Monroe County Hospital - Machine Readable Report - Generated on 03/17/2021,,,,,,,,,,,,,,,,,
"Disclaimer: The information provided in this machine readable file is to fulfill the CMS requirements for Price Transparency. Charges, allowed amount, cash discounted price, min and max negotiated rates provided in this report are based on historic claim and remittance information provided by Monroe County Hospital. This was generated on 03/17/2021 and is a yearly snapshot based on history. All amounts reported may change due to several factors including but not limited to hospital service area where the service is provided, payer contracts and negotiations. This data will be further refined.",,,,,,,,,,,,,,,,,
CPT,Description,Charges,Discounted Cash Price,Min Negotiated,Max Negotiated,Aetna,Amerigroup,Blue cross,Cigna,Commercial,Humana,Iowa total care,Medicaid,Medicare,Uhc,Umr,Veterans adminstration
Institutional,,,,,,,,,,,,,,,,,
Outpatients,,,,,,,,,,,,,,,,,
731,PR ANES UPR GI NDSC PX NOS,760,608,217,735,493,432,293,735,695,535,388,432,361,442,664,217
812,PR ANES LWR INTST SCR COLSC,1045,836,299,1011,678,594,403,1011,955,735,534,593,478,608,913,299
1214,Anesthesia for open procedures involving hip joint; total hip arthroplasty,5560,4448,1590,5381,3609,3163,2143,5381,5083,3913,2840,3158,2558,3237,4859,1590
10060,"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single",387,310,111,1205,251,117,1006,375,354,272,1205,220,246,207,338,111
10140,"Incision and drainage of hematoma, seroma or fluid collection",189,151,54,183,123,108,73,183,173,133,97,107,90,110,165,54
96372,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",65,52,19,63,42,37,25,63,59,62,33,37,30,38,57,19
11042,"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less",417,334,119,837,271,237,161,404,381,293,213,237,252,837,364,119
11055,"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion",269,215,77,260,175,153,104,260,246,189,137,153,124,211,235,77
11102,PR TANGNTL BX SKIN SINGLE LES,1879,1503,220,2967,1220,1069,724,1818,1718,1322,960,1067,220,2967,1642,537
11103,PBB TANGNTL BX SKIN EA SEP/ADDL,983,786,281,951,638,559,379,951,899,692,502,558,454,857,859,281
11104,PR PUNCH BX SKIN SINGLE LESION,1701,1361,179,1751,1104,968,656,1646,1555,1197,179,966,1751,1483,1487,486
11105,PR PUNCH BX SKIN EA SEP/ADDL,983,786,281,951,638,559,379,951,899,692,502,558,454,857,859,281
11200,"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions",302,242,84,292,84,172,116,292,276,213,154,172,249,207,264,86
11306,"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm",425,340,116,411,116,242,164,411,389,299,217,241,196,247,371,122
11310,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less",388,310,111,375,252,221,150,375,355,273,198,220,246,226,339,111
11311,"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm",242,194,69,234,157,138,93,234,221,170,124,137,214,141,211,69
11402,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm",3209,2567,235,3106,2083,1686,1439,3106,2934,2258,1000,1822,235,1380,2805,918
11403,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm",1701,1361,244,2967,1104,968,1439,1646,1555,1197,869,966,244,2967,1487,486
11404,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm",3402,2722,973,3292,2208,1935,1439,3292,3110,2394,1738,1932,1571,1980,2973,973
11406,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm",2503,2003,716,3258,1625,1424,3258,2423,2288,1762,1279,1422,1156,818,2188,716
11420,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less",1354,1083,227,1310,879,770,660,1310,1238,953,692,769,227,788,1183,387
11421,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm",377,302,108,365,245,214,145,365,345,265,193,214,244,219,329,108
11422,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm",3529,2823,1009,3415,2290,2008,1439,3415,3226,2483,2000,2004,1630,2054,3084,1009
11423,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm",3402,2722,973,3292,2208,1935,1439,3292,3110,2394,1770,1932,1571,1980,2973,973
11426,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",1752,1402,501,1696,1137,997,676,1696,1602,1233,1000,995,809,1020,1532,501
11440,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less",360,288,103,348,234,205,139,348,329,253,184,204,220,210,315,103
11441,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm",3209,2567,606,3106,2083,2022,606,3106,2934,2258,1639,1822,1482,2824,2805,918
11442,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm",1701,1361,486,1646,1104,968,656,1646,1555,1197,869,966,786,1483,1487,486
11601,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm",532,426,152,515,345,303,205,515,486,374,272,302,275,310,465,152
11602,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm",572,458,164,554,371,325,220,554,523,403,292,325,283,211,500,164
11603,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2.1 to 3.0 cm",3505,2804,1002,3392,2275,1994,1351,3392,3204,2466,1790,1991,1612,2040,3063,1002
11606,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm",3454,2763,988,3342,2241,1965,1331,3342,3157,2430,1764,1961,1613,2010,3018,988
11621,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm",565,452,162,547,367,321,218,547,517,398,289,321,261,211,494,162
11623,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm",3402,2722,973,3292,2208,1935,1311,3292,3110,2394,1738,1932,1614,1980,2973,973
11626,"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm",3402,2722,973,3292,2208,1935,1311,3292,3110,2394,1738,1932,1614,1980,2973,973
11640,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less",465,372,133,450,302,265,179,450,425,327,238,264,241,271,406,133
11642,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm",3209,2567,918,3106,2083,1826,1237,3106,2934,2258,1639,1822,1522,1868,2805,918
11644,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm",3402,2722,973,3292,2208,1051,1311,3292,3110,2394,1738,1932,1571,1980,2973,973
11730,"Avulsion of nail plate, partial or complete, simple; single",3402,2722,973,3292,2208,2102,1311,3292,3110,2394,1738,1932,1571,1980,2973,973
11740,Evacuation of subungual hematoma,195,156,56,189,127,111,75,189,178,137,100,111,90,170,170,56
11770,Excision of pilonidal cyst or sinus; simple,4631,3705,1324,4482,3006,2634,3423,4482,4234,3259,2365,2630,2139,2696,4047,1324
11771,Excision of pilonidal cyst or sinus; extensive,4631,3705,1324,4482,3006,2634,3588,4482,4234,3259,2365,2630,2139,2696,4047,1324
12001,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less",189,151,54,183,110,117,73,183,173,133,111,113,82,165,157,54
12002,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm",195,156,56,189,115,117,75,189,178,187,119,113,82,90,170,56
12004,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm",195,156,56,189,127,111,75,189,178,137,100,111,90,114,170,56
12005,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm",189,151,54,183,123,108,73,183,173,133,97,107,82,110,165,54
12011,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",189,151,54,185,178,117,73,183,185,133,111,113,82,166,165,54
12013,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",290,232,83,360,188,360,112,281,265,204,148,165,83,169,253,83
12021,Treatment of superficial wound dehiscence; with packing,2928,2342,837,2834,1900,1666,1129,2834,2677,2060,1496,1663,1389,1705,2559,837
12031,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less",189,151,54,183,123,108,73,183,173,133,97,107,90,110,165,54
12032,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm",1041,833,175,1007,676,592,317,1007,952,733,532,591,481,175,910,298
12041,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less",585,468,167,566,380,333,226,566,535,412,299,332,286,341,511,167
12042,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm",369,295,106,357,347,210,142,357,337,260,188,210,170,215,322,106
10120,"Incision and removal of foreign body, subcutaneous tissues; simple",189,151,54,183,123,58,73,183,173,133,97,107,87,165,165,54
11443,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm",293,234,84,284,190,167,113,284,268,206,152,166,135,171,256,84
11604,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm",3402,2722,973,3292,2208,2102,1311,3292,3110,2394,1738,1932,1571,1980,2973,973
51702,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley)",192,154,55,186,125,109,74,186,176,135,59,109,89,165,168,55
70480,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",1628,1302,356,1575,1530,926,356,1575,1488,1146,832,925,752,948,1423,466
70486,"Computed tomography, maxillofacial area; without contrast material",1080,864,309,1643,485,484,392,1643,987,760,478,613,499,464,944,309
70487,"Computed tomography, maxillofacial area; with contrast material(s)",1628,1302,310,1575,1057,735,717,1575,1488,1146,847,310,752,1462,1420,466
70553,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",2901,2321,793,2807,1883,1793,793,2807,2652,2041,1482,1741,1340,1396,2535,830
71275,"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",2796,2237,585,2740,1815,953,758,2740,2556,585,1454,1573,1291,1325,2438,800
72052,"Radiologic examination, spine, cervical; complete, including oblique and flexion and/or extension studies",324,259,34,318,210,200,34,314,318,228,169,184,150,283,283,93
72170,"Radiologic examination, pelvis; 1 or 2 views",158,126,45,153,103,94,65,153,144,111,88,90,73,138,138,45
72202,"Radiologic examination, sacroiliac joints; 3 or more views",186,149,53,180,121,111,64,180,170,131,94,106,86,167,163,53
73502,PR X-RAY EXAM HIP UNI 2-3 VIEWS,253,202,65,268,164,151,65,245,268,178,149,147,117,214,203,72
73521,PR X-RAY EXAM HIPS BI 2 VIEWS,275,220,62,266,243,167,62,266,251,194,153,156,127,160,240,79
73560,"Radiologic examination, knee; 1 or 2 views",158,126,34,153,153,98,34,153,144,111,93,90,73,138,138,45
76000,"Fluoroscopy (separate procedure), up to 1 hour physician time, other than 71023 or 71034 (eg, cardiac fluoroscopy)",377,302,108,365,245,214,196,365,345,265,193,214,174,329,329,108
76536,"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",577,462,165,558,374,357,211,558,527,406,300,328,266,503,504,165
76705,"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",1129,903,211,1093,733,671,211,1093,1032,794,587,627,521,984,838,323
76770,"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",1320,1056,253,1277,857,816,253,1277,1207,929,687,750,610,1168,1186,377
76830,"Ultrasound, transvaginal",774,619,221,749,502,371,253,749,708,545,395,440,357,642,676,221
76856,"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",1163,930,303,1125,755,698,303,1125,1063,818,663,660,537,984,1014,333
76942,"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",416,333,119,403,270,257,347,403,380,293,216,236,192,242,364,119
77063,HC BREAST TOMOSYNTHESIS DIG SCREEN UNIL,30,24,9,29,29,19,12,29,27,21,18,17,14,26,27,9
77080,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",317,254,91,307,298,192,287,307,290,223,165,180,146,285,277,91
80053,"Comprehensive metabolic panel This panel must include the following: Albumin (82040), Bilirubin, total (82247), Calcium, total (82310), Carbon dioxide (bicarbonate) (82374), Chloride (82435), Creatinine (82565), Glucose (82947), Phosphatase, alkaline (84075), Potassium (84132), Protein, total (84155), Sodium (84295), Transferase, alanine amino (ALT) (SGPT) (84460), Transferase, aspartate amino (AST) (SGOT) (84450), Urea nitrogen (BUN) (84520)",158,126,45,160,149,94,81,160,155,148,82,95,73,138,142,45
80061,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465), Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718), Triglycerides (84478)",200,160,57,194,188,124,81,194,183,185,118,118,92,174,180,57
80202,Vancomycin,200,160,57,194,130,114,61,194,183,141,122,114,92,116,175,57
80323,HC DRUG TEST DEF 22+ CLASS ALKALOIDS NOS,163,130,47,158,106,86,63,158,149,115,83,93,75,95,142,47
81001,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy",102,82,27,100,96,61,27,100,100,72,53,61,47,89,89,29
81003,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy",52,42,15,53,50,27,21,53,51,37,27,31,24,45,46,15
82043,"Albumin; urine, microalbumin, quantitative",48,38,14,46,45,30,25,46,44,34,30,27,22,42,42,14
82150,Amylase,102,82,29,104,66,54,67,104,100,72,53,61,47,89,89,29
82247,Bilirubin; total,83,66,17,88,54,88,17,80,76,58,49,47,38,40,73,24
82374,Carbon dioxide (bicarbonate),86,69,11,83,56,49,11,83,79,61,49,49,40,50,75,25
82465,"Cholesterol, serum or whole blood, total",67,54,19,66,43,41,23,65,66,47,35,38,31,61,59,19
82550,"Creatine kinase (CK), (CPK); total",102,82,29,100,90,61,30,99,100,72,53,49,47,89,92,29
82553,"Creatine kinase (CK), (CPK); MB fraction only",57,46,16,55,37,32,43,55,52,40,29,32,26,33,50,16
82565,Creatinine; blood,83,66,17,80,54,51,17,80,76,58,49,42,38,75,72,24
82570,Creatinine; other source,48,38,14,46,45,30,23,46,44,34,28,27,22,42,42,14
82607,Cyanocobalamin (Vitamin B-12);,181,145,28,175,165,112,28,175,165,127,94,103,84,122,158,52
82728,Ferritin,200,160,50,194,188,124,50,194,183,141,118,114,92,174,174,57
82746,Folic acid; serum,218,174,43,211,194,132,43,211,199,153,113,124,101,190,191,62
82784,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each",92,74,26,89,60,55,43,89,84,65,47,52,42,54,80,26
82947,"Glucose; quantitative, blood (except reagent strip)",39,31,11,38,25,24,30,38,36,27,23,22,18,23,34,11
82951,"Glucose; tolerance test (GTT), 3 specimens (includes glucose)",151,121,43,146,98,86,50,146,138,106,77,86,70,69,132,43
82952,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)",66,53,19,64,43,38,23,64,60,46,34,37,30,38,58,19
82977,"Glutamyltransferase, gamma (GGT)",110,88,17,108,103,68,17,108,101,77,65,61,51,96,96,31
83010,Haptoglobin; quantitative,132,106,38,128,86,89,43,128,121,93,67,75,61,77,115,38
83036,Hemoglobin; glycosylated (A1C),154,123,21,149,145,21,78,149,141,71,50,87,71,134,139,44
83516,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method",93,74,27,148,60,93,27,90,85,65,55,53,43,134,148,27
83519,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)",546,437,41,528,354,295,41,528,499,384,279,310,252,318,477,156
83520,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified",176,141,40,170,114,109,40,170,161,124,131,100,81,102,154,50
83540,Iron,102,82,23,99,96,63,23,99,93,72,61,58,47,89,89,29
83605,Lactate (lactic acid),103,82,29,105,97,62,43,105,101,72,54,61,48,90,90,29
83615,"Lactate dehydrogenase (LD), (LDH);",96,77,27,93,62,57,30,93,88,68,49,55,44,44,84,27
83655,Lead,68,54,19,66,44,42,19,66,62,48,35,39,31,40,59,19
83835,Metanephrines,74,59,21,72,48,46,52,72,68,52,38,42,34,43,65,21
83883,"Nephelometry, each analyte not elsewhere specified",341,273,87,330,221,87,90,330,312,240,174,194,157,199,298,98
84075,"Phosphatase, alkaline;",126,101,17,122,82,72,17,122,115,89,74,72,58,73,110,36
84132,"Potassium; serum, plasma or whole blood",84,67,17,81,55,52,17,81,77,59,50,48,39,73,73,24
84153,Prostate specific antigen (PSA); total,275,220,50,266,216,170,50,266,251,194,143,156,127,244,240,79
84154,Prostate specific antigen (PSA); free,140,112,40,135,132,80,48,135,128,99,85,80,65,81,122,40
84155,"Protein, total, except by refractometry; serum, plasma or whole blood",65,52,10,63,42,37,25,63,59,46,36,37,30,10,57,19
84156,"Protein, total, except by refractometry; urine",117,94,17,113,76,67,17,113,107,82,61,66,54,102,97,33
84300,Sodium; urine,27,22,8,26,18,15,10,26,25,19,14,15,12,16,24,8
84402,Testosterone; free,194,155,26,188,182,112,26,188,177,137,111,110,90,164,170,55
84403,Testosterone; total,248,198,52,240,149,93,52,240,227,175,113,141,115,136,217,71
84443,Thyroid stimulating hormone (TSH),280,224,55,274,272,173,55,274,274,148,155,162,129,244,244,80
84450,Transferase; aspartate amino (AST) (SGOT),96,77,17,93,62,72,17,93,88,68,53,55,44,85,84,27
84460,Transferase; alanine amino (ALT) (SGPT),96,77,27,93,86,59,30,93,88,68,50,55,44,86,84,27
84466,Transferrin,117,94,33,113,76,72,45,113,107,82,60,66,54,68,102,33
84478,Triglycerides,108,86,23,105,70,73,23,105,99,76,62,61,50,94,94,31
84484,"Troponin, quantitative",189,151,54,185,178,112,78,185,173,133,98,105,87,165,167,54
84702,"Gonadotropin, chorionic (hCG); quantitative",232,186,51,225,151,143,51,225,212,163,121,139,107,208,203,66
85025,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count",169,135,36,172,159,101,36,172,166,65,88,101,78,147,153,48
85027,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)",86,69,25,83,81,53,40,83,79,61,52,76,40,75,75,25
85048,"Blood count; leukocyte (WBC), automated",50,40,14,48,32,28,18,48,46,35,29,28,23,29,44,14
85610,Prothrombin time;,63,50,18,64,55,39,24,64,62,44,33,35,29,55,57,18
85613,Russell viper venom time (includes venom); diluted,33,26,9,32,21,19,13,32,30,23,18,19,15,15,29,9
85730,"Thromboplastin time, partial (PTT); plasma or whole blood",84,67,24,85,74,50,27,85,82,59,44,42,39,73,76,24
86039,Antinuclear antibodies (ANA); titer,110,88,27,106,71,67,27,106,101,77,56,62,51,97,96,31
86140,C-reactive protein;,84,67,24,85,82,50,52,85,82,59,44,49,39,73,73,24
86160,"Complement; antigen, each component",156,125,27,151,101,96,27,151,143,110,80,89,72,91,136,45
86225,Deoxyribonucleic acid (DNA) antibody; native or double stranded,174,139,27,168,113,99,27,168,159,122,89,99,80,101,152,50
86235,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody",139,111,40,698,90,404,64,135,127,98,71,79,64,698,121,40
86255,"Fluorescent noninfectious agent antibody; screen, each antibody",146,117,42,141,95,76,45,141,133,103,75,83,67,63,63,42
86256,"Fluorescent noninfectious agent antibody; titer, each antibody",229,183,65,222,149,136,82,222,209,161,135,130,106,200,202,65
86300,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)",92,74,26,89,60,52,34,89,84,65,47,52,42,54,80,26
86480,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon",315,252,90,305,204,191,90,305,288,222,181,179,145,210,275,90
86618,Antibody; Borrelia burgdorferi (Lyme disease),142,114,26,137,92,86,26,137,130,100,74,81,66,69,124,41
86665,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)",120,96,34,116,78,68,45,116,110,84,61,68,55,75,105,34
86704,Hepatitis B core antibody (HBcAb); total,187,150,26,181,121,108,26,181,171,132,107,109,86,82,163,53
86708,Hepatitis A antibody (HAAb); total,73,58,21,71,47,45,28,71,67,51,37,41,34,42,64,21
86780,Antibody; Treponema pallidum,60,48,17,58,56,36,45,58,55,42,31,31,28,40,52,17
86803,Hepatitis C antibody;,213,170,61,206,138,127,86,206,195,150,126,128,98,96,186,61
86850,"Antibody screen, RBC, each serum technique",167,134,48,170,157,103,54,170,164,118,85,95,77,146,146,48
86900,Blood typing; ABO,103,82,29,105,97,64,44,105,101,72,53,58,48,90,90,29
86901,Blood typing; Rh (D),66,53,19,67,62,41,34,67,65,46,34,37,30,58,58,19
87070,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates",135,108,18,131,127,81,18,131,123,95,56,77,62,129,118,39
87081,"Culture, presumptive, pathogenic organisms, screening only;",78,62,22,75,51,44,33,75,71,55,40,44,36,45,68,22
87205,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types",42,34,11,41,39,25,37,41,38,30,11,24,19,37,37,12
87269,Infectious agent antigen detection by immunofluorescent technique; giardia,135,108,39,132,119,81,54,131,132,95,82,77,62,79,118,39
87476,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique",193,154,55,187,125,119,115,187,176,136,118,98,89,160,169,55
87493,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique",330,264,76,319,284,190,76,319,314,232,169,187,152,192,279,94
87651,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique",88,70,25,128,128,53,115,85,80,62,44,82,41,119,119,25
87798,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism",82,66,23,79,53,51,58,79,75,58,71,46,38,72,72,23
87899,Infectious agent antigen detection by immunoassay with direct optical observation; not otherwise specified,216,173,37,212,192,130,37,209,212,152,132,123,100,49,188,62
88184,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker",196,156,56,189,127,111,166,189,179,138,100,111,90,114,171,56
90375,"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use",7270,5816,2079,7036,4719,4136,2803,7036,6646,5116,3713,3490,3357,4232,6354,2079
90471,"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)",85,68,24,82,81,53,38,82,78,60,54,51,39,75,73,24
93005,"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report",173,138,49,170,168,103,93,170,170,122,90,104,80,151,151,49
93306,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",3634,2907,457,3517,2359,2138,457,3517,3322,2557,2073,2064,1678,3076,3169,1039
93798,Physician services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session),305,244,87,295,271,182,267,295,279,215,180,173,141,178,267,87
93971,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,579,463,166,560,376,358,192,560,529,407,341,329,267,513,480,166
94010,"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",200,160,57,194,130,124,77,194,183,141,102,114,92,116,175,57
94060,"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",240,192,69,232,156,148,93,232,219,169,125,136,111,209,210,69
94640,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction or for sputum induction for diagnostic purposes (eg, with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing [IPPB] device)",123,98,35,144,80,65,144,119,112,87,64,74,57,107,108,35
94664,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device",109,87,30,105,71,57,42,105,100,77,30,62,50,63,95,31
95805,"Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness",3897,3118,1114,3771,2529,2228,1502,3771,3563,2742,1990,2213,1800,2269,3406,1114
95806,"Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement)",669,535,191,647,629,413,380,647,612,471,401,380,309,593,585,191
95810,"Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist",4215,3372,1205,4079,2736,2578,1476,4079,3853,2966,2153,2394,1946,2935,3684,1205
95811,"Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist",4732,3786,351,4579,3071,351,1227,4579,4326,3330,2884,2687,2185,4126,4136,1353
95992,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day",168,134,48,163,109,110,65,163,154,118,86,95,78,148,147,48
96372,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",96,77,27,90,90,54,38,74,88,68,30,58,44,84,84,27
96375,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)",76,61,22,286,137,45,58,64,286,53,40,88,35,64,97,22
97012,"Application of a modality to 1 or more areas; traction, mechanical",128,102,37,124,83,67,119,124,117,90,65,73,59,112,112,37
97014,Application of a modality to 1 or more areas; electrical stimulation (unattended),127,102,36,123,82,78,119,123,116,89,66,72,59,111,111,36
97016,Application of a modality to 1 or more areas; vasopneumatic devices,77,62,22,75,50,48,30,75,70,54,39,44,36,37,67,22
97033,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",158,126,45,152,102,90,135,152,144,111,84,89,73,73,138,45
97035,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",135,108,39,135,88,83,135,132,123,95,70,77,62,118,118,39
97110,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",224,179,64,220,89,134,149,220,205,158,117,81,103,195,196,64
97116,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",143,114,41,138,93,88,135,138,131,101,87,81,66,125,125,41
97530,"Therapeutic activities, direct (one-on-one) patient contact by the provider (use of dynamic activities to improve functional performance), each 15 minutes",112,90,32,149,73,69,149,108,102,79,62,64,52,98,98,32
97535,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact by provider, each 15 minutes",142,114,41,137,92,88,66,137,130,100,73,81,66,83,124,41
99211,"Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician. Usually, the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supervising these services.",117,94,33,113,76,72,45,113,107,82,60,66,54,68,102,33
99281,"Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor.",164,131,47,159,141,95,63,159,150,115,56,92,76,95,143,47
99282,"Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity.",222,178,63,612,209,69,612,215,218,156,70,133,103,194,194,63
99283,"Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity.",417,334,119,407,404,129,407,404,381,293,131,250,193,364,364,119
99284,"Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity, and require urgent evaluation by the physician but do not pose an immediate significant threat to life or physiologic function.",526,421,40,531,494,163,487,531,515,40,165,316,243,459,466,150
99285,"Emergency department visit for the evaluation and management of a patient, which requires these 3 key components within the constraints imposed by the urgency of the patient's clinical condition and/or mental status: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity and pose an immediate significant threat to life or physiologic function.",722,578,206,699,679,429,559,699,432,508,376,433,333,630,639,206
A0425,"Ground mileage, per statute mile",934,747,67,2543,2543,692,247,904,917,657,67,531,431,1148,557,267
A0426,"Ambulance service, advanced life support, non-emergency transport, level 1 (ALS 1)",2339,1871,455,2292,2265,1446,455,2264,2292,1646,1375,1328,1080,2040,1942,669
A0427,"Ambulance service, advanced life support, emergency transport, level 1 (ALS1-emergency)",2790,2232,720,2700,2548,1724,720,2700,2551,1963,1451,1584,1288,2470,2438,798
A0428,"Ambulance service, basic life support, non-emergency transport, (BLS)",996,797,285,964,646,604,387,964,911,701,572,566,460,580,870,285
A0429,"Ambulance service, basic life support, emergency transport (BLS-emergency)",1174,939,336,1136,762,698,607,1136,1073,826,650,667,542,1055,1026,336
A0433,"Advanced life support, level 2 (ALS 2)",3580,2864,1023,3465,2324,2170,1023,3465,3273,2519,1829,2033,1653,3122,3129,1024
G0378,"Hospital observation service, per hour",1404,1123,402,2406,431,662,547,1549,1283,988,598,1476,648,735,2406,402
J0171,"Injection, adrenalin, epinephrine, 0.1 mg",53,42,1,65,34,33,1,51,48,37,65,30,24,31,46,15
J0290,"Injection, ampicillin sodium, 500 mg",32,25,9,31,21,18,12,31,29,22,16,18,15,28,28,9
J0295,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm",80,64,9,91,52,49,9,77,73,56,91,48,37,69,70,23
J0461,"Injection, atropine sulfate, 0.01 mg",39,31,11,38,25,24,15,38,36,28,19,22,18,23,34,11
J0561,"Injection, penicillin G benzathine, 100,000 units",342,273,98,331,222,194,132,331,312,240,175,194,158,298,299,98
J0640,"Injection, leucovorin calcium, per 50 mg",200,160,57,193,130,114,77,193,183,141,104,113,92,116,175,57
J0690,"Injection, cefazolin sodium, 500 mg",51,41,3,53,53,32,3,50,47,36,42,29,24,45,45,15
J0692,"Injection, Cefepime hydrochloride, 500 mg",46,37,13,45,30,26,18,45,42,33,14,26,21,27,40,13
J0696,"Injection, ceftriaxone sodium, per 250 mg",25,20,2,66,23,14,2,24,23,18,13,18,11,22,66,7
J0897,PBB DENOSUMAB INJECTION 1 MG,5592,4473,1599,5411,2812,2937,2400,5411,5112,3935,2856,3176,2582,2684,4887,1599
J1100,"Injection, dexamethasone sodium phosphate, 1 mg",24,19,1,23,22,14,1,23,22,17,14,17,11,21,21,7
J1170,"Injection, hydromorphone, up to 4 mg",90,72,3,82,58,28,3,28,82,63,15,34,42,30,79,26
J1447,Inj tbo filgrastim 1 microg,533,426,93,522,346,93,205,522,487,375,272,302,246,310,465,152
J1569,"Injection, immune globulin, (gammagard liquid), intravenous, non-lyophilized, (e.g. liquid), 500 mg",8918,7134,2550,8630,5788,5073,3110,8630,8153,6275,4555,5065,4118,5192,7794,2550
J1642,"Injection, Heparin sodium, (Heparin lock flush), per 10 units",25,20,4,24,16,8,4,24,22,17,13,14,11,14,21,7
J1644,"Injection, Heparin sodium, per 1000 units",24,19,3,28,15,15,3,23,22,17,12,12,11,14,28,7
J1650,"Injection, enoxaparin sodium, 10 mg",37,30,3,36,24,22,3,36,34,26,19,21,17,21,32,11
J1720,"Injection, hydrocortisone sodium succinate, up to 100 mg",119,95,27,115,77,68,27,115,109,84,61,68,55,69,104,34
J1815,"Injection, insulin, per 5 units",93,74,27,90,60,32,55,90,85,65,47,53,43,76,81,27
J1885,"Injection, ketorolac tromethamine, per 15 mg",25,20,1,32,27,9,1,32,2,17,7,15,11,21,25,7
J1940,"Injection, furosemide, up to 20 mg",29,23,1,26,24,18,1,24,26,20,11,16,13,12,22,8
J1956,"Injection, levofloxacin, 250 mg",30,24,1,29,19,9,1,29,27,21,17,18,14,27,26,9
J2001,"Injection, lidocaine HCl for intravenous infusion, 10 mg",28,23,8,27,18,15,11,27,26,20,14,16,13,16,25,8
J2175,"Injection, meperidine hydrochloride, per 100 mg",59,47,5,57,38,17,5,57,54,41,30,33,27,34,51,17
J2250,"Injection, midazolam hydrochloride, per 1 mg",22,18,1,22,15,14,1,22,21,16,12,13,10,20,20,6
J2270,"Injection, morphine sulfate, up to 10 mg",27,21,4,27,27,17,4,26,26,19,14,16,12,23,23,8
J2274,Inj morphine pf epid ithc,28,23,8,27,18,18,14,27,26,20,14,16,13,16,25,8
J2300,"Injection, nalbuphine hydrochloride, per 10 mg",36,29,3,35,23,15,3,35,33,25,9,20,17,31,31,10
J2310,"Injection, naloxone hydrochloride, per 1 mg",147,118,24,142,95,84,24,142,134,103,67,83,68,86,128,42
J2357,"Injection, omalizumab, 5 mg",5662,4530,1431,5480,3675,3266,1431,5480,5176,3985,2892,3216,2615,3296,4949,1619
J2505,"Injection, Pegfilgrastim, 6 mg",11324,9060,3239,10959,7350,6998,4865,10959,10352,7969,5784,6431,5230,5775,9897,3239
J2543,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",41,33,11,73,27,25,11,40,37,29,21,18,19,73,36,12
J2550,"Injection, promethazine HCl, up to 50 mg",25,20,2,27,23,8,2,24,22,17,7,27,11,21,26,7
J2704,"Inj, propofol, 10 mg",44,35,5,44,42,23,5,43,44,31,23,25,20,39,39,13
J2795,"Injection, ropivacaine hydrochloride, 1 mg",47,38,14,46,31,27,14,46,43,33,24,27,22,28,41,14
J2930,"Injection, methylprednisolone sodium succinate, up to 125 mg",54,43,7,52,35,33,7,52,49,38,33,30,25,43,47,15
J2997,"Injection, alteplase recombinant, 1 mg",21471,17177,6140,20778,13935,12214,8277,20778,19628,15109,11169,12193,9915,12499,18765,6140
J3010,"Injection, fentanyl citrate, 0.1 mg",27,22,1,53,38,15,1,40,53,19,14,16,12,24,47,8
J3301,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg",48,38,10,46,31,13,10,46,44,34,24,27,22,27,42,14
J3475,"Injection, magnesium sulfate, per 500 mg",65,52,4,60,42,20,4,50,60,46,35,37,30,33,57,19
J3480,"Injection, potassium chloride, per 2 meq",31,24,1,30,20,19,1,30,28,21,16,17,14,27,27,9
J3489,HC ZOLEDRONIC ACID 1MG,79,63,23,77,51,45,52,77,72,56,40,45,37,46,69,23
J7120,"Ringers lactate infusion, up to 1000 cc",36,29,2,36,34,23,2,33,36,26,19,21,17,32,32,10
J7510,"Prednisolone oral, per 5 mg",16,13,0,15,10,10,0,15,14,11,8,9,7,9,14,4
J7512,Prednisone ir or dr oral 1mg,16,13,1,16,11,10,1,16,15,11,9,15,8,15,14,5
J7614,"Levalbuterol, inhalation solution, FDA-approved final product, non-compounded, administered through DME, unit dose, 0.5 mg",21,17,0,20,14,13,0,20,19,15,12,12,10,12,19,6
J9045,"Injection, carboplatin, 50 mg",141,113,22,137,92,78,22,137,129,99,72,80,65,78,124,40
J9055,"Injection, cetuximab, 10 mg",8116,6493,2321,7854,5267,4617,3128,7854,7419,5711,4222,4609,3748,4725,7093,2321
J9060,"Injection, cisplatin, powder or solution, 10 mg",144,115,0,132,93,82,55,0,132,101,74,82,66,84,126,41
J9070,"Cyclophosphamide, 100 mg",1083,866,310,1048,703,616,368,1048,990,762,553,615,500,630,946,310
J9173,"Inj., durvalumab, 10 mg",6601,5281,1888,6469,4284,3755,3126,6469,6035,4645,3372,3749,3049,3843,5769,1888
J9201,"Injection, gemcitabine hydrochloride, 200 mg",45,36,6,44,30,26,6,44,42,32,23,26,21,26,40,13
J9263,"Injection, oxaliplatin, 0.5 mg",269,215,77,261,175,153,99,261,246,189,137,153,124,157,235,77
J9267,HC PACLITAXEL INJECTION 1 MG,187,149,26,181,121,106,26,181,171,131,95,106,86,109,163,53
P9016,"Red blood cells, leukocytes reduced, each unit",597,478,171,1170,387,369,230,578,1170,420,305,339,276,521,522,171
P9051,"Whole blood or red blood cells, leukocytes reduced, CMV-negative, each unit",561,449,160,543,364,347,216,543,513,395,287,319,259,327,490,160
Q0144,"Azithromycin dihydrate, oral, capsules/powder, 1 gram",19,15,0,19,12,6,0,19,18,13,6,11,9,17,17,5
Q0162,Ondansetron oral,17,14,0,32,19,7,0,25,16,12,5,18,8,17,32,5
Q9967,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",49,39,14,48,32,30,19,47,48,34,15,28,23,29,43,14
80053,"Comprehensive metabolic panel This panel must include the following: Albumin (82040), Bilirubin, total (82247), Calcium, total (82310), Carbon dioxide (bicarbonate) (82374), Chloride (82435), Creatinine (82565), Glucose (82947), Phosphatase, alkaline (84075), Potassium (84132), Protein, total (84155), Sodium (84295), Transferase, alanine amino (ALT) (SGPT) (84460), Transferase, aspartate amino (AST) (SGOT) (84450), Urea nitrogen (BUN) (84520)",158,126,11,153,96,90,61,153,144,111,81,90,11,73,138,45
80061,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465), Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718), Triglycerides (84478)",200,160,15,194,130,114,77,194,183,141,102,114,15,116,175,57
81001,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy",102,82,3,99,63,58,39,99,93,12,52,58,3,47,89,29
81003,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy",52,42,2,50,34,30,20,50,48,2,27,30,2,24,45,15
81050,"Volume measurement for timed collection, each",17,14,5,16,11,10,7,16,16,12,9,10,8,7,15,5
82043,"Albumin; urine, microalbumin, quantitative",49,39,6,47,32,28,19,47,45,34,25,28,6,21,43,14
82150,Amylase,102,82,7,99,66,58,39,99,93,72,52,58,7,59,89,29
82550,"Creatine kinase (CK), (CPK); total",102,82,6,99,66,58,39,99,93,72,52,58,6,59,89,29
82570,Creatinine; other source,48,38,5,46,31,27,19,46,44,34,25,27,5,21,42,14
82728,Ferritin,200,160,13,194,130,114,77,194,183,141,102,114,13,116,175,57
82977,"Glutamyltransferase, gamma (GGT)",110,88,7,106,71,63,42,106,101,77,56,62,7,64,96,31
83036,Hemoglobin; glycosylated (A1C),154,123,10,149,100,88,59,149,141,108,79,87,10,90,135,44
83540,Iron,102,82,6,99,66,58,39,99,93,72,52,58,6,59,89,29
83605,Lactate (lactic acid),107,86,12,104,69,61,41,104,98,75,55,61,12,62,94,31
83835,Metanephrines,218,174,62,211,141,124,84,211,199,153,111,124,101,94,191,62
84132,"Potassium; serum, plasma or whole blood",86,68,5,83,55,49,33,83,78,60,44,49,5,36,75,24
84153,Prostate specific antigen (PSA); total,275,220,18,266,178,156,106,266,251,194,140,156,18,160,240,79
84443,Thyroid stimulating hormone (TSH),284,228,17,275,185,162,110,275,260,200,145,162,17,129,249,81
84478,Triglycerides,108,86,6,105,70,61,42,105,99,76,55,61,6,63,94,31
84484,"Troponin, quantitative",189,151,54,183,123,108,73,183,173,133,97,107,87,87,165,54
85025,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count",169,135,8,164,103,96,65,164,154,119,86,96,8,78,148,48
85027,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)",89,71,6,86,58,51,34,86,81,63,45,51,6,52,78,25
85610,Prothrombin time;,63,50,4,61,41,36,24,61,58,44,32,36,4,29,55,18
86140,C-reactive protein;,87,70,5,84,51,49,34,84,80,13,44,49,5,39,76,25
86300,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)",76,61,21,74,49,43,29,74,69,53,39,43,21,44,66,22
87070,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates",127,102,36,123,82,72,49,123,116,89,65,72,59,55,111,36
87205,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types",40,32,11,39,26,23,15,39,37,28,20,23,18,17,35,11
87269,Infectious agent antigen detection by immunofluorescent technique; giardia,140,112,14,135,91,80,54,135,128,99,72,80,14,64,122,40
87493,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique",330,264,37,319,214,188,127,319,302,232,169,187,37,152,288,94
87651,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique",136,109,34,132,88,77,52,132,124,96,69,77,34,79,119,39
87798,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism",82,66,23,79,53,47,32,79,75,58,42,47,34,48,72,23
87899,Infectious agent antigen detection by immunoassay with direct optical observation; not otherwise specified,225,180,48,218,146,128,87,218,206,63,115,128,48,104,197,64
15220,"Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less",4627,3702,1323,4478,3003,2632,1784,4478,4230,3256,2363,2628,2195,2694,4044,1323
16000,"Initial treatment, first degree burn, when no more than local treatment is required",195,156,56,189,127,56,75,189,178,137,100,111,90,114,170,56
17000,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion",347,278,51,336,51,197,134,336,317,244,177,197,237,209,303,99
17003,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); second through 14 lesions, each (List separately in addition to code for first lesion)",227,182,65,220,147,129,88,220,208,160,116,129,105,211,198,65
17004,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses), 15 or more lesions",477,382,136,462,310,271,184,462,436,336,244,271,244,278,417,136
17110,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions",396,317,113,383,257,225,153,383,362,279,202,225,243,207,346,113
19101,"Biopsy of breast; open, incisional",3402,2722,973,3292,2208,1935,1311,3292,3110,2394,1738,1932,1571,1463,2973,973
19120,"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions",3553,2842,1016,3438,2306,2021,1370,3438,3248,2500,1815,2018,1686,2068,3105,1016
19303,"Mastectomy, simple, complete",5476,4381,1566,5299,3554,3115,2111,5299,5006,3853,2797,3110,2529,2355,4786,1566
20550,"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar ""fascia"")",246,197,37,238,37,140,95,238,225,173,126,140,208,207,215,70
20551,Injection(s); single tendon origin/insertion,341,273,38,330,38,194,131,330,312,240,174,194,233,199,298,98
20552,"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)",418,334,119,404,243,238,161,404,382,294,213,237,234,211,365,119
20600,"Arthrocentesis, aspiration and/or injection; small joint or bursa (eg, fingers, toes)",1408,1126,165,2311,165,801,543,1362,1287,990,719,799,650,2311,1230,403
20605,"Arthrocentesis, aspiration and/or injection; intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa)",285,228,82,276,185,162,110,276,261,201,146,162,208,207,249,82
20610,"Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa)",348,278,44,649,44,261,649,337,318,245,178,198,238,423,304,100
20680,"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)",4788,3830,1369,4634,3108,2724,1846,4634,4377,3369,2446,2719,2202,2787,4184,1369
21552,"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater",3209,2567,918,3106,2083,1826,1332,3106,2934,2258,1639,1822,1482,1868,2805,918
21931,"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater",3402,2722,973,3292,2208,1935,1311,3292,3110,2394,1738,1932,1571,1463,2973,973
23472,"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))",10641,8513,3043,10298,6906,6053,4102,10298,9728,7488,5435,6043,4895,6195,9300,3043
23650,"Closed treatment of shoulder dislocation, with manipulation; without anesthesia",369,295,106,357,239,194,142,357,337,260,188,210,162,215,322,106
24685,"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed",7160,5728,2048,6929,4647,4073,2760,6929,6545,5038,3657,4066,3397,4168,6257,2048
25111,"Excision of ganglion, wrist (dorsal or volar); primary",3705,2964,1060,3586,2405,2108,1428,3586,3387,2607,1892,2104,1758,2157,3238,1060
25112,"Excision of ganglion, wrist (dorsal or volar); recurrent",3705,2964,1060,3586,2405,2290,1428,3586,3387,2607,1892,2104,1711,2157,3238,1060
25608,Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments,6941,5553,1985,6717,4505,3949,2676,6717,6345,4884,3545,3942,3054,4041,6066,1985
25609,Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments,7150,5720,2045,6919,4641,4067,2756,6919,6536,5031,3652,4061,3289,4162,6249,2045
26010,Drainage of finger abscess; simple,195,156,56,189,127,111,75,189,178,137,100,111,90,114,170,56
26055,"Tendon sheath incision (eg, for trigger finger)",3705,2964,1060,3586,2405,2290,1428,3586,3387,2607,1892,2104,1758,1593,3238,1060
27096,"Injection procedure for sacroiliac joint, arthrography and/or anesthetic/steroid",2650,2120,744,2565,1720,2531,744,2565,2423,1865,1557,1505,1166,1179,2316,758
27130,"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft",10973,8778,3138,10619,7122,6242,4230,10619,10031,7722,5605,6232,5206,6388,9590,3138
27134,"Revision of total hip arthroplasty; both components, with or without autograft or allograft",13083,10466,3741,12661,8491,7443,5043,12661,11960,9206,6682,7430,6018,7616,11434,3741
27265,Closed treatment of post hip arthroplasty dislocation; without anesthesia,948,758,271,917,615,539,365,917,867,667,484,538,436,322,829,271
27266,Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia,2948,2358,843,2853,1913,1677,1136,2853,2695,2074,1506,1674,1297,1716,2576,843
27310,"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)",3402,2722,973,3292,2208,1935,1311,3292,3110,2394,1738,1932,1571,2967,2973,973
27327,"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm",3402,2722,973,3292,2208,1935,1311,3292,3110,2394,1738,1932,1571,1463,2973,973
27447,"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)",10948,8758,3131,10595,7106,6766,4220,10595,10008,7704,5592,6217,5194,4708,9568,3131
27810,"Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); with manipulation",868,694,248,840,563,494,335,840,793,611,443,493,401,373,759,248
27818,Closed treatment of trimalleolar ankle fracture; with manipulation,369,295,106,357,239,210,142,357,337,260,188,210,162,215,322,106
28190,"Removal of foreign body, foot; subcutaneous",3402,2722,973,3292,2208,1935,1311,3292,3110,2394,1738,1932,1614,1980,2973,973
29105,Application of long arm splint (shoulder to hand),192,154,55,186,125,117,74,186,176,135,98,109,108,91,168,55
29125,Application of short arm splint (forearm to hand); static,189,151,54,183,123,115,73,183,173,133,98,113,87,126,165,54
29126,Application of short arm splint (forearm to hand); dynamic,195,156,56,189,127,112,75,189,178,137,100,111,90,114,170,56
29505,Application of long leg splint (thigh to ankle or toes),189,151,54,183,123,117,73,183,173,133,97,107,87,110,165,54
29515,Application of short leg splint (calf to foot),184,147,52,178,119,104,71,178,168,129,94,104,84,81,160,52
29580,Strapping; Unna boot,186,149,53,180,110,106,72,180,170,131,95,106,86,108,163,53
29822,"Arthroscopy, shoulder, surgical; debridement, limited",6271,5017,1793,6069,4070,3567,2417,6069,5733,4413,3262,3561,2896,3651,5481,1793
29828,"Arthroscopy, shoulder, surgical; biceps tenodesis",3136,2508,897,3034,2035,1784,2624,3034,2866,2206,1601,1781,1448,1825,2740,897
29877,"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)",5916,4733,1692,5725,3840,3365,2281,5725,5408,4163,3022,3360,2732,3017,5170,1692
29880,"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving)",6460,5168,1847,6252,4193,3726,5303,6252,5906,4546,3299,3669,2983,3761,5646,1847
29881,"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving)",3230,2584,924,3694,2096,1792,3694,3126,2953,2273,1650,1834,1492,2885,2823,924
29888,Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction,3136,2508,897,3034,2035,1308,1209,3034,2866,2206,1601,1781,1448,1825,2740,897
30901,"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method",189,151,54,183,112,99,73,183,173,133,97,107,82,81,165,54
30903,"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method",276,221,77,268,179,157,107,268,253,195,141,157,77,161,242,79
30905,"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial",189,151,54,183,112,108,73,183,173,133,97,107,90,110,165,54
31500,"Intubation, endotracheal, emergency procedure",920,736,263,890,559,523,355,890,841,647,470,522,400,536,804,263
36415,Collection of venous blood by venipuncture,43,34,12,44,27,27,41,44,42,42,22,26,20,21,38,12
36561,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older",5173,4138,1479,5006,3357,2943,1994,5006,4729,3640,2642,2938,2380,2345,4521,1479
36569,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump; age 5 years or older",2862,2290,818,2770,1858,1628,1103,2770,2616,2014,1462,1625,1358,1666,2501,818
36573,PBB INS PICC RS&I 5 YR+,2862,2290,818,2770,1689,1628,1103,2770,2616,2014,1462,1625,1356,1666,2501,818
36590,"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion",3304,2643,945,3197,2144,1880,1274,3197,3020,2325,1688,1876,1567,1421,2888,945
36591,Collection of blood specimen from a completely implantable venous access device,91,73,26,89,59,54,64,89,83,64,46,52,43,42,80,26
38500,"Biopsy or excision of lymph node(s); open, superficial",3352,2682,959,3244,2176,1907,1292,3244,3064,2359,1712,1904,1548,1441,2929,959
43200,"Esophagoscopy, rigid or flexible; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)",2474,1979,708,2394,1606,1019,954,2394,2262,1741,1264,1405,1565,1440,2162,708
43202,"Esophagoscopy, rigid or flexible; with biopsy, single or multiple",3281,2625,938,3175,2129,2028,1265,3175,2999,2309,1676,1863,1515,1910,2867,938
43235,"Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)",3299,2639,943,3193,2141,1877,2300,3193,3016,2321,1685,1874,1563,1920,2883,943
43239,"Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with biopsy, single or multiple",3305,2644,945,3198,1950,1964,2058,3198,3021,2326,1978,1877,1566,2882,2888,945
43246,"Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with directed placement of percutaneous gastrostomy tube",4006,3205,1146,3877,2600,2279,1544,3877,3662,2819,2046,2275,1850,1723,3501,1146
43450,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes",1664,1331,476,1733,1080,510,613,1610,1521,1171,850,945,1733,1522,1454,476
44950,Appendectomy;,5981,4785,1710,7945,3882,3402,7945,5788,5468,4209,3055,3397,2837,2877,5227,1710
45100,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon)",4321,3457,1236,4182,2804,2458,1666,4182,3950,3041,2207,2454,1995,1858,3776,1236
45330,"Sigmoidoscopy, flexible; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)",2949,2359,843,2854,1914,1678,1137,2854,2696,2075,1506,1675,1399,2572,2577,843
45378,"Colonoscopy, flexible, proximal to splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or washing, with or without colon decompression (separate procedure)",3038,2430,869,2940,2298,1728,2522,2940,2777,1406,1851,1725,1397,1397,2655,869
45380,"Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple",3328,2662,952,3261,1964,2057,2522,3221,3261,2342,1956,1890,1579,1491,2909,952
45385,"Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",3328,2662,952,3221,1964,1977,2858,3221,3042,2342,1700,1890,1577,1531,2909,952
45990,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic",2928,2342,837,2834,1900,1666,1129,2834,2677,2060,1496,1663,1352,2553,2559,837
46221,"Hemorrhoidectomy, internal, by rubber band ligation(s)",2401,1921,687,2324,1558,1366,1319,2324,2195,1690,1226,1364,1109,1398,2098,687
46320,"Excision of thrombosed hemorrhoid, external",2401,1921,687,2324,1558,692,926,2324,2195,1690,1226,1364,1109,1398,2098,687
47562,"Laparoscopy, surgical; cholecystectomy",8636,6909,2470,8357,5605,4981,8269,8357,7895,4751,4411,4904,3973,7311,7547,2470
49505,"Repair initial inguinal hernia, age 5 years or older; reducible",7584,6067,2169,7339,4922,4687,6149,7339,6933,5337,4457,4307,3394,4415,6628,2169
49507,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated",7584,6067,2169,7398,4922,4687,7398,7339,6933,5337,3874,4307,3502,6613,6628,2169
49560,Repair initial incisional or ventral hernia; reducible,7752,6202,2217,7502,5031,4410,2988,7502,7087,5455,3959,4402,3566,4513,6775,2217
49561,Repair initial incisional or ventral hernia; incarcerated or strangulated,7526,6021,2152,7283,4885,4281,2901,7283,6880,5296,3844,4274,3275,4381,6577,2152
49585,"Repair umbilical hernia, age 5 years or older; reducible",7526,6021,2152,7283,4885,4651,6149,7283,6880,5296,3844,4274,3476,4381,6577,2152
49587,"Repair umbilical hernia, age 5 years or older; incarcerated or strangulated",7526,6021,2152,7283,4885,3730,5629,7283,6880,5296,3844,4274,3311,4381,6577,2152
51701,"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)",189,151,54,183,123,81,73,183,173,133,58,107,83,90,165,54
54700,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma)",189,151,54,183,123,58,73,183,173,133,97,107,87,110,165,54
55100,Drainage of scrotal wall abscess,189,151,50,183,123,50,73,183,173,133,97,107,87,110,165,54
55250,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)",4667,3734,1335,4516,3029,2884,1799,4516,4266,3284,2384,2650,2155,2717,4079,1335
56405,Incision and drainage of vulva or perineal abscess,189,151,54,183,123,58,73,183,173,133,97,107,87,110,165,54
58100,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure)",340,272,97,330,221,194,131,330,311,240,174,193,238,207,298,97
58558,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C",5686,4549,1626,5503,3690,3235,2192,5503,5198,4001,2904,3229,2626,2445,4969,1626
62321,PR INJ INTERLAM C/T W IMG,2730,2184,781,2642,1564,1575,1274,2642,2496,1921,1664,1550,1256,1256,2386,781
62323,Injection of substance into spinal canal of lower back or sacrum using imaging guidance,2650,2120,758,2565,1564,1575,1274,2565,2423,1854,1664,1505,1256,1219,2311,758
63650,"Percutaneous implantation of neurostimulator electrode array, epidural",2730,2184,781,2642,1772,1553,1052,2642,2496,1921,1557,1550,1256,1256,2386,781
64405,"Injection, anesthetic agent; greater occipital nerve",2730,2184,781,2642,1772,1553,1458,2642,2496,1921,1394,1550,1256,1589,2386,781
64425,"Injection, anesthetic agent; ilioinguinal, iliohypogastric nerves",1528,1222,437,1479,992,1322,589,1479,1397,1075,780,868,706,890,1335,437
64483,"Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, single level",2690,2152,769,2603,1746,1530,1420,2603,2459,1893,1374,1528,1212,1566,2351,769
64490,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level",1742,1393,412,1685,1130,412,671,1685,1592,1226,890,989,1153,1014,1522,498
64491,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level (List separately in addition to code for primary procedure)",1099,879,314,1116,713,412,1116,1064,1005,773,561,624,508,640,961,314
64492,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any additional level(s) (List separately in addition to code for primary procedure)",833,667,238,806,541,412,321,806,762,586,426,473,385,485,728,238
64493,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level",1325,1060,379,2310,860,819,2310,1282,1211,932,677,752,1256,570,1158,379
64494,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (List separately in addition to code for primary procedure)",1325,1060,379,1282,860,819,1155,1282,1211,932,677,752,612,570,1158,379
64495,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any additional level(s) (List separately in addition to code for primary procedure)",833,667,238,806,541,438,321,806,762,586,426,473,385,485,728,238
64633,PBB DESTROY CERV/THOR FACET JNT,3155,2524,521,3053,2048,521,1216,3053,2884,2220,1611,1792,1434,1837,2757,902
64634,PBB DESTROY C/TH FACET JNT ADDL,992,794,284,960,644,521,382,960,907,698,507,563,458,577,867,284
64635,PBB DESTROY LUMB/SAC FACET JNT,1625,1300,465,1573,1055,975,1487,1573,1486,1143,830,923,1495,1357,1420,465
64636,PBB DESTROY L/S FACET JNT ADDL,1601,1281,458,1550,1039,975,744,1550,1464,1127,818,909,739,932,1399,458
64721,Neuroplasty and/or transposition; median nerve at carpal tunnel,3706,2965,1060,3586,2405,2290,1429,3586,3388,2608,1893,2105,1756,3232,3239,1060
65220,"Removal of foreign body, external eye; corneal, without slit lamp",195,156,56,189,127,111,75,189,178,137,59,111,64,170,170,56
65222,"Removal of foreign body, external eye; corneal, with slit lamp",195,156,56,189,127,111,149,189,178,137,100,111,90,170,170,56
69000,"Drainage external ear, abscess or hematoma; simple",178,142,45,172,116,101,69,172,163,125,91,101,82,45,156,51
69200,Removal foreign body from external auditory canal; without general anesthesia,195,156,56,189,127,111,75,189,178,137,100,111,90,114,170,56
69209,HC REMOVE IMPACTED EAR WAX UNI,189,151,54,183,123,88,73,183,173,133,97,107,87,110,165,54
69210,"Removal impacted cerumen (separate procedure), 1 or both ears",159,127,32,175,32,85,61,154,145,112,74,90,175,81,139,45
70030,"Radiologic examination, eye, for detection of foreign body",106,85,30,103,100,66,67,103,97,75,54,60,47,96,93,30
70110,"Radiologic examination, mandible; complete, minimum of 4 views",180,144,52,175,117,95,70,175,165,81,92,103,88,80,158,52
70150,"Radiologic examination, facial bones; complete, minimum of 3 views",239,191,20,231,155,126,68,231,218,20,124,136,110,210,209,68
70160,"Radiologic examination, nasal bones, complete, minimum of 3 views",158,126,45,153,103,90,65,153,144,111,81,90,75,73,138,45
70200,"Radiologic examination; orbits, complete, minimum of 4 views",239,191,68,231,155,136,68,231,218,168,122,136,113,139,209,68
70220,"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views",243,194,68,235,158,138,68,235,222,171,124,138,114,141,212,69
70250,"Radiologic examination, skull; less than 4 views",186,149,53,180,121,115,72,180,170,131,95,106,86,108,163,53
70360,"Radiologic examination; neck, soft tissue",128,102,31,124,120,73,34,124,117,90,33,73,61,31,112,37
70450,"Computed tomography, head or brain; without contrast material",1628,1302,115,1643,975,967,253,1643,115,774,511,830,771,771,1462,466
70460,"Computed tomography, head or brain; with contrast material(s)",1628,1302,466,1575,1057,926,628,1575,1488,1146,832,925,709,948,1423,466
70470,"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections",2433,1946,521,2355,1435,1384,521,2355,2224,1712,1266,1241,1106,1153,2126,696
70482,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections",1628,1302,356,1575,1057,1006,356,1575,1488,1146,832,925,752,948,1423,466
70490,"Computed tomography, soft tissue neck; without contrast material",1628,1302,196,1575,1057,926,196,1575,1488,1146,832,925,772,948,1423,466
70491,"Computed tomography, soft tissue neck; with contrast material(s)",1953,1562,559,1890,1494,815,751,1890,1785,1374,561,1172,892,1314,1703,559
70540,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)",2381,1905,681,2304,1545,1354,918,2304,2177,1675,1216,1352,1130,1386,2081,681
70543,"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences",2901,2321,830,2807,1883,1793,1118,2807,2652,2041,1482,1648,1326,1689,2535,830
70551,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material",2594,2075,742,2510,1553,1603,793,2510,2371,1219,1628,1473,1229,1229,2267,742
70552,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)",2989,2391,855,2893,1940,1700,1152,2893,2732,2103,1527,1697,1380,1375,2612,855
10160,"Puncture aspiration of abscess, hematoma, bulla, or cyst",452,362,129,438,294,257,174,438,414,318,231,257,292,207,395,129
90471,"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)",138,110,13,134,13,79,53,134,126,97,70,78,64,80,121,39
96372,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",72,58,13,70,13,41,28,70,66,51,37,41,33,42,63,21
97597,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less",258,206,74,250,167,147,99,250,236,182,132,147,119,207,225,74
99202,"Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 20 minutes face-to-face with the patient and/or family.",149,119,43,181,48,85,57,144,136,145,76,85,181,87,130,43
99203,"Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; Medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Physicians typically spend 30 minutes face-to-face with the patient and/or family.",218,174,62,213,71,124,84,210,199,183,111,124,213,211,190,62
99204,"Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 45 minutes face-to-face with the patient and/or family.",310,248,89,459,123,459,119,300,283,218,158,176,231,211,271,89
99212,"Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Physicians typically spend 10 minutes face-to-face with the patient and/or family.",194,156,25,209,25,111,75,188,178,185,99,110,209,209,170,56
99213,"Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 15 minutes face-to-face with the patient and/or family.",151,121,43,211,49,86,58,146,138,185,77,86,198,211,132,43
99214,"Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 25 minutes face-to-face with the patient and/or family.",216,173,9,211,76,9,83,209,197,185,46,123,210,211,189,62
99215,"Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 40 minutes face-to-face with the patient and/or family.",296,237,85,286,108,168,114,286,271,208,151,168,217,172,259,85
J0696,"Injection, ceftriaxone sodium, per 250 mg",28,22,2,27,2,16,11,27,26,20,14,16,13,16,24,8
J1885,"Injection, ketorolac tromethamine, per 15 mg",28,22,2,27,2,16,11,27,26,20,14,16,13,16,24,8
J3301,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg",28,22,6,27,6,16,11,27,26,20,14,16,13,16,24,8
71045,PR X-RAY EXAM CHEST 1 VIEW,216,173,62,219,130,129,68,219,197,212,127,104,102,103,189,62
71046,PR X-RAY EXAM CHEST 2 VIEWS,216,173,62,209,127,133,68,209,197,103,112,130,102,101,194,62
71100,"Radiologic examination, ribs, unilateral; 2 views",174,139,50,171,103,106,65,168,60,171,98,99,83,80,157,50
71110,"Radiologic examination, ribs, bilateral; 3 views",219,175,63,215,125,125,68,215,200,154,112,124,101,101,191,63
71120,"Radiologic examination; sternum, minimum of 2 views",193,154,50,187,125,119,50,187,176,136,61,110,92,112,169,55
71130,"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views",208,166,59,201,123,118,80,201,190,146,106,118,96,121,182,59
71250,"Computed tomography, thorax; without contrast material",2033,1626,392,1967,1199,1256,392,1967,1858,960,529,1155,963,874,1777,581
71260,"Computed tomography, thorax; with contrast material(s)",2433,1946,483,2355,1479,1504,483,2355,2224,1712,1348,1382,1153,1119,2126,696
71550,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)",2901,2321,830,2807,1883,1650,1118,2807,2652,2041,1482,1648,1340,1247,2535,830
71552,"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences",2901,2321,830,2807,1883,1650,1118,2807,2652,2041,1768,1648,1340,1689,2535,830
72040,"Radiologic examination, spine, cervical; 2 or 3 views",180,144,51,174,117,111,68,174,165,127,110,102,86,86,157,51
72050,"Radiologic examination, spine, cervical; minimum of 4 views",260,208,31,252,169,148,31,252,238,183,133,148,120,120,227,74
72070,"Radiologic examination, spine; thoracic, 2 views",193,154,34,187,125,110,34,187,176,136,99,110,92,112,169,55
72072,"Radiologic examination, spine; thoracic, 3 views",222,178,63,215,170,100,64,215,203,156,113,126,97,153,194,63
72074,"Radiologic examination, spine; thoracic, minimum of 4 views",252,202,26,244,149,156,33,244,230,26,131,143,120,118,209,72
72083,PR X-RAY EXAM ENTIRE SPINE 4/5 VW,199,159,57,193,129,118,65,193,182,140,102,113,92,96,174,57
72100,"Radiologic examination, spine, lumbosacral; 2 or 3 views",199,159,57,193,154,123,65,193,182,96,110,113,94,94,165,57
72110,"Radiologic examination, spine, lumbosacral; minimum of 4 views",346,277,65,339,204,214,65,335,339,117,204,200,164,164,311,99
72125,"Computed tomography, cervical spine; without contrast material",2033,1626,373,2052,1235,1256,392,2052,373,1431,848,1155,963,963,1826,581
72128,"Computed tomography, thoracic spine; without contrast material",2094,1675,529,2026,1235,1208,529,2026,1914,1474,1070,1189,964,1219,1830,599
72131,"Computed tomography, lumbar spine; without contrast material",2094,1675,318,2026,1359,604,318,2026,1914,1474,1070,1189,963,963,1830,599
72132,"Computed tomography, lumbar spine; with contrast material",2048,1638,586,1982,1329,1165,789,1982,1872,1441,1046,1163,972,934,1790,586
72141,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material",2633,2106,753,2548,1444,1541,983,2548,2407,1853,1349,1495,1229,1229,2283,753
72146,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material",2594,2075,528,2510,1684,1541,528,2510,2371,1825,1325,1473,1198,2330,2267,742
72148,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material",2594,2075,582,2510,1553,1603,582,2510,2371,1256,1553,1175,1229,1229,2262,742
72156,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical",2737,2190,422,2649,1776,1557,422,2649,2502,1926,1398,1554,1298,2606,2392,783
72158,"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar",2989,2391,855,2893,1940,1700,1357,2893,2732,2103,1527,1697,1375,1375,2612,855
72192,"Computed tomography, pelvis; without contrast material",2033,1626,529,1967,1199,948,784,1967,1858,1431,529,1155,963,874,1777,581
72193,"Computed tomography, pelvis; with contrast material(s)",2352,1882,673,2276,1527,1338,907,2276,2150,1655,1201,1336,1115,1011,2051,673
72195,"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)",2643,2114,756,2558,1715,1504,1019,2558,2416,1860,1350,1501,1221,1136,2310,756
72196,"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)",2901,2321,830,2807,1883,1650,1167,2807,2652,2041,1482,1648,1340,1247,2535,830
73000,"Radiologic examination; clavicle, complete",158,126,45,153,93,98,68,153,144,111,50,90,75,140,138,45
73010,"Radiologic examination; scapula, complete",149,119,33,144,88,98,33,144,136,105,76,85,69,51,130,43
73020,"Radiologic examination, shoulder; 1 view",146,117,42,141,95,83,56,141,133,103,75,83,69,85,128,42
73030,"Radiologic examination, shoulder; complete, minimum of 2 views",174,139,50,168,103,104,65,168,159,122,91,84,83,83,152,50
73060,"Radiologic examination; humerus, minimum of 2 views",174,139,50,172,104,104,68,168,159,172,55,99,80,79,152,50
73070,"Radiologic examination, elbow; 2 views",163,130,47,158,106,75,63,158,149,115,83,93,77,79,142,47
73080,"Radiologic examination, elbow; complete, minimum of 3 views",199,159,57,193,119,118,68,193,182,140,104,113,94,94,174,57
73090,"Radiologic examination; forearm, 2 views",163,130,46,158,153,94,65,158,149,115,46,72,75,109,142,47
73100,"Radiologic examination, wrist; 2 views",230,184,66,223,138,138,89,223,211,162,118,131,100,134,201,66
73110,"Radiologic examination, wrist; complete, minimum of 3 views",227,182,65,220,134,135,65,220,208,160,95,136,108,198,198,65
73130,"Radiologic examination, hand; minimum of 3 views",162,130,46,157,99,91,65,157,148,114,84,94,77,77,141,46
73140,"Radiologic examination, finger(s), minimum of 2 views",128,102,37,124,76,79,68,124,117,90,75,73,61,87,112,37
73200,"Computed tomography, upper extremity; without contrast material",1711,1369,294,1656,1110,973,294,1656,1564,1204,874,972,778,996,1495,489
73218,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)",2901,2321,830,2807,1883,1650,1118,2807,2652,2041,1482,1648,1340,1247,2535,830
73220,"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences",4770,3816,1357,4616,3096,2714,1357,4616,4361,3357,2436,2709,2203,2777,4169,1364
73221,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)",2594,2075,639,2510,1576,1541,639,2510,2371,1825,1524,1473,1141,1229,2153,742
73223,"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences",2737,2190,646,2649,1776,1557,646,2649,2502,1926,1398,1554,1264,1593,2392,783
73501,PR X-RAY EXAM HIP UNI 1 VIEW,148,118,42,143,96,84,57,143,135,104,75,84,69,86,129,42
73552,PR X-RAY EXAM OF FEMUR 2/> VW,245,196,34,237,140,151,34,237,224,172,144,139,116,105,214,70
73562,"Radiologic examination, knee; 3 views",106,85,30,103,100,64,65,103,97,75,55,64,50,50,93,30
73564,"Radiologic examination, knee; complete, 4 or more views",186,149,53,180,110,115,65,180,170,131,110,108,88,88,167,53
73590,"Radiologic examination; tibia and fibula, 2 views",158,126,45,153,96,98,62,153,144,111,71,90,75,68,138,45
73600,"Radiologic examination, ankle; 2 views",162,130,46,157,105,92,62,157,148,114,83,92,71,75,142,46
73610,"Radiologic examination, ankle; complete, minimum of 3 views",153,122,44,148,90,91,65,148,140,108,90,92,73,73,133,44
73620,"Radiologic examination, foot; 2 views",153,122,44,148,99,47,59,148,140,108,93,87,73,70,134,44
73630,"Radiologic examination, foot; complete, minimum of 3 views",162,130,19,157,125,100,65,157,148,19,95,92,77,141,143,46
73650,"Radiologic examination; calcaneus, minimum of 2 views",148,119,42,144,142,44,62,144,136,104,76,84,64,86,130,42
73660,"Radiologic examination; toe(s), minimum of 2 views",128,102,37,124,76,79,61,124,117,90,65,73,61,112,112,37
73700,"Computed tomography, lower extremity; without contrast material",1711,1369,338,1656,1040,1057,529,1656,1564,338,668,972,782,811,1495,489
73701,"Computed tomography, lower extremity; with contrast material(s)",2012,1610,575,1947,1306,1145,776,1947,1839,1416,1028,1143,926,1171,1758,575
73718,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)",2945,2356,842,2850,1712,1675,1032,2850,2692,2072,1504,1672,1360,1247,2574,842
73720,"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences",4770,3816,1234,4616,3096,2714,1234,4616,4361,3357,2436,2709,2203,2777,4169,1364
73721,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material",2594,2075,742,2510,2021,1603,983,2510,2371,1825,1605,1473,1141,2330,2267,742
73723,"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences",2989,2391,855,2893,1940,1724,1018,2893,2732,2103,1527,1697,1376,1740,2612,855
74018,PR X-RAY EXAM ABDOMEN 1 VIEW,158,126,45,155,88,94,68,153,155,111,82,90,75,75,142,45
74019,PR X-RAY EXAM ABDOMEN 2 VIEWS,186,149,53,188,113,104,68,188,182,182,97,112,88,88,162,53
74150,"Computed tomography, abdomen; without contrast material",1953,1562,559,1890,1268,1111,620,1890,1785,1374,998,1109,892,1137,1707,559
74160,"Computed tomography, abdomen; with contrast material(s)",2915,2332,620,2821,1892,1801,620,2821,2665,2051,1646,1655,1269,1341,2548,834
74170,"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections",3003,2402,855,2906,1949,1801,855,2906,2745,2113,857,1705,1381,1748,2624,859
74175,"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing",3130,2504,895,3030,2032,953,1207,3030,2862,2203,1599,1778,1461,1822,2736,895
74176,"Computed tomography, abdomen and pelvis; without contrast material",3982,3186,1025,3854,2420,1230,1042,3854,3640,1025,2071,1803,1752,1887,3577,1138
74177,"Computed tomography, abdomen and pelvis; with contrast material(s)",5266,4213,1042,5316,3107,3129,1042,5316,4814,1209,1605,2923,2495,2495,4634,1506
74178,"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions",5266,4213,620,5316,3801,3129,620,5316,5161,3551,2196,3160,2495,2495,4592,1506
74181,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)",2594,2075,742,2510,1684,1476,1000,2510,2371,1825,1325,1473,1198,1115,2267,742
74183,"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences",2989,2391,855,2893,1940,1700,1152,2893,2732,2103,1527,1697,1375,1740,2612,855
75635,"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing",2433,1946,633,2355,1435,1099,808,2355,2224,1712,633,1382,1112,1153,2126,696
76641,Complete unilateral ultrasound examination of the breast,446,357,127,432,432,265,127,432,408,314,280,253,196,389,390,128
76700,"Ultrasound, abdominal, real time with image documentation; complete",774,619,221,749,502,478,253,749,708,545,455,440,367,675,676,221
76801,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation",459,367,131,444,298,227,205,444,420,323,270,261,212,267,401,131
76805,"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation",981,785,281,949,637,283,378,949,897,690,501,557,453,571,857,281
76817,"Ultrasound, pregnant uterus, real time with image documentation, transvaginal",688,550,197,666,447,391,265,666,629,484,351,391,318,351,601,197
76870,"Ultrasound, scrotum and contents",661,529,189,640,429,408,192,640,604,465,344,397,313,576,578,189
76882,"Ultrasound, extremity, nonvascular, real-time with image documentation; limited, anatomic specific",129,103,37,125,84,77,50,125,118,91,66,73,57,55,112,37
77002,"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device)",360,288,103,348,234,205,139,348,329,253,184,204,171,155,315,103
77061,HC BREAST TOMOSYNTHESIS DIG DX UNIL,30,24,9,30,18,17,12,30,28,21,18,17,14,26,27,9
77062,HC BREAST TOMOSYNTHESIS DIG DX BILAT,30,24,9,30,18,18,12,29,30,21,19,17,14,26,26,9
77065,Diagnostic Mammography computer aided detection when performed; unilateral,351,281,100,340,204,200,249,340,321,157,200,199,161,229,307,100
77066,Diagnostic Mammography computer aided detection when performed; bilateral,515,412,147,520,309,306,243,498,520,250,324,292,244,221,450,147
77067,Screening mammography,492,394,90,476,299,304,243,476,221,211,289,284,90,128,436,141
78014,PR THYROID IMAG W/BLOOD FLOW SGL/MULT QUAN,2804,2243,802,2714,1820,1595,1066,2714,2563,1973,1432,1592,1295,1632,2451,802
78226,PR HEPATOBILIARY SYSTEM IMAGING,1358,1086,388,1314,881,773,523,1314,1241,956,694,771,627,625,1187,388
78227,PR HEPATOBIL SYST IMAGE W/DRUG,2804,2243,802,2714,1820,1733,1066,2714,2563,1973,1432,1592,1234,2445,2451,802
78264,Gastric emptying study,3742,2994,968,3621,2429,2313,968,3621,3421,2633,1911,2125,1728,2178,3270,1070
78306,Bone and/or joint imaging; whole body,2736,2188,782,2647,1638,1666,967,2647,2501,1925,1397,1554,1277,1159,2350,782
78315,Bone and/or joint imaging; 3 phase study,2812,2249,804,2721,1825,1599,879,2721,2570,1978,1436,1597,1275,1156,2457,804
80048,"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310), Carbon dioxide (82374), Chloride (82435), Creatinine (82565), Glucose (82947), Potassium (84132), Sodium (84295), Urea nitrogen (BUN) (84520)",126,101,36,127,74,75,81,127,123,59,66,76,59,60,110,36
80050,"General health panel This panel must include the following: Comprehensive metabolic panel (80053), Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004), OR, Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009), Thyroid stimulating hormone (TSH) (84443)",607,486,89,587,394,345,89,587,555,427,310,345,280,353,530,174
80051,"Electrolyte panel This panel must include the following: Carbon dioxide (82374), Chloride (82435), Potassium (84132), Sodium (84295)",106,85,30,103,69,60,89,103,97,75,54,60,50,46,93,30
80069,"Renal function panel This panel must include the following: Albumin (82040), Calcium, total (82310), Carbon dioxide (bicarbonate) (82374), Chloride (82435), Creatinine (82565), Glucose (82947), Phosphorus inorganic (phosphate) (84100), Potassium (84132), Sodium (84295), Urea nitrogen (BUN) (84520)",143,114,41,138,81,81,73,138,131,101,73,81,66,63,121,41
80074,"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709), Hepatitis B core antibody (HBcAb), IgM antibody (86705), Hepatitis B surface antigen (HBsAg) (87340), Hepatitis C antibody (86803)",426,341,86,412,276,253,86,412,389,300,222,256,202,377,372,122
80076,"Hepatic function panel This panel must include the following: Albumin (82040), Bilirubin, total (82247), Bilirubin, direct (82248), Phosphatase, alkaline (84075), Protein, total (84155), Transferase, alanine amino (ALT) (SGPT) (84460), Transferase, aspartate amino (AST) (SGOT) (84450)",124,99,35,120,117,56,89,120,113,87,64,70,53,108,110,35
80145,HC DRUG ASSAY ADALIMUMAB,838,670,240,811,544,477,461,811,766,590,428,476,387,488,732,240
80156,Carbamazepine; total,142,114,41,137,92,88,61,137,130,100,73,81,67,83,124,41
80158,Cyclosporine,157,126,45,152,102,89,61,152,144,110,80,89,74,91,137,45
80159,HC DRUG SCREEN QUANT CLOZAPINE,96,77,27,93,62,55,60,93,88,68,49,55,42,56,84,27
80162,Digoxin,202,162,58,195,131,115,78,195,185,142,103,115,93,118,177,58
80164,Dipropylacetic acid (valproic acid),200,160,57,194,130,114,61,194,183,141,102,114,86,84,175,57
80169,HC DRUG SCREEN QUANT EVEROLIMUS,490,392,140,474,318,279,189,474,448,345,250,278,230,285,428,140
80171,HC DRUG SCREEN QUANT GABAPENTIN,91,73,26,88,59,52,35,88,83,64,46,52,43,53,80,26
80175,HC DRUG SCREEN QUANT LAMOTRIGINE,204,163,55,197,132,126,55,197,186,144,104,116,96,88,178,58
80177,Drug Screen quantitative Levetiracetam level,127,102,36,123,82,78,54,123,116,89,37,76,58,111,111,36
80178,Lithium,102,82,29,99,63,62,52,99,93,72,52,58,48,44,89,29
80183,HC DRUG SCREEN QUANT OXCARBAZEPIN,172,138,49,166,101,106,58,166,157,121,88,98,75,100,150,49
80184,Phenobarbital,65,52,19,63,42,37,25,63,59,46,33,37,30,38,57,19
80185,Phenytoin; total,196,157,56,190,127,111,58,190,179,138,100,111,89,114,171,56
80188,Primidone,70,56,20,68,45,40,27,68,64,49,36,40,33,41,61,20
80195,Sirolimus,112,90,32,108,73,64,58,108,102,79,57,64,52,65,98,32
80197,Tacrolimus,342,274,55,331,222,195,55,331,313,241,175,194,157,199,299,98
80201,Topiramate,259,207,74,251,168,147,100,251,237,182,132,147,112,121,226,74
80203,HC DRUG SCREEN QUANT ZONISAMIDE,168,134,48,163,109,96,65,163,154,118,86,95,78,146,147,48
80235,HC DRUG ASSAY LACOSAMIDE,308,246,31,298,200,175,31,298,282,217,157,175,142,269,269,88
80299,"Quantitation of drug, not elsewhere specified",885,708,61,856,574,503,61,856,809,623,452,503,409,381,773,253
80305,Drug Test presumptive,214,171,61,210,126,132,78,210,196,151,65,128,96,139,178,61
80307,Drug Test presumptive,182,146,52,184,111,108,128,184,178,128,95,105,80,123,159,52
80320,Drug screen quantitative alcohols 22 or more classes,164,131,47,161,106,101,63,159,161,115,85,97,77,143,140,47
80329,HC DRUG TEST DEF 1-2 CLASS ANALGESICS NON-OPIOID,110,88,31,108,71,55,42,106,108,77,57,56,47,96,96,31
80339,HC DRUG TEST DEF 1-2 CLASS ANTIEPILEPTICS NOS,197,158,56,191,128,112,76,191,180,139,101,112,91,172,172,56
81002,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy",13,10,4,13,8,8,5,13,12,6,8,8,6,6,11,4
81015,Urinalysis; microscopic only,53,42,15,51,32,33,25,51,48,37,28,27,25,25,46,15
81025,"Urine pregnancy test, by visual color comparison methods",93,74,25,90,55,28,25,90,85,65,28,34,40,81,82,27
81206,HC BCR/ABL1 GENE MAJOR BP,1290,1032,369,1248,837,734,580,1248,1179,908,659,733,596,751,1127,369
81240,HC F2 GENE,286,229,82,277,186,163,157,277,261,201,146,162,132,166,250,82
81241,HC F5 GENE,218,174,62,211,141,124,120,211,199,153,111,124,101,127,191,62
81256,HC HFE GENE,462,370,132,447,300,263,158,447,422,325,236,262,213,199,404,132
81270,HC JAK2 GENE,602,482,172,583,391,302,333,583,550,424,307,342,278,350,526,172
81382,HC HLA II TYPING 1 LOC HR,658,526,188,637,427,374,435,637,602,463,336,374,304,383,575,188
82010,"Acetone or other ketone bodies, serum; quantitative",70,56,18,68,45,40,27,68,64,49,40,40,32,18,61,20
82024,Adrenocorticotropic hormone (ACTH),166,133,40,161,108,103,40,161,152,117,85,94,77,149,145,47
82040,"Albumin; serum, plasma or whole blood",83,66,17,80,49,51,17,80,76,58,43,47,37,40,73,24
82088,Aldosterone,504,403,64,488,327,311,64,488,461,355,257,286,217,418,440,144
82103,Alpha-1-antitrypsin; total,142,114,41,137,92,88,55,137,130,100,73,81,66,83,124,41
82105,Alpha-fetoprotein (AFP); serum,261,209,36,253,169,156,36,253,239,184,133,148,120,221,228,75
82136,"Amino acids, 2 to 5 amino acids, quantitative, each specimen",219,175,63,212,142,125,84,212,200,154,114,124,101,127,191,63
82140,Ammonia,214,171,61,207,139,132,82,207,196,151,109,122,97,92,187,61
82164,Angiotensin I - converting enzyme (ACE),78,63,22,76,51,45,74,76,72,55,40,45,35,36,69,22
82172,"Apolipoprotein, each",148,118,42,143,96,89,57,143,135,104,76,84,64,86,129,42
82175,Arsenic,56,45,16,55,37,32,19,55,52,40,29,32,19,33,49,16
82232,Beta-2 microglobulin,83,66,24,80,54,47,47,80,76,58,42,47,36,38,73,24
82248,Bilirubin; direct,83,66,19,80,54,47,19,80,76,58,49,47,37,36,73,24
82270,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)",17,14,5,16,11,10,7,16,16,12,9,10,8,7,15,5
82272,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening",18,14,5,17,12,10,7,17,16,13,9,10,8,10,16,5
82274,"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations",70,56,20,69,42,32,27,69,69,49,36,40,32,34,61,20
82300,Cadmium,67,54,19,65,43,38,19,65,61,47,34,38,23,39,59,19
82306,"Vitamin D; 25 hydroxy, includes fraction(s), if performed",216,173,62,223,127,133,128,209,197,223,120,123,102,101,188,62
82308,Calcitonin,161,129,46,156,104,92,62,156,147,113,82,91,74,140,141,46
82310,Calcium; total,84,67,11,81,50,48,11,81,77,59,50,48,38,49,73,24
82330,Calcium; ionized,70,56,20,68,45,40,27,68,64,49,36,40,32,41,61,20
82340,"Calcium; urine quantitative, timed specimen",35,28,6,34,23,18,23,34,32,25,18,20,6,16,31,10
82378,Carcinoembryonic antigen (CEA),280,224,80,271,168,159,86,271,256,197,146,159,132,129,245,80
82379,"Carnitine (total and free), quantitative, each specimen",219,175,56,212,142,125,84,212,200,154,112,124,101,56,191,63
82384,Catecholamines; fractionated,261,209,28,253,169,153,28,253,239,184,133,148,121,152,228,75
82390,Ceruloplasmin,136,109,39,132,88,84,52,132,124,96,69,77,59,65,119,39
82397,Chemiluminescent assay,124,99,35,120,80,71,48,120,113,87,53,70,90,72,108,35
82435,Chloride; blood,72,57,16,69,46,41,16,69,65,50,43,41,33,42,62,20
82436,Chloride; urine,45,36,13,44,29,26,17,44,41,32,23,26,21,26,39,13
82507,Citrate,93,74,27,90,60,53,36,90,85,65,48,53,43,54,81,27
82525,Copper,70,56,20,68,45,40,27,68,64,49,36,40,33,41,61,20
82530,Cortisol; free,118,94,34,114,70,67,74,114,108,83,60,67,54,77,103,34
82533,Cortisol; total,158,126,45,153,93,98,52,153,144,111,81,90,75,142,138,45
82542,"Column chromatography/mass spectrometry (eg, GC/MS, or HPLC/MS), analyte not elsewhere specified; quantitative, single stationary and mobile phase",490,392,46,474,318,283,46,474,448,345,250,278,226,285,428,140
82610,Cystatin C,138,110,39,134,90,79,43,134,126,97,70,78,64,80,121,39
82627,Dehydroepiandrosterone-sulfate (DHEA-S),206,164,32,199,133,121,32,199,188,145,119,117,95,93,180,59
82652,"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed",77,62,22,75,50,44,30,75,70,54,39,44,36,33,67,22
82656,"Elastase, pancreatic (EL-1), fecal, qualitative or semi-quantitative",294,235,84,285,173,167,113,285,269,207,150,167,138,171,257,84
82668,Erythropoietin,241,193,69,233,156,119,86,233,220,170,123,137,104,140,211,69
82670,Estradiol,205,164,31,199,199,127,31,198,187,144,121,116,95,98,179,59
82671,Estrogens; fractionated,90,72,26,87,58,51,32,87,82,63,46,51,42,52,79,26
82787,"Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each",88,70,25,85,57,50,45,85,80,62,45,50,41,51,77,25
82803,"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation);",262,210,75,254,155,130,86,254,240,184,136,149,123,121,235,75
82955,Glucose-6-phosphate dehydrogenase (G6PD); quantitative,76,61,22,74,49,44,50,74,69,53,39,43,34,44,66,22
83001,Gonadotropin; follicle stimulating hormone (FSH),275,220,32,266,162,167,32,266,251,194,168,156,127,248,240,79
83002,Gonadotropin; luteinizing hormone (LH),182,146,32,176,140,109,32,176,166,128,109,103,84,149,159,52
83037,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use,41,33,12,40,27,27,16,40,37,19,21,23,19,18,36,12
83497,"Hydroxyindolacetic acid, 5-(HIAA)",84,67,24,81,55,48,45,81,77,59,43,48,39,49,73,24
83498,"Hydroxyprogesterone, 17-d",56,45,16,54,36,32,26,54,51,39,29,32,26,33,49,16
83525,Insulin; total,143,114,41,138,93,85,55,138,131,101,74,81,66,83,125,41
83550,Iron binding capacity,32,26,9,54,19,20,54,31,29,23,19,18,15,15,28,9
83630,"Lactoferrin, fecal; qualitative",252,202,72,244,149,143,97,244,230,177,129,143,119,147,220,72
83690,Lipase,106,85,30,108,64,53,33,108,104,104,55,64,50,51,92,30
83695,Lipoprotein (a),179,144,51,174,116,102,69,174,164,126,92,102,83,77,157,51
83718,"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)",130,104,37,126,76,78,39,126,123,101,66,74,60,60,114,37
83721,"Lipoprotein, direct measurement; LDL cholesterol",122,98,35,122,73,75,86,118,120,122,62,69,58,58,107,35
83735,Magnesium,104,83,23,106,64,62,23,106,95,73,62,60,49,50,94,30
83825,"Mercury, quantitative",35,28,10,34,23,20,13,34,32,25,18,20,16,20,31,10
83880,Natriuretic peptide,249,199,71,244,149,148,128,244,228,244,147,141,117,115,224,71
83921,"Organic acid, single, quantitative",96,77,27,93,62,55,39,93,88,68,50,55,44,56,84,27
83930,Osmolality; blood,76,61,11,74,49,43,11,74,69,53,39,43,35,44,66,22
83935,Osmolality; urine,38,30,11,37,25,22,17,37,35,27,19,22,18,22,33,11
83945,Oxalate,95,76,27,92,62,54,37,92,87,67,49,54,44,55,83,27
83970,Parathormone (parathyroid hormone),398,318,64,385,258,221,64,385,364,280,207,226,187,183,350,114
83993,"Calprotectin, fecal",297,238,82,287,193,169,82,287,272,209,152,169,136,173,260,85
84100,Phosphorus inorganic (phosphate);,86,69,17,84,44,51,17,83,79,84,51,49,38,57,75,25
84105,Phosphorus inorganic (phosphate); urine,45,36,13,44,29,26,17,44,41,32,23,26,21,26,39,13
84133,Potassium; urine,36,29,10,35,23,20,23,35,33,25,19,20,17,21,31,10
84134,Prealbumin,158,126,45,153,93,90,82,153,144,111,93,90,75,68,138,45
84144,Progesterone,307,246,55,297,289,176,55,297,281,216,157,174,142,148,268,88
84145,Procalcitonin (PCT),208,166,24,201,124,126,24,201,190,146,64,118,96,121,181,59
84146,Prolactin,284,227,58,275,170,169,58,275,260,200,167,161,134,193,248,81
84165,"Protein; electrophoretic fractionation and quantitation, serum",95,76,27,93,56,58,78,92,87,93,49,54,45,41,83,27
84166,"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)",98,78,28,95,64,56,38,95,90,69,50,56,45,57,86,28
84207,Pyridoxal phosphate (Vitamin B-6),98,78,28,95,64,56,78,95,90,69,50,56,37,57,86,28
84244,Renin,217,174,62,210,141,134,64,210,198,153,111,123,94,103,190,62
84260,Serotonin,162,130,46,157,105,93,62,157,148,114,83,92,75,94,142,46
84270,Sex hormone binding globulin (SHBG),342,274,86,331,202,204,86,331,313,241,178,194,158,157,299,98
84295,"Sodium; serum, plasma or whole blood",86,69,16,83,56,45,16,83,79,61,51,49,39,75,75,25
84302,Sodium; other source,94,75,27,91,55,53,36,91,86,66,48,53,43,55,82,27
84305,Somatomedin,80,64,23,77,52,46,45,77,73,56,41,45,37,47,70,23
84376,"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen",402,322,21,389,261,230,21,389,367,283,205,228,186,234,351,115
84425,Thiamine (Vitamin B-1),272,218,39,263,177,155,39,263,249,191,141,154,124,158,238,78
84432,Thyroglobulin,63,50,18,61,59,36,29,61,58,44,33,36,29,37,55,18
84436,Thyroxine; total,69,55,20,67,45,43,28,67,63,49,41,39,32,33,60,20
84439,Thyroxine; free,124,99,28,122,76,77,28,122,113,87,76,63,58,108,108,35
84445,Thyroid stimulating immune globulins (TSI),193,154,55,187,125,110,64,187,176,136,99,110,89,112,169,55
84446,Tocopherol alpha (Vitamin E),77,62,22,75,50,48,43,75,70,54,39,44,36,45,67,22
84480,Triiodothyronine T3; total (TT-3),196,157,50,190,127,121,50,190,179,138,115,111,90,94,171,56
84481,Triiodothyronine T3; free,181,145,52,175,117,112,52,175,165,127,94,103,80,83,155,52
84520,Urea nitrogen; quantitative,65,52,19,63,38,40,23,63,59,46,38,33,31,31,57,19
84550,Uric acid; blood,84,67,24,82,50,52,30,81,77,82,44,49,37,39,73,24
84560,Uric acid; other source,20,16,6,19,13,11,8,19,18,14,10,11,9,12,17,6
84590,Vitamin A,146,117,42,141,95,89,78,141,133,103,76,83,69,85,128,42
84597,Vitamin K,266,213,43,257,173,151,43,257,243,187,136,151,123,155,232,76
84630,Zinc,70,56,20,68,45,40,41,68,64,49,36,40,32,41,61,20
84681,C-peptide,276,221,68,267,179,159,68,267,252,194,139,157,127,178,241,79
84703,"Gonadotropin, chorionic (hCG); qualitative",135,108,39,132,132,81,86,131,132,95,70,81,62,118,118,39
84999,Unlisted chemistry procedure,3,2,1,3,2,2,1,3,3,2,2,2,1,2,3,1
10120,"Incision and removal of foreign body, subcutaneous tissues; simple",189,151,54,183,123,108,73,183,173,133,97,107,90,90,165,54
11643,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm",3505,2804,1002,3392,2275,1994,1351,3392,3204,2466,1790,1991,1612,2040,3063,1002
36430,"Transfusion, blood or blood components",840,672,240,813,511,478,324,813,768,591,429,477,398,361,734,240
51702,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley)",189,151,54,183,123,108,73,183,173,133,97,107,82,90,165,54
70480,"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material",1628,1302,466,1575,1057,926,628,1575,1488,1146,832,925,716,948,1423,466
70486,"Computed tomography, maxillofacial area; without contrast material",1628,1302,466,1575,961,926,628,1575,1488,1146,832,925,709,660,1423,466
70487,"Computed tomography, maxillofacial area; with contrast material(s)",532,426,152,515,345,303,205,515,486,374,272,302,509,222,465,152
70553,"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences",2989,2391,855,2893,1764,1700,1152,2893,2732,2103,1527,1697,1326,1375,2612,855
71275,"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing",2838,2270,812,2746,1699,1614,1094,2746,2594,1997,1450,1612,1325,1325,2480,812
72052,"Radiologic examination, spine, cervical; complete, including oblique and flexion and/or extension studies",334,267,53,323,197,190,129,323,305,53,171,190,154,154,292,96
72170,"Radiologic examination, pelvis; 1 or 2 views",160,128,46,155,96,91,62,155,147,70,82,91,75,75,140,46
72202,"Radiologic examination, sacroiliac joints; 3 or more views",174,139,50,168,110,99,67,168,159,80,89,99,82,80,152,50
73502,PR X-RAY EXAM HIP UNI 2-3 VIEWS,265,212,76,260,153,151,102,256,242,260,135,150,116,122,232,76
73521,PR X-RAY EXAM HIPS BI 2 VIEWS,275,220,79,266,156,156,106,266,251,194,140,156,128,118,240,79
73560,"Radiologic examination, knee; 1 or 2 views",158,126,45,153,93,90,61,153,144,111,81,90,72,68,138,45
76000,"Fluoroscopy (separate procedure), up to 1 hour physician time, other than 71023 or 71034 (eg, cardiac fluoroscopy)",377,302,108,365,245,214,145,365,345,265,193,214,179,219,329,108
76536,"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation",577,462,165,558,374,328,222,558,527,406,295,328,274,248,504,165
76705,"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)",1129,903,323,1093,651,642,435,1093,1032,794,577,641,497,480,987,323
76770,"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete",1148,918,328,1111,745,653,443,1111,1049,808,586,652,528,607,1003,328
76830,"Ultrasound, transvaginal",730,584,209,706,474,415,281,706,667,514,373,415,337,314,638,209
76856,"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete",1146,917,328,1109,744,652,442,1109,1048,806,585,651,535,519,1002,328
76942,"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation",416,333,119,403,270,237,160,403,380,293,212,236,197,179,364,119
77001,"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)",439,351,126,425,285,250,169,425,401,309,224,249,202,199,384,126
77063,HC BREAST TOMOSYNTHESIS DIG SCREEN UNIL,30,24,9,29,18,17,12,29,27,29,15,17,14,29,26,9
77080,"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)",317,254,91,307,187,180,122,307,290,154,162,180,150,141,277,91
80053,"Comprehensive metabolic panel This panel must include the following: Albumin (82040), Bilirubin, total (82247), Calcium, total (82310), Carbon dioxide (bicarbonate) (82374), Chloride (82435), Creatinine (82565), Glucose (82947), Phosphatase, alkaline (84075), Potassium (84132), Protein, total (84155), Sodium (84295), Transferase, alanine amino (ALT) (SGPT) (84460), Transferase, aspartate amino (AST) (SGOT) (84450), Urea nitrogen (BUN) (84520)",158,126,45,153,93,98,61,153,144,120,81,90,74,73,138,45
80061,"Lipid panel This panel must include the following: Cholesterol, serum, total (82465), Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718), Triglycerides (84478)",200,160,57,194,118,114,77,194,183,118,102,114,94,92,175,57
80202,Vancomycin,200,160,57,194,118,114,77,194,183,141,102,114,94,86,175,57
80335,HC DRUG TEST DEF 1-2 CLASS ANTIDEPRESSANTS TRICYCLIC,147,118,42,142,95,84,57,142,134,103,75,83,69,86,128,42
81001,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy",102,82,29,100,63,58,39,99,93,100,52,58,48,47,89,29
81003,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy",52,42,14,50,31,30,20,50,48,14,27,30,24,24,45,15
81050,"Volume measurement for timed collection, each",18,14,5,17,12,10,7,17,16,13,9,10,8,10,16,5
82043,"Albumin; urine, microalbumin, quantitative",48,38,14,47,28,27,19,46,44,47,25,27,21,22,42,14
82150,Amylase,102,82,29,100,60,58,39,99,93,100,52,58,48,47,89,29
82247,Bilirubin; total,86,69,25,83,56,49,33,83,79,61,44,49,40,50,75,25
82374,Carbon dioxide (bicarbonate),83,66,24,80,54,47,32,80,76,58,42,47,39,48,73,24
82465,"Cholesterol, serum or whole blood, total",70,56,20,68,40,40,27,68,64,49,36,40,32,32,61,20
82550,"Creatine kinase (CK), (CPK); total",102,82,29,99,63,58,39,99,93,72,52,58,48,47,89,29
82553,"Creatine kinase (CK), (CPK); MB fraction only",54,43,15,52,35,31,21,52,49,38,28,31,25,31,47,15
82565,Creatinine; blood,83,66,24,80,49,47,32,80,76,58,42,47,39,40,73,24
82570,Creatinine; other source,48,38,14,47,28,27,19,46,44,47,25,27,21,22,42,14
82607,Cyanocobalamin (Vitamin B-12);,181,145,52,175,109,103,70,175,165,62,92,103,80,83,158,52
82728,Ferritin,200,160,57,194,118,114,77,194,183,85,102,114,94,95,175,57
82746,Folic acid; serum,225,180,64,218,133,128,87,218,206,158,115,128,104,104,197,64
82784,"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each",70,56,20,68,41,40,27,68,64,49,36,40,40,21,61,20
82945,"Glucose, body fluid, other than blood",98,78,28,95,64,56,38,95,90,69,50,56,46,57,86,28
82947,"Glucose; quantitative, blood (except reagent strip)",39,31,4,38,4,22,15,38,36,10,20,22,17,10,34,11
82951,"Glucose; tolerance test (GTT), 3 specimens (includes glucose)",158,126,45,153,103,90,61,153,144,111,81,90,73,92,138,45
82952,"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)",66,53,19,64,43,38,25,64,60,46,34,37,30,38,58,19
82977,"Glutamyltransferase, gamma (GGT)",114,91,33,110,67,65,44,110,104,108,58,65,52,52,100,33
83010,Haptoglobin; quantitative,128,102,37,124,76,73,49,124,117,90,65,73,59,59,112,37
83036,Hemoglobin; glycosylated (A1C),34,27,10,33,19,19,13,33,31,16,17,19,16,16,30,10
83516,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method",90,72,26,88,50,51,35,88,83,64,46,51,43,53,79,26
83519,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)",430,344,123,417,279,245,166,417,394,303,220,244,128,246,376,123
83520,"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified",115,92,33,215,75,65,44,111,105,81,59,65,215,49,101,33
83540,Iron,102,82,29,100,60,58,39,99,93,100,52,58,48,49,89,29
83605,Lactate (lactic acid),103,82,29,101,63,64,40,100,94,101,53,58,48,47,90,29
83615,"Lactate dehydrogenase (LD), (LDH);",99,79,28,96,58,56,38,96,91,70,51,56,46,46,87,28
83655,Lead,26,21,7,25,17,15,10,25,24,18,13,15,12,15,23,7
83883,"Nephelometry, each analyte not elsewhere specified",341,273,73,330,201,194,131,330,312,73,174,194,162,147,298,98
84075,"Phosphatase, alkaline;",126,101,36,122,74,72,49,122,115,89,64,72,60,73,110,36
84132,"Potassium; serum, plasma or whole blood",84,67,24,81,50,48,32,81,77,59,43,48,40,36,73,24
84153,Prostate specific antigen (PSA); total,275,220,79,266,168,156,106,266,251,194,140,156,129,126,240,79
84154,Prostate specific antigen (PSA); free,135,108,39,131,80,77,52,131,123,95,69,77,59,63,118,39
84155,"Protein, total, except by refractometry; serum, plasma or whole blood",21,17,6,21,12,12,8,20,19,21,11,12,10,9,18,6
84156,"Protein, total, except by refractometry; urine",117,94,33,113,76,67,45,113,107,82,60,66,55,54,102,33
84300,Sodium; urine,27,22,8,26,18,15,10,26,25,19,14,15,13,16,24,8
84402,Testosterone; free,188,150,54,182,111,107,72,182,172,132,96,107,81,109,164,54
84403,Testosterone; total,248,198,71,240,91,141,96,240,227,91,127,141,109,114,217,71
84443,Thyroid stimulating hormone (TSH),280,224,80,271,171,159,108,271,256,149,143,159,132,129,245,80
84450,Transferase; aspartate amino (AST) (SGOT),96,77,27,93,57,55,37,93,88,68,49,55,45,44,84,27
84460,Transferase; alanine amino (ALT) (SGPT),96,77,27,93,57,55,37,93,88,68,49,55,45,44,84,27
84466,Transferrin,117,94,33,113,76,67,45,113,107,82,60,66,54,54,102,33
84478,Triglycerides,108,86,31,105,70,61,42,105,99,76,55,61,50,63,94,31
84484,"Troponin, quantitative",189,151,54,185,115,108,73,183,173,185,97,107,89,87,165,54
85025,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count",169,135,48,166,100,104,65,164,154,166,86,96,80,78,148,48
85027,"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)",86,69,25,85,51,49,33,83,79,85,44,49,40,40,75,25
85048,"Blood count; leukocyte (WBC), automated",48,38,14,46,31,27,19,46,44,34,25,27,22,28,42,14
85610,Prothrombin time;,30,24,9,62,17,17,12,29,27,62,15,17,14,14,26,9
85613,Russell viper venom time (includes venom); diluted,36,29,10,35,23,20,14,35,33,25,18,20,17,21,31,10
85730,"Thromboplastin time, partial (PTT); plasma or whole blood",84,67,24,81,51,48,32,81,77,59,43,48,40,39,73,24
86039,Antinuclear antibodies (ANA); titer,114,91,33,110,65,65,44,110,104,80,58,65,52,52,100,33
86140,C-reactive protein;,84,67,24,83,50,48,32,81,77,83,43,48,40,40,73,24
86160,"Complement; antigen, each component",156,125,45,151,101,89,60,151,143,110,80,89,73,91,136,45
86225,Deoxyribonucleic acid (DNA) antibody; native or double stranded,174,139,50,168,113,99,67,168,159,122,89,99,82,101,152,50
86235,"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody",885,708,253,856,579,503,341,856,809,623,452,503,331,515,773,253
86255,"Fluorescent noninfectious agent antibody; screen, each antibody",550,440,45,532,357,313,212,532,503,387,281,312,45,445,481,157
86256,"Fluorescent noninfectious agent antibody; titer, each antibody",101,81,29,98,66,57,39,98,92,71,52,57,44,59,88,29
86300,"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)",92,74,26,89,50,52,35,89,84,65,47,52,42,42,80,26
86480,"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon",315,252,90,305,204,179,121,305,288,222,161,179,137,145,275,90
86618,Antibody; Borrelia burgdorferi (Lyme disease),142,114,41,137,84,81,55,137,130,100,73,81,61,61,124,41
86665,"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)",120,96,34,116,78,68,46,116,110,84,61,68,56,70,105,34
86704,Hepatitis B core antibody (HBcAb); total,179,143,51,173,110,102,69,173,164,126,91,102,80,104,156,51
86780,Antibody; Treponema pallidum,60,48,17,58,39,34,23,58,55,42,31,34,27,35,52,17
86803,Hepatitis C antibody;,213,170,61,206,130,121,82,206,195,150,109,121,94,101,186,61
86850,"Antibody screen, RBC, each serum technique",167,134,48,164,102,95,64,162,153,164,85,95,79,74,146,48
86900,Blood typing; ABO,103,82,29,100,63,59,40,100,94,95,53,58,48,44,90,29
86901,Blood typing; Rh (D),66,53,19,65,40,38,25,64,60,65,34,37,31,28,58,19
87070,"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates",135,108,39,131,83,77,52,131,123,95,69,77,64,58,118,39
87081,"Culture, presumptive, pathogenic organisms, screening only;",86,69,25,83,56,49,33,83,79,61,44,49,40,50,75,25
87205,"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types",42,34,12,41,26,24,16,41,38,30,21,24,20,18,37,12
87269,Infectious agent antigen detection by immunofluorescent technique; giardia,135,108,39,131,81,77,52,131,123,95,69,77,59,58,118,39
87476,"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, amplified probe technique",193,154,55,187,125,110,74,187,176,136,99,110,84,112,169,55
87493,"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique",320,256,92,310,189,182,123,310,293,225,163,182,146,138,280,92
87651,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique",136,109,39,132,57,77,52,132,124,96,69,77,59,49,119,39
87798,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism",82,66,23,79,53,47,32,79,75,58,42,47,39,37,72,23
87899,Infectious agent antigen detection by immunoassay with direct optical observation; not otherwise specified,216,173,62,209,127,123,83,209,197,152,110,123,95,99,189,62
88184,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker",204,163,58,197,132,116,79,197,186,144,104,116,94,119,178,58
89060,"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)",34,28,10,33,22,20,13,33,32,24,18,20,16,20,30,10
90471,"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)",85,68,24,83,52,48,33,82,78,83,43,48,37,40,74,24
93005,"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report",173,138,49,167,106,98,67,167,158,84,88,98,82,80,151,49
93306,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography",3528,2822,1009,3414,2082,2007,1360,3414,3225,1625,1802,2004,1672,1623,3083,1009
93798,Physician services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session),315,252,90,305,180,179,121,305,288,222,161,179,145,131,275,90
93971,Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study,579,463,166,560,376,329,223,560,529,407,296,329,275,266,506,166
94010,"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation",200,160,57,194,130,114,77,194,183,92,102,114,95,90,175,57
94060,"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration",240,192,69,232,156,137,93,232,219,111,123,136,114,103,210,69
94640,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction or for sputum induction for diagnostic purposes (eg, with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing [IPPB] device)",123,98,35,121,73,76,47,119,112,121,63,70,58,53,107,35
94664,"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device",116,93,33,112,68,66,45,112,106,82,59,66,55,53,101,33
95806,"Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement)",669,535,191,647,407,381,258,647,612,308,342,380,294,288,585,191
95810,"Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist",4338,3470,1241,4198,2815,2468,1672,4198,3966,3053,2216,2464,2057,1930,3791,1241
95811,"Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist",4732,3786,1353,4579,3071,2692,1824,4579,4326,2180,2417,2687,2242,2177,4136,1353
95992,"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day",181,145,52,175,107,103,70,175,165,127,92,103,85,83,158,52
96372,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",99,79,28,96,58,56,38,96,91,94,51,56,46,46,87,28
96375,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)",76,61,21,179,45,43,29,74,69,179,39,43,35,56,66,21
97012,"Application of a modality to 1 or more areas; traction, mechanical",128,102,37,124,83,73,49,124,117,90,65,73,58,75,112,37
97014,Application of a modality to 1 or more areas; electrical stimulation (unattended),127,102,36,123,82,72,49,123,116,89,65,72,59,55,111,36
97016,Application of a modality to 1 or more areas; vasopneumatic devices,80,64,23,77,52,46,31,77,73,56,41,45,37,37,70,23
97033,"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes",162,130,46,157,105,92,62,157,148,114,83,92,71,70,142,46
97035,"Application of a modality to 1 or more areas; ultrasound, each 15 minutes",135,108,39,131,88,77,52,131,123,58,69,77,64,62,118,39
97110,"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility",224,179,49,217,132,127,86,217,205,49,114,127,97,96,196,64
97116,"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)",148,118,42,143,87,84,57,143,135,104,76,84,68,66,129,42
97530,"Therapeutic activities, direct (one-on-one) patient contact by the provider (use of dynamic activities to improve functional performance), each 15 minutes",116,93,33,137,137,66,45,112,106,82,59,66,53,53,101,33
97535,"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact by provider, each 15 minutes",284,227,81,275,126,162,109,275,260,200,145,161,129,126,248,81
97597,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less",287,230,82,278,169,163,111,278,262,202,147,163,132,167,251,82
97598,"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)",105,84,30,102,68,60,40,102,96,74,54,60,48,61,92,30
99211,"Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician. Usually, the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supervising these services.",94,75,27,91,69,53,36,91,86,66,48,53,56,42,82,27
99212,"Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Physicians typically spend 10 minutes face-to-face with the patient and/or family.",96,77,27,93,62,55,37,93,88,68,49,55,27,56,84,27
99213,"Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 15 minutes face-to-face with the patient and/or family.",151,121,43,146,98,86,58,146,138,106,77,86,55,88,132,43
99214,"Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 25 minutes face-to-face with the patient and/or family.",258,206,74,249,167,146,99,249,235,181,132,146,119,207,225,74
99281,"Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor.",146,117,21,142,95,83,56,142,134,103,75,83,21,85,128,42
99282,"Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity.",222,178,63,215,133,126,86,215,203,195,113,126,97,102,194,63
99283,"Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity.",417,334,119,410,254,237,161,404,381,410,213,237,198,192,364,119
99284,"Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity, and require urgent evaluation by the physician but do not pose an immediate significant threat to life or physiologic function.",526,421,150,517,310,297,203,509,481,517,269,299,229,242,460,150
99285,"Emergency department visit for the evaluation and management of a patient, which requires these 3 key components within the constraints imposed by the urgency of the patient's clinical condition and/or mental status: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity and pose an immediate significant threat to life or physiologic function.",722,578,206,709,432,411,278,699,660,709,369,410,318,332,631,206
99291,"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes",845,676,203,818,548,481,326,818,772,595,432,480,203,492,738,242
A0425,"Ground mileage, per statute mile",104,84,2,1066,55,2,40,101,95,1066,53,59,33,24,91,30
A0426,"Ambulance service, advanced life support, non-emergency transport, level 1 (ALS 1)",2339,1871,323,2264,1380,1331,902,2264,2138,1272,1195,1328,323,1988,2044,669
A0427,"Ambulance service, advanced life support, emergency transport, level 1 (ALS1-emergency)",2790,2232,514,2700,1696,1587,1075,2700,2551,1338,1425,1584,514,2372,2438,798
A0428,"Ambulance service, basic life support, non-emergency transport, (BLS)",996,797,269,964,588,567,384,964,911,510,509,566,269,847,870,285
A0429,"Ambulance service, basic life support, emergency transport (BLS-emergency)",1174,939,336,1136,714,582,453,1136,1073,1099,600,667,431,1013,1026,336
A0433,"Advanced life support, level 2 (ALS 2)",3688,2950,753,3569,2176,2098,1422,3569,3371,2595,1884,2094,753,2147,3223,1055
A0434,Specialty care transport (SCT),4170,3336,876,4036,2706,2372,1607,4036,3812,2934,2130,2368,876,2428,3644,1193
G0378,"Hospital observation service, per hour",1884,1507,65,1823,1372,1090,726,1823,1722,65,962,1070,780,1095,1647,539
J0171,"Injection, adrenalin, epinephrine, 0.1 mg",123,99,35,119,73,70,48,119,113,87,63,70,49,72,108,35
J0290,"Injection, ampicillin sodium, 500 mg",32,25,9,31,21,18,12,31,29,22,16,18,15,18,28,9
J0295,"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm",80,64,23,77,52,45,31,77,73,56,41,45,37,37,70,23
J0461,"Injection, atropine sulfate, 0.01 mg",23,19,7,34,34,13,9,23,21,16,12,13,29,10,20,7
J0490,Belimumab injection,3965,3172,1134,3837,2573,2255,1528,3837,3624,2790,2025,2252,1881,2308,3465,1134
J0640,"Injection, leucovorin calcium, per 50 mg",133,106,38,129,86,76,51,129,122,94,68,76,59,57,116,38
J0690,"Injection, cefazolin sodium, 500 mg",51,41,15,50,33,29,20,50,47,36,26,29,24,24,45,15
J0692,"Injection, Cefepime hydrochloride, 500 mg",46,37,13,45,30,26,18,45,42,33,24,26,22,27,40,13
J0696,"Injection, ceftriaxone sodium, per 250 mg",25,20,7,33,33,15,10,24,23,18,13,14,12,11,22,7
J0881,"Injection, darbepoetin alfa, 1 microgram (non-ESRD use)",4133,3306,914,4175,2682,2351,1593,4000,3778,2908,2111,2347,914,4175,3612,1182
J0897,PBB DENOSUMAB INJECTION 1 MG,2991,2393,856,3299,3299,1702,1153,2895,2735,2105,1528,1699,1376,2572,2614,856
J1100,"Injection, dexamethasone sodium phosphate, 1 mg",24,19,7,23,16,14,9,23,22,17,12,14,11,12,21,7
J1170,"Injection, hydromorphone, up to 4 mg",103,82,12,100,67,59,40,100,94,73,53,59,50,12,90,29
J1447,Inj tbo filgrastim 1 microg,635,508,181,614,412,361,245,614,580,447,324,360,292,369,555,181
J1569,"Injection, immune globulin, (gammagard liquid), intravenous, non-lyophilized, (e.g. liquid), 500 mg",8918,7134,2550,8630,5788,5073,3438,8630,8153,6275,4555,5065,4102,5192,7794,2550
J1642,"Injection, Heparin sodium, (Heparin lock flush), per 10 units",25,20,7,24,16,14,9,24,22,17,13,14,11,11,21,7
J1644,"Injection, Heparin sodium, per 1000 units",29,23,8,28,19,17,11,28,27,20,15,17,13,13,25,8
J1650,"Injection, enoxaparin sodium, 10 mg",37,30,11,36,20,21,14,36,34,26,19,21,16,16,32,11
J1720,"Injection, hydrocortisone sodium succinate, up to 100 mg",36,29,10,35,24,21,14,35,33,26,19,21,17,16,32,10
J1815,"Injection, insulin, per 5 units",42,34,12,119,27,24,16,41,39,30,22,24,20,119,37,12
J1885,"Injection, ketorolac tromethamine, per 15 mg",25,20,7,24,16,14,9,24,22,17,13,14,11,11,21,7
J1930,"Injection, lanreotide, 1 mg",19938,15950,5702,19294,12940,11342,7686,19294,18226,14030,10183,11323,9458,11606,17424,5702
J1940,"Injection, furosemide, up to 20 mg",25,20,7,25,22,14,10,25,23,18,13,14,12,11,22,7
J1956,"Injection, levofloxacin, 250 mg",30,24,9,29,17,17,12,29,27,21,15,17,14,13,26,9
J2001,"Injection, lidocaine HCl for intravenous infusion, 10 mg",31,25,9,30,20,17,12,30,28,22,16,17,13,14,27,9
J2175,"Injection, meperidine hydrochloride, per 100 mg",29,24,8,28,19,17,11,28,27,21,15,17,13,13,26,8
J2185,"Injection, meropenem, 100 mg",51,41,15,50,33,29,20,50,47,36,26,29,23,30,45,15
J2250,"Injection, midazolam hydrochloride, per 1 mg",22,18,6,22,22,13,9,22,21,16,11,13,10,10,20,6
J2270,"Injection, morphine sulfate, up to 10 mg",29,23,8,28,17,16,11,28,26,20,15,16,13,13,25,8
J2274,Inj morphine pf epid ithc,89,71,25,86,58,51,34,86,81,63,46,51,40,38,78,25
J2300,"Injection, nalbuphine hydrochloride, per 10 mg",36,29,10,35,21,20,14,35,33,25,18,20,17,21,31,10
J2310,"Injection, naloxone hydrochloride, per 1 mg",87,70,25,84,57,50,34,84,80,61,45,50,39,51,76,25
J2353,"Injection, octreotide, depot form for intramuscular injection, 1 mg",14756,11805,3574,14280,9577,8394,5688,14280,13489,10384,7537,8380,3574,6631,12896,4220
J2430,"Injection, pamidronate disodium, per 30 mg",119,95,34,115,77,68,46,115,109,84,61,68,55,69,104,34
J2505,"Injection, Pegfilgrastim, 6 mg",11324,9060,3239,10959,7350,6442,4365,10959,10352,7969,5784,6431,4961,6592,9897,3239
J2543,"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)",41,33,12,40,27,23,16,40,37,29,21,23,19,18,36,12
J2550,"Injection, promethazine HCl, up to 50 mg",25,20,7,24,14,14,9,24,22,17,13,14,11,11,21,7
J2704,"Inj, propofol, 10 mg",23,18,7,22,13,13,9,22,21,16,12,13,10,12,20,7
J2795,"Injection, ropivacaine hydrochloride, 1 mg",35,28,10,34,23,20,14,34,32,25,18,20,16,20,31,10
J2930,"Injection, methylprednisolone sodium succinate, up to 125 mg",54,43,15,63,63,31,21,52,49,38,27,30,25,23,47,15
J2997,"Injection, alteplase recombinant, 1 mg",21471,17177,233,20778,13935,12214,8277,20778,19628,15109,10966,12193,10186,233,18765,6140
J3010,"Injection, fentanyl citrate, 0.1 mg",27,22,8,26,16,15,10,26,25,19,14,15,12,11,24,8
J3301,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg",48,38,14,46,32,27,18,46,43,33,24,27,21,21,42,14
J3430,"Injection, phytonadione (vitamin K), per 1 mg",143,114,41,138,84,81,55,138,131,100,73,81,66,66,125,41
J3475,"Injection, magnesium sulfate, per 500 mg",64,51,18,62,57,36,25,62,58,45,33,36,24,29,56,18
J3480,"Injection, potassium chloride, per 2 meq",31,24,9,30,16,17,12,30,28,21,16,17,15,28,27,9
J3489,HC ZOLEDRONIC ACID 1MG,173,138,49,174,174,98,67,167,158,121,88,98,57,125,151,49
J7120,"Ringers lactate infusion, up to 1000 cc",36,29,10,35,26,21,14,35,33,26,19,21,16,16,32,10
J7512,Prednisone ir or dr oral 1mg,16,13,5,15,10,9,6,15,15,11,8,9,7,9,14,5
J7614,"Levalbuterol, inhalation solution, FDA-approved final product, non-compounded, administered through DME, unit dose, 0.5 mg",42,34,12,41,27,24,16,41,39,30,22,24,20,18,37,12
J9035,"Injection, bevacizumab, 10 mg",1412,1130,404,1367,917,803,544,1367,1291,994,721,802,464,607,1234,404
J9045,"Injection, carboplatin, 50 mg",156,125,45,151,101,89,60,151,143,110,80,89,79,50,137,45
J9047,"Injection, carfilzomib, 1 mg",2195,1756,628,2125,1425,1249,846,2125,2007,1545,1121,1247,1014,944,1919,628
J9070,"Cyclophosphamide, 100 mg",482,385,138,466,313,274,186,466,440,339,246,274,228,280,421,138
J9171,"Injection, docetaxel, 1 mg",431,345,123,417,280,245,166,417,394,303,220,245,194,198,377,123
J9173,"Inj., durvalumab, 10 mg",3574,2859,991,3459,2109,2033,1378,3459,3267,2515,1826,2030,991,3373,3124,1022
J9176,"Injection, elotuzumab, 1mg",4805,3844,1374,4650,3119,2733,1852,4650,4393,3381,2454,2729,2091,2797,4199,1374
J9201,"Injection, gemcitabine hydrochloride, 200 mg",93,75,27,90,60,53,36,90,85,66,48,53,71,34,81,27
J9217,"Leuprolide acetate (for depot suspension), 7.5 mg",21479,17184,6143,20787,13941,12219,8280,20787,19636,15115,10971,12198,10190,12504,18772,6143
J9263,"Injection, oxaliplatin, 0.5 mg",135,108,39,139,88,77,52,131,124,95,69,77,139,43,118,39
J9267,HC PACLITAXEL INJECTION 1 MG,139,111,40,135,90,79,54,135,127,98,71,79,61,81,122,40
J9305,"Injection, pemetrexed, 10 mg",12840,10272,3672,12426,8334,7304,4950,12426,11738,9035,6558,7292,5930,5906,11222,3672
J9354,"HC INJ, ADO-TRASTUZUMAB EMT 1MG",12263,9810,3507,11867,7959,6976,4727,11867,11210,8629,6263,6964,5818,7139,10717,3507
P9016,"Red blood cells, leukocytes reduced, each unit",1194,955,220,1155,363,679,460,1155,1092,220,610,678,520,531,1043,341
P9040,"Red blood cells, leukocytes reduced, irradiated, each unit",1194,955,341,1155,775,679,460,1155,1092,840,610,678,551,513,1043,341
Q0144,"Azithromycin dihydrate, oral, capsules/powder, 1 gram",19,15,5,19,11,11,7,19,18,13,10,11,9,11,17,5
Q5106,Inj retacrit non-esrd use,324,259,93,313,210,184,125,313,296,228,165,184,142,188,283,93
Q5107,Inj mvasi 10 mg,983,786,281,8494,638,559,379,951,899,692,502,558,8494,452,859,281
Q5117,"Inj., kanjinti, 10 mg",14911,11929,4264,14430,9677,8482,5748,14430,13631,10492,7616,8468,6886,6859,13031,4264
Q9967,"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml",51,41,15,49,31,29,20,49,47,36,26,29,23,23,45,15
85014,Blood count; hematocrit (Hct),43,34,12,42,39,27,18,42,39,30,26,24,21,19,38,12
85018,Blood count; hemoglobin (Hgb),43,34,7,42,26,7,36,42,42,30,7,24,21,20,38,12
85046,"Blood count; reticulocytes, automated, including 1 or more cellular parameters (eg, reticulocyte hemoglobin content [CHr], immature reticulocyte fraction [IRF], reticulocyte volume [MRV], RNA content), direct measurement",67,54,19,65,41,41,40,65,61,47,34,38,32,31,59,19
85049,"Blood count; platelet, automated",61,49,17,59,40,35,36,59,56,43,36,35,28,28,53,17
85240,"Clotting; factor VIII (AHG), 1-stage",160,128,30,155,104,91,30,155,146,113,82,91,74,93,140,46
85246,"Clotting; factor VIII, VW factor antigen",189,151,30,183,123,78,30,183,173,133,97,107,87,110,165,54
85247,"Clotting; factor VIII, von Willebrand factor, multimetric analysis",164,131,47,161,106,93,66,159,161,115,84,93,76,95,143,47
85300,"Clotting inhibitors or anticoagulants; antithrombin III, activity",124,99,32,120,80,71,32,120,113,87,63,70,59,57,108,35
85302,"Clotting inhibitors or anticoagulants; protein C, antigen",178,142,32,172,116,101,32,172,163,125,91,101,86,104,156,51
85303,"Clotting inhibitors or anticoagulants; protein C, activity",119,95,30,115,77,68,30,115,109,84,61,68,55,55,104,34
85305,"Clotting inhibitors or anticoagulants; protein S, total",298,238,60,288,193,170,60,288,272,210,152,169,141,137,260,85
85379,"Fibrin degradation products, D-dimer; quantitative",87,70,25,85,52,52,66,85,80,85,45,52,41,41,76,25
85397,"Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte",210,168,60,203,136,119,60,203,192,148,107,119,97,122,184,60
85549,Muramidase,179,143,37,173,116,102,37,173,164,126,91,102,41,104,156,51
85651,"Sedimentation rate, erythrocyte; non-automated",63,50,18,61,37,39,40,61,58,44,33,37,30,30,55,18
86003,"Allergen specific IgE; quantitative or semiquantitative, each allergen",668,534,191,646,434,405,367,646,611,470,420,379,308,389,584,191
86038,Antinuclear antibodies (ANA);,117,94,27,113,70,72,27,113,107,82,61,70,53,56,102,33
86060,Antistreptolysin 0; titer,110,88,31,106,71,63,38,106,101,77,56,62,51,64,96,31
86141,C-reactive protein; high sensitivity (hsCRP),112,90,32,108,73,64,47,108,102,79,57,64,52,65,98,32
86147,"Cardiolipin (phospholipid) antibody, each Ig class",802,642,90,776,521,477,90,776,733,564,410,455,370,467,666,229
86162,Complement; total hemolytic (CH50),174,139,50,168,113,102,67,168,159,122,89,99,80,101,152,50
86200,"Cyclic citrullinated peptide (CCP), antibody",137,110,27,133,81,85,27,133,125,96,71,78,64,95,120,39
86301,"Immunoassay for tumor antigen, quantitative; CA 19-9",307,246,88,297,199,175,169,297,281,216,157,174,146,132,268,88
86304,"Immunoassay for tumor antigen, quantitative; CA 125",190,152,54,184,123,117,104,184,174,134,97,108,86,86,166,54
86308,Heterophile antibodies; screening,84,67,24,81,50,44,54,81,77,59,39,50,40,73,73,24
86316,"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each",260,208,74,252,169,155,135,252,238,183,133,148,117,151,227,74
86317,"Immunoassay for infectious agent antibody, quantitative, not otherwise specified",45,36,13,191,25,26,17,44,41,32,23,26,191,26,39,13
86334,Immunofixation electrophoresis; serum,120,96,34,118,78,68,90,116,110,118,61,68,57,55,105,34
86341,Islet cell antibody,400,320,85,387,259,227,85,387,365,281,204,227,184,233,349,114
86376,"Microsomal antibodies (eg, thyroid or liver-kidney), each",158,126,45,153,103,98,58,153,144,111,88,90,70,138,138,45
86382,"Neutralization test, viral",2856,2285,82,2764,1854,1625,82,2764,2611,2010,1459,1622,1319,1663,2496,817
86431,Rheumatoid factor; quantitative,106,85,30,103,63,66,52,103,97,75,55,64,50,51,93,30
86580,"Skin test; tuberculosis, intradermal",37,30,11,36,24,22,14,36,34,26,23,22,16,17,32,11
86611,Antibody; Bartonella,305,244,87,295,198,174,90,295,279,215,156,173,141,178,267,87
86612,Antibody; Blastomyces,107,86,31,104,69,61,68,104,98,75,55,61,49,62,94,31
86635,Antibody; Coccidioides,100,80,28,96,65,57,45,96,91,70,51,57,43,58,87,28
86651,"Antibody; encephalitis, California (La Crosse)",200,160,40,194,130,114,40,194,183,141,102,114,92,116,175,57
86652,"Antibody; encephalitis, Eastern equine",200,160,40,194,130,114,40,194,183,141,102,114,92,116,175,57
86653,"Antibody; encephalitis, St. Louis",200,160,40,194,130,114,40,194,183,141,102,114,92,116,175,57
86654,"Antibody; encephalitis, Western equine",200,160,40,194,130,114,40,194,183,141,102,114,92,116,175,57
86664,"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)",70,56,20,68,45,40,45,68,64,49,36,40,33,32,61,20
86666,Antibody; Ehrlichia,82,66,23,79,53,51,32,79,75,58,42,47,38,48,72,23
86692,"Antibody; hepatitis, delta agent",241,193,69,233,156,149,93,233,220,170,123,137,111,140,211,69
86695,"Antibody; herpes simplex, type 1",149,119,43,144,97,89,64,144,136,105,76,85,69,68,130,43
86696,"Antibody; herpes simplex, type 2",149,119,38,144,97,89,38,144,136,105,76,85,69,68,130,43
86698,Antibody; histoplasma,143,114,41,138,93,81,45,138,131,101,73,81,66,83,125,41
86705,Hepatitis B core antibody (HBcAb); IgM antibody,181,145,52,175,117,103,70,175,165,127,110,103,84,105,158,52
86706,Hepatitis B surface antibody (HBsAb),178,142,27,172,109,106,27,172,163,125,105,107,79,81,156,51
86707,Hepatitis Be antibody (HBeAb),105,84,30,102,68,65,40,102,96,74,54,60,48,61,92,30
86709,Hepatitis A antibody (HAAb); IgM antibody,173,138,49,167,112,107,67,167,158,122,88,98,80,101,151,49
86711,HC ANTIBODY; JOHN CUNNINGHAM,914,731,52,885,593,520,52,885,836,643,467,519,422,532,799,261
86735,Antibody; mumps,59,47,17,57,38,36,23,57,54,42,30,34,27,24,52,17
86738,Antibody; mycoplasma,68,54,19,66,44,39,52,66,62,48,35,39,31,40,59,19
86753,"Antibody; protozoa, not elsewhere specified",100,80,29,97,65,62,39,97,91,70,51,57,46,58,87,29
86757,Antibody; Rickettsia,87,70,25,84,56,54,79,84,80,61,44,49,40,35,76,25
86762,Antibody; rubella,139,111,40,135,90,84,41,135,127,98,71,79,64,56,121,40
86765,Antibody; rubeola,129,103,37,125,84,82,50,125,118,91,66,73,60,61,113,37
86769,HC SARS-COV-2 COVID-19 ANTIBODY,155,124,43,150,146,43,63,150,142,109,79,88,71,71,135,44
86787,Antibody; varicella-zoster,200,160,47,194,130,115,47,194,183,141,102,114,92,116,169,57
86788,"Antibody; West Nile virus, IgM",139,111,26,135,90,79,26,135,127,98,71,79,64,81,121,40
86789,Antibody; West Nile virus,131,105,37,127,85,75,52,127,120,92,67,74,60,76,114,37
86800,Thyroglobulin antibody,240,192,33,232,59,148,58,232,219,169,33,136,114,140,210,69
86812,"HLA typing; A, B, or C (eg, A10, B7, B27), single antigen",364,291,104,352,236,225,125,352,333,256,186,207,168,157,318,104
86832,HC HLA CLASS I HIGH DEFIN QUAL,761,609,218,736,494,433,293,736,696,536,389,432,358,443,665,218
86923,Compatibility test each unit; electronic,128,102,37,251,78,79,69,124,125,251,65,73,61,59,112,37
87015,"Concentration (any type), for infectious agents",123,98,18,121,73,73,18,119,121,87,75,70,54,58,107,35
87040,"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)",158,126,45,310,96,98,115,153,144,310,82,93,74,75,138,45
87045,"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species",145,116,18,142,86,87,18,140,142,102,74,82,64,69,126,41
87071,"Culture, bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool",104,83,30,101,61,59,40,101,95,73,53,59,50,45,91,30
87075,"Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive identification of isolates",139,111,36,135,90,79,54,135,127,98,36,79,64,81,121,40
87077,"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate",126,101,18,122,74,72,18,122,115,48,74,72,59,60,110,36
87086,"Culture, bacterial; quantitative colony count, urine",124,99,34,122,76,77,34,120,113,122,64,56,55,59,108,35
87088,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine",126,101,17,122,77,78,17,122,115,89,74,57,57,60,110,36
87149,"Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed",352,282,28,341,28,166,136,341,322,248,180,200,238,237,308,101
87158,"Culture, typing; other methods",31,25,9,32,20,18,12,30,28,22,32,18,14,14,27,9
87177,"Ova and parasites, direct smears, concentration and identification",56,45,16,54,36,32,36,54,51,39,29,32,26,33,49,16
87186,"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate",136,109,37,132,82,84,37,132,124,96,80,61,60,65,119,39
87206,"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types",52,42,15,51,34,30,17,51,48,37,27,30,24,31,46,15
87207,"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)",73,58,21,71,47,42,37,71,67,51,37,41,32,42,64,21
87209,"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites",102,82,26,99,66,58,39,99,93,72,52,58,47,26,89,29
87210,"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)",67,54,19,65,40,41,37,65,61,47,35,38,32,58,55,19
87272,Infectious agent antigen detection by immunofluorescent technique; cryptosporidium,148,118,42,143,96,84,57,143,135,104,76,84,68,68,129,42
87324,"Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, multiple-step method; Clostridium difficile toxin(s)",62,50,12,60,40,35,24,60,57,44,32,35,12,36,54,18
87338,"Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, multiple-step method; Helicobacter pylori, stool",197,158,14,191,128,122,54,191,180,139,101,112,14,85,172,56
87340,"Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, multiple-step method; hepatitis B surface antigen (HBsAg)",154,123,27,149,94,95,27,149,141,108,91,92,72,73,135,44
87350,"Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, multiple-step method; hepatitis Be antigen (HBeAg)",105,84,30,102,68,65,40,102,96,74,54,60,48,61,92,30
87385,"Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, multiple-step method; Histoplasma capsulatum",286,229,54,277,186,163,54,277,262,202,146,163,85,167,250,82
87389,HC HIV-1 AG W/ HIV-1 & HIV-2 AB,145,116,34,140,136,87,34,140,133,102,86,87,69,131,126,41
87486,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique",82,66,23,79,48,41,58,79,75,58,43,46,39,55,72,23
87491,"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique",297,238,54,287,279,184,54,287,274,209,175,178,128,259,259,85
87497,"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, quantification",597,478,86,578,387,340,86,578,546,420,305,339,273,348,522,171
87498,"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique",210,168,60,203,136,119,81,203,192,148,107,119,97,107,184,60
87502,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, reverse transcription and amplified probe technique, first 2 types or sub-types",326,261,90,319,195,125,90,319,298,309,105,196,141,140,284,93
87507,HC IADNA-DNA/RNA PROBE TQ 12-25,968,774,115,978,571,598,115,978,885,681,589,550,459,803,846,277
87517,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification",354,283,101,343,230,219,136,343,324,249,181,201,163,206,309,101
87522,"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification",389,311,111,376,252,240,115,376,356,274,237,221,180,350,340,111
87529,"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique",309,247,88,299,201,176,115,299,282,217,161,175,143,180,270,88
87556,"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique",309,247,78,299,201,176,78,299,282,217,158,175,143,180,270,88
87581,"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique",82,66,23,79,48,41,58,79,75,58,43,46,39,55,72,23
87633,HC RESP VIRUS 20 TARGETS,568,454,58,550,335,351,58,550,519,400,295,315,267,495,496,162
87635,Infectious agent detection by nucleic acid; severe acute respiratory syndrome coronavirus COVID-19,155,124,44,152,91,53,77,152,142,59,51,87,71,71,135,44
87660,"Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, direct probe technique",252,202,72,244,164,144,97,244,230,177,129,143,116,147,220,72
87799,"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism",538,430,115,521,349,306,115,521,492,379,275,306,251,313,470,154
87801,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique",172,138,49,235,112,104,66,166,157,121,88,98,69,235,150,49
87902,Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus,384,307,110,372,249,237,148,372,351,270,241,218,177,224,336,110
87912,HC GENOTYPE DNA HEPATITIS B,1120,896,320,1084,727,692,432,1084,1024,788,572,636,517,652,979,320
88104,"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation",78,62,22,75,51,44,30,75,71,55,40,44,36,45,68,22
88112,"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal",144,115,41,139,93,82,56,139,132,101,74,82,70,60,126,41
88185,"Flow cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker (List separately in addition to code for first marker)",116,92,33,112,75,66,83,112,106,81,59,66,95,67,101,33
88300,"Level I - Surgical pathology, gross examination only",78,62,22,75,51,48,30,75,71,55,40,44,37,34,68,22
88302,"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental, Fallopian tube, sterilization, Fingers/toes, amputation, traumatic, Foreskin, newborn, Hernia sac, any location, Hydrocele sac, Nerve, Skin, plastic repair, Sympathetic ganglion, Testis, castration, Vaginal mucosa, incidental, Vas deferens, sterilization",158,126,45,153,103,98,61,153,144,111,93,90,70,92,138,45
88304,"Level III - Surgical pathology, gross and microscopic examination Abortion, induced, Abscess, Aneurysm - arterial/ventricular, Anus, tag, Appendix, other than incidental, Artery, atheromatous plaque, Bartholin's gland cyst, Bone fragment(s), other than pathologic fracture, Bursa/synovial cyst, Carpal tunnel tissue, Cartilage, shavings, Cholesteatoma, Colon, colostomy stoma, Conjunctiva - biopsy/pterygium, Cornea, Diverticulum - esophagus/small intestine, Dupuytren's contracture tissue, Femoral head, other than fracture, Fissure/fistula, Foreskin, other than newborn, Gallbladder, Ganglion cyst, Hematoma, Hemorrhoids, Hydatid of Morgagni, Intervertebral disc, Joint, loose body, Meniscus, Mucocele, salivary, Neuroma - Morton's/traumatic, Pilonidal cyst/sinus, Polyps, inflammatory - nasal/sinusoidal, Skin - cyst/tag/debridement, Soft tissue, debridement, Soft tissue, lipoma, Spermatocele, Tendon/tendon sheath, Testicular appendage, Thrombus or embolus, Tonsil and/or adenoids, Varicocele, Vas deferens, other than sterilization, Vein, varicosity",166,132,47,160,107,101,123,160,151,116,144,94,77,142,145,47
88305,"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed, Artery, biopsy, Bone marrow, biopsy, Bone exostosis, Brain/meninges, other than for tumor resection, Breast, biopsy, not requiring microscopic evaluation of surgical margins, Breast, reduction mammoplasty, Bronchus, biopsy, Cell block, any source, Cervix, biopsy, Colon, biopsy, Duodenum, biopsy, Endocervix, curettings/biopsy, Endometrium, curettings/biopsy, Esophagus, biopsy, Extremity, amputation, traumatic, Fallopian tube, biopsy, Fallopian tube, ectopic pregnancy, Femoral head, fracture, Fingers/toes, amputation, non-traumatic, Gingiva/oral mucosa, biopsy, Heart valve, Joint, resection, Kidney, biopsy, Larynx, biopsy, Leiomyoma(s), uterine myomectomy - without uterus, Lip, biopsy/wedge resection, Lung, transbronchial biopsy, Lymph node, biopsy, Muscle, biopsy, Nasal mucosa, biopsy, Nasopharynx/oropharynx, biopsy, Nerve, biopsy, Odontogenic/dental cyst, Omentum, biopsy, Ovary with or without tube, non-neoplastic, Ovary, biopsy/wedge resection, Parathyroid gland, Peritoneum, biopsy, Pituitary tumor, Placenta, other than third trimester, Pleura/pericardium - biopsy/tissue, Polyp, cervical/endometrial, Polyp, colorectal, Polyp, stomach/small intestine, Prostate, needle biopsy, Prostate, TUR, Salivary gland, biopsy, Sinus, paranasal biopsy, Skin, other than cyst/tag/debridement/plastic repair, Small intestine, biopsy, Soft tissue, other than tumor/mass/lipoma/debridement, Spleen, Stomach, biopsy, Synovium, Testis, other than tumor/biopsy/castration, Thyroglossal duct/brachial cleft cyst, Tongue, biopsy, Tonsil, biopsy, Trachea, biopsy, Ureter, biopsy, Urethra, biopsy, Urinary bladder, biopsy, Uterus, with or without tubes and ovaries, for prolapse, Vagina, biopsy, Vulva/labia, biopsy",230,184,66,874,132,202,89,223,874,162,280,131,151,194,201,66
88307,"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection, Bone - biopsy/curettings, Bone fragment(s), pathologic fracture, Brain, biopsy, Brain/meninges, tumor resection, Breast, excision of lesion, requiring microscopic evaluation of surgical margins, Breast, mastectomy - partial/simple, Cervix, conization, Colon, segmental resection, other than for tumor, Extremity, amputation, non-traumatic, Eye, enucleation, Kidney, partial/total nephrectomy, Larynx, partial/total resection, Liver, biopsy - needle/wedge, Liver, partial resection, Lung, wedge biopsy, Lymph nodes, regional resection, Mediastinum, mass, Myocardium, biopsy, Odontogenic tumor, Ovary with or without tube, neoplastic, Pancreas, biopsy, Placenta, third trimester, Prostate, except radical resection, Salivary gland, Sentinel lymph node, Small intestine, resection, other than for tumor, Soft tissue mass (except lipoma) - biopsy/simple excision, Stomach - subtotal/total resection, other than for tumor, Testis, biopsy, Thymus, tumor, Thyroid, total/lobe, Ureter, resection, Urinary bladder, TUR, Uterus, with or without tubes and ovaries, other than neoplastic/prolapse",469,375,134,454,304,267,181,454,429,330,240,266,234,202,410,134
88312,"Special stains; Group I for microorganisms (eg, Gridley, acid fast, methenamine silver), including interpretation and report, each",217,174,62,210,141,123,84,210,198,153,111,123,102,126,190,62
88341,PBB IMMUNOHISTO ANTIBODY ADDL SLIDE,705,564,83,682,458,311,160,682,644,496,360,400,83,374,616,202
88342,"Immunohistochemistry (including tissue immunoperoxidase), each antibody",216,173,62,209,123,125,83,209,197,152,127,123,99,182,189,62
88346,"Immunofluorescent study, each antibody; direct method",311,249,89,301,202,177,120,301,284,219,177,177,144,181,272,89
88350,HC IMMUNOFLUOR ANTB ADDL STAIN,244,195,70,236,158,139,94,236,223,172,139,139,113,142,213,70
89321,"Semen analysis; sperm presence and motility of sperm, if performed",98,78,28,95,92,56,38,95,90,69,50,56,45,57,86,28
90662,"Influenza virus vaccine, split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use",65,52,19,63,55,37,25,63,59,46,33,37,30,56,57,19
90670,"Pneumococcal conjugate vaccine, 13 valent, for intramuscular use",242,194,69,234,157,138,93,234,221,170,124,137,112,230,211,69
90675,"Rabies vaccine, for intramuscular use",971,776,278,939,630,552,309,939,887,683,496,491,448,565,848,278
90686,Influenza virus vaccine,38,30,11,37,20,22,15,37,35,27,19,22,18,20,33,11
90714,"Tetanus and diphtheria toxoids (Td) adsorbed, preservative free, when administered to individuals 7 years or older, for intramuscular use",168,134,48,162,109,95,65,162,153,118,86,100,77,98,146,48
90715,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use",148,118,34,143,139,85,34,143,135,104,90,86,68,120,126,42
90732,"Pneumococcal polysaccharide vaccine, 23-valent, adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use",119,95,34,120,112,68,46,115,109,84,61,68,55,120,104,34
92507,"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual",443,354,127,429,288,252,213,429,405,312,226,252,204,204,387,127
92522,HC EVALUATE SPEECH PRODUCTION,201,161,57,195,130,114,77,195,184,141,103,114,95,117,176,57
92523,HC EVAL SPEECH SOUND LANG COMPREHEN,429,343,123,415,278,244,165,415,392,302,219,244,197,197,375,123
92526,Treatment of swallowing dysfunction and/or oral function for feeding,462,370,132,447,300,263,174,447,422,325,236,262,213,269,404,132
92610,Evaluation of oral and pharyngeal swallowing function,284,227,81,274,184,161,174,274,259,199,145,161,132,165,248,81
92950,"Cardiopulmonary resuscitation (eg, in cardiac arrest)",920,736,263,890,559,523,355,890,841,647,520,522,401,536,804,263
93225,"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)",562,450,155,544,332,341,155,544,514,395,336,319,249,490,491,161
93226,External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report,812,650,232,786,479,492,310,786,742,666,486,461,360,708,710,232
93308,"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study",1469,1175,420,1422,953,836,682,1422,1343,1034,750,834,646,696,1284,420
93880,Duplex scan of extracranial arteries; complete bilateral study,2038,1630,232,1972,1202,1159,232,1972,1863,1434,1060,1157,897,966,1781,583
93970,Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study,896,717,256,865,537,404,399,865,820,631,519,509,419,399,783,256
94618,HC PULMONARY STRESS TESTING,189,151,54,183,123,108,73,183,173,133,97,107,87,87,165,54
94760,Noninvasive ear or pulse oximetry for oxygen saturation; single determination,59,47,17,57,38,36,23,57,54,29,30,34,28,25,52,17
94762,Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure),213,170,61,206,138,121,82,206,195,150,109,121,101,86,186,61
95115,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection,25,20,7,24,8,14,10,24,23,18,13,14,12,15,22,7
96360,"Intravenous infusion, hydration; initial, 31 minutes to 1 hour",187,150,53,181,114,71,177,181,171,165,97,112,89,80,163,53
96361,"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)",153,122,15,277,55,32,277,200,75,150,27,85,97,89,178,15
96365,"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour",225,180,64,220,133,134,195,218,220,220,117,135,107,104,196,64
96366,"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)",68,54,19,145,39,61,145,57,62,130,40,39,57,31,55,19
96367,"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion, up to 1 hour (List separately in addition to code for primary procedure)",105,84,30,195,62,62,195,99,96,99,53,61,48,87,84,30
96368,"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)",234,187,67,226,152,123,195,226,214,165,120,133,103,101,205,67
96374,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug",184,147,53,180,109,97,101,178,180,154,58,106,87,87,166,53
96376,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)",99,79,28,167,77,59,107,64,141,64,50,124,46,60,167,28
96377,HC APPLICATON ON-BODY INJECTOR,48,38,14,46,31,29,18,46,43,33,24,27,21,28,42,14
96401,"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic",186,149,53,180,121,111,72,180,170,131,95,106,85,86,163,53
96409,"Chemotherapy administration; intravenous, push technique, single or initial substance/drug",336,269,96,325,218,191,130,325,307,236,172,191,146,144,294,96
96411,"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)",172,138,49,166,112,98,66,166,157,121,89,98,82,82,150,49
96413,"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug",456,365,130,447,277,282,391,447,417,321,237,259,216,210,399,130
96415,"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)",106,85,30,103,69,60,41,103,97,75,53,60,89,47,93,30
96416,"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump",374,299,107,362,243,213,277,362,342,263,195,212,177,161,327,107
96417,"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)",177,142,51,196,115,196,195,158,162,125,89,101,81,81,155,51
96523,Irrigation of implanted venous access device for drug delivery systems,71,57,20,69,40,44,27,69,65,50,36,40,34,32,62,20
97018,Application of a modality to 1 or more areas; paraffin bath,135,108,39,131,88,83,52,131,123,95,69,77,62,79,118,39
97032,"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes",93,74,27,135,60,55,135,90,85,65,53,53,43,78,81,27
97112,"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities",140,112,40,137,109,87,135,137,128,64,73,80,67,67,122,40
97140,"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes",148,118,42,280,87,88,149,280,135,62,87,69,68,125,129,42
97161,Physical Therapy Evaluation of low complexity,303,242,87,297,185,187,149,297,277,132,179,172,144,144,273,87
97162,Physical Therapy Evaluation of moderate complexity,331,265,90,324,198,205,149,324,303,152,195,188,157,152,289,90
97163,Physical Therapy Evaluation of high complexity,364,292,104,353,237,222,142,353,333,256,186,207,158,242,319,104
97164,Physical Therapy Re-Evaluation of an established plan of care,174,139,50,168,113,108,149,168,159,122,89,99,83,83,152,50
97165,HC OT EVAL LOW COMPLEX,303,242,65,293,179,187,65,293,277,213,155,172,144,139,265,87
97166,HC OT EVAL MOD COMPLEX,341,273,62,330,201,205,62,330,312,240,174,159,157,157,298,98
97167,HC OT EVAL HIGH COMPLEX,359,287,94,347,218,222,94,347,328,253,187,204,157,154,314,103
97750,"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes",95,76,27,142,56,57,142,92,87,42,49,54,44,44,83,27
97760,"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(s), lower extremity(s) and/or trunk, each 15 minutes",135,108,39,136,83,82,136,131,123,95,75,81,64,64,118,39
97802,"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes",308,246,67,298,200,175,67,298,281,216,157,175,181,178,269,88
98925,Osteopathic manipulative treatment (OMT); 1-2 body regions involved,108,86,23,105,23,61,42,105,99,76,55,61,50,63,94,31
98926,Osteopathic manipulative treatment (OMT); 3-4 body regions involved,155,124,35,179,35,88,60,150,142,109,79,88,179,90,135,44
98927,Osteopathic manipulative treatment (OMT); 5-6 body regions involved,201,161,46,195,46,114,77,195,184,141,103,114,189,117,176,57
98928,Osteopathic manipulative treatment (OMT); 7-8 body regions involved,248,198,71,240,161,141,96,240,227,175,127,141,198,144,217,71
99195,"Phlebotomy, therapeutic (separate procedure)",140,112,40,135,91,87,54,135,128,99,72,80,67,81,122,40
99201,"Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Physicians typically spend 10 minutes face-to-face with the patient and/or family.",95,76,27,169,62,54,37,92,87,67,49,54,169,55,83,27
99217,"Observation care discharge day management (This code is to be utilized by the physician to report all services provided to a patient on discharge from ""observation status"" if the discharge is on other than the initial date of ""observation status."" To report services to a patient designated as ""observation status"" or ""inpatient status"" and discharged on the same date, use the codes for Observation or Inpatient Care Services [including Admission and Discharge Services, 99234-99236 as appropriate.])",164,131,47,159,106,101,63,159,150,115,84,93,77,95,143,47
99218,"Initial observation care, per day, for the evaluation and management of a patient which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission to ""observation status"" are of low severity.",212,170,61,205,138,121,82,205,194,149,108,120,106,123,185,61
99219,"Initial observation care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission to ""observation status"" are of moderate severity.",276,221,79,267,179,171,106,267,252,194,141,157,147,161,241,79
99220,"Initial observation care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission to ""observation status"" are of high severity.",364,291,104,352,236,207,140,352,333,256,186,207,196,212,318,104
99224,"Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: Problem focused interval history; Problem focused examination; Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is stable, recovering, or improving. Physicians typically spend 15 minutes at the bedside and on the patient's hospital floor or unit.",135,108,39,131,88,77,52,131,123,95,69,77,42,79,118,39
99225,"Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Physicians typically spend 25 minutes at the bedside and on the patient's hospital floor or unit.",154,123,44,149,100,88,59,149,141,108,79,87,77,90,135,44
99234,"Observation or inpatient hospital care, for the evaluation and management of a patient including admission and discharge on the same date, which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually the presenting problem(s) requiring admission are of low severity.",275,220,79,266,178,156,106,266,251,194,140,156,141,160,240,79
99305,"Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of moderate severity. Physicians typically spend 35 minutes at the bedside and on the patient's facility floor or unit.",280,224,80,271,182,159,108,271,256,197,143,159,225,163,245,80
99307,"Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is stable, recovering, or improving. Physicians typically spend 10 minutes at the bedside and on the patient's facility floor or unit.",310,248,89,300,201,176,119,300,283,218,158,176,231,180,270,89
99308,"Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Physicians typically spend 15 minutes at the bedside and on the patient's facility floor or unit.",158,126,31,183,103,32,61,153,144,111,31,90,183,92,138,45
99309,"Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient has developed a significant complication or a significant new problem. Physicians typically spend 25 minutes at the bedside and on the patient's facility floor or unit.",196,157,56,205,127,69,76,190,179,138,67,111,205,114,171,56
99315,Nursing facility discharge day management; 30 minutes or less,165,132,47,181,107,94,64,160,151,116,84,94,181,96,144,47
99396,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years",209,167,60,207,136,101,81,202,191,147,107,119,97,207,183,60
99397,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 65 years and older",229,183,65,222,149,130,88,222,209,161,117,130,106,211,200,65
99441,"Telephone evaluation and management service provided by a physician to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion",26,21,7,25,25,15,10,25,24,18,13,15,12,15,23,7
99442,"Telephone evaluation and management service provided by a physician to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion",50,40,14,49,49,28,19,48,46,35,26,28,23,29,44,14
99443,"Telephone evaluation and management service provided by a physician to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion",77,62,22,76,76,44,30,75,70,54,39,44,36,45,67,22
A0000,,37,29,10,35,24,21,14,35,33,26,19,21,17,17,32,10
A0998,"Ambulance response and treatment, no transport",150,120,43,145,97,91,58,145,137,106,77,85,69,87,131,43
A9270,Non-covered item or service,20,16,6,19,13,11,8,19,18,14,10,11,9,9,18,6
C1713,"HC ANCHOR/SCREW BN/BN,TIS/BN LVL 35",1422,1138,407,1376,923,879,548,1376,1300,1001,726,808,675,611,1243,407
C1751,HC MIDLINE INFUSION CATH LVL 15,1083,866,310,1048,703,616,417,1048,990,762,553,615,506,630,946,310
C1776,HC JOINT DEVICE (IMPLANTABLE) LVL 45,33770,27016,4268,32681,21918,12590,13018,32681,30871,23764,4268,19178,15404,14521,29513,9658
C1778,"HC LEAD, NEUROSTIMULATOR LVL 13",1800,1440,515,2054,1168,1024,694,1742,1645,1267,2054,1022,828,828,1573,515
C1781,HC MESH (IMPLANTABLE) LVL 30,1666,1333,476,1612,1081,999,642,1612,1523,1172,950,946,806,970,1456,476
C1788,HC IMPL INDWELLING PORT LVL 12,891,713,255,862,578,507,343,862,815,627,455,506,410,410,779,255
C1889,HC SPINAL IMPLANT LVL 31,2082,1666,595,2015,1351,1184,803,2015,1903,1465,1063,1182,958,1212,1820,595
C9113,"Injection, pantoprazole sodium, per vial",33,26,6,57,19,14,6,57,32,23,13,19,14,27,29,9
C9290,"Injection, bupivacaine liposome",1155,924,330,1118,750,714,388,1118,1056,813,590,656,532,497,1010,330
C9803,"HC HOSP OP CLINIC VISIT SPEC COLLEC SARS-COV-2 COVID-19, ANY SOURCE",26,21,7,25,15,15,10,25,25,18,15,15,12,23,23,7
G0071,PBB COMM SVCS BY RHC/FQHC 5 MIN,52,42,15,50,34,30,20,50,48,37,27,30,25,30,45,15
G0103,Prostate cancer screening; prostate specific antigen test (PSA),275,220,50,266,168,164,50,266,251,194,143,156,129,248,228,79
G0105,Colorectal cancer screening; colonoscopy on individual at high risk,2949,2359,802,2854,1914,1686,2551,2854,2696,2075,1506,1675,802,1397,2577,843
G0121,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk,2994,2395,856,2897,1740,1686,2522,2897,2737,1379,1529,1700,1397,1196,2616,856
G0260,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography",2730,2184,273,2642,1564,1553,273,2642,2496,1921,1394,1550,1256,1219,2386,781
G0283,"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care",127,102,36,123,82,72,49,123,116,89,65,72,60,55,111,36
G0328,"Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous",72,57,20,69,43,41,28,69,69,50,37,41,32,29,62,20
G0379,Direct admission of patient for hospital observation care,282,226,81,273,172,174,109,273,258,198,166,160,134,134,246,81
G0402,"Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of Medicare enrollment",142,114,41,138,92,81,55,137,130,100,73,81,138,83,124,41
G0424,"Pulmonary rehabilitation, including exercise (includes monitoring), one hour, per session, up to two sessions per day",95,76,27,92,62,54,37,92,87,67,48,54,44,55,83,27
G0480,Drug test def 1-7 classes,169,135,48,164,98,96,65,164,154,119,86,96,78,77,148,48
G2025,Dis site tele svcs rhc/fqhc,146,117,42,141,95,83,56,141,133,103,75,83,92,85,128,42
J0129,"Injection, abatacept, 10 mg",10892,8713,3115,10540,7069,6196,4199,10540,9957,7664,5563,6185,4803,4876,9519,3115
J0131,Acetaminophen injection,132,106,38,130,78,73,48,128,130,93,40,75,61,61,116,38
J0153,PBB ADENOSINE INJ 1 MG,73,58,4,71,47,45,4,71,67,51,37,41,13,42,64,21
J0330,"Injection, succinylcholine chloride, up to 20 mg",60,48,15,58,27,34,15,58,55,42,31,34,26,52,52,17
J0360,"Injection, hydralazine HCl, up to 20 mg",36,28,2,34,23,20,2,34,32,25,18,20,15,27,31,10
J0456,"Injection, azithromycin, 500 mg",46,37,3,45,25,28,3,45,42,33,24,26,22,20,40,13
J0485,Belatacept injection,3864,3092,1105,3740,2508,2198,1490,3740,3533,2719,1974,2195,1772,2250,3377,1105
J0500,"Injection, dicyclomine HCl, up to 20 mg",220,176,60,213,143,125,60,213,201,155,112,125,102,128,192,63
J0610,"Injection, calcium gluconate, per 10 ml",56,45,15,54,36,32,22,54,51,39,15,32,26,33,49,16
J0696,"Injection, ceftriaxone sodium, per 250 mg",76,61,22,74,49,43,29,73,69,74,39,43,35,44,66,22
J0702,"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg",149,120,37,145,97,85,37,145,137,70,84,85,69,69,131,43
J0713,"Injection, ceftazidime, per 500 mg",35,28,10,34,23,20,13,34,32,25,18,20,16,30,31,10
J0717,Certolizumab pegol inj 1mg,6767,5413,1935,6549,4392,3849,2608,6549,6186,4762,3456,3843,3210,3939,5914,1935
J0743,"Injection, cilastatin sodium; imipenem, per 250 mg",67,53,19,65,43,38,26,65,61,47,34,38,32,39,58,19
J0780,"Injection, prochlorperazine, up to 10 mg",44,35,10,43,27,20,10,43,43,31,13,25,21,20,39,13
J0878,"Injection, daptomycin, 1 mg",2076,1661,210,2009,1347,1181,210,2009,1898,1461,1060,1179,959,1208,1814,594
J0885,"Injection, epoetin alfa, (for non-ESRD use), 1000 units",485,388,139,470,315,276,187,470,444,341,248,276,230,282,424,139
J1030,"Injection, methylprednisolone acetate, 40 mg",50,40,7,49,12,23,7,49,46,35,26,29,23,24,44,14
J1040,"Injection, methylprednisolone acetate, 80 mg",79,63,12,77,26,33,12,77,72,55,34,45,37,36,69,23
J1050,PBB MEDROXYPROGESTERONE ACETATE,204,163,58,197,132,116,79,197,186,143,104,116,89,119,178,58
J1200,"Injection, diphenhydramine HCl, up to 50 mg",24,19,1,23,14,7,1,23,22,17,7,13,11,11,21,7
J1335,"Injection, Ertapenem sodium, 500 mg",228,182,65,220,134,130,88,220,208,160,116,129,105,98,199,65
J1439,HC INJ FERRIC CARBOXYMALTOS 1MG,2137,1710,611,2068,1387,1216,855,2068,1953,1504,1091,1214,983,1244,1868,611
J1453,"Injection, fosaprepitant, 1 mg",890,712,255,872,578,506,343,872,814,626,455,506,387,518,778,255
J1580,"Injection, garamycin, gentamicin, up to 80 mg",71,57,6,69,46,18,6,69,65,50,36,41,31,31,62,20
J1610,"Injection, glucagon hydrochloride, per 1 mg",927,742,205,897,602,411,205,897,848,652,474,527,440,810,810,265
J1630,"Injection, haloperidol, up to 5 mg",23,18,6,22,15,14,9,22,21,16,6,13,10,10,20,7
J1756,"Injection, iron sucrose, 1 mg",235,188,48,227,153,145,48,227,215,165,122,133,108,108,205,67
J1940,"Injection, furosemide, up to 20 mg",38,30,11,37,24,21,14,36,34,37,19,21,17,22,33,11
J1953,"Injection, levetiracetam, 10 mg",73,58,19,91,47,41,28,70,66,51,37,41,19,91,64,21
J2060,"Injection, lorazepam, 2 mg",24,19,1,24,14,14,1,23,24,17,12,13,11,11,21,7
J2270,"Injection, morphine sulfate, up to 10 mg",80,64,23,79,52,46,31,78,74,79,41,46,37,47,70,23
J2350,"Injection, ocrelizumab, 1 mg",81270,65016,23242,78649,47949,46232,31328,78649,74294,57189,41509,46154,37531,41448,71026,23242
J2360,"Injection, orphenadrine citrate, up to 60 mg",36,28,7,34,7,11,7,34,33,25,9,20,16,16,29,10
J2370,"Injection, phenylephrine HCl, up to 1 ml",35,28,10,33,22,20,13,33,32,24,18,20,16,16,30,10
J2405,"Injection, ondansetron hydrochloride, per 1 mg",21,17,0,22,13,12,0,21,22,15,11,12,10,10,19,6
J2469,"Injection, palonosetron HCl, 25 mcg",106,85,30,104,69,66,34,104,97,75,55,60,46,46,93,30
J2507,Pegloticase injection,53886,43108,15410,52148,34973,31081,21118,52148,49260,37919,27522,30602,24787,23979,47093,15410
J2765,"Injection, metoclopramide HCl, up to 10 mg",25,20,2,24,16,12,2,24,23,17,8,13,11,21,22,7
J2920,"Injection, methylprednisolone sodium succinate, up to 40 mg",42,34,5,44,31,24,5,41,39,30,44,24,20,18,37,12
J3030,"Injection, sumatriptan succinate, 6 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)",46,37,13,45,30,15,18,45,42,33,15,26,20,27,41,13
J3360,"Injection, diazepam, up to 5 mg",108,86,19,175,70,66,19,105,99,76,31,61,50,175,94,31
J3370,"Injection, vancomycin HCl, 500 mg",33,27,10,40,20,24,40,32,31,24,34,19,15,29,29,10
J3410,"Injection, hydroxyzine HCl, up to 25 mg",75,60,13,73,49,23,14,73,13,53,22,45,36,32,65,21
J3411,"Injection, thiamine HCl, 100 mg",45,36,2,87,29,14,2,87,41,31,12,25,21,14,39,13
J3420,"Injection, vitamin B-12 cyanocobalamin, up to 1000 mcg",37,29,2,36,2,23,14,36,34,26,19,21,17,17,32,11
J3486,"Injection, ziprasidone mesylate, 10 mg",192,153,55,185,124,110,74,185,175,135,98,109,83,112,167,55
J7042,5% dextrose/normal saline (500 ml = 1 unit),36,29,10,35,24,19,14,35,33,26,19,21,17,21,32,10
J7325,"Hyaluronan or derivative, Synvisc or Synvisc-One, for intra-articular injection, 1 mg",1317,1054,11,1275,11,749,508,1275,1204,927,673,748,608,767,1151,377
J7613,"Albuterol, inhalation solution, FDA-approved final product, non-compounded, administered through DME, unit dose, 1 mg",16,13,0,69,9,7,0,15,14,11,8,9,7,8,69,4
J7620,"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, FDA-approved final product, non-compounded, administered through DME",16,13,0,28,10,10,0,16,15,11,9,9,7,28,14,5
J7644,"Ipratropium bromide, inhalation solution, FDA-approved final product, non-compounded, administered through DME, unit dose form, per milligram",16,13,4,15,10,9,6,15,14,11,5,9,7,9,14,4
J9000,"Injection, doxorubicin hydrochloride, 10 mg",194,155,52,188,126,111,52,188,178,137,99,110,53,113,170,56
J9022,"Inj, atezolizumab,10 mg",23005,18404,6579,22263,14931,13151,8868,22263,21030,16188,11750,13065,10583,13392,20105,6579
J9041,"Injection, bortezomib, 0.1 mg",2996,2397,857,2899,1944,2326,1771,2899,2739,2108,1530,1701,890,1536,2618,857
J9181,"Injection, etoposide, 10 mg",74,59,21,67,48,46,28,65,67,52,38,42,34,38,64,21
J9190,"Injection, fluorouracil, 500 mg",143,115,41,139,93,82,55,139,131,101,80,81,44,62,125,41
J9206,"Injection, irinotecan, 20 mg",188,151,54,182,122,107,73,182,172,132,113,107,84,82,164,54
J9264,"Injection, paclitaxel protein-bound particles, 1 mg",3888,3111,1112,3763,2524,2212,1499,3763,3554,2736,1986,2208,2314,1373,3398,1112
J9271,HC INJ PEMBROLIZUMAB 1 MG,23622,18898,6755,22860,15331,13438,11326,22860,21594,16623,12065,13415,10394,11194,20644,6755
J9299,"HC INJECTION, NIVOLUMAB 1 MG",32436,25948,7585,31390,21052,18452,12503,31390,29652,22825,16567,18420,7585,13947,28347,9276
J9306,"HC INJECTION, PERTUZUMAB, 1 MG",13255,10604,3791,12828,8603,7540,5110,12828,12117,9327,6770,7528,5954,6097,11584,3791
J9351,"Injection, topotecan, 0.1 mg",186,149,53,180,121,106,72,180,170,131,95,105,86,95,162,53
J9355,"Injection, trastuzumab, 10 mg",13004,10403,3719,12584,8440,7397,5013,12584,11888,9151,6642,7385,5659,7570,11365,3719
J9999,"Not otherwise classified, antineoplastic drugs",25,20,7,24,15,14,10,24,23,17,13,14,11,14,22,7
P9021,"Red blood cells, each unit",597,478,171,578,387,340,230,578,546,420,305,339,283,348,522,171
P9045,"Infusion, albumin (human), 5%, 250 ml",149,119,43,144,97,85,57,144,136,105,76,84,65,87,130,43
P9604,Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge.,2,2,1,2,2,1,1,2,2,1,1,1,1,1,2,1
Q0138,"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-ESRD use)",1153,922,330,1116,748,606,444,1116,1054,811,589,655,532,671,1008,330
Q0177,"Hydroxyzine 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, not to exceed a 48 hour dosage regimen",17,13,1,16,11,10,1,16,15,12,11,10,8,4,15,5
Q5110,Nivestym,474,380,136,459,308,270,183,459,434,334,242,269,218,276,415,136
Q5119,"Inj ruxience, 10 mg",14405,11524,4120,13940,9349,8195,5553,13940,13169,10137,7357,8181,6626,8386,12589,4120
Q9955,"Injection, perflexane lipid microspheres, per ml",68,54,19,66,44,39,26,66,62,48,35,39,31,31,59,19
Q9968,"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., Methylene Blue, Isosulfan Blue), 1 mg",1740,1392,498,1684,1129,990,671,1684,1590,1224,889,988,803,748,1520,498
S0028,"Injection, famotidine, 20 mg",23,19,1,22,15,12,1,22,21,16,12,13,11,13,20,7
S0109,"Methadone, oral, 5 mg",16,13,5,16,10,9,6,16,15,11,5,9,7,9,14,5
T1015,"Clinic visit/encounter, all-inclusive",209,167,60,202,136,138,81,202,191,147,64,119,97,122,183,60
U0002,HC COVID-19 LAB TEST NON-CDC OTHER,155,124,44,150,91,88,60,150,142,109,79,88,71,90,135,44
U0004,HC COV-19 TEST NON-CDC HGH THRU,155,124,44,152,91,103,150,150,152,85,100,87,71,135,135,44
,,,,,,,,,,,,,,,,,
DRG,Description,Charges,Charges Low,Min Negotiated,Max Negotiated,Aetna,Amerigroup,Blue cross,Cigna,Commercial,Humana,Iowa total care,Medicaid,Medicare,Uhc,Umr,Veterans adminstration
Inpatients,,,,,,,,,,,,,,,,,
190,"DRG CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS",13596,13596,3888,13158,8824,11479,5241,13158,12429,9568,6944,7721,6279,7915,11882,3888
194,"DRG SIMPLE PNEUMONIA AND PLEURISY WITH COMPLICATION OR COMORBIDITY (CC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS",16151,14341,4619,15630,8461,7947,6226,15630,14765,11365,8249,9172,7458,9402,14115,4619
204,DRG RESPIRATORY SIGNS AND SYMPTOMS,10262,10262,2935,9931,6660,5838,3956,9931,9381,8944,5241,5828,4739,5974,8968,2935
372,DRG MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC),26234,26234,7502,25388,17027,10005,10113,25388,23982,18461,13399,14899,12115,15272,22927,7502
442,"DRG DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH COMPLICATION OR COMORBIDITY (CC)",8606,6940,2461,10655,5586,4896,3318,8329,7868,10655,4396,4888,3974,5010,7522,2461
462,DRG BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC),94774,94774,27104,91718,61511,53914,36534,91718,86640,66692,48407,53823,43767,83402,82828,27104
470,Major joint replacement or reattachment of lower extremity without major comorbid conditions or complications (MCC).,58099,58099,16615,56225,37708,33051,22396,56225,53112,23831,29674,32995,26830,33822,50776,16615
481,"DRG HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS",23948,23948,6849,30330,15543,30330,9231,23175,21892,16852,12231,13600,11059,13941,20929,6849
603,"DRG CELLULITIS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS",16258,15274,1816,15734,8156,9249,6267,15734,14862,1816,8304,9233,7508,9464,14209,4649
640,"DRG MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC)",24518,24518,7012,26805,15913,13948,9451,23727,22414,26805,12523,13924,11322,14273,21428,7012
690,DRG KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC),12268,10735,3508,15999,7962,6979,4729,11872,11215,15999,6266,6967,5665,7142,10722,3508
866,DRG VIRAL ILLNESS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC),9517,9517,2722,9210,6177,5414,3668,9210,8700,9105,4861,5405,4395,5540,8317,2722
872,"DRG SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS",8628,8104,1911,8350,4603,1911,3326,8350,7888,6072,4407,4900,3985,5023,7541,2468
948,"DRG SIGNS AND SYMPTOMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) - MARKET SIZE, PREVALENCE, INCIDENCE, QUALITY OUTCOMES, TOP HOSPITALS & PHYSICIANS",14793,14793,4231,21344,9601,8415,5702,14316,13523,21344,7556,8401,6831,8612,12928,4231
,,,,,,,,,,,,,,,,,
CPT,Description,Charges,Discounted Cash Price,Min Negotiated,Max Negotiated,Aetna,Amerigroup,Blue cross,Cigna,Commercial,Iowa total care,Medicaid,Medicare,Uhc,Umr,Veterans adminstration,
,,,,,,,,,,,,,,,,,
,,,,,,,,,,,,,,,,,
99202,"Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 20 minutes face-to-face with the patient and/or family.",149,119,34,100,57,35,100,97,72,34,39,52,53,62,49,
99212,"Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Physicians typically spend 10 minutes face-to-face with the patient and/or family.",99,79,23,71,38,23,71,64,48,23,26,35,35,41,33,
99213,"Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 15 minutes face-to-face with the patient and/or family.",151,121,27,100,58,37,100,98,73,27,37,53,54,63,50,
99214,"Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 25 minutes face-to-face with the patient and/or family.",209,167,43,142,80,49,142,136,102,43,55,73,74,87,69,
99215,"Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 40 minutes face-to-face with the patient and/or family.",305,244,70,229,116,72,229,198,148,70,80,106,108,126,101,
170,"Anesthesia for intraoral procedures, including biopsy; not otherwise specified",1134,907,91,737,432,267,607,737,551,262,299,396,91,470,374,
300,"Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and posterior trunk, not otherwise specified",1406,1125,86,913,536,331,522,913,683,86,371,491,278,582,464,
400,"Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; not otherwise specified",1558,1246,196,1012,594,367,406,1012,757,360,411,544,196,645,514,
532,Anesthesia for access to central venous circulation,2120,1696,160,1377,808,500,1135,1377,1030,490,559,740,160,878,699,
731,PR ANES UPR GI NDSC PX NOS,920,736,86,598,154,217,409,598,447,86,243,321,350,381,303,
752,Anesthesia for hernia repairs in upper abdomen; lumbar and ventral (incisional) hernias and/or wound dehiscence,1862,1490,430,1210,710,439,580,1210,905,430,491,650,660,771,614,
790,Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise specified,2926,2341,620,1901,1115,690,678,1901,1422,676,772,1022,620,1212,965,
811,PR ANES LWR INTST NDSC NOS,1102,882,134,716,420,260,467,716,536,255,291,385,134,456,363,
812,PR ANES LWR INTST SCR COLSC,1209,967,52,785,125,285,471,785,588,52,319,422,281,501,399,
813,PR ANES UPR LWR GI NDSC PX,1618,1294,86,1051,617,381,522,1051,786,86,427,565,288,670,534,
830,Anesthesia for hernia repairs in lower abdomen; not otherwise specified,4430,3544,69,2878,1689,1044,2373,2878,2153,69,1169,1547,742,1835,1461,
832,Anesthesia for hernia repairs in lower abdomen; ventral and incisional hernias,4256,3405,812,2765,1622,1003,812,2765,2068,984,1123,1486,1509,1763,1404,
840,Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise specified,2375,1900,160,1543,905,560,638,1543,1154,549,626,829,160,984,783,
902,Anesthesia for; anorectal procedure,2014,1611,176,1308,768,475,1079,1308,979,466,531,703,176,834,664,
952,"Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hysteroscopy and/or hysterosalpingography",1824,1459,153,1185,695,430,977,1185,886,422,481,637,153,756,602,
1210,Anesthesia for open procedures involving hip joint; not otherwise specified,2850,2280,234,1851,1086,672,1526,1851,1385,659,752,995,234,1180,940,
1220,Anesthesia for all closed procedures involving upper two-thirds of femur,2660,2128,185,1728,1014,627,1425,1728,1293,615,702,929,185,1102,877,
1320,"Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of knee and/or popliteal area",1900,1520,156,1234,724,448,1018,1234,923,439,501,663,156,787,627,
1400,Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified,2280,1824,158,1481,869,538,493,1481,1108,527,601,796,158,944,752,
1402,Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty,4256,3405,303,2765,1622,1003,928,2765,2068,984,1123,1486,303,1763,1404,
1462,"Anesthesia for all closed procedures on lower leg, ankle, and foot",969,775,100,629,369,228,519,629,471,224,256,338,100,401,320,
1480,"Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified",2400,1920,412,1559,915,566,412,1559,1166,555,633,838,851,994,792,
1610,"Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of shoulder and axilla",1178,942,272,765,449,278,410,765,572,272,311,411,418,488,389,
1630,"Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; not otherwise specified",4997,3998,86,3246,1905,1178,812,3246,2428,86,1318,1745,1771,2070,1648,
1710,"Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; not otherwise specified",5282,4226,52,3431,2013,1245,2829,3431,2567,52,1393,1844,1872,2188,1742,
1810,"Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and hand",1710,1368,228,1111,652,403,916,1111,831,395,451,597,228,708,564,
10060,"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single",387,310,52,251,118,52,249,251,188,60,102,135,155,160,128,
10080,Incision and drainage of pilonidal cyst; simple,385,308,89,250,147,91,190,250,187,89,102,134,136,159,127,
10140,"Incision and drainage of hematoma, seroma or fluid collection",482,386,111,313,184,114,312,313,234,111,127,168,171,200,159,
10120,"Incision and removal of foreign body, subcutaneous tissues; simple",385,308,89,271,147,91,271,250,187,89,102,134,136,159,127,
10160,"Puncture aspiration of abscess, hematoma, bulla, or cyst",288,230,67,270,125,68,270,187,140,67,76,101,102,119,95,
51702,"Insertion of temporary indwelling bladder catheter; simple (eg, Foley)",219,175,51,166,83,52,117,142,106,51,58,76,166,91,72,
82947,"Glucose; quantitative, blood (except reagent strip)",21,17,4,14,8,5,4,14,5,5,6,7,5,9,7,
83036,Hemoglobin; glycosylated (A1C),33,26,6,21,13,8,11,21,6,8,9,12,8,6,11,
85610,Prothrombin time;,29,23,4,19,11,7,4,19,14,7,8,10,10,12,10,
87651,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique",85,68,20,55,45,20,40,55,41,20,22,30,29,29,28,
90471,"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)",69,55,5,45,20,5,24,45,24,16,18,24,29,29,23,
93005,"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report",176,141,7,114,8,13,15,114,86,14,46,8,7,73,58,
94640,"Pressurized or nonpressurized inhalation treatment for acute airway obstruction or for sputum induction for diagnostic purposes (eg, with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing [IPPB] device)",39,31,9,38,15,9,38,25,19,9,10,14,14,16,13,
96372,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",72,58,6,47,24,6,28,47,35,7,19,11,29,29,24,
99202,"Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 20 minutes face-to-face with the patient and/or family.",154,123,41,102,77,61,102,100,75,59,41,54,79,79,51,
99203,"Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; Medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Physicians typically spend 30 minutes face-to-face with the patient and/or family.",214,171,69,167,100,69,167,139,104,71,81,86,117,123,102,
99204,"Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 45 minutes face-to-face with the patient and/or family.",310,248,82,253,156,118,253,201,151,102,82,153,140,183,102,
99205,"Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 60 minutes face-to-face with the patient and/or family.",395,316,91,318,208,93,318,257,192,91,104,197,176,164,130,
99211,"Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician. Usually, the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supervising these services.",56,45,13,36,21,19,30,36,27,13,15,20,20,23,18,
99212,"Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Physicians typically spend 10 minutes face-to-face with the patient and/or family.",99,79,26,70,45,31,70,64,48,32,26,43,46,46,33,
99213,"Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 15 minutes face-to-face with the patient and/or family.",146,117,37,100,67,37,100,95,63,37,37,60,63,63,48,
99214,"Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 25 minutes face-to-face with the patient and/or family.",209,167,57,168,101,57,168,136,98,58,57,88,100,100,69,
99215,"Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 40 minutes face-to-face with the patient and/or family.",296,237,68,224,139,100,224,192,144,68,78,139,125,123,98,
J0561,"Injection, penicillin G benzathine, 100,000 units",73,58,14,47,28,17,39,47,35,17,19,25,14,30,24,
J0696,"Injection, ceftriaxone sodium, per 250 mg",28,22,1,18,2,7,2,18,14,6,7,10,1,1,9,
J1100,"Injection, dexamethasone sodium phosphate, 1 mg",23,19,0,15,1,0,1,15,11,0,6,0,1,1,8,
J1885,"Injection, ketorolac tromethamine, per 15 mg",28,22,2,18,2,14,2,18,14,15,7,2,2,2,9,
J2300,"Injection, nalbuphine hydrochloride, per 10 mg",17,14,3,11,6,4,3,11,8,4,4,6,6,7,6,
J2550,"Injection, promethazine HCl, up to 50 mg",10,8,2,6,4,2,2,6,5,2,3,3,2,2,3,
J2930,"Injection, methylprednisolone sodium succinate, up to 125 mg",12,10,3,8,5,3,7,8,6,3,3,4,4,5,4,
J3301,"Injection, triamcinolone acetonide, not otherwise specified, 10 mg",28,22,6,18,10,7,7,18,14,6,7,6,6,6,9,
11000,Debridement of extensive eczematous or infected skin; up to 10% of body surface,118,94,27,99,45,28,99,77,57,27,31,41,42,49,39,
11042,"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less",258,206,37,240,98,37,240,168,125,60,68,90,144,107,85,
11056,"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions",132,106,31,131,50,31,131,86,64,31,35,46,47,55,44,
11102,PR TANGNTL BX SKIN SINGLE LES,209,167,48,136,80,49,112,136,102,48,55,73,68,87,69,
11103,PBB TANGNTL BX SKIN EA SEP/ADDL,507,406,117,329,193,120,272,329,246,117,134,177,118,210,167,
11104,PR PUNCH BX SKIN SINGLE LESION,404,323,93,262,154,95,257,262,196,93,107,141,202,167,133,
11105,PR PUNCH BX SKIN EA SEP/ADDL,387,310,89,251,148,91,207,251,188,89,102,135,139,160,128,
11200,"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions",298,238,69,193,76,70,162,193,145,69,78,104,105,123,98,
11300,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less",164,131,38,108,63,39,108,107,80,38,43,57,58,68,54,
11301,"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm",200,160,46,130,76,47,107,130,97,46,53,70,118,83,66,
11401,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm",390,312,90,309,149,92,309,253,190,90,103,136,138,162,129,
11402,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm",384,307,83,249,146,83,237,249,187,89,101,134,96,159,127,
11403,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm",476,381,110,309,181,112,306,309,231,110,126,166,196,197,157,
11406,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm",822,658,146,536,313,194,536,534,399,190,217,287,146,340,271,
11420,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less",290,232,67,251,111,68,251,188,141,67,76,101,103,120,96,
11422,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm",462,370,107,300,176,109,281,300,225,107,122,161,164,191,152,
11423,"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm",551,441,59,358,210,130,322,358,268,59,145,192,195,228,182,
11441,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm",470,376,96,305,179,96,252,305,228,109,124,164,184,195,155,
11442,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm",537,430,124,388,205,127,388,349,261,124,142,187,205,222,177,
11600,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less",425,340,93,276,162,100,93,276,207,98,112,148,151,176,140,
11601,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm",532,426,123,346,203,125,216,346,259,123,140,186,189,220,175,
11602,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm",555,444,128,361,212,131,233,361,270,128,146,194,197,230,183,
11640,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less",465,372,107,341,177,110,341,302,226,107,123,162,165,193,153,
11644,"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm",1078,862,220,700,411,220,577,700,524,249,284,376,382,447,356,
11730,"Avulsion of nail plate, partial or complete, simple; single",217,174,34,194,83,34,194,141,105,50,57,76,149,90,72,
11740,Evacuation of subungual hematoma,114,92,26,74,44,27,58,74,56,26,30,40,45,47,38,
11750,"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal;",580,464,134,377,221,137,317,377,282,134,153,202,206,240,191,
11771,Excision of pilonidal cyst or sinus; extensive,1523,1218,352,989,581,359,907,989,740,352,402,532,540,631,502,
11981,"Insertion, non-biodegradable drug delivery implant",370,296,85,240,141,87,222,240,180,85,97,129,131,153,122,
11982,"Removal, non-biodegradable drug delivery implant",409,327,95,282,168,96,282,266,199,95,108,143,145,169,135,
11983,"Removal with reinsertion, non-biodegradable drug delivery implant",564,451,130,366,215,133,340,366,274,130,149,197,200,233,186,
12001,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less",334,267,46,217,165,48,80,217,162,77,46,117,158,174,110,
12002,"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm",357,286,55,232,57,55,111,232,173,83,55,125,57,148,118,
12011,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",357,286,50,232,120,52,105,232,173,59,50,125,163,163,118,
12013,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",380,304,54,247,54,90,104,247,185,88,100,133,135,157,125,
12014,"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm",365,292,84,244,139,86,244,237,177,84,96,127,129,151,120,
12032,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm",724,579,164,470,276,171,412,470,352,167,191,253,164,300,239,
12034,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm",520,416,120,338,193,123,279,338,253,120,137,182,184,215,171,
12035,"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm",687,550,159,446,262,162,434,446,334,159,181,240,244,285,227,
12042,"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm",774,620,179,503,276,183,492,503,376,179,204,270,275,321,255,
12051,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less",670,536,155,435,255,158,309,435,326,155,177,234,238,278,221,
16000,"Initial treatment, first degree burn, when no more than local treatment is required",270,216,33,175,103,33,145,175,131,62,71,94,96,112,89,
16020,"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)",194,155,45,139,74,46,104,126,94,45,51,68,139,80,64,
17000,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion",183,146,42,123,70,43,123,119,89,42,48,64,94,76,60,
17003,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); second through 14 lesions, each (List separately in addition to code for first lesion)",19,15,4,12,7,4,12,12,9,4,5,7,7,8,6,
17004,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses), 15 or more lesions",336,269,78,322,128,79,322,218,163,78,89,117,134,139,111,
17110,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions",250,200,58,194,117,59,194,162,121,58,66,87,134,134,82,
17111,"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; 15 or more lesions",306,245,71,228,117,72,228,199,149,71,81,107,108,127,101,
19101,"Biopsy of breast; open, incisional",801,641,183,520,305,189,429,520,389,185,211,280,183,332,264,
20550,"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar ""fascia"")",165,132,38,115,63,39,115,107,80,38,44,58,91,68,54,
20551,Injection(s); single tendon origin/insertion,160,128,37,113,61,38,113,104,78,37,42,56,89,66,53,
20552,"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)",153,122,40,99,58,57,99,99,74,50,40,51,85,63,50,
20553,"Injection(s); single or multiple trigger point(s), 3 or more muscle(s)",140,112,32,112,53,33,112,91,68,32,37,49,50,58,46,
20600,"Arthrocentesis, aspiration and/or injection; small joint or bursa (eg, fingers, toes)",165,132,38,107,63,39,102,107,80,38,44,58,58,68,54,
20605,"Arthrocentesis, aspiration and/or injection; intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa)",162,129,37,106,62,38,106,105,78,37,43,56,57,89,53,
20610,"Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa)",172,138,40,174,55,77,126,112,174,40,45,58,74,108,57,
99221,"Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of low severity. Physicians typically spend 30 minutes at the bedside and on the patient's hospital floor or unit.",219,175,51,156,96,67,156,142,106,51,58,96,85,91,72,
99222,"Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of moderate severity. Physicians typically spend 50 minutes at the bedside and on the patient's hospital floor or unit.",279,223,74,210,130,107,210,204,136,109,74,132,117,116,92,
99223,"Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of high severity. Physicians typically spend 70 minutes at the bedside and on the patient's hospital floor or unit.",395,316,91,257,151,93,212,257,192,91,144,195,140,164,130,
21931,"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater",1500,1200,347,974,572,354,803,974,729,347,396,524,388,621,495,
11443,"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm",473,378,112,307,180,112,253,307,230,136,125,165,168,196,156,
11604,"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm",1119,895,68,727,427,68,599,727,544,259,295,391,397,463,369,
83036,Hemoglobin; glycosylated (A1C),34,27,4,22,13,8,18,22,17,8,9,12,4,14,11,
87651,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique",85,68,20,55,50,20,46,55,41,20,22,30,30,35,28,
96372,"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular",69,55,16,45,16,16,37,45,34,16,18,24,24,29,23,
99202,"Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 20 minutes face-to-face with the patient and/or family.",149,119,34,97,57,35,80,97,72,34,39,52,43,62,49,
99204,"Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 45 minutes face-to-face with the patient and/or family.",310,248,72,201,106,73,166,201,151,72,82,108,110,128,102,
99212,"Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Physicians typically spend 10 minutes face-to-face with the patient and/or family.",96,77,22,62,37,23,51,62,47,22,25,34,22,40,32,
99213,"Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 15 minutes face-to-face with the patient and/or family.",146,117,26,95,56,26,78,95,71,34,39,51,52,60,48,
99214,"Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 25 minutes face-to-face with the patient and/or family.",209,167,43,136,80,49,103,136,102,43,55,76,68,87,69,
99221,"Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of low severity. Physicians typically spend 30 minutes at the bedside and on the patient's hospital floor or unit.",219,175,51,156,83,52,156,142,106,51,58,76,78,91,72,
99283,"Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity.",393,314,82,255,82,93,210,255,191,91,104,137,139,163,130,
99284,"Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity, and require urgent evaluation by the physician but do not pose an immediate significant threat to life or physiologic function.",496,397,86,322,106,86,166,322,241,115,131,173,176,120,164,
99285,"Emergency department visit for the evaluation and management of a patient, which requires these 3 key components within the constraints imposed by the urgency of the patient's clinical condition and/or mental status: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity and pose an immediate significant threat to life or physiologic function.",670,536,128,435,255,128,224,435,326,155,177,234,238,278,221,
99291,"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes",845,676,195,549,322,199,288,549,411,195,223,295,300,350,279,
A0425,"Ground mileage, per statute mile",330,264,5,215,126,78,177,215,160,24,5,115,26,137,109,
A0426,"Ambulance service, advanced life support, non-emergency transport, level 1 (ALS 1)",2374,1900,102,1543,905,560,1272,1543,1154,104,102,829,842,984,783,
A0427,"Ambulance service, advanced life support, emergency transport, level 1 (ALS1-emergency)",2790,2232,127,1812,1064,658,1494,1812,1356,130,736,974,127,1156,920,
A0429,"Ambulance service, basic life support, emergency transport (BLS-emergency)",1174,939,114,763,448,277,629,763,571,271,114,410,416,486,387,
10120,"Incision and removal of foreign body, subcutaneous tissues; simple",278,222,48,186,82,48,186,181,135,64,73,97,120,115,92,
12052,"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm",435,348,101,283,190,103,233,283,211,101,115,152,154,180,143,
99213,"Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 15 minutes face-to-face with the patient and/or family.",146,117,26,95,56,26,78,95,71,27,39,42,44,60,48,
99214,"Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 25 minutes face-to-face with the patient and/or family.",209,167,48,136,80,49,103,136,102,48,55,65,74,87,69,
99281,"Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor.",144,115,16,94,20,16,27,94,70,16,38,50,20,60,47,
99282,"Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity.",204,163,25,133,36,26,54,133,56,25,25,71,36,34,42,
99283,"Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity.",393,314,35,255,61,53,84,255,191,51,50,137,56,77,35,
99284,"Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity, and require urgent evaluation by the physician but do not pose an immediate significant threat to life or physiologic function.",481,385,77,312,97,81,152,312,120,79,77,168,103,120,97,
99285,"Emergency department visit for the evaluation and management of a patient, which requires these 3 key components within the constraints imposed by the urgency of the patient's clinical condition and/or mental status: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity and pose an immediate significant threat to life or physiologic function.",660,528,122,429,142,128,224,429,224,124,122,230,150,188,142,
99291,"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes",845,676,122,549,322,128,288,549,411,125,122,295,188,350,279,
23650,"Closed treatment of shoulder dislocation, with manipulation; without anesthesia",724,579,167,521,276,171,521,470,352,167,191,253,257,300,239,
23655,"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia",1459,1167,337,948,556,344,749,948,709,337,385,509,517,604,481,
25600,"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; without manipulation",1062,850,245,690,405,256,583,690,516,245,280,371,376,440,350,
26600,"Closed treatment of metacarpal fracture, single; without manipulation, each bone",972,778,225,631,371,229,527,631,472,225,256,339,345,403,321,
26700,"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia",821,657,190,570,313,194,570,533,399,190,217,287,291,340,271,
26770,"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia",896,717,207,582,342,211,450,582,435,207,236,313,318,371,296,
27096,"Injection procedure for sacroiliac joint, arthrography and/or anesthetic/steroid",1701,1361,109,1105,121,401,519,1105,827,393,449,594,109,705,561,
27265,Closed treatment of post hip arthroplasty dislocation; without anesthesia,1043,834,241,678,398,246,559,678,507,241,275,364,617,432,344,
27550,Closed treatment of knee dislocation; without anesthesia,1361,1089,315,899,519,321,899,884,661,315,359,475,482,564,449,
27810,"Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); with manipulation",1499,1199,346,974,571,353,803,974,728,346,395,523,352,621,494,
27818,Closed treatment of trimalleolar ankle fracture; with manipulation,976,781,226,781,372,230,781,634,474,226,257,341,346,404,322,
28485,"Open treatment of metatarsal fracture, includes internal fixation, when performed, each",1975,1580,456,1283,753,466,1204,1283,960,456,521,690,700,818,651,
28660,Closed treatment of interphalangeal joint dislocation; without anesthesia,311,249,72,202,119,73,169,202,151,72,82,109,110,129,103,
29105,Application of long arm splint (shoulder to hand),223,178,50,145,85,52,119,145,108,52,59,78,50,92,74,
29125,Application of short arm splint (forearm to hand); static,211,169,33,137,80,35,73,137,103,35,35,74,33,87,70,
29126,Application of short arm splint (forearm to hand); dynamic,217,174,46,141,83,46,116,141,105,50,57,76,77,90,72,
29505,Application of long leg splint (thigh to ankle or toes),171,137,35,111,65,35,92,111,83,40,45,60,61,71,56,
29515,Application of short leg splint (calf to foot),174,139,41,113,66,41,86,113,85,45,46,61,62,72,57,
30300,"Removal foreign body, intranasal; office type procedure",565,452,131,367,215,133,197,367,275,131,149,197,200,234,186,
30901,"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method",236,189,45,153,45,56,126,153,115,55,62,82,48,98,78,
30905,"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial",475,380,98,309,98,112,189,309,231,110,125,166,168,197,157,
36556,Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older,945,756,80,614,80,223,171,614,459,218,249,330,335,391,312,
36561,"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older",1308,1047,290,850,499,308,701,850,636,302,345,457,290,542,432,
36569,"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump; age 5 years or older",348,278,80,226,91,82,186,226,169,80,92,121,123,144,115,
36590,"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion",708,566,159,460,270,167,379,460,344,164,187,247,159,293,233,
A0425,"Ground mileage, per statute mile",99,79,8,64,38,23,53,64,48,23,26,34,8,41,33,
A0428,"Ambulance service, basic life support, non-emergency transport, (BLS)",940,752,85,611,358,222,503,611,457,217,248,328,85,389,310,
A0429,"Ambulance service, basic life support, emergency transport (BLS-emergency)",1108,886,114,720,422,261,593,720,538,256,292,387,114,459,365,
43200,"Esophagoscopy, rigid or flexible; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)",232,186,54,151,88,105,124,151,113,54,61,81,82,96,77,
43202,"Esophagoscopy, rigid or flexible; with biopsy, single or multiple",414,331,96,269,158,117,222,269,201,96,109,145,147,171,137,
43235,"Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)",1073,858,105,697,409,253,240,697,521,248,283,375,105,444,354,
43239,"Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with biopsy, single or multiple",872,698,134,566,134,156,249,566,424,152,230,304,260,361,288,
43246,"Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with directed placement of percutaneous gastrostomy tube",921,737,169,598,351,217,493,598,448,213,243,322,169,381,304,
43450,"Dilation of esophagus, by unguided sound or bougie, single or multiple passes",343,274,23,223,131,23,184,223,167,79,90,120,50,142,113,
44950,Appendectomy;,2230,1784,515,1449,850,526,1250,1449,1084,515,588,779,791,924,735,
45100,"Biopsy of anorectal wall, anal approach (eg, congenital megacolon)",1080,864,248,702,412,255,578,702,525,250,285,377,248,447,356,
45330,"Sigmoidoscopy, flexible; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)",218,174,46,142,83,51,117,142,106,50,58,76,46,90,72,
45378,"Colonoscopy, flexible, proximal to splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or washing, with or without colon decompression (separate procedure)",848,678,161,551,177,219,416,551,412,196,224,296,161,351,280,
45380,"Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple",1133,906,192,736,192,222,451,736,551,212,299,396,285,469,374,
45385,"Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",1272,1018,218,826,241,303,579,826,618,294,336,444,218,527,420,
45990,"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic",287,230,66,186,109,68,154,186,139,66,76,100,167,119,95,
46083,"Incision of thrombosed hemorrhoid, external",421,337,97,273,160,99,225,273,205,97,111,147,149,237,139,
46221,"Hemorrhoidectomy, internal, by rubber band ligation(s)",709,567,164,461,270,167,338,461,345,164,187,248,251,294,234,
46320,"Excision of thrombosed hemorrhoid, external",420,336,41,273,160,41,225,273,204,97,111,147,149,174,139,
47562,"Laparoscopy, surgical; cholecystectomy",2714,2171,627,1763,1035,666,1390,1763,1319,627,716,947,841,1124,895,
49505,"Repair initial inguinal hernia, age 5 years or older; reducible",1885,1508,405,1225,719,405,1114,1225,916,436,497,658,668,781,622,
49507,"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated",2053,1642,475,1334,783,505,1293,1334,998,475,542,717,914,850,677,
49585,"Repair umbilical hernia, age 5 years or older; reducible",1606,1285,352,1043,612,352,951,1043,780,371,424,561,569,665,530,
49587,"Repair umbilical hernia, age 5 years or older; incarcerated or strangulated",1870,1496,398,1215,713,398,864,1215,909,432,493,653,663,775,617,
54700,"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma)",550,440,127,357,210,238,295,357,267,127,145,192,195,228,181,
55100,Drainage of scrotal wall abscess,600,480,139,390,229,160,321,390,292,139,158,209,213,249,198,
55250,"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)",905,724,187,588,345,187,485,588,440,209,239,316,321,375,298,
56405,Incision and drainage of vulva or perineal abscess,350,280,81,227,133,86,187,227,170,81,92,122,124,145,115,
58100,"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure)",335,268,77,218,128,79,179,218,163,77,88,86,119,139,110,
58300,Insertion of intrauterine device (IUD),168,134,39,149,64,74,90,109,82,39,44,59,149,70,55,
58301,Removal of intrauterine device (IUD),248,198,57,170,95,58,170,161,121,57,65,87,169,103,82,
58558,"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C",902,722,196,586,344,213,483,586,438,208,238,315,196,374,297,
62321,PR INJ INTERLAM C/T W IMG,2142,1714,83,1391,102,83,470,1391,1041,100,565,748,94,887,706,
62323,Injection of substance into spinal canal of lower back or sacrum using imaging guidance,1890,1512,77,1228,97,77,427,1228,918,92,499,660,92,173,623,
63650,"Percutaneous implantation of neurostimulator electrode array, epidural",2878,2302,361,1870,1097,678,1769,1870,1399,665,759,1005,361,1192,949,
64405,"Injection, anesthetic agent; greater occipital nerve",945,756,218,614,360,223,321,614,459,218,249,330,335,391,312,
64450,"Injection, anesthetic agent; other peripheral nerve or branch",1002,802,38,651,382,236,537,651,487,232,264,350,38,415,330,
64483,"Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, single level",2003,1602,463,1301,764,472,549,1301,973,463,528,699,710,830,661,
64484,"Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional level (List separately in addition to code for primary procedure)",1002,802,232,651,382,236,305,651,487,232,264,350,355,415,330,
64490,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level",1977,1582,93,1284,754,93,1032,1284,961,457,521,690,701,819,652,
64491,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level (List separately in addition to code for primary procedure)",989,791,54,642,377,54,470,642,481,229,261,345,351,410,326,
64493,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level",2003,1602,75,1301,764,75,549,1301,973,463,528,699,77,830,661,
64494,"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (List separately in addition to code for primary procedure)",1002,802,44,651,382,44,244,651,487,232,264,350,45,415,330,
64633,PBB DESTROY CERV/THOR FACET JNT,1946,1557,221,1264,742,221,1043,1264,946,450,513,680,690,806,642,
64634,PBB DESTROY C/TH FACET JNT ADDL,974,779,68,632,371,68,521,632,473,225,257,340,345,403,321,
64635,PBB DESTROY LUMB/SAC FACET JNT,2003,1602,189,1301,764,211,894,1301,973,463,528,699,189,830,661,
64636,PBB DESTROY L/S FACET JNT ADDL,1002,802,51,651,382,57,413,651,487,232,264,350,51,415,330,
65205,"Removal of foreign body, external eye; conjunctival superficial",141,113,33,92,54,33,64,92,69,33,37,49,50,58,47,
65220,"Removal of foreign body, external eye; corneal, without slit lamp",172,138,40,112,66,41,75,112,84,40,45,60,63,71,57,
65222,"Removal of foreign body, external eye; corneal, with slit lamp",212,170,49,138,81,50,94,138,103,49,56,74,83,88,70,
69000,"Drainage external ear, abscess or hematoma; simple",388,310,48,252,148,91,208,252,189,90,102,135,48,161,128,
69210,"Removal impacted cerumen (separate procedure), 1 or both ears",129,103,27,88,45,27,88,84,63,30,34,45,76,53,43,
71046,PR X-RAY EXAM CHEST 2 VIEWS,216,173,30,140,82,51,116,140,105,50,57,30,77,89,71,
87651,"Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique",85,68,20,55,32,45,46,55,41,20,22,30,30,35,28,
99202,"Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 20 minutes face-to-face with the patient and/or family.",149,119,35,97,57,35,80,97,72,59,39,52,53,62,49,
99203,"Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; Medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Physicians typically spend 30 minutes face-to-face with the patient and/or family.",214,171,50,139,82,50,115,139,104,83,56,75,76,89,71,
99213,"Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 15 minutes face-to-face with the patient and/or family.",146,117,31,95,56,34,78,95,71,31,39,51,52,60,48,
81002,"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy",13,10,3,8,5,3,4,8,6,3,3,5,4,4,4,
81025,"Urine pregnancy test, by visual color comparison methods",34,27,8,22,13,8,9,22,17,8,9,12,9,14,11,
82270,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)",17,14,4,11,6,4,4,11,8,4,4,6,6,7,6,
82272,"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening",17,14,4,11,6,4,4,11,8,4,4,6,6,7,6,
83037,Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use,41,33,9,27,19,10,12,27,20,9,11,14,21,21,14,
85018,Blood count; hemoglobin (Hgb),13,10,2,8,3,3,2,8,6,3,3,5,3,5,4,
86308,Heterophile antibodies; screening,28,22,6,18,11,7,6,18,14,6,7,10,7,12,9,
86580,"Skin test; tuberculosis, intradermal",37,30,9,24,14,9,16,24,16,9,10,13,9,9,12,
87088,"Culture, bacterial; with isolation and presumptive identification of each isolate, urine",130,104,8,84,50,31,8,84,63,30,34,45,46,54,43,
87502,"Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, reverse transcription and amplified probe technique, first 2 types or sub-types",202,162,47,131,118,48,98,131,98,47,53,71,72,72,67,
87801,"Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique",169,135,39,110,64,40,80,110,82,39,45,59,59,59,56,
90460,"Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first vaccine/toxoid component",138,110,32,90,69,33,44,90,67,32,36,48,61,57,46,
90472,"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)",43,34,10,28,16,10,20,28,21,10,11,15,17,18,14,
90632,"Hepatitis A vaccine, adult dosage, for intramuscular use",92,74,21,61,35,22,61,60,45,21,24,32,33,38,30,
90633,"Hepatitis A vaccine, pediatric/adolescent dosage-2 dose schedule, for intramuscular use",68,54,16,44,26,16,35,44,33,16,18,24,39,28,22,
90648,"Hemophilus influenza b vaccine (Hib), PRP-T conjugate (4 dose schedule), for intramuscular use",50,40,12,35,19,12,35,32,24,12,13,17,17,21,16,
90649,"Human Papilloma virus (HPV) vaccine, types 6, 11, 16, 18 (quadrivalent), 3 dose schedule, for intramuscular use",206,165,48,192,79,49,176,134,100,48,54,72,192,86,68,
90651,PBB 9VHPV VACCINE 2/3 DOSE IM,253,202,58,246,96,60,246,164,123,58,67,88,90,105,83,
90662,"Influenza virus vaccine, split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use",65,52,15,59,59,15,55,42,32,15,17,23,58,27,21,
90670,"Pneumococcal conjugate vaccine, 13 valent, for intramuscular use",242,194,56,242,242,57,234,157,118,56,64,84,230,100,80,
90681,"Rotavirus vaccine, human, attenuated, 2 dose schedule, live, for oral use",161,129,37,105,61,38,90,105,78,37,42,56,57,67,53,
90686,Influenza virus vaccine,39,31,9,25,20,9,19,25,20,9,10,14,21,21,13,
90700,"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use",54,43,12,35,30,13,32,35,26,12,14,19,33,22,18,
90707,"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use",98,78,23,94,37,23,83,64,48,23,26,34,94,41,32,
90713,"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use",52,42,12,40,40,12,37,34,25,12,14,18,40,22,17,
90714,"Tetanus and diphtheria toxoids (Td) adsorbed, preservative free, when administered to individuals 7 years or older, for intramuscular use",48,38,11,31,18,11,27,31,23,11,13,17,17,20,16,
90715,"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use",70,56,16,52,49,42,34,45,33,16,18,24,52,29,23,
90716,"Varicella virus vaccine, live, for subcutaneous use",151,121,35,146,58,36,146,98,73,35,40,53,54,63,50,
90723,"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Hepatitis B, and poliovirus vaccine, inactivated (DtaP-HepB-IPV), for intramuscular use",118,94,27,99,45,28,86,77,57,27,31,41,99,49,39,
90734,"Meningococcal conjugate vaccine, serogroups A, C, Y and W-135 (tetravalent), for intramuscular use",175,140,40,150,147,41,138,114,85,40,46,61,150,147,58,
90744,"Hepatitis B vaccine, pediatric/adolescent dosage (3 dose schedule), for intramuscular use",50,40,12,32,19,12,28,32,24,12,13,17,18,21,16,
90746,"Hepatitis B vaccine, adult dosage, for intramuscular use",95,76,22,72,36,22,70,62,46,22,25,33,34,72,31,
90791,PBB PSYCH DIAGNOSTIC EVALUATION,380,304,90,247,145,90,204,247,185,105,100,140,126,157,125,
92950,"Cardiopulmonary resuscitation (eg, in cardiac arrest)",667,534,109,433,254,157,395,433,324,109,176,233,236,276,220,
93000,"Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report",163,130,38,106,39,38,87,106,79,38,43,57,58,68,54,
95115,Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection,25,20,6,23,17,6,12,16,12,6,7,9,23,10,8,
95117,Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections,28,22,6,24,24,7,14,18,14,6,7,10,10,12,8,
96130,HC PSYCH TST EVAL PHYS/QHP 1ST HR,332,266,63,216,127,78,178,216,161,63,88,116,106,138,109,
96131,HC PSYCH TST EVAL PHYS/QHP EA ADDL HR,253,202,60,164,96,60,136,164,123,63,67,89,81,105,83,
96136,HC PSYCH/NEUROPSYCH TST PHY/QHP 1ST 30 MIN,134,107,31,87,51,32,72,87,65,31,35,44,40,56,44,
96137,HC PSYCH/NEUROPSYCH TST PHY/QHP EA ADDL 30 MIN,124,99,29,81,47,29,66,81,60,31,33,40,37,51,41,
98925,Osteopathic manipulative treatment (OMT); 1-2 body regions involved,108,86,25,70,41,25,52,70,52,25,28,38,52,45,36,
98926,Osteopathic manipulative treatment (OMT); 3-4 body regions involved,155,124,36,101,48,37,74,101,75,36,41,44,66,64,51,
98927,Osteopathic manipulative treatment (OMT); 5-6 body regions involved,201,161,46,131,63,47,98,131,98,46,53,70,85,83,66,
98928,Osteopathic manipulative treatment (OMT); 7-8 body regions involved,248,198,57,161,73,58,118,161,121,57,65,87,101,103,82,
99201,"Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Physicians typically spend 10 minutes face-to-face with the patient and/or family.",98,78,23,71,37,23,71,64,48,23,26,34,44,41,32,
99217,"Observation care discharge day management (This code is to be utilized by the physician to report all services provided to a patient on discharge from ""observation status"" if the discharge is on other than the initial date of ""observation status."" To report services to a patient designated as ""observation status"" or ""inpatient status"" and discharged on the same date, use the codes for Observation or Inpatient Care Services [including Admission and Discharge Services, 99234-99236 as appropriate.])",164,131,57,112,70,64,112,109,80,63,62,57,63,87,70,
99218,"Initial observation care, per day, for the evaluation and management of a patient which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission to ""observation status"" are of low severity.",212,170,56,153,96,65,153,149,103,66,56,74,85,84,70,
99219,"Initial observation care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission to ""observation status"" are of moderate severity.",276,221,91,209,131,107,209,203,134,109,107,96,118,114,91,
99220,"Initial observation care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission to ""observation status"" are of high severity.",343,274,79,281,131,151,281,223,167,79,90,120,122,142,179,
99224,"Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: Problem focused interval history; Problem focused examination; Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is stable, recovering, or improving. Physicians typically spend 15 minutes at the bedside and on the patient's hospital floor or unit.",135,108,25,66,37,25,61,59,66,26,36,47,34,56,45,
99225,"Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Physicians typically spend 25 minutes at the bedside and on the patient's hospital floor or unit.",154,123,36,112,70,36,112,100,75,46,45,54,63,68,70,
99226,"Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is unstable or has developed a significant complication or a significant new problem. Physicians typically spend 35 minutes at the bedside and on the patient's hospital floor or unit.",178,142,41,116,68,42,95,116,87,41,47,62,91,74,59,
99231,"Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is stable, recovering or improving. Physicians typically spend 15 minutes at the bedside and on the patient's hospital floor or unit.",106,85,28,69,37,34,60,69,52,34,28,38,33,44,35,
99232,"Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Physicians typically spend 25 minutes at the bedside and on the patient's hospital floor or unit.",164,131,43,112,68,52,112,107,80,53,43,70,61,68,54,
99233,"Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is unstable or has developed a significant complication or a significant new problem. Physicians typically spend 35 minutes at the bedside and on the patient's hospital floor or unit.",225,180,52,146,86,53,121,146,109,52,59,79,88,93,74,
99234,"Observation or inpatient hospital care, for the evaluation and management of a patient including admission and discharge on the same date, which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually the presenting problem(s) requiring admission are of low severity.",275,220,65,179,105,65,147,179,134,120,73,96,141,114,91,
99235,"Observation or inpatient hospital care, for the evaluation and management of a patient including admission and discharge on the same date, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually the presenting problem(s) requiring admission are of moderate severity.",334,267,77,260,163,196,260,217,162,77,88,117,144,138,110,
99238,Hospital discharge day management; 30 minutes or less,164,131,43,112,69,62,112,109,80,63,43,70,62,68,54,
99239,Hospital discharge day management; more than 30 minutes,225,180,52,164,100,53,164,146,109,52,81,103,90,93,74,
99304,"Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of low severity. Physicians typically spend 25 minutes at the bedside and on the patient's facility floor or unit.",200,160,46,130,87,47,107,130,97,46,53,86,78,83,66,
99305,"Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of moderate severity. Physicians typically spend 35 minutes at the bedside and on the patient's facility floor or unit.",271,217,63,176,125,64,145,176,132,63,71,125,113,112,89,
99306,"Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of high severity. Physicians typically spend 45 minutes at the bedside and on the patient's facility floor or unit.",343,274,79,223,131,81,184,223,167,79,90,120,145,142,113,
99307,"Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is stable, recovering, or improving. Physicians typically spend 10 minutes at the bedside and on the patient's facility floor or unit.",116,93,27,75,42,27,62,75,56,27,31,42,38,48,38,
99308,"Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Physicians typically spend 15 minutes at the bedside and on the patient's facility floor or unit.",158,126,32,106,66,32,106,103,77,37,42,65,60,65,52,
99309,"Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient has developed a significant complication or a significant new problem. Physicians typically spend 25 minutes at the bedside and on the patient's facility floor or unit.",202,162,53,131,88,69,88,131,98,68,53,88,79,84,67,
99310,"Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Physicians typically spend 35 minutes at the bedside and on the patient's facility floor or unit.",280,224,65,182,130,66,150,182,136,65,74,98,115,116,92,
99315,Nursing facility discharge day management; 30 minutes or less,170,136,39,110,70,40,91,110,83,39,45,70,63,70,56,
99316,Nursing facility discharge day management; more than 30 minutes,220,176,51,143,84,71,118,143,107,51,58,102,92,91,73,
99343,"Home visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 45 minutes face-to-face with the patient and/or family.",267,214,62,173,102,63,143,173,130,62,70,124,95,111,88,
99344,"Home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of high severity. Physicians typically spend 60 minutes face-to-face with the patient and/or family.",649,519,150,422,247,153,348,422,315,150,171,173,230,269,214,
99348,"Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 25 minutes face-to-face with the patient and/or family.",312,250,72,203,119,74,167,203,152,72,82,109,73,129,103,
99381,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; infant (age younger than 1 year)",184,147,43,138,70,91,138,120,89,43,49,64,124,76,61,
99382,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; early childhood (age 1 through 4 years)",191,153,44,144,73,45,144,124,93,44,50,67,134,79,63,
99383,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; late childhood (age 5 through 11 years)",199,159,46,150,76,47,150,129,97,46,52,69,71,82,66,
99384,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; adolescent (age 12 through 17 years)",229,183,53,173,87,54,173,149,111,53,60,80,81,95,76,
99385,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years",216,173,50,192,82,51,192,140,105,50,57,75,143,158,71,
99386,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 40-64 years",251,201,58,223,96,59,223,163,122,58,66,88,89,104,83,
99387,"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 65 years and older",267,214,62,242,102,63,242,173,130,62,70,93,95,111,88,
99391,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year)",166,133,38,127,99,75,127,108,81,38,44,58,59,69,55,
99392,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)",185,148,43,135,71,44,135,120,90,43,49,65,107,77,61,
99393,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)",184,147,43,134,70,43,134,120,89,43,49,64,116,76,61,
99394,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years)",198,158,46,148,120,47,148,129,96,46,52,69,117,117,65,
99395,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years",201,161,47,151,122,47,151,131,98,90,53,70,118,118,66,
99396,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years",216,173,50,190,133,51,185,140,190,50,57,75,131,131,71,
99397,"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 65 years and older",222,178,51,199,85,52,199,144,108,51,59,78,79,144,73,
99441,"Telephone evaluation and management service provided by a physician to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion",27,22,6,18,10,6,11,18,13,6,7,9,15,11,9,
99442,"Telephone evaluation and management service provided by a physician to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion",50,40,12,49,19,12,27,32,24,36,13,49,28,21,16,
G0105,Colorectal cancer screening; colonoscopy on individual at high risk,623,498,144,405,237,147,334,405,303,144,164,217,158,258,205,
G0121,Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk,785,628,181,782,299,185,396,510,381,181,207,274,782,325,259,
G0260,"Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography",1753,1402,218,1139,668,413,218,1139,852,405,462,612,438,726,578,
G2025,Dis site tele svcs rhc/fqhc,146,117,34,95,87,34,78,95,71,34,39,51,52,60,48,
J1030,"Injection, methylprednisolone acetate, 40 mg",30,24,4,19,11,4,6,19,15,7,8,6,6,13,10,
J1040,"Injection, methylprednisolone acetate, 80 mg",31,25,8,30,15,8,12,20,30,9,8,12,12,12,10,
J1050,PBB MEDROXYPROGESTERONE ACETATE,150,120,35,123,57,35,87,97,73,35,40,52,123,123,49,
J2360,"Injection, orphenadrine citrate, up to 60 mg",32,26,6,21,16,8,7,21,16,7,8,11,6,6,11,
J2405,"Injection, ondansetron hydrochloride, per 1 mg",28,22,0,18,11,7,0,18,14,6,7,10,0,0,9,
J3420,"Injection, vitamin B-12 cyanocobalamin, up to 1000 mcg",7,6,2,5,3,2,2,5,3,2,2,2,2,3,2,
J7296,"HC KYLEENA, 19.5 MG",1168,934,270,1030,445,275,1030,758,567,270,308,408,982,484,385,
J7298,HC LEVONORGESTREL IU 52MG MIRENA,1168,934,270,1030,445,806,1030,758,567,270,308,408,414,484,385,
J7307,"Etonogestrel (contraceptive) implant system, including implant and supplies",1030,824,238,1010,393,243,1010,669,501,238,272,360,365,427,340,
J7325,"Hyaluronan or derivative, Synvisc or Synvisc-One, for intra-articular injection, 1 mg",2945,2356,681,1913,1123,694,1577,1913,1431,681,777,1028,1066,1220,971,
T1015,"Clinic visit/encounter, all-inclusive",209,167,69,192,80,151,112,136,102,149,192,73,144,87,69,