure$629
0.0%
104,534$0
244680170Drug or substance testing$624
0.0%
61$10
244799072Special medical service$623
0.0%
59,500$0
2448S9500Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination$620
0.0%
562$1
244985097Blood cell or clotting test$616
0.0%
52$12
245072083Spine imaging (X-ray, CT, or MRI)$616
0.0%
12$51
245187906Microbiology test — checking for infections (bacteria, viruses, fungi)$612
0.0%
40$15
245284133Blood chemistry test (checking specific substances in your blood)$612
0.0%
689$1
24533051FMedical service or procedure$612
0.0%
770$1
245490740Vaccine or immunization$609
0.0%
722$1
2455J1596Injection, glycopyrrolate, 0.1 mg$606
0.0%
444$1
2456S9451Exercise classes, non-physician provider, per session$605
0.0%
10,920$0
2457Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml$604
0.0%
133$5
24580353UMedical service or procedure$600
0.0%
4,599$0
2459A6248Hydrogel dressing, wound filler, gel, per fluid ounce$597
0.0%
13$46
246077072Breast imaging (mammogram or MRI)$595
0.0%
25$24
246199492Medical service or procedure$591
0.0%
31$19
246287905Microbiology test — checking for infections (bacteria, viruses, fungi)$582
0.0%
180$3
2463J7610Albuterol, inhalation solution, compounded product, administered through medical equipment, concentrated form, 1 mg$581
0.0%
2,379$0
2464V2205Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens$581
0.0%
12$48
246585520Blood cell or clotting test$580
0.0%
124$5
246680503Medical service or procedure$575
0.0%
106$5
2467G0245Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops$569
0.0%
27$21
246887109Microbiology test — checking for infections (bacteria, viruses, fungi)$569
0.0%
125$5
246973523Lower extremity imaging (hip, knee, leg, foot)$565
0.0%
27$21
2470J2175Injection, meperidine hydrochloride, per 100 mg$563
0.0%
809$1
247190657Vaccine or immunization$560
0.0%
511$1
247211105Skin biopsy — taking a small sample to test for disease$559
0.0%
28$20
247383037Blood chemistry test (checking specific substances in your blood)$555
0.0%
137$4
247494781Breathing test or lung function test$550
0.0%
48$11
247593307Heart ultrasound (echocardiogram)$546
0.0%
16$34
2476G8420Bmi is documented within normal parameters and no follow-up plan is required$541
0.0%
10,668$0
2477G8417Bmi is documented above normal parameters and a follow-up plan is documented$535
0.0%
39,719$0
2478E0303Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress$533
0.0%
51$10
2479G0499Hepatitis 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)$532
0.0%
13,744$0
248071111Chest imaging (X-ray, CT, or MRI)$532
0.0%
31$17
248199473Medical service or procedure$529
0.0%
2,295$0
248285347Blood cell or clotting test$527
0.0%
290$2
2483A7014Filter, nondisposable, used with aerosol compressor or ultrasonic generator$524
0.0%
224$2
248499421Medical service or procedure$516
0.0%
143$4
248574160Abdomen imaging (X-ray, CT, or MRI)$515
0.0%
38$14
248636011Artery and vein surgery$513
0.0%
18$28
248790380Immune globulin (antibody) injection$511
0.0%
74$7
248882642Blood chemistry test (checking specific substances in your blood)$511
0.0%
243$2
248983718Blood chemistry test (checking specific substances in your blood)$510
0.0%
361$1
249088264Genetic testing (chromosome analysis)$510
0.0%
58$9
2491A4406Ostomy skin barrier, pectin-based, paste, per ounce$505
0.0%
63$8
249211057Trimming or paring a skin lesion or callus$504
0.0%
298$2
249386778Immune system or allergy test$499
0.0%
187$3
249490967Dialysis or kidney treatment$496
0.0%
48$10
2495J7699Not otherwise classified drugs, inhalation solution administered through medical equipment$496
0.0%
149$3
249682374Carbon dioxide blood test (checks if your body is processing oxygen correctly)$487
0.0%
3,928$0
249790911Biofeedback training$484
0.0%
745$1
249886596Immune system or allergy test$467
0.0%
83$6
24990003AMedical service or procedure$464
0.0%
193$2
250086256Immune system or allergy test$462
0.0%
161$3
250187254Microbiology test — checking for infections (bacteria, viruses, fungi)$457
0.0%
116$4
250287551Microbiology test — checking for infections (bacteria, viruses, fungi)$455
0.0%
30$15
2503A4450Tape, non-waterproof, per 18 square inches$453
0.0%
483$1
2504A4247Betadine or iodine swabs/wipes, per box$451
0.0%
1,896$0
250580203Drug or substance testing$449
0.0%
95$5
2506A6457Tubular dressing with or without elastic, any width, per linear yard$445
0.0%
65$7
250782656Blood chemistry test (checking specific substances in your blood)$444
0.0%
150$3
25080073AMedical service or procedure$441
0.0%
13$34
250976010Diagnostic ultrasound or fluoroscopy$433
0.0%
27$16
251087471Microbiology test — checking for infections (bacteria, viruses, fungi)$431
0.0%
49$9
251170547Head and brain imaging (X-ray, CT, or MRI)$431
0.0%
13$33
2512J1920Injection, labetalol hydrochloride, 5 mg$430
0.0%
1,541$0
2513J0665Injection, bupivicaine, not otherwise specified, 0.5 mg$429
0.0%
6,457$0
251477075Breast imaging (mammogram or MRI)$425
0.0%
13$33
251557465Female reproductive system surgery$421
0.0%
13$32
2516A7010Corrugated tubing, disposable, used with large volume nebulizer, 100 feet$420
0.0%
29$14
2517D9210Other dental service$420
0.0%
99$4
251883951Blood chemistry test (checking specific substances in your blood)$420
0.0%
52$8
251995907Brain wave test (EEG) or nerve test$420
0.0%
12$35
252015276Skin graft or tissue transfer$415
0.0%
18$23
252173222Upper extremity imaging (shoulder, arm, hand)$413
0.0%
14$29
252220551Musculoskeletal surgery (bones, joints, muscles)$408
0.0%
13$31
2523Q9969Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose$404
0.0%
285$1
2524A6204Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing$403
0.0%
174$2
252599140Additional anesthesia service for special circumstances$400
0.0%
90$4
252697024Physical therapy, occupational therapy, or rehabilitation$397
0.0%
141$3
2527A4627Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler$391
0.0%
26$15
252882239Blood chemistry test (checking specific substances in your blood)$390
0.0%
120$3
2529S9088Services provided in an urgent care center (list in addition to code for service)$385
0.0%
174$2
2530G0307Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count)$384
0.0%
1,606$0
2531J0736Injection, clindamycin phosphate, 300 mg$384
0.0%
385$1
2532A4253Blood glucose test strips (for checking blood sugar at home)$383
0.0%
881$0
253378434Nuclear medicine imaging (using small amounts of radioactive material)$379
0.0%
476$1
253483916Blood chemistry test (checking specific substances in your blood)$376
0.0%
82$5
2535A9278Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system$375
0.0%
30$12
25363080FMedical service or procedure$370
0.0%
22,390$0
253780158Drug or substance testing$370
0.0%
104$4
253887154Microbiology test — checking for infections (bacteria, viruses, fungi)$369
0.0%
14$26
253920605Musculoskeletal surgery (bones, joints, muscles)$368
0.0%
15$25
2540A6449Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard$368
0.0%
476$1
254182108Blood chemistry test (checking specific substances in your blood)$357
0.0%
14,369$0
2542L1906Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf$354
0.0%
36$10
254383945Blood chemistry test (checking specific substances in your blood)$353
0.0%
122$3
2544A4371Ostomy skin barrier, powder, per oz$351
0.0%
248$1
2545A4263Permanent, long term, non-dissolvable lacrimal duct implant, each$345
0.0%
62$6
254687590Microbiology test — checking for infections (bacteria, viruses, fungi)$342
0.0%
29$12
254784560Blood chemistry test (checking specific substances in your blood)$341
0.0%
314$1
25480099UMedical service or procedure$339
0.0%
135$3
2549J2274Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg$334
0.0%
66$5
2550A9526Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries$329
0.0%
21$16
255187899Microbiology test — checking for infections (bacteria, viruses, fungi)$328
0.0%
219$1
255286671Immune system or allergy test$326
0.0%
157$2
255329130Casting, splinting, or strapping for a broken bone or injury$324
0.0%
15$22
255491319Medical service or procedure$323
0.0%
219$1
25553048FMedical service or procedure$321
0.0%
4,784$0
255692370Eye exam or vision test$320
0.0%
12$27
255795926Brain wave test (EEG) or nerve test$319
0.0%
262$1
255882180Blood chemistry test (checking specific substances in your blood)$316
0.0%
132$2
255993289Pacemaker or defibrillator check$304
0.0%
14$22
2560Q4049Finger splint, static$301
0.0%
62$5
256186804Immune system or allergy test$299
0.0%
20$15
256287110Microbiology test — checking for infections (bacteria, viruses, fungi)$289
0.0%
461$1
256382365Blood chemistry test (checking specific substances in your blood)$289
0.0%
71$4
256481511Medical service or procedure$288
0.0%
5,326$0
2565A4208Syringe with needle, sterile 3 cc, each$284
0.0%
248$1
2566J1010Injection, methylprednisolone acetate, 1 mg$276
0.0%
30$9
256794770Breathing test or lung function test$276
0.0%
1,268$0
2568D2920Dental filling, crown, or restoration$274
0.0%
13$21
256986231Immune system or allergy test$268
0.0%
130$2
2570Q2035Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)$267
0.0%
512$1
2571G0379Hospital observation — being watched and monitored using direct admission$267
0.0%
546$0
2572J0744Injection, ciprofloxacin for intravenous infusion, 200 mg$265
0.0%
88$3
257383630Blood chemistry test (checking specific substances in your blood)$262
0.0%
43$6
257486774Immune system or allergy test$261
0.0%
93$3
2575V2715Prism, per lens$259
0.0%
12$22
257611101Skin biopsy — taking a small sample to test for disease$258
0.0%
13$20
257710160Drainage of fluid from a cyst or hematoma with a needle$257
0.0%
1,017$0
2578G8482Influenza immunization administered or previously received$254
0.0%
3,079$0
257990653Vaccine or immunization$252
0.0%
675$0
25800271Anesthesia for a medical procedure$251
0.0%
33$8
258186037Immune system or allergy test$250
0.0%
120$2
258282042Blood chemistry test (checking specific substances in your blood)$249
0.0%
240$1
258388271Genetic testing (chromosome analysis)$248
0.0%
12$21
2584Q0177Hydroxyzine pamoate, 25 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$248
0.0%
1,683$0
258536410Artery and vein surgery$248
0.0%
58$4
258684105Blood chemistry test (checking specific substances in your blood)$239
0.0%
232$1
258797606Physical therapy, occupational therapy, or rehabilitation$238
0.0%
32$7
258851785Bladder surgery$237
0.0%
15$16
258992568Hearing or speech test or therapy$231
0.0%
23$10
259081007Urinalysis (urine test)$225
0.0%
750$0
259186631Immune system or allergy test$223
0.0%
43$5
259274220Abdomen imaging (X-ray, CT, or MRI)$221
0.0%
12$18
2593S9452Nutrition classes, non-physician provider, per session$219
0.0%
3,028$0
2594G0423Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session$217
0.0%
18$12
2595V2102Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens$216
0.0%
26$8
2596G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the dat...$215
0.0%
81$3
259764447Brain, spine, or nerve surgery$213
0.0%
19$11
259886707Immune system or allergy test$213
0.0%
61$3
2599G0407Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth$212
0.0%
201$1
2600G9500Radiation exposure indices documented in final report for procedure using fluoroscopy$207
0.0%
1,250$0
2601A4217Sterile water/saline, 500 ml$205
0.0%
185$1
260290655Vaccine or immunization$204
0.0%
832$0
260377081Breast imaging (mammogram or MRI)$202
0.0%
56$4
2604A6220Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing$202
0.0%
10,255$0
260592542Hearing or speech test or therapy$200
0.0%
41$5
260682955Blood chemistry test (checking specific substances in your blood)$199
0.0%
280$1
2607G0406Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth$199
0.0%
391$1
2608E0961Manual wheelchair accessory, wheel lock brake extension (handle), each$196
0.0%
100$2
2609J2003Injection, lidocaine hydrochloride, 1 mg$194
0.0%
3,261$0
2610J2310Injection, naloxone hydrochloride, per 1 mg$192
0.0%
51$4
2611G0271Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition$190
0.0%
35$5
261286609Immune system or allergy test$185
0.0%
48$4
261384140Blood chemistry test (checking specific substances in your blood)$181
0.0%
51$4
261487328Microbiology test — checking for infections (bacteria, viruses, fungi)$181
0.0%
54$3
2615J2150Injection, mannitol, 25% in 50 ml$179
0.0%
103$2
261680165Drug or substance testing$178
0.0%
144$1
261790660Vaccine or immunization$178
0.0%
736$0
261896402IV infusion or injection of medication$176
0.0%
12$15
261936000Artery and vein surgery$176
0.0%
537$0
262073020Upper extremity imaging (shoulder, arm, hand)$176
0.0%
76$2
262199404Medical service or procedure$174
0.0%
182$1
2622G0235Pet imaging, any site, not otherwise specified$173
0.0%
35$5
262386628Immune system or allergy test$171
0.0%
25$7
2624G0318Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary serv...$170
0.0%
26$7
262582671Blood chemistry test (checking specific substances in your blood)$168
0.0%
39$4
262686632Immune system or allergy test$166
0.0%
71$2
262799001Special medical service$166
0.0%
54,424$0
262899422Medical service or procedure$160
0.0%
293$1
262991318Medical service or procedure$160
0.0%
49$3
2630S9441Asthma education, non-physician provider, per session$160
0.0%
1,269$0
263198940Chiropractic adjustment$158
0.0%
41$4
263299100Additional anesthesia service for special circumstances$158
0.0%
284$1
263384311Blood chemistry test (checking specific substances in your blood)$157
0.0%
428$0
2634A6216Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing$152
0.0%
51,199$0
26353052FMedical service or procedure$151
0.0%
342$0
263682657Blood chemistry test (checking specific substances in your blood)$150
0.0%
80$2
263758611Female reproductive system surgery$147
0.0%
14$10
263892583Hearing or speech test or therapy$146
0.0%
5,970$0
26390352UMedical service or procedure$143
0.0%
617$0
264081256Genetic or molecular testing$141
0.0%
288$0
2641D9951Other dental service$140
0.0%
12$12
264293790Heart electrical study or treatment$139
0.0%
78$2
2643G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications$137
0.0%
177,178$0
264483873Blood chemistry test (checking specific substances in your blood)$137
0.0%
32$4
264580173Drug or substance testing$136
0.0%
15$9
264687561Microbiology test — checking for infections (bacteria, viruses, fungi)$135
0.0%
84$2
2647J9260Injection, methotrexate sodium, 50 mg$135
0.0%
61$2
264890668Vaccine or immunization$133
0.0%
19$7
264986356Immune system or allergy test$129
0.0%
17$8
26503049FMedical service or procedure$126
0.0%
1,615$0
265173650Lower extremity imaging (hip, knee, leg, foot)$126
0.0%
12$10
2652J3371Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg$124
0.0%
180$1
265384255Blood chemistry test (checking specific substances in your blood)$122
0.0%
13$9
2654G3003Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002.$121
0.0%
169$1
265582308Blood chemistry test (checking specific substances in your blood)$120
0.0%
16$8
265684163Blood chemistry test (checking specific substances in your blood)$117
0.0%
165$1
2657M0239Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring$116
0.0%
16$7
2658V2114Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens$114
0.0%
13$9
2659D1352Dental preventive care (cleaning, fluoride, sealant)$113
0.0%
86$1
266082705Blood chemistry test (checking specific substances in your blood)$111
0.0%
181$1
266191305Medical service or procedure$109
0.0%
697$0
266284206Blood chemistry test (checking specific substances in your blood)$107
0.0%
31$3
2663G0009Administration of pneumococcal vaccine$107
0.0%
1,407$0
26643725FMedical service or procedure$106
0.0%
105,783$0
266580367Drug or substance testing$105
0.0%
5,668$0
2666G2065Comprehensive care management for a single high-risk disease services, for example. principal care management$104
0.0%
16$6
266782384Blood chemistry test (checking specific substances in your blood)$102
0.0%
29$4
2668J7626Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, unit dose form, up to 0.5 mg$102
0.0%
795$0
266984540Blood chemistry test (checking specific substances in your blood)$101
0.0%
406$0
267090681Rotavirus vaccine (protects babies from stomach illness)$100
0.0%
8,801$0
267181339Genetic or molecular testing$99
0.0%
45$2
267281279Genetic or molecular testing$99
0.0%
72$1
267393299Pacemaker or defibrillator check$98
0.0%
110$1
2674J7517Mycophenolate mofetil, oral, 250 mg$97
0.0%
951$0
2675J3535Drug administered through a metered dose inhaler$92
0.0%
16$6
2676J1580Injection, garamycin, gentamicin, up to 80 mg$89
0.0%
150$1
2677J0687Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg$86
0.0%
508$0
267880195Drug or substance testing$82
0.0%
12$7
267984392Blood chemistry test (checking specific substances in your blood)$78
0.0%
64$1
268084260Blood chemistry test (checking specific substances in your blood)$77
0.0%
12$6
268185307Blood cell or clotting test$77
0.0%
24$3
268286043Immune system or allergy test$74
0.0%
33$2
26831005FMedical service or procedure$72
0.0%
1,344$0
268486682Immune system or allergy test$71
0.0%
15$5
2685E0181Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty$71
0.0%
26$3
2686G0403Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report$70
0.0%
79$1
2687J0670Injection, mepivacaine hydrochloride, per 10 ml$70
0.0%
125$1
268882436Blood chemistry test (checking specific substances in your blood)$69
0.0%
154$0
268977062Breast imaging (mammogram or MRI)$66
0.0%
1,766$0
2690J1020Injection, methylprednisolone acetate, 20 mg$66
0.0%
17$4
2691G9578Documentation of signed opioid treatment agreement at least once during opioid therapy$65
0.0%
3,061$0
2692J0610Injection, calcium gluconate (fresenius kabi), per 10 ml$64
0.0%
186$0
2693J0694Injection, cefoxitin sodium, 1 gm$63
0.0%
44$1
269493272Heart rhythm monitoring (Holter monitor or event recorder)$62
0.0%
20$3
2695J0461Injection, atropine sulfate, 0.01 mg$60
0.0%
101$1
269692310Eye exam or vision test$60
0.0%
88$1
269796154Medical service or procedure$60
0.0%
23$3
2698J7612Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, concentrated form, 0.5 mg$58
0.0%
146$0
269981291Genetic or molecular testing$56
0.0%
409$0
2700G9583Patients prescribed opiates for longer than six weeks$56
0.0%
2,225$0
2701D0415Dental exam, X-ray, or screening$56
0.0%
84$1
270298980Medical service or procedure$56
0.0%
47$1
2703J0571Buprenorphine, oral, 1 mg$56
0.0%
21$3
270474170Abdomen imaging (X-ray, CT, or MRI)$54
0.0%
15$4
2705V2632Posterior chamber intraocular lens$54
0.0%
1,505$0
2706G0328Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous$54
0.0%
1,540$0
2707G0109Diabetes self-management training for groups$53
0.0%
16$3
270891307Medical service or procedure$51
0.0%
2,243$0
270999341Home visit — simple problem$51
0.0%
296$0
2710V5267Hearing aid or assistive listening device/supplies/accessories, not otherwise specified$50
0.0%
17$3
271181374Genetic or molecular testing$48
0.0%
270$0
271286648Immune system or allergy test$48
0.0%
28$2
2713J7614Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, unit dose, 0.5 mg$47
0.0%
54$1
271486366Immune system or allergy test$47
0.0%
20$2
271589060Other lab test$46
0.0%
41$1
271687140Microbiology test — checking for infections (bacteria, viruses, fungi)$46
0.0%
45$1
2717A4245Alcohol wipes, per box$45
0.0%
54$1
2718A4267Contraceptive supply, condom, male, each$44
0.0%
493$0
2719A4617Mouth piece$42
0.0%
15$3
2720G9637Final reports with documentation of one or more dose reduction techniques (for example., automated exposure control, adjustment of the ma and/or kv according to patient size$42
0.0%
19,365$0
2721J0698Injection, cefotaxime sodium, per gm$41
0.0%
16$3
272289220Other lab test$37
0.0%
263$0
2723D9311Other dental service$37
0.0%
19$2
272482595Blood chemistry test (checking specific substances in your blood)$36
0.0%
24$2
2725A9999Miscellaneous medical equipment supply or accessory, not otherwise specified$36
0.0%
39$1
2726V2702Deluxe lens feature$36
0.0%
326$0
2727G0136Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months$35
0.0%
850$0
272880323Drug or substance testing$33
0.0%
6,767$0
2729G0323Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time$33
0.0%
2,286$0
273080344Drug or substance testing$31
0.0%
5,007$0
273180334Drug or substance testing$30
0.0%
420$0
2732S0030Injection, metronidazole, 500 mg$29
0.0%
62$0
27331036FMedical service or procedure$28
0.0%
59,514$0
273486340Immune system or allergy test$27
0.0%
14$2
273590970End-stage kidney disease home dialysis monthly care — ages 20+$27
0.0%
27$1
2736J0134Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg$27
0.0%
66$0
2737S0191Misoprostol, oral, 200 mcg$24
0.0%
19$1
273811306Shaving of a skin growth$24
0.0%
1,090$0
2739J2371Injection, phenylephrine hydrochloride, 20 micrograms$24
0.0%
862$0
2740G9226Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork$24
0.0%
1,429$0
27411111FMedical service or procedure$23
0.0%
126,985$0
274284433Blood chemistry test (checking specific substances in your blood)$23
0.0%
27$1
274384376Blood chemistry test (checking specific substances in your blood)$21
0.0%
12$2
2744A7007Large volume nebulizer, disposable, unfilled, used with aerosol compressor$20
0.0%
91$0
2745A4649Surgical supply; miscellaneous$19
0.0%
8,437$0
274680370Drug or substance testing$18
0.0%
5,623$0
274791300Medical service or procedure$17
0.0%
6,606$0
2748A6255Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing$17
0.0%
12$1
274980357Drug or substance testing$16
0.0%
5,073$0
275080338Drug or substance testing$16
0.0%
5,483$0
275180375Drug or substance testing$16
0.0%
423$0
275280339Drug or substance testing$15
0.0%
646$0
2753Q2037Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)$14
0.0%
122$0
275480324Drug or substance testing$14
0.0%
4,292$0
275581512Medical service or procedure$14
0.0%
534$0
275684143Blood chemistry test (checking specific substances in your blood)$14
0.0%
13$1
2757E0274Over-bed table$14
0.0%
14$1
275895869Brain wave test (EEG) or nerve test$13
0.0%
17$1
2759S1015Iv tubing extension set$12
0.0%
568$0
2760A4322Irrigation syringe, bulb or piston, each$12
0.0%
114$0
276180500Medical service or procedure$10
0.0%
72$0
2762J0612Injection, calcium gluconate, not otherwise specified, 10 mg$9
0.0%
12$1
276359426Pregnancy, delivery, and maternity care$8
0.0%
4,099$0
2764A4210Needle-free injection device, each$8
0.0%
1,396$0
276591301Medical service or procedure$8
0.0%
10,162$0
2766A6203Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing$7
0.0%
19$0
276791312Medical service or procedure$7
0.0%
1,875$0
276887181Microbiology test — checking for infections (bacteria, viruses, fungi)$7
0.0%
15$0
2769C1758Catheter, ureteral$7
0.0%
80$0
2770J2004Injection, lidocaine hcl with epinephrine, 1 mg$6
0.0%
45$0
27713050FMedical service or procedure$6
0.0%
430$0
27721170FMedical service or procedure$6
0.0%
27,232$0
2773A4206Syringe with needle, sterile, 1 cc or less, each$6
0.0%
17$0
2774S50105% dextrose and 0.45% normal saline, 1000 ml$6
0.0%
30$0
27750298TMedical service or procedure$5
0.0%
12$0
277691311Medical service or procedure$4
0.0%
188$0
2777J3590Unclassified biologics$3
0.0%
1,167$0
277899051Special medical service$3
0.0%
10,908$0
27791000FMedical service or procedure$3
0.0%
4,918$0
2780A6443Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard$3
0.0%
53$0
278198966Medical service or procedure$2
0.0%
123$0
27824004FMedical service or procedure$2
0.0%
3,957$0
278380374Drug or substance testing$2
0.0%
2,277$0
2784G2010Remote evaluation of recorded video and/or images submitted by an established patient (for example., store and forward)$2
0.0%
64$0
2785H1003Prenatal care, at-risk enhanced service; education$1
0.0%
38$0
2786G8907Patient 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 transfe...$1
0.0%
30,426$0
2787A4616Tubing (oxygen), per foot$1
0.0%
180$0
2788S9999Sales tax$0
0.0%
204$0
278991303Medical service or procedure$0
0.0%
845$0
279091313Medical service or procedure$0
0.0%
149$0
279191308Medical service or procedure$0
0.0%
49$0
2792D1330Dental preventive care (cleaning, fluoride, sealant)$0
0.0%
24,625$0
2793Q0247Injection, sotrovimab, 500 mg$0
0.0%
45$0
279491315Medical service or procedure$0
0.0%
29$0
2795A4615Cannula, nasal$0
0.0%
215$0
2796D1310Dental preventive care (cleaning, fluoride, sealant)$0
0.0%
3,290$0
2797A9150Non-prescription drugs$0
0.0%
355$0
2798G1004Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program$0
0.0%
9,112$0
2799J0517Injection, benralizumab, 1 mg$0
0.0%
26$0
280090733Vaccine or immunization$0
0.0%
276$0
28013072FMedical service or procedure$0
0.0%
7,030$0
280299024Special medical service$0
0.0%
43,550$0
28030001FMedical service or procedure$0
0.0%
1,797$0
28040521FMedical service or procedure$0
0.0%
380$0
280591306Medical service or procedure$0
0.0%
386$0
2806G8397Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy$0
0.0%
502$0
2807G8987Self care functional limitation, current status, at therapy episode outset and at reporting intervals$0
0.0%
2,172$0
2808G8979Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting$0
0.0%
5,872$0
2809G8988Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting$0
0.0%
2,265$0
2810G8978Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals$0
0.0%
5,521$0
28111101FMedical service or procedure$0
0.0%
8,148$0
28124013FMedical service or procedure$0
0.0%
640$0
2813G8997Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting$0
0.0%
608$0
2814G8989Self care functional limitation, discharge status, at discharge from therapy or to end reporting$0
0.0%
432$0
28153016FMedical service or procedure$0
0.0%
1,778$0
2816G8996Swallowing functional limitation, current status at therapy episode outset and at reporting intervals$0
0.0%
468$0
28171006FMedical service or procedure$0
0.0%
565$0
28184000FMedical service or procedure$0
0.0%
1,722$0
28192027FMedical service or procedure$0
0.0%
467$0
28202023FMedical service or procedure$0
0.0%
3,050$0
282180377Drug or substance testing$0
0.0%
5,561$0
28222022FMedical service or procedure$0
0.0%
859$0
28232021FMedical service or procedure$0
0.0%
13$0
282499606Medical service or procedure$0
0.0%
533$0
282599605Medical service or procedure$0
0.0%
724$0
2826S0197Prenatal vitamins, 30-day supply$0
0.0%
17$0
2827S0201Partial hospitalization services, less than 24 hours, per day$0
0.0%
287$0
28282016FMedical service or procedure$0
0.0%
12$0
2829S0516Safety eyeglass frames$0
0.0%
70$0
2830S0518Sunglasses frames$0
0.0%
730$0
2831S0612Annual gynecological examination, established patient$0
0.0%
41$0
28322010FMedical service or procedure$0
0.0%
4,345$0
28332001FMedical service or procedure$0
0.0%
8,282$0
2834S2900Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure)$0
0.0%
465$0
2835S3620Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (for example.$0
0.0%
762$0
28362000FMedical service or procedure$0
0.0%
10,532$0
283799494Medical service or procedure$0
0.0%
24$0
283815272Skin graft or tissue transfer$0
0.0%
23$0
28391494FMedical service or procedure$0
0.0%
68$0
284094728Breathing test or lung function test$0
0.0%
31$0
28411220FMedical service or procedure$0
0.0%
2,434$0
2842S8110Peak expiratory flow rate (physician services)$0
0.0%
16$0
2843S9001Home uterine monitor with or without associated nursing services$0
0.0%
73$0
2844G0247Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e.$0
0.0%
44$0
2845E0555Humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter$0
0.0%
113$0
2846G0237Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring)$0
0.0%
15,501$0
284711732Nail surgery or treatment$0
0.0%
153$0
2848S9131Physical therapy; in the home, per day$0
0.0%
106$0
2849S9379Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination$0
0.0%
472$0
285081219Genetic or molecular testing$0
0.0%
55$0
2851S9470Nutritional counseling, dietitian visit$0
0.0%
1,023$0
2852G0162Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that esse...$0
0.0%
16,644$0
2853S9806Home health, outpatient, or education service$0
0.0%
70$0
2854G0160Services performed by a qualified occupational therapist, in the home health setting, in the establishment or delivery of a safe and effective occupational therapy maintenance program, each 15 minutes$0
0.0%
1,124$0
28551158FMedical service or procedure$0
0.0%
2,434$0
2856G0159Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes$0
0.0%
9,986$0
2857T1013Sign language or oral interpretive services, per 15 minutes$0
0.0%
33$0
285811308Shaving of a skin growth$0
0.0%
26$0
285911307Shaving of a skin growth$0
0.0%
417$0
286011305Shaving of a skin growth$0
0.0%
443$0
286195905Brain wave test (EEG) or nerve test$0
0.0%
21$0
2862G0158Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes$0
0.0%
5,549$0
28631124FMedical service or procedure$0
0.0%
4,637$0
2864T1502Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit$0
0.0%
350$0
28651123FMedical service or procedure$0
0.0%
30,635$0
28661110FMedical service or procedure$0
0.0%
626$0
2867G0157Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes$0
0.0%
40,343$0
2868G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes$0
0.0%
361,355$0
2869G0155Services of clinical social worker in home health or hospice settings, each 15 minutes$0
0.0%
37,964$0
28701100FMedical service or procedure$0
0.0%
1,834$0
287111000Skin cleaning and wound care$0
0.0%
255$0
28721091FMedical service or procedure$0
0.0%
46$0
28731090FMedical service or procedure$0
0.0%
2,506$0
28741039FMedical service or procedure$0
0.0%
44$0
28751034FMedical service or procedure$0
0.0%
1,200$0
28761033FMedical service or procedure$0
0.0%
10,380$0
28771032FMedical service or procedure$0
0.0%
903$0
28781031FMedical service or procedure$0
0.0%
673$0
28791030FMedical service or procedure$0
0.0%
136$0
288095961Brain wave test (EEG) or nerve test$0
0.0%
63$0
28811003FMedical service or procedure$0
0.0%
2,974$0
28820556FMedical service or procedure$0
0.0%
7,858$0
28830518FMedical service or procedure$0
0.0%
13,996$0
288499403Medical service or procedure$0
0.0%
18$0
28850502FMedical service or procedure$0
0.0%
98,966$0
2886G0128Direct (face-to-face with patient) skilled nursing services of a registered nurse provided in a comprehensive outpatient rehabilitation facility, each 10 minutes beyond the first 5 minutes$0
0.0%
4,154$0
28870501FMedical service or procedure$0
0.0%
686$0
288899402Medical service or procedure$0
0.0%
1,013$0
288999397Wellness checkup — age 65+$0
0.0%
38$0
289096002Motion analysis testing$0
0.0%
372$0
289196119Medical service or procedure$0
0.0%
43$0
28920356TMedical service or procedure$0
0.0%
13$0
2893G0123Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision$0
0.0%
428$0
28940001MMedical service or procedure$0
0.0%
15$0
28950232TMedical service or procedure$0
0.0%
17$0
289699387Wellness checkup — new patient, age 65+$0
0.0%
17$0
289781257Genetic or molecular testing$0
0.0%
230$0
2898G0047Pediatric patient with minor blunt head trauma and pecarn prediction criteria are not assessed$0
0.0%
28$0
2899G0030Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both)$0
0.0%
33$0
2900G0010Administration of hepatitis b vaccine$0
0.0%
1,021$0
290197127Physical therapy, occupational therapy, or rehabilitation$0
0.0%
434$0
2902V2499Variable sphericity lens, other type$0
0.0%
137$0
290397537Physical therapy, occupational therapy, or rehabilitation$0
0.0%
76$0
290497598Physical therapy, occupational therapy, or rehabilitation$0
0.0%
40$0
290597799Other physical or occupational therapy service$0
0.0%
164$0
2906V2762Polarization, any lens material, per lens$0
0.0%
115$0
2907V2781Progressive lens, per lens$0
0.0%
612$0
290881381Genetic or molecular testing$0
0.0%
51$0
290999326Medical service or procedure$0
0.0%
48$0
2910V2799Vision item or service, miscellaneous$0
0.0%
1,378$0
291199324Medical service or procedure$0
0.0%
13$0
291299071Special medical service$0
0.0%
249$0
291381403Genetic or molecular testing$0
0.0%
43$0
291499080Special medical service$0
0.0%
78$0
291599082Special medical service$0
0.0%
53$0
291681508Medical service or procedure$0
0.0%
71$0
291799135Additional anesthesia service for special circumstances$0
0.0%
18$0
291899172Other medical service$0
0.0%
478$0
2919G9584Patient evaluated for risk of misuse of opiates by using a brief validated instrument (for example., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy$0
0.0%
3,301$0
2920G9621Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling$0
0.0%
247$0
2921G9622Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method$0
0.0%
2,428$0
2922G9644Patients who abstained from smoking prior to anesthesia on the day of surgery or procedure$0
0.0%
586$0
2923G9655A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is used$0
0.0%
22,572$0
2924G9656Patient transferred directly from anesthetizing location to pacu or other non-icu location$0
0.0%
182$0
2925G9664Patients who are currently statin therapy users or received an order (prescription) for statin therapy$0
0.0%
59$0
2926G9691Patient had hospice services any time during the measurement period$0
0.0%
79$0
2927G9692Hospice services received by patient any time during the measurement period$0
0.0%
14$0
2928G9695Long-acting inhaled bronchodilator prescribed$0
0.0%
207$0
2929G9710Patient was provided hospice services any time during the measurement period$0
0.0%
12$0
2930G9711Patients with a diagnosis or past history of total colectomy or colorectal cancer$0
0.0%
12$0
2931G9716Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason$0
0.0%
130$0
2932G9717Documentation stating the patient has had a diagnosis of bipolar disorder$0
0.0%
456$0
2933G9720Hospice services for patient occurred any time during the measurement period$0
0.0%
26$0
2934G9744Patient not eligible due to active diagnosis of hypertension$0
0.0%
1,149$0
2935G9756Surgical procedures that included the use of silicone oil$0
0.0%
3,171$0
2936G9771At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) achieved within the 30 minutes immediately before or 15 minutes immediately after ...$0
0.0%
22,420$0
2937G9775Patient received at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively$0
0.0%
20,268$0
2938G9777Patient did not receive at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively$0
0.0%
112$0
2939G9807Patients who did not receive cervical cytology or an hpv test$0
0.0%
15$0
2940G9899Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed$0
0.0%
13$0
2941G9902Patient screened for tobacco use and identified as a tobacco user$0
0.0%
601$0
2942G9903Patient screened for tobacco use and identified as a tobacco non-user$0
0.0%
8,726$0
2943G9906Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)$0
0.0%
1,574$0
2944G9907Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months (for example.$0
0.0%
2,467$0
2945G9577Patients prescribed opiates for longer than six weeks$0
0.0%
10,169$0
294680326Drug or substance testing$0
0.0%
5,064$0
2947G9969Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred$0
0.0%
50$0
2948G9970Clinician who referred the patient to another clinician did not receive a report from the clinician to whom the patient was referred$0
0.0%
44$0
2949G9974Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity$0
0.0%
14$0
2950G9990Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period$0
0.0%
255$0
2951G9996Documentation stating the patient has received or is currently receiving palliative or hospice care$0
0.0%
50$0
2952G9562Patients who had a follow-up evaluation conducted at least every three months during opioid therapy$0
0.0%
2,927$0
2953H0003Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs$0
0.0%
41$0
2954G9561Patients prescribed opiates for longer than six weeks$0
0.0%
2,304$0
2955G9557Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found$0
0.0%
659$0
2956H0011Alcohol and/or drug services; acute detoxification (residential addiction program inpatient)$0
0.0%
26$0
2957H0014Alcohol and/or drug services; ambulatory detoxification$0
0.0%
71$0
2958G9551Final reports for imaging studies without an incidentally found lesion noted$0
0.0%
3,942$0
2959G9513Individual did not have a pdc of 0.8 or greater$0
0.0%
17$0
2960G9459Currently a tobacco non-user$0
0.0%
59$0
2961G9458Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use$0
0.0%
209$0
2962G9368At least two orders for high-risk medications from the same drug class not ordered$0
0.0%
59$0
2963G9316Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used$0
0.0%
925$0
2964G9312Surgical site infection$0
0.0%
32$0
2965H0050Alcohol and/or drug services, brief intervention, per 15 minutes$0
0.0%
33$0
2966G9307No return to the operating room for a surgical procedure, for complications of the principal operative procedure, within 30 days of the principal operative procedure$0
0.0%
12$0
2967G9275Documentation that patient is a current non-tobacco user$0
0.0%
1,327$0
2968G9016Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only]$0
0.0%
177$0
296980330Drug or substance testing$0
0.0%
4,495$0
297080332Drug or substance testing$0
0.0%
227$0
2971G8998Swallowing functional limitation, discharge status, at discharge from therapy or to end reporting$0
0.0%
103$0
2972G8994Other physical or occupational therapy subsequent functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting$0
0.0%
95$0
2973D1320Dental preventive care (cleaning, fluoride, sealant)$0
0.0%
13$0
2974G8993Other physical or occupational therapy subsequent functional limitation, current status, at therapy episode outset and at reporting intervals$0
0.0%
46$0
2975J0606Injection, etelcalcetide, 0.1 mg$0
0.0%
269$0
2976G8991Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting$0
0.0%
120$0
2977G8990Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals$0
0.0%
120$0
2978D0472Dental exam, X-ray, or screening$0
0.0%
172$0
2979D0425Dental exam, X-ray, or screening$0
0.0%
84$0
2980G8982Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting$0
0.0%
239$0
2981G8981Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals$0
0.0%
237$0
2982D0391Dental exam, X-ray, or screening$0
0.0%
38$0
2983G8980Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting$0
0.0%
1,308$0
2984G8952Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given$0
0.0%
35$0
2985G8950Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented$0
0.0%
4,583$0
2986D0290Dental exam, X-ray, or screening$0
0.0%
85$0
298786905Blood typing or transfusion medicine test$0
0.0%
42$0
298886945Blood typing or transfusion medicine test$0
0.0%
100$0
2989G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis$0
0.0%
26,142$0
2990G8916Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time$0
0.0%
1,257$0
2991G8915Patient documented not to have experienced a hospital transfer or hospital admission upon discharge from asc$0
0.0%
5,576$0
2992G8911Patient documented not to have experienced a fall within ambulatory surgical center$0
0.0%
15$0
2993C1889Implantable/insertable device, not otherwise classified$0
0.0%
13$0
2994G8785Blood pressure reading not documented, reason not given$0
0.0%
14$0
2995C1887Catheter, guiding (may include infusion/perfusion capability)$0
0.0%
1,947$0
2996G8783Normal blood pressure reading documented, follow-up not required$0
0.0%
27,227$0
2997C1849Skin substitute, synthetic, resorbable, per square centimeter$0
0.0%
17$0
2998C1830Powered bone marrow biopsy needle$0
0.0%
1,094$0
2999G8755Most recent diastolic blood pressure >= 90 mmhg$0
0.0%
1,503$0
3000G8754Most recent diastolic blood pressure < 90 mmhg$0
0.0%
12,739$0
3001J1745Injection, infliximab, excludes biosimilar, 10 mg$0
0.0%
161$0
3002G8753Most recent systolic blood pressure >= 140 mmhg$0
0.0%
3,080$0
3003G8752Most recent systolic blood pressure < 140 mmhg$0
0.0%
13,810$0
3004C1725Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)$0
0.0%
61$0
300571020Chest imaging (X-ray, CT, or MRI)$0
0.0%
12$0
3006G8734Elder maltreatment screen documented as negative, follow-up is not required$0
0.0%
1,855$0
3007G8732No documentation of pain assessment, reason not given$0
0.0%
83$0
3008G8731Pain assessment using a standardized tool is documented as negative, no follow-up plan required$0
0.0%
449$0
300987506Microbiology test — checking for infections (bacteria, viruses, fungi)$0
0.0%
37$0
3010J1955Injection, levocarnitine, per 1 gm$0
0.0%
1,834$0
3011G8730Pain assessment documented as positive using a standardized tool and a follow-up plan is documented$0
0.0%
22,256$0
3012G8598Aspirin or another antiplatelet therapy used$0
0.0%
124$0
3013G8539Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment$0
0.0%
18,090$0
3014G8536No documentation of an elder maltreatment screen, reason not given$0
0.0%
66$0
30157025FMedical service or procedure$0
0.0%
672$0
3016G8511Screening for depression documented as positive, follow-up plan not documented, reason not given$0
0.0%
164$0
301780333Drug or substance testing$0
0.0%
4,494$0
3018G8506Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy$0
0.0%
89$0
3019G8484Influenza immunization was not administered, reason not given$0
0.0%
2,313$0
3020J2323Injection, natalizumab, 1 mg$0
0.0%
13$0
3021G8483Influenza immunization was not administered for reasons documented by clinician (for example., patient allergy or other medical reasons, patient declined or other patient reasons$0
0.0%
1,115$0
3022G8476Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg$0
0.0%
43$0
3023G8433Screening for depression not completed, documented patient or medical reason$0
0.0%
202$0
3024G8432Depression screening not documented, reason not given$0
0.0%
1,173$0
3025A9286Hygienic item or device, disposable or non-disposable, any type, each$0
0.0%
71$0
3026J2400Injection, chloroprocaine hydrochloride, per 30 ml$0
0.0%
1,066$0
3027J2426Injection, paliperidone palmitate extended release (invega sustenna), 1 mg$0
0.0%
16$0
3028G8430Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (for example.$0
0.0%
3,392$0
3029G8428Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given$0
0.0%
1,414$0
3030G8421Bmi not documented and no reason is given$0
0.0%
2,549$0
30316045FMedical service or procedure$0
0.0%
37$0
30326030FMedical service or procedure$0
0.0%
336$0
3033G8419Bmi documented outside normal parameters, no follow-up plan documented, no reason given$0
0.0%
518$0
303488738Special lab analysis$0
0.0%
17$0
3035G8418Bmi is documented below normal parameters and a follow-up plan is documented$0
0.0%
1,090$0
303689320Other lab test$0
0.0%
12$0
303789321Other lab test$0
0.0%
12$0
3038G8410Footwear evaluation performed and documented$0
0.0%
2,535$0
3039G8404Lower extremity neurological exam performed and documented$0
0.0%
2,626$0
3040G8399Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed$0
0.0%
47$0
304190381Immune globulin (antibody) injection$0
0.0%
98$0
304290611Vaccine or immunization$0
0.0%
271$0
30435010FMedical service or procedure$0
0.0%
248$0
3044J3380Injection, vedolizumab, intravenous, 1 mg$0
0.0%
13$0
304590634Vaccine or immunization$0
0.0%
13$0
3046G2121Depression, anxiety, apathy, and psychosis assessed$0
0.0%
257$0
304780340Drug or substance testing$0
0.0%
4,524$0
3048G2025Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (community health center) only$0
0.0%
4,626$0
3049A6260Wound cleansers, any type, any size$0
0.0%
41$0
30504274FMedical service or procedure$0
0.0%
796$0
30514187FMedical service or procedure$0
0.0%
137$0
30524177FMedical service or procedure$0
0.0%
52$0
30534145FMedical service or procedure$0
0.0%
244$0
3054J7507Tacrolimus, immediate release, oral, 1 mg$0
0.0%
3,110$0
3055A6251Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing$0
0.0%
66$0
30564086FMedical service or procedure$0
0.0%
14$0
3057J7518Mycophenolic acid, oral, 180 mg$0
0.0%
493$0
305880342Drug or substance testing$0
0.0%
240$0
3059A6240Hydrocolloid dressing, wound filler, paste, sterile, per ounce$0
0.0%
54$0
3060G1007Clinical decision support mechanism aim specialty health, as defined by the medicare appropriate use criteria program$0
0.0%
13$0
3061A6219Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing$0
0.0%
1,753$0
3062G1003Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program$0
0.0%
2,935$0
3063A6217Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing$0
0.0%
710$0
30644040FMedical service or procedure$0
0.0%
798$0
30654037FMedical service or procedure$0
0.0%
86$0
30664035FMedical service or procedure$0
0.0%
230$0
30674010FMedical service or procedure$0
0.0%
6,899$0
30684005FMedical service or procedure$0
0.0%
319$0
306990673Vaccine or immunization$0
0.0%
24$0
30704001FMedical service or procedure$0
0.0%
85$0
307190694Vaccine or immunization$0
0.0%
284$0
3072A4930Gloves, sterile, per pair$0
0.0%
536$0
3073A4928Surgical mask, per 20$0
0.0%
71$0
3074G0513Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; firs...$0
0.0%
201$0
3075G0511Rural health clinic or federally qualified health center (rhc or community health center) only, general care management$0
0.0%
27$0
30763353FMedical service or procedure$0
0.0%
58$0
30773352FMedical service or procedure$0
0.0%
1,478$0
3078L0150Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece)$0
0.0%
16$0
3079G0496Skilled services of a licensed practical nurse (lpn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes$0
0.0%
89,240$0
3080G0495Skilled services of a registered nurse (rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes$0
0.0%
168,613$0
3081G0494Skilled services of a licensed practical nurse (lpn) for the observation and assessment of the patient's condition$0
0.0%
8,912$0
30823351FMedical service or procedure$0
0.0%
287$0
30833342FMedical service or procedure$0
0.0%
249$0
30843341FMedical service or procedure$0
0.0%
40$0
30853288FMedical service or procedure$0
0.0%
109,057$0
3086G0493Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition$0
0.0%
75,771$0
30873126FMedical service or procedure$0
0.0%
80$0
30883100FMedical service or procedure$0
0.0%
13$0
3089A4554Disposable underpads, all sizes$0
0.0%
15$0
3090G0476Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (for example.$0
0.0%
477$0
30913066FMedical service or procedure$0
0.0%
32$0
3092A4362Skin barrier; solid, 4 x 4 or equivalent; each$0
0.0%
168$0
30933061FMedical service or procedure$0
0.0%
268$0
3094G0472Hepatitis c antibody screening, for individual at high risk and other covered indication(s)$0
0.0%
315$0
3095M0201Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(...$0
0.0%
12$0
309691321Medical service or procedure$0
0.0%
52$0
3097M0245Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring$0
0.0%
17$0
3098M1159Hospice services provided to patient any time during the measurement period$0
0.0%
13$0
3099M1207Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety$0
0.0%
258$0
3100P3001Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician$0
0.0%
3,492$0
310192082Eye exam or vision test$0
0.0%
60$0
31023028FMedical service or procedure$0
0.0%
1,251$0
31033023FMedical service or procedure$0
0.0%
506$0
3104P9612Catheterization for collection of specimen, single patient, all places of service$0
0.0%
18$0
3105P9615Catheterization for collection of specimen(s) (multiple patients)$0
0.0%
1,352$0
31063017FMedical service or procedure$0
0.0%
579$0
31073015FMedical service or procedure$0
0.0%
732$0
3108Q0111Wet mounts, including preparations of vaginal, cervical or skin specimens$0
0.0%
87$0
31093011FMedical service or procedure$0
0.0%
8,186$0
3110A4300Implantable access catheter, (for example., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access$0
0.0%
78$0
3111D9920Other dental service$0
0.0%
22$0
311280362Drug or substance testing$0
0.0%
1,004$0
311380364Drug or substance testing$0
0.0%
4,548$0
3114D9986Other dental service$0
0.0%
9,213$0
3115D9987Other dental service$0
0.0%
869$0
3116A4259Lancets — small needles for pricking your finger to test blood sugar$0
0.0%
97$0
3117A4258Spring-powered device for lancet, each$0
0.0%
12$0
3118G0402Welcome to Medicare preventive visit — first-time wellness exam for new Medicare patients$0
0.0%
42$0
3119Q4100Skin substitute, not otherwise specified$0
0.0%
48$0
3120Q4139Amniomatrix or biodmatrix, injectable, 1 cc$0
0.0%
18$0
3121E0130Walker, rigid (pickup), adjustable or fixed height$0
0.0%
16$0
3122Q4227Amniocore, per square centimeter (add-on, list separately in addition to primary procedure)$0
0.0%
48$0
3123Q4262Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)$0
0.0%
344$0
3124Q5002Hospice or home health care provided in assisted living facility$0
0.0%
2,002$0
3125Q5005Hospice care provided in inpatient hospital$0
0.0%
31$0
3126Q5010Hospice home care provided in a hospice facility$0
0.0%
16$0
31272033FMedical service or procedure$0
0.0%
48$0
3128Q5104Injection, infliximab-abda, biosimilar, (renflexis), 10 mg$0
0.0%
13$0
31292028FMedical service or procedure$0
0.0%
249$0
3130Q5121Injection, infliximab-axxq, biosimilar, (avsola), 10 mg$0
0.0%
14$0
3131G0322The collection of physiologic data digitally stored and/or transmitted by the patient to the home health agency (i.e., remote patient monitoring)$0
0.0%
62$0
3132A0120Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems$0
0.0%
301$0

Top Providers

The highest-paid Medicaid providers in Clark County, sorted by total payments received.

# Provider Specialty Total Paid Claims Beneficiaries
1NV ST DV MH DS DESERT DEV CENTERRespite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child$545,383,072702,749233,607
2CLARK COUNTY DEPARTMENT OF FAMILY SERVICESCase Management$166,586,329325,120315,036
3NV ST DV MH DS DESERT DEV CENTERRespite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child$129,820,7461,593,35797,529
4UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADAGeneral Acute Care Hospital$95,561,0634,150,5293,026,075
5SUNRISE HOSPITAL AND MEDICAL CENTER, LLCGeneral Acute Care Hospital$85,825,5632,925,8922,428,705
6SHADOW EMERGENCY PHYSICIANS PLLCEmergency Medicine$74,959,780965,315900,057
7CITY OF LAS VEGASAmbulance$63,852,190185,207152,185
8JED ADAM ENTERPRISES, LLCHome Health$61,485,238153,45812,675
9QUEST DIAGNOSTICS INCORPORATEDClinical Medical Laboratory$59,316,95513,415,55012,538,324
10MERCY AIR SERVICE, INCAmbulance, Air Transport$49,393,73437,29736,203
11CLARK COUNTY SCHOOL DISTRICTLocal Education Agency (LEA)$49,065,8401,624,565589,317
12NURSECORE MANAGEMENT SERVICES, LLCHome Health$47,927,39063,47712,489
13MERCY INCAmbulance$47,220,609525,565418,706
14VALLEY HOSPITAL MEDICAL CENTERGeneral Acute Care Hospital$47,030,4712,321,4411,621,378
15HENDERSON HOSPITALGeneral Acute Care Hospital$42,367,9321,858,3301,405,742
16MY LEFT FOOT CHILDREN'S THERAPYOccupational Therapist, Pediatrics$41,790,236483,685175,288
17PLATINUM HOSPITALISTS LLPHospitalist$38,859,192557,995316,104
18SOLACE PEDIATRIC HEALTHCARE NURSING SERVICES, NV, LLCHome Health$36,126,17481,7657,951
19SOUTHERN NEVADA SPECIALTY PRADA, PLLCDentist, Pediatric Dentistry$35,434,535871,167625,478
20MEDICWEST AMBULANCE, INC.Ambulance$34,891,368367,649302,175
21URGENT CARE NEVADA, LLCClinic/Center, Urgent Care$34,811,798662,473553,964
22POKROY MEDICAL GROUP OF NEVADA, LTD.Pediatrics, Neonatal-Perinatal Medicine$33,753,652357,961276,742
23SPRING VALLEY MEDICAL CENTERGeneral Acute Care Hospital$33,575,7601,573,7261,156,288
24SUNRISE MOUNTAINVIEW HOSPITAL, INC.General Acute Care Hospital$32,162,1991,474,8431,213,805
25NORTH VISTA HOSPITAL LLCGeneral Acute Care Hospital$31,560,7671,572,1581,259,861
About This Data
Providers are assigned to Clark County based on their practice ZIP code from the NPPES registry, mapped via the nv_zip_county reference table. Spending data covers 2018–2024 from HHS Medicaid Provider Spending (T-MSIS).