Total Spending
$1.1B
Providers
1,235
Total Claims
20,306,785
Unique Procedures
1,555

Procedures by Expenditure

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

# Code Description Total Paid % of County Claims Avg/Claim
1T2017Residential habilitation — living in a group home or facility for people with disabilities (per 15 minutes, waiver program)$229,571,085
20.4%
107,060$2,144
2T1015All-inclusive clinic visit — covers everything in one trip to the clinic$65,638,704
5.8%
137,901$476
3T1017Targeted case management — a social worker helping coordinate your care (per 15 minutes)$54,754,334
4.9%
353,401$155
4T1019Personal care services — a helper who assists with daily activities like bathing, dressing, and eating (per 15 minutes)$50,797,658
4.5%
759,987$67
599214Office visit for a moderate problem (established patient)$38,320,323
3.4%
602,457$64
699285Emergency room visit for a severe or life-threatening problem$36,292,766
3.2%
339,909$107
7T2016Residential habilitation — living in a group home or facility for people with disabilities (per day, waiver program)$33,309,237
3.0%
106,457$313
899284Emergency room visit for a serious problem$32,869,158
2.9%
410,428$80
990999Dialysis or kidney treatment — other related procedure$23,019,924
2.0%
372,253$62
1099213Office visit for a simple problem (established patient)$22,052,484
2.0%
470,521$47
1190837Individual therapy session (60 minutes)$19,162,584
1.7%
259,213$74
12T2014Pre-vocational training — learning basic job skills before starting work (per day, waiver program)$14,372,014
1.3%
218,461$66
1399283Emergency room visit for a moderate problem$14,205,466
1.3%
297,714$48
14T2020Day habilitation — daytime program teaching daily living skills (per day, waiver program)$13,775,030
1.2%
152,812$90
15A0427Ambulance ride with advanced life support — emergency (ALS 1 — paramedics on board)$13,152,036
1.2%
74,316$177
16S9123Registered nurse visiting your home to provide medical care (per hour)$13,122,317
1.2%
24,189$542
1797530Therapeutic activities — exercises and tasks to improve daily function$12,557,294
1.1%
199,023$63
18D1120Dental cleaning for children (prophylaxis)$12,276,761
1.1%
248,695$49
19D1206Fluoride treatment — painted on teeth to prevent cavities$12,156,827
1.1%
268,360$45
20T1040Community mental health center services — a full day of behavioral health treatment at a local clinic$11,941,792
1.1%
65,348$183
2192507Speech therapy session — treatment for speech, language, or swallowing problems$10,678,091
0.9%
189,215$56
22G0483Advanced drug testing — checking for 22 or more types of drugs in urine or blood$10,212,371
0.9%
150,440$68
23S9480Intensive outpatient psychiatric program — structured daily mental health treatment without staying overnight$9,140,022
0.8%
42,257$216
24D7210Surgical tooth extraction — requires cutting into gum or removing bone$8,842,355
0.8%
119,963$74
2599233Hospital care — daily check by your doctor (complex update)$8,572,085
0.8%
132,416$65
2692508Group speech therapy session$8,088,264
0.7%
246,550$33
2797110Physical therapy exercises to build strength, flexibility, or range of motion$7,732,352
0.7%
185,285$42
28G0299Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes$6,477,008
0.6%
177,075$37
29T2033Residential care, not otherwise specified (nos), waiver; per day$6,343,254
0.6%
95,083$67
30G0467Federally Qualified Health Center visit — a community health center visit for regular patients$6,150,488
0.5%
84,174$73
31H0033Oral medication administration, direct observation$6,132,294
0.5%
56,809$108
32A0429Ambulance ride with basic life support — emergency (BLS — EMTs on board)$6,044,268
0.5%
43,926$138
33T1016Case management — a coordinator helping you navigate your healthcare (per 15 minutes)$6,030,157
0.5%
174,888$34
3474177CT scan of the abdomen and pelvis (with contrast dye)$5,927,157
0.5%
50,482$117
3580307Drug test — checking urine or blood for multiple types of drugs$5,373,283
0.5%
223,665$24
36D1351Dental sealant — protective coating on a tooth to prevent cavities$5,297,323
0.5%
267,852$20
37D0120Regular dental checkup and exam$5,167,607
0.5%
180,630$29
38H2012Behavioral health day treatment — full day of mental health programming (per hour)$5,116,901
0.5%
28,227$181
3999223Hospital admission — first day, complex or serious problem$4,965,864
0.4%
38,935$128
40G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including$4,764,489
0.4%
51,818$92
4199232Hospital care — daily check by your doctor (moderate update)$4,680,877
0.4%
113,745$41
42G0378Hospital observation services — being watched and monitored in the hospital (per hour)$4,676,260
0.4%
31,570$148
43S9124Licensed practical nurse visiting your home to provide medical care (per hour)$4,325,417
0.4%
16,856$257
44D2930Stainless steel crown — prefabricated (primary tooth)$3,813,878
0.3%
50,097$76
45T2003Non-emergency transportation; encounter/trip$3,758,620
0.3%
42,690$88
46H0047Alcohol and/or other drug abuse services, not otherwise specified$3,706,308
0.3%
54,990$67
4799291Critical care — intensive treatment for a life-threatening condition (first 30-74 minutes)$3,610,913
0.3%
24,154$149
4890833Individual therapy session added to a regular doctor visit (30 minutes)$3,590,516
0.3%
89,592$40
49D0150Comprehensive dental exam — thorough check of teeth, gums, and mouth$3,451,473
0.3%
116,828$30
50T2025Supported employment — job coaching and help for people with disabilities at their workplace (per 15 minutes, waiver program)$3,275,718
0.3%
45,387$72
51S5102Adult day care — daytime program with activities and supervision (per day)$3,131,080
0.3%
17,318$181
52A0431Helicopter ambulance ride (rotary wing air transport)$2,959,079
0.3%
2,229$1,328
53H0020Alcohol or drug methadone administration and services$2,897,359
0.3%
129,920$22
54D0220Single dental X-ray (of one tooth)$2,869,785
0.3%
209,608$14
5599391Wellness checkup — infant (under 1 year)$2,837,643
0.3%
35,604$80
5690791Mental health evaluation — first visit with a therapist or psychiatrist$2,811,558
0.2%
26,498$106
57D2392Tooth-colored (resin) filling — two surfaces, back tooth$2,800,655
0.2%
58,734$48
58D9223Other dental service$2,770,549
0.2%
52,239$53
5990834Individual therapy session (45 minutes)$2,695,157
0.2%
44,050$61
6099204New patient office visit — detailed visit for a serious problem$2,684,637
0.2%
24,217$111
61U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique$2,560,300
0.2%
49,332$52
6287798Microbiology test — checking for infections (bacteria, viruses, fungi)$2,552,788
0.2%
50,752$50
63E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate$2,529,663
0.2%
83,975$30
64G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including$2,448,447
0.2%
40,601$60
65D0140Limited dental exam — for a specific problem (like a toothache)$2,405,981
0.2%
79,580$30
6692014Eye exam or vision test$2,405,743
0.2%
40,517$59
67D0274Dental X-ray — bitewings (four films)$2,330,815
0.2%
110,354$21
68D0230Additional dental X-ray$2,321,646
0.2%
414,722$6
69D9310Dental consultation — specialist opinion on a dental problem$2,318,110
0.2%
42,928$54
70D0330Panoramic dental X-ray (full view of all teeth and jaw)$2,152,066
0.2%
71,137$30
7199392Wellness checkup — ages 1-4$2,128,392
0.2%
25,037$85
7297140Manual therapy — hands-on treatment like massage or joint mobilization$2,125,049
0.2%
103,341$21
7370450CT scan of the head (without contrast dye)$2,123,252
0.2%
58,163$37
7499239Hospital discharge — doctor manages your release (more than 30 minutes)$2,062,225
0.2%
29,142$71
7599203New patient office visit — moderate problem$2,056,360
0.2%
31,472$65
76H0004Behavioral health counseling session (per 15 minutes) — for drug, alcohol, or mental health treatment$1,979,217
0.2%
19,156$103
77D7140Tooth extraction — pulling a tooth that has erupted$1,950,001
0.2%
48,218$40
78T2047Habilitation, prevocational, waiver; per 15 minutes$1,933,048
0.2%
19,565$99
7990471Giving a vaccine by injection (shot)$1,921,637
0.2%
105,708$18
80A0425Ground mileage — per mile for ambulance transportation$1,829,985
0.2%
130,968$14
81H0034Medication training and management (learning to take medications correctly)$1,814,808
0.2%
15,344$118
82A0436Ambulance mileage — per mile for helicopter ambulance$1,810,972
0.2%
2,206$821
83D0272Dental X-ray — bitewings (two films)$1,794,609
0.2%
99,902$18
84T2021Day habilitation, waiver; per 15 minutes$1,783,774
0.2%
15,168$118
85G0470Federally qualified health center (community health center) visit, mental health, established patient; a medically-necessary$1,770,679
0.2%
6,880$257
8693306Heart ultrasound (echocardiogram)$1,681,763
0.1%
31,419$54
87S5126Attendant care services; per day$1,671,085
0.1%
1,664$1,004
8890853Group therapy session$1,647,019
0.1%
64,040$26
89D7240Removal of an impacted tooth — completely bony (deeply stuck in jawbone)$1,603,798
0.1%
12,301$130
9096374IV push — giving medicine quickly through an IV (single injection)$1,554,127
0.1%
85,078$18
91D0210Full set of dental X-rays$1,518,938
0.1%
30,936$49
92G0300Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes$1,518,446
0.1%
47,825$32
93H0005Group alcohol and/or drug counseling (per 15 minutes)$1,486,299
0.1%
48,589$31
94H2014Skills training and development — learning coping and life skills (per 15 minutes)$1,474,880
0.1%
22,218$66
95S5125Attendant care — personal assistant to help with daily activities (per 15 minutes)$1,471,851
0.1%
28,340$52
9688305Tissue examination under a microscope (surgical pathology)$1,458,672
0.1%
38,572$38
97G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including$1,444,260
0.1%
28,217$51
9897112Neuromuscular re-education — retraining muscles and movement patterns$1,425,888
0.1%
63,239$23
9971045Chest X-ray (single view)$1,422,622
0.1%
268,316$5
100S5130Homemaker services — help with cooking, shopping, and housekeeping (per 15 minutes)$1,357,124
0.1%
48,180$28
10199309Nursing facility visit — moderate problem$1,345,912
0.1%
54,937$24
10277067Screening mammogram (breast cancer screening)$1,311,706
0.1%
17,825$74
10399215Office visit for a complex or serious problem (established patient)$1,305,946
0.1%
16,812$78
10496413IV infusion or injection of medication$1,299,736
0.1%
10,418$125
105D1110Dental cleaning for adults (prophylaxis)$1,256,320
0.1%
32,191$39
10692004Eye exam or vision test$1,234,112
0.1%
19,276$64
10795819Brain wave test (EEG) or nerve test$1,207,826
0.1%
4,339$278
10890792Mental health evaluation — includes medication assessment$1,205,532
0.1%
13,200$91
109D2391Tooth-colored (resin) filling — one surface, back tooth$1,185,364
0.1%
32,592$36
11041899Dental or mouth surgery — other procedure not listed elsewhere$1,183,684
0.1%
2,365$501
111D9230Analgesia (pain management during dental work, like nitrous oxide/laughing gas)$1,174,442
0.1%
72,176$16
112D9222Other dental service$1,167,598
0.1%
22,774$51
11399282Emergency room visit for a minor problem$1,123,825
0.1%
34,104$33
11490876Individual psychophysiological therapy — biofeedback training$1,114,250
0.1%
14,035$79
11590460Giving a vaccine to a child, including talking with the family about it$1,086,353
0.1%
34,528$31
11674176CT scan of the abdomen and pelvis (without contrast)$1,083,504
0.1%
11,636$93
117J0178Injection, aflibercept, 1 mg$1,077,751
0.1%
1,493$722
11836902Artery and vein surgery$1,060,340
0.1%
3,282$323
11971275CT angiography of the chest (looking at blood vessels)$1,060,297
0.1%
8,306$128
120D2929Dental filling, crown, or restoration$1,060,222
0.1%
9,088$117
12178452Nuclear medicine imaging (using small amounts of radioactive material)$1,057,183
0.1%
3,484$303
12290960End-stage kidney disease monthly care — for patients 20 and older, 4+ visits$1,056,717
0.1%
13,145$80
12399212Office visit for a minor problem (established patient)$1,022,051
0.1%
44,744$23
124T1002Rn services, up to 15 minutes$1,016,602
0.1%
10,206$100
12596365IV infusion of medication — giving medicine through an IV (first hour)$1,012,816
0.1%
36,088$28
126H2017Psychosocial rehabilitation — helping rebuild social and daily living skills (per 15 minutes)$996,291
0.1%
17,864$56
12799490Chronic care management — monthly coordination for patients with multiple ongoing conditions$991,611
0.1%
44,095$22
128Q3014Telehealth originating site facility fee$972,469
0.1%
53,339$18
12976830Transvaginal ultrasound of the uterus$968,794
0.1%
11,562$84
130J2778Injection, ranibizumab, 0.1 mg$962,545
0.1%
1,977$487
131H0015Intensive outpatient treatment for alcohol or drug problems (per hour)$961,052
0.1%
11,649$83
13270553MRI of the brain (with and without contrast dye)$934,835
0.1%
6,579$142
13380053Comprehensive metabolic panel blood test (checks liver, kidney, blood sugar, electrolytes)$921,106
0.1%
263,742$3
134T2001Non-emergency transportation; patient attendant/escort$890,559
0.1%
62,977$14
135B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape$888,660
0.1%
4,469$199
13697014Physical therapy, occupational therapy, or rehabilitation$880,277
0.1%
76,754$11
137H2011Crisis intervention — emergency help during a mental health crisis (per 15 minutes)$875,910
0.1%
4,117$213
138J9271Injection, pembrolizumab, 1 mg$860,080
0.1%
168$5,120
139D7970Tooth extraction or oral surgery$840,200
0.1%
3,668$229
14095004Allergy testing or treatment$835,077
0.1%
3,104$269
141V2020Frames, purchases$833,631
0.1%
20,247$41
14296372IV infusion or injection of medication$829,491
0.1%
78,752$11
143D3220Pulp treatment for a baby tooth — removing infection from inside the tooth$826,687
0.1%
16,201$51
14496375IV push — additional medication through an IV$826,229
0.1%
76,694$11
145H2019Therapeutic behavioral services — behavior management and support (per 15 minutes)$782,635
0.1%
17,284$45
146D7220Removal of an impacted tooth — soft tissue (stuck under the gums)$747,506
0.1%
6,692$112
14799393Wellness checkup — ages 5-11$737,729
0.1%
9,077$81
148S5150Unskilled respite care — temporary relief for family caregivers (per 15 minutes)$730,261
0.1%
2,827$258
14992523Speech and language evaluation — comprehensive$725,690
0.1%
5,134$141
15076705Ultrasound of the abdomen (limited)$703,042
0.1%
17,346$41
151D7311Tooth extraction or oral surgery$693,332
0.1%
9,146$76
15285025Complete blood count (CBC) — checks red cells, white cells, and platelets$690,797
0.1%
305,047$2
15390832Individual therapy session (30 minutes)$667,402
0.1%
18,734$36
154A0433Ambulance ride with advanced life support — serious emergency (ALS 2)$657,542
0.1%
3,196$206
15590472Additional vaccine injection at the same visit$654,682
0.1%
35,876$18
156A0428Ambulance ride with basic life support (non-emergency, BLS)$647,122
0.1%
8,423$77
15787491Chlamydia test$645,029
0.1%
38,294$17
158Q5001Hospice or home health care provided in patient's home/residence$629,902
0.1%
22,602$28
15911042Wound cleaning — removing dead tissue from a wound$628,107
0.1%
17,057$37
16087591Gonorrhea test$613,881
0.1%
38,233$16
16170551MRI of the brain (without contrast dye)$580,492
0.1%
7,311$79
162D2150Silver (amalgam) filling — two surfaces$565,264
0.1%
8,615$66
16393010Heart monitoring test (ECG/EKG)$564,116
0.1%
136,187$4
16472125Spine imaging (X-ray, CT, or MRI)$561,732
0.0%
8,546$66
165T1003Lpn/lvn services, up to 15 minutes$555,834
0.0%
5,698$98
166D7511Tooth extraction or oral surgery$542,190
0.0%
6,271$86
167D8660Braces or orthodontic treatment$536,138
0.0%
14,103$38
168D1353Dental preventive care (cleaning, fluoride, sealant)$530,791
0.0%
35,715$15
16943239Upper endoscopy with biopsy (camera down the throat to look at stomach, with tissue sample)$529,940
0.0%
3,662$145
170D5110Complete upper denture$522,194
0.0%
1,006$519
17192015Eye exam or vision test$520,132
0.0%
54,141$10
17295816Brain wave test (EEG) or nerve test$516,600
0.0%
2,281$226
17395165Allergy testing or treatment$512,015
0.0%
1,809$283
17490378Immune globulin (antibody) injection$503,085
0.0%
1,284$392
175D3230Root canal or dental pulp treatment$500,956
0.0%
5,730$87
17659025Pregnancy, delivery, and maternity care$493,743
0.0%
14,277$35
177H0002Behavioral health screening to determine need for treatment$468,952
0.0%
19,443$24
17872148MRI of the lower spine (without contrast)$468,429
0.0%
3,651$128
17966984Cataract surgery (removing a cloudy lens from the eye and replacing it)$462,873
0.0%
1,750$264
18076700Ultrasound of the abdomen (complete)$460,832
0.0%
6,326$73
181E0601Continuous positive airway pressure (cpap) device$460,501
0.0%
18,815$24
18293005Heart monitoring test (ECG/EKG)$447,814
0.0%
112,614$4
18376856Pelvic ultrasound (complete)$443,187
0.0%
6,472$68
18497162Physical therapy evaluation — moderate problem$442,214
0.0%
9,488$47
185D7310Tooth extraction or oral surgery$427,987
0.0%
6,158$70
186A7030Full face mask used with positive airway pressure device, each$422,173
0.0%
7,738$55
18778815Nuclear medicine imaging (using small amounts of radioactive material)$419,607
0.0%
717$585
18899308Nursing facility visit — simple problem$417,722
0.0%
30,691$14
18997161Physical therapy evaluation — simple problem$412,875
0.0%
9,280$44
190H0001Alcohol and/or drug assessment$405,501
0.0%
4,045$100
19182306Vitamin D blood test$403,121
0.0%
23,527$17
19271260CT scan of the chest (with contrast dye)$403,039
0.0%
5,598$72
193T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each$394,607
0.0%
5,247$75
19467028Injection of medicine into the eye$391,261
0.0%
8,109$48
19571046Chest X-ray (two views — front and side)$390,534
0.0%
41,532$9
19692012Eye exam or vision test$383,881
0.0%
9,504$40
197V2025Deluxe frame$382,540
0.0%
10,971$35
19897535Self-care training — learning to do daily activities like dressing, cooking, or bathing$381,653
0.0%
11,081$34
1990241UMedical service or procedure$375,004
0.0%
22,318$17
20076816Follow-up ultrasound of pregnancy$365,618
0.0%
4,057$90
20177063Breast imaging (mammogram or MRI)$363,150
0.0%
15,104$24
20299205New patient office visit — comprehensive visit for a complex problem$359,978
0.0%
3,397$106
203D1354Interim caries arresting treatment — applying medicine to stop a cavity from growing$355,796
0.0%
35,125$10
204E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing$354,376
0.0%
54,977$6
20595951Brain wave test (EEG) or nerve test$354,043
0.0%
1,897$187
206J2777Injection, faricimab-svoa, 0.1 mg$339,704
0.0%
238$1,427
20747562Gallbladder removal surgery (laparoscopic)$335,078
0.0%
281$1,192
20892340Eye exam or vision test$333,632
0.0%
20,692$16
209J0585Injection, onabotulinumtoxina, 1 unit$327,352
0.0%
1,881$174
210E0570Nebulizer, with compressor$324,812
0.0%
11,501$28
21199236Hospital observation — admission and discharge on the same day (complex)$319,157
0.0%
1,858$172
21258661Female reproductive system surgery$318,677
0.0%
381$836
21397010Physical therapy, occupational therapy, or rehabilitation$312,618
0.0%
73,801$4
214D7230Removal of an impacted tooth — partially bony (stuck in the jawbone)$305,217
0.0%
2,691$113
21529200Casting, splinting, or strapping for a broken bone or injury$302,691
0.0%
9,570$32
21687637Microbiology test — checking for infections (bacteria, viruses, fungi)$297,984
0.0%
4,149$72
21784443Thyroid function test (TSH)$291,926
0.0%
48,501$6
218G0463Hospital outpatient clinic visit$290,274
0.0%
23,972$12
2190450Anesthesia for a medical procedure$289,849
0.0%
6,440$45
22036415Drawing blood from a vein (routine blood draw)$285,878
0.0%
329,525$1
22145385Colonoscopy with removal of polyps (growths)$280,177
0.0%
1,257$223
222A7031Face mask interface, replacement for full face mask, each$278,544
0.0%
10,028$28
22376817Transvaginal ultrasound of pregnancy$271,574
0.0%
5,967$46
22476805Ultrasound of pregnancy (after first trimester)$268,770
0.0%
4,045$66
225T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each$268,025
0.0%
3,792$71
226D9612Other dental service$266,129
0.0%
8,274$32
22776811Detailed ultrasound of pregnancy (high-risk)$263,085
0.0%
2,125$124
228H0031Mental health assessment by a non-physician$260,564
0.0%
2,108$124
229A4556Electrodes, (for example., apnea monitor), per pair$259,788
0.0%
14,985$17
23070498Head and brain imaging (X-ray, CT, or MRI)$259,029
0.0%
1,549$167
231T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each$258,666
0.0%
3,043$85
23276801Ultrasound of pregnancy (first trimester)$257,693
0.0%
5,455$47
23370496Head and brain imaging (X-ray, CT, or MRI)$257,598
0.0%
1,560$165
234G0466Federally qualified health center (community health center) visit, new patient; a medically-necessary$257,224
0.0%
2,677$96
235T4541Incontinence product, disposable underpad, large, each$256,002
0.0%
9,955$26
23670486CT scan of the sinuses$255,692
0.0%
2,829$90
237H0038Self-help or peer support services (someone with similar experience helping you)$255,276
0.0%
26,270$10
238D1355Dental preventive care (cleaning, fluoride, sealant)$255,072
0.0%
6,861$37
23973721MRI of a joint in the lower body (hip, knee, or ankle)$253,176
0.0%
1,685$150
24064615Brain, spine, or nerve surgery$252,912
0.0%
1,516$167
24199238Hospital discharge — doctor manages your release (30 minutes or less)$251,189
0.0%
4,437$57
24293971Blood vessel ultrasound or study$248,598
0.0%
6,095$41
243B4160Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.$246,466
0.0%
846$291
24499495Medical service or procedure$245,625
0.0%
3,282$75
24592250Eye exam or vision test$245,148
0.0%
6,710$37
246D9999Other dental service$242,490
0.0%
9,701$25
24799220Medical service or procedure$239,734
0.0%
1,913$125
24899281Emergency room visit for a very minor problem$238,327
0.0%
10,718$22
24987651Microbiology test — checking for infections (bacteria, viruses, fungi)$237,533
0.0%
12,530$19
25043775Stomach surgery$234,421
0.0%
249$941
251H0049Alcohol and/or drug screening$234,364
0.0%
35,434$7
252T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each$234,049
0.0%
8,333$28
253H0043Supported housing, per day$233,400
0.0%
3,177$73
254H0035Mental health partial hospitalization, treatment, less than 24 hours$233,205
0.0%
1,299$180
255D1208Dental preventive care (cleaning, fluoride, sealant)$223,083
0.0%
25,844$9
256D0999Dental exam, X-ray, or screening$221,700
0.0%
7,349$30
25787481Microbiology test — checking for infections (bacteria, viruses, fungi)$220,616
0.0%
16,078$14
25877066Breast imaging (mammogram or MRI)$219,139
0.0%
1,714$128
259D9420Hospital dental care — using the hospital for dental treatment (per hour)$217,403
0.0%
5,760$38
26092134Eye exam or vision test$216,702
0.0%
11,895$18
261T2024Service assessment/plan of care development, waiver$215,523
0.0%
6,621$33
262T1001Nursing assessment / evaluation$215,496
0.0%
8,443$26
263D7961Tooth extraction or oral surgery$212,153
0.0%
1,775$120
26499394Wellness checkup — ages 12-17$210,154
0.0%
2,289$92
26599460Newborn baby care — first exam in the hospital$207,791
0.0%
2,605$80
266L4361Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf$205,767
0.0%
1,300$158
267V2100Sphere, single vision, plano to plus or minus 4.00, per lens$205,579
0.0%
7,741$27
268L3660Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf$205,121
0.0%
3,125$66
26996361IV infusion — additional hour$201,830
0.0%
20,990$10
27087086Urine culture — checking for a urinary tract infection$200,665
0.0%
62,469$3
271A4223Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)$199,140
0.0%
2,073$96
27299244Office consultation — serious problem$194,752
0.0%
1,141$171
27372131CT scan of the lower spine (without contrast)$192,434
0.0%
3,125$62
27484484Troponin test (checks for heart damage or heart attack)$192,102
0.0%
68,458$3
275J1745Injection, infliximab, excludes biosimilar, 10 mg$191,603
0.0%
301$637
27692060Eye exam or vision test$191,540
0.0%
3,753$51
27787635Microbiology test — checking for infections (bacteria, viruses, fungi)$191,515
0.0%
9,321$21
27857265Female reproductive system surgery$191,250
0.0%
574$333
27995117Allergy testing or treatment$190,655
0.0%
20,744$9
28087653Microbiology test — checking for infections (bacteria, viruses, fungi)$189,729
0.0%
16,282$12
281Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml$185,041
0.0%
23,648$8
28299310Nursing facility visit — complex problem$184,865
0.0%
5,444$34
283D2140Silver (amalgam) filling — one surface$182,181
0.0%
3,706$49
28477334Radiation therapy for cancer$182,134
0.0%
509$358
28596130Psychological or neuropsychological testing — evaluation by a psychologist (first hour)$180,620
0.0%
2,512$72
28683690Blood chemistry test (checking specific substances in your blood)$180,259
0.0%
74,488$2
28710060Drainage of an abscess (simple — draining an infected lump)$179,053
0.0%
2,404$74
288B4152Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals$178,820
0.0%
1,581$113
28972141MRI of the neck/upper spine (without contrast)$177,026
0.0%
1,667$106
29088307Tissue examination under a microscope (surgical pathology)$175,545
0.0%
4,280$41
291D0340Dental exam, X-ray, or screening$172,572
0.0%
5,285$33
29220553Musculoskeletal surgery (bones, joints, muscles)$169,962
0.0%
8,760$19
29390677Vaccine or immunization$168,247
0.0%
3,081$55
294D9248Other dental service$168,073
0.0%
2,353$71
295D0350Dental exam, X-ray, or screening$166,274
0.0%
29,688$6
296D1510Space maintainer — device to hold space for a permanent tooth (fixed)$165,078
0.0%
2,045$81
297G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes$164,655
0.0%
38,189$4
29874018X-ray of the abdomen (single view)$163,224
0.0%
24,136$7
299B4034Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape$161,385
0.0%
2,285$71
30099306Nursing facility admission — complex first day care$161,129
0.0%
2,761$58
30196152Medical service or procedure$160,974
0.0%
3,243$50
30280048Basic metabolic panel blood test (checks kidney function, blood sugar, electrolytes)$158,074
0.0%
69,444$2
303E0562Humidifier, heated, used with positive airway pressure device$156,923
0.0%
9,534$16
30499222Hospital admission — first day, moderate to serious problem$155,803
0.0%
2,081$75
305D2393Tooth-colored (resin) filling — three surfaces, back tooth$155,599
0.0%
2,785$56
30680061Cholesterol and lipid panel blood test$152,973
0.0%
39,394$4
30790847Family therapy session with the patient present$152,375
0.0%
2,533$60
308D2740Crown (cap) — porcelain or ceramic$149,499
0.0%
435$344
30976536Ultrasound of the head and neck soft tissue$149,086
0.0%
1,955$76
31087502Microbiology test — checking for infections (bacteria, viruses, fungi)$148,278
0.0%
4,529$33
311E2402Negative pressure wound therapy electrical pump, stationary or portable$146,818
0.0%
218$673
312J2505Injection, pegfilgrastim, 6 mg$145,072
0.0%
79$1,836
31396376IV infusion or injection of medication$142,687
0.0%
25,086$6
314D0367Dental exam, X-ray, or screening$141,472
0.0%
1,248$113
31596110Developmental screening test for children (autism, learning, speech)$139,890
0.0%
22,949$6
31671250CT scan of the chest (without contrast dye)$139,785
0.0%
1,864$75
31776641Ultrasound$139,650
0.0%
1,584$88
31899211Simple office visit — quick check-in with a nurse or doctor$138,869
0.0%
17,266$8
319D5120Complete lower denture$137,887
0.0%
262$526
32093970Blood vessel ultrasound or study$137,556
0.0%
2,199$63
321A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose$136,570
0.0%
3,414$40
32272128Spine imaging (X-ray, CT, or MRI)$133,057
0.0%
2,111$63
32383880Blood chemistry test (checking specific substances in your blood)$131,740
0.0%
15,912$8
324B4150Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube$130,453
0.0%
1,023$128
32580305Drug or substance testing$129,525
0.0%
17,395$7
32673630X-ray of the foot$129,095
0.0%
8,780$15
32784703Blood chemistry test (checking specific substances in your blood)$129,030
0.0%
44,764$3
32896366IV infusion or injection of medication$128,338
0.0%
10,071$13
329D2933Dental filling, crown, or restoration$127,851
0.0%
1,296$99
33087389Microbiology test — checking for infections (bacteria, viruses, fungi)$126,440
0.0%
11,325$11
33194640Breathing test or lung function test$125,836
0.0%
11,900$11
33290715Tdap vaccine (tetanus, diphtheria, and whooping cough booster)$124,463
0.0%
9,057$14
33383036Hemoglobin A1c test (shows average blood sugar over 3 months — used for diabetes)$123,078
0.0%
44,760$3
33477386Radiation therapy for cancer$122,822
0.0%
687$179
33587804Flu test (rapid)$122,350
0.0%
19,541$6
33699235Hospital observation — admission and discharge on the same day (moderate)$121,005
0.0%
908$133
33751729Bladder surgery$119,677
0.0%
485$247
33897116Gait training — learning or re-learning how to walk$119,482
0.0%
8,487$14
33999202New patient office visit — simple problem$118,104
0.0%
2,867$41
34087500Microbiology test — checking for infections (bacteria, viruses, fungi)$117,718
0.0%
9,870$12
34145380Colonoscopy with biopsy (tissue sample)$117,691
0.0%
590$199
34297150Group therapy session (physical, occupational, or speech)$116,959
0.0%
10,646$11
343A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap$116,868
0.0%
3,268$36
344D5899Dentures or removable dental prosthetics$114,792
0.0%
5,746$20
345A4604Tubing with integrated heating element for use with positive airway pressure device$114,729
0.0%
4,369$26
346K0001Standard wheelchair$112,899
0.0%
8,425$13
34768761Eye surgery$112,883
0.0%
2,703$42
348D7960Tooth extraction or oral surgery$112,791
0.0%
1,111$102
349D0603Dental exam, X-ray, or screening$112,756
0.0%
42,246$3
350J7030IV fluid — normal saline (salt water, 1000 ml)$111,786
0.0%
86,721$1
35186900Blood typing — ABO (determines your blood group)$111,329
0.0%
15,579$7
352E0114Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips$110,843
0.0%
4,486$25
353A0430Ambulance ride with special medical equipment (fixed wing airplane)$108,558
0.0%
95$1,143
35493303Heart ultrasound (echocardiogram)$108,510
0.0%
707$153
355A0435Ambulance mileage — per mile for fixed wing air ambulance$105,568
0.0%
70$1,508
35687880Strep throat test (rapid)$105,406
0.0%
16,206$7
35736430Blood transfusion$105,397
0.0%
1,397$75
35897164Physical therapy re-evaluation$105,320
0.0%
3,786$28
35976642Ultrasound$104,113
0.0%
3,424$30
360H2021Community-based wrap-around services — coordinated support for children and families (per 15 min)$104,023
0.0%
759$137
361S5190Wellness assessment, performed by non-physician$101,218
0.0%
7,416$14
36297597Physical therapy, occupational therapy, or rehabilitation$100,646
0.0%
7,106$14
363D7951Tooth extraction or oral surgery$99,846
0.0%
131$762
364J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (for example., liquid), 500 mg$99,487
0.0%
254$392
36500142Anesthesia for eye surgery$99,035
0.0%
2,310$43
36690868Mental health service$98,950
0.0%
630$157
36773610X-ray of the ankle (complete)$97,548
0.0%
6,683$15
368D0270Dental X-ray — bitewing (single film, checks for cavities between teeth)$96,249
0.0%
9,626$10
369D4346Gum disease treatment (periodontics)$96,234
0.0%
1,090$88
37095812Brain wave test (EEG) or nerve test$95,312
0.0%
256$372
371T4534Youth sized disposable incontinence product, protective underwear/pull-on, each$94,839
0.0%
1,477$64
37299292Critical care — continued intensive treatment (each additional 30 minutes)$94,132
0.0%
837$112
37380074Blood test panel (checking multiple things at once)$94,121
0.0%
2,798$34
374D4341Deep cleaning (scaling and root planing) — per quadrant, 4+ teeth$93,117
0.0%
1,092$85
37573564Lower extremity imaging (hip, knee, leg, foot)$92,512
0.0%
4,840$19
376T4525Adult sized disposable incontinence product, protective underwear/pull-on, small size, each$92,315
0.0%
1,311$70
377E1028Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other$90,409
0.0%
2,239$40
378E0470Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, for example.$89,996
0.0%
1,666$54
379C1713Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)$89,433
0.0%
3,325$27
38090686Vaccine or immunization$88,723
0.0%
49,495$2
38142820Throat, adenoid, and tonsil surgery$88,659
0.0%
101$878
38296136Psychological testing — administered by a psychologist (first 30 min)$87,493
0.0%
3,439$25
383A7035Headgear used with positive airway pressure device$87,264
0.0%
7,982$11
38487624HPV test (checks for cancer-causing virus)$86,283
0.0%
5,311$16
38573130X-ray of the hand$86,105
0.0%
5,771$15
386L3908Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf$85,544
0.0%
1,867$46
38797153Physical therapy, occupational therapy, or rehabilitation$85,257
0.0%
1,567$54
388T1023Screening and assessment — checking a patient's health and needs to create a care plan$84,195
0.0%
568$148
38986780Immune system or allergy test$83,044
0.0%
13,791$6
390D8080Full braces (comprehensive orthodontic treatment, adolescent)$82,090
0.0%
49$1,675
39196360IV infusion — giving fluids through an IV (first hour)$81,712
0.0%
5,355$15
392A7032Cushion for use on nasal mask interface, replacement only, each$81,190
0.0%
3,058$27
39387660Microbiology test — checking for infections (bacteria, viruses, fungi)$81,136
0.0%
9,801$8
39481001Urinalysis — checking your pee for infections or health problems (with microscope)$79,540
0.0%
75,722$1
39593976Blood vessel ultrasound or study$79,205
0.0%
2,658$30
39673030X-ray of the shoulder$79,143
0.0%
6,438$12
39787661Microbiology test — checking for infections (bacteria, viruses, fungi)$78,364
0.0%
7,218$11
39870491Head and brain imaging (X-ray, CT, or MRI)$78,052
0.0%
740$105
39997155Physical therapy, occupational therapy, or rehabilitation$77,758
0.0%
897$87
400D2160Silver (amalgam) filling — three surfaces$77,601
0.0%
982$79
401J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg$77,518
0.0%
8,356$9
402D0160Dental exam, X-ray, or screening$77,370
0.0%
2,603$30
403J2785Injection, regadenoson, 0.1 mg$77,101
0.0%
2,600$30
40490461Additional vaccine given to a child at the same visit$77,027
0.0%
4,364$18
40587150Microbiology test — checking for infections (bacteria, viruses, fungi)$76,653
0.0%
4,021$19
40673110X-ray of the wrist (complete)$75,970
0.0%
4,111$18
407A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries$74,812
0.0%
970$77
408A7038Filter, disposable, used with positive airway pressure device$74,171
0.0%
22,518$3
40983605Blood chemistry test (checking specific substances in your blood)$74,071
0.0%
24,328$3
41087040Blood culture — test to see if bacteria are growing in your blood$73,446
0.0%
24,554$3
41176376Diagnostic ultrasound or fluoroscopy$73,364
0.0%
10,135$7
41281025Pregnancy test (urine)$73,333
0.0%
30,267$2
41387510Microbiology test — checking for infections (bacteria, viruses, fungi)$73,205
0.0%
9,396$8
41494060Breathing test or lung function test$72,831
0.0%
1,899$38
41587480Microbiology test — checking for infections (bacteria, viruses, fungi)$72,694
0.0%
9,396$8
41658552Female reproductive system surgery$72,025
0.0%
126$572
41776775Ultrasound$71,963
0.0%
2,740$26
418L1830Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf$71,923
0.0%
1,190$60
419E0143Walker, folding, wheeled, adjustable or fixed height$71,676
0.0%
1,970$36
420S5100Adult day care — daytime program with activities and supervision (per half day)$71,190
0.0%
503$142
42176815Limited ultrasound of pregnancy (quick check)$70,947
0.0%
1,827$39
42269436Ear surgery$70,318
0.0%
145$485
42396137Psychological testing — additional 30 minutes$68,849
0.0%
964$71
42487186Microbiology test — checking for infections (bacteria, viruses, fungi)$68,846
0.0%
22,085$3
42592083Eye exam or vision test$68,777
0.0%
2,420$28
426D5214Partial lower denture — with resin base$68,621
0.0%
135$508
42772110X-ray of the lower spine (complete, multiple views)$68,321
0.0%
2,981$23
42884702Blood chemistry test (checking specific substances in your blood)$68,027
0.0%
12,607$5
42988175Pap smear — cervical cancer screening (liquid-based)$67,125
0.0%
6,980$10
43085027Complete blood count — automated$67,037
0.0%
40,305$2
431L3809Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type$66,925
0.0%
606$110
43299381Wellness checkup — new patient, infant (under 1 year)$66,710
0.0%
877$76
43395886Brain wave test (EEG) or nerve test$65,976
0.0%
533$124
43412011Wound repair — stitching a cut or laceration (simple or layered)$65,329
0.0%
1,563$42
43599217Medical service or procedure$64,684
0.0%
1,307$49
436C9803Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source$64,450
0.0%
36,198$2
437D5130Immediate upper denture (placed right after teeth are removed)$64,035
0.0%
125$512
43890651HPV vaccine (protects against cancer-causing virus)$63,993
0.0%
3,961$16
43912001Wound repair — stitching a cut or laceration (simple or layered)$63,426
0.0%
1,801$35
44057288Female reproductive system surgery$63,131
0.0%
532$119
44187426Microbiology test — checking for infections (bacteria, viruses, fungi)$62,926
0.0%
8,167$8
44287511Microbiology test — checking for infections (bacteria, viruses, fungi)$62,336
0.0%
5,708$11
443A7037Tubing used with positive airway pressure device$62,181
0.0%
6,637$9
44496415IV infusion or injection of medication$61,972
0.0%
3,497$18
445T4522Adult sized disposable incontinence product, brief/diaper, medium, each$61,859
0.0%
762$81
44699152Medical service or procedure$61,818
0.0%
5,894$10
447D0190Dental exam, X-ray, or screening$61,507
0.0%
6,450$10
448B4088Gastrostomy/jejunostomy tube, low-profile, any material, any type, each$61,216
0.0%
854$72
44999337Medical service or procedure$60,144
0.0%
1,959$31
45092522Evaluation of speech sound production$59,775
0.0%
801$75
45181162Genetic or molecular testing$58,998
0.0%
54$1,093
45272100X-ray of the lower spine (lumbar)$58,955
0.0%
4,296$14
453Q5103Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg$57,942
0.0%
110$527
45494010Breathing test or lung function test$57,868
0.0%
1,854$31
45583970Blood chemistry test (checking specific substances in your blood)$57,837
0.0%
15,998$4
456L4350Ankle control orthosis, stirrup style, rigid, includes any type interface (for example., pneumatic, gel), prefabricated, off-the-shelf$57,777
0.0%
873$66
45790785Medical service or procedure$57,155
0.0%
9,855$6
45890836Individual therapy session added to a regular doctor visit (45 minutes)$56,656
0.0%
1,231$46
459D0145Oral evaluation for a patient under 3 years old$56,544
0.0%
3,176$18
46099231Hospital care — daily check by your doctor (minor update)$56,503
0.0%
2,875$20
461J0696Injection of ceftriaxone (antibiotic, usually given for serious infections)$56,236
0.0%
16,923$3
46299305Nursing facility admission — moderate first day care$55,348
0.0%
1,193$46
46387077Culture test — checking for specific bacteria$54,785
0.0%
23,743$2
464D2950Crown buildup — rebuilding a broken tooth so a crown can be placed$54,712
0.0%
638$86
46586480Immune system or allergy test$54,291
0.0%
1,709$32
466A7526Tracheostomy tube collar/holder, each$54,186
0.0%
682$79
467J9035Injection, bevacizumab, 10 mg$53,489
0.0%
1,878$28
46820610Joint injection or draining fluid from a large joint (knee, shoulder, hip)$53,419
0.0%
1,845$29
46996131Psychological or neuropsychological testing — additional testing time$53,326
0.0%
875$61
47090474Additional oral or nasal vaccine at the same visit$52,712
0.0%
5,312$10
47199243Office consultation — moderate problem$52,107
0.0%
523$100
47287633Microbiology test — checking for infections (bacteria, viruses, fungi)$51,891
0.0%
612$85
473A4305Disposable drug delivery system, flow rate of 50 ml or greater per hour$51,573
0.0%
1,956$26
47496417IV infusion or injection of medication$51,475
0.0%
2,834$18
47590961End-stage kidney disease monthly care — for patients 20 and older, 2-3 visits$50,413
0.0%
808$62
47695115Allergy testing or treatment$49,480
0.0%
5,804$9
47793017Heart monitoring test (ECG/EKG)$49,469
0.0%
4,465$11
47897129Physical therapy, occupational therapy, or rehabilitation$48,925
0.0%
2,866$17
47929125Casting, splinting, or strapping for a broken bone or injury$48,662
0.0%
1,817$27
48086803Immune system or allergy test$48,537
0.0%
8,724$6
481T4523Adult sized disposable incontinence product, brief/diaper, large, each$48,504
0.0%
420$115
48273700CT scan of the lower leg$48,458
0.0%
577$84
483J7120Ringer's lactate solution — IV fluid (1000 ml)$48,121
0.0%
38,996$1
484J3490Unclassified drug injection$48,058
0.0%
24,361$2
48599245Office consultation — complex problem$47,770
0.0%
414$115
48687070Culture test — checking a sample for bacteria$46,981
0.0%
13,193$4
4870001AMedical service or procedure$46,783
0.0%
2,580$18
488D7250Surgical removal of remaining tooth root$46,403
0.0%
985$47
489J1885Injection, ketorolac tromethamine, per 15 mg$46,384
0.0%
72,378$1
490D7971Tooth extraction or oral surgery$46,257
0.0%
445$104
49197602Physical therapy, occupational therapy, or rehabilitation$45,498
0.0%
2,977$15
4920002AMedical service or procedure$43,413
0.0%
2,314$19
49384403Blood chemistry test (checking specific substances in your blood)$43,138
0.0%
2,613$17
49494726Breathing test or lung function test$42,747
0.0%
1,420$30
495J2270Injection of morphine (strong pain medicine)$42,640
0.0%
25,717$2
49692551Hearing or speech test or therapy$42,517
0.0%
14,507$3
49784439Blood chemistry test (checking specific substances in your blood)$41,936
0.0%
21,403$2
49895024Allergy testing or treatment$41,620
0.0%
529$79
49974183Abdomen imaging (X-ray, CT, or MRI)$41,082
0.0%
153$269
500D7953Tooth extraction or oral surgery$40,419
0.0%
134$302
50173562X-ray of the knee (3 views)$40,346
0.0%
2,487$16
502K0739Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes$39,842
0.0%
1,270$31
50376870Ultrasound of the scrotum$39,564
0.0%
1,232$32
50485610Prothrombin time (PT) — blood clotting test$39,520
0.0%
43,686$1
50583735Blood chemistry test (checking specific substances in your blood)$38,560
0.0%
31,740$1
50699177Other medical service$38,476
0.0%
14,216$3
50777065Breast imaging (mammogram or MRI)$38,460
0.0%
403$95
50899255Medical service or procedure$38,176
0.0%
232$165
509U0005Infectious 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$37,839
0.0%
28,251$1
51051797Bladder surgery$37,494
0.0%
491$76
511G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)$37,262
0.0%
2,305$16
512J0887Injection, epoetin beta, 1 microgram, (for end-stage kidney disease on dialysis)$36,815
0.0%
6,958$5
51382607Blood chemistry test (checking specific substances in your blood)$36,789
0.0%
9,467$4
51481003Urinalysis — automated test$36,380
0.0%
48,669$1
51582728Blood chemistry test (checking specific substances in your blood)$36,371
0.0%
19,334$2
516D3110Root canal or dental pulp treatment$36,008
0.0%
1,948$18
51796112Medical service or procedure$35,772
0.0%
396$90
51896367IV infusion or injection of medication$35,619
0.0%
4,644$8
51996101Psychological testing — administered and scored by a psychologist$35,269
0.0%
411$86
520L1820Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled$35,114
0.0%
394$89
521A7005Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable$35,100
0.0%
3,407$10
52299366Medical service or procedure$34,799
0.0%
939$37
52382077Blood chemistry test (checking specific substances in your blood)$34,108
0.0%
7,756$4
52480050General health panel blood test$34,081
0.0%
779$44
525V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens$32,995
0.0%
9,165$4
52687522Microbiology test — checking for infections (bacteria, viruses, fungi)$32,885
0.0%
1,492$22
52712002Wound repair — stitching a cut or laceration (simple or layered)$32,822
0.0%
823$40
52881408Genetic or molecular testing$32,797
0.0%
54$607
52987563Microbiology test — checking for infections (bacteria, viruses, fungi)$32,769
0.0%
2,994$11
53090838Individual therapy session added to a regular doctor visit (60 minutes)$32,702
0.0%
438$75
53177080Bone density scan (DEXA scan — checks for osteoporosis)$32,600
0.0%
1,760$19
532D2330Tooth-colored (resin) filling — one surface, front tooth$32,397
0.0%
643$50
53385379Blood cell or clotting test$32,349
0.0%
9,470$3
53473221MRI of a joint in the upper body (shoulder, elbow, or wrist)$32,308
0.0%
242$134
53551798Bladder surgery$32,062
0.0%
4,668$7
53674240Abdomen imaging (X-ray, CT, or MRI)$32,032
0.0%
415$77
53797165Occupational therapy evaluation — simple problem$31,404
0.0%
2,157$15
53888304Tissue examination under a microscope (surgical pathology)$31,391
0.0%
3,838$8
5393074FMedical service or procedure$31,016
0.0%
67,942$0
54044970Appendix surgery$30,912
0.0%
32$966
541L1833Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf$30,455
0.0%
83$367
54285730Partial thromboplastin time (PTT) — blood clotting test$30,281
0.0%
21,218$1
54384145Blood chemistry test (checking specific substances in your blood)$30,083
0.0%
4,297$7
54452000Cystoscopy — looking inside the bladder with a camera$29,766
0.0%
294$101
545V2203Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens$29,514
0.0%
657$45
546D0240Dental X-ray of the whole mouth (panoramic)$29,439
0.0%
2,347$13
547J1170Injection, hydromorphone, up to 4 mg$28,980
0.0%
21,980$1
548J1050Injection, medroxyprogesterone acetate, 1 mg$28,905
0.0%
853$34
549J8597Antiemetic drug, oral, not otherwise specified$28,715
0.0%
19,532$1
5500240UMedical service or procedure$28,450
0.0%
1,973$14
55176942Ultrasound guidance for a needle procedure$28,049
0.0%
1,221$23
55296127Brief emotional or behavioral screening (like a depression or anxiety questionnaire)$28,017
0.0%
6,829$4
55395810Brain wave test (EEG) or nerve test$27,879
0.0%
84$332
55494729Breathing test or lung function test$27,815
0.0%
1,368$20
555E0619Apnea monitor, with recording feature$27,590
0.0%
170$162
55669210Ear wax removal$27,561
0.0%
1,290$21
55777014Imaging guidance for a needle procedure$26,949
0.0%
886$30
55857282Female reproductive system surgery$26,479
0.0%
473$56
55972156MRI of the neck/upper spine (with and without contrast)$26,476
0.0%
167$159
560G0152Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes$26,378
0.0%
14,110$2
56136591Artery and vein surgery$26,370
0.0%
3,808$7
56293320Heart ultrasound (echocardiogram)$26,072
0.0%
707$37
56329530Casting, splinting, or strapping for a broken bone or injury$25,771
0.0%
801$32
564V2784Lens, polycarbonate or equal, any index, per lens$25,764
0.0%
8,819$3
56593000Heart monitoring test (ECG/EKG)$25,717
0.0%
2,000$13
56677412Radiation therapy for cancer$25,579
0.0%
233$110
56776818Ultrasound$25,365
0.0%
162$157
56874175Abdomen imaging (X-ray, CT, or MRI)$25,290
0.0%
161$157
569D4266Gum disease treatment (periodontics)$25,131
0.0%
132$190
570A7033Pillow for use on nasal cannula type interface, replacement only, pair$24,571
0.0%
1,031$24
57197113Physical therapy, occupational therapy, or rehabilitation$24,409
0.0%
348$70
57299401Medical service or procedure$24,378
0.0%
2,166$11
57300170Anesthesia for a medical procedure$24,287
0.0%
193$126
57486762Immune system or allergy test$24,234
0.0%
3,968$6
57501967Anesthesia for a medical procedure$24,196
0.0%
54$448
57673080X-ray of the forearm$24,090
0.0%
1,499$16
57787081Culture test — checking for a specific organism$23,933
0.0%
7,827$3
5780502FMedical service or procedure$23,912
0.0%
6,534$4
57999479Medical service or procedure$23,808
0.0%
251$95
58083013Blood chemistry test (checking specific substances in your blood)$23,758
0.0%
561$42
581T4530Pediatric sized disposable incontinence product, brief/diaper, large size, each$23,712
0.0%
395$60
582K0108Wheelchair component or accessory, not otherwise specified$23,655
0.0%
450$53
58359400Routine obstetric care — prenatal visits, vaginal delivery, and follow-up$23,592
0.0%
13$1,815
58400731Anesthesia for a medical procedure$23,555
0.0%
241$98
58580346Drug or substance testing$23,545
0.0%
4,383$5
586D5140Immediate lower denture$23,521
0.0%
37$636
58799254Medical service or procedure$23,416
0.0%
152$154
58887400Microbiology test — checking for infections (bacteria, viruses, fungi)$23,196
0.0%
4,278$5
58999497Medical service or procedure$23,082
0.0%
3,840$6
590D1999Dental preventive care (cleaning, fluoride, sealant)$23,040
0.0%
37,615$1
59192557Hearing or speech test or therapy$22,966
0.0%
928$25
59281002Urinalysis — quick dipstick test$22,930
0.0%
19,279$1
59377336Radiation therapy for cancer$22,907
0.0%
1,780$13
59473590X-ray of the lower leg (tibia/fibula)$22,794
0.0%
2,111$11
59582962Blood chemistry test (checking specific substances in your blood)$22,370
0.0%
50,014$0
59686140Immune system or allergy test$22,194
0.0%
14,566$2
59780359Drug or substance testing$22,067
0.0%
7,784$3
598Q5121Injection, infliximab-axxq, biosimilar, (avsola), 10 mg$22,056
0.0%
119$185
59992567Hearing or speech test or therapy$21,929
0.0%
2,087$11
60097802Medical service or procedure$21,614
0.0%
1,999$11
601A7046Water chamber for humidifier, used with positive airway pressure device, replacement, each$21,489
0.0%
4,073$5
60299349Home visit follow-up — complex problem$21,259
0.0%
2,895$7
603J2405Injection, ondansetron hydrochloride, per 1 mg$21,121
0.0%
88,101$0
60497163Physical therapy evaluation — complex problem$21,116
0.0%
422$50
60572040Spine imaging (X-ray, CT, or MRI)$21,003
0.0%
1,528$14
60673502X-ray of the hip$20,883
0.0%
1,448$14
60787340Microbiology test — checking for infections (bacteria, viruses, fungi)$20,601
0.0%
7,424$3
60899070Special medical service$20,439
0.0%
1,259$16
60999336Medical service or procedure$20,140
0.0%
1,207$17
61099199Other medical service$20,070
0.0%
449$45
61186235Immune system or allergy test$20,027
0.0%
1,017$20
612U00042019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc$19,910
0.0%
877$23
613J1100Injection of dexamethasone (steroid for inflammation, allergies, or breathing problems)$19,842
0.0%
50,112$0
61499461Newborn baby care — additional day in the hospital$19,811
0.0%
382$52
61580323Drug or substance testing$19,615
0.0%
4,185$5
61695957Brain wave test (EEG) or nerve test$19,556
0.0%
78$251
61773090X-ray of the wrist$19,379
0.0%
1,511$13
61881292Genetic or molecular testing$19,181
0.0%
54$355
61990962End-stage kidney disease monthly care — for patients 20 and older, 1 visit$19,153
0.0%
364$53
62092593Hearing or speech test or therapy$18,995
0.0%
770$25
62180361Drug or substance testing$18,914
0.0%
4,395$4
622L4360Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled$18,877
0.0%
81$233
62372170X-ray of the pelvis$18,831
0.0%
1,810$10
62481317Genetic or molecular testing$18,807
0.0%
54$348
62596409IV infusion or injection of medication$18,696
0.0%
341$55
62692133Eye exam or vision test$18,275
0.0%
972$19
627D8020Braces or orthodontic treatment$18,000
0.0%
12$1,500
62881298Genetic or molecular testing$17,843
0.0%
54$330
629E0471Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, for example.$17,838
0.0%
59$302
630A6550Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories$17,717
0.0%
91$195
63173140Upper extremity imaging (shoulder, arm, hand)$17,663
0.0%
976$18
632B4161Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber$17,495
0.0%
26$673
63386850Blood type and antibody screening$17,347
0.0%
13,605$1
634D0170Dental exam, X-ray, or screening$17,324
0.0%
1,333$13
635D9630Other dental service$17,290
0.0%
2,962$6
63699201New patient office visit — minor problem$17,066
0.0%
926$18
63786703HIV test$17,039
0.0%
3,047$6
63845378Colonoscopy — camera exam of the large intestine (diagnostic)$16,907
0.0%
51$332
63986901Blood typing — Rh (determines if you're Rh positive or negative)$16,775
0.0%
18,576$1
640G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing$16,720
0.0%
9,407$2
641D9215Local anesthesia (numbing injection for dental work)$16,630
0.0%
5,327$3
64287529Microbiology test — checking for infections (bacteria, viruses, fungi)$16,600
0.0%
939$18
64381321Genetic or molecular testing$16,440
0.0%
54$304
64480356Drug or substance testing$16,277
0.0%
4,400$4
64580354Drug or substance testing$16,213
0.0%
4,403$4
64684481Blood chemistry test (checking specific substances in your blood)$16,208
0.0%
2,196$7
64772158Spine imaging (X-ray, CT, or MRI)$16,166
0.0%
78$207
64890732Pneumonia vaccine (PPSV23)$16,097
0.0%
426$38
64982746Blood chemistry test (checking specific substances in your blood)$16,080
0.0%
5,434$3
65099480Medical service or procedure$15,999
0.0%
149$107
651J3301Injection of triamcinolone (steroid for inflammation or joint pain)$15,741
0.0%
3,216$5
65274019X-ray of the abdomen (two views)$15,712
0.0%
1,135$14
653L3010Foot, insert, removable, molded to patient model, longitudinal arch support, each$15,692
0.0%
78$201
65497166Occupational therapy evaluation — moderate problem$15,684
0.0%
615$26
655A0426Ambulance ride with advanced life support (non-emergency, ALS 1)$15,534
0.0%
119$131
656E0445Oximeter device for measuring blood oxygen levels non-invasively$15,528
0.0%
912$17
65792136Eye exam or vision test$15,337
0.0%
439$35
658A0160Non-emergency transportation: per mile - case worker or social worker$15,143
0.0%
76,771$0
65996118Medical service or procedure$15,143
0.0%
130$116
660J9312Injection, rituximab, 10 mg$15,133
0.0%
38$398
66176770Ultrasound of the abdomen and kidneys (complete)$15,109
0.0%
442$34
662L2280Addition to lower extremity, molded inner boot$15,055
0.0%
28$538
66380363Drug or substance testing$15,034
0.0%
4,195$4
66484153PSA blood test (prostate cancer screening)$15,021
0.0%
2,139$7
66597803Medical service or procedure$14,911
0.0%
438$34
66690716Chickenpox (varicella) vaccine$14,837
0.0%
1,590$9
66772081Spine imaging (X-ray, CT, or MRI)$14,819
0.0%
649$23
66895800Brain wave test (EEG) or nerve test$14,810
0.0%
122$121
669E1392Portable oxygen concentrator, rental$14,725
0.0%
1,642$9
67058100Endometrial biopsy (sampling tissue from the uterus)$14,709
0.0%
216$68
67199383Wellness checkup — new patient, ages 5-11$14,641
0.0%
708$21
67299350Home visit follow-up — unstable condition$14,462
0.0%
521$28
673J0780Injection, prochlorperazine, up to 10 mg$14,442
0.0%
4,194$3
67482570Blood chemistry test (checking specific substances in your blood)$14,331
0.0%
13,404$1
67580325Drug or substance testing$14,324
0.0%
4,093$3
67682784Blood chemistry test (checking specific substances in your blood)$14,251
0.0%
3,169$4
67780348Drug or substance testing$14,171
0.0%
4,862$3
678J0897Injection, denosumab, 1 mg$14,096
0.0%
73$193
67976819Ultrasound$14,017
0.0%
373$38
68080353Drug or substance testing$13,865
0.0%
3,980$3
68181511Medical service or procedure$13,839
0.0%
1,257$11
682J0690Injection, cefazolin sodium, 500 mg$13,815
0.0%
27,512$1
683G0468Federally Qualified Health Center visit — a community health center visit for new patients$13,812
0.0%
124$111
68411750Nail surgery or treatment$13,666
0.0%
196$70
68582670Blood chemistry test (checking specific substances in your blood)$13,599
0.0%
633$21
686D7241Removal of an impacted tooth — completely bony, with complications$13,526
0.0%
72$188
68782075Blood chemistry test (checking specific substances in your blood)$13,446
0.0%
4,547$3
68829240Casting, splinting, or strapping for a broken bone or injury$13,354
0.0%
358$37
689J2704Injection of propofol (anesthesia for procedures)$13,345
0.0%
33,259$0
69092552Hearing or speech test or therapy$13,298
0.0%
511$26
69173560X-ray of the knee (1-2 views)$13,296
0.0%
1,199$11
692V5266Battery for use in hearing device$13,255
0.0%
1,454$9
69395930Brain wave test (EEG) or nerve test$13,151
0.0%
927$14
69480358Drug or substance testing$13,148
0.0%
5,411$2
69586003Immune system or allergy test$13,122
0.0%
422$31
696J1453Injection, fosaprepitant, 1 mg$13,044
0.0%
1,165$11
69762323Epidural injection for pain (lumbar/sacral)$12,986
0.0%
246$53
69893325Heart ultrasound (echocardiogram)$12,858
0.0%
910$14
69982040Albumin blood test (checks for liver or kidney problems)$12,713
0.0%
13,188$1
70088342Tissue examination under a microscope (surgical pathology)$12,689
0.0%
1,083$12
701G0444Annual depression screening$12,542
0.0%
1,448$9
70295720Brain wave test (EEG) or nerve test$12,531
0.0%
99$127
70380357Drug or substance testing$12,508
0.0%
4,153$3
70494760Breathing test or lung function test$12,469
0.0%
13,348$1
705J3010Injection of fentanyl (strong pain medicine)$12,257
0.0%
45,959$0
70683550Iron binding capacity test$12,243
0.0%
21,187$1
70749083Draining fluid from the abdomen with a needle$12,222
0.0%
130$94
70890756Vaccine or immunization$12,208
0.0%
1,259$10
709A4657Syringe, with or without needle, each$12,150
0.0%
72,457$0
71099406Medical service or procedure$12,088
0.0%
4,471$3
71184146Blood chemistry test (checking specific substances in your blood)$11,837
0.0%
1,487$8
712T4521Adult sized disposable incontinence product, brief/diaper, small, each$11,796
0.0%
142$83
71377300Radiation therapy for cancer$11,688
0.0%
279$42
71490911Biofeedback training$11,498
0.0%
482$24
715H0007Alcohol and/or drug services; crisis intervention (outpatient)$11,327
0.0%
640$18
71680355Drug or substance testing$11,280
0.0%
4,222$3
717J1650Injection, enoxaparin sodium, 10 mg$11,248
0.0%
11,684$1
71883540Iron blood test$11,146
0.0%
25,293$0
719E0260Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress$11,068
0.0%
1,363$8
72092579Hearing or speech test or therapy$11,057
0.0%
431$26
72180360Drug or substance testing$10,960
0.0%
4,229$3
722A7000Canister, disposable, used with suction pump, each$10,949
0.0%
790$14
72396161Medical service or procedure$10,871
0.0%
5,166$2
72492606Hearing or speech test or therapy$10,834
0.0%
177$61
72586038Immune system or allergy test$10,816
0.0%
2,983$4
726V5160Dispensing fee, binaural$10,768
0.0%
28$385
72774021Abdomen imaging (X-ray, CT, or MRI)$10,648
0.0%
852$12
72892558Hearing or speech test or therapy$10,626
0.0%
8,961$1
72983516Blood chemistry test (checking specific substances in your blood)$10,623
0.0%
3,006$4
73081295Genetic or molecular testing$10,611
0.0%
54$197
731J0295Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm$10,549
0.0%
4,538$2
732D0191Dental exam, X-ray, or screening$10,502
0.0%
1,590$7
733A7039Filter, non disposable, used with positive airway pressure device$10,473
0.0%
2,627$4
73495251Medical service or procedure$10,463
0.0%
397$26
73596523IV infusion or injection of medication$10,443
0.0%
1,279$8
73696111Developmental testing — detailed evaluation of a child's development$10,356
0.0%
108$96
73784425Blood chemistry test (checking specific substances in your blood)$10,346
0.0%
1,691$6
73884207Blood chemistry test (checking specific substances in your blood)$10,277
0.0%
887$12
73987430Microbiology test — checking for infections (bacteria, viruses, fungi)$10,235
0.0%
1,982$5
740L1970Ankle foot orthosis, plastic with ankle joint, custom fabricated$9,982
0.0%
16$624
74183992Blood chemistry test (checking specific substances in your blood)$9,918
0.0%
3,958$3
742J1200Injection, diphenhydramine hcl, up to 50 mg$9,889
0.0%
19,705$1
74390935Dialysis — single treatment to clean the blood when kidneys don't work$9,878
0.0%
343$29
74483001Blood chemistry test (checking specific substances in your blood)$9,802
0.0%
1,489$7
745A4409Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each$9,796
0.0%
129$76
746G0438Annual wellness visit — first time$9,793
0.0%
167$59
747D7111Extraction — pulling a baby tooth that's already loose$9,681
0.0%
279$35
74882043Blood chemistry test (checking specific substances in your blood)$9,650
0.0%
8,049$1
74992526Treatment for swallowing problems$9,486
0.0%
770$12
75084402Blood chemistry test (checking specific substances in your blood)$9,429
0.0%
1,170$8
751J2272Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg$9,353
0.0%
3,231$3
752B9002Enteral nutrition infusion pump, any type$9,338
0.0%
238$39
75399153Medical service or procedure$9,261
0.0%
2,221$4
75482803Blood chemistry test (checking specific substances in your blood)$9,255
0.0%
1,642$6
75596158Medical service or procedure$9,144
0.0%
389$24
756L2270Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad$9,059
0.0%
172$53
757A5500For 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$9,021
0.0%
217$42
75899395Wellness checkup — ages 18-39$9,008
0.0%
95$95
759V2410Variable asphericity lens, single vision, full field, glass or plastic, per lens$8,970
0.0%
410$22
76080339Drug or substance testing$8,960
0.0%
4,228$2
76180335Drug or substance testing$8,950
0.0%
4,177$2
76285652Blood cell or clotting test$8,889
0.0%
12,972$1
76392226Eye exam or vision test$8,884
0.0%
484$18
764J1030Injection, methylprednisolone acetate, 40 mg$8,794
0.0%
1,900$5
76582105Blood chemistry test (checking specific substances in your blood)$8,703
0.0%
1,217$7
76692020Eye exam or vision test$8,680
0.0%
892$10
767L2820Addition to lower extremity orthosis, soft interface for molded plastic, below knee section$8,507
0.0%
146$58
768D0602Dental exam, X-ray, or screening$8,476
0.0%
8,009$1
76983002Blood chemistry test (checking specific substances in your blood)$8,448
0.0%
1,301$6
77090901Biofeedback training$8,404
0.0%
453$19
77185007Blood cell or clotting test$8,364
0.0%
9,269$1
77290656Vaccine or immunization$8,316
0.0%
3,927$2
77393922Blood vessel ultrasound or study$8,301
0.0%
272$31
77420611Joint injection or draining with ultrasound guidance$8,281
0.0%
198$42
77593880Blood vessel ultrasound or study$8,241
0.0%
160$52
77611043Wound cleaning — removing dead tissue down to muscle$8,236
0.0%
62$133
777G3002Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation$8,176
0.0%
1,868$4
77890966End-stage kidney disease monthly care — for patients 20+, home dialysis$8,058
0.0%
249$32
779C1776Joint device (implantable)$8,051
0.0%
27$298
7803078FMedical service or procedure$7,996
0.0%
57,068$0
78154161Male reproductive system surgery$7,990
0.0%
17$470
782J7040IV fluid — normal saline with 5% dextrose (sugar water, 1000 ml)$7,966
0.0%
7,014$1
78381406Genetic or molecular testing$7,921
0.0%
100$79
78485055Blood cell or clotting test$7,839
0.0%
1,216$6
78580081Blood test panel (checking multiple things at once)$7,817
0.0%
161$49
78680369Drug or substance testing$7,799
0.0%
4,343$2
78784270Blood chemistry test (checking specific substances in your blood)$7,755
0.0%
1,157$7
78882950Glucose tolerance test — post glucose dose$7,742
0.0%
3,400$2
789Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml$7,722
0.0%
1,287$6
790V5261Hearing aid, digital, binaural, bte$7,700
0.0%
15$513
79180373Drug or substance testing$7,630
0.0%
4,417$2
79282274Blood chemistry test (checking specific substances in your blood)$7,488
0.0%
1,249$6
79399407Medical service or procedure$7,464
0.0%
1,161$6
794D9993Other dental service$7,461
0.0%
2,251$3
79564445Brain, spine, or nerve surgery$7,435
0.0%
28$266
796Q4081Injection, epoetin alfa, 100 units (for end-stage kidney disease on dialysis)$7,395
0.0%
186,300$0
79784100Phosphorus blood test$7,376
0.0%
15,441$0
79880368Drug or substance testing$7,367
0.0%
4,329$2
79980367Drug or substance testing$7,332
0.0%
3,790$2
80080366Drug or substance testing$7,329
0.0%
4,223$2
80192550Hearing or speech test or therapy$7,180
0.0%
434$17
80276820Ultrasound$7,175
0.0%
264$27
80399443Medical service or procedure$7,134
0.0%
603$12
80480306Drug or substance testing$7,117
0.0%
5,667$1
80586592Immune system or allergy test$7,077
0.0%
4,292$2
80690670Pneumonia vaccine (PCV13, protects against pneumonia)$7,061
0.0%
20,967$0
80780372Drug or substance testing$7,046
0.0%
3,915$2
80872050Spine imaging (X-ray, CT, or MRI)$7,005
0.0%
303$23
80970487Head and brain imaging (X-ray, CT, or MRI)$6,994
0.0%
71$99
81074022Abdomen imaging (X-ray, CT, or MRI)$6,973
0.0%
434$16
81182550Blood chemistry test (checking specific substances in your blood)$6,973
0.0%
4,144$2
81277427Radiation therapy for cancer$6,936
0.0%
78$89
81380371Drug or substance testing$6,913
0.0%
3,804$2
814K0738Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing$6,813
0.0%
575$12
815A4212Non-coring needle or stylet with or without catheter$6,801
0.0%
6,468$1
81680365Drug or substance testing$6,786
0.0%
4,832$1
81795180Allergy testing or treatment$6,774
0.0%
85$80
818G0153Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes$6,718
0.0%
350$19
81994799Breathing test or lung function test$6,603
0.0%
105$63
82080143Drug or substance testing$6,564
0.0%
1,397$5
821J2765Injection, metoclopramide hcl, up to 10 mg$6,476
0.0%
8,732$1
822D3120Root canal or dental pulp treatment$6,470
0.0%
849$8
823J7050IV fluid — normal saline (250 ml)$6,468
0.0%
9,832$1
82490846Family therapy session without the patient present$6,462
0.0%
82$79
825A7002Tubing, used with suction pump, each$6,447
0.0%
1,199$5
826Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory$6,442
0.0%
459$14
82795249Medical service or procedure$6,440
0.0%
502$13
82896411IV infusion or injection of medication$6,363
0.0%
512$12
82947001Liver surgery$6,292
0.0%
89$71
83087493Microbiology test — checking for infections (bacteria, viruses, fungi)$6,260
0.0%
442$14
831S0281Medical home program, comprehensive care coordination and planning, maintenance of plan$6,233
0.0%
392$16
83296160Medical service or procedure$6,188
0.0%
4,886$1
83399382Wellness checkup — new patient, ages 1-4$6,178
0.0%
135$46
83492588Hearing or speech test or therapy$6,154
0.0%
278$22
835J2060Injection, lorazepam, 2 mg$6,108
0.0%
12,034$1
83699439Medical service or procedure$6,093
0.0%
1,071$6
83786580TB skin test (tests for tuberculosis)$6,085
0.0%
1,803$3
838J2930Injection, methylprednisolone sodium succinate, up to 125 mg$6,025
0.0%
3,111$2
83987205Gram stain — quick test to identify type of bacteria$5,854
0.0%
6,916$1
84072197Spine imaging (X-ray, CT, or MRI)$5,797
0.0%
18$322
84180076Liver function blood test panel$5,742
0.0%
2,164$3
84286769Immune system or allergy test$5,696
0.0%
82$69
84387807Microbiology test — checking for infections (bacteria, viruses, fungi)$5,655
0.0%
902$6
84480179Drug or substance testing$5,618
0.0%
1,190$5
845G0108Diabetes self-management training for individuals$5,607
0.0%
664$8
84654150Male reproductive system surgery$5,592
0.0%
58$96
847D9210Other dental service$5,566
0.0%
891$6
848T4524Adult sized disposable incontinence product, brief/diaper, extra large, each$5,558
0.0%
37$150
84982140Blood chemistry test (checking specific substances in your blood)$5,546
0.0%
1,580$4
850D5213Partial upper denture — with resin base$5,490
0.0%
12$458
851A4221Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)$5,478
0.0%
432$13
85282533Blood chemistry test (checking specific substances in your blood)$5,476
0.0%
1,246$4
853J2323Injection, natalizumab, 1 mg$5,432
0.0%
25$217
85499385Wellness checkup — new patient, ages 18-39$5,427
0.0%
49$111
85599462Newborn baby care — subsequent days$5,339
0.0%
139$38
85671101Chest imaging (X-ray, CT, or MRI)$5,303
0.0%
331$16
857J70605% dextrose/water (500 ml = 1 unit)$5,283
0.0%
9,170$1
85897533Physical therapy, occupational therapy, or rehabilitation$5,248
0.0%
186$28
85983655Blood chemistry test (checking specific substances in your blood)$5,194
0.0%
735$7
860A5514For 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$5,193
0.0%
112$46
86173620Lower extremity imaging (hip, knee, leg, foot)$5,142
0.0%
485$11
862E0955Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each$5,131
0.0%
72$71
863G0515Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes$5,125
0.0%
191$27
86496156Medical service or procedure$5,091
0.0%
108$47
86573100Upper extremity imaging (shoulder, arm, hand)$5,081
0.0%
381$13
86664447Brain, spine, or nerve surgery$5,049
0.0%
218$23
867V2101Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens$5,045
0.0%
167$30
868J7512Prednisone, immediate release or delayed release, oral, 1 mg$5,029
0.0%
8,061$1
86999174Other medical service$4,998
0.0%
812$6
87072072Spine imaging (X-ray, CT, or MRI)$4,984
0.0%
320$16
87136573Artery and vein surgery$4,972
0.0%
69$72
87290707MMR vaccine (protects against measles, mumps, rubella)$4,946
0.0%
1,422$3
87396102Psychological testing — administered by a technician$4,942
0.0%
322$15
87486376Immune system or allergy test$4,922
0.0%
1,343$4
87592587Hearing or speech test or therapy$4,908
0.0%
344$14
87680069Kidney function blood test panel$4,844
0.0%
3,162$2
87787899Microbiology test — checking for infections (bacteria, viruses, fungi)$4,827
0.0%
1,137$4
87892585Hearing or speech test or therapy$4,819
0.0%
98$49
879E0600Respiratory suction pump, home model, portable or stationary, electric$4,778
0.0%
145$33
880D9610Other dental service$4,776
0.0%
324$15
88173552X-ray of the thigh (femur)$4,771
0.0%
414$12
882A4629Tracheostomy care kit for established tracheostomy$4,734
0.0%
66$72
883D0601Dental exam, X-ray, or screening$4,692
0.0%
4,104$1
88486706Immune system or allergy test$4,666
0.0%
2,291$2
88559425Pregnancy, delivery, and maternity care$4,656
0.0%
12$388
88681405Genetic or molecular testing$4,641
0.0%
54$86
887V2760Scratch resistant coating, per lens$4,639
0.0%
398$12
88890480Vaccine or immunization$4,638
0.0%
239$19
88984156Blood chemistry test (checking specific substances in your blood)$4,602
0.0%
5,065$1
89084550Blood chemistry test (checking specific substances in your blood)$4,579
0.0%
4,093$1
891K0823Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds$4,556
0.0%
30$152
892D4355Gum disease treatment (periodontics)$4,546
0.0%
188$24
893L3670Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf$4,458
0.0%
228$20
894J1630Injection, haloperidol, up to 5 mg$4,443
0.0%
5,243$1
89587811Microbiology test — checking for infections (bacteria, viruses, fungi)$4,431
0.0%
509$9
896D9951Other dental service$4,325
0.0%
1,063$4
897G0498Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies$4,317
0.0%
199$22
89886756Immune system or allergy test$4,315
0.0%
606$7
89990839Crisis therapy — emergency mental health treatment (first 60 minutes)$4,296
0.0%
49$88
90099358Medical service or procedure$4,295
0.0%
523$8
90186923Blood typing or transfusion medicine test$4,291
0.0%
767$6
90257454Colposcopy with biopsy of the cervix$4,290
0.0%
41$105
90387625Microbiology test — checking for infections (bacteria, viruses, fungi)$4,290
0.0%
283$15
904D9992Other dental service$4,284
0.0%
494$9
905L2275Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined$4,254
0.0%
30$142
906J3370Injection, vancomycin hcl, 500 mg$4,212
0.0%
1,996$2
90776825Ultrasound$4,176
0.0%
30$139
90897130Physical therapy, occupational therapy, or rehabilitation$4,133
0.0%
240$17
90987486Microbiology test — checking for infections (bacteria, viruses, fungi)$4,106
0.0%
449$9
91064483Nerve block injection — epidural for back pain$4,064
0.0%
42$97
91176813Ultrasound$4,046
0.0%
47$86
912J1644Injection, heparin sodium, per 1000 units$4,041
0.0%
10,370$0
91390688Vaccine or immunization$4,023
0.0%
857$5
91484252Blood chemistry test (checking specific substances in your blood)$4,012
0.0%
611$7
91587581Microbiology test — checking for infections (bacteria, viruses, fungi)$4,009
0.0%
449$9
91687420Microbiology test — checking for infections (bacteria, viruses, fungi)$3,992
0.0%
686$6
91790674Flu vaccine — standard injection$3,989
0.0%
770$5
91899442Medical service or procedure$3,964
0.0%
984$4
919T1999Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"$3,950
0.0%
293$13
92086800Immune system or allergy test$3,931
0.0%
1,021$4
92186704Immune system or allergy test$3,896
0.0%
1,156$3
922Q5004Hospice care provided in skilled nursing facility (skilled nursing facility)$3,873
0.0%
677$6
92399221Hospital admission — first day, simple to moderate problem$3,848
0.0%
53$73
92499396Wellness checkup — ages 40-64$3,844
0.0%
44$87
92592650Hearing or speech test or therapy$3,833
0.0%
410$9
9260072AMedical service or procedure$3,807
0.0%
172$22
92789060Other lab test$3,780
0.0%
1,093$3
928G0506Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)$3,755
0.0%
148$25
92982010Blood chemistry test (checking specific substances in your blood)$3,743
0.0%
1,354$3
930E0443Portable oxygen contents, gaseous, 1 month's supply = 1 unit$3,670
0.0%
453$8
93186364Immune system or allergy test$3,651
0.0%
1,220$3
93287641Microbiology test — checking for infections (bacteria, viruses, fungi)$3,645
0.0%
328$11
93329540Casting, splinting, or strapping for a broken bone or injury$3,635
0.0%
128$28
934Q0162Ondansetron 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$3,594
0.0%
6,241$1
93582330Blood chemistry test (checking specific substances in your blood)$3,590
0.0%
1,549$2
93673600X-ray of the ankle$3,574
0.0%
243$15
93772070X-ray of the spine (thoracic/middle back)$3,574
0.0%
239$15
93886160Immune system or allergy test$3,574
0.0%
1,518$2
93988142Cell examination under a microscope$3,572
0.0%
360$10
940A9575Injection, gadoterate meglumine, 0.1 ml$3,566
0.0%
214$17
94183993Blood chemistry test (checking specific substances in your blood)$3,561
0.0%
335$11
942S4993Contraceptive pills for birth control$3,510
0.0%
396$9
9430071AMedical service or procedure$3,500
0.0%
163$21
944J1040Injection, methylprednisolone acetate, 80 mg$3,490
0.0%
400$9
94595806Brain wave test (EEG) or nerve test$3,453
0.0%
38$91
94699384Wellness checkup — new patient, ages 12-17$3,436
0.0%
269$13
947J0604Cinacalcet, oral, 1 mg, (for end-stage kidney disease on dialysis)$3,433
0.0%
1,066$3
948Z7502Health information coding$3,417
0.0%
90$38
94983525Blood chemistry test (checking specific substances in your blood)$3,408
0.0%
791$4
95000812Anesthesia for a medical procedure$3,392
0.0%
41$83
95199487Complex chronic care management — for patients with very complicated health needs$3,382
0.0%
288$12
952J1642Injection, heparin sodium, (heparin lock flush), per 10 units$3,374
0.0%
11,896$0
953G0101Cervical or vaginal cancer screening — pelvic and breast exam$3,341
0.0%
113$30
954L3260Surgical boot/shoe, each$3,337
0.0%
323$10
95576140Diagnostic ultrasound or fluoroscopy$3,336
0.0%
70$48
956E0730Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation$3,334
0.0%
698$5
95783615Blood chemistry test (checking specific substances in your blood)$3,325
0.0%
2,231$1
958A9577Injection, gadobenate dimeglumine (multihance), per ml$3,322
0.0%
173$19
95980164Drug or substance testing$3,321
0.0%
1,047$3
96086200Immune system or allergy test$3,298
0.0%
753$4
96184480Blood chemistry test (checking specific substances in your blood)$3,297
0.0%
1,121$3
96277295Radiation therapy for cancer$3,288
0.0%
12$274
96387640Microbiology test — checking for infections (bacteria, viruses, fungi)$3,281
0.0%
437$8
96499218Medical service or procedure$3,261
0.0%
73$45
965J3475Injection, magnesium sulfate, per 500 mg$3,248
0.0%
4,594$1
96682378Blood chemistry test (checking specific substances in your blood)$3,234
0.0%
652$5
96776885Ultrasound$3,185
0.0%
26$123
96884112Blood chemistry test (checking specific substances in your blood)$3,162
0.0%
424$7
969V2799Vision item or service, miscellaneous$3,133
0.0%
55$57
97081403Genetic or molecular testing$3,111
0.0%
54$58
97180055Blood test panel (checking multiple things at once)$3,101
0.0%
107$29
97285018Blood cell or clotting test$3,068
0.0%
27,062$0
97398927Osteopathic treatment (hands-on manipulation)$3,058
0.0%
74$41
97488341Tissue examination under a microscope (surgical pathology)$3,003
0.0%
420$7
97577280Radiation therapy for cancer$2,980
0.0%
49$61
97611045Wound cleaning — removing dead or damaged tissue$2,968
0.0%
263$11
97772157MRI of the lower spine (with and without contrast)$2,967
0.0%
31$96
97800840Anesthesia for a medical procedure$2,934
0.0%
12$244
979J0360Injection, hydralazine hcl, up to 20 mg$2,909
0.0%
1,580$2
98082951Blood chemistry test (checking specific substances in your blood)$2,903
0.0%
409$7
98164493Brain, spine, or nerve surgery$2,901
0.0%
31$94
98286141Immune system or allergy test$2,887
0.0%
793$4
98378264Nuclear medicine imaging (using small amounts of radioactive material)$2,860
0.0%
12$238
98499344Home visit — serious, comprehensive problem$2,821
0.0%
63$45
98584134Blood chemistry test (checking specific substances in your blood)$2,815
0.0%
772$4
986A5513For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch$2,798
0.0%
74$38
98798966Medical service or procedure$2,795
0.0%
902$3
98883520Blood chemistry test (checking specific substances in your blood)$2,783
0.0%
687$4
989J2250Injection of midazolam (sedation medicine for procedures)$2,715
0.0%
32,518$0
99086431Immune system or allergy test$2,690
0.0%
1,847$1
99151741Bladder surgery$2,687
0.0%
488$6
99282731Blood chemistry test (checking specific substances in your blood)$2,678
0.0%
163$16
9930250Anesthesia for a medical procedure$2,661
0.0%
847$3
99487210Wet mount — checking a sample under a microscope$2,650
0.0%
1,851$1
995J3420Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg$2,636
0.0%
2,122$1
996D3330Root canal — molar tooth$2,624
0.0%
19$138
997A4605Tracheal suction catheter, closed system, each$2,621
0.0%
13$202
99899489Complex chronic care management — additional 30 minutes$2,613
0.0%
213$12
999J0561Injection, penicillin g benzathine, 100,000 units$2,605
0.0%
132$20
1000G0008Administration of influenza virus vaccine$2,569
0.0%
5,313$0
100187561Microbiology test — checking for infections (bacteria, viruses, fungi)$2,513
0.0%
138$18
100282024Blood chemistry test (checking specific substances in your blood)$2,454
0.0%
104$24
100390636Vaccine or immunization$2,433
0.0%
35$70
1004A9585Injection, gadobutrol, 0.1 ml$2,385
0.0%
124$19
100511721Nail surgery or treatment$2,383
0.0%
621$4
100673060X-ray of the upper arm (humerus)$2,374
0.0%
256$9
1007J1756Injection, iron sucrose, 1 mg$2,358
0.0%
60,568$0
100864635Brain, spine, or nerve surgery$2,354
0.0%
16$147
10090012AMedical service or procedure$2,343
0.0%
676$3
101073501Lower extremity imaging (hip, knee, leg, foot)$2,314
0.0%
224$10
101182565Creatinine blood test (checks how well your kidneys are working)$2,303
0.0%
5,384$0
101280197Drug or substance testing$2,278
0.0%
508$4
101311102Skin biopsy — taking a small sample of skin to test for disease$2,256
0.0%
129$17
101496368IV infusion or injection of medication$2,230
0.0%
748$3
101597151Physical therapy, occupational therapy, or rehabilitation$2,228
0.0%
139$16
101684466Blood chemistry test (checking specific substances in your blood)$2,227
0.0%
1,231$2
101787808Microbiology test — checking for infections (bacteria, viruses, fungi)$2,221
0.0%
439$5
101886225Immune system or allergy test$2,196
0.0%
524$4
101987045Microbiology test — checking for infections (bacteria, viruses, fungi)$2,182
0.0%
623$4
1020D9991Other dental service$2,173
0.0%
415$5
102199307Nursing facility visit — minor problem$2,161
0.0%
258$8
102292225Eye exam or vision test$2,153
0.0%
98$22
102392610Swallowing evaluation$2,145
0.0%
114$19
1024A4606Oxygen probe for use with oximeter device, replacement$2,145
0.0%
609$4
102590734Meningitis vaccine$2,117
0.0%
2,629$1
102697167Occupational therapy evaluation — complex problem$2,105
0.0%
46$46
102782977Blood chemistry test (checking specific substances in your blood)$2,102
0.0%
1,275$2
102812013Wound repair — stitching a cut or laceration (simple or layered)$2,095
0.0%
58$36
102984630Blood chemistry test (checking specific substances in your blood)$2,094
0.0%
596$4
103087075Microbiology test — checking for infections (bacteria, viruses, fungi)$2,023
0.0%
818$2
103136592Artery and vein surgery$2,011
0.0%
110$18
1032A7003Administration set, with small volume nonfiltered pneumatic nebulizer, disposable$1,987
0.0%
1,360$1
103382248Blood chemistry test (checking specific substances in your blood)$1,959
0.0%
1,252$2
1034J1270Injection, doxercalciferol, 1 mcg$1,957
0.0%
104,408$0
103574181Abdomen imaging (X-ray, CT, or MRI)$1,944
0.0%
13$150
103683861Blood chemistry test (checking specific substances in your blood)$1,943
0.0%
242$8
10370011AMedical service or procedure$1,927
0.0%
811$2
103887806Microbiology test — checking for infections (bacteria, viruses, fungi)$1,874
0.0%
152$12
103985014Blood cell or clotting test$1,870
0.0%
3,184$1
1040E0776Iv pole$1,839
0.0%
195$9
1041J1750Injection, iron dextran, 50 mg$1,822
0.0%
12$152
104280299Drug or substance testing$1,821
0.0%
980$2
104393298Pacemaker or defibrillator check$1,784
0.0%
110$16
1044D9212Other dental service$1,742
0.0%
172$10
104585046Blood cell or clotting test$1,741
0.0%
1,734$1
104673070X-ray of the elbow$1,717
0.0%
177$10
104797012Physical therapy, occupational therapy, or rehabilitation$1,715
0.0%
205$8
1048G2058Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional$1,715
0.0%
224$8
104996159Medical service or procedure$1,705
0.0%
208$8
105084305Blood chemistry test (checking specific substances in your blood)$1,694
0.0%
166$10
105192504Hearing or speech test or therapy$1,694
0.0%
121$14
105210061Drainage of an abscess (complicated)$1,693
0.0%
12$141
1053D9994Other dental service$1,691
0.0%
390$4
1054J1940Injection, furosemide, up to 20 mg$1,685
0.0%
1,489$1
105592081Eye exam or vision test$1,675
0.0%
119$14
1056D9110Emergency dental treatment — palliative (pain relief)$1,660
0.0%
51$33
105762369Brain, spine, or nerve surgery$1,634
0.0%
194$8
105872146Spine imaging (X-ray, CT, or MRI)$1,623
0.0%
13$125
105976981Ultrasound$1,621
0.0%
15$108
106000813Anesthesia for a medical procedure$1,587
0.0%
13$122
106173521Lower extremity imaging (hip, knee, leg, foot)$1,581
0.0%
66$24
106282652Blood chemistry test (checking specific substances in your blood)$1,504
0.0%
46$33
106393246Heart rhythm monitoring (Holter monitor or event recorder)$1,497
0.0%
167$9
1064J2550Injection of promethazine (anti-nausea medicine)$1,489
0.0%
953$2
1065A4425Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each$1,486
0.0%
28$53
1066J3480Injection, potassium chloride, per 2 meq$1,469
0.0%
1,698$1
1067D1517Dental preventive care (cleaning, fluoride, sealant)$1,464
0.0%
13$113
106817110Destruction of warts or skin bumps (up to 14)$1,457
0.0%
41$36
106964494Brain, spine, or nerve surgery$1,427
0.0%
28$51
107099316Medical service or procedure$1,417
0.0%
77$18
1071J2795Injection of ropivacaine (numbing medicine for nerve blocks)$1,354
0.0%
677$2
107229515Casting, splinting, or strapping for a broken bone or injury$1,341
0.0%
53$25
107394690Breathing test or lung function test$1,335
0.0%
50$27
107499441Medical service or procedure$1,333
0.0%
1,618$1
107588312Tissue examination under a microscope (surgical pathology)$1,319
0.0%
328$4
1076J3360Injection, diazepam, up to 5 mg$1,313
0.0%
328$4
107785651Blood cell or clotting test$1,290
0.0%
1,431$1
107895250Medical service or procedure$1,287
0.0%
13$99
107999242Office consultation — simple problem$1,277
0.0%
15$85
108088141Cell examination under a microscope$1,272
0.0%
167$8
108164636Brain, spine, or nerve surgery$1,261
0.0%
16$79
108292341Eye exam or vision test$1,254
0.0%
41$31
108395811Brain wave test (EEG) or nerve test$1,253
0.0%
14$89
108488300Tissue examination under a microscope (surgical pathology)$1,238
0.0%
768$2
108599000Special medical service$1,211
0.0%
3,559$0
1086A7507Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each$1,205
0.0%
19$63
108795718Brain wave test (EEG) or nerve test$1,184
0.0%
14$85
1088G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present)$1,173
0.0%
212$6
108999058Special medical service$1,142
0.0%
62$18
1090V5010Assessment for hearing aid$1,136
0.0%
30$38
109129105Casting, splinting, or strapping for a broken bone or injury$1,124
0.0%
16$70
109284165Blood chemistry test (checking specific substances in your blood)$1,117
0.0%
578$2
109387046Microbiology test — checking for infections (bacteria, viruses, fungi)$1,097
0.0%
341$3
1094J8540Dexamethasone, oral, 0.25 mg$1,094
0.0%
746$1
109562370Brain, spine, or nerve surgery$1,092
0.0%
63$17
109682247Bilirubin blood test (checks liver function)$1,089
0.0%
480$2
1097J1953Injection, levetiracetam, 10 mg$1,077
0.0%
291$4
109899156Medical service or procedure$1,072
0.0%
154$7
109977073Breast imaging (mammogram or MRI)$1,068
0.0%
42$25
110092065Eye exam or vision test$1,039
0.0%
31$34
1101A7015Aerosol mask, used with medical equipment nebulizer$1,037
0.0%
1,191$1
110291322Medical service or procedure$1,035
0.0%
85$12
110390744Hepatitis B vaccine (child dose)$1,022
0.0%
5,365$0
1104J2274Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg$1,019
0.0%
746$1
110599195Other medical service$1,004
0.0%
16$63
110692002Eye exam or vision test$1,002
0.0%
25$40
1107D7510Drainage of an abscess in the mouth (intraoral)$984
0.0%
13$76
110893308Heart ultrasound (echocardiogram)$981
0.0%
13$75
110999219Medical service or procedure$968
0.0%
14$69
1110J8499Prescription drug, oral, non chemotherapeutic, nos$964
0.0%
1,677$1
11110124AMedical service or procedure$963
0.0%
28$34
1112J2175Injection, meperidine hydrochloride, per 100 mg$960
0.0%
1,589$1
1113Q0111Wet mounts, including preparations of vaginal, cervical or skin specimens$956
0.0%
1,977$0
111486341Immune system or allergy test$953
0.0%
94$10
111598929Osteopathic treatment (hands-on manipulation)$938
0.0%
14$67
111699328Medical service or procedure$929
0.0%
14$66
1117A7036Chinstrap used with positive airway pressure device$920
0.0%
122$8
1118J3486Injection, ziprasidone mesylate, 10 mg$905
0.0%
142$6
111982785Blood chemistry test (checking specific substances in your blood)$904
0.0%
190$5
112099157Medical service or procedure$901
0.0%
93$10
112189051Other lab test$895
0.0%
700$1
112287147Microbiology test — checking for infections (bacteria, viruses, fungi)$894
0.0%
391$2
112384681Blood chemistry test (checking specific substances in your blood)$878
0.0%
128$7
112486304Immune system or allergy test$869
0.0%
91$10
1125J0171Injection, adrenalin, epinephrine, 0.1 mg$856
0.0%
1,873$0
112693018Heart monitoring test (ECG/EKG)$842
0.0%
122$7
112799417Medical service or procedure$840
0.0%
61$14
112894761Breathing test or lung function test$839
0.0%
383$2
112936907Artery and vein surgery$823
0.0%
27$30
1130D0470Dental exam, X-ray, or screening$820
0.0%
48$17
113192524Behavioral and qualitative analysis of voice and speech$818
0.0%
12$68
113299459Medical service or procedure$810
0.0%
74$11
113310005Fine needle biopsy — taking a tiny sample with a needle$803
0.0%
13$62
113490620Vaccine or immunization$795
0.0%
220$4
113599345Home visit — unstable or life-threatening condition$794
0.0%
12$66
1136J71215% dextrose in lactated ringers infusion, up to 1000 cc$792
0.0%
241$3
1137G0317Prolonged 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...$785
0.0%
154$5
113854450Male reproductive system surgery$782
0.0%
14$56
113993016Heart monitoring test (ECG/EKG)$760
0.0%
76$10
114090698Vaccine or immunization$729
0.0%
10,426$0
114197156Physical therapy, occupational therapy, or rehabilitation$728
0.0%
18$40
1142J1790Injection, droperidol, up to 5 mg$722
0.0%
142$5
1143C1769Guide wire$718
0.0%
3,431$0
114499498Medical service or procedure$716
0.0%
75$10
1145J9190Injection, fluorouracil, 500 mg$693
0.0%
247$3
1146J0330Injection, succinylcholine chloride, up to 20 mg$681
0.0%
3,268$0
11470082AMedical service or procedure$680
0.0%
19$36
114874220Abdomen imaging (X-ray, CT, or MRI)$667
0.0%
15$44
11490051AMedical service or procedure$663
0.0%
17$39
1150C1729Catheter, drainage$660
0.0%
1,044$1
115187801Microbiology test — checking for infections (bacteria, viruses, fungi)$646
0.0%
33$20
1152G0442Annual alcohol misuse screening, 5 to 15 minutes$640
0.0%
99$6
115384030Blood chemistry test (checking specific substances in your blood)$640
0.0%
307$2
115482947Blood sugar (glucose) test$639
0.0%
682$1
115596146Medical service or procedure$636
0.0%
850$1
115693975Blood vessel ultrasound or study$631
0.0%
13$49
115764400Brain, spine, or nerve surgery$629
0.0%
16$39
1158H0010Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient)$625
0.0%
302$2
11593075FMedical service or procedure$625
0.0%
785$1
116069209Ear surgery$614
0.0%
77$8
11610031AMedical service or procedure$613
0.0%
101$6
116286258Immune system or allergy test$601
0.0%
253$2
116381000Urinalysis (urine test)$600
0.0%
815$1
116496103Psychological testing — done by computer$599
0.0%
292$2
116559051Pregnancy, delivery, and maternity care$566
0.0%
31$18
116684460ALT blood test (checks for liver damage)$563
0.0%
2,602$0
11670081AMedical service or procedure$560
0.0%
15$37
116864490Brain, spine, or nerve surgery$558
0.0%
16$35
116970360Head and brain imaging (X-ray, CT, or MRI)$556
0.0%
44$13
1170A7520Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each$554
0.0%
14$40
117199418Medical service or procedure$553
0.0%
16$35
117297605Physical therapy, occupational therapy, or rehabilitation$552
0.0%
49$11
117395885Brain wave test (EEG) or nerve test$552
0.0%
12$46
117488112Cytopathology — examining cells under a microscope$549
0.0%
67$8
117582952Blood chemistry test (checking specific substances in your blood)$546
0.0%
305$2
117677077Breast imaging (mammogram or MRI)$536
0.0%
18$30
1177V2755U-v lens, per lens$536
0.0%
283$2
1178D9995Other dental service$530
0.0%
81$7
1179G0511Rural health clinic or federally qualified health center (rhc or community health center) only, general care management$523
0.0%
3,403$0
118084520Blood chemistry test (checking specific substances in your blood)$514
0.0%
17,948$0
118136416Finger or heel stick for blood collection$511
0.0%
390$1
1182C9113Injection, pantoprazole sodium, per vial$496
0.0%
409$1
118377470Radiation therapy for cancer$492
0.0%
14$35
118487328Microbiology test — checking for infections (bacteria, viruses, fungi)$488
0.0%
109$4
118587631Microbiology test — checking for infections (bacteria, viruses, fungi)$477
0.0%
1,789$0
11863079FMedical service or procedure$475
0.0%
6,942$0
118796381IV infusion or injection of medication$475
0.0%
47$10
118885041Blood cell or clotting test$462
0.0%
12,785$0
1189J2919Injection, methylprednisolone sodium succinate, 5 mg$461
0.0%
165$3
119093356Medical service or procedure$460
0.0%
116$4
119192562Hearing or speech test or therapy$454
0.0%
13$35
1192J3411Injection, thiamine hcl, 100 mg$447
0.0%
215$2
1193A9541Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries$433
0.0%
29$15
119499368Medical service or procedure$426
0.0%
12$35
119586147Immune system or allergy test$420
0.0%
24$17
11960121AMedical service or procedure$413
0.0%
12$34
1197S0020Injection, bupivicaine hydrochloride, 30 ml$412
0.0%
524$1
1198G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care$411
0.0%
347$1
1199J1815Injection, insulin, per 5 units$403
0.0%
1,223$0
120092283Eye exam or vision test$400
0.0%
45$9
1201A4550Surgical trays$400
0.0%
120$3
120264415Brain, spine, or nerve surgery$400
0.0%
14$29
120351702Inserting a bladder catheter (complex)$399
0.0%
50$8
1204J2310Injection, naloxone hydrochloride, per 1 mg$397
0.0%
48$8
1205G2211Visit 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...$395
0.0%
1,248$0
1206J2001Injection of lidocaine (numbing medicine)$394
0.0%
4,379$0
1207J9370Vincristine sulfate, 1 mg$388
0.0%
122$3
120873660Lower extremity imaging (hip, knee, leg, foot)$386
0.0%
26$15
120929505Casting, splinting, or strapping for a broken bone or injury$381
0.0%
17$22
121087329Microbiology test — checking for infections (bacteria, viruses, fungi)$378
0.0%
96$4
121192025Eye exam or vision test$369
0.0%
36$10
121299342Home visit — moderate problem$361
0.0%
65$6
121384450AST blood test (checks for liver damage)$354
0.0%
261$1
1214C1887Catheter, guiding (may include infusion/perfusion capability)$328
0.0%
728$0
1215J1920Injection, labetalol hydrochloride, 5 mg$321
0.0%
370$1
121686308Immune system or allergy test$315
0.0%
122$3
121790633Hepatitis A vaccine (child dose)$314
0.0%
6,791$0
1218A6402Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing$313
0.0%
1,388$0
121985384Blood cell or clotting test$313
0.0%
117$3
122064492Brain, spine, or nerve surgery$310
0.0%
16$19
1221U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc$308
0.0%
4,749$0
122264491Brain, spine, or nerve surgery$306
0.0%
16$19
1223J1171Injection, hydromorphone, 0.1 mg$305
0.0%
482$1
122420552Musculoskeletal surgery (bones, joints, muscles)$302
0.0%
12$25
1225G2023Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source$298
0.0%
209$1
122696150Medical service or procedure$296
0.0%
103$3
122782150Blood chemistry test (checking specific substances in your blood)$296
0.0%
158$2
122883014Blood chemistry test (checking specific substances in your blood)$285
0.0%
71$4
122980177Drug or substance testing$283
0.0%
87$3
123076514Ultrasound$276
0.0%
25$11
123182107Blood chemistry test (checking specific substances in your blood)$267
0.0%
27$10
123270355Head and brain imaging (X-ray, CT, or MRI)$262
0.0%
72$4
123393294Pacemaker or defibrillator check$259
0.0%
12$22
123488313Tissue examination under a microscope (surgical pathology)$255
0.0%
20$13
123588302Tissue examination under a microscope (surgical pathology)$254
0.0%
327$1
123683883Blood chemistry test (checking specific substances in your blood)$254
0.0%
72$4
123790680Vaccine or immunization$252
0.0%
9,726$0
123883521Blood chemistry test (checking specific substances in your blood)$250
0.0%
143$2
123980362Drug or substance testing$246
0.0%
54$5
124073000Upper extremity imaging (shoulder, arm, hand)$246
0.0%
18$14
124183986Blood chemistry test (checking specific substances in your blood)$240
0.0%
472$1
1242G0379Hospital observation — being watched and monitored using direct admission$235
0.0%
430$1
124380375Drug or substance testing$232
0.0%
382$1
124498960Medical service or procedure$230
0.0%
12$19
1245J2370Injection, phenylephrine hcl, up to 1 ml$225
0.0%
1,690$0
124680349Drug or substance testing$220
0.0%
201$1
1247J0137Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg$217
0.0%
122$2
124890710MMRV vaccine (measles, mumps, rubella, and chickenpox)$216
0.0%
3,726$0
1249A4628Oral and/or oropharyngeal suction catheter, each$206
0.0%
18$11
125086665Immune system or allergy test$205
0.0%
26$8
125194618Breathing test or lung function test$204
0.0%
14$15
125290621Vaccine or immunization$203
0.0%
78$3
125387102Microbiology test — checking for infections (bacteria, viruses, fungi)$201
0.0%
109$2
1254D0273Dental exam, X-ray, or screening$197
0.0%
42$5
125582627Blood chemistry test (checking specific substances in your blood)$196
0.0%
26$8
125699315Medical service or procedure$195
0.0%
14$14
125794664Breathing test or lung function test$185
0.0%
65$3
1258V2104Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens$180
0.0%
692$0
125986039Immune system or allergy test$175
0.0%
59$3
126084155Blood chemistry test (checking specific substances in your blood)$175
0.0%
5,894$0
1261J0665Injection, bupivicaine, not otherwise specified, 0.5 mg$171
0.0%
2,326$0
126286162Immune system or allergy test$163
0.0%
12$14
126380324Drug or substance testing$162
0.0%
121$1
12640013AMedical service or procedure$162
0.0%
66$2
126588360Tissue examination under a microscope (surgical pathology)$159
0.0%
25$6
126685347Blood cell or clotting test$156
0.0%
136$1
126788720Special lab analysis$155
0.0%
68$2
126886593Immune system or allergy test$146
0.0%
68$2
1269U0001Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel$144
0.0%
172$1
1270G0475Hiv antigen/antibody, combination assay, screening$144
0.0%
294$0
127182272Blood chemistry test (checking specific substances in your blood)$143
0.0%
158$1
127283021Blood chemistry test (checking specific substances in your blood)$142
0.0%
15$9
127398967Medical service or procedure$139
0.0%
48$3
127484144Blood chemistry test (checking specific substances in your blood)$137
0.0%
14$10
12750042TMedical service or procedure$135
0.0%
119$1
127685520Blood cell or clotting test$134
0.0%
61$2
1277J2470Injection, pantoprazole sodium, 40 mg$129
0.0%
90$1
127887338Microbiology test — checking for infections (bacteria, viruses, fungi)$128
0.0%
13$10
1279J0131Injection, acetaminophen, not otherwise specified,10 mg$127
0.0%
297$0
128099499Medical service or procedure$127
0.0%
1,736$0
12813077FMedical service or procedure$125
0.0%
442$0
128273120Upper extremity imaging (shoulder, arm, hand)$125
0.0%
16$8
1283P9016Red blood cells, leukocytes reduced, each unit$124
0.0%
1,252$0
128499408Medical service or procedure$123
0.0%
69$2
1285C1781Mesh (implantable)$120
0.0%
277$0
128680338Drug or substance testing$117
0.0%
350$0
128786787Immune system or allergy test$115
0.0%
32$4
1288J0640Injection, leucovorin calcium, per 50 mg$111
0.0%
56$2
128920550Musculoskeletal surgery (bones, joints, muscles)$103
0.0%
15$7
129090662Vaccine or immunization$102
0.0%
1,437$0
12910503FMedical service or procedure$100
0.0%
80$1
129293280Pacemaker or defibrillator check$100
0.0%
12$8
129398977Medical service or procedure$93
0.0%
14$7
1294V5008Hearing screening$90
0.0%
13$7
129599491Chronic care management — complex, requiring 30+ minutes per month$84
0.0%
15$6
1296G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes$84
0.0%
63,969$0
1297A7525Tracheostomy mask, each$82
0.0%
55$1
1298G0499Hepatitis 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)$77
0.0%
1,782$0
129987076Microbiology test — checking for infections (bacteria, viruses, fungi)$77
0.0%
61$1
130090661Vaccine or immunization$74
0.0%
50$1
1301A7012Water collection device, used with large volume nebulizer$74
0.0%
14$5
130288363Tissue examination under a microscope (surgical pathology)$68
0.0%
12$6
130385049Blood cell or clotting test$68
0.0%
68$1
1304J7510Prednisolone oral, per 5 mg$66
0.0%
32$2
130582103Blood chemistry test (checking specific substances in your blood)$64
0.0%
13$5
130687541Microbiology test — checking for infections (bacteria, viruses, fungi)$63
0.0%
56$1
130798980Medical service or procedure$60
0.0%
58$1
1308A4253Blood glucose test strips (for checking blood sugar at home)$60
0.0%
395$0
1309J2800Injection, methocarbamol, up to 10 ml$59
0.0%
25$2
131090648Haemophilus influenzae type b (Hib) vaccine (4-dose)$57
0.0%
2,722$0
131180178Drug or substance testing$56
0.0%
26$2
131290723DTaP-HepB-IPV combination vaccine$55
0.0%
2,955$0
131399348Home visit follow-up — moderate problem$55
0.0%
28$2
131484132Potassium blood test$50
0.0%
191$0
13150500FMedical service or procedure$50
0.0%
531$0
131684478Blood chemistry test (checking specific substances in your blood)$46
0.0%
55$1
131784436Blood chemistry test (checking specific substances in your blood)$42
0.0%
26$2
131886015Immune system or allergy test$40
0.0%
12$3
131990630Vaccine or immunization$40
0.0%
23$2
132082044Blood chemistry test (checking specific substances in your blood)$38
0.0%
17$2
132183519Blood chemistry test (checking specific substances in your blood)$37
0.0%
17$2
132283695Blood chemistry test (checking specific substances in your blood)$35
0.0%
14$3
132372020Spine imaging (X-ray, CT, or MRI)$33
0.0%
149$0
1324A4338Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each$33
0.0%
381$0
1325G0009Administration of pneumococcal vaccine$32
0.0%
395$0
132682009Blood chemistry test (checking specific substances in your blood)$31
0.0%
13$2
1327A9576Injection, gadoteridol, (prohance multipack), per ml$30
0.0%
747$0
132880051Blood test panel (checking multiple things at once)$29
0.0%
2,660$0
1329Q0163Diphenhydramine 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...$28
0.0%
899$0
133084300Blood chemistry test (checking specific substances in your blood)$27
0.0%
31$1
133184160Blood chemistry test (checking specific substances in your blood)$25
0.0%
75$0
133281015Urinalysis (urine test)$24
0.0%
12$2
133380047Blood test panel (checking multiple things at once)$24
0.0%
55$0
133489055Other lab test$23
0.0%
13$2
133590700Vaccine or immunization$23
0.0%
1,205$0
1336J2543Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)$22
0.0%
13$2
1337Q9969Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose$21
0.0%
38$1
133890713Polio vaccine$18
0.0%
223$0
133982310Blood chemistry test (checking specific substances in your blood)$18
0.0%
5,294$0
134082108Blood chemistry test (checking specific substances in your blood)$17
0.0%
1,655$0
1341J2710Injection, neostigmine methylsulfate, up to 0.5 mg$17
0.0%
382$0
1342J9263Injection, oxaliplatin, 0.5 mg$16
0.0%
72$0
134381050Urinalysis (urine test)$16
0.0%
14$1
134480321Drug or substance testing$16
0.0%
38$0
1345G8420Bmi is documented within normal parameters and no follow-up plan is required$16
0.0%
16,870$0
134683721Blood chemistry test (checking specific substances in your blood)$16
0.0%
26$1
13470270Anesthesia for a medical procedure$16
0.0%
22$1
1348A9270Non-covered item or service$14
0.0%
148,539$0
134980329Drug or substance testing$14
0.0%
811$0
1350J1596Injection, glycopyrrolate, 0.1 mg$13
0.0%
178$0
135188311Tissue examination under a microscope (surgical pathology)$13
0.0%
48$0
1352G0103Prostate cancer screening; prostate specific antigen test (psa)$12
0.0%
151$0
1353J0574Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine$11
0.0%
14$1
1354A4649Surgical supply; miscellaneous$10
0.0%
25$0
135599454Medical service or procedure$9
0.0%
34$0
135687015Microbiology test — checking for infections (bacteria, viruses, fungi)$9
0.0%
13$1
1357S0191Misoprostol, oral, 200 mcg$9
0.0%
29$0
135899457Medical service or procedure$9
0.0%
145$0
1359J2003Injection, lidocaine hydrochloride, 1 mg$8
0.0%
308$0
1360J1836Injection, metronidazole, 10 mg$8
0.0%
74$0
1361J1580Injection, garamycin, gentamicin, up to 80 mg$8
0.0%
51$0
1362A7013Filter, disposable, used with aerosol compressor or ultrasonic generator$7
0.0%
48$0
1363J0401Injection, aripiprazole (abilify maintena), 1 mg$7
0.0%
466$0
1364A6403Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing$4
0.0%
56$0
1365A6454Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard$4
0.0%
350$0
136684075Blood chemistry test (checking specific substances in your blood)$4
0.0%
2,532$0
136790696DTaP-IPV vaccine (protects against diphtheria, tetanus, whooping cough, and polio)$3
0.0%
1,302$0
136891300Medical service or procedure$3
0.0%
3,189$0
136985048Blood cell or clotting test$3
0.0%
12,640$0
1370Q0177Hydroxyzine 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$3
0.0%
179$0
1371V2750Anti-reflective coating, per lens$2
0.0%
465$0
1372A9900Miscellaneous medical equipment supply, accessory, and/or service component of another procedure code code$2
0.0%
16$0
1373A4615Cannula, nasal$2
0.0%
15$0
137499053Special medical service$2
0.0%
4,098$0
137590685Vaccine or immunization$1
0.0%
2,279$0
1376J2371Injection, phenylephrine hydrochloride, 20 micrograms$1
0.0%
548$0
137791307Medical service or procedure$0
0.0%
375$0
137891308Medical service or procedure$0
0.0%
66$0
137991301Medical service or procedure$0
0.0%
348$0
1380J2426Injection, paliperidone palmitate extended release (invega sustenna), 1 mg$0
0.0%
835$0
1381A6216Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing$0
0.0%
664$0
138291305Medical service or procedure$0
0.0%
90$0
138390671Vaccine or immunization$0
0.0%
29$0
138490697Vaccine or immunization$0
0.0%
1,550$0
138591303Medical service or procedure$0
0.0%
17$0
138690619Vaccine or immunization$0
0.0%
36$0
138791321Medical service or procedure$0
0.0%
42$0
13883066FMedical service or procedure$0
0.0%
17$0
138990647Haemophilus influenzae type b (Hib) vaccine$0
0.0%
1,702$0
1390Q0244Injection, casirivimab and imdevimab, 1200 mg$0
0.0%
13$0
13914010FMedical service or procedure$0
0.0%
33$0
139290682Vaccine or immunization$0
0.0%
88$0
139311100Skin biopsy — taking a small sample to test for disease$0
0.0%
40$0
139490694Vaccine or immunization$0
0.0%
41$0
139590863Mental health service$0
0.0%
509$0
13965010FMedical service or procedure$0
0.0%
13$0
139701922Anesthesia for a medical procedure$0
0.0%
26$0
13980064AMedical service or procedure$0
0.0%
334$0
13991123FMedical service or procedure$0
0.0%
223$0
140091306Medical service or procedure$0
0.0%
144$0
14014293FMedical service or procedure$0
0.0%
159$0
14021125FMedical service or procedure$0
0.0%
253$0
140399458Medical service or procedure$0
0.0%
73$0
14041126FMedical service or procedure$0
0.0%
17$0
1405A4220Refill kit for implantable infusion pump$0
0.0%
48$0
14061159FMedical service or procedure$0
0.0%
32,557$0
14071160FMedical service or procedure$0
0.0%
42,815$0
14081170FMedical service or procedure$0
0.0%
42$0
140991312Medical service or procedure$0
0.0%
43$0
141091319Medical service or procedure$0
0.0%
20$0
1411A4314Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)$0
0.0%
34$0
14121220FMedical service or procedure$0
0.0%
104$0
141317000Destruction of a precancerous skin growth (first growth)$0
0.0%
41$0
141417003Destruction of additional precancerous skin growths$0
0.0%
14$0
1415A4450Tape, non-waterproof, per 18 square inches$0
0.0%
18$0
141699453Medical service or procedure$0
0.0%
68$0
14172000FMedical service or procedure$0
0.0%
27,962$0
1418D4921Gum disease treatment (periodontics)$0
0.0%
52$0
14192001FMedical service or procedure$0
0.0%
13,562$0
1420A4618Breathing circuits$0
0.0%
19$0
14212022FMedical service or procedure$0
0.0%
187$0
1422A4648Tissue marker, implantable, any type, each$0
0.0%
43$0
142380333Drug or substance testing$0
0.0%
120$0
1424D1330Dental preventive care (cleaning, fluoride, sealant)$0
0.0%
12,787$0
14252028FMedical service or procedure$0
0.0%
116$0
14260003AMedical service or procedure$0
0.0%
23$0
1427G9916Functional status performed once in the last 12 months$0
0.0%
46$0
1428G9903Patient screened for tobacco use and identified as a tobacco non-user$0
0.0%
971$0
142980345Drug or substance testing$0
0.0%
20$0
1430D1320Dental preventive care (cleaning, fluoride, sealant)$0
0.0%
1,502$0
1431G9756Surgical procedures that included the use of silicone oil$0
0.0%
71$0
1432G9717Documentation stating the patient has had a diagnosis of bipolar disorder$0
0.0%
291$0
1433G9637Final 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$0
0.0%
5,499$0
1434G9622Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method$0
0.0%
79$0
1435D1310Dental preventive care (cleaning, fluoride, sealant)$0
0.0%
6,414$0
1436G9557Final 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%
123$0
1437G9551Final reports for imaging studies without an incidentally found lesion noted$0
0.0%
668$0
1438G9500Radiation exposure indices documented in final report for procedure using fluoroscopy$0
0.0%
12$0
1439A4930Gloves, sterile, per pair$0
0.0%
41$0
1440G9321Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study$0
0.0%
23$0
1441G8991Other 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%
33$0
1442G8990Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals$0
0.0%
27$0
1443G8989Self care functional limitation, discharge status, at discharge from therapy or to end reporting$0
0.0%
90$0
14441100FMedical service or procedure$0
0.0%
42$0
1445G8988Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting$0
0.0%
324$0
1446G8987Self care functional limitation, current status, at therapy episode outset and at reporting intervals$0
0.0%
319$0
1447A6222Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing$0
0.0%
137$0
1448A6223Gauze, 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$0
0.0%
43$0
1449G8980Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting$0
0.0%
96$0
14501036FMedical service or procedure$0
0.0%
1,800$0
1451G8979Mobility: 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%
685$0
1452G8978Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals$0
0.0%
611$0
1453G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis$0
0.0%
561$0
1454Q0144Azithromycin dihydrate, oral, capsules/powder, 1 gram$0
0.0%
22$0
1455G8916Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time$0
0.0%
27$0
1456G8907Patient 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...$0
0.0%
1,041$0
1457G8783Normal blood pressure reading documented, follow-up not required$0
0.0%
273$0
1458Q2035Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)$0
0.0%
42$0
1459Q2039Influenza virus vaccine, not otherwise specified$0
0.0%
19$0
14601034FMedical service or procedure$0
0.0%
25$0
1461G8754Most recent diastolic blood pressure < 90 mmhg$0
0.0%
151$0
146210120Removal of a foreign body from under the skin$0
0.0%
13$0
1463Q5002Hospice or home health care provided in assisted living facility$0
0.0%
900$0
1464Q5003Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)$0
0.0%
13$0
1465G8752Most recent systolic blood pressure < 140 mmhg$0
0.0%
152$0
1466Q5009Hospice or home health care provided in place not otherwise specified (nos)$0
0.0%
13$0
1467G8731Pain assessment using a standardized tool is documented as negative, no follow-up plan required$0
0.0%
12$0
1468G8510Screening for depression is documented as negative, a follow-up plan is not required$0
0.0%
92$0
1469G8483Influenza 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%
1,282$0
14700353UMedical service or procedure$0
0.0%
307$0
1471G8482Influenza immunization administered or previously received$0
0.0%
83$0
1472G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications$0
0.0%
2,910$0
1473G8419Bmi documented outside normal parameters, no follow-up plan documented, no reason given$0
0.0%
19$0
1474S0199Medically induced abortion by oral ingestion of medication including all associated services and supplies (for example.$0
0.0%
13$0
1475G8418Bmi is documented below normal parameters and a follow-up plan is documented$0
0.0%
29$0
1476G8417Bmi is documented above normal parameters and a follow-up plan is documented$0
0.0%
23,936$0
147785045Blood cell or clotting test$0
0.0%
596$0
14780004AMedical service or procedure$0
0.0%
384$0
14791000FMedical service or procedure$0
0.0%
14$0
14800501FMedical service or procedure$0
0.0%
4,706$0
14810518FMedical service or procedure$0
0.0%
42$0
1482G8397Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy$0
0.0%
13$0
14834274FMedical service or procedure$0
0.0%
417$0
1484G2212Prolonged 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...$0
0.0%
14$0
148592082Eye exam or vision test$0
0.0%
13$0
1486G2025Payment 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%
5,373$0
1487G2012Brief 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$0
0.0%
35$0
1488G1004Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program$0
0.0%
3,091$0
14894148FMedical service or procedure$0
0.0%
43$0
1490T1014Telehealth transmission, per minute, professional services bill separately$0
0.0%
35$0
1491G0514Prolonged 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; each...$0
0.0%
114$0
1492G0513Prolonged 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%
141$0
149399402Medical service or procedure$0
0.0%
13$0
1494G0496Skilled 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%
1,181$0
1495G0495Skilled 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%
761$0
1496G0494Skilled services of a licensed practical nurse (lpn) for the observation and assessment of the patient's condition$0
0.0%
203$0
1497G0493Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition$0
0.0%
2,107$0
149821209Head and face bone surgery$0
0.0%
13$0
1499G0472Hepatitis c antibody screening, for individual at high risk and other covered indication(s)$0
0.0%
65$0
150040800Lip surgery$0
0.0%
13$0
1501G0469Federally qualified health center (community health center) visit, mental health, new patient; a medically-necessary$0
0.0%
20$0
15024060FMedical service or procedure$0
0.0%
504$0
1503A9579Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml$0
0.0%
550$0
15044040FMedical service or procedure$0
0.0%
795$0
15054037FMedical service or procedure$0
0.0%
418$0
1506G0439Annual wellness visit — follow-up$0
0.0%
175$0
1507G0396Alcohol and/or substance (other than tobacco) misuse structured assessment (for example., audit, dast), and brief intervention 15 to 30 minutes$0
0.0%
23$0
15084000FMedical service or procedure$0
0.0%
36$0
1509G0306Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count$0
0.0%
274$0
15103725FMedical service or procedure$0
0.0%
16,583$0
1511G0257Unscheduled 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$0
0.0%
36$0
1512G0202Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed$0
0.0%
36$0
1513G0181Physician 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...$0
0.0%
1,421$0
1514G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present)$0
0.0%
263$0
1515G0162Skilled 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%
410$0
1516G0160Services 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%
25$0
1517G0159Services 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%
12$0
1518G0158Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes$0
0.0%
192$0
151982948Blood chemistry test (checking specific substances in your blood)$0
0.0%
189$0
1520G0157Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes$0
0.0%
5,884$0
1521G0155Services of clinical social worker in home health or hospice settings, each 15 minutes$0
0.0%
11,147$0
15223008FMedical service or procedure$0
0.0%
38,243$0
1523C1894Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser$0
0.0%
2,146$0
152499173Other medical service$0
0.0%
12,972$0
152595700Brain wave test (EEG) or nerve test$0
0.0%
18$0
15263016FMedical service or procedure$0
0.0%
1,004$0
152795708Brain wave test (EEG) or nerve test$0
0.0%
29$0
15283028FMedical service or procedure$0
0.0%
32,633$0
152999091Special medical service$0
0.0%
20$0
153099072Special medical service$0
0.0%
1,159$0
1531V2105Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens$0
0.0%
27$0
1532V2107Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens$0
0.0%
35$0
1533V2200Sphere, bifocal, plano to plus or minus 4.00d, per lens$0
0.0%
21$0
15343288FMedical service or procedure$0
0.0%
611$0
15353265FMedical service or procedure$0
0.0%
69$0
1536V2744Tint, photochromatic, per lens$0
0.0%
147$0
15373045FMedical service or procedure$0
0.0%
14$0
15383080FMedical service or procedure$0
0.0%
350$0
1539V2782Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens$0
0.0%
63$0
154099051Special medical service$0
0.0%
65$0
154181479Genetic or molecular testing$0
0.0%
203$0
154299024Special medical service$0
0.0%
1,140$0
1543C1771Repair device, urinary, incontinence, with sling graft$0
0.0%
82$0
154499001Special medical service$0
0.0%
181$0
154598941Chiropractic adjustment$0
0.0%
135$0
1546C1751Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis)$0
0.0%
42$0
154790649Vaccine or immunization$0
0.0%
81$0
1548D9986Other dental service$0
0.0%
114$0
154990655Vaccine or immunization$0
0.0%
77$0
1550A4216Sterile water, saline and/or dextrose, diluent/flush, 10 ml$0
0.0%
18$0
15517025FMedical service or procedure$0
0.0%
80$0
155290658Vaccine or immunization$0
0.0%
130$0
155390672Flu vaccine — nasal spray$0
0.0%
124$0
155401844Anesthesia for a medical procedure$0
0.0%
14$0
155590681Rotavirus vaccine (protects babies from stomach illness)$0
0.0%
278$0

Top Providers

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

# Provider Specialty Total Paid Claims Beneficiaries
1SIERRA REGIONAL CENTERRespite Care$225,241,767487,94685,282
2NV ST DV MH/DS RURAL REGIONAL CENTERRespite Care$64,324,72275,69131,941
3RENOWN REGIONAL MEDICAL CENTERGeneral Acute Care Hospital$63,687,2353,397,7892,574,332
4RENO SPARKS INDIAN COLONYClinic/Center$47,434,64592,48838,431
5SOUTHERN NEVADA GENERAL DENTISTRY PRADA, PLLCDentist, General Practice$38,355,2951,244,362844,419
6WASHOE COUNTYCase Management$28,861,90027,94727,817
7MEDTRANS BEHAVIORAL NEVADA CASAL, PLLCCommunity/Behavioral Health$26,441,187464,537297,675
8MD SPINE SOLUTIONS LLCClinical Medical Laboratory$26,272,175677,220477,113
9REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITYAmbulance$26,138,081260,621189,518
10MAXIM HEALTHCARE SERVICES, INC.Home Health$23,535,117178,2668,847
11CONSUMER DIRECT SERVICES FOR NEVADA, LLCTechnician, Personal Care Attendant$23,496,708370,46222,667
12BROWN, CALVANESE, CAMERON LTDEmergency Medicine$19,710,761271,354241,240
13PYRAMID LAKE PAIUTE TRIBEClinic/Center, Federally Qualified Health Center (FQHC)$16,530,71045,76220,281
14WASHOE COUNTY SCHOOL DISTRICTLocal Education Agency (LEA)$16,477,280387,412147,816
15PRIME HEALTHCARE SERVICES - RENO LLCGeneral Acute Care Hospital$15,087,985825,352613,987
16COMMUNITY CARE SERVICES LLCInternal Medicine$15,074,420276,373204,821
17SOUND PHYSICIANS EMERGENCY MEDICINE OF NEVADA BESSLER PLLCEmergency Medicine$14,832,183253,708204,025
18KUHN PHYSICAL THERAPY LLCPhysical Therapist$12,990,061322,595100,647
19MEDICAL SERVICES OF NEVADA INCIn Home Supportive Care$12,740,684176,23914,319
20NV ST DV MH/DS RURAL REGIONAL CENTERRespite Care$11,387,297147,0469,347
21QUEST COUNSELING & CONSULTINGCommunity/Behavioral Health$11,346,320128,88648,340
22NORTHERN NEVADA DENTAL SPECIALTIES GROUPDentist, Pediatric Dentistry$9,317,045342,285248,159
23NORTHERN NEVADA SPECIALTY PRADA, PLLCDentist, Pediatric Dentistry$8,206,896119,15060,477
24NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICESClinic/Center, Federally Qualified Health Center (FQHC)$8,045,369141,057110,188
25RENO EMERGENCY PHYSICIANS ASSOCIATION, PLLCEmergency Medicine$7,737,625130,513113,367
About This Data
Providers are assigned to Washoe 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).