3,318 procedures

# Code What It Pays For Total Paid Claims Providers Avg/Claim
1T1019Personal care services — a helper who assists with daily activities like bathing, dressing, and eating (per 15 minutes)$752,308,7469,332,701219$81
2T2017Residential habilitation — living in a group home or facility for people with disabilities (per 15 minutes, waiver program)$695,274,662325,5056$2,136
3T1017Targeted case management — a social worker helping coordinate your care (per 15 minutes)$335,815,2712,251,21250$149
499214Office visit for a moderate problem (established patient)$311,117,3274,898,6752,266$64
599213Office visit for a simple problem (established patient)$266,608,0925,749,7782,487$46
699285Emergency room visit for a severe or life-threatening problem$241,271,3172,106,580355$115
7T1015All-inclusive clinic visit — covers everything in one trip to the clinic$231,129,842715,14358$323
890999Dialysis or kidney treatment — other related procedure$180,281,4712,808,99153$64
999284Emergency room visit for a serious problem$176,123,2412,028,608400$87
10A0427Ambulance ride with advanced life support — emergency (ALS 1 — paramedics on board)$171,327,337572,06730$299
1199233Hospital care — daily check by your doctor (complex update)$136,642,2142,111,220472$65
1290837Individual therapy session (60 minutes)$134,395,4211,708,174972$79
13H2011Crisis intervention — emergency help during a mental health crisis (per 15 minutes)$129,138,819319,090280$405
1490876Individual psychophysiological therapy — biofeedback training$128,496,2131,586,938416$81
15S9123Registered nurse visiting your home to provide medical care (per hour)$120,808,123204,1669$592
1697530Therapeutic activities — exercises and tasks to improve daily function$115,262,7652,099,955308$55
1799283Emergency room visit for a moderate problem$113,021,1801,945,963391$58
18T2016Residential habilitation — living in a group home or facility for people with disabilities (per day, waiver program)$101,860,801297,7964$342
19T1040Community mental health center services — a full day of behavioral health treatment at a local clinic$96,297,667576,55018$167
2099232Hospital care — daily check by your doctor (moderate update)$91,828,3262,413,918427$38
21S9480Intensive outpatient psychiatric program — structured daily mental health treatment without staying overnight$87,318,136611,390227$143
22S9124Licensed practical nurse visiting your home to provide medical care (per hour)$78,671,245201,9117$390
23S5102Adult day care — daytime program with activities and supervision (per day)$71,439,970532,22137$134
2492507Speech therapy session — treatment for speech, language, or swallowing problems$71,234,9811,344,867152$53
2599223Hospital admission — first day, complex or serious problem$69,001,030532,518435$130
26T2020Day habilitation — daytime program teaching daily living skills (per day, waiver program)$67,997,322686,3465$99
27A0429Ambulance ride with basic life support — emergency (BLS — EMTs on board)$61,263,249289,26227$212
2874177CT scan of the abdomen and pelvis (with contrast dye)$57,691,300413,411138$140
29H0004Behavioral health counseling session (per 15 minutes) — for drug, alcohol, or mental health treatment$56,828,258445,732326$127
30T2014Pre-vocational training — learning basic job skills before starting work (per day, waiver program)$55,983,919877,3213$64
31G0378Hospital observation services — being watched and monitored in the hospital (per hour)$47,218,239420,51838$112
32D1120Dental cleaning for children (prophylaxis)$46,927,5561,062,060489$44
33D1206Fluoride treatment — painted on teeth to prevent cavities$41,301,8911,085,236452$38
3497110Physical therapy exercises to build strength, flexibility, or range of motion$38,420,2061,633,356315$24
3599203New patient office visit — moderate problem$36,752,818525,729859$70
3699204New patient office visit — detailed visit for a serious problem$36,248,187354,516780$102
3741899Dental or mouth surgery — other procedure not listed elsewhere$35,088,29954,56024$643
3892508Group speech therapy session$35,051,1991,406,07713$25
39A0431Helicopter ambulance ride (rotary wing air transport)$32,679,76820,8055$1,571
4099391Wellness checkup — infant (under 1 year)$30,791,466408,333298$75
4190460Giving a vaccine to a child, including talking with the family about it$29,488,581818,764312$36
4299392Wellness checkup — ages 1-4$29,468,753368,685305$80
4399291Critical care — intensive treatment for a life-threatening condition (first 30-74 minutes)$28,920,630185,85388$156
4480307Drug test — checking urine or blood for multiple types of drugs$28,864,8611,270,200148$23
4570450CT scan of the head (without contrast dye)$27,117,856550,557156$49
46T1016Case management — a coordinator helping you navigate your healthcare (per 15 minutes)$26,246,966607,247190$43
47G0467Federally Qualified Health Center visit — a community health center visit for regular patients$26,202,235297,88542$88
48G0483Advanced drug testing — checking for 22 or more types of drugs in urine or blood$23,001,391309,46940$74
4999239Hospital discharge — doctor manages your release (more than 30 minutes)$22,597,682308,488228$73
50U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique$21,860,727386,25660$57
5190834Individual therapy session (45 minutes)$21,832,522426,377332$51
52D7210Surgical tooth extraction — requires cutting into gum or removing bone$21,756,572322,246155$68
53A0436Ambulance mileage — per mile for helicopter ambulance$21,135,91720,6945$1,021
5493306Heart ultrasound (echocardiogram)$21,010,507251,023176$84
55D1351Dental sealant — protective coating on a tooth to prevent cavities$20,197,0011,000,317317$20
56H0015Intensive outpatient treatment for alcohol or drug problems (per hour)$20,088,979205,57255$98
5799309Nursing facility visit — moderate problem$20,037,407568,125138$35
5890833Individual therapy session added to a regular doctor visit (30 minutes)$19,596,867571,906235$34
59T2033Residential care, not otherwise specified (nos), waiver; per day$19,354,994293,6563$66
6099393Wellness checkup — ages 5-11$19,137,580244,125272$78
6174176CT scan of the abdomen and pelvis (without contrast)$19,002,085173,66598$109
62D0120Regular dental checkup and exam$18,479,219740,523457$25
6399308Nursing facility visit — simple problem$18,411,068853,692154$22
6492014Eye exam or vision test$17,986,631299,475327$60
65H2027Psychoeducational service, per 15 minutes$17,530,4467,9898$2,194
66V2020Frames, purchases$17,303,512523,057323$33
67H0047Alcohol and/or other drug abuse services, not otherwise specified$16,889,294240,67275$70
68Q3014Telehealth originating site facility fee$16,516,272926,087389$18
6997112Neuromuscular re-education — retraining muscles and movement patterns$16,366,538614,975202$27
70H2019Therapeutic behavioral services — behavior management and support (per 15 minutes)$16,272,282378,66611$43
71D8080Full braces (comprehensive orthodontic treatment, adolescent)$16,023,0147,09222$2,259
72T2018Habilitation, supported employment, waiver; per day$15,896,601222,0131$72
73H2017Psychosocial rehabilitation — helping rebuild social and daily living skills (per 15 minutes)$15,532,709164,970128$94
74G0299Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes$15,462,1641,120,252236$14
75H0033Oral medication administration, direct observation$15,085,834284,08617$53
76A0425Ground mileage — per mile for ambulance transportation$15,048,131937,38237$16
7799212Office visit for a minor problem (established patient)$15,023,088501,480533$30
78T2025Supported employment — job coaching and help for people with disabilities at their workplace (per 15 minutes, waiver program)$14,956,958202,6376$74
79D0150Comprehensive dental exam — thorough check of teeth, gums, and mouth$14,931,107511,250470$29
8096374IV push — giving medicine quickly through an IV (single injection)$14,497,733801,51079$18
81G0470Federally qualified health center (community health center) visit, mental health, established patient; a medically-necessary$14,486,154160,27218$90
8271275CT angiography of the chest (looking at blood vessels)$14,274,22698,05657$146
83H2014Skills training and development — learning coping and life skills (per 15 minutes)$14,154,374139,872111$101
8499222Hospital admission — first day, moderate to serious problem$14,151,160169,842206$83
85E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate$14,076,118421,44437$33
8699282Emergency room visit for a minor problem$13,911,725312,48790$45
87H0034Medication training and management (learning to take medications correctly)$13,891,830121,944185$114
8895165Allergy testing or treatment$13,795,76450,55146$273
8901967Anesthesia for a medical procedure$13,435,67528,55340$471
90H0035Mental health partial hospitalization, treatment, less than 24 hours$13,254,70955,75917$238
91H2012Behavioral health day treatment — full day of mental health programming (per hour)$13,163,968209,68919$63
92H0031Mental health assessment by a non-physician$12,755,378105,325335$121
9399394Wellness checkup — ages 12-17$12,702,972149,722223$85
9492004Eye exam or vision test$12,545,997218,528345$57
9590847Family therapy session with the patient present$12,451,546138,358144$90
9690791Mental health evaluation — first visit with a therapist or psychiatrist$12,231,086130,933375$93
97T2021Day habilitation, waiver; per 15 minutes$12,159,39896,4924$126
9890868Mental health service$11,848,36778,05732$152
9971045Chest X-ray (single view)$11,531,8111,992,608212$6
100D2930Stainless steel crown — prefabricated (primary tooth)$11,502,029169,941104$68
101D0140Limited dental exam — for a specific problem (like a toothache)$11,361,889381,662441$30
10292526Treatment for swallowing problems$11,005,469185,88543$59
103D0274Dental X-ray — bitewings (four films)$10,972,659526,760434$21
10476818Ultrasound$10,853,55594,93731$114
10578452Nuclear medicine imaging (using small amounts of radioactive material)$10,672,48543,61451$245
106D2392Tooth-colored (resin) filling — two surfaces, back tooth$10,555,855225,082241$47
107S5126Attendant care services; per day$10,458,33211,52513$907
108T2003Non-emergency transportation; encounter/trip$10,201,404111,8866$91
10999215Office visit for a complex or serious problem (established patient)$10,198,088142,453363$72
110D0220Single dental X-ray (of one tooth)$10,052,001851,636511$12
111D0330Panoramic dental X-ray (full view of all teeth and jaw)$10,025,725333,175363$30
11243239Upper endoscopy with biopsy (camera down the throat to look at stomach, with tissue sample)$9,869,09872,38979$136
11396372IV infusion or injection of medication$9,783,566727,624364$13
114H0020Alcohol or drug methadone administration and services$9,776,0731,015,03618$10
115D0230Additional dental X-ray$9,552,5971,578,621476$6
11676830Transvaginal ultrasound of the uterus$9,533,965115,160116$83
11777067Screening mammogram (breast cancer screening)$9,476,130114,97472$82
11880053Comprehensive metabolic panel blood test (checks liver, kidney, blood sugar, electrolytes)$9,364,6252,582,467125$4
119H0005Group alcohol and/or drug counseling (per 15 minutes)$8,965,502343,02982$26
12099211Simple office visit — quick check-in with a nurse or doctor$8,470,690642,987311$13
12198960Medical service or procedure$8,389,027203,01094$41
12296375IV push — additional medication through an IV$8,247,345667,37272$12
123T4541Incontinence product, disposable underpad, large, each$8,245,704264,36431$31
12490792Mental health evaluation — includes medication assessment$8,192,17998,777199$83
125G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including$8,036,812213,40949$38
126T2022Case management, per month$8,012,27126,64122$301
12772125Spine imaging (X-ray, CT, or MRI)$7,921,346106,02752$75
12896361IV infusion — additional hour$7,883,100463,54858$17
12999349Home visit follow-up — complex problem$7,865,378127,24987$62
130G0482Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including$7,820,76389,59931$87
13176816Follow-up ultrasound of pregnancy$7,536,18069,39952$109
13297032Physical therapy, occupational therapy, or rehabilitation$7,525,240261,85076$29
133D0210Full set of dental X-rays$7,416,462148,899255$50
13499244Office consultation — serious problem$7,386,54847,67081$155
135D0272Dental X-ray — bitewings (two films)$7,308,061432,501247$17
13671046Chest X-ray (two views — front and side)$7,280,113623,238250$12
137D7140Tooth extraction — pulling a tooth that has erupted$7,204,962190,318205$38
138E0465Home ventilator, any type, used with invasive interface, (for example., tracheostomy tube)$7,088,7819,5052$746
139S9482Family stabilization services, per 15 minutes$7,056,96943,6326$162
14087798Microbiology test — checking for infections (bacteria, viruses, fungi)$7,028,111110,11327$64
141S5100Adult day care — daytime program with activities and supervision (per half day)$6,988,58170,24316$99
14293303Heart ultrasound (echocardiogram)$6,941,97546,62714$149
143T2047Habilitation, prevocational, waiver; per 15 minutes$6,907,93369,2653$100
144U00042019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc$6,778,089149,01210$45
14588305Tissue examination under a microscope (surgical pathology)$6,727,480296,16494$23
14695004Allergy testing or treatment$6,456,97526,94670$240
147T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each$6,445,23987,81327$73
148T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each$6,429,38888,40727$73
14999469Neonatal critical care — continued intensive care (additional days)$6,404,99619,5695$327
150B4161Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber$6,339,5746,7977$933
15190471Giving a vaccine by injection (shot)$6,270,368420,680362$15
15285025Complete blood count (CBC) — checks red cells, white cells, and platelets$6,248,5742,724,674157$2
153S5130Homemaker services — help with cooking, shopping, and housekeeping (per 15 minutes)$6,243,132122,76061$51
154B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape$6,056,77733,5839$180
15500170Anesthesia for a medical procedure$5,899,40328,98346$204
15699310Nursing facility visit — complex problem$5,857,27692,99560$63
15776856Pelvic ultrasound (complete)$5,762,07093,59994$62
15897140Manual therapy — hands-on treatment like massage or joint mobilization$5,688,090427,208151$13
15976817Transvaginal ultrasound of pregnancy$5,680,61891,65673$62
16092340Eye exam or vision test$5,679,941281,667213$20
16187591Gonorrhea test$5,667,685485,91998$12
16287491Chlamydia test$5,631,343474,93187$12
16345380Colonoscopy with biopsy (tissue sample)$5,577,70128,32538$197
164T1023Screening and assessment — checking a patient's health and needs to create a care plan$5,539,53538,85133$143
16596365IV infusion of medication — giving medicine through an IV (first hour)$5,529,699240,46359$23
16693975Blood vessel ultrasound or study$5,478,66549,75141$110
16764635Brain, spine, or nerve surgery$5,393,59414,80323$364
16864483Nerve block injection — epidural for back pain$5,360,85538,55737$139
16990853Group therapy session$5,260,259268,340254$20
17099202New patient office visit — simple problem$5,173,887111,489199$46
17170553MRI of the brain (with and without contrast dye)$5,164,79835,70735$145
17299220Medical service or procedure$5,159,74142,14149$122
17376700Ultrasound of the abdomen (complete)$5,115,98574,68086$69
17492015Eye exam or vision test$5,114,885412,946357$12
17590472Additional vaccine injection at the same visit$4,983,726262,296187$19
176D9310Dental consultation — specialist opinion on a dental problem$4,865,31693,80299$52
177V2100Sphere, single vision, plano to plus or minus 4.00, per lens$4,852,598184,872200$26
178B4160Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.$4,836,22713,4448$360
17976811Detailed ultrasound of pregnancy (high-risk)$4,798,44630,72324$156
180T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each$4,744,06454,98227$86
18187426Microbiology test — checking for infections (bacteria, viruses, fungi)$4,713,158274,92191$17
182G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including$4,652,71586,02336$54
18395816Brain wave test (EEG) or nerve test$4,641,63034,43893$135
18459400Routine obstetric care — prenatal visits, vaginal delivery, and follow-up$4,639,5462,54522$1,823
185A0428Ambulance ride with basic life support (non-emergency, BLS)$4,600,63445,67912$101
18690832Individual therapy session (30 minutes)$4,594,191154,652150$30
18793010Heart monitoring test (ECG/EKG)$4,587,577961,767213$5
18878815Nuclear medicine imaging (using small amounts of radioactive material)$4,565,5036,9636$656
18999238Hospital discharge — doctor manages your release (30 minutes or less)$4,563,43190,543161$50
19090378Immune globulin (antibody) injection$4,527,5892,3803$1,902
19166984Cataract surgery (removing a cloudy lens from the eye and replacing it)$4,425,08915,95828$277
19299395Wellness checkup — ages 18-39$4,420,21846,838128$94
19399480Medical service or procedure$4,415,14543,42522$102
194A4223Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)$4,401,45052,23410$84
195D1110Dental cleaning for adults (prophylaxis)$4,344,413135,306277$32
19695810Brain wave test (EEG) or nerve test$4,280,93811,53918$371
19776805Ultrasound of pregnancy (after first trimester)$4,280,39743,58572$98
198J0585Injection, onabotulinumtoxina, 1 unit$4,248,66111,4025$373
199G9001Coordinated care fee, initial rate$4,233,10617,1361$247
200D7240Removal of an impacted tooth — completely bony (deeply stuck in jawbone)$4,226,93533,37731$127
20136902Artery and vein surgery$4,184,2198,1176$515
20299348Home visit follow-up — moderate problem$4,175,79153,60559$78
20397153Physical therapy, occupational therapy, or rehabilitation$4,140,13226,74928$155
204T1003Lpn/lvn services, up to 15 minutes$4,019,78497,7853$41
205D9223Other dental service$4,010,92375,32841$53
20699205New patient office visit — comprehensive visit for a complex problem$4,001,14532,385202$124
20797155Physical therapy, occupational therapy, or rehabilitation$3,953,40024,06446$164
20895811Brain wave test (EEG) or nerve test$3,949,2339,63011$410
20995886Brain wave test (EEG) or nerve test$3,934,83334,04235$116
210D9230Analgesia (pain management during dental work, like nitrous oxide/laughing gas)$3,878,297258,785179$15
21154161Male reproductive system surgery$3,851,51414,24816$270
212D2391Tooth-colored (resin) filling — one surface, back tooth$3,849,961108,944184$35
21372148MRI of the lower spine (without contrast)$3,791,78139,80653$95
21470551MRI of the brain (without contrast dye)$3,784,74842,97142$88
215J2357Injection, omalizumab, 5 mg$3,756,41210,9056$344
21693005Heart monitoring test (ECG/EKG)$3,750,293971,38673$4
21790960End-stage kidney disease monthly care — for patients 20 and older, 4+ visits$3,738,02341,61510$90
21859025Pregnancy, delivery, and maternity care$3,693,892137,97387$27
21945378Colonoscopy — camera exam of the large intestine (diagnostic)$3,690,24216,83229$219
22096413IV infusion or injection of medication$3,595,75541,97619$86
221T4523Adult sized disposable incontinence product, brief/diaper, large, each$3,593,83444,31218$81
222D8660Braces or orthodontic treatment$3,525,83488,02959$40
22376705Ultrasound of the abdomen (limited)$3,519,76691,69162$38
22411042Wound cleaning — removing dead tissue from a wound$3,517,97294,49052$37
22564493Brain, spine, or nerve surgery$3,478,99218,37632$189
226T1002Rn services, up to 15 minutes$3,412,43143,3056$79
22780050General health panel blood test$3,401,851367,90438$9
22882306Vitamin D blood test$3,383,528411,74467$8
22992250Eye exam or vision test$3,297,17878,906100$42
230E0466Home ventilator, any type, used with non-invasive interface, (for example., mask, chest shell)$3,294,92115,3239$215
231T4524Adult sized disposable incontinence product, brief/diaper, extra large, each$3,252,62532,49513$100
232V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens$3,248,403218,172177$15
23399281Emergency room visit for a very minor problem$3,207,04090,86349$35
23495819Brain wave test (EEG) or nerve test$3,153,77228,59832$110
23580061Cholesterol and lipid panel blood test$3,148,289998,15782$3
236S5161Emergency response system; service fee, per month (excludes installation and testing)$3,145,79381,8033$38
237H0002Behavioral health screening to determine need for treatment$3,140,189137,822437$23
23884443Thyroid function test (TSH)$3,137,646675,51584$5
23996360IV infusion — giving fluids through an IV (first hour)$3,056,389124,88445$24
24099479Medical service or procedure$2,991,74627,67919$108
24199231Hospital care — daily check by your doctor (minor update)$2,987,451147,00192$20
242Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml$2,962,019326,86372$9
243S1040Cranial remolding orthosis, pediatric, rigid, with soft interface material, custom fabricated, includes fitting and adjustment(s)$2,957,6602,5423$1,164
244V5261Hearing aid, digital, binaural, bte$2,941,6525,01212$587
24595913Brain wave test (EEG) or nerve test$2,913,65116,80117$173
24699243Office consultation — moderate problem$2,892,17128,87888$100
24790945Peritoneal dialysis — cleaning blood through the belly (single treatment)$2,874,54861,3912$47
248G0447Face-to-face behavioral counseling for obesity, 15 minutes$2,868,005185,607154$15
24999306Nursing facility admission — complex first day care$2,861,13037,42672$76
25097803Medical service or procedure$2,843,890113,90143$25
25192609Hearing or speech test or therapy$2,830,26338,3349$74
25287636Microbiology test — checking for infections (bacteria, viruses, fungi)$2,818,96650,92828$55
253T2019Day habilitation — daytime program teaching daily living skills (per 15 minutes, waiver program)$2,811,29729,8321$94
25499490Chronic care management — monthly coordination for patients with multiple ongoing conditions$2,796,786155,521109$18
255T4522Adult sized disposable incontinence product, brief/diaper, medium, each$2,795,02544,68521$63
256J0178Injection, aflibercept, 1 mg$2,723,6123,3656$809
257D9248Other dental service$2,705,13234,36660$79
25887635Microbiology test — checking for infections (bacteria, viruses, fungi)$2,700,371131,005121$21
259G2023Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source$2,698,597221,59749$12
26084484Troponin test (checks for heart damage or heart attack)$2,671,810791,38870$3
261A0433Ambulance ride with advanced life support — serious emergency (ALS 2)$2,621,22110,0487$261
26277063Breast imaging (mammogram or MRI)$2,595,12976,55344$34
26393970Blood vessel ultrasound or study$2,594,11653,55269$48
264E2402Negative pressure wound therapy electrical pump, stationary or portable$2,580,6935,2982$487
26597016Physical therapy, occupational therapy, or rehabilitation$2,579,744175,65639$15
266D2150Silver (amalgam) filling — two surfaces$2,568,75544,50967$58
267S0281Medical home program, comprehensive care coordination and planning, maintenance of plan$2,563,61573,5754$35
26892523Speech and language evaluation — comprehensive$2,532,85920,60444$123
26970486CT scan of the sinuses$2,478,27224,60432$101
270E0570Nebulizer, with compressor$2,462,983102,56634$24
271V2025Deluxe frame$2,458,21880,40989$31
27280048Basic metabolic panel blood test (checks kidney function, blood sugar, electrolytes)$2,453,730757,38990$3
27376815Limited ultrasound of pregnancy (quick check)$2,431,84864,63780$38
27476801Ultrasound of pregnancy (first trimester)$2,431,03442,61358$57
275S5125Attendant care — personal assistant to help with daily activities (per 15 minutes)$2,413,76041,8889$58
27693000Heart monitoring test (ECG/EKG)$2,392,215218,087227$11
277T2031Assisted living; waiver, per day$2,391,1453,0933$773
278E0601Continuous positive airway pressure (cpap) device$2,359,071112,98126$21
279Q5001Hospice or home health care provided in patient's home/residence$2,358,532264,448225$9
280T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each$2,348,70797,60120$24
2810450Anesthesia for a medical procedure$2,336,83751,87127$45
282B4149Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber$2,287,0477,2834$314
28399472Pediatric critical care — continued intensive care (additional days)$2,285,3586,6493$344
28436415Drawing blood from a vein (routine blood draw)$2,243,5392,244,705278$1
285H0001Alcohol and/or drug assessment$2,234,12321,28052$105
28645385Colonoscopy with removal of polyps (growths)$2,218,59911,94223$186
287A7030Full face mask used with positive airway pressure device, each$2,212,25243,70922$51
28899350Home visit follow-up — unstable condition$2,202,65654,19662$41
289Q4205Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)$2,189,8625011$4,371
29090901Biofeedback training$2,184,76381,17941$27
29192060Eye exam or vision test$2,177,39739,47934$55
29296376IV infusion or injection of medication$2,168,227238,92638$9
29364494Brain, spine, or nerve surgery$2,152,11415,76430$137
294V2410Variable asphericity lens, single vision, full field, glass or plastic, per lens$2,133,43521,68621$98
295G0439Annual wellness visit — follow-up$2,131,29744,806128$48
29687804Flu test (rapid)$2,124,612294,555249$7
29793971Blood vessel ultrasound or study$2,085,46060,81164$34
29897014Physical therapy, occupational therapy, or rehabilitation$2,082,289199,13565$10
29973721MRI of a joint in the lower body (hip, knee, or ankle)$2,071,55824,51221$85
300Q4275Esano aca, per square centimeter (add-on, list separately in addition to primary procedure)$2,060,6874011$5,139
301D0350Dental exam, X-ray, or screening$2,059,669212,802130$10
30299254Medical service or procedure$2,049,75914,17447$145
30376770Ultrasound of the abdomen and kidneys (complete)$2,043,17434,55742$59
304E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing$2,017,131292,38136$7
30583036Hemoglobin A1c test (shows average blood sugar over 3 months — used for diabetes)$2,016,770913,794129$2
306D9222Other dental service$2,005,80539,92042$50
30770498Head and brain imaging (X-ray, CT, or MRI)$1,998,14510,87317$184
30854360Male reproductive system surgery$1,994,0282,7198$733
309G0300Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes$1,985,664285,903125$7
31083880Blood chemistry test (checking specific substances in your blood)$1,976,551210,96858$9
31168761Eye surgery$1,957,63651,12523$38
312A8003Helmet, protective, hard, custom fabricated, includes all components and accessories$1,911,4518602$2,223
31394640Breathing test or lung function test$1,900,718182,546139$10
31492134Eye exam or vision test$1,893,98096,81440$20
315D7220Removal of an impacted tooth — soft tissue (stuck under the gums)$1,889,89217,44520$108
31687428Microbiology test — checking for infections (bacteria, viruses, fungi)$1,877,81273,91628$25
31772141MRI of the neck/upper spine (without contrast)$1,860,17120,75632$90
31899396Wellness checkup — ages 40-64$1,859,38220,81590$89
31985027Complete blood count — automated$1,853,801953,16570$2
320V2784Lens, polycarbonate or equal, any index, per lens$1,842,310174,427172$11
32190869Mental health service$1,824,1034,57014$399
32287880Strep throat test (rapid)$1,810,463269,162283$7
323A0434Specialized ambulance for very sick patients (specialty care transport)$1,792,9337,0853$253
324T4525Adult sized disposable incontinence product, protective underwear/pull-on, small size, each$1,792,67225,04312$72
32599460Newborn baby care — first exam in the hospital$1,743,40224,51572$71
32686003Immune system or allergy test$1,737,60455,3272$31
32799070Special medical service$1,735,919194,778132$9
32874018X-ray of the abdomen (single view)$1,735,909212,248113$8
32972131CT scan of the lower spine (without contrast)$1,735,33817,45930$99
33093320Heart ultrasound (echocardiogram)$1,713,15948,98317$35
33194010Breathing test or lung function test$1,694,34968,16081$25
332J1726Injection, hydroxyprogesterone caproate, (makena), 10 mg$1,688,2656902$2,447
33399058Special medical service$1,677,560103,82968$16
33476536Ultrasound of the head and neck soft tissue$1,672,00220,10830$83
335A0426Ambulance ride with advanced life support (non-emergency, ALS 1)$1,669,38613,1897$127
336D3220Pulp treatment for a baby tooth — removing infection from inside the tooth$1,656,21335,69451$46
33799385Wellness checkup — new patient, ages 18-39$1,649,04118,654104$88
33892606Hearing or speech test or therapy$1,627,85428,2167$58
33997535Self-care training — learning to do daily activities like dressing, cooking, or bathing$1,624,041178,01080$9
340A0435Ambulance mileage — per mile for fixed wing air ambulance$1,607,1271,0935$1,470
34164484Brain, spine, or nerve surgery$1,606,27716,70524$96
34295812Brain wave test (EEG) or nerve test$1,600,89615,01717$107
34354300Male reproductive system surgery$1,600,4281,6989$943
34484702Blood chemistry test (checking specific substances in your blood)$1,588,702296,91157$5
345D0340Dental exam, X-ray, or screening$1,588,15748,07150$33
34614040Skin flap surgery — moving skin to cover a wound$1,574,4685,9818$263
34770496Head and brain imaging (X-ray, CT, or MRI)$1,553,7038,82417$176
34867028Injection of medicine into the eye$1,528,72128,48613$54
349U0005Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc$1,496,416238,75948$6
35090461Additional vaccine given to a child at the same visit$1,494,18981,354117$18
351G0466Federally qualified health center (community health center) visit, new patient; a medically-necessary$1,486,99616,07722$92
35273630X-ray of the foot$1,481,441101,555103$15
353A0430Ambulance ride with special medical equipment (fixed wing airplane)$1,474,4711,1046$1,336
354T2001Non-emergency transportation; patient attendant/escort$1,463,795117,7685$12
35501992Anesthesia for a medical procedure$1,447,94314,53123$100
35687086Urine culture — checking for a urinary tract infection$1,433,087570,68470$3
35783690Blood chemistry test (checking specific substances in your blood)$1,432,930604,67866$2
35836478Artery and vein surgery$1,399,9321,0526$1,331
35973564Lower extremity imaging (hip, knee, leg, foot)$1,390,04868,26366$20
36000731Anesthesia for a medical procedure$1,389,75413,49032$103
36154304Male reproductive system surgery$1,376,9801,8278$754
36273130X-ray of the hand$1,373,40781,50277$17
36399152Medical service or procedure$1,368,48264,76649$21
36425020Forearm and wrist surgery$1,356,0674,1834$324
36596366IV infusion or injection of medication$1,350,30368,73933$20
366A7031Face mask interface, replacement for full face mask, each$1,340,70152,01923$26
36797162Physical therapy evaluation — moderate problem$1,338,53643,38666$31
368G0438Annual wellness visit — first time$1,329,63916,00374$83
36987502Microbiology test — checking for infections (bacteria, viruses, fungi)$1,323,48441,65941$32
370J2785Injection, regadenoson, 0.1 mg$1,318,03817,27426$76
37171260CT scan of the chest (with contrast dye)$1,316,86816,78123$78
37296138Psychological testing — administered by a technician (first 30 min)$1,307,85761,73351$21
37399219Medical service or procedure$1,297,01113,68317$95
374T2012Habilitation, educational; waiver, per day$1,287,8324,4951$286
375B4034Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape$1,286,22713,1027$98
37690715Tdap vaccine (tetanus, diphtheria, and whooping cough booster)$1,280,44570,786136$18
377D7311Tooth extraction or oral surgery$1,270,34317,49521$73
378D9999Other dental service$1,268,67040,298114$31
379J0561Injection, penicillin g benzathine, 100,000 units$1,254,9246,11010$205
38087389Microbiology test — checking for infections (bacteria, viruses, fungi)$1,252,977190,06929$7
38129848Arthroscopy — looking inside a joint with a tiny camera$1,228,2004,9795$247
382D2929Dental filling, crown, or restoration$1,224,46610,56910$116
38380305Drug or substance testing$1,218,086234,072139$5
38476825Ultrasound$1,217,4745,3128$229
38593229Heart rhythm monitoring (Holter monitor or event recorder)$1,197,5923,0564$392
38681025Pregnancy test (urine)$1,196,687413,967284$3
38781001Urinalysis — checking your pee for infections or health problems (with microscope)$1,189,9941,110,50384$1
38898926Osteopathic treatment (hands-on manipulation)$1,188,73639,57012$30
38995782Brain wave test (EEG) or nerve test$1,184,5851,7463$678
390D1353Dental preventive care (cleaning, fluoride, sealant)$1,181,10384,47772$14
39197161Physical therapy evaluation — simple problem$1,177,72151,31160$23
392D7970Tooth extraction or oral surgery$1,177,2365,1613$228
393A0130Non-emergency transportation: wheelchair van$1,175,52414,1162$83
39487637Microbiology test — checking for infections (bacteria, viruses, fungi)$1,171,86122,02216$53
39520610Joint injection or draining fluid from a large joint (knee, shoulder, hip)$1,170,39636,66448$32
39628003Foot and toe surgery$1,168,1605,0262$232
39787660Microbiology test — checking for infections (bacteria, viruses, fungi)$1,164,965130,36633$9
39877066Breast imaging (mammogram or MRI)$1,148,58710,81214$106
399A9500Technetium tc-99m sestamibi, diagnostic, per study dose$1,148,17517,72729$65
40099245Office consultation — complex problem$1,143,4208,06939$142
40117110Destruction of warts or skin bumps (up to 14)$1,136,10022,91727$50
402V5110Dispensing fee, bilateral$1,134,9012,7446$414
40399188Other medical service$1,129,097104,21182$11
404D0240Dental X-ray of the whole mouth (panoramic)$1,128,08379,93777$14
405A4595Electrical stimulator supplies, 2 lead, per month, (for example., tens, nmes)$1,114,42129,4461$38
40601936Anesthesia for a medical procedure$1,102,45710,26115$107
40772100X-ray of the lower spine (lumbar)$1,091,46064,36981$17
408G0181Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidiscip...$1,088,68066,62050$16
40996110Developmental screening test for children (autism, learning, speech)$1,087,666179,703167$6
41087624HPV test (checks for cancer-causing virus)$1,076,633123,4038$9
41164479Brain, spine, or nerve surgery$1,071,4226,94419$154
41271250CT scan of the chest (without contrast dye)$1,060,91014,43927$73
413D1208Dental preventive care (cleaning, fluoride, sealant)$1,053,436119,730197$9
414V2203Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens$1,049,88026,74846$39
41588175Pap smear — cervical cancer screening (liquid-based)$1,048,347139,2447$8
41687651Microbiology test — checking for infections (bacteria, viruses, fungi)$1,042,94064,40657$16
41773610X-ray of the ankle (complete)$1,025,77365,40075$16
41876641Ultrasound$1,024,00011,22610$91
41980074Blood test panel (checking multiple things at once)$1,022,17177,62120$13
420D8020Braces or orthodontic treatment$1,022,0821,0204$1,002
421L8679Implantable neurostimulator, pulse generator, any type$1,019,6741,1472$889
4220241UMedical service or procedure$999,80075,81530$13
42397010Physical therapy, occupational therapy, or rehabilitation$998,671410,50897$2
424V5160Dispensing fee, binaural$996,3522,6009$383
42587510Microbiology test — checking for infections (bacteria, viruses, fungi)$992,879106,39734$9
42687480Microbiology test — checking for infections (bacteria, viruses, fungi)$991,796106,29933$9
42794014Breathing test or lung function test$989,33222,9673$43
428T4544Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each$988,6486,5415$151
42999401Medical service or procedure$987,17966,919110$15
43092012Eye exam or vision test$981,33231,56243$31
43197597Physical therapy, occupational therapy, or rehabilitation$975,23635,72518$27
43211043Wound cleaning — removing dead tissue down to muscle$973,37026,0989$37
433A4624Tracheal suction catheter, any type other than closed system, each$972,8355,2272$186
43499344Home visit — serious, comprehensive problem$972,5417,02140$139
43583605Blood chemistry test (checking specific substances in your blood)$970,671245,09158$4
436D5110Complete upper denture$966,6352,1709$445
437J2778Injection, ranibizumab, 0.1 mg$962,5451,9771$487
43864495Brain, spine, or nerve surgery$960,0197,71616$124
43993325Heart ultrasound (echocardiogram)$950,40660,51129$16
44064633Brain, spine, or nerve surgery$941,7632,2885$412
44143775Stomach surgery$937,4591,2707$738
442E0562Humidifier, heated, used with positive airway pressure device$926,26951,36327$18
44392567Hearing or speech test or therapy$924,19684,80087$11
44473221MRI of a joint in the upper body (shoulder, elbow, or wrist)$917,78411,9399$77
445K0001Standard wheelchair$916,56051,18019$18
44688307Tissue examination under a microscope (surgical pathology)$902,53522,04031$41
44795117Allergy testing or treatment$897,804110,37831$8
44884703Blood chemistry test (checking specific substances in your blood)$897,791334,02945$3
449C1713Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)$892,5808,99517$99
45074178CT scan of the abdomen and pelvis (with and without contrast)$885,2644,0304$220
451G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes$879,689256,188132$3
45283735Blood chemistry test (checking specific substances in your blood)$877,147526,72885$2
45373110X-ray of the wrist (complete)$876,41342,86152$20
45487040Blood culture — test to see if bacteria are growing in your blood$870,043221,53344$4
45587661Microbiology test — checking for infections (bacteria, viruses, fungi)$867,024121,69733$7
456D7230Removal of an impacted tooth — partially bony (stuck in the jawbone)$866,9387,98213$109
45790839Crisis therapy — emergency mental health treatment (first 60 minutes)$861,91910,22949$84
458D2140Silver (amalgam) filling — one surface$860,67920,41646$42
459J9271Injection, pembrolizumab, 1 mg$860,0801681$5,120
46090716Chickenpox (varicella) vaccine$856,40538,39777$22
461S5150Unskilled respite care — temporary relief for family caregivers (per 15 minutes)$845,6065,6084$151
46296152Medical service or procedure$844,00816,1259$52
46373030X-ray of the shoulder$838,65265,75869$13
46410060Drainage of an abscess (simple — draining an infected lump)$819,90212,93223$63
465D2393Tooth-colored (resin) filling — three surfaces, back tooth$818,68315,35757$53
46694618Breathing test or lung function test$813,63830,3917$27
46795800Brain wave test (EEG) or nerve test$809,6238,25910$98
468J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (for example., liquid), 500 mg$806,6932631$3,067
469D0999Dental exam, X-ray, or screening$806,61026,670121$30
47095912Brain wave test (EEG) or nerve test$805,6365,09713$158
471H0049Alcohol and/or drug screening$802,803109,48755$7
47276813Ultrasound$802,0027,62017$105
47359514Cesarean delivery only$800,0834,42911$181
47499439Medical service or procedure$799,84922,80729$35
47586480Immune system or allergy test$793,58447,1989$17
476D8670Braces or orthodontic treatment$793,2009,5858$83
47784439Blood chemistry test (checking specific substances in your blood)$789,428418,35569$2
47899381Wellness checkup — new patient, infant (under 1 year)$788,87310,42591$76
47993880Blood vessel ultrasound or study$782,31212,44544$63
48064634Brain, spine, or nerve surgery$772,3911,7945$431
481A4605Tracheal suction catheter, closed system, each$765,6384,8293$159
482J7030IV fluid — normal saline (salt water, 1000 ml)$764,729437,62940$2
48399383Wellness checkup — new patient, ages 5-11$763,6859,99798$76
48494060Breathing test or lung function test$759,65119,53149$39
485G9920Screening performed and negative$759,24326,2342$29
48690846Family therapy session without the patient present$755,47510,28140$73
487B4088Gastrostomy/jejunostomy tube, low-profile, any material, any type, each$746,0819,5127$78
488D1354Interim caries arresting treatment — applying medicine to stop a cavity from growing$745,31772,28140$10
489L2280Addition to lower extremity, molded inner boot$744,2671,4645$508
490D0365Dental exam, X-ray, or screening$740,1524,6172$160
491A7526Tracheostomy tube collar/holder, each$738,2399,3024$79
49282607Blood chemistry test (checking specific substances in your blood)$736,340212,49552$3
49397116Gait training — learning or re-learning how to walk$730,398142,34552$5
494D0366Dental exam, X-ray, or screening$726,3334,5641$159
49597150Group therapy session (physical, occupational, or speech)$725,54785,33250$8
496T2024Service assessment/plan of care development, waiver$722,17816,0263$45
497A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries$719,8006,2906$114
49899224Medical service or procedure$719,70228,9552$25
49999236Hospital observation — admission and discharge on the same day (complex)$717,1984,13619$173
50076642Ultrasound$707,59717,29415$41
50187481Microbiology test — checking for infections (bacteria, viruses, fungi)$705,76245,38312$16
50299307Nursing facility visit — minor problem$704,40763,01242$11
50347562Gallbladder removal surgery (laparoscopic)$701,4366296$1,115
50464490Brain, spine, or nerve surgery$701,1533,6427$193
505D7310Tooth extraction or oral surgery$692,23810,16010$68
50694667Breathing test or lung function test$691,76435,99515$19
50785730Partial thromboplastin time (PTT) — blood clotting test$688,732421,26256$2
50887811Microbiology test — checking for infections (bacteria, viruses, fungi)$688,64941,08643$17
50987150Microbiology test — checking for infections (bacteria, viruses, fungi)$683,1607,2438$94
51000920Anesthesia for a medical procedure$682,8204,59810$148
511G0463Hospital outpatient clinic visit$680,46867,21823$10
51296132Neuropsychological testing — evaluation by a psychologist (first hour)$676,16217,51570$39
51392587Hearing or speech test or therapy$673,37397,12863$7
514B4152Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals$672,4356,2285$108
51501961Anesthesia for a medical procedure$666,3472,86115$233
51664615Brain, spine, or nerve surgery$664,6777,5919$88
517A4231Infusion set for external insulin pump, needle type$663,4305,1391$129
51899366Medical service or procedure$660,64324,8036$27
519A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap$657,68720,11715$33
520Q4253Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)$654,3354842$1,352
521J0887Injection, epoetin beta, 1 microgram, (for end-stage kidney disease on dialysis)$653,406108,83240$6
52297163Physical therapy evaluation — complex problem$652,80627,24259$24
523T1001Nursing assessment / evaluation$651,30434,9097$19
524R0070Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen$648,80549,10610$13
525D7510Drainage of an abscess in the mouth (intraoral)$647,1708,9406$72
52682728Blood chemistry test (checking specific substances in your blood)$646,736277,46692$2
52785610Prothrombin time (PT) — blood clotting test$641,118604,76272$1
528J2270Injection of morphine (strong pain medicine)$640,073320,65650$2
529T4534Youth sized disposable incontinence product, protective underwear/pull-on, each$636,3839,4676$67
530Q4250Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure)$631,8282431$2,600
53100811Anesthesia for a medical procedure$630,0986,43025$98
53287653Microbiology test — checking for infections (bacteria, viruses, fungi)$628,12946,15518$14
533E1028Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other$627,9937,2804$86
534E1399Durable medical equipment, miscellaneous$624,1149514$656
53544970Appendix surgery$623,5334704$1,327
53694664Breathing test or lung function test$621,15463,80852$10
537D9420Hospital dental care — using the hospital for dental treatment (per hour)$619,44518,19651$34
538S9083Global fee urgent care centers$617,55311,11410$56
53987801Microbiology test — checking for infections (bacteria, viruses, fungi)$615,07433,4778$18
54031231Sinus surgery$613,5767,95211$77
541E0470Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, for example.$603,75813,86014$44
54297802Medical service or procedure$602,135121,09780$5
54380076Liver function blood test panel$599,081202,84147$3
54493976Blood vessel ultrasound or study$598,93810,06023$60
545J2777Injection, faricimab-svoa, 0.1 mg$598,3494523$1,324
546A6531Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each$595,7458,6661$69
547G0260Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography$592,3614,3923$135
54894760Breathing test or lung function test$589,194407,368230$1
54993015Heart monitoring test (ECG/EKG)$588,23417,14230$34
550D2740Crown (cap) — porcelain or ceramic$587,1351,5587$377
55180081Blood test panel (checking multiple things at once)$586,40738,7483$15
552E0143Walker, folding, wheeled, adjustable or fixed height$581,40621,91019$27
55320553Musculoskeletal surgery (bones, joints, muscles)$579,08423,18427$25
554D9430Other dental service$577,99916,6015$35
55596130Psychological or neuropsychological testing — evaluation by a psychologist (first hour)$576,89425,57623$23
556G0444Annual depression screening$574,67876,917141$7
55770491Head and brain imaging (X-ray, CT, or MRI)$574,2734,50217$128
55827603Knee and lower leg surgery$572,7273,3891$169
55995983Brain wave test (EEG) or nerve test$572,33727,0378$21
56095941Brain wave test (EEG) or nerve test$571,2441,5353$372
56182550Blood chemistry test (checking specific substances in your blood)$570,018265,20751$2
562D0603Dental exam, X-ray, or screening$567,923206,383138$3
563J9035Injection, bevacizumab, 10 mg$567,78914,3747$40
56499217Medical service or procedure$566,74910,70938$53
56599221Hospital admission — first day, simple to moderate problem$559,5699,81640$57
566G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session$559,4052,1313$263
56799255Medical service or procedure$558,2873,74620$149
56899386Wellness checkup — new patient, ages 40-64$558,1215,64547$99
56910061Drainage of an abscess (complicated)$555,21618,7634$30
570D3230Root canal or dental pulp treatment$554,0056,8216$81
571D0470Dental exam, X-ray, or screening$553,29227,45328$20
572T4521Adult sized disposable incontinence product, brief/diaper, small, each$552,2559,7809$56
573D9612Other dental service$551,31617,55420$31
574A7520Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each$549,36910,7423$51
575A6550Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories$547,2883,5142$156
576A4604Tubing with integrated heating element for use with positive airway pressure device$542,87224,43818$22
577D7511Tooth extraction or oral surgery$542,1906,2712$86
578D4355Gum disease treatment (periodontics)$541,99710,85349$50
579T2005Non-emergency transportation; stretcher van$540,4056,8382$79
58083970Blood chemistry test (checking specific substances in your blood)$538,111170,70054$3
581T4542Incontinence product, disposable underpad, small size, each$537,26315,9766$34
582D7241Removal of an impacted tooth — completely bony, with complications$535,8142,8965$185
58399345Home visit — unstable or life-threatening condition$531,0174,30325$123
58495911Brain wave test (EEG) or nerve test$528,2284,01511$132
58587070Culture test — checking a sample for bacteria$523,401155,54450$3
58690746Hepatitis B vaccine (adult dose)$521,00110,3253$50
58715002Skin graft or tissue transfer$520,4083,9285$132
58890651HPV vaccine (protects against cancer-causing virus)$517,70554,187152$10
58963650Brain, spine, or nerve surgery$514,3546602$779
59064491Brain, spine, or nerve surgery$510,8083,3216$154
59192610Swallowing evaluation$508,28712,30627$41
592D2933Dental filling, crown, or restoration$507,2935,75615$88
59392546Hearing or speech test or therapy$505,3318,7369$58
59499409Medical service or procedure$503,48014,75912$34
59587088Microbiology test — checking for infections (bacteria, viruses, fungi)$503,271259,23726$2
596A0180Non-emergency transportation: ancillary: lodging-recipient$502,9209814$513
59784481Blood chemistry test (checking specific substances in your blood)$501,473117,27023$4
598V2200Sphere, bifocal, plano to plus or minus 4.00d, per lens$494,98112,17840$41
599J0696Injection of ceftriaxone (antibiotic, usually given for serious infections)$493,268174,11785$3
600B4150Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube$491,3885,6745$87
60184403Blood chemistry test (checking specific substances in your blood)$490,91869,9928$7
60287186Microbiology test — checking for infections (bacteria, viruses, fungi)$489,611178,48140$3
603G0399Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation$482,0993,3543$144
60488312Tissue examination under a microscope (surgical pathology)$481,72631,24935$15
60559409Vaginal delivery only$476,6466422$742
606A7032Cushion for use on nasal mask interface, replacement only, each$471,69019,15712$25
60786803Immune system or allergy test$470,209122,17626$4
608A4629Tracheostomy care kit for established tracheostomy$469,8276,3914$74
60959510Cesarean delivery (C-section) — includes prenatal and follow-up care$469,8022865$1,643
61075574Heart and blood vessel imaging$468,0131,6346$286
611K0108Wheelchair component or accessory, not otherwise specified$466,9294,4453$105
61290707MMR vaccine (protects against measles, mumps, rubella)$466,47236,48976$13
61395813Brain wave test (EEG) or nerve test$460,9921,5834$291
614A7035Headgear used with positive airway pressure device$460,31744,66124$10
61533440Heart and blood vessel surgery$459,9992321$1,983
61682746Blood chemistry test (checking specific substances in your blood)$459,354141,52550$3
617G0101Cervical or vaginal cancer screening — pelvic and breast exam$458,27117,61875$26
61897012Physical therapy, occupational therapy, or rehabilitation$457,60950,70817$9
61993886Blood vessel ultrasound or study$453,1111,9955$227
62012001Wound repair — stitching a cut or laceration (simple or layered)$452,98511,41020$40
62199497Medical service or procedure$450,90268,19295$7
62296156Medical service or procedure$450,01426,28718$17
62372110X-ray of the lower spine (complete, multiple views)$448,52512,71432$35
62496136Psychological testing — administered by a psychologist (first 30 min)$448,33918,14576$25
625A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose$447,8469,72011$46
626D0367Dental exam, X-ray, or screening$446,7603,5029$128
627V2785Processing, preserving and transporting corneal tissue$443,1361,6892$262
62896127Brief emotional or behavioral screening (like a depression or anxiety questionnaire)$439,826134,140229$3
6290365TMedical service or procedure$439,3407,2182$61
63000797Anesthesia for a medical procedure$434,2471,4374$302
631A7037Tubing used with positive airway pressure device$433,06743,49422$10
63283013Blood chemistry test (checking specific substances in your blood)$431,55128,6496$15
633Q0138Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-end-stage kidney disease use)$430,2226901$624
634L2275Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined$429,9103,0087$143
63512011Wound repair — stitching a cut or laceration (simple or layered)$428,3248,64113$50
636D0190Dental exam, X-ray, or screening$423,62362,27044$7
63790935Dialysis — single treatment to clean the blood when kidneys don't work$423,20016,1667$26
63895951Brain wave test (EEG) or nerve test$423,1111,9694$215
639J2469Injection, palonosetron hcl, 25 mcg$420,9555,8013$73
64092548Hearing or speech test or therapy$418,8656,9455$60
64192521Evaluation of speech fluency (stuttering assessment)$418,8035,5533$75
642A9276Sensor; invasive (for example., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply$418,0617642$547
643J3490Unclassified drug injection$414,738186,15770$2
644V2760Scratch resistant coating, per lens$414,30725,03427$17
645J2505Injection, pegfilgrastim, 6 mg$414,2461372$3,024
64686235Immune system or allergy test$414,19028,0962$15
647E2361Power wheelchair accessory, 22nf sealed lead acid battery, each, (for example., gel cell, absorbed glassmat)$412,5642,4584$168
64887077Culture test — checking for specific bacteria$409,171167,71652$2
64977065Breast imaging (mammogram or MRI)$407,6275,48210$74
65085379Blood cell or clotting test$406,975108,54845$4
65181003Urinalysis — automated test$401,525559,192233$1
65292083Eye exam or vision test$400,52211,81627$34
653H0043Supported housing, per day$396,1503,3102$120
65499499Medical service or procedure$388,82860,64215$6
65587799Microbiology test — checking for infections (bacteria, viruses, fungi)$386,68626,2653$15
656S9366Home infusion therapy, total parenteral nutrition (tpn); more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination$386,1701,4061$275
657A7038Filter, disposable, used with positive airway pressure device$385,326128,16830$3
658J0878Injection, daptomycin, 1 mg$384,4091,5682$245
659R0075Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen$384,27220,0706$19
660J1885Injection, ketorolac tromethamine, per 15 mg$380,277425,457138$1
661J0485Injection, belatacept, 1 mg$380,2521,8941$201
662E0443Portable oxygen contents, gaseous, 1 month's supply = 1 unit$379,74110,97612$35
66372050Spine imaging (X-ray, CT, or MRI)$379,65513,27723$29
66487536Microbiology test — checking for infections (bacteria, viruses, fungi)$378,07419,5742$19
66597533Physical therapy, occupational therapy, or rehabilitation$374,3885,5555$67
666J3300Injection, triamcinolone acetonide, preservative free, 1 mg$374,3252,8933$129
66715004Skin graft or tissue transfer$373,5232,4734$151
668L3660Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf$370,9575,6394$66
66981002Urinalysis — quick dipstick test$369,854289,747258$1
67064492Brain, spine, or nerve surgery$367,9812,6473$139
671V5008Hearing screening$365,84221,75012$17
67229200Casting, splinting, or strapping for a broken bone or injury$365,00911,6537$31
673G8510Screening for depression is documented as negative, a follow-up plan is not required$361,56154,18437$7
674H0038Self-help or peer support services (someone with similar experience helping you)$358,79477,82638$5
67564636Brain, spine, or nerve surgery$358,44811,57622$31
67696158Medical service or procedure$358,08622,49125$16
67720552Musculoskeletal surgery (bones, joints, muscles)$356,77015,68519$23
67888185Cell examination under a microscope$355,7803,6785$97
67980047Blood test panel (checking multiple things at once)$355,05384,92114$4
68081513Medical service or procedure$354,29923,6643$15
68131525Windpipe (trachea) or voice box surgery$352,3032,8824$122
68265778Eye surgery$349,4845,2543$67
683G0108Diabetes self-management training for individuals$348,03218,45833$19
68497166Occupational therapy evaluation — moderate problem$346,64514,71229$24
68590840Crisis therapy — continued emergency treatment (additional 30 minutes)$346,6165,62917$62
68690836Individual therapy session added to a regular doctor visit (45 minutes)$346,6148,72839$40
68790875Mental health service$346,5046,80010$51
68842820Throat, adenoid, and tonsil surgery$344,94966310$520
68990785Medical service or procedure$344,84975,28869$5
69087486Microbiology test — checking for infections (bacteria, viruses, fungi)$344,56830,89219$11
691L4360Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled$343,7881,6579$207
69273562X-ray of the knee (3 views)$340,14117,94841$19
69300813Anesthesia for a medical procedure$339,9073,02415$112
69499358Medical service or procedure$339,70722,77522$15
69593925Blood vessel ultrasound or study$339,0793,78022$90
69617000Destruction of a precancerous skin growth (first growth)$338,1019,00211$38
69790961End-stage kidney disease monthly care — for patients 20 and older, 2-3 visits$338,0674,6266$73
69896367IV infusion or injection of medication$337,50726,87431$13
69958661Female reproductive system surgery$336,4764012$839
70099316Medical service or procedure$335,9325,14824$65
701D5750Denture reline (upper, sent to a lab)$335,6282,1871$153
70299343Home visit — complex problem$334,8622,47213$135
70399442Medical service or procedure$334,35517,27860$19
704D2950Crown buildup — rebuilding a broken tooth so a crown can be placed$333,7575,15014$65
70596137Psychological testing — additional 30 minutes$333,3888,88757$38
70662323Epidural injection for pain (lumbar/sacral)$332,6362,83214$117
70787581Microbiology test — checking for infections (bacteria, viruses, fungi)$332,49530,81020$11
70876827Ultrasound$332,4405,4017$62
70984153PSA blood test (prostate cancer screening)$331,72384,84317$4
71092551Hearing or speech test or therapy$330,35158,70270$6
71183550Iron binding capacity test$328,215287,97973$1
712Q0092Set-up portable x-ray equipment$326,92772,40710$5
71378492Nuclear medicine imaging (using small amounts of radioactive material)$325,6301,7757$183
7140369TMedical service or procedure$323,0931,9203$168
71580069Kidney function blood test panel$321,681201,14451$2
716E0603Breast pump, electric (ac and/or dc), any type$321,5633,1492$102
71786140Immune system or allergy test$320,506218,78344$1
718D0160Dental exam, X-ray, or screening$320,37713,65740$23
71916020Medical service or procedure$317,5558,2033$39
72099354Medical service or procedure$311,2428,28933$38
721D7473Tooth extraction or oral surgery$311,0592,9611$105
72297129Physical therapy, occupational therapy, or rehabilitation$310,99333,19015$9
72393017Heart monitoring test (ECG/EKG)$310,51824,78120$13
724Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory$310,48824,038102$13
72511102Skin biopsy — taking a small sample of skin to test for disease$310,0965,66511$55
72699336Medical service or procedure$309,51410,80425$29
72799305Nursing facility admission — moderate first day care$308,9057,28139$42
72892570Hearing or speech test or therapy$308,44113,1846$23
729K0816Power wheelchair, group 1 standard, captains chair, patient weight capacity up to and including 300 pounds$308,3342,8814$107
73099495Medical service or procedure$307,4853,5177$87
731A4556Electrodes, (for example., apnea monitor), per pair$307,34817,1278$18
732A7507Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each$306,6334,6783$66
73395957Brain wave test (EEG) or nerve test$304,59015,19532$20
734A7005Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable$303,07730,23011$10
73577002Imaging guidance for a needle procedure$299,7477,14115$42
73686900Blood typing — ABO (determines your blood group)$299,617182,81340$2
73792557Hearing or speech test or therapy$298,79912,83322$23
73829125Casting, splinting, or strapping for a broken bone or injury$296,8069,82422$30
73976820Ultrasound$296,7986,89115$43
74074019X-ray of the abdomen (two views)$296,21217,25113$17
74183540Iron blood test$295,936333,11087$1
74269436Ear surgery$295,0416717$440
74365400Eye surgery$293,5641,0463$281
744K0739Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes$292,8908,2649$35
74599226Medical service or procedure$292,3663,47813$84
746V2104Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens$291,53432,12744$9
747D4341Deep cleaning (scaling and root planing) — per quadrant, 4+ teeth$290,4973,6699$79
74872128Spine imaging (X-ray, CT, or MRI)$288,8684,06011$71
74968840Eye surgery$288,1579,8634$29
75092341Eye exam or vision test$287,3769,46431$30
751L2820Addition to lower extremity orthosis, soft interface for molded plastic, below knee section$285,6953,13710$91
75273502X-ray of the hip$285,29720,72838$14
75382652Blood chemistry test (checking specific substances in your blood)$285,28538,2915$7
75486769Immune system or allergy test$283,8239,0126$31
755D5120Complete lower denture$283,0596184$458
756C9803Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source$280,678157,88037$2
75797165Occupational therapy evaluation — simple problem$279,70213,71627$20
75899335Medical service or procedure$279,5137,78421$36
759D1510Space maintainer — device to hold space for a permanent tooth (fixed)$279,0163,31012$84
76093978Blood vessel ultrasound or study$277,7422,5838$108
761J1756Injection, iron sucrose, 1 mg$277,353482,47455$1
76273080X-ray of the forearm$277,05415,94927$17
76394626Breathing test or lung function test$277,0082,6962$103
76454150Male reproductive system surgery$274,4252,18913$125
76564718Brain, spine, or nerve surgery$274,1531,0854$253
76611045Wound cleaning — removing dead or damaged tissue$273,2592,9258$93
76787400Microbiology test — checking for infections (bacteria, viruses, fungi)$272,69231,64621$9
76886696Immune system or allergy test$271,74046,7414$6
76987430Microbiology test — checking for infections (bacteria, viruses, fungi)$271,03547,57765$6
770J1335Injection, ertapenem sodium, 500 mg$269,8581,0051$269
77182670Blood chemistry test (checking specific substances in your blood)$269,23335,6225$8
77296131Psychological or neuropsychological testing — additional testing time$268,3552,9876$90
773A4351Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each$267,9431,8154$148
77426180Hand and finger surgery$266,3661,3353$200
775L4361Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf$265,6491,8916$140
776E0730Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation$265,5643,9232$68
777D7550Tooth extraction or oral surgery$263,4099711$271
77899334Medical service or procedure$263,2277,1877$37
77974183Abdomen imaging (X-ray, CT, or MRI)$263,0611,4145$186
780Q5107Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg$262,4221671$1,571
781J1453Injection, fosaprepitant, 1 mg$261,1714,2022$62
78286780Immune system or allergy test$258,68649,22124$5
78394016Breathing test or lung function test$258,41516,8536$15
78495700Brain wave test (EEG) or nerve test$257,7867,2799$35
785A6532Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each$257,2922,2861$113
78692136Eye exam or vision test$256,63010,38416$25
78792575Hearing or speech test or therapy$256,4075,5352$46
788D1355Dental preventive care (cleaning, fluoride, sealant)$255,7986,9214$37
789E0245Tub stool or bench$255,1084,3547$59
79026440Hand and finger surgery$255,0371,0403$245
791D9995Other dental service$254,8598,0866$32
79200142Anesthesia for eye surgery$254,4964,74012$54
79362322Brain, spine, or nerve surgery$254,3912,8428$90
794A7000Canister, disposable, used with suction pump, each$253,06613,1306$19
79592522Evaluation of speech sound production$251,6724,5834$55
79682570Blood chemistry test (checking specific substances in your blood)$251,486263,78541$1
79793922Blood vessel ultrasound or study$251,4396,62529$38
798E2366Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each$250,0141,5194$165
79967210Eye surgery$249,5643,1333$80
80017311Medical service or procedure$247,7736893$360
80187340Microbiology test — checking for infections (bacteria, viruses, fungi)$245,081116,64532$2
80211750Nail surgery or treatment$243,0042,2727$107
80336569Artery and vein surgery$242,8916291$386
80472040Spine imaging (X-ray, CT, or MRI)$241,59011,94935$20
80595806Brain wave test (EEG) or nerve test$241,1652,35010$103
80697602Physical therapy, occupational therapy, or rehabilitation$240,92616,5265$15
807D2160Silver (amalgam) filling — three surfaces$240,8913,27318$74
808D3330Root canal — molar tooth$240,5001,1484$210
809A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries$240,4031,8417$131
810D4346Gum disease treatment (periodontics)$240,0883,42124$70
81186850Blood type and antibody screening$238,991130,02341$2
81287511Microbiology test — checking for infections (bacteria, viruses, fungi)$238,96413,8318$17
81376819Ultrasound$238,4443,1217$76
814K0552Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each$238,3703,4071$70
81599382Wellness checkup — new patient, ages 1-4$237,6123,30858$72
816H0010Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient)$237,2507724$307
81773090X-ray of the wrist$237,23316,01531$15
81882977Blood chemistry test (checking specific substances in your blood)$236,51975,75911$3
81912002Wound repair — stitching a cut or laceration (simple or layered)$235,0805,4578$43
82083001Blood chemistry test (checking specific substances in your blood)$234,79349,3456$5
82199252Medical service or procedure$234,4383,9859$59
82284100Phosphorus blood test$232,795250,74458$1
82374174Abdomen imaging (X-ray, CT, or MRI)$231,2885776$401
82483655Blood chemistry test (checking specific substances in your blood)$230,50545,41036$5
825E0114Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips$230,2139,5506$24
826G0468Federally Qualified Health Center visit — a community health center visit for new patients$230,1612,8927$80
82795923Brain wave test (EEG) or nerve test$229,6973,48415$66
828L3908Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf$229,2504,76310$48
82994729Breathing test or lung function test$227,0189,07634$25
830D0145Oral evaluation for a patient under 3 years old$225,18312,61565$18
831D7261Tooth extraction or oral surgery$223,2848141$274
83276000Diagnostic ultrasound or fluoroscopy$223,2476,68214$33
833D7961Tooth extraction or oral surgery$222,5161,8763$119
83499459Medical service or procedure$222,33113,61319$16
83595251Medical service or procedure$221,9468,58215$26
83686901Blood typing — Rh (determines if you're Rh positive or negative)$221,941193,88541$1
83776870Ultrasound of the scrotum$221,5027,41718$30
83826055Hand and finger surgery$221,4091,6604$133
83987522Microbiology test — checking for infections (bacteria, viruses, fungi)$219,86218,5694$12
84099384Wellness checkup — new patient, ages 12-17$218,1133,18453$68
84192133Eye exam or vision test$217,32812,39527$18
84299407Medical service or procedure$216,52425,76752$8
843J3370Injection, vancomycin hcl, 500 mg$216,32430,57524$7
84484402Blood chemistry test (checking specific substances in your blood)$215,63035,7573$6
84592285Eye exam or vision test$215,10418,41916$12
846A5120Skin barrier, wipes or swabs, each$214,71125,1308$9
84799406Medical service or procedure$214,22947,533121$5
84899468Neonatal critical care — intensive care for a very sick baby (first day)$213,8452672$801
84999174Other medical service$213,61825,97715$8
85073590X-ray of the lower leg (tibia/fibula)$213,47519,43027$11
85199201New patient office visit — minor problem$212,7148,00827$27
85290838Individual therapy session added to a regular doctor visit (60 minutes)$212,2585,58618$38
85336416Finger or heel stick for blood collection$211,39589,617103$2
854J2405Injection, ondansetron hydrochloride, per 1 mg$210,561563,63563$0
855A5500For 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$209,9343,53412$59
856D5214Partial lower denture — with resin base$209,76652011$403
85786038Immune system or allergy test$208,95973,4208$3
858E0600Respiratory suction pump, home model, portable or stationary, electric$207,8615,0935$41
859D9243Other dental service$207,4793,1155$67
860E0784External ambulatory infusion pump, insulin$207,383541$3,840
86136430Blood transfusion$206,0707,24212$28
86236475Artery and vein surgery$205,1069451$217
863E1392Portable oxygen concentrator, rental$204,18325,34816$8
864T4533Youth sized disposable incontinence product, brief/diaper, each$202,7252,3802$85
86592025Eye exam or vision test$202,3118,2728$24
866A4353Intermittent urinary catheter, with insertion supplies$202,2862232$907
867T4530Pediatric sized disposable incontinence product, brief/diaper, large size, each$201,4803,6063$56
86891065Digestive system test$201,4103,6212$56
86901938Anesthesia for a medical procedure$201,1972,64810$76
870E1007Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction$201,081752$2,681
87199484Medical service or procedure$200,76328,6178$7
872J1100Injection of dexamethasone (steroid for inflammation, allergies, or breathing problems)$200,518297,769147$1
87390863Mental health service$199,6827,78217$26
87490677Vaccine or immunization$199,53014,00041$14
87587902Microbiology test — checking for infections (bacteria, viruses, fungi)$199,5253,1281$64
876J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose$199,1742391$833
87799235Hospital observation — admission and discharge on the same day (moderate)$198,7561,7368$114
87894150Breathing test or lung function test$197,40314,92011$13
879D5761Dentures or removable dental prosthetics$196,4251,5021$131
88082962Blood chemistry test (checking specific substances in your blood)$194,732304,96080$1
88183002Blood chemistry test (checking specific substances in your blood)$193,58541,1664$5
882V2782Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens$193,0529,12411$21
883J1745Injection, infliximab, excludes biosimilar, 10 mg$191,6034622$415
884G0152Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes$191,54860,60457$3
885A5513For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch$191,5362,7269$70
88657265Female reproductive system surgery$191,2505743$333
887A4623Tracheostomy, inner cannula$190,9641,6222$118
88877080Bone density scan (DEXA scan — checks for osteoporosis)$189,9437,86916$24
8890368TMedical service or procedure$189,6294,9455$38
890A9901Medical equipment delivery, set up, and/or dispensing service component of another procedure code code$189,21071,8462$3
89182248Blood chemistry test (checking specific substances in your blood)$188,962115,28825$2
89295984Brain wave test (EEG) or nerve test$188,7716,3444$30
89386360Immune system or allergy test$188,00416,1961$12
89485018Blood cell or clotting test$187,543349,737136$1
89549460Abdomen, hernia, or peritoneum surgery$187,49412,3071$15
89684146Blood chemistry test (checking specific substances in your blood)$187,27735,2747$5
897J1170Injection, hydromorphone, up to 4 mg$186,744130,24340$1
89886592Immune system or allergy test$186,531170,20723$1
89982043Blood chemistry test (checking specific substances in your blood)$185,187175,56815$1
90084550Blood chemistry test (checking specific substances in your blood)$184,921148,10636$1
90197164Physical therapy re-evaluation$183,7236,79024$27
9023074FMedical service or procedure$183,337354,324174$1
90364480Brain, spine, or nerve surgery$183,0881,76011$104
904E0260Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress$182,92213,14912$14
90588142Cell examination under a microscope$182,62057,36713$3
906J2930Injection, methylprednisolone sodium succinate, up to 125 mg$182,18934,72932$5
90777334Radiation therapy for cancer$182,1345091$358
90890686Vaccine or immunization$181,795271,223395$1
909B9002Enteral nutrition infusion pump, any type$181,0386,0907$30
910U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc$181,01213,27938$14
91192540Hearing or speech test or therapy$180,4393,2569$55
91287641Microbiology test — checking for infections (bacteria, viruses, fungi)$180,19729,21114$6
91382330Blood chemistry test (checking specific substances in your blood)$179,84223,10713$8
914V5010Assessment for hearing aid$179,8053,53511$51
915A4222Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)$178,2655,3207$34
91611044Wound cleaning — removing dead tissue down to bone$177,1614,1384$43
91799451Medical service or procedure$176,21326,7402$7
91891320Medical service or procedure$175,2352,9498$59
919V2107Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens$175,12715,07320$12
92020611Joint injection or draining with ultrasound guidance$174,9035,26717$33
921L3020Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each$174,7377003$250
92293042Heart monitoring test (ECG/EKG)$174,65197,26141$2
923G0469Federally qualified health center (community health center) visit, mental health, new patient; a medically-necessary$173,9893,6385$48
92433866Heart and blood vessel surgery$173,8582681$649
92592273Eye exam or vision test$172,7632,3317$74
92682785Blood chemistry test (checking specific substances in your blood)$172,39944,4682$4
927A7033Pillow for use on nasal cannula type interface, replacement only, pair$171,9978,9439$19
928E0471Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, for example.$171,9901,9953$86
929G0383Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is l...$170,8245,6178$30
93073140Upper extremity imaging (shoulder, arm, hand)$170,64013,68621$12
93186695Immune system or allergy test$170,25043,3924$4
932D5899Dentures or removable dental prosthetics$170,1088,37019$20
933P9604Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge$169,570149,35912$1
934L1830Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf$169,2622,9757$57
93577014Imaging guidance for a needle procedure$168,9262,5403$67
9360012AMedical service or procedure$168,81311,14695$15
937L1960Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated$168,6963472$486
93883615Blood chemistry test (checking specific substances in your blood)$167,58386,28326$2
93999601Home infusion — a nurse giving IV medication at your home (first 2 hours)$166,8604,2313$39
94093458Heart catheterization — looking at heart arteries with dye$165,9787578$219
94183525Blood chemistry test (checking specific substances in your blood)$165,84263,9264$3
94294015Breathing test or lung function test$165,37910,3472$16
9430011AMedical service or procedure$164,93012,126103$14
94484145Blood chemistry test (checking specific substances in your blood)$164,37321,54922$8
945V5264Ear mold/insert, not disposable, any type$163,6053,1207$52
946G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present)$163,00325,45049$6
94788304Tissue examination under a microscope (surgical pathology)$162,65627,02831$6
948D0270Dental X-ray — bitewing (single film, checks for cavities between teeth)$161,55817,59760$9
949G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)$161,4516,0698$27
95090867Mental health service$160,53356814$283
951D7111Extraction — pulling a baby tooth that's already loose$160,3815,95131$27
95200812Anesthesia for a medical procedure$159,5751,86110$86
95399337Medical service or procedure$159,1923,4875$46
954J2315Injection, naltrexone, depot form, 1 mg$158,5554693$338
95587640Microbiology test — checking for infections (bacteria, viruses, fungi)$158,36217,17111$9
95692226Eye exam or vision test$157,8149,4988$17
957D5751Denture reline (lower, sent to a lab)$157,7639901$159
95899464Newborn resuscitation — emergency breathing help for a baby$157,6052,4833$63
95990674Flu vaccine — standard injection$156,39012,88257$12
96043281Esophagus (swallowing tube) surgery$155,6362542$613
96187563Microbiology test — checking for infections (bacteria, viruses, fungi)$155,27912,22412$13
96286376Immune system or allergy test$154,89745,0404$3
963G0442Annual alcohol misuse screening, 5 to 15 minutes$154,60827,92366$6
96401810Anesthesia for a medical procedure$153,4241,5434$99
96587081Culture test — checking for a specific organism$153,34294,23224$2
96687500Microbiology test — checking for infections (bacteria, viruses, fungi)$153,12914,7246$10
967D9239Other dental service$152,2612,8473$53
96811046Wound cleaning — removing dead or damaged tissue$151,03012,8114$12
96974022Abdomen imaging (X-ray, CT, or MRI)$150,3567,29621$21
97099443Medical service or procedure$148,8436,79844$22
97197156Physical therapy, occupational therapy, or rehabilitation$148,8182,66814$56
972D8691Braces or orthodontic treatment$148,0205,1314$29
97395024Allergy testing or treatment$147,1061,7605$84
974J2182Injection, mepolizumab, 1 mg$146,928732$2,013
97511721Nail surgery or treatment$146,10328,35646$5
97672170X-ray of the pelvis$146,0018,74616$17
977V5266Battery for use in hearing device$145,05019,34820$8
978J1439Injection, ferric carboxymaltose, 1 mg$144,7391,7955$81
97999199Other medical service$143,85036,19418$4
980J2543Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)$143,33730,50421$5
98170544Head and brain imaging (X-ray, CT, or MRI)$142,9492,8178$51
98287631Microbiology test — checking for infections (bacteria, viruses, fungi)$142,80936,84524$4
98396116Neurobehavioral exam — testing brain function and behavior$142,60320,4298$7
98482947Blood sugar (glucose) test$142,57781,84232$2
98599253Medical service or procedure$141,1882,63517$54
98673620Lower extremity imaging (hip, knee, leg, foot)$140,1029,23215$15
98784144Blood chemistry test (checking specific substances in your blood)$139,51625,6005$5
98880164Drug or substance testing$139,37925,5847$5
98997168Occupational therapy re-evaluation$139,1145,1316$27
99036514Artery and vein surgery$138,6875,9053$23
99188141Cell examination under a microscope$138,68528,06718$5
99297130Physical therapy, occupational therapy, or rehabilitation$138,6798,1525$17
99396417IV infusion or injection of medication$138,6415,1924$27
99417250Destruction or removal of a skin lesion (wart, precancerous growth, etc.)$138,58517,6774$8
99582565Creatinine blood test (checks how well your kidneys are working)$138,538125,80041$1
99673718MRI of the lower leg (without contrast)$138,4681,7315$80
99731624Windpipe (trachea) or voice box surgery$137,4569953$138
99899496Medical service or procedure$137,0401,79921$76
99973560X-ray of the knee (1-2 views)$137,02613,40731$10
1000J7120Ringer's lactate solution — IV fluid (1000 ml)$137,02189,53418$2
100129240Casting, splinting, or strapping for a broken bone or injury$136,7054,5694$30
100296121Medical service or procedure$136,41515,9102$9
1003H0032Mental health service plan development by a non-physician$136,3947112$192
100499462Newborn baby care — subsequent days$136,3404,39120$31
100592625Hearing or speech test or therapy$136,3162,9112$47
100694644Breathing test or lung function test$135,7615,97314$23
100793224Heart rhythm monitoring (Holter monitor or event recorder)$134,7182,29213$59
100897158Physical therapy, occupational therapy, or rehabilitation$134,7189754$138
100980051Blood test panel (checking multiple things at once)$133,83385,01122$2
101090474Additional oral or nasal vaccine at the same visit$132,99116,27850$8
101193304Heart ultrasound (echocardiogram)$132,8809331$142
1012A4305Disposable drug delivery system, flow rate of 50 ml or greater per hour$132,40025,4832$5
101376775Ultrasound$132,2945,65913$23
101499463Newborn baby care — admission and discharge on the same day$132,1271,84115$72
1015J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg$131,83514,58120$9
101695938Brain wave test (EEG) or nerve test$131,5605,8684$22
101772072Spine imaging (X-ray, CT, or MRI)$131,2067,20421$18
101893888Blood vessel ultrasound or study$130,7929612$136
1019G0515Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes$130,7773,7563$35
1020J1050Injection, medroxyprogesterone acetate, 1 mg$130,6244,59917$28
1021D7910Tooth extraction or oral surgery$130,6005,1242$25
102231579Windpipe (trachea) or voice box surgery$130,5121,3883$94
102372070X-ray of the spine (thoracic/middle back)$130,3535,41112$24
10240001AMedical service or procedure$130,1529,59454$14
102595976Brain wave test (EEG) or nerve test$130,0816,0274$22
102682105Blood chemistry test (checking specific substances in your blood)$129,85929,5645$4
102782140Blood chemistry test (checking specific substances in your blood)$129,83127,25122$5
1028D3120Root canal or dental pulp treatment$129,7619,58544$14
102915003Skin graft or tissue transfer$129,7318424$154
1030P9040Red blood cells, leukocytes reduced, irradiated, each unit$128,8491,6811$77
10310250Anesthesia for a medical procedure$127,9787,15517$18
1032J0780Injection, prochlorperazine, up to 10 mg$127,66027,53525$5
103382150Blood chemistry test (checking specific substances in your blood)$127,49254,91516$2
1034K0823Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds$126,7971,8486$69
103582784Blood chemistry test (checking specific substances in your blood)$126,40833,3616$4
103684134Blood chemistry test (checking specific substances in your blood)$125,64522,3374$6
1037A4225Supplies for external insulin infusion pump, syringe type cartridge, sterile, each$124,9881,7711$71
103896139Psychological testing — additional 30 minutes by a technician$124,7852,2978$54
103988342Tissue examination under a microscope (surgical pathology)$123,61810,82313$11
104099292Critical care — continued intensive treatment (each additional 30 minutes)$123,4371,1559$107
104173700CT scan of the lower leg$123,4191,1866$104
1042E0955Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each$123,3361,7954$69
104380306Drug or substance testing$122,82435,83229$3
104477386Radiation therapy for cancer$122,8226871$179
104597167Occupational therapy evaluation — complex problem$122,1585,05822$24
104676857Pelvic ultrasound (limited)$122,0373,0189$40
1047E2386Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each$120,1616874$175
104887512Microbiology test — checking for infections (bacteria, viruses, fungi)$120,1379,2722$13
1049A7046Water chamber for humidifier, used with positive airway pressure device, replacement, each$119,94923,04218$5
105051729Bladder surgery$119,6774852$247
10510002AMedical service or procedure$119,4847,87246$15
105296101Psychological testing — administered and scored by a psychologist$119,2301,4477$82
105327096Hip and thigh surgery$119,0432,9677$40
105485652Blood cell or clotting test$118,781176,70637$1
105543235Esophagus (swallowing tube) surgery$117,7492,3897$49
105692002Eye exam or vision test$117,7102,88412$41
1057K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count$116,74415,29328$8
105882247Bilirubin blood test (checks liver function)$116,59658,48912$2
105973100Upper extremity imaging (shoulder, arm, hand)$116,5194,7339$25
106090480Vaccine or immunization$116,5114,22820$28
1061J7050IV fluid — normal saline (250 ml)$116,43495,80931$1
106297035Physical therapy, occupational therapy, or rehabilitation$116,09418,1849$6
1063K0861Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds$115,946471$2,467
1064S5190Wellness assessment, performed by non-physician$115,71611,0453$10
106582378Blood chemistry test (checking specific substances in your blood)$115,56322,2857$5
1066J3301Injection of triamcinolone (steroid for inflammation or joint pain)$115,17337,42184$3
1067D7960Tooth extraction or oral surgery$114,2671,1253$102
106890620Vaccine or immunization$113,7277,77134$15
106999325Medical service or procedure$113,3222,4322$47
107084270Blood chemistry test (checking specific substances in your blood)$112,93519,4595$6
1071K0003Lightweight wheelchair$111,8945,2865$21
107295956Brain wave test (EEG) or nerve test$111,8381141$981
107396133Neuropsychological testing — additional testing time$111,62693517$119
107477427Radiation therapy for cancer$111,5651,0655$105
1075G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes$111,22211,46925$10
107697113Physical therapy, occupational therapy, or rehabilitation$110,8451,6588$67
1077V2797Vision supply, accessory and/or service component of another procedure code vision code$110,81238,9412$3
107887541Microbiology test — checking for infections (bacteria, viruses, fungi)$110,61012,2925$9
1079D3240Root canal or dental pulp treatment$109,4881,8332$60
1080D7280Tooth extraction or oral surgery$108,7169112$119
108196112Medical service or procedure$108,1444,23012$26
1082E2387Power wheelchair accessory, foam filled caster tire, any size, replacement only, each$108,0821,0433$104
108386359Immune system or allergy test$107,9989,7351$11
108494727Breathing test or lung function test$107,9435,14116$21
108587420Microbiology test — checking for infections (bacteria, viruses, fungi)$107,91616,17927$7
108686706Immune system or allergy test$107,88555,39926$2
108792081Eye exam or vision test$107,7665,41815$20
108887633Microbiology test — checking for infections (bacteria, viruses, fungi)$107,61716,30022$7
10890364TMedical service or procedure$106,9157,2722$15
109011900Skin injection or implant$106,3794,1859$25
109184520Blood chemistry test (checking specific substances in your blood)$106,359227,75537$0
109296160Medical service or procedure$106,28448,50944$2
109384436Blood chemistry test (checking specific substances in your blood)$106,23964,11517$2
109480202Drug or substance testing$106,04721,48110$5
109576506Ultrasound$105,8794,6084$23
1096D5760Dentures or removable dental prosthetics$105,7568431$125
1097Z7502Health information coding$105,1282,8107$37
1098G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present)$104,43913,07445$8
109992588Hearing or speech test or therapy$104,3564,34214$24
1100H2021Community-based wrap-around services — coordinated support for children and families (per 15 min)$104,0237591$137
1101A4550Surgical trays$103,90716,33644$6
1102A5121Skin barrier; solid, 6 x 6 or equivalent, each$103,8047871$132
110387807Microbiology test — checking for infections (bacteria, viruses, fungi)$103,43917,90065$6
110490670Pneumonia vaccine (PCV13, protects against pneumonia)$103,013212,174257$0
110595999Brain wave test (EEG) or nerve test$102,3191,5331$67
110690671Vaccine or immunization$101,78720,83444$5
110763685Brain, spine, or nerve surgery$100,818141$7,201
110843237Esophagus (swallowing tube) surgery$100,0048761$114
1109D7951Tooth extraction or oral surgery$99,8461311$762
111087529Microbiology test — checking for infections (bacteria, viruses, fungi)$99,8456,09210$16
1111J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (for example., liquid), 500 mg$99,4872541$392
111292552Hearing or speech test or therapy$99,2496,11613$16
1113J1200Injection, diphenhydramine hcl, up to 50 mg$98,928161,19944$1
1114A4657Syringe, with or without needle, each$98,886825,68949$0
111569210Ear wax removal$98,7625,87726$17
1116D5650Dentures or removable dental prosthetics$98,5271,7721$56
111782805Blood chemistry test (checking specific substances in your blood)$98,46911,45616$9
111892201Eye exam or vision test$98,1535,8754$17
1119A6212Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing$97,7091,3682$71
1120L4350Ankle control orthosis, stirrup style, rigid, includes any type interface (for example., pneumatic, gel), prefabricated, off-the-shelf$97,6411,5504$63
112199242Office consultation — simple problem$97,5871,01917$96
1122J0360Injection, hydralazine hcl, up to 20 mg$97,29226,48316$4
112329520Casting, splinting, or strapping for a broken bone or injury$97,2614,3143$23
112452000Cystoscopy — looking inside the bladder with a camera$95,9502,0845$46
112588173Cell examination under a microscope$95,7514,1313$23
112672197Spine imaging (X-ray, CT, or MRI)$95,6786823$140
112772080Spine imaging (X-ray, CT, or MRI)$95,3102,5792$37
112883520Blood chemistry test (checking specific substances in your blood)$95,07120,6583$5
1129A9579Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml$94,7569,6768$10
113094375Breathing test or lung function test$94,6603,8998$24
113111056Trimming or paring a skin lesion or callus$94,36524,54719$4
1132V2755U-v lens, per lens$94,26815,05912$6
1133G0382Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is l...$93,3725,94410$16
113495953Brain wave test (EEG) or nerve test$93,3494691$199
1135A6196Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing$93,2541,0422$90
113693923Blood vessel ultrasound or study$92,7441,27811$73
1137D0601Dental exam, X-ray, or screening$92,74339,033100$2
113896409IV infusion or injection of medication$92,7091,3672$68
1139A6197Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing$92,6701902$488
114015274Skin graft or tissue transfer$91,7685003$184
114117003Destruction of additional precancerous skin growths$91,7325,5816$16
1142G0471Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (skilled nursing facility) or by a laboratory on behalf of a home heal...$91,564109,9113$1
114386800Immune system or allergy test$91,45629,1104$3
114482627Blood chemistry test (checking specific substances in your blood)$91,40215,7643$6
114531575Windpipe (trachea) or voice box surgery$91,0941,5007$61
1146J1644Injection, heparin sodium, per 1000 units$90,886244,16738$0
114777003Imaging guidance for a needle procedure$90,69622,73511$4
1148A4612Battery cables; replacement for patient-owned ventilator$90,4941,3943$65
1149J1650Injection, enoxaparin sodium, 10 mg$90,45445,54722$2
115099417Medical service or procedure$90,3432,34210$39
115186703HIV test$90,2519,21317$10
115296415IV infusion or injection of medication$89,8164,6717$19
115382803Blood chemistry test (checking specific substances in your blood)$89,50516,91615$5
115499452Medical service or procedure$89,24117,2442$5
115594726Breathing test or lung function test$88,9033,19221$28
115687210Wet mount — checking a sample under a microscope$88,77337,20036$2
115786704Immune system or allergy test$88,68641,44918$2
115884460ALT blood test (checks for liver damage)$88,65552,73420$2
115925600Treatment of a broken wrist (without surgery)$88,2683393$260
1160A4221Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)$87,8776,3737$14
116101922Anesthesia for a medical procedure$87,5334394$199
116282040Albumin blood test (checks for liver or kidney problems)$87,48294,09727$1
1163D0602Dental exam, X-ray, or screening$86,92753,861103$2
1164D7472Tooth extraction or oral surgery$86,2596261$138
116599177Other medical service$86,15223,39933$4
1166D1999Dental preventive care (cleaning, fluoride, sealant)$85,689106,500107$1
1167J0881Injection, darbepoetin alfa, 1 microgram (non-end-stage kidney disease use)$85,282951$898
1168L1970Ankle foot orthosis, plastic with ankle joint, custom fabricated$84,9481212$702
116964488Brain, spine, or nerve surgery$84,8352,78911$30
1170E0163Commode chair, mobile or stationary, with fixed arms$84,5953,1626$27
1171S5160Emergency response system; installation and testing$84,3282,0283$42
117220550Musculoskeletal surgery (bones, joints, muscles)$84,0313,04511$28
117386008Immune system or allergy test$83,5787,7391$11
117472146Spine imaging (X-ray, CT, or MRI)$83,2811,0556$79
1175D2330Tooth-colored (resin) filling — one surface, front tooth$83,1741,92821$43
117686708Immune system or allergy test$83,01735,8592$2
117792284Eye exam or vision test$82,8622,6672$31
1178Q4081Injection, epoetin alfa, 100 units (for end-stage kidney disease on dialysis)$82,8211,103,70331$0
117986147Immune system or allergy test$82,4645,2962$16
1180H2016Comprehensive community support services, per day$82,4522721$303
118171270Chest imaging (X-ray, CT, or MRI)$81,9876172$133
1182E0261Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress$81,4946,7324$12
1183G0513Prolonged 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...$81,1943,3403$24
118484132Potassium blood test$81,14788,95634$1
118584450AST blood test (checks for liver damage)$81,05644,35217$2
118684112Blood chemistry test (checking specific substances in your blood)$81,0085,92413$14
1187D5130Immediate upper denture (placed right after teeth are removed)$80,6911526$531
118882077Blood chemistry test (checking specific substances in your blood)$80,06727,8268$3
118993297Pacemaker or defibrillator check$79,6946,8902$12
1190P9016Red blood cells, leukocytes reduced, each unit$79,5634,06311$20
119196125Medical service or procedure$78,8291,5412$51
119292283Eye exam or vision test$78,7631,7726$44
119395044Allergy testing or treatment$78,5003217$245
1194D5410Adjustment of a complete upper denture$78,3042,2973$34
119586160Immune system or allergy test$78,25616,7552$5
119683516Blood chemistry test (checking specific substances in your blood)$78,14921,6665$4
119790632Hepatitis A vaccine$78,0141,7872$44
1198B4153Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber$77,6791401$555
1199T4543Adult sized disposable incontinence product, protective brief/diaper, above extra large, each$77,6042651$293
120064721Brain, spine, or nerve surgery$77,5612937$265
120151798Bladder surgery$77,47512,42112$6
120293018Heart monitoring test (ECG/EKG)$77,1389,76723$8
120384445Blood chemistry test (checking specific substances in your blood)$76,8637,1481$11
120476376Diagnostic ultrasound or fluoroscopy$76,46110,4708$7
120599234Hospital observation — admission and discharge on the same day (simple)$75,5638143$93
1206G0514Prolonged 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...$75,5342,2072$34
120787496Microbiology test — checking for infections (bacteria, viruses, fungi)$75,4926,8863$11
120871101Chest imaging (X-ray, CT, or MRI)$75,3184,34919$17
1209A4557Lead wires, (for example., apnea monitor), per pair$75,1882,3012$33
1210D9630Other dental service$74,9469,81215$8
121187532Microbiology test — checking for infections (bacteria, viruses, fungi)$74,7486,7803$11
1212A9277Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system$74,7112121$352
121386225Immune system or allergy test$74,42926,5852$3
1214K0002Standard hemi (low seat) wheelchair$74,0983,3722$22
1215D9110Emergency dental treatment — palliative (pain relief)$74,0452,63622$28
1216A4670Automatic blood pressure monitor$73,9901,8559$40
121799487Complex chronic care management — for patients with very complicated health needs$73,8854,77918$15
121886923Blood typing or transfusion medicine test$73,6249,37614$8
121982672Blood chemistry test (checking specific substances in your blood)$73,20512,6471$6
1220G9919Screening performed and positive and provision of recommendations$73,0502,5191$29
1221J3486Injection, ziprasidone mesylate, 10 mg$72,8683,6789$20
122266250Eye surgery$72,8424262$171
122384075Blood chemistry test (checking specific substances in your blood)$72,80951,11226$1
122484478Blood chemistry test (checking specific substances in your blood)$72,74526,0215$3
1225A0160Non-emergency transportation: per mile - case worker or social worker$72,630149,23022$0
1226L3809Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type$72,4196653$109
122758552Female reproductive system surgery$72,0251262$572
1228E2311Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature$71,7471002$717
122984681Blood chemistry test (checking specific substances in your blood)$71,61715,0822$5
1230B9998Not otherwise classified for enteral supplies$71,4582,3524$30
123188189Cell examination under a microscope$71,3723,4713$21
1232Q4221Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure)$71,037501$1,421
1233A6402Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing$70,93114,89514$5
123495955Brain wave test (EEG) or nerve test$70,8344,2495$17
1235A7039Filter, non disposable, used with positive airway pressure device$70,22518,20910$4
123691122Digestive system test$70,2164895$144
123711100Skin biopsy — taking a small sample to test for disease$70,1811,28511$55
1238L1820Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled$70,1587084$99
1239A7002Tubing, used with suction pump, each$69,85614,3494$5
124086200Immune system or allergy test$69,82424,2214$3
124192225Eye exam or vision test$69,5242,6619$26
124281420Genetic or molecular testing$69,3883,6681$19
124396416IV infusion or injection of medication$68,1196671$102
124495115Allergy testing or treatment$67,7679,5248$7
124582677Blood chemistry test (checking specific substances in your blood)$67,3267,4443$9
124695250Medical service or procedure$67,1527333$92
124799156Medical service or procedure$66,9351,3112$51
1248D8697Braces or orthodontic treatment$66,6772,9346$23
1249K0195Elevating leg rests, pair (for use with capped rental wheelchair base)$66,62010,2466$6
125085060Blood cell or clotting test$66,56911,5549$6
125177073Breast imaging (mammogram or MRI)$66,5381,7535$38
1252E0445Oximeter device for measuring blood oxygen levels non-invasively$64,9835,3855$12
125384207Blood chemistry test (checking specific substances in your blood)$64,9379,1915$7
125480177Drug or substance testing$64,74511,1954$6
125586300Immune system or allergy test$64,71114,2094$5
1256D8696Braces or orthodontic treatment$64,6612,5527$25
1257E0630Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)$64,5892,8513$23
125882274Blood chemistry test (checking specific substances in your blood)$64,43716,7735$4
1259A9585Injection, gadobutrol, 0.1 ml$64,4023,7268$17
126017312Medical service or procedure$64,1642561$251
126187209Microbiology test — checking for infections (bacteria, viruses, fungi)$63,56415,4431$4
1262D2332Tooth-colored (resin) filling — three surfaces, front tooth$63,1629786$65
126357288Female reproductive system surgery$63,1315323$119
1264J2060Injection, lorazepam, 2 mg$63,019117,05037$1
126572082Spine imaging (X-ray, CT, or MRI)$62,7781,7133$37
126682024Blood chemistry test (checking specific substances in your blood)$62,6156,9342$9
126788341Tissue examination under a microscope (surgical pathology)$62,5344,5607$14
126899091Special medical service$62,3068,59612$7
126992537Hearing or speech test or therapy$62,1932,8938$22
1270J2765Injection, metoclopramide hcl, up to 10 mg$62,08585,66937$1
127199426Medical service or procedure$61,9201,6282$38
127200630Anesthesia for a medical procedure$61,8064712$131
127346600Anus surgery$61,5382,6562$23
127495861Brain wave test (EEG) or nerve test$61,4662,5075$25
12750270Anesthesia for a medical procedure$61,2754,7539$13
127699356Medical service or procedure$61,0651,09610$56
1277J0153Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)$60,9901,4056$43
127895922Brain wave test (EEG) or nerve test$60,94713,2581$5
1279J3420Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg$60,94150,66446$1
128086431Immune system or allergy test$60,88843,5395$1
128199427Medical service or procedure$60,8791,3642$45
128292579Hearing or speech test or therapy$60,7712,0909$29
128384154Blood chemistry test (checking specific substances in your blood)$60,69816,5184$4
128447563Liver surgery$60,632863$705
128592584Hearing or speech test or therapy$60,5211,3523$45
128686580TB skin test (tests for tuberculosis)$60,04914,44529$4
128782533Blood chemistry test (checking specific substances in your blood)$60,03815,2105$4
128890636Vaccine or immunization$60,0079453$64
128990756Vaccine or immunization$59,6775,49538$11
129081162Genetic or molecular testing$58,998541$1,093
1291J2704Injection of propofol (anesthesia for procedures)$58,964139,33334$0
129276882Ultrasound of a joint (limited)$58,9643,7686$16
129387205Gram stain — quick test to identify type of bacteria$58,86657,48726$1
1294D7250Surgical removal of remaining tooth root$58,8101,2478$47
129520934Musculoskeletal surgery (bones, joints, muscles)$58,7761201$490
1296J1815Injection, insulin, per 5 units$58,42237,33017$2
1297V5011Fitting/orientation/checking of hearing aid$58,1435,6247$10
129895940Brain wave test (EEG) or nerve test$57,9936012$96
1299Q5103Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg$57,9421101$527
1300A7003Administration set, with small volume nonfiltered pneumatic nebulizer, disposable$57,88331,99348$2
130187901Microbiology test — checking for infections (bacteria, viruses, fungi)$57,7281,0461$55
130299457Medical service or procedure$57,3447,39031$8
1303J3010Injection of fentanyl (strong pain medicine)$57,116165,83241$0
1304L0650Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra$56,880601$948
130582075Blood chemistry test (checking specific substances in your blood)$56,40111,92711$5
130686146Immune system or allergy test$56,1263,7871$15
130786039Immune system or allergy test$55,58122,1233$3
130892593Hearing or speech test or therapy$55,4602,1373$26
130986355Immune system or allergy test$55,3434,8461$11
1310G0398Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation$55,0923551$155
131199218Medical service or procedure$54,2431,1387$48
131276942Ultrasound guidance for a needle procedure$54,1972,43916$22
13130513FMedical service or procedure$53,91711,68810$5
131490845Mental health service$53,7327,3334$7
131593356Medical service or procedure$53,6624,4096$12
131684155Blood chemistry test (checking specific substances in your blood)$53,64896,73229$1
131773552X-ray of the thigh (femur)$53,6274,38214$12
131884425Blood chemistry test (checking specific substances in your blood)$53,53411,2985$5
1319A4628Oral and/or oropharyngeal suction catheter, each$53,0328,2883$6
132087497Microbiology test — checking for infections (bacteria, viruses, fungi)$52,9834,8762$11
132187634Microbiology test — checking for infections (bacteria, viruses, fungi)$52,2931,5586$34
1322J0500Injection, dicyclomine hcl, up to 20 mg$51,9262,25313$23
132385045Blood cell or clotting test$51,84834,35815$2
132499408Medical service or procedure$51,6077,15228$7
132590734Meningitis vaccine$51,60437,130140$1
132686357Immune system or allergy test$51,5934,4571$12
1327J1790Injection, droperidol, up to 5 mg$51,3149,47419$5
13280202UMedical service or procedure$51,3066,5066$8
1329A6446Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard$51,2762,5884$20
133085007Blood cell or clotting test$50,99444,88222$1
1331E1012Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each$50,9441811$281
1332V2105Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens$50,8224,9399$10
133399304Nursing facility admission — first day care$50,4862,50914$20
133422853Spine surgery$50,3232103$240
133596168Medical service or procedure$50,1685111$98
133615273Skin graft or tissue transfer$50,1326013$83
133786762Immune system or allergy test$50,12512,5916$4
133864418Brain, spine, or nerve surgery$50,0482332$215
133999157Medical service or procedure$49,7091,2162$41
134092020Eye exam or vision test$49,3973,7296$13
134185390Blood cell or clotting test$49,24115,2325$3
13420124AMedical service or procedure$48,8351,6829$29
134392652Hearing or speech test or therapy$48,81982212$59
134473600X-ray of the ankle$48,7943,65711$13
134582465Blood chemistry test (checking specific substances in your blood)$48,57822,2264$2
1346D5422Adjustment of a partial lower denture$48,4421,4312$34
1347L3670Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf$48,0218175$59
134892650Hearing or speech test or therapy$47,9532,4476$20
134996368IV infusion or injection of medication$47,80210,85218$4
1350J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg$47,781831$576
1351C1781Mesh (implantable)$47,5117839$61
135299342Home visit — moderate problem$47,4311,58113$30
1353D0170Dental exam, X-ray, or screening$47,3673,41017$14
135493228Heart rhythm monitoring (Holter monitor or event recorder)$47,0963,0684$15
135582950Glucose tolerance test — post glucose dose$47,01937,7148$1
135687493Microbiology test — checking for infections (bacteria, viruses, fungi)$46,6994,0814$11
135719083Breast surgery$46,6413812$122
135892228Eye exam or vision test$46,6193,0491$15
135996161Medical service or procedure$46,60021,57334$2
136099050Special medical service$46,5884,88918$10
136151701Inserting a bladder catheter (simple)$46,3672,5443$18
1362D7971Tooth extraction or oral surgery$46,2574451$104
136393893Blood vessel ultrasound or study$46,1681791$258
1364A4558Conductive gel or paste, for use with electrical device (for example., tens, nmes), per oz$45,95711,2927$4
1365J0690Injection, cefazolin sodium, 500 mg$45,57280,43931$1
136684480Blood chemistry test (checking specific substances in your blood)$45,43320,03211$2
136780197Drug or substance testing$44,83417,9583$2
136899153Medical service or procedure$44,8099,83916$5
1369D5213Partial upper denture — with resin base$44,6011576$284
1370J1030Injection, methylprednisolone acetate, 40 mg$44,2798,58421$5
1371D2751Crown (cap) — porcelain fused to base metal$44,268931$476
1372G0381Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is l...$44,1842,7044$16
1373E0973Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each$44,0216506$68
1374J1630Injection, haloperidol, up to 5 mg$43,99841,03224$1
137545300Rectum and colon surgery or exam$43,9649941$44
137692612Flexible fiberoptic swallowing evaluation (camera down the throat)$43,7134651$94
137784156Blood chemistry test (checking specific substances in your blood)$43,63755,81415$1
137847100Liver surgery$43,6312251$194
137987999Microbiology test — checking for infections (bacteria, viruses, fungi)$43,4265,80213$7
138084479Blood chemistry test (checking specific substances in your blood)$42,99931,6815$1
138177336Radiation therapy for cancer$42,7992,2285$19
1382K0815Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds$42,652131$3,281
138386141Immune system or allergy test$42,56915,02112$3
1384G2087Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month$41,8668723$48
1385J0604Cinacalcet, oral, 1 mg, (for end-stage kidney disease on dialysis)$41,49143,45716$1
138694780Breathing test or lung function test$41,4341,0113$41
1387S0621Routine ophthalmological examination including refraction; established patient$41,3719682$43
1388A6252Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing$41,3699732$43
1389J0295Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm$41,11411,2229$4
139077049Breast imaging (mammogram or MRI)$40,9923872$106
1391J7336Capsaicin 8% patch, per square centimeter$40,902121$3,409
139287147Microbiology test — checking for infections (bacteria, viruses, fungi)$40,86730,1368$1
139372156MRI of the neck/upper spine (with and without contrast)$40,7633533$115
139480055Blood test panel (checking multiple things at once)$40,4191,2587$32
1395D7953Tooth extraction or oral surgery$40,4191342$302
1396D3110Root canal or dental pulp treatment$40,3942,2612$18
139793241Heart rhythm monitoring (Holter monitor or event recorder)$40,3493321$122
1398G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing$40,09818,7887$2
1399Q4008Cast supplies, long arm cast, pediatric (0-10 years), fiberglass$40,0973971$101
1400J1953Injection, levetiracetam, 10 mg$40,0657,81212$5
140186902Blood typing or transfusion medicine test$39,9491,0671$37
1402D8210Braces or orthodontic treatment$39,7621702$234
140364450Brain, spine, or nerve surgery$39,7411,1378$35
140492585Hearing or speech test or therapy$39,59660713$65
140573060X-ray of the upper arm (humerus)$39,3323,6138$11
140629515Casting, splinting, or strapping for a broken bone or injury$38,7851,2838$30
140776881Ultrasound of a joint (complete)$38,4116955$55
140872081Spine imaging (X-ray, CT, or MRI)$38,3331,28611$30
140910005Fine needle biopsy — taking a tiny sample with a needle$38,3055963$64
1410E0776Iv pole$38,2283,7075$10
141129530Casting, splinting, or strapping for a broken bone or injury$38,1461,2876$30
1412J7512Prednisone, immediate release or delayed release, oral, 1 mg$37,77534,80727$1
141351797Bladder surgery$37,4944912$76
141401937Anesthesia for a medical procedure$37,1065145$72
1415D9215Local anesthesia (numbing injection for dental work)$36,96612,37333$3
1416G0506Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)$36,8421,55513$24
1417E0956Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each$36,7883392$109
141896118Medical service or procedure$36,7833625$102
1419Q5004Hospice care provided in skilled nursing facility (skilled nursing facility)$36,7663,3336$11
142090966End-stage kidney disease monthly care — for patients 20+, home dialysis$36,6627433$49
142170487Head and brain imaging (X-ray, CT, or MRI)$36,5362784$131
142274240Abdomen imaging (X-ray, CT, or MRI)$36,4855533$66
142396020Medical service or procedure$36,4484563$80
142486336Immune system or allergy test$36,3597,5933$5
1425G0422Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session$36,1992,3112$16
142674021Abdomen imaging (X-ray, CT, or MRI)$36,1772,6188$14
1427V2101Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens$36,0973,11311$12
1428J8540Dexamethasone, oral, 0.25 mg$36,06722,85830$2
1429J2358Injection, olanzapine, long-acting, 1 mg$35,6712,3995$15
1430J0185Injection, aprepitant, 1 mg$35,6642191$163
1431E2370Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only$35,5801131$315
143296159Medical service or procedure$35,5704,3298$8
143399454Medical service or procedure$35,4564,41425$8
143482951Blood chemistry test (checking specific substances in your blood)$35,25712,0537$3
143501710Anesthesia for a medical procedure$35,2574162$85
143690688Vaccine or immunization$35,19514,77477$2
1437V2108Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens$35,1123,7473$9
143871271Chest imaging (X-ray, CT, or MRI)$35,0843634$97
143973120Upper extremity imaging (shoulder, arm, hand)$34,8042,6246$13
1440J3475Injection, magnesium sulfate, per 500 mg$34,40539,28431$1
1441D5411Adjustment of a complete lower denture$34,2849662$35
144299415Medical service or procedure$34,1546,5073$5
1443C9113Injection, pantoprazole sodium, per vial$34,14829,91723$1
144492561Hearing or speech test or therapy$34,1051,0886$31
1445Q4010Cast supplies, short arm cast, adult (11 years +), fiberglass$34,0906403$53
144695937Brain wave test (EEG) or nerve test$33,7262,7594$12
144782107Blood chemistry test (checking specific substances in your blood)$33,7073,3362$10
144885384Blood cell or clotting test$33,6678,53410$4
144985014Blood cell or clotting test$33,64544,88823$1
14500031AMedical service or procedure$33,3381,50612$22
145162321Brain, spine, or nerve surgery$33,2892535$132
145295939Brain wave test (EEG) or nerve test$33,1871,0023$33
145376821Ultrasound$33,1251,4873$22
145497154Physical therapy, occupational therapy, or rehabilitation$33,1151,5524$21
14552015FMedical service or procedure$33,0404,60310$7
145699471Pediatric critical care — intensive care for a critically ill child (first day)$32,821442$746
145781408Genetic or molecular testing$32,797541$607
145899489Complex chronic care management — additional 30 minutes$32,5472,15815$15
1459J9190Injection, fluorouracil, 500 mg$32,5371,8382$18
146099483Medical service or procedure$32,3988297$39
146136591Artery and vein surgery$32,3195,0205$6
1462E2611General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware$32,0259031$35
146386334Immune system or allergy test$31,9828,0312$4
146474181Abdomen imaging (X-ray, CT, or MRI)$31,9425783$55
146588184Cell examination under a microscope$31,9413,6665$9
146696111Developmental testing — detailed evaluation of a child's development$31,8654488$71
14670071AMedical service or procedure$31,6841,10620$29
1468E2601General use wheelchair seat cushion, width less than 22 inches, any depth$31,6391,6413$19
146901991Anesthesia for a medical procedure$31,5575614$56
147087177Microbiology test — checking for infections (bacteria, viruses, fungi)$31,27515,4292$2
147185576Blood cell or clotting test$31,2191,8103$17
1472D5630Dentures or removable dental prosthetics$30,9962951$105
147368340Eye surgery$30,7303072$100
1474K0800Power operated vehicle, group 1 standard, patient weight capacity up to and including 300 pounds$30,7275204$59
147583090Blood chemistry test (checking specific substances in your blood)$30,69710,5633$3
147683014Blood chemistry test (checking specific substances in your blood)$30,69618,0375$2
147751784Bladder surgery$30,6603565$86
147880363Drug or substance testing$30,5045,5203$6
1479L1833Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf$30,455831$367
148090962End-stage kidney disease monthly care — for patients 20 and older, 1 visit$30,4385585$55
148184165Blood chemistry test (checking specific substances in your blood)$30,37813,1654$2
148286304Immune system or allergy test$30,2806,2483$5
148382731Blood chemistry test (checking specific substances in your blood)$30,1911,7577$17
148486162Immune system or allergy test$30,1695,4042$6
148586255Immune system or allergy test$30,0468,5211$4
1486J0456Injection, azithromycin, 500 mg$30,02914,02014$2
1487H0007Alcohol and/or drug services; crisis intervention (outpatient)$29,9111,5116$20
1488K0007Extra heavy duty wheelchair$29,8656491$46
1489E0978Wheelchair accessory, positioning belt/safety belt/pelvic strap, each$29,7942,0587$14
149072158Spine imaging (X-ray, CT, or MRI)$29,7893264$91
149190732Pneumonia vaccine (PPSV23)$29,4451,41116$21
1492D2335Tooth-colored (resin) filling — four or more surfaces, front tooth$29,3354313$68
1493J8597Antiemetic drug, oral, not otherwise specified$29,29622,2584$1
149488313Tissue examination under a microscope (surgical pathology)$29,1998438$35
149597610Physical therapy, occupational therapy, or rehabilitation$29,1072,4825$12
149687900Microbiology test — checking for infections (bacteria, viruses, fungi)$28,9761,0461$28
149795927Brain wave test (EEG) or nerve test$28,9711,8213$16
149899347Home visit follow-up — simple problem$28,9072,0719$14
149949083Draining fluid from the abdomen with a needle$28,8793735$77
1500A9577Injection, gadobenate dimeglumine (multihance), per ml$28,8501,4053$21
1501G0257Unscheduled or emergency dialysis treatment for an end-stage kidney disease patient in a hospital outpatient department that is not certified as an end-stage kidney disease facility$28,5686644$43
150295921Brain wave test (EEG) or nerve test$28,5276,1428$5
15030240UMedical service or procedure$28,4501,9731$14
150482010Blood chemistry test (checking specific substances in your blood)$28,3149,33015$3
1505A4456Adhesive remover, wipes, any type, each$28,2793,6459$8
150676514Ultrasound$28,2333,2798$9
150783993Blood chemistry test (checking specific substances in your blood)$28,2165,4192$5
150886787Immune system or allergy test$28,14510,5524$3
150974175Abdomen imaging (X-ray, CT, or MRI)$27,8891872$149
1510J7040IV fluid — normal saline with 5% dextrose (sugar water, 1000 ml)$27,84427,85623$1
151101844Anesthesia for a medical procedure$27,6353583$77
1512K0738Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing$27,6133,6983$7
1513E0619Apnea monitor, with recording feature$27,5901701$162
151487517Microbiology test — checking for infections (bacteria, viruses, fungi)$27,5883,3101$8
151584305Blood chemistry test (checking specific substances in your blood)$27,4904,6412$6
151629540Casting, splinting, or strapping for a broken bone or injury$27,3341,9337$14
151791322Medical service or procedure$27,3104607$59
1518D1517Dental preventive care (cleaning, fluoride, sealant)$27,2802382$115
151915275Skin graft or tissue transfer$27,1057564$36
1520S5199Personal care item, nos, each$26,9811241$218
152195930Brain wave test (EEG) or nerve test$26,9552,52622$11
152280361Drug or substance testing$26,88239,7413$1
152388112Cytopathology — examining cells under a microscope$26,8195,5615$5
152490619Vaccine or immunization$26,67710,16047$3
15253044FMedical service or procedure$26,60227,12028$1
152696150Medical service or procedure$26,5485,53834$5
152757282Female reproductive system surgery$26,4794732$56
152896910Dermatology (skin) treatment$26,4754002$66
152972275Spine imaging (X-ray, CT, or MRI)$26,4719598$28
153059425Pregnancy, delivery, and maternity care$26,3124,63515$6
153193321Heart ultrasound (echocardiogram)$26,3049331$28
1532A9575Injection, gadoterate meglumine, 0.1 ml$26,2192,4545$11
153312013Wound repair — stitching a cut or laceration (simple or layered)$26,2036413$41
153436581Artery and vein surgery$26,1501242$211
1535J2001Injection of lidocaine (numbing medicine)$26,11485,49463$0
1536J1642Injection, heparin sodium, (heparin lock flush), per 10 units$26,06421,08712$1
153790698Vaccine or immunization$25,97370,816121$0
1538V5258Hearing aid, digital, binaural, cic$25,900411$632
153946221Anus surgery$25,7721563$165
1540D5421Adjustment of a partial upper denture$25,7557791$33
154173521Lower extremity imaging (hip, knee, leg, foot)$25,7491,8325$14
154299477Medical service or procedure$25,656963$267
154377412Radiation therapy for cancer$25,5792331$110
154484466Blood chemistry test (checking specific substances in your blood)$25,54513,71920$2
154580346Drug or substance testing$25,46617,8073$1
1546A6549Gradient compression garment, not otherwise specified, for daytime use, each$25,278621$408
1547A6507Compression burn garment, foot to knee length, custom fabricated$25,2331071$236
1548J1750Injection, iron dextran, 50 mg$25,1402293$110
1549D4266Gum disease treatment (periodontics)$25,1311322$190
155087498Microbiology test — checking for infections (bacteria, viruses, fungi)$25,0021,4862$17
155199491Chronic care management — complex, requiring 30+ minutes per month$24,9292,8069$9
1552A4357Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each$24,9141,6603$15
155329105Casting, splinting, or strapping for a broken bone or injury$24,8577704$32
15540072AMedical service or procedure$24,33282616$29
1555D0191Dental exam, X-ray, or screening$24,3102,39112$10
155680356Drug or substance testing$24,22612,9403$2
1557J2272Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg$24,1897,8823$3
1558G0127Trimming of dystrophic nails, any number$24,16714,5619$2
155992275Eye exam or vision test$24,1541711$141
156080354Drug or substance testing$24,08313,2073$2
156190710MMRV vaccine (measles, mumps, rubella, and chickenpox)$24,05236,473119$1
156280359Drug or substance testing$24,00614,9563$2
15630502FMedical service or procedure$23,912105,78064$0
1564L1902Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf$23,5553922$60
1565D5140Immediate lower denture$23,521372$636
1566B4154Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals$23,5136161$38
1567G9012Other specified case management service not elsewhere classified$23,400391$600
1568V2750Anti-reflective coating, per lens$23,37913,82542$2
1569J3480Injection, potassium chloride, per 2 meq$23,34115,40417$2
157093295Pacemaker or defibrillator check$23,3047402$31
157190661Vaccine or immunization$23,2272,57724$9
157287449Microbiology test — checking for infections (bacteria, viruses, fungi)$23,1967,9732$3
1573Q0162Ondansetron 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$23,06637,42513$1
1574A4452Tape, waterproof, per 18 square inches$22,9882,8405$8
157586364Immune system or allergy test$22,8478,8143$3
1576A7015Aerosol mask, used with medical equipment nebulizer$22,83826,97146$1
157781220Genetic or molecular testing$22,7761,4701$15
157898961Medical service or procedure$22,6902,7871$8
157965855Eye surgery$22,6503453$66
158082088Blood chemistry test (checking specific substances in your blood)$22,5692,7971$8
158183498Blood chemistry test (checking specific substances in your blood)$22,5543,7041$6
158272020Spine imaging (X-ray, CT, or MRI)$22,4541,0153$22
15830370TMedical service or procedure$22,3896072$37
158497763Physical therapy, occupational therapy, or rehabilitation$22,2941,8362$12
158587625Microbiology test — checking for infections (bacteria, viruses, fungi)$22,2664,1595$5
158686593Immune system or allergy test$22,23618,4208$1
158770549Head and brain imaging (X-ray, CT, or MRI)$22,105901$246
1588Q5121Injection, infliximab-axxq, biosimilar, (avsola), 10 mg$22,0561332$166
158980348Drug or substance testing$22,04113,9483$2
159087427Microbiology test — checking for infections (bacteria, viruses, fungi)$21,8307,1142$3
159186920Blood typing or transfusion medicine test$21,8171,1568$19
159295924Brain wave test (EEG) or nerve test$21,6683201$68
159396401IV infusion or injection of medication$21,6552521$86
159499458Medical service or procedure$21,6083,48120$6
1595J9217Leuprolide acetate (for depot suspension), 7.5 mg$21,605621$348
1596G0317Prolonged 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...$21,4973,5653$6
159793040Heart monitoring test (ECG/EKG)$21,4174,40623$5
159886665Immune system or allergy test$21,4012,9852$7
159993308Heart ultrasound (echocardiogram)$21,3858906$24
160097026Physical therapy, occupational therapy, or rehabilitation$21,3424,9234$4
160178264Nuclear medicine imaging (using small amounts of radioactive material)$21,2921224$175
160288108Cell examination under a microscope$21,1933,4484$6
1603Q9957Injection, perflutren lipid microspheres, per ml$21,1153243$65
1604B4103Enteral formula, for pediatrics, used to replace fluids and electrolytes (for example., clear liquids), 500 ml = 1 unit$21,0231,4971$14
1605M0243Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring$20,9712707$78
160680358Drug or substance testing$20,96114,6783$1
1607E0149Walker, heavy duty, wheeled, rigid or folding, any type$20,8576573$32
160864520Brain, spine, or nerve surgery$20,7881,1571$18
160992550Hearing or speech test or therapy$20,7771,4077$15
1610E0244Raised toilet seat$20,7635513$38
161196523IV infusion or injection of medication$20,6561,8452$11
1612E0951Heel loop/holder, any type, with or without ankle strap, each$20,6191,8373$11
1613D9993Other dental service$20,5563,89712$5
1614T1014Telehealth transmission, per minute, professional services bill separately$20,5492,0404$10
1615E2365Power wheelchair accessory, u-1 sealed lead acid battery, each (for example., gel cell, absorbed glassmat)$20,5081622$127
161620526Musculoskeletal surgery (bones, joints, muscles)$20,3344703$43
161790750Vaccine or immunization$20,2362202$92
161890680Vaccine or immunization$20,203103,011155$0
161996167Medical service or procedure$20,1255091$40
162087338Microbiology test — checking for infections (bacteria, viruses, fungi)$20,0536,9772$3
162187045Microbiology test — checking for infections (bacteria, viruses, fungi)$20,0478,2275$2
162273070X-ray of the elbow$19,9801,7216$12
162399461Newborn baby care — additional day in the hospital$19,8113827$52
162436901Artery and vein surgery$19,8044992$40
162580323Drug or substance testing$19,64810,9523$2
1626Q0114Fern test$19,2771,1052$17
162785246Blood cell or clotting test$19,2343,5661$5
1628K0462Temporary replacement for patient owned equipment being repaired, any type$19,233921$209
162981292Genetic or molecular testing$19,181541$355
163083020Blood chemistry test (checking specific substances in your blood)$19,1685,7992$3
163195822Brain wave test (EEG) or nerve test$19,1458713$22
163298942Chiropractic adjustment$18,8763,3823$6
163385049Blood cell or clotting test$18,8378,3709$2
163476937Ultrasound$18,8272,1917$9
163522551Spine surgery$18,815261$724
163681317Genetic or molecular testing$18,807541$348
1637A4224Supplies for maintenance of insulin infusion catheter, per week$18,779981$192
1638L0631Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra$18,632291$642
163998941Chiropractic adjustment$18,5769,8588$2
16400762Anesthesia for a medical procedure$18,534181$1,030
164186317Immune system or allergy test$18,4955,5934$3
164267228Eye surgery$18,379282$656
1643D9210Other dental service$18,3722,4066$8
1644Q4038Cast supplies, short leg cast, adult (11 years +), fiberglass$18,3402761$66
1645A4618Breathing circuits$18,3032,0393$9
164695720Brain wave test (EEG) or nerve test$18,2701403$130
164790713Polio vaccine$18,25633,44136$1
1648A4606Oxygen probe for use with oximeter device, replacement$18,2524,8882$4
164987075Microbiology test — checking for infections (bacteria, viruses, fungi)$18,1898,59610$2
165073218Upper extremity imaging (shoulder, arm, hand)$18,1362392$76
1651A6508Compression burn garment, foot to thigh length, custom fabricated$18,088681$266
1652A6530Gradient compression stocking, below knee, 18-30 mmhg, each$18,0704812$38
1653G0315Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening$18,0608091$22
165480325Drug or substance testing$18,0464,8742$4
1655J1940Injection, furosemide, up to 20 mg$18,00016,03816$1
1656J9263Injection, oxaliplatin, 0.5 mg$17,9803082$58
165786705Immune system or allergy test$17,9296,4054$3
165881298Genetic or molecular testing$17,843541$330
1659D9992Other dental service$17,7431,6286$11
166090714Td vaccine (tetanus and diphtheria booster)$17,7072,4654$7
1661E2392Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each$17,6733121$57
166258662Female reproductive system surgery$17,580131$1,352
166325500Forearm and wrist surgery$17,577561$314
1664D5660Adding a tooth to a partial denture$17,4901771$99
1665J0131Injection, acetaminophen, not otherwise specified,10 mg$17,4378,58716$2
166680178Drug or substance testing$17,4326,2724$3
1667B4155Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (for example., glucose polymers), proteins/amino acids (for example.$17,4056421$27
166854162Male reproductive system surgery$17,3951051$166
166980185Drug or substance testing$17,2663,0912$6
167083921Blood chemistry test (checking specific substances in your blood)$17,1275,7971$3
1671V2207Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens$17,0879322$18
16720503FMedical service or procedure$16,9704,15138$4
167385245Blood cell or clotting test$16,8323,4592$5
167492202Eye exam or vision test$16,6601,8423$9
167531720Windpipe (trachea) or voice box surgery$16,6604632$36
167692556Hearing or speech test or therapy$16,5996391$26
1677D1515Dental preventive care (cleaning, fluoride, sealant)$16,5921891$88
1678E0277Powered pressure-reducing air mattress$16,5918713$19
167984432Blood chemistry test (checking specific substances in your blood)$16,5826,0472$3
168099368Medical service or procedure$16,5637982$21
168178227Nuclear medicine imaging (using small amounts of radioactive material)$16,528853$194
1682G0008Administration of influenza virus vaccine$16,50724,519205$1
168381321Genetic or molecular testing$16,440541$304
168492547Hearing or speech test or therapy$16,3393,92510$4
168590739Vaccine or immunization$16,2662,6846$6
1686G0330Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (for example.$16,1805133$32
168796105Medical service or procedure$16,1563,8981$4
168880373Drug or substance testing$16,13218,0763$1
1689L8000Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type$16,1043011$54
1690B4158Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron$16,047962$167
169185240Blood cell or clotting test$16,0293,9001$4
169299424Medical service or procedure$16,0065721$28
1693K0040Adjustable angle footplate, each$15,9443442$46
1694A7521Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each$15,9415061$32
169580159Drug or substance testing$15,9031,9342$8
1696G8431Screening for depression is documented as being positive and a follow-up plan is documented$15,8104,04113$4
169736246Artery and vein surgery$15,7922401$66
1698C1769Guide wire$15,75619,06718$1
16993078FMedical service or procedure$15,741256,309170$0
170031237Sinus surgery$15,6951132$139
1701L3010Foot, insert, removable, molded to patient model, longitudinal arch support, each$15,692781$201
1702P9603Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled$15,67952,7815$0
170380353Drug or substance testing$15,65510,9103$1
170480372Drug or substance testing$15,59310,2473$2
170586341Immune system or allergy test$15,5722,4442$6
17060121AMedical service or procedure$15,5615983$26
1707E0971Manual wheelchair accessory, anti-tipping device, each$15,5371,1976$13
1708A7045Exhalation port with or without swivel used with accessories for positive airway devices, replacement only$15,4941,2531$12
170967299Eye surgery$15,4603141$49
171086021Immune system or allergy test$15,4475,0081$3
1711D9994Other dental service$15,3842,4269$6
171215271Skin graft or tissue transfer$15,3192,8115$5
171311055Trimming or paring a skin lesion or callus$15,29011,80410$1
171467031Eye surgery$15,2901962$78
171586328Immune system or allergy test$15,2886493$24
171692653Hearing or speech test or therapy$15,2736007$25
171786870Blood typing or transfusion medicine test$15,2431,7551$9
1718J9312Injection, rituximab, 10 mg$15,133381$398
1719G0238Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring)$15,11916,2783$1
172083519Blood chemistry test (checking specific substances in your blood)$14,9884,6983$3
1721Q9965Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml$14,9313374$44
1722E2313Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each$14,9121122$133
172376140Diagnostic ultrasound or fluoroscopy$14,8453374$44
1724J0330Injection, succinylcholine chloride, up to 20 mg$14,73111,02514$1
172599173Other medical service$14,717157,465173$0
172658100Endometrial biopsy (sampling tissue from the uterus)$14,7092162$68
172780365Drug or substance testing$14,68536,5633$0
172876970Ultrasound$14,6381801$81
172986635Immune system or allergy test$14,6222,8652$5
173076377Diagnostic ultrasound or fluoroscopy$14,6005404$27
1731E2377Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue$14,570982$149
1732J2250Injection of midazolam (sedation medicine for procedures)$14,562112,04039$0
173359430Pregnancy, delivery, and maternity care$14,5414728$31
173496146Medical service or procedure$14,5013,71513$4
1735A5514For 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$14,4784092$35
1736A4483Moisture exchanger, disposable, for use with invasive mechanical ventilation$14,4162971$49
173787535Microbiology test — checking for infections (bacteria, viruses, fungi)$14,4061,9052$8
1738G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy$14,2294382$32
1739D0703Dental exam, X-ray, or screening$14,1971,2233$12
174050590Kidney stone removal using shock waves (lithotripsy)$14,185131$1,091
174190723DTaP-HepB-IPV combination vaccine$14,18048,969119$0
174281511Medical service or procedure$14,1276,5832$2
1743J0897Injection, denosumab, 1 mg$14,096731$193
174401940Anesthesia for a medical procedure$14,0931442$98
174584295Blood chemistry test (checking specific substances in your blood)$14,06715,69721$1
1746A7001Canister, non-disposable, used with suction pump, each$13,9726521$21
174772220Spine imaging (X-ray, CT, or MRI)$13,9668834$16
174893924Blood vessel ultrasound or study$13,9531502$93
174998925Osteopathic treatment (hands-on manipulation)$13,9527643$18
1750E0550Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery$13,9514531$31
175151792Bladder surgery$13,8651044$133
175211720Nail surgery or treatment$13,84321,35513$1
175387324Microbiology test — checking for infections (bacteria, viruses, fungi)$13,8424,8342$3
175488360Tissue examination under a microscope (surgical pathology)$13,8282773$50
175591112Digestive system test$13,811281$493
175680355Drug or substance testing$13,7829,9633$1
175792620Hearing or speech test or therapy$13,6363391$40
1758D9991Other dental service$13,6221,9596$7
175995974Brain wave test (EEG) or nerve test$13,5953121$44
1760J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose$13,5479641$14
1761Q5101Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram$13,462631$214
1762Q0144Azithromycin dihydrate, oral, capsules/powder, 1 gram$13,4241,5824$8
176386301Immune system or allergy test$13,4133,1622$4
176477300Radiation therapy for cancer$13,3903032$44
17653075FMedical service or procedure$13,35428,01982$0
1766L2270Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad$13,2952464$54
1767L8621Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each$13,2653,5322$4
176893280Pacemaker or defibrillator check$13,2106174$21
176982553Blood chemistry test (checking specific substances in your blood)$13,15312,47521$1
1770A6534Gradient compression stocking, thigh length, 30-40 mmhg, each$13,0739613$14
177130140Nose surgery$13,060453$290
17720064AMedical service or procedure$13,0213,67076$4
177396113Medical service or procedure$12,998693$188
177493298Pacemaker or defibrillator check$12,9268635$15
177580360Drug or substance testing$12,9009,9053$1
177686880Blood typing or transfusion medicine test$12,8785,6653$2
1777J2920Injection, methylprednisolone sodium succinate, up to 40 mg$12,8552,50410$5
177824640Shoulder and upper arm surgery$12,8461391$92
177987329Microbiology test — checking for infections (bacteria, viruses, fungi)$12,8325,1552$2
178000790Anesthesia for a medical procedure$12,824734$176
178185247Blood cell or clotting test$12,7463,3403$4
1782L3260Surgical boot/shoe, each$12,6891,2525$10
1783E0247Transfer bench for tub or toilet with or without commode opening$12,5784094$31
178480357Drug or substance testing$12,5259,2263$1
1785J0692Injection, cefepime hydrochloride, 500 mg$12,4253,4279$4
178683021Blood chemistry test (checking specific substances in your blood)$12,4244,1824$3
1787E2374Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware$12,404851$146
178894680Breathing test or lung function test$12,3922782$45
178936592Artery and vein surgery$12,3221,2642$10
179086381Immune system or allergy test$12,3132,3551$5
179111047Wound cleaning — removing dead or damaged tissue$12,2861091$113
179243242Esophagus (swallowing tube) surgery$12,280981$125
17930051AMedical service or procedure$12,1433532$34
179499355Medical service or procedure$12,1401,5442$8
179517111Destruction or removal of a skin lesion (wart, precancerous growth, etc.)$12,1192432$50
1796C1776Joint device (implantable)$12,066802$151
179782542Blood chemistry test (checking specific substances in your blood)$12,0552,9402$4
1798J1040Injection, methylprednisolone acetate, 80 mg$11,9881,3038$9
179990911Biofeedback training$11,9821,2274$10
180095724Brain wave test (EEG) or nerve test$11,949981$122
180154235Male reproductive system surgery$11,8207293$16
1802A6533Gradient compression stocking, thigh length, 18-30 mmhg, each$11,7911821$65
180390473Giving a vaccine by mouth or nose$11,7842,05313$6
180490656Vaccine or immunization$11,76813,82880$1
1805J2919Injection, methylprednisolone sodium succinate, 5 mg$11,7472,74312$4
180694660Breathing test or lung function test$11,7381191$99
180792504Hearing or speech test or therapy$11,7086745$17
180885651Blood cell or clotting test$11,69715,06615$1
1809A4409Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each$11,6721944$60
1810E0118Crutch substitute, lower leg platform, with or without wheels, each$11,6723672$32
181192558Hearing or speech test or therapy$11,5689,10813$1
1812D0381Dental exam, X-ray, or screening$11,503921$125
1813A7012Water collection device, used with large volume nebulizer$11,4942,7603$4
1814D5512Denture repair — broken base (complete, lower)$11,4943071$37
1815J0741Injection, cabotegravir and rilpivirine, 2mg/3mg$11,4761594$72
1816L3206Orthopedic shoe, hightop with supinator or pronator, child$11,4712432$47
181786812Immune system or allergy test$11,4522,5531$4
181873720Lower extremity imaging (hip, knee, leg, foot)$11,4261241$92
1819J8499Prescription drug, oral, non chemotherapeutic, nos$11,41439,34020$0
182029405Casting, splinting, or strapping for a broken bone or injury$11,3632251$50
1821J2791Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu$11,3042362$48
1822D0382Dental exam, X-ray, or screening$11,297901$126
1823Q4051Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)$11,2501,4663$8
1824A7509Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each$11,2452171$52
1825E0982Wheelchair accessory, back upholstery, replacement only, each$11,2113052$37
182683992Blood chemistry test (checking specific substances in your blood)$11,05210,8224$1
182711730Partial removal of a toenail or fingernail$11,0402,99412$4
182893930Blood vessel ultrasound or study$11,025792$140
182981000Urinalysis (urine test)$11,00728,32528$0
183083721Blood chemistry test (checking specific substances in your blood)$10,9688,7525$1
1831J3372Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg$10,9547452$15
183211103Skin biopsy — taking a small sample to test for disease$10,9021642$66
183380369Drug or substance testing$10,8526,0493$2
1834J0882Injection, darbepoetin alfa, 1 microgram (for end-stage kidney disease on dialysis)$10,8351,2286$9
183596164Medical service or procedure$10,8232,4305$4
183611104Punch biopsy — using a small circular tool to take a skin sample$10,8101775$61
183787046Microbiology test — checking for infections (bacteria, viruses, fungi)$10,8064,9294$2
183880320Drug or substance testing$10,73030,54418$0
183976604Ultrasound$10,7294323$25
1840V2111Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens$10,7141,3011$8
1841Q4012Cast supplies, short arm cast, pediatric (0-10 years), fiberglass$10,6701592$67
1842J2795Injection of ropivacaine (numbing medicine for nerve blocks)$10,6469,32212$1
18430052AMedical service or procedure$10,6382831$38
184494762Breathing test or lung function test$10,6372,3503$5
184587507Microbiology test — checking for infections (bacteria, viruses, fungi)$10,6364553$23
184682310Blood chemistry test (checking specific substances in your blood)$10,62587,26921$0
184782390Blood chemistry test (checking specific substances in your blood)$10,6224,1301$3
184881295Genetic or molecular testing$10,611541$196
1849E2394Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each$10,5962221$48
185087808Microbiology test — checking for infections (bacteria, viruses, fungi)$10,5613,1035$3
1851V5260Hearing aid, digital, binaural, ite$10,500171$618
185293296Pacemaker or defibrillator check$10,4677796$13
185388230Genetic testing (chromosome analysis)$10,4103701$28
1854Q4206Fluid flow or fluid gf, 1 cc$10,400131$800
1855A6021Collagen dressing, sterile, size 16 sq. in. or less, each$10,386452$231
185696411IV infusion or injection of medication$10,3716272$17
1857V2745Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens$10,2904,0015$3
1858E0184Dry pressure mattress$10,2893731$28
185981596Medical service or procedure$10,2363,4081$3
1860E0250Hospital bed, fixed height, with any type side rails, with mattress$10,2258171$13
186199151Medical service or procedure$10,2027542$14
1862E0981Wheelchair accessory, seat upholstery, replacement only, each$10,1702812$36
186397151Physical therapy, occupational therapy, or rehabilitation$10,1592094$49
18640500FMedical service or procedure$10,1459,54145$1
186587102Microbiology test — checking for infections (bacteria, viruses, fungi)$10,12212,1184$1
1866D2954Prefabricated post and core — support inside a tooth for a crown$10,080971$104
1867J0640Injection, leucovorin calcium, per 50 mg$10,0793172$32
186884630Blood chemistry test (checking specific substances in your blood)$10,0603,8453$3
186983521Blood chemistry test (checking specific substances in your blood)$10,0542,3132$4
1870Q0081Infusion therapy, using other than chemotherapeutic drugs, per visit$10,0408611$12
187197124Physical therapy, occupational therapy, or rehabilitation$10,02519,65811$1
187266821Eye surgery$9,9912323$43
187392582Hearing or speech test or therapy$9,9862071$48
1874J2710Injection, neostigmine methylsulfate, up to 0.5 mg$9,9715,35013$2
187580175Drug or substance testing$9,9672,4511$4
187672114Spine imaging (X-ray, CT, or MRI)$9,9631793$56
187783883Blood chemistry test (checking specific substances in your blood)$9,9352,7542$4
187880366Drug or substance testing$9,88510,9013$1
1879S0620Routine ophthalmological examination including refraction; new patient$9,8522291$43
1880J2800Injection, methocarbamol, up to 10 ml$9,8482,92710$3
188127687Knee and lower leg surgery$9,794121$816
188211740Draining blood from under a fingernail or toenail$9,7936,1872$2
188388356Tissue examination under a microscope (surgical pathology)$9,762591$165
1884J7307Etonogestrel (contraceptive) implant system, including implant and supplies$9,685161$605
1885V2300Sphere, trifocal, plano to plus or minus 4.00d, per lens$9,633892$108
188688720Special lab analysis$9,6324,76817$2
1887G3002Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation$9,6272,0034$5
188888262Genetic testing (chromosome analysis)$9,6163011$32
1889L1845Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment$9,570862$111
1890E0156Seat attachment, walker$9,5313,6969$3
189151741Bladder surgery$9,4431,4057$7
189293454Heart catheterization — looking at heart arteries with dye$9,397921$102
1893A6209Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing$9,3891361$69
1894K0006Heavy duty wheelchair$9,336721$130
189592613Hearing or speech test or therapy$9,3304641$20
1896D9212Other dental service$9,3291,7635$5
1897Q4014Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass$9,2951702$55
189800140Anesthesia for a medical procedure$9,196702$131
1899J2360Injection, orphenadrine citrate, up to 60 mg$9,1271,0586$9
190095868Brain wave test (EEG) or nerve test$9,1195961$15
190180368Drug or substance testing$9,04910,5943$1
190282397Blood chemistry test (checking specific substances in your blood)$9,0372,0621$4
190377001Imaging guidance for a needle procedure$8,9987843$11
190480339Drug or substance testing$8,9754,8743$2
190586709Immune system or allergy test$8,9683,9625$2
190680335Drug or substance testing$8,9504,1771$2
1907J70605% dextrose/water (500 ml = 1 unit)$8,91011,8386$1
190884446Blood chemistry test (checking specific substances in your blood)$8,8942,2071$4
1909J1270Injection, doxercalciferol, 1 mcg$8,842597,73032$0
191082172Blood chemistry test (checking specific substances in your blood)$8,8333,9631$2
191185613Blood cell or clotting test$8,8184,3031$2
191296102Psychological testing — administered by a technician$8,7654136$21
191387275Microbiology test — checking for infections (bacteria, viruses, fungi)$8,7402,86413$3
191480299Drug or substance testing$8,7252,7324$3
191584252Blood chemistry test (checking specific substances in your blood)$8,6821,4683$6
1916A6210Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing$8,6798262$11
191736010Artery and vein surgery$8,6636951$12
1918V5299Hearing service, miscellaneous$8,655691$125
191978431Nuclear medicine imaging (using small amounts of radioactive material)$8,6423785$23
192067311Eye surgery$8,639151$576
192182103Blood chemistry test (checking specific substances in your blood)$8,6222,4552$4
192269200Ear surgery$8,5981022$84
192300840Anesthesia for a medical procedure$8,5732374$36
192487276Microbiology test — checking for infections (bacteria, viruses, fungi)$8,5432,86213$3
192500400Anesthesia for skin or tissue surgery on arms or legs$8,540791$108
192686361Immune system or allergy test$8,5322,5461$3
1927J7999Compounded drug, not otherwise classified$8,5042,2547$4
192878582Nuclear medicine imaging (using small amounts of radioactive material)$8,4722521$34
192964445Brain, spine, or nerve surgery$8,452852$99
193095144Allergy testing or treatment$8,435641$132
1931Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml$8,4271,6898$5
193290633Hepatitis A vaccine (child dose)$8,42796,422184$0
1933D2331Tooth-colored (resin) filling — two surfaces, front tooth$8,4192655$32
193490744Hepatitis B vaccine (child dose)$8,38948,001105$0
193595012Allergy testing or treatment$8,3285341$16
193680371Drug or substance testing$8,3064,5522$2
193782747Blood chemistry test (checking specific substances in your blood)$8,2901,9492$4
193873000Upper extremity imaging (shoulder, arm, hand)$8,2835544$15
1939D7320Tooth extraction or oral surgery$8,270902$92
1940A4385Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each$8,2628076$10
194195249Medical service or procedure$8,2185482$15
194284244Blood chemistry test (checking specific substances in your blood)$8,2002,0801$4
194399441Medical service or procedure$8,1814,07732$2
194465222Eye surgery$8,1655562$15
1945E0141Walker, rigid, wheeled, adjustable or fixed height$8,1391061$77
194690649Vaccine or immunization$8,1353,60514$2
194751725Bladder surgery$8,097552$147
194836600Drawing blood from an artery$8,0413,2867$2
1949A9270Non-covered item or service$7,986446,49830$0
1950D9610Other dental service$7,9506766$12
195181406Genetic or molecular testing$7,9211001$79
195285055Blood cell or clotting test$7,9201,2412$6
195385380Blood cell or clotting test$7,8942,5612$3
195482668Blood chemistry test (checking specific substances in your blood)$7,7881,9231$4
195582948Blood chemistry test (checking specific substances in your blood)$7,7838,11822$1
195630300Nose surgery$7,739381$204
195778226Nuclear medicine imaging (using small amounts of radioactive material)$7,716744$104
1958G0312Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21$7,7093551$22
1959V5253Hearing aid, digitally programmable, binaural, bte$7,700161$481
1960D0364Dental exam, X-ray, or screening$7,695511$151
1961D1516Space maintainer — device to hold space for a permanent tooth (fixed, bilateral)$7,679641$120
196276981Ultrasound$7,6531222$63
196387206Microbiology test — checking for infections (bacteria, viruses, fungi)$7,6404,4081$2
1964J7510Prednisolone oral, per 5 mg$7,6292,02011$4
196580329Drug or substance testing$7,6017,99617$1
1966V2730Special base curve, glass or plastic, per lens$7,5741561$49
196786664Immune system or allergy test$7,5412,3942$3
196873723Lower extremity imaging (hip, knee, leg, foot)$7,5391302$58
1969E0565Compressor, air power source for equipment which is not self-contained or cylinder driven$7,4904471$17
197084590Blood chemistry test (checking specific substances in your blood)$7,4602,3662$3
1971J1071Injection, testosterone cypionate, 1 mg$7,4492,8055$3
197280367Drug or substance testing$7,4379,4583$1
197390685Vaccine or immunization$7,33219,089133$0
197470320Head and brain imaging (X-ray, CT, or MRI)$7,3235534$13
1975E0994Arm rest, each$7,3142242$33
1976L1930Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment$7,310311$236
19773085FMedical service or procedure$7,3041,5124$5
197892145Eye exam or vision test$7,2961,4064$5
197999241Office consultation — minor problem$7,2616907$11
1980E0442Stationary oxygen contents, liquid, 1 month's supply = 1 unit$7,2501,9551$4
198170480Head and brain imaging (X-ray, CT, or MRI)$7,202731$99
198284030Blood chemistry test (checking specific substances in your blood)$7,1763,92618$2
1983E0295Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress$7,1492802$26
1984E1038Transport chair, adult size, patient weight capacity up to and including 300 pounds$7,1391,9904$4
1985A7525Tracheostomy mask, each$7,1394,1183$2
1986D2394Tooth-colored (resin) filling — four or more surfaces, back tooth$7,1121491$48
198764719Brain, spine, or nerve surgery$7,112131$547
1988J0171Injection, adrenalin, epinephrine, 0.1 mg$7,1105,05717$1
198989190Other lab test$7,0214,4093$2
1990V2204Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens$6,9877143$10
199199225Medical service or procedure$6,9722133$33
1992A4250Urine test or reagent strips or tablets (100 tablets or strips)$6,96510,50921$1
199375710Heart and blood vessel imaging$6,9502492$28
199482232Blood chemistry test (checking specific substances in your blood)$6,9502,7922$2
19950134AMedical service or procedure$6,9455705$12
199690658Vaccine or immunization$6,9213,77724$2
199780156Drug or substance testing$6,8751,5462$4
199880143Drug or substance testing$6,8442,7284$3
1999A4212Non-coring needle or stylet with or without catheter$6,8016,4681$1
200095180Allergy testing or treatment$6,774851$80
20011160FMedical service or procedure$6,763229,95783$0
200285306Blood cell or clotting test$6,7241,9791$3
2003G0153Services performed by a qualified speech-language pathologist in the home health or hospice setting, each 15 minutes$6,7183502$19
20040367TMedical service or procedure$6,7111,0301$7
200522845Spine surgery$6,707161$419
200664616Brain, spine, or nerve surgery$6,6971051$64
200786644Immune system or allergy test$6,6671,7953$4
200871100Chest imaging (X-ray, CT, or MRI)$6,6195672$12
200994799Breathing test or lung function test$6,6031051$63
2010A6257Transparent film, sterile, 16 sq. in. or less, each dressing$6,5935,1052$1
201151600Bladder surgery$6,579402$164
20120509TMedical service or procedure$6,5661481$44
2013S0028Injection, famotidine, 20 mg$6,55912,2759$1
201482435Blood chemistry test (checking specific substances in your blood)$6,53610,36013$1
2015K0042Standard size footplate, replacement only, each$6,4441182$55
201695972Brain wave test (EEG) or nerve test$6,4374882$13
201783010Blood chemistry test (checking specific substances in your blood)$6,3262,4332$3
2018U0001Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel$6,3221,0826$6
201998968Medical service or procedure$6,3103222$20
202086777Immune system or allergy test$6,2951,8581$3
202157454Colposcopy with biopsy of the cervix$6,294582$109
202247001Liver surgery$6,292891$71
2023A6253Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing$6,274622$101
2024A4248Chlorhexidine containing antiseptic, 1 ml$6,2141,7281$4
202582164Blood chemistry test (checking specific substances in your blood)$6,2022,1391$3
202685046Blood cell or clotting test$6,18719,98718$0
202795717Brain wave test (EEG) or nerve test$6,1843352$18
2028C1751Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis)$6,1613285$19
202986606Immune system or allergy test$6,1549901$6
203099318Medical service or procedure$6,1532276$27
2031K0019Arm pad, replacement only, each$6,0862913$21
203282085Blood chemistry test (checking specific substances in your blood)$6,0302,8611$2
203370360Head and brain imaging (X-ray, CT, or MRI)$6,0184766$13
203443262Esophagus (swallowing tube) surgery$6,010471$128
2035J7620Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through medical equipment$5,95811,08318$1
203684166Blood chemistry test (checking specific substances in your blood)$5,9262,1411$3
203780179Drug or substance testing$5,9262,4804$2
203882653Blood chemistry test (checking specific substances in your blood)$5,9181,3681$4
2039L2210Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint$5,895622$95
204098967Medical service or procedure$5,8858066$7
204180183Drug or substance testing$5,8371,3201$4
204283704Blood chemistry test (checking specific substances in your blood)$5,8181,6361$4
2043J3360Injection, diazepam, up to 5 mg$5,7911,16113$5
2044M0247Intravenous infusion, sotrovimab, includes infusion and post administration monitoring$5,772603$96
204582525Blood chemistry test (checking specific substances in your blood)$5,7691,8831$3
204687106Microbiology test — checking for infections (bacteria, viruses, fungi)$5,7584,0781$1
20473079FMedical service or procedure$5,742115,167122$0
2048L2200Addition to lower extremity, limited ankle motion, each joint$5,7101051$54
2049E2363Power wheelchair accessory, group 24 sealed lead acid battery, each (for example., gel cell, absorbed glassmat)$5,709501$114
205094750Breathing test or lung function test$5,706901$63
205178306Nuclear medicine imaging (using small amounts of radioactive material)$5,697262$219
2052G2058Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional$5,5928065$7
205386015Immune system or allergy test$5,5502,6322$2
205495714Brain wave test (EEG) or nerve test$5,548792$70
205597157Physical therapy, occupational therapy, or rehabilitation$5,4631863$29
205686337Immune system or allergy test$5,4537901$7
2057J3411Injection, thiamine hcl, 100 mg$5,4453,4458$2
205887255Microbiology test — checking for infections (bacteria, viruses, fungi)$5,4411,2341$4
2059J2323Injection, natalizumab, 1 mg$5,432382$143
206076512Eye ultrasound (checking inside the eye)$5,4091202$45
2061A9541Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries$5,4001664$33
2062A6206Contact layer, sterile, 16 sq. in. or less, each dressing$5,3441121$48
206396165Medical service or procedure$5,3271,0781$5
206492586Hearing or speech test or therapy$5,2941322$40
206558571Female reproductive system surgery$5,284512$104
206664640Brain, spine, or nerve surgery$5,274412$129
206787899Microbiology test — checking for infections (bacteria, viruses, fungi)$5,2661,5615$3
206887116Microbiology test — checking for infections (bacteria, viruses, fungi)$5,2662,1371$2
206964447Brain, spine, or nerve surgery$5,2622373$22
207029075Casting, splinting, or strapping for a broken bone or injury$5,253882$60
207174230Abdomen imaging (X-ray, CT, or MRI)$5,2332154$24
207298927Osteopathic treatment (hands-on manipulation)$5,2171233$42
207395870Brain wave test (EEG) or nerve test$5,1775052$10
207499053Special medical service$5,168168,187137$0
207586481Immune system or allergy test$5,1673952$13
2076D7962Tooth extraction or oral surgery$5,137521$99
207770210Head and brain imaging (X-ray, CT, or MRI)$5,1203061$17
207886738Immune system or allergy test$5,0805741$9
207900810Anesthesia for lower intestine surgery$5,078401$127
208076885Ultrasound$5,074382$134
208182157Blood chemistry test (checking specific substances in your blood)$5,0419161$6
208284482Blood chemistry test (checking specific substances in your blood)$5,0251,3701$4
2083E0960Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware$5,021831$60
208495874Brain wave test (EEG) or nerve test$5,0211183$43
20850013AMedical service or procedure$5,01850316$10
208682952Blood chemistry test (checking specific substances in your blood)$4,9925,5462$1
208788300Tissue examination under a microscope (surgical pathology)$4,9884,75311$1
208836573Artery and vein surgery$4,972691$72
2089S5110Home care services by a trained home health aide (per hour)$4,9452,3182$2
209099476Medical service or procedure$4,944171$291
209143274Esophagus (swallowing tube) surgery$4,944161$309
2092V2113Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens$4,9201251$39
209382985Blood chemistry test (checking specific substances in your blood)$4,9021,8661$3
209410140Incision and drainage of skin or tissue$4,8931,2491$4
2095A4216Sterile water, saline and/or dextrose, diluent/flush, 10 ml$4,88414,67016$0
209645381Rectum and colon surgery or exam$4,867402$122
209786698Immune system or allergy test$4,8468871$5
209885303Blood cell or clotting test$4,8411,8381$3
209926600Hand and finger surgery$4,832261$186
2100Z7610Health information coding$4,8314715$10
210181015Urinalysis (urine test)$4,8276,4027$1
210269209Ear surgery$4,8225185$9
210381229Genetic or molecular testing$4,8105781$8
2104E0444Portable oxygen contents, liquid, 1 month's supply = 1 unit$4,7861,3651$4
2105G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care$4,7658,81016$1
210686735Immune system or allergy test$4,7521,8294$3
21070054AMedical service or procedure$4,7501924$25
2108A7036Chinstrap used with positive airway pressure device$4,7237166$7
2109J2359Injection, olanzapine, 0.5 mg$4,7204593$10
211099315Medical service or procedure$4,6901797$26
211186036Immune system or allergy test$4,6871,9531$2
2112E0240Bath/shower chair, with or without wheels, any size$4,6444994$9
211381405Genetic or molecular testing$4,641541$86
211486756Immune system or allergy test$4,6131,1935$4
211586335Immune system or allergy test$4,5971,0801$4
211686765Immune system or allergy test$4,5641,8382$2
211787149Microbiology test — checking for infections (bacteria, viruses, fungi)$4,5586431$7
211873501Lower extremity imaging (hip, knee, leg, foot)$4,5267023$6
211993740Heart electrical study or treatment$4,5085614$8
212042900Throat, adenoid, and tonsil surgery$4,494151$300
212182681Blood chemistry test (checking specific substances in your blood)$4,4849491$5
2122D9951Other dental service$4,4651,0752$4
212372157MRI of the lower spine (with and without contrast)$4,460552$81
2124T2007Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments$4,4502141$21
212582626Blood chemistry test (checking specific substances in your blood)$4,3711,0071$4
2126G0453Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient$4,3682262$19
212799327Medical service or procedure$4,3541243$35
2128G0498Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies$4,3171991$22
212980337Drug or substance testing$4,3165,8162$1
213086618Immune system or allergy test$4,3141,2141$4
2131L0180Cervical, multiple post collar, occipital/mandibular supports, adjustable$4,285131$330
2132C7513Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s)$4,271521$82
2133L8501Tracheostomy speaking valve$4,254581$73
213484238Blood chemistry test (checking specific substances in your blood)$4,2505791$7
213585660Blood cell or clotting test$4,2363,7993$1
2136A4927Gloves, non-sterile, per 100$4,2334783$9
213729580Casting, splinting, or strapping for a broken bone or injury$4,2212892$15
2138G0396Alcohol and/or substance (other than tobacco) misuse structured assessment (for example., audit, dast), and brief intervention 15 to 30 minutes$4,2062,5839$2
213990682Vaccine or immunization$4,1971,24425$3
214097542Wheelchair management training$4,1845,10112$1
214186702Immune system or allergy test$4,1842,0691$2
2142A4394Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce$4,1781331$31
214382530Blood chemistry test (checking specific substances in your blood)$4,1771,3101$3
214443762Replacement of a feeding tube through the nose$4,1711302$32
214593268Heart rhythm monitoring (Holter monitor or event recorder)$4,165391$107
214676706Ultrasound$4,161881$47
2147J70425% dextrose/normal saline (500 ml = 1 unit)$4,1452,5352$2
214801830Anesthesia for a medical procedure$4,119371$111
2149A4649Surgical supply; miscellaneous$4,11112,20111$0
215089051Other lab test$4,0362,4746$2
2151G0268Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing$3,9815362$7
2152J9370Vincristine sulfate, 1 mg$3,9767182$6
2153T1999Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"$3,9502932$13
215487521Microbiology test — checking for infections (bacteria, viruses, fungi)$3,9502112$19
2155G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care se...$3,9379,20060$0
215673522Lower extremity imaging (hip, knee, leg, foot)$3,9272494$16
215780180Drug or substance testing$3,8825891$7
215881005Urinalysis (urine test)$3,8465,56412$1
215936561Insertion of an implanted port for giving medications (like chemotherapy)$3,831121$319
216089060Other lab test$3,8271,1342$3
216173660Lower extremity imaging (hip, knee, leg, foot)$3,7972693$14
216287184Microbiology test — checking for infections (bacteria, viruses, fungi)$3,7601,2675$3
216320936Musculoskeletal surgery (bones, joints, muscles)$3,7452032$18
2164J7611Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, concentrated form, 1 mg$3,7276,0937$1
216511755Nail surgery or treatment$3,705773$48
216686308Immune system or allergy test$3,6902,2527$2
216785041Blood cell or clotting test$3,67882,34825$0
21683008FMedical service or procedure$3,675352,316120$0
2169G0443Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes$3,6749774$4
217000670Anesthesia for a medical procedure$3,674141$262
2171D7520Tooth extraction or oral surgery$3,641301$121
2172D2940Protective restoration — temporary filling or covering for a tooth$3,6401654$22
217391200Digestive system test$3,6131962$18
217431526Windpipe (trachea) or voice box surgery$3,608292$124
2175G0390Trauma response team associated with hospital critical care service$3,6052871$13
217687650Microbiology test — checking for infections (bacteria, viruses, fungi)$3,5894911$7
2177V2112Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens$3,5764641$8
2178J1000Injection, depo-estradiol cypionate, up to 5 mg$3,5682561$14
2179S4993Contraceptive pills for birth control$3,5534082$9
2180D0383Dental exam, X-ray, or screening$3,5383512$10
218187299Microbiology test — checking for infections (bacteria, viruses, fungi)$3,5316401$6
218287516Microbiology test — checking for infections (bacteria, viruses, fungi)$3,5191721$20
218387538Microbiology test — checking for infections (bacteria, viruses, fungi)$3,5191872$19
218487101Microbiology test — checking for infections (bacteria, viruses, fungi)$3,4821,5802$2
218583695Blood chemistry test (checking specific substances in your blood)$3,4522,3092$2
2186L0627Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra$3,442121$287
2187G0365Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit$3,4401001$34
21880359TMedical service or procedure$3,439211$164
218984300Blood chemistry test (checking specific substances in your blood)$3,4393,6077$1
219036558Artery and vein surgery$3,408262$131
21913046FMedical service or procedure$3,4051,4488$2
219296521IV infusion or injection of medication$3,401431$79
219380162Drug or substance testing$3,3867572$4
219496103Psychological testing — done by computer$3,3821,09915$3
219593294Pacemaker or defibrillator check$3,3681984$17
2196V2799Vision item or service, miscellaneous$3,3663,6485$1
219794200Breathing test or lung function test$3,3355678$6
2198G0509Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth$3,324271$123
219999498Medical service or procedure$3,3193034$11
220095910Brain wave test (EEG) or nerve test$3,300252$132
2201G0202Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed$3,2894195$8
220295954Brain wave test (EEG) or nerve test$3,2892012$16
220377295Radiation therapy for cancer$3,288121$274
2204D5621Dentures or removable dental prosthetics$3,278731$45
2205L4386Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled$3,278311$106
22063077FMedical service or procedure$3,26830,95374$0
220786645Immune system or allergy test$3,2609291$4
220885004Complete blood count with partial differential$3,2512,5393$1
2209A6536Gradient compression stocking, full length/chap style, 18-30 mmhg, each$3,217821$39
221099000Special medical service$3,215140,165248$0
2211G0306Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count$3,2081,8753$2
221215853Medical service or procedure$3,2085413$6
221300120Anesthesia for a medical procedure$3,204141$229
221495885Brain wave test (EEG) or nerve test$3,155633$50
221581403Genetic or molecular testing$3,111972$32
2216V2109Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens$3,0983882$8
2217J0588Injection, incobotulinumtoxin a, 1 unit$3,0961491$21
221888302Tissue examination under a microscope (surgical pathology)$3,0921,1256$3
221993990Blood vessel ultrasound or study$3,091291$107
2220J2470Injection, pantoprazole sodium, 40 mg$3,0811,73513$2
222129581Casting, splinting, or strapping for a broken bone or injury$3,0741,1054$3
2222D5612Denture repair — broken base (partial, lower)$3,0681131$27
2223A4358Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each$3,0553293$9
222429425Casting, splinting, or strapping for a broken bone or injury$3,051301$102
222587015Microbiology test — checking for infections (bacteria, viruses, fungi)$3,0422,1523$1
2226G2012Brief communication technology-based service, for example. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services$3,0097,59515$0
22270111AMedical service or procedure$3,008831$36
2228D9996Other dental service$3,00316,1413$0
2229D9440Office visit — dental exam (after regular hours)$3,000903$33
223077280Radiation therapy for cancer$2,980491$61
223198980Medical service or procedure$2,9624854$6
223294761Breathing test or lung function test$2,9394,21017$1
2233E0251Hospital bed, fixed height, with any type side rails, without mattress$2,9392371$12
223400600Anesthesia for a medical procedure$2,934141$210
223592591Hearing or speech test or therapy$2,927591$50
223698977Medical service or procedure$2,9064112$7
223792555Hearing or speech test or therapy$2,8951551$19
223896450IV infusion or injection of medication$2,895241$121
223986617Immune system or allergy test$2,8933221$9
224074246Abdomen imaging (X-ray, CT, or MRI)$2,884381$76
224162270Spinal tap (lumbar puncture — removing fluid from around the spine for testing)$2,884591$49
224280352Drug or substance testing$2,8607561$4
2243G0508Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth$2,809221$128
2244A4425Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each$2,8001784$16
224598966Medical service or procedure$2,7971,0255$3
224683698Blood chemistry test (checking specific substances in your blood)$2,7927621$4
224786701Immune system or allergy test$2,7682,3043$1
224811719Nail surgery or treatment$2,7678,2396$0
2249J1245Injection, dipyridamole, per 10 mg$2,7534461$6
2250V2430Variable asphericity lens, bifocal, full field, glass or plastic, per lens$2,750131$212
2251J7613Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, unit dose, 1 mg$2,74711,95951$0
225213132Complex wound repair — stitching a difficult wound$2,738131$211
2253L3807Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$2,689121$224
2254L2220Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint$2,686291$93
2255G0145Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation$2,6641,9142$1
225686413Immune system or allergy test$2,6491091$24
225787561Microbiology test — checking for infections (bacteria, viruses, fungi)$2,6482223$12
225896380IV infusion or injection of medication$2,6481302$20
225990696DTaP-IPV vaccine (protects against diphtheria, tetanus, whooping cough, and polio)$2,63710,71971$0
226000103Anesthesia for a medical procedure$2,635181$146
226180235Drug or substance testing$2,6253741$7
2262G0445High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education$2,5892005$13
2263L1940Ankle foot orthosis, plastic or other material, custom fabricated$2,588581$45
226420930Musculoskeletal surgery (bones, joints, muscles)$2,5821151$22
226599423Medical service or procedure$2,5797752$3
226693979Blood vessel ultrasound or study$2,565281$92
226731500Windpipe (trachea) or voice box surgery$2,536351$72
226872193Spine imaging (X-ray, CT, or MRI)$2,534121$211
226973200Upper extremity imaging (shoulder, arm, hand)$2,529281$90
227080184Drug or substance testing$2,5246332$4
227182175Blood chemistry test (checking specific substances in your blood)$2,5235001$5
227282104Blood chemistry test (checking specific substances in your blood)$2,4957911$3
227397760Orthotic management and training (learning to use a brace or support device)$2,4926212$4
227440800Lip surgery$2,481572$44
227581241Genetic or molecular testing$2,4761,2061$2
227636465Artery and vein surgery$2,4741,0122$2
2277C1760Closure device, vascular (implantable/insertable)$2,4731172$21
227887556Microbiology test — checking for infections (bacteria, viruses, fungi)$2,4661091$23
227985300Blood cell or clotting test$2,4621,0171$2
228080349Drug or substance testing$2,37023,6793$0
228190621Vaccine or immunization$2,3403,56924$1
2282J2550Injection of promethazine (anti-nausea medicine)$2,3322,30810$1
2283J2805Injection, sincalide, 5 micrograms$2,322531$44
228483835Blood chemistry test (checking specific substances in your blood)$2,3208841$3
228583825Blood chemistry test (checking specific substances in your blood)$2,3115651$4
2286J3415Injection, pyridoxine hcl, 100 mg$2,2933,1073$1
228751728Bladder surgery$2,291211$109
228883930Blood chemistry test (checking specific substances in your blood)$2,2901,8803$1
228945330Rectum and colon surgery or exam$2,2752511$9
229090849Group therapy session with multiple families$2,2541352$17
229173565Lower extremity imaging (hip, knee, leg, foot)$2,2411995$11
229286060Immune system or allergy test$2,2241,2581$2
2293G0372Physician service required to establish and document the need for a power mobility device$2,2138872$2
229427786Knee and lower leg surgery$2,185161$137
229583527Blood chemistry test (checking specific substances in your blood)$2,1798991$2
2296A4590Special casting material (for example., fiberglass)$2,174261$84
229798929Osteopathic treatment (hands-on manipulation)$2,166953$23
2298D5622Dentures or removable dental prosthetics$2,159641$34
2299D4212Gum disease treatment (periodontics)$2,152321$67
230000740Anesthesia for a medical procedure$2,139441$49
230120985Musculoskeletal surgery (bones, joints, muscles)$2,135251$85
230286258Immune system or allergy test$2,1347492$3
2303A6222Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing$2,1308948$2
230497605Physical therapy, occupational therapy, or rehabilitation$2,1201912$11
230583935Blood chemistry test (checking specific substances in your blood)$2,1161,5183$1
230693351Heart ultrasound (echocardiogram)$2,098131$161
230787301Microbiology test — checking for infections (bacteria, viruses, fungi)$2,0903542$6
230882679Blood chemistry test (checking specific substances in your blood)$2,0733961$5
2309Q5003Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)$2,0653,0184$1
2310L2330Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only$2,055581$35
231196151Medical service or procedure$2,0542059$10
2312D5850Dentures or removable dental prosthetics$2,050531$39
231395908Brain wave test (EEG) or nerve test$2,041912$22
231494450Breathing test or lung function test$2,040502$41
231578454Nuclear medicine imaging (using small amounts of radioactive material)$2,022341$59
231692342Eye exam or vision test$2,019532$38
23170112AMedical service or procedure$1,973521$38
2318J2370Injection, phenylephrine hcl, up to 1 ml$1,9723,7328$1
2319D5511Denture repair — broken base (complete, upper)$1,968751$26
232088311Tissue examination under a microscope (surgical pathology)$1,9597445$3
232188174Cell examination under a microscope$1,955701$28
232283861Blood chemistry test (checking specific substances in your blood)$1,9432421$8
2323S0077Injection, clindamycin phosphate, 300 mg$1,9301,0581$2
232401935Anesthesia for a medical procedure$1,921191$101
232580201Drug or substance testing$1,9144521$4
2326D5611Denture repair — broken base (partial, upper)$1,906831$23
232720600Musculoskeletal surgery (bones, joints, muscles)$1,904792$24
232886316Immune system or allergy test$1,8895861$3
232987806Microbiology test — checking for infections (bacteria, viruses, fungi)$1,8748944$2
233085048Blood cell or clotting test$1,87177,62425$0
233184591Blood chemistry test (checking specific substances in your blood)$1,8641,7121$1
233288314Tissue examination under a microscope (surgical pathology)$1,850551$34
2333A7527Tracheostomy/laryngectomy tube plug/stop, each$1,8493951$5
233429085Casting, splinting, or strapping for a broken bone or injury$1,847371$50
233517106Destruction or removal of a skin lesion (wart, precancerous growth, etc.)$1,838852$22
233690648Haemophilus influenzae type b (Hib) vaccine (4-dose)$1,83251,328122$0
233783003Blood chemistry test (checking specific substances in your blood)$1,8209452$2
2338Q4158Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)$1,815531$34
233993931Blood vessel ultrasound or study$1,812141$129
2340E2620Positioning wheelchair back cushion, planar back with lateral supports, width less than 22 inches, any height, including any type mounting hardware$1,792141$128
234180321Drug or substance testing$1,7928,9373$0
234282340Blood chemistry test (checking specific substances in your blood)$1,7801,1231$2
234399251Medical service or procedure$1,776591$30
234443760Stomach surgery$1,7421783$10
2345A9503Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries$1,741831$21
2346G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system$1,7328514$2
2347Q4022Cast supplies, short arm splint, adult (11 years +), fiberglass$1,732351$49
234856820Female reproductive system surgery$1,729432$40
2349G2086Office-based treatment for opioid use disorder, including development of the treatment plan, care coordination$1,722351$49
235094645Breathing test or lung function test$1,7191462$12
235173223Upper extremity imaging (shoulder, arm, hand)$1,715291$59
235280345Drug or substance testing$1,7128,0663$0
235370543Head and brain imaging (X-ray, CT, or MRI)$1,711121$143
23540366TMedical service or procedure$1,7029991$2
2355C2617Stent, non-coronary, temporary, without delivery system$1,692282$60
235600126Anesthesia for a medical procedure$1,679302$56
235710022Medical service or procedure$1,677302$56
2358G0103Prostate cancer screening; prostate specific antigen test (psa)$1,6753,5146$0
2359J1171Injection, hydromorphone, 0.1 mg$1,6682,39020$1
236088104Cell examination under a microscope$1,6543241$5
2361A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service$1,653131$127
2362Q5006Hospice care provided in inpatient hospice facility$1,6484,0703$0
2363G0270Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis$1,6461,2833$1
236401941Anesthesia for a medical procedure$1,643131$126
236589055Other lab test$1,6362,1112$1
236624650Shoulder and upper arm surgery$1,636121$136
236762369Brain, spine, or nerve surgery$1,6341941$8
2368V2303Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens$1,632141$117
2369L0457Tlso, flexible, provides trunk support, thoracic region, rigid posterior panel and soft anterior apron, extends from the sacrococcygeal junction and terminates just inferior to the scapular spine$1,629241$68
237038204Blood and lymphatic system surgery$1,6264581$4
2371E2607Skin protection and positioning wheelchair seat cushion, width less than 22 inches, any depth$1,612161$101
237272052Spine imaging (X-ray, CT, or MRI)$1,612251$64
237330901Nose surgery$1,606282$57
23740272Anesthesia for a medical procedure$1,6012793$6
2375S0020Injection, bupivicaine hydrochloride, 30 ml$1,5961,13511$1
237683050Blood chemistry test (checking specific substances in your blood)$1,5924912$3
2377J1729Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg$1,572331$48
2378J7633Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, concentrated form, per 0.25 milligram$1,5705233$3
23791125FMedical service or procedure$1,56944,18546$0
238093041Heart monitoring test (ECG/EKG)$1,5693,1512$0
2381E0935Continuous passive motion exercise device for use on knee only$1,560791$20
23820004AMedical service or procedure$1,5361,36436$1
238387107Microbiology test — checking for infections (bacteria, viruses, fungi)$1,5334491$3
2384J2175Injection, meperidine hydrochloride, per 100 mg$1,5322,57610$1
23851126FMedical service or procedure$1,52448,10546$0
238688361Tissue examination under a microscope (surgical pathology)$1,520382$40
2387L1810Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise$1,514121$126
238817004Destruction or removal of a skin lesion (wart, precancerous growth, etc.)$1,509121$126
238993246Heart rhythm monitoring (Holter monitor or event recorder)$1,4971671$9
239051702Inserting a bladder catheter (complex)$1,4932624$6
2391J1626Injection, granisetron hydrochloride, 100 mcg$1,4765481$3
2392D5851Dentures or removable dental prosthetics$1,476411$36
2393E2201Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches$1,471271$54
2394A5512For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch$1,4631112$13
239587503Microbiology test — checking for infections (bacteria, viruses, fungi)$1,4601392$10
239682945Blood chemistry test (checking specific substances in your blood)$1,4521,3947$1
239782009Blood chemistry test (checking specific substances in your blood)$1,4468585$2
2398J2916Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg$1,435732$20
2399C1729Catheter, drainage$1,4322,3738$1
240090697Vaccine or immunization$1,42812,51822$0
240192270Eye exam or vision test$1,419331$43
2402E0165Commode chair, mobile or stationary, with detachable arms$1,418541$26
240389050Other lab test$1,4061,5651$1
2404D4910Periodontal maintenance — follow-up cleaning after gum disease treatment$1,4062,1912$1
2405E0100Cane, includes canes of all materials, adjustable or fixed, with tip$1,3971802$8
240690662Vaccine or immunization$1,3925,14378$0
2407A4402Lubricant, per ounce$1,3781722$8
240894668Breathing test or lung function test$1,36616,2403$0
2409A0998Ambulance response and treatment, no transport$1,361901$15
2410J2274Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg$1,3539533$1
241194690Breathing test or lung function test$1,335501$27
241288740Special lab analysis$1,3335591$2
241358300Female reproductive system surgery$1,332262$51
241488363Tissue examination under a microscope (surgical pathology)$1,3302912$5
241581479Genetic or molecular testing$1,3254992$3
2416G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the prima...$1,3135515$2
241793284Pacemaker or defibrillator check$1,312421$31
2418B4087Gastrostomy/jejunostomy tube, standard, any material, any type, each$1,312371$35
241987350Microbiology test — checking for infections (bacteria, viruses, fungi)$1,3021,3012$1
242086403Immune system or allergy test$1,3012773$5
2421A6454Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard$1,2852,9833$0
242286612Immune system or allergy test$1,2763431$4
242382610Blood chemistry test (checking specific substances in your blood)$1,2763001$4
242490672Flu vaccine — nasal spray$1,2763,34427$0
2425D8999Braces or orthodontic treatment$1,270281$45
242693315Heart ultrasound (echocardiogram)$1,261161$79
242787220Microbiology test — checking for infections (bacteria, viruses, fungi)$1,2521,1492$1
242810040Incision and drainage of skin or tissue$1,251301$42
242987076Microbiology test — checking for infections (bacteria, viruses, fungi)$1,2495692$2
2430Q0512Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period$1,2485,4514$0
2431G2024Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a skilled nursing facility or by a laboratory on behalf...$1,2463593$3
243283986Blood chemistry test (checking specific substances in your blood)$1,2182,3897$1
243331622Windpipe (trachea) or voice box surgery$1,196181$66
243487425Microbiology test — checking for infections (bacteria, viruses, fungi)$1,1923651$3
243595718Brain wave test (EEG) or nerve test$1,184141$85
2436V2102Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens$1,177392$30
2437G0384Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is l...$1,1753273$4
243870355Head and brain imaging (X-ray, CT, or MRI)$1,1722003$6
2439J1094Injection, dexamethasone acetate, 1 mg$1,1595433$2
244020939Musculoskeletal surgery (bones, joints, muscles)$1,153411$28
244184597Blood chemistry test (checking specific substances in your blood)$1,1462991$4
244290700Vaccine or immunization$1,13947,90494$0
244395860Brain wave test (EEG) or nerve test$1,131281$40
2444G0408Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth$1,123501$22
2445L3202Orthopedic shoe, oxford with supinator or pronator, child$1,097271$41
244681243Genetic or molecular testing$1,0964731$2
244787797Microbiology test — checking for infections (bacteria, viruses, fungi)$1,0941021$11
244899453Medical service or procedure$1,09446814$2
244962370Brain, spine, or nerve surgery$1,092631$17
245087632Microbiology test — checking for infections (bacteria, viruses, fungi)$1,0911523$7
245136589Artery and vein surgery$1,067291$37
245274455Urinary tract imaging$1,054402$26
2453D0502Dental exam, X-ray, or screening$1,051201$53
2454Q9963High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml$1,0502441$4
245597018Physical therapy, occupational therapy, or rehabilitation$1,0462,0353$1
245692605Hearing or speech test or therapy$1,044251$42
245792065Eye exam or vision test$1,039311$34
245881206Genetic or molecular testing$1,0345821$2
245984157Blood chemistry test (checking specific substances in your blood)$1,0301,2952$1
2460D0273Dental exam, X-ray, or screening$1,0211462$7
2461A4209Syringe with needle, sterile 5 cc or greater, each$1,0202,8994$0
246298981Medical service or procedure$1,0181151$9
246392553Hearing or speech test or therapy$1,006392$26
246493290Pacemaker or defibrillator check$1,0051001$10
246599195Other medical service$1,004161$63
246615852Medical service or procedure$99613,9382$0
24671055FMedical service or procedure$9937,9916$0
2468D0460Dental exam, X-ray, or screening$9907257$1
246986001Immune system or allergy test$9841601$6
2470J7644Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, unit dose form, per milligram$9793,17212$0
247181240Genetic or molecular testing$9796331$2
2472J2212Injection, methylnaltrexone, 0.1 mg$974201$49
24730034AMedical service or procedure$971391$25
247481270Genetic or molecular testing$9682971$3
2475A7016Dome and mouthpiece, used with small volume ultrasonic nebulizer$9631892$5
247637799Artery and vein surgery$960811$12
2477C1894Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser$9599,83815$0
2478J1956Injection, levofloxacin, 250 mg$9581133$8
2479K0825Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds$956241$40
2480Q0111Wet mounts, including preparations of vaginal, cervical or skin specimens$9562,0645$0
2481E0265Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress$9472351$4
2482J9206Injection, irinotecan, 20 mg$940451$21
248343236Esophagus (swallowing tube) surgery$935251$37
248457410Female reproductive system surgery$933161$58
2485G0659Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers)$9321651$6
248699328Medical service or procedure$929141$66
2487G2078Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure$9292,2013$0
248882166Blood chemistry test (checking specific substances in your blood)$9222951$3
2489J1836Injection, metronidazole, 10 mg$9171,7909$1
249090687Vaccine or immunization$9111,29611$1
249172195Spine imaging (X-ray, CT, or MRI)$907131$70
249284080Blood chemistry test (checking specific substances in your blood)$8935631$2
249374220Abdomen imaging (X-ray, CT, or MRI)$888272$33
249487280Microbiology test — checking for infections (bacteria, viruses, fungi)$8821224$7
2495J3105Injection, terbutaline sulfate, up to 1 mg$8733503$2
249686886Blood typing or transfusion medicine test$8695551$2
249782507Blood chemistry test (checking specific substances in your blood)$8561361$6
249829505Casting, splinting, or strapping for a broken bone or injury$8531392$6
2499E0202Phototherapy (bilirubin) light with photometer$8531141$7
250077061Breast imaging (mammogram or MRI)$8528612$1
250193282Pacemaker or defibrillator check$852311$27
2502P9046Infusion, albumin (human), 25%, 20 ml$845351$24
25030362TMedical service or procedure$842161$53
25040363TMedical service or procedure$842161$53
2505S0119Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use procedure code q code)$8374955$2
2506A4213Syringe, sterile, 20 cc or greater, each$8307,9453$0
250785305Blood cell or clotting test$8293861$2
250890644Vaccine or immunization$8261,7103$0
250988237Genetic testing (chromosome analysis)$825581$14
251036907Artery and vein surgery$823271$30
2511D5820Dentures or removable dental prosthetics$820201$41
251292524Behavioral and qualitative analysis of voice and speech$818121$68
2513L3923Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled$816201$41
251449326Abdomen, hernia, or peritoneum surgery$811493$17
2515A4215Needle, sterile, any size, each$80612,38612$0
2516E0135Walker, folding (pickup), adjustable or fixed height$800291$28
2517J71215% dextrose in lactated ringers infusion, up to 1000 cc$7922411$3
251885598Blood cell or clotting test$7922081$4
251999374Medical service or procedure$792882$9
252082787Blood chemistry test (checking specific substances in your blood)$7831671$5
252154450Male reproductive system surgery$782141$56
252236556Insertion of a central venous catheter (IV line into a large vein)$778151$52
252385597Blood cell or clotting test$7772721$3
2524S0285Colonoscopy consultation performed prior to a screening colonoscopy procedure$776181$43
2525J7609Albuterol, inhalation solution, compounded product, administered through medical equipment, unit dose, 1 mg$7751,15710$1
252684182Blood chemistry test (checking specific substances in your blood)$772391$20
2527V2744Tint, photochromatic, per lens$7722,63511$0
2528G0246Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a pati...$7715902$1
252970250Head and brain imaging (X-ray, CT, or MRI)$768581$13
253090691Vaccine or immunization$768141$55
2531C9399Unclassified drugs or biologicals$7682412$3
253236476Artery and vein surgery$767141$55
253376519Ultrasound$764131$59
2534A6223Gauze, 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$762592$13
253595977Brain wave test (EEG) or nerve test$7621191$6
2536E1226Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each$761151$51
253793016Heart monitoring test (ECG/EKG)$760761$10
25382014FMedical service or procedure$760552$14
2539Q0511Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period$7542,5654$0
2540Q0163Diphenhydramine 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...$7524,5484$0
2541J1920Injection, labetalol hydrochloride, 5 mg$7511,9118$0
254293926Blood vessel ultrasound or study$743431$17
2543D9410Other dental service$738131$57
254486148Immune system or allergy test$7369771$1
254590647Haemophilus influenzae type b (Hib) vaccine$73637,69073$0
2546V5275Ear impression, each$735171$43
254772202Spine imaging (X-ray, CT, or MRI)$734471$16
254886041Immune system or allergy test$7321901$4
2549A7004Small volume nonfiltered pneumatic nebulizer, disposable$7226166$1
255011106Skin biopsy — taking a small sample to test for disease$720141$51
255176828Ultrasound$716171$42
255285520Blood cell or clotting test$7131852$4
2553J7799Not otherwise classified drugs, other than inhalation drugs, administered through medical equipment$7088581$1
2554A9900Miscellaneous medical equipment supply, accessory, and/or service component of another procedure code code$705422$17
255577012Imaging guidance for a needle procedure$704131$54
255685301Blood cell or clotting test$6994901$1
25571157FMedical service or procedure$69619,58015$0
255820931Musculoskeletal surgery (bones, joints, muscles)$696241$29
2559V2783Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens$6902922$2
2560A9279Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified$6902,2001$0
256182575Blood chemistry test (checking specific substances in your blood)$6873271$2
256285347Blood cell or clotting test$6834263$2
25630082AMedical service or procedure$680191$36
25643045FMedical service or procedure$6804673$1
2565A4314Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)$6755442$1
2566A6545Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each$671511$13
2567G0499Hepatitis 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)$67016,25423$0
256887328Microbiology test — checking for infections (bacteria, viruses, fungi)$6691632$4
2569G0380Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is l...$654421$16
257085302Blood cell or clotting test$6522641$2
2571A9537Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries$652252$26
257211901Skin injection or implant$647171$38
2573D4342Deep cleaning (scaling and root planing) — per quadrant, 1-3 teeth$6466742$1
257487652Microbiology test — checking for infections (bacteria, viruses, fungi)$6431021$6
2575A4262Temporary, absorbable lacrimal duct implant, each$6416,4524$0
2576A7013Filter, disposable, used with aerosol compressor or ultrasonic generator$6382,8909$0
257764400Brain, spine, or nerve surgery$629161$39
25781159FMedical service or procedure$629142,15986$0
257980170Drug or substance testing$624611$10
258099072Special medical service$62362,25167$0
2581S9500Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination$6205621$1
2582J1596Injection, glycopyrrolate, 0.1 mg$6196226$1
258385097Blood cell or clotting test$616521$12
258472083Spine imaging (X-ray, CT, or MRI)$616121$51
258587906Microbiology test — checking for infections (bacteria, viruses, fungi)$612401$15
258684133Blood chemistry test (checking specific substances in your blood)$6126892$1
25873051FMedical service or procedure$6127701$1
258890740Vaccine or immunization$6097225$1
2589S9451Exercise classes, non-physician provider, per session$60510,92012$0
2590J0665Injection, bupivicaine, not otherwise specified, 0.5 mg$6009,27119$0
25910353UMedical service or procedure$6004,90613$0
2592A6248Hydrogel dressing, wound filler, gel, per fluid ounce$597131$46
259377072Breast imaging (mammogram or MRI)$595251$24
259499492Medical service or procedure$591311$19
2595J2310Injection, naloxone hydrochloride, per 1 mg$589992$6
259687905Microbiology test — checking for infections (bacteria, viruses, fungi)$5821801$3
2597J7610Albuterol, inhalation solution, compounded product, administered through medical equipment, concentrated form, 1 mg$5812,37910$0
2598V2205Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens$581121$48
259980503Medical service or procedure$5751061$5
2600G0245Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops$569272$21
260187109Microbiology test — checking for infections (bacteria, viruses, fungi)$5691252$5
260283037Blood chemistry test (checking specific substances in your blood)$5691944$3
260359051Pregnancy, delivery, and maternity care$566311$18
260473523Lower extremity imaging (hip, knee, leg, foot)$565271$21
260590657Vaccine or immunization$5605115$1
26060081AMedical service or procedure$560151$37
260711105Skin biopsy — taking a small sample to test for disease$559282$20
2608G8420Bmi is documented within normal parameters and no follow-up plan is required$55728,29364$0
260999418Medical service or procedure$553161$35
261094781Breathing test or lung function test$550481$11
261193307Heart ultrasound (echocardiogram)$546161$34
261277077Breast imaging (mammogram or MRI)$536181$30
2613E0303Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress$533511$10
261471111Chest imaging (X-ray, CT, or MRI)$532311$17
261599473Medical service or procedure$5292,2954$0
2616A7014Filter, nondisposable, used with aerosol compressor or ultrasonic generator$5242242$2
2617G0511Rural health clinic or federally qualified health center (rhc or community health center) only, general care management$5233,4307$0
261899421Medical service or procedure$5161433$4
261974160Abdomen imaging (X-ray, CT, or MRI)$515381$14
262036011Artery and vein surgery$513181$28
262190380Immune globulin (antibody) injection$511742$7
262282642Blood chemistry test (checking specific substances in your blood)$5112431$2
262383718Blood chemistry test (checking specific substances in your blood)$5104292$1
262488264Genetic testing (chromosome analysis)$510581$9
2625A4406Ostomy skin barrier, pectin-based, paste, per ounce$505633$8
262611057Trimming or paring a skin lesion or callus$5042982$2
2627G0379Hospital observation — being watched and monitored using direct admission$5029763$1
262886778Immune system or allergy test$4991871$3
262990967Dialysis or kidney treatment$496481$10
2630J7699Not otherwise classified drugs, inhalation solution administered through medical equipment$4961492$3
263177470Radiation therapy for cancer$492141$35
263282374Carbon dioxide blood test (checks if your body is processing oxygen correctly)$4873,9289$0
263396381IV infusion or injection of medication$475471$10
263486596Immune system or allergy test$467831$6
26350003AMedical service or procedure$4642299$2
263686256Immune system or allergy test$4621611$3
263787254Microbiology test — checking for infections (bacteria, viruses, fungi)$4571161$4
263887551Microbiology test — checking for infections (bacteria, viruses, fungi)$455301$15
263992562Hearing or speech test or therapy$454131$35
2640A4450Tape, non-waterproof, per 18 square inches$4535015$1
2641A4247Betadine or iodine swabs/wipes, per box$4511,8961$0
264280203Drug or substance testing$449951$5
2643A6457Tubular dressing with or without elastic, any width, per linear yard$445652$7
264482656Blood chemistry test (checking specific substances in your blood)$4441501$3
2645A4253Blood glucose test strips (for checking blood sugar at home)$4431,29220$0
2646A0390Advanced life support mileage (per mile)$4425051$1
26470073AMedical service or procedure$441131$34
264876010Diagnostic ultrasound or fluoroscopy$433271$16
264987471Microbiology test — checking for infections (bacteria, viruses, fungi)$431491$9
265070547Head and brain imaging (X-ray, CT, or MRI)$431131$33
265177075Breast imaging (mammogram or MRI)$425131$33
2652Q9969Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose$4253232$1
265357465Female reproductive system surgery$421131$32
2654A7010Corrugated tubing, disposable, used with large volume nebulizer, 100 feet$4201382$3
265583951Blood chemistry test (checking specific substances in your blood)$420521$8
265695907Brain wave test (EEG) or nerve test$420121$35
265715276Skin graft or tissue transfer$415181$23
265873222Upper extremity imaging (shoulder, arm, hand)$413141$29
265920551Musculoskeletal surgery (bones, joints, muscles)$408131$31
2660A6204Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing$4031741$2
266199140Additional anesthesia service for special circumstances$400904$4
266264415Brain, spine, or nerve surgery$400141$29
266397024Physical therapy, occupational therapy, or rehabilitation$3971411$3
2664A4627Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler$391261$15
266582239Blood chemistry test (checking specific substances in your blood)$3901201$3
2666S9088Services provided in an urgent care center (list in addition to code for service)$3853876$1
2667G0307Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count)$3841,6063$0
2668J0736Injection, clindamycin phosphate, 300 mg$3843856$1
266978434Nuclear medicine imaging (using small amounts of radioactive material)$3794764$1
267083916Blood chemistry test (checking specific substances in your blood)$376821$5
2671A9278Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system$375301$12
267282108Blood chemistry test (checking specific substances in your blood)$37516,42340$0
26733080FMedical service or procedure$37022,90665$0
267480158Drug or substance testing$3701041$4
267587154Microbiology test — checking for infections (bacteria, viruses, fungi)$369141$26
267620605Musculoskeletal surgery (bones, joints, muscles)$368151$25
2677A6449Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard$3684762$1
267885378Blood cell or clotting test$3561,7652$0
2679L1906Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf$354361$10
268083945Blood chemistry test (checking specific substances in your blood)$3531221$3
2681A4371Ostomy skin barrier, powder, per oz$3512484$1
2682V5267Hearing aid or assistive listening device/supplies/accessories, not otherwise specified$346892$4
2683A4263Permanent, long term, non-dissolvable lacrimal duct implant, each$345621$6
268487590Microbiology test — checking for infections (bacteria, viruses, fungi)$342291$12
268584560Blood chemistry test (checking specific substances in your blood)$3413141$1
26860099UMedical service or procedure$3391351$3
2687G8417Bmi is documented above normal parameters and a follow-up plan is documented$33964,18975$0
2688A9526Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries$329211$16
2689C1887Catheter, guiding (may include infusion/perfusion capability)$3282,7168$0
269086671Immune system or allergy test$3261571$2
269129130Casting, splinting, or strapping for a broken bone or injury$324151$22
269291319Medical service or procedure$3232392$1
26933048FMedical service or procedure$3214,7847$0
269492370Eye exam or vision test$320121$27
269595926Brain wave test (EEG) or nerve test$3192621$1
269699001Special medical service$31855,14716$0
269782180Blood chemistry test (checking specific substances in your blood)$3161321$2
2698A0380Basic life support mileage (per mile)$3121631$2
269993289Pacemaker or defibrillator check$304141$22
2700Q4049Finger splint, static$301622$5
270186804Immune system or allergy test$299201$15
270287110Microbiology test — checking for infections (bacteria, viruses, fungi)$2894611$1
270382365Blood chemistry test (checking specific substances in your blood)$289711$4
2704A4208Syringe with needle, sterile 3 cc, each$2842481$1
2705J1010Injection, methylprednisolone acetate, 1 mg$276302$9
270694770Breathing test or lung function test$2761,2683$0
2707D2920Dental filling, crown, or restoration$274131$21
2708G0071Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (co...$2693632$1
270986231Immune system or allergy test$2681301$2
2710Q2035Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)$26758510$0
2711J0744Injection, ciprofloxacin for intravenous infusion, 200 mg$265883$3
271283630Blood chemistry test (checking specific substances in your blood)$262431$6
271386774Immune system or allergy test$261931$3
2714V2715Prism, per lens$259121$22
271511101Skin biopsy — taking a small sample to test for disease$258131$20
271610160Drainage of fluid from a cyst or hematoma with a needle$2571,0171$0
2717G8482Influenza immunization administered or previously received$2543,21319$0
271890653Vaccine or immunization$25267511$0
27190271Anesthesia for a medical procedure$251331$8
2720Q0177Hydroxyzine 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$2511,8623$0
272186037Immune system or allergy test$2501201$2
272282042Blood chemistry test (checking specific substances in your blood)$2492401$1
272388271Genetic testing (chromosome analysis)$248121$21
272480375Drug or substance testing$2488052$0
272536410Artery and vein surgery$248581$4
272680362Drug or substance testing$2461,0582$0
272784105Blood chemistry test (checking specific substances in your blood)$2392322$1
272897606Physical therapy, occupational therapy, or rehabilitation$238321$7
272951785Bladder surgery$237151$16
273092568Hearing or speech test or therapy$231231$10
273181007Urinalysis (urine test)$2257504$0
273286631Immune system or allergy test$223431$5
2733S9452Nutrition classes, non-physician provider, per session$2193,0282$0
2734G0423Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session$217181$12
2735J0137Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg$2171563$1
2736G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the dat...$215812$3
273786707Immune system or allergy test$213611$3
2738G0407Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth$2122012$1
2739G9500Radiation exposure indices documented in final report for procedure using fluoroscopy$2071,2624$0
2740A4217Sterile water/saline, 500 ml$2054735$0
274190655Vaccine or immunization$2041,06711$0
274200160Anesthesia for a medical procedure$203281$7
274377081Breast imaging (mammogram or MRI)$202561$4
2744J2003Injection, lidocaine hydrochloride, 1 mg$2023,82516$0
2745A6220Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing$20210,2554$0
274692542Hearing or speech test or therapy$200411$5
274782955Blood chemistry test (checking specific substances in your blood)$1992801$1
274882693Blood chemistry test (checking specific substances in your blood)$1994381$0
2749G0406Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth$1993912$1
2750E0961Manual wheelchair accessory, wheel lock brake extension (handle), each$1961002$2
2751G0271Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition$190351$5
275286609Immune system or allergy test$185481$4
275384140Blood chemistry test (checking specific substances in your blood)$181511$4
2754J2150Injection, mannitol, 25% in 50 ml$1791031$2
275580165Drug or substance testing$1781442$1
275690660Vaccine or immunization$17873612$0
275780324Drug or substance testing$1764,4133$0
275896402IV infusion or injection of medication$176121$15
275936000Artery and vein surgery$1765374$0
276073020Upper extremity imaging (shoulder, arm, hand)$176761$2
276199404Medical service or procedure$1741823$1
2762G0235Pet imaging, any site, not otherwise specified$173351$5
276386628Immune system or allergy test$171251$7
2764G0318Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary serv...$170261$7
276582671Blood chemistry test (checking specific substances in your blood)$168391$4
276686632Immune system or allergy test$166711$2
2767C1725Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)$1661483$1
276899422Medical service or procedure$1602933$1
276991318Medical service or procedure$160491$3
2770S9441Asthma education, non-physician provider, per session$1601,2692$0
277198940Chiropractic adjustment$158412$4
277299100Additional anesthesia service for special circumstances$1582845$1
277384311Blood chemistry test (checking specific substances in your blood)$1574281$0
277482272Blood chemistry test (checking specific substances in your blood)$1542333$1
2775A6216Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing$15351,86315$0
27763052FMedical service or procedure$1513421$0
277782657Blood chemistry test (checking specific substances in your blood)$150801$2
277858611Female reproductive system surgery$147141$10
277992583Hearing or speech test or therapy$1465,97014$0
2780G0475Hiv antigen/antibody, combination assay, screening$1442941$0
27810352UMedical service or procedure$1436483$0
278281256Genetic or molecular testing$1412881$0
2783G0009Administration of pneumococcal vaccine$1391,86422$0
278493790Heart electrical study or treatment$139781$2
2785G8427Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications$137192,465210$0
278683873Blood chemistry test (checking specific substances in your blood)$137321$4
278780173Drug or substance testing$136151$9
27880042TMedical service or procedure$1351191$1
2789J9260Injection, methotrexate sodium, 50 mg$135611$2
279080338Drug or substance testing$1335,8333$0
279190668Vaccine or immunization$133191$7
279286677Immune system or allergy test$1294232$0
279386356Immune system or allergy test$129171$8
279486063Immune system or allergy test$1281291$1
27953049FMedical service or procedure$1261,6157$0
279673650Lower extremity imaging (hip, knee, leg, foot)$126121$10
2797J3371Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg$1241801$1
279884255Blood chemistry test (checking specific substances in your blood)$122131$9
2799G3003Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002.$1211692$1
280082308Blood chemistry test (checking specific substances in your blood)$120161$8
280184163Blood chemistry test (checking specific substances in your blood)$1171651$1
2802M0239Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring$116161$7
2803V2114Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens$114131$9
280485210Blood cell or clotting test$113181$6
2805D1352Dental preventive care (cleaning, fluoride, sealant)$113861$1
280682705Blood chemistry test (checking specific substances in your blood)$1111811$1
280791305Medical service or procedure$1097875$0
280884206Blood chemistry test (checking specific substances in your blood)$107311$3
28093725FMedical service or procedure$106122,42649$0
2810G2065Comprehensive care management for a single high-risk disease services, for example. principal care management$104161$6
281182384Blood chemistry test (checking specific substances in your blood)$102291$4
2812J7626Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, unit dose form, up to 0.5 mg$1027956$0
281384540Blood chemistry test (checking specific substances in your blood)$1014061$0
281490681Rotavirus vaccine (protects babies from stomach illness)$1009,36155$0
281581279Genetic or molecular testing$99721$1
281681339Genetic or molecular testing$99451$2
281793299Pacemaker or defibrillator check$981101$1
2818J7517Mycophenolate mofetil, oral, 250 mg$979512$0
2819J1580Injection, garamycin, gentamicin, up to 80 mg$972185$0
2820J3535Drug administered through a metered dose inhaler$92161$6
2821J0687Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg$865081$0
2822G0156Services of home health/hospice aide in home health or hospice settings, each 15 minutes$84425,44799$0
282380195Drug or substance testing$82121$7
282484392Blood chemistry test (checking specific substances in your blood)$78641$1
282584260Blood chemistry test (checking specific substances in your blood)$77121$6
282685307Blood cell or clotting test$77241$3
282786043Immune system or allergy test$74331$2
28281005FMedical service or procedure$721,3441$0
282986682Immune system or allergy test$71151$5
2830E0181Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty$71261$3
2831G0403Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report$701152$1
2832J0670Injection, mepivacaine hydrochloride, per 10 ml$701253$1
283382436Blood chemistry test (checking specific substances in your blood)$691541$0
283477062Breast imaging (mammogram or MRI)$661,8154$0
2835J1020Injection, methylprednisolone acetate, 20 mg$66171$4
2836G9578Documentation of signed opioid treatment agreement at least once during opioid therapy$653,0614$0
2837J0610Injection, calcium gluconate (fresenius kabi), per 10 ml$641862$0
2838J0694Injection, cefoxitin sodium, 1 gm$63442$1
283993272Heart rhythm monitoring (Holter monitor or event recorder)$62201$3
2840J0461Injection, atropine sulfate, 0.01 mg$601012$1
284192310Eye exam or vision test$60882$1
284296154Medical service or procedure$60231$3
2843J7612Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, concentrated form, 0.5 mg$581463$0
284482270Blood chemistry test (checking specific substances in your blood)$571431$0
2845G9583Patients prescribed opiates for longer than six weeks$562,2253$0
284681291Genetic or molecular testing$564091$0
2847D0415Dental exam, X-ray, or screening$56841$1
2848J0571Buprenorphine, oral, 1 mg$56211$3
284974170Abdomen imaging (X-ray, CT, or MRI)$54151$4
2850V2632Posterior chamber intraocular lens$541,5052$0
2851G0328Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous$541,5401$0
2852G0109Diabetes self-management training for groups$53161$3
285391307Medical service or procedure$522,69327$0
285499341Home visit — simple problem$512961$0
285581374Genetic or molecular testing$482701$0
285686648Immune system or allergy test$48281$2
2857A0398Advanced life support routine disposable supplies$488383$0
2858J7614Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through medical equipment, unit dose, 0.5 mg$47542$1
285986366Immune system or allergy test$47201$2
286087140Microbiology test — checking for infections (bacteria, viruses, fungi)$46451$1
2861A4245Alcohol wipes, per box$45541$1
2862A4267Contraceptive supply, condom, male, each$444932$0
2863A4617Mouth piece$42151$3
2864G9637Final 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$4231,0946$0
2865J0698Injection, cefotaxime sodium, per gm$41161$3
286690630Vaccine or immunization$40231$2
286782044Blood chemistry test (checking specific substances in your blood)$38171$2
286889220Other lab test$372631$0
2869D9311Other dental service$37191$2
287082595Blood chemistry test (checking specific substances in your blood)$36241$2
2871A9999Miscellaneous medical equipment supply or accessory, not otherwise specified$36391$1
2872V2702Deluxe lens feature$363433$0
2873G0136Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months$358503$0
2874S0191Misoprostol, oral, 200 mcg$33482$1
2875A4338Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each$333811$0
2876G0323Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time$332,2861$0
287780344Drug or substance testing$315,0072$0
2878A9576Injection, gadoteridol, (prohance multipack), per ml$307471$0
287980334Drug or substance testing$304201$0
2880S0030Injection, metronidazole, 500 mg$29621$0
28811036FMedical service or procedure$2870,351107$0
288286340Immune system or allergy test$27141$2
288390970End-stage kidney disease home dialysis monthly care — ages 20+$27272$1
2884J0134Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg$27902$0
2885J2371Injection, phenylephrine hydrochloride, 20 micrograms$251,6437$0
288684160Blood chemistry test (checking specific substances in your blood)$25751$0
288711306Shaving of a skin growth$241,0901$0
2888G9226Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork$241,4297$0
28891111FMedical service or procedure$23131,23961$0
289084433Blood chemistry test (checking specific substances in your blood)$23271$1
289184376Blood chemistry test (checking specific substances in your blood)$21121$2
289291300Medical service or procedure$2010,01224$0
2893A7007Large volume nebulizer, disposable, unfilled, used with aerosol compressor$20911$0
289487181Microbiology test — checking for infections (bacteria, viruses, fungi)$191,1182$0
289580370Drug or substance testing$185,6232$0
2896A6255Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing$17121$1
289781050Urinalysis (urine test)$16141$1
2898Q2037Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)$141223$0
289981512Medical service or procedure$145341$0
290084143Blood chemistry test (checking specific substances in your blood)$14131$1
2901E0274Over-bed table$14141$1
290295869Brain wave test (EEG) or nerve test$13171$1
290384152Blood chemistry test (checking specific substances in your blood)$13151$1
2904S1015Iv tubing extension set$125681$0
2905A4322Irrigation syringe, bulb or piston, each$121141$0
2906J0574Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine$11141$1
290780500Medical service or procedure$10721$0
2908A0422Ambulance (advanced life support or basic life support) oxygen and oxygen supplies, life sustaining situation$105982$0
2909J0612Injection, calcium gluconate, not otherwise specified, 10 mg$9121$1
291059426Pregnancy, delivery, and maternity care$84,09912$0
291191301Medical service or procedure$811,30322$0
291286999Blood typing or transfusion medicine test$88321$0
2913A4210Needle-free injection device, each$81,3961$0
2914A6203Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing$7191$0
291591312Medical service or procedure$71,9185$0
2916J0401Injection, aripiprazole (abilify maintena), 1 mg$74661$0
2917C1758Catheter, ureteral$7801$0
291886430Immune system or allergy test$7121$1
2919J2004Injection, lidocaine hcl with epinephrine, 1 mg$6452$0
29201170FMedical service or procedure$627,27430$0
29213050FMedical service or procedure$64305$0
2922A4206Syringe with needle, sterile, 1 cc or less, each$6171$0
2923S50105% dextrose and 0.45% normal saline, 1000 ml$6301$0
29240298TMedical service or procedure$5121$0
2925A6403Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing$4561$0
292691311Medical service or procedure$41881$0
2927J3590Unclassified biologics$31,1671$0
292899051Special medical service$311,20431$0
29291000FMedical service or procedure$34,93212$0
2930A6443Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard$3532$0
29314004FMedical service or procedure$24,02216$0
2932A4615Cannula, nasal$22303$0
293380374Drug or substance testing$22,2771$0
2934G2010Remote evaluation of recorded video and/or images submitted by an established patient (for example., store and forward)$2641$0
2935H1003Prenatal care, at-risk enhanced service; education$1381$0
2936G8907Patient 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...$131,89735$0
293791308Medical service or procedure$11154$0
2938A4616Tubing (oxygen), per foot$11803$0
293991303Medical service or procedure$09447$0
2940S9999Sales tax$02041$0
294191313Medical service or procedure$04913$0
2942J2426Injection, paliperidone palmitate extended release (invega sustenna), 1 mg$08513$0
2943D1330Dental preventive care (cleaning, fluoride, sealant)$038,88345$0
2944Q0247Injection, sotrovimab, 500 mg$0452$0
294591315Medical service or procedure$0291$0
2946D1310Dental preventive care (cleaning, fluoride, sealant)$010,4998$0
2947A9150Non-prescription drugs$04004$0
2948G1004Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program$012,2268$0
2949J0517Injection, benralizumab, 1 mg$0261$0
295090733Vaccine or immunization$02762$0
295191306Medical service or procedure$07586$0
29523072FMedical service or procedure$07,0433$0
295399024Special medical service$044,70365$0
2954G8397Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy$05153$0
29550521FMedical service or procedure$03802$0
29560001FMedical service or procedure$01,7972$0
2957G8978Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals$06,34329$0
2958G9321Count 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$01,8992$0
2959G8997Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting$06086$0
29604010FMedical service or procedure$07,03017$0
2961Q0244Injection, casirivimab and imdevimab, 1200 mg$0131$0
2962G8987Self care functional limitation, current status, at therapy episode outset and at reporting intervals$02,49115$0
29631006FMedical service or procedure$05652$0
29643066FMedical service or procedure$0492$0
2965G8996Swallowing functional limitation, current status at therapy episode outset and at reporting intervals$04685$0
29664000FMedical service or procedure$01,7587$0
2967G8989Self care functional limitation, discharge status, at discharge from therapy or to end reporting$05227$0
29683016FMedical service or procedure$02,82612$0
2969G8979Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting$06,88730$0
2970G8988Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting$02,58915$0
29711101FMedical service or procedure$015,34923$0
297291321Medical service or procedure$0943$0
29734013FMedical service or procedure$06403$0
297481508Medical service or procedure$0711$0
297597039Physical therapy, occupational therapy, or rehabilitation$06031$0
2976A6219Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing$01,7532$0
29771123FMedical service or procedure$039,57256$0
2978A6217Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing$07103$0
297990678Vaccine or immunization$0141$0
29802028FMedical service or procedure$03654$0
29813100FMedical service or procedure$0131$0
29824293FMedical service or procedure$01593$0
29831158FMedical service or procedure$02,4349$0
29841033FMedical service or procedure$010,3805$0
29853011FMedical service or procedure$08,21610$0
29863353FMedical service or procedure$0582$0
298781257Genetic or molecular testing$02301$0
2988A4930Gloves, sterile, per pair$05772$0
2989A4928Surgical mask, per 20$0711$0
299099002Special medical service$0881$0
2991A4648Tissue marker, implantable, any type, each$0431$0
29923265FMedical service or procedure$0692$0
2993D0425Dental exam, X-ray, or screening$0841$0
299489320Other lab test$0121$0
29951090FMedical service or procedure$02,5066$0
29961031FMedical service or procedure$06735$0
299780364Drug or substance testing$04,5482$0
2998A4554Disposable underpads, all sizes$0151$0
2999A4520Incontinence garment, any type, (for example., brief, diaper), each$03021$0
3000D0472Dental exam, X-ray, or screening$01722$0
30013061FMedical service or procedure$02681$0
30022033FMedical service or procedure$0481$0
300397127Physical therapy, occupational therapy, or rehabilitation$04341$0
30045010FMedical service or procedure$02615$0
300589321Other lab test$0121$0
300611308Shaving of a skin growth$0261$0
300783874Blood chemistry test (checking specific substances in your blood)$0191$0
30086045FMedical service or procedure$0371$0
300910120Removal of a foreign body from under the skin$0131$0
301097598Physical therapy, occupational therapy, or rehabilitation$0401$0
3011A4362Skin barrier; solid, 4 x 4 or equivalent; each$01681$0
3012S9806Home health, outpatient, or education service$0701$0
30133017FMedical service or procedure$06668$0
30142016FMedical service or procedure$0121$0
3015A4300Implantable access catheter, (for example., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access$01322$0
3016D0290Dental exam, X-ray, or screening$0851$0
30172027FMedical service or procedure$04672$0
30186030FMedical service or procedure$03362$0
301981219Genetic or molecular testing$0551$0
3020A4259Lancets — small needles for pricking your finger to test blood sugar$0972$0
3021A4258Spring-powered device for lancet, each$0121$0
302286905Blood typing or transfusion medicine test$0422$0
302380330Drug or substance testing$04,4951$0
3024D9986Other dental service$09,35730$0
302599411Medical service or procedure$01471$0
302699080Special medical service$0781$0
30274145FMedical service or procedure$02442$0
302811732Nail surgery or treatment$01531$0
3029A4220Refill kit for implantable infusion pump$0481$0
30300356TMedical service or procedure$0131$0
303195961Brain wave test (EEG) or nerve test$0631$0
303296119Medical service or procedure$0431$0
30331091FMedical service or procedure$0461$0
30342001FMedical service or procedure$026,90820$0
30353015FMedical service or procedure$07323$0
3036A0394Advanced life support specialized service disposable supplies; iv drug therapy$01,7651$0
3037A0392Advanced life support specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in basic life support ambulances)$05431$0
303880342Drug or substance testing$02401$0
3039A0382Basic life support routine disposable supplies$05,4992$0
3040D9221Other dental service$0601$0
30413023FMedical service or procedure$05061$0
3042G8991Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting$01533$0
3043G8993Other physical or occupational therapy subsequent functional limitation, current status, at therapy episode outset and at reporting intervals$0461$0
3044G8994Other physical or occupational therapy subsequent functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting$0951$0
3045G8982Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting$02902$0
3046G8981Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals$02652$0
3047G8980Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting$01,47211$0
3048G8967Fda approved oral anticoagulant is prescribed$01191$0
3049G8952Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given$07303$0
3050G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis$026,89120$0
3051G8916Patient with preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis, antibiotic initiated on time$01,2843$0
305299172Other medical service$04785$0
3053G8915Patient documented not to have experienced a hospital transfer or hospital admission upon discharge from asc$05,5761$0
3054G8911Patient documented not to have experienced a fall within ambulatory surgical center$0151$0
3055G8785Blood pressure reading not documented, reason not given$02,6903$0
3056G8755Most recent diastolic blood pressure >= 90 mmhg$01,5037$0
3057G8754Most recent diastolic blood pressure < 90 mmhg$013,04934$0
3058G8753Most recent systolic blood pressure >= 140 mmhg$03,08013$0
3059G8998Swallowing functional limitation, discharge status, at discharge from therapy or to end reporting$01034$0
3060G8752Most recent systolic blood pressure < 140 mmhg$014,12334$0
3061G8734Elder maltreatment screen documented as negative, follow-up is not required$01,8553$0
3062G8732No documentation of pain assessment, reason not given$0831$0
3063G9016Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only]$01771$0
3064G8731Pain assessment using a standardized tool is documented as negative, no follow-up plan required$04612$0
3065G8730Pain assessment documented as positive using a standardized tool and a follow-up plan is documented$022,27417$0
3066G8598Aspirin or another antiplatelet therapy used$01241$0
3067G9275Documentation that patient is a current non-tobacco user$01,3272$0
3068G9307No return to the operating room for a surgical procedure, for complications of the principal operative procedure, within 30 days of the principal operative procedure$0121$0
3069G9312Surgical site infection$0321$0
3070G8539Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment$018,0903$0
30712010FMedical service or procedure$09,55016$0
3072G9316Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used$09251$0
3073G8536No documentation of an elder maltreatment screen, reason not given$0661$0
3074G8511Screening for depression documented as positive, follow-up plan not documented, reason not given$01642$0
3075G8506Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy$0891$0
3076G8484Influenza immunization was not administered, reason not given$06,6986$0
3077G8483Influenza immunization was not administered for reasons documented by clinician (for example., patient allergy or other medical reasons, patient declined or other patient reasons$02,39723$0
3078G9916Functional status performed once in the last 12 months$0461$0
3079G8476Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg$0432$0
3080G8433Screening for depression not completed, documented patient or medical reason$02022$0
3081G8432Depression screening not documented, reason not given$05,4464$0
308299403Medical service or procedure$0181$0
308311305Shaving of a skin growth$04431$0
3084G8430Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (for example.$03,3925$0
3085G9368At least two orders for high-risk medications from the same drug class not ordered$0591$0
3086G9458Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use$02091$0
3087G8428Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given$06,5357$0
3088G9459Currently a tobacco non-user$0592$0
3089G8422Bmi not documented, documentation the patient is not eligible for bmi calculation$0711$0
3090G8421Bmi not documented and no reason is given$011,3733$0
3091G9513Individual did not have a pdc of 0.8 or greater$01412$0
3092G8419Bmi documented outside normal parameters, no follow-up plan documented, no reason given$01,0289$0
3093G8418Bmi is documented below normal parameters and a follow-up plan is documented$01,1495$0
30941034FMedical service or procedure$01,46913$0
3095G8410Footwear evaluation performed and documented$02,5353$0
3096G9561Patients prescribed opiates for longer than six weeks$02,3043$0
3097G8404Lower extremity neurological exam performed and documented$02,6264$0
3098G8399Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed$0472$0
3099G9562Patients who had a follow-up evaluation conducted at least every three months during opioid therapy$02,9273$0
3100G9577Patients prescribed opiates for longer than six weeks$010,1698$0
3101G9584Patient evaluated for risk of misuse of opiates by using a brief validated instrument (for example., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy$03,3013$0
31021030FMedical service or procedure$01362$0
3103G9621Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling$02471$0
3104G9622Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method$02,5418$0
3105G2121Depression, anxiety, apathy, and psychosis assessed$02571$0
3106G9638Final reports without documentation of one or more dose reduction techniques (for example., automated exposure control, adjustment of the ma and/or kv according to patient size$02,0332$0
3107G9644Patients who abstained from smoking prior to anesthesia on the day of surgery or procedure$05863$0
3108G9656Patient transferred directly from anesthetizing location to pacu or other non-icu location$06898$0
310990611Vaccine or immunization$02712$0
3110G9664Patients who are currently statin therapy users or received an order (prescription) for statin therapy$0591$0
3111G9691Patient had hospice services any time during the measurement period$0792$0
3112G2025Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (community health center) only$010,42913$0
3113G9692Hospice services received by patient any time during the measurement period$0141$0
311499606Medical service or procedure$05332$0
3115G9695Long-acting inhaled bronchodilator prescribed$02071$0
3116A0120Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems$03011$0
3117G9710Patient was provided hospice services any time during the measurement period$0121$0
3118G9711Patients with a diagnosis or past history of total colectomy or colorectal cancer$0121$0
3119G9716Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason$03932$0
3120G9717Documentation stating the patient has had a diagnosis of bipolar disorder$04,3944$0
3121G9720Hospice services for patient occurred any time during the measurement period$0261$0
3122G9744Patient not eligible due to active diagnosis of hypertension$06,1886$0
3123G9756Surgical procedures that included the use of silicone oil$03,2423$0
3124G1007Clinical decision support mechanism aim specialty health, as defined by the medicare appropriate use criteria program$0131$0
3125G9771At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) achieved within the 30 minutes immediately before or 15 minutes immediately after ...$022,4204$0
3126G1003Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program$02,9353$0
31270501FMedical service or procedure$05,39213$0
3128G9775Patient received at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively$020,2684$0
3129G9777Patient did not receive at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively$01121$0
313090673Vaccine or immunization$0241$0
3131G9807Patients who did not receive cervical cytology or an hpv test$0151$0
3132G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports$0261$0
3133G9899Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed$0131$0
3134G9902Patient screened for tobacco use and identified as a tobacco user$06148$0
3135G9903Patient screened for tobacco use and identified as a tobacco non-user$012,45233$0
3136G0496Skilled 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$090,42138$0
3137G0495Skilled 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$0169,53552$0
3138G9905Patient not screened for tobacco use$02,2611$0
3139M1207Patient is screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety$02583$0
3140G0494Skilled services of a licensed practical nurse (lpn) for the observation and assessment of the patient's condition$09,11511$0
3141G0493Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition$077,87875$0
3142G9906Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)$01,5744$0
31434274FMedical service or procedure$02,37811$0
3144G9907Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months (for example.$02,4671$0
3145G0476Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (for example.$04773$0
3146G9969Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred$0501$0
3147G0472Hepatitis c antibody screening, for individual at high risk and other covered indication(s)$03802$0
314882540Blood chemistry test (checking specific substances in your blood)$0181$0
3149G9970Clinician who referred the patient to another clinician did not receive a report from the clinician to whom the patient was referred$0441$0
3150G9974Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity$0141$0
3151G9990Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period$06252$0
3152G9996Documentation stating the patient has received or is currently receiving palliative or hospice care$0501$0
31534040FMedical service or procedure$09,70914$0
3154H0003Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs$0412$0
3155H0009Alcohol and/or drug services; acute detoxification (hospital inpatient)$0341$0
3156H0011Alcohol and/or drug services; acute detoxification (residential addiction program inpatient)$0261$0
3157H0014Alcohol and/or drug services; ambulatory detoxification$0711$0
3158H0022Alcohol and/or drug intervention service (planned facilitation)$0291$0
3159H0050Alcohol and/or drug services, brief intervention, per 15 minutes$0332$0
316099324Medical service or procedure$0131$0
31611100FMedical service or procedure$01,98512$0
316292082Eye exam or vision test$0732$0
3163G0402Welcome to Medicare preventive visit — first-time wellness exam for new Medicare patients$0422$0
3164D9987Other dental service$08697$0
31653352FMedical service or procedure$01,4782$0
3166J0606Injection, etelcalcetide, 0.1 mg$02691$0
31674001FMedical service or procedure$0852$0
3168J0688Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg$0941$0
31694187FMedical service or procedure$01371$0
3170G0322The collection of physiologic data digitally stored and/or transmitted by the patient to the home health agency (i.e., remote patient monitoring)$0621$0
317199605Medical service or procedure$07242$0
3172J1955Injection, levocarnitine, per 1 gm$01,8341$0
317315272Skin graft or tissue transfer$0231$0
3174J2400Injection, chloroprocaine hydrochloride, per 30 ml$01,0662$0
317598962Medical service or procedure$08911$0
3176G0247Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e.$0441$0
31771003FMedical service or procedure$02,9743$0
317880332Drug or substance testing$02271$0
317987802Microbiology test — checking for infections (bacteria, viruses, fungi)$0311$0
3180J3230Injection, chlorpromazine hcl, up to 50 mg$0451$0
3181G0237Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring)$015,5013$0
31824035FMedical service or procedure$02303$0
318386945Blood typing or transfusion medicine test$01001$0
3184J3380Injection, vedolizumab, intravenous, 1 mg$0131$0
318597799Other physical or occupational therapy service$01641$0
3186G0162Skilled 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...$017,05420$0
3187G0160Services 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$01,1498$0
3188G0159Services 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$09,99824$0
318980333Drug or substance testing$04,6142$0
3190G0158Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes$05,74112$0
3191J7507Tacrolimus, immediate release, oral, 1 mg$03,1104$0
3192G0157Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes$046,54250$0
3193G0155Services of clinical social worker in home health or hospice settings, each 15 minutes$049,16665$0
319499135Additional anesthesia service for special circumstances$0181$0
3195J7518Mycophenolic acid, oral, 180 mg$04931$0
3196D1320Dental preventive care (cleaning, fluoride, sealant)$01,5152$0
3197G0128Direct (face-to-face with patient) skilled nursing services of a registered nurse provided in a comprehensive outpatient rehabilitation facility, each 10 minutes beyond the first 5 minutes$04,1542$0
319886753Immune system or allergy test$0121$0
3199G0123Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision$04281$0
320096002Motion analysis testing$03721$0
32010518FMedical service or procedure$014,1188$0
320299082Special medical service$0531$0
3203G0047Pediatric patient with minor blunt head trauma and pecarn prediction criteria are not assessed$0281$0
3204L0150Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece)$0161$0
3205G0030Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both)$0331$0
3206G0010Administration of hepatitis b vaccine$01,0216$0
320790381Immune globulin (antibody) injection$0983$0
3208D0391Dental exam, X-ray, or screening$0381$0
3209D4921Gum disease treatment (periodontics)$0521$0
3210M0201Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(...$0121$0
3211M0245Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring$0171$0
3212M1159Hospice services provided to patient any time during the measurement period$0131$0
3213P3001Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician$03,49210$0
3214P9612Catheterization for collection of specimen, single patient, all places of service$0181$0
3215P9615Catheterization for collection of specimen(s) (multiple patients)$01,3521$0
32163126FMedical service or procedure$0802$0
321780377Drug or substance testing$05,5785$0
32183028FMedical service or procedure$033,8848$0
3219Q2039Influenza virus vaccine, not otherwise specified$0372$0
3220Q4100Skin substitute, not otherwise specified$0481$0
3221Q4139Amniomatrix or biodmatrix, injectable, 1 cc$0181$0
3222Q4227Amniocore, per square centimeter (add-on, list separately in addition to primary procedure)$0481$0
3223Q4262Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)$03441$0
322499387Wellness checkup — new patient, age 65+$0171$0
3225Q5002Hospice or home health care provided in assisted living facility$02,90211$0
32263351FMedical service or procedure$01,0395$0
3227Q5005Hospice care provided in inpatient hospital$0311$0
322811000Skin cleaning and wound care$02552$0
322994728Breathing test or lung function test$0311$0
323099397Wellness checkup — age 65+$0382$0
323190694Vaccine or immunization$034111$0
323299326Medical service or procedure$0481$0
323371020Chest imaging (X-ray, CT, or MRI)$0121$0
323499494Medical service or procedure$0241$0
3235H2015Comprehensive community support — helping people with mental illness participate in daily life$0421$0
3236G9551Final reports for imaging studies without an incidentally found lesion noted$05,0655$0
3237G9557Final 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$09513$0
32383342FMedical service or procedure$02491$0
32393341FMedical service or procedure$01443$0
3240G8950Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented$04,58317$0
3241G8783Normal blood pressure reading documented, follow-up not required$027,91134$0
3242E0555Humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter$01131$0
3243Q5009Hospice or home health care provided in place not otherwise specified (nos)$0131$0
3244Q5010Hospice home care provided in a hospice facility$0161$0
32454005FMedical service or procedure$03192$0
3246Q5104Injection, infliximab-abda, biosimilar, (renflexis), 10 mg$0131$0
3247Q5105Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for end-stage kidney disease on dialysis), 100 units$02,7442$0
3248Q9964High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml$0481$0
324981381Genetic or molecular testing$0511$0
3250S0164Injection, pantoprazole sodium, 40 mg$0291$0
3251S0197Prenatal vitamins, 30-day supply$0171$0
3252S0199Medically induced abortion by oral ingestion of medication including all associated services and supplies (for example.$0131$0
3253S0201Partial hospitalization services, less than 24 hours, per day$02872$0
32541220FMedical service or procedure$02,53816$0
325590634Vaccine or immunization$0131$0
32560556FMedical service or procedure$07,8707$0
3257S0516Safety eyeglass frames$0701$0
3258S0518Sunglasses frames$07301$0
3259S0612Annual gynecological examination, established patient$0411$0
3260S2900Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure)$04653$0
3261G9655A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is used$022,57211$0
3262S3620Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (for example.$07629$0
3263S5000Prescription drug, generic$01211$0
3264E0130Walker, rigid (pickup), adjustable or fixed height$0161$0
3265S8100Holding chamber or spacer for use with an inhaler or nebulizer; without mask$0561$0
3266S8110Peak expiratory flow rate (physician services)$0161$0
32677025FMedical service or procedure$09734$0
3268S8120Oxygen contents, gaseous, 1 unit equals 1 cubic foot$0201$0
3269S8948Application of a modality (requiring constant provider attendance) to one or more areas; low-level laser; each 15 minutes$01131$0
3270S9001Home uterine monitor with or without associated nursing services$0731$0
3271S9131Physical therapy; in the home, per day$01061$0
3272S9379Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination$04721$0
3273S9470Nutritional counseling, dietitian visit$01,0232$0
3274T1013Sign language or oral interpretive services, per 15 minutes$0331$0
3275C1889Implantable/insertable device, not otherwise classified$0131$0
3276T1502Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit$03502$0
3277G8990Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals$01473$0
32780232TMedical service or procedure$0171$0
3279C1849Skin substitute, synthetic, resorbable, per square centimeter$0171$0
32802023FMedical service or procedure$03,0503$0
3281C1830Powered bone marrow biopsy needle$01,0941$0
3282C1771Repair device, urinary, incontinence, with sling graft$0821$0
32834086FMedical service or procedure$01252$0
3284V2499Variable sphericity lens, other type$01371$0
3285V2762Polarization, any lens material, per lens$01151$0
32861032FMedical service or procedure$09032$0
328799402Medical service or procedure$01,02610$0
328884512Blood chemistry test (checking specific substances in your blood)$0522$0
3289V2781Progressive lens, per lens$06122$0
32902000FMedical service or procedure$042,45322$0
32912022FMedical service or procedure$01,0466$0
329287506Microbiology test — checking for infections (bacteria, viruses, fungi)$0371$0
32934177FMedical service or procedure$0522$0
329495708Brain wave test (EEG) or nerve test$0291$0
329580326Drug or substance testing$05,0642$0
32964037FMedical service or procedure$08528$0
329799071Special medical service$02492$0
3298A9286Hygienic item or device, disposable or non-disposable, any type, each$0711$0
32992021FMedical service or procedure$0131$0
330021209Head and face bone surgery$0131$0
33011039FMedical service or procedure$0442$0
33021494FMedical service or procedure$0682$0
33031124FMedical service or procedure$04,96612$0
33043288FMedical service or procedure$0109,73228$0
330597537Physical therapy, occupational therapy, or rehabilitation$0761$0
330695905Brain wave test (EEG) or nerve test$0211$0
33074060FMedical service or procedure$05041$0
33081110FMedical service or procedure$06265$0
330911307Shaving of a skin growth$04171$0
331001999Anesthesia for a medical procedure$0301$0
33110001MMedical service or procedure$0151$0
331280340Drug or substance testing$04,5242$0
3313D9920Other dental service$0221$0
3314A6260Wound cleansers, any type, any size$0411$0
331588738Special lab analysis$0171$0
33164148FMedical service or procedure$0431$0
3317A6251Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing$0662$0
3318A6240Hydrocolloid dressing, wound filler, paste, sterile, per ounce$0541$0
About Procedure Codes

Medical procedures are identified by HCPCS (Healthcare Common Procedure Coding System) and CPT (Current Procedural Terminology) codes. These are the standard codes used across the entire U.S. healthcare system to describe medical services.

The descriptions on this page have been translated into plain English. The original medical codes often use abbreviations and jargon that most people cannot understand. We believe everyone deserves to know what their tax dollars pay for.

Total Paid is the amount Nevada Medicaid paid for that procedure across all providers from 2018 to 2024. Avg/Claim shows the average payment per individual claim.

Procedure Code Dictionary → Look up any procedure code and see what it means in plain English.