All federal IDR service code benchmarks

728 CPT and HCPCS codes with at least 500 CMS federal IDR disputes each, ranked by dispute volume.

How to use this directory

Every row links to a full benchmark page with state, payer, and code-level tables from the CMS Federal IDR public use files. Pages enter this directory once they reach 500 CMS disputes, which keeps thin pages out of the index.

Every code benchmark, ranked by disputes

Code	Service	Specialty	Disputes	Provider win rate	Median award
99284	Emergency department visit for the evaluation and management of a patient, which requires	Emergency Medicine	901,391	84.6%	3.6x
99285	Emergency department visit, high severity, requiring urgent evaluation	Emergency Medicine	499,739	85.9%	3.2x
99283	Emergency department visit for the evaluation and management of a patient. Modifier 57 ind	Emergency Medicine	312,061	81.7%	4.0x
85025	Complete blood count (CBC) with automated differential	Pathology and Lab	111,383	81.2%	4.5x
74177	CT scan of the abdomen and pelvis with IV contrast	Radiology	98,009	87.4%	6.7x
80053	Comprehensive metabolic panel (14 blood chemistry tests)	Pathology and Lab	89,943	80.9%	6.7x
95938	Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerv	IONM and Neurodiagnostics	89,800	84.6%	40.0x
99291	Critical care, first 30-74 minutes	Critical Care	84,116	86.6%	3.6x
70450	CT scan of the head/brain without contrast	Radiology	68,576	89%	5.3x
71045	Chest X-ray, single view	Radiology	63,967	89.4%	7.0x
95941	Continuous intraoperative neurophysiology monitoring, from outside the operating room (rem	IONM and Neurodiagnostics	61,536	84.6%	13.2x
71046	Chest X-ray, 2 views	Radiology	60,694	85.8%	7.9x
81003	Urinalysis, automated, without microscopy	Pathology and Lab	56,251	79.2%	7.4x
96375	IV push injection, each additional drug	Infusion and Drug Administration	53,976	82.5%	5.5x
74176	CT scan of the abdomen and pelvis without contrast	Radiology	53,498	86.9%	6.7x
96374	IV push injection, single or initial drug	Infusion and Drug Administration	52,328	81.2%	4.0x
95939	Central motor evoked potential study (transcranial motor stimulation); in upper and lower	IONM and Neurodiagnostics	50,776	83.6%	17.6x
96361	IV hydration, each additional hour	Infusion and Drug Administration	48,608	81.9%	4.9x
93005	Electrocardiogram (ECG) tracing only, without interpretation	Cardiology	45,721	82.3%	3.7x
77067	Screening mammography, bilateral	Radiology	42,664	94.5%	3.3x
77063	Screening digital breast tomosynthesis (3D mammogram), bilateral	Radiology	41,314	94.3%	2.9x
36415	Routine venipuncture (blood draw)	Cardiovascular and Thoracic Surgery	40,080	84.3%	3.5x
84484	Troponin blood test (cardiac injury marker), quantitative	Pathology and Lab	37,869	81%	4.3x
71275	CT angiography of the chest	Radiology	36,080	89.9%	6.5x
00812	Anesthesia for screening colonoscopy	Anesthesia	35,915	83.4%	9.6x
96372	Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneo	Infusion and Drug Administration	35,664	79.3%	4.8x
J7030	Normal saline IV solution, 1,000 mL	Infusion and Drug Administration	33,952	78.1%	4.2x
87880	Rapid strep A test	Pathology and Lab	31,871	78.7%	4.5x
95861	Needle electromyography; 2 extremities with or without related paraspinal areas	IONM and Neurodiagnostics	31,148	85.6%	26.7x
J1885	Ketorolac (Toradol) injection, 15 mg	Infusion and Drug Administration	31,040	77.3%	4.3x
Q9967	Low osmolar radiology contrast material, per mL	Radiology	27,078	80.8%	5.5x
96365	IV infusion therapy, initial hour	Infusion and Drug Administration	26,667	83.3%	3.9x
81025	Urine pregnancy test	Pathology and Lab	26,605	80.9%	5.1x
93010	Electrocardiogram (ECG) interpretation and report only	Cardiology	26,241	84.2%	9.0x
95955	Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)	IONM and Neurodiagnostics	25,821	87.2%	40.1x
95937	Neuromuscular junction testing with repetitive nerve stimulation	IONM and Neurodiagnostics	25,015	87.4%	59.9x
J2405	Ondansetron (Zofran) anti-nausea injection, 1 mg	Infusion and Drug Administration	23,364	78%	3.9x
76705	Abdominal ultrasound, limited	Radiology	23,316	90.4%	6.9x
82150	Amylase blood test (pancreas enzyme)	Pathology and Lab	21,722	78.1%	7.6x
72125	CT scan of the cervical spine without contrast	Radiology	21,646	88.4%	5.4x
87804	Rapid influenza test	Pathology and Lab	20,708	84.4%	3.5x
G0453	Continuous intraoperative neurophysiology monitoring (IONM), from outside the operating ro	IONM and Neurodiagnostics	19,964	78.4%	16.8x
84703	Pregnancy hormone (hCG) blood test, qualitative	Pathology and Lab	19,784	78.8%	5.4x
00731	Anesthesia for upper GI endoscopic procedures	Anesthesia	18,781	83.5%	6.5x
83690	Lipase blood test (pancreas enzyme)	Pathology and Lab	18,645	81.9%	4.9x
95870	Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscl	IONM and Neurodiagnostics	18,508	83.7%	84.3x
70498	CT angiography of the neck	Radiology	17,416	91.2%	5.8x
82550	Creatine kinase (CK) blood test	Pathology and Lab	17,329	76.8%	7.2x
G0378	Hospital observation services, per hour	Hospital Medicine	17,048	78.6%	9.8x
70496	CT angiography of the head	Radiology	17,037	91.2%	5.0x
82977	GGT blood test (liver enzyme)	Pathology and Lab	17,009	79%	6.3x
81001	Urinalysis, automated, with microscopy	Pathology and Lab	16,865	81.9%	4.6x
80048	Basic metabolic panel (8 blood chemistry tests)	Pathology and Lab	16,723	85.1%	4.4x
83735	Magnesium blood test	Pathology and Lab	16,654	80.8%	6.3x
71260	CT scan of the chest with contrast	Radiology	16,092	90.6%	5.2x
87426	SARS-CoV-2 (COVID-19) antigen test	Pathology and Lab	16,039	87%	3.4x
76830	Transvaginal ultrasound	Radiology	15,715	91.3%	6.3x
94761	Pulse oximetry (blood oxygen), multiple readings	Pulmonary Medicine	15,259	65.1%	7.0x
83605	Lactate blood test	Pathology and Lab	14,977	80.9%	5.7x
85379	D-dimer blood test (clot marker), quantitative	Pathology and Lab	14,951	80.3%	6.4x
71250	CT scan of the chest without contrast	Radiology	14,696	90.6%	4.9x
82947	Glucose (blood sugar) test	Pathology and Lab	14,195	75.2%	7.4x
76856	Pelvic ultrasound, complete	Radiology	14,180	90%	6.3x
87428	Combined SARS-CoV-2 and influenza antigen test	Pathology and Lab	13,945	77.1%	6.5x
82565	Creatinine blood test (kidney function)	Pathology and Lab	13,642	74.8%	8.0x
00813	Anesthesia for combined upper and lower GI endoscopy	Anesthesia	13,635	83.1%	6.7x
99223	Initial hospital inpatient care, high complexity	Hospital Medicine	13,483	84.9%	7.0x
80051	Electrolyte panel	Pathology and Lab	13,407	74.7%	8.8x
70553	MRI of the brain, without and with contrast	Radiology	13,389	92.3%	4.3x
70551	MRI of the brain without contrast	Radiology	13,095	91.9%	4.3x
00811	Anesthesia for lower intestinal endoscopy (e.g., colonoscopy)	Anesthesia	13,016	80.9%	6.5x
84520	Blood urea nitrogen (BUN) test (kidney function)	Pathology and Lab	13,009	74.4%	7.8x
00840	Anesthesia for lower-abdomen intraperitoneal procedures (e.g., laparoscopy)	Anesthesia	12,850	83%	3.3x
S5001	Prescription drug, brand name	Infusion and Drug Administration	12,742	92.7%	3.3x
72131	CT scan of the lumbar spine without contrast	Radiology	12,479	88.7%	5.3x
99232	Subsequent hospital inpatient care, moderate complexity	Hospital Medicine	12,472	85.7%	9.0x
85027	Complete blood count (CBC), automated, without differential	Pathology and Lab	12,278	82.1%	6.5x
73630	Foot X-ray, complete (3+ views)	Radiology	12,153	85.4%	7.3x
J1100	Injection, dexamethasone sodium phosphate, 1 mg	Infusion and Drug Administration	12,153	73.2%	5.4x
74018	Abdominal X-ray, single view	Radiology	12,129	91.5%	8.0x
93971	Duplex ultrasound of extremity veins (clot check), unilateral or limited	Cardiology	12,055	90.3%	8.7x
87086	Urine culture with bacterial colony count	Pathology and Lab	11,899	82.4%	5.1x
82553	CK-MB blood test (cardiac enzyme)	Pathology and Lab	11,591	77.2%	7.7x
73610	Ankle X-ray, complete (3+ views)	Radiology	11,437	85.5%	7.7x
83880	BNP blood test (heart failure marker)	Pathology and Lab	11,336	81.3%	4.7x
70486	CT scan of the face/sinuses without contrast	Radiology	11,207	90%	5.7x
94640	Inhalation/nebulizer breathing treatment	Pulmonary Medicine	11,101	81.3%	4.6x
A4670	Automatic blood pressure monitor	other-hcpcs	11,056	66.4%	4.3x
99233	Subsequent hospital inpatient care, high complexity	Hospital Medicine	10,875	83.3%	6.2x
80076	Hepatic (liver) function panel	Pathology and Lab	10,541	81.9%	6.9x
96376	IV push injection, each additional dose of the same drug	Infusion and Drug Administration	10,450	82.6%	5.7x
99282	Emergency department visit, low to moderate severity	Emergency Medicine	10,190	76.7%	6.8x
73030	Shoulder X-ray, complete (2+ views)	Radiology	10,182	87.7%	7.6x
96360	IV hydration, initial 31-60 minutes	Infusion and Drug Administration	10,060	81.1%	3.0x
S5000	Prescription drug, generic	Infusion and Drug Administration	10,020	92.5%	3.4x
77066	Diagnostic mammography, bilateral	Radiology	9,988	94.9%	3.3x
01400	Anesthesia for open or arthroscopic knee joint procedures	Anesthesia	9,849	83.4%	6.4x
76642	Breast ultrasound, limited	Radiology	9,814	92.1%	6.5x
73130	Hand X-ray, complete (3+ views)	Radiology	9,763	87.3%	7.6x
77065	Diagnostic mammography, unilateral	Radiology	9,608	94.4%	3.3x
73562	Knee X-ray, 3 views	Radiology	9,464	87.3%	7.3x
76817	Transvaginal obstetric (pregnancy) ultrasound	Radiology	9,374	91%	7.4x
J0696	Ceftriaxone (Rocephin) antibiotic injection, 250 mg	Infusion and Drug Administration	9,369	75.3%	4.5x
76815	Obstetric ultrasound, limited	Radiology	9,275	93.1%	6.3x
83874	Myoglobin blood test	Pathology and Lab	9,269	75.7%	6.9x
01967	Neuraxial labor anesthesia (epidural for planned vaginal delivery)	Anesthesia	9,190	81.5%	2.8x
J2270	Morphine sulfate injection, 10 mg	Infusion and Drug Administration	9,185	80%	3.7x
00790	Anesthesia for upper-abdomen intraperitoneal procedures	Anesthesia	9,019	84.9%	3.4x
72148	MRI of the lumbar spine without contrast	Radiology	9,016	91.9%	4.3x
392	Hospital revenue code - blood processing and storage	other-hcpcs	9,014	72.4%	4.2x
73721	MRI of a lower-extremity joint (e.g., knee) without contrast	Radiology	9,006	92.4%	4.2x
76641	Breast ultrasound, complete	Radiology	8,399	91.7%	7.0x
76700	Abdominal ultrasound, complete	Radiology	8,268	92.5%	5.9x
A4657	Syringe, with or without needle	other-hcpcs	8,245	68.4%	6.9x
74174	CT angiography of the abdomen and pelvis	Radiology	8,099	90.9%	6.6x
250	Hospital revenue code - pharmacy, general	other-hcpcs	7,953	87.8%	2.7x
73110	Wrist X-ray, complete (3+ views)	Radiology	7,907	86.7%	7.4x
12001	Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and	General Surgery	7,851	80.1%	6.2x
87635	SARS-CoV-2 (COVID-19) PCR test	Pathology and Lab	7,842	80.3%	2.1x
01480	Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise speci	Anesthesia	7,827	83.3%	6.3x
0202U	Respiratory pathogen panel (BioFire), 22 targets	Pathology and Lab	7,739	64.4%	12.0x
87633	Respiratory virus panel (PCR, 12-25 targets)	Pathology and Lab	7,673	74%	4.9x
93976	Duplex ultrasound of abdominal/pelvic blood flow, limited	Cardiology	7,643	92.2%	7.0x
85610	Prothrombin time (PT) clotting test	Pathology and Lab	7,478	81.4%	5.3x
70491	CT scan of the neck soft tissue with contrast	Radiology	7,452	89.4%	4.9x
01630	Anesthesia for open or arthroscopic shoulder procedures	Anesthesia	7,327	84.1%	6.0x
J8499	Oral prescription drug, non-chemotherapy (unspecified)	Infusion and Drug Administration	7,320	71.9%	5.8x
99239	Hospital discharge management, more than 30 minutes	Hospital Medicine	7,217	82.9%	5.3x
76770	Retroperitoneal ultrasound, complete	Radiology	6,983	93%	6.0x
82040	Albumin blood test	Pathology and Lab	6,950	75.3%	7.0x
99222	Initial hospital inpatient care, moderate complexity	Hospital Medicine	6,908	84.7%	9.5x
22853	Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral an	Orthopedic Surgery	6,845	85.4%	99.6x
76536	Ultrasound of the head and neck (e.g., thyroid)	Radiology	6,782	92.9%	6.0x
82247	Bilirubin blood test, total	Pathology and Lab	6,781	74.6%	7.4x
84075	Alkaline phosphatase blood test	Pathology and Lab	6,768	74.5%	7.2x
87637	Combined SARS-CoV-2, influenza, and RSV PCR test	Pathology and Lab	6,759	79.4%	3.7x
00142	Anesthesia for lens (cataract) surgery	Anesthesia	6,747	81%	6.4x
84450	AST blood test (liver enzyme)	Pathology and Lab	6,739	74.3%	7.7x
84460	ALT blood test (liver enzyme)	Pathology and Lab	6,674	74.2%	8.7x
84155	Total protein blood test	Pathology and Lab	6,638	74.6%	7.6x
A4216	Sterile saline/water flush, 10 mL	other-hcpcs	6,583	70.7%	5.7x
72100	Lumbosacral spine X-ray, 2-3 views	Radiology	6,582	88.9%	7.4x
72141	MRI of the cervical spine without contrast	Radiology	6,462	92.3%	4.2x
00170	Anesthesia for intraoral procedures	Anesthesia	6,343	79.5%	5.7x
01810	Anesthesia for procedures on nerves, muscles, and tendons of the forearm, wrist, or hand	Anesthesia	6,255	82.8%	6.5x
74183	MRI of the abdomen, without and with contrast	Radiology	6,193	93.1%	5.0x
76870	Scrotal ultrasound	Radiology	6,127	89.9%	6.2x
95940	Continuous intraoperative neurophysiology monitoring in the operating room, one on one mon	IONM and Neurodiagnostics	6,002	77.3%	23.1x
00400	Anesthesia for procedures on the skin of the extremities or trunk	Anesthesia	5,961	83.6%	4.5x
01402	Anesthesia for total knee replacement	Anesthesia	5,880	84.1%	4.9x
86140	C-reactive protein (CRP) inflammation test	Pathology and Lab	5,879	85.2%	4.3x
93975	Duplex ultrasound of abdominal/pelvic blood flow, complete	Cardiology	5,873	84.8%	6.9x
95868	cranial nerve supplied muscles, bilateral	IONM and Neurodiagnostics	5,767	86%	55.6x
A4215	Sterile needle	other-hcpcs	5,720	71.1%	5.3x
01992	Anesthesia for nerve-block pain procedures, prone position	Anesthesia	5,632	82.6%	28.2x
29584	Multi-layer compression bandage, arm/forearm/hand	Orthopedic Surgery	5,601	68.4%	8.1x
74178	CT scan of the abdomen and pelvis, without then with contrast	Radiology	5,589	92.1%	7.3x
01961	Anesthesia for cesarean delivery	Anesthesia	5,579	85.7%	2.9x
90471	Immunization administration, one vaccine	Other Medicine	5,561	79.8%	4.0x
64415	Brachial plexus nerve block injection (shoulder/arm anesthesia)	Neurosurgery and Pain	5,527	86%	16.8x
64447	Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidanc	Neurosurgery and Pain	5,449	86.2%	20.9x
87081	Bacterial culture, screening	Pathology and Lab	5,414	88%	4.7x
00160	Anesthesia for nose and sinus procedures	Anesthesia	5,403	79.7%	4.9x
80305	Drug screen, presumptive, read by direct observation	Pathology and Lab	5,385	78.8%	6.3x
153	Hospital revenue code - room and board, pediatric ward	other-hcpcs	5,258	68.2%	5.3x
J3490	Unclassified injectable drug	Infusion and Drug Administration	5,196	82.1%	3.5x
73590	Tibia/fibula (lower leg) X-ray, 2 views	Radiology	5,180	89.7%	7.4x
A4223	IV infusion supplies, without pump	other-hcpcs	5,042	71.9%	7.9x
84702	Pregnancy hormone (hCG) blood test, quantitative	Pathology and Lab	5,038	86.1%	4.3x
J1200	Diphenhydramine (Benadryl) injection, up to 50 mg	Infusion and Drug Administration	5,028	78.7%	3.4x
00952	Anesthesia for hysteroscopy	Anesthesia	4,974	84.4%	3.4x
A4770	Blood collection tubes and supplies	other-hcpcs	4,964	70.6%	10.4x
96366	IV infusion therapy, each additional hour	Infusion and Drug Administration	4,954	81.9%	5.2x
812	Anesthesia for exam of colon using an endoscope	other-hcpcs	4,921	84.2%	7.5x
A6413	Adhesive bandage, first-aid type	other-hcpcs	4,884	68.1%	4.8x
72128	CT scan of the thoracic spine without contrast	Radiology	4,866	89.6%	5.5x
73700	CT scan of the lower extremity without contrast	Radiology	4,863	90.1%	5.1x
73502	Hip X-ray, 2-3 views	Radiology	4,823	90.2%	9.9x
12011	Simple wound repair of the face or scalp, 2.5 cm or less	General Surgery	4,779	80.5%	5.9x
00670	Anesthesia for extensive spine and spinal cord procedures	Anesthesia	4,768	84.7%	3.4x
19318	Breast reduction	General Surgery	4,738	84.7%	46.8x
12002	Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and	General Surgery	4,733	83%	5.7x
90715	Tdap vaccine (tetanus, diphtheria, pertussis)	Other Medicine	4,692	80.2%	3.7x
73080	Elbow X-ray, complete (3+ views)	Radiology	4,679	87.7%	7.6x
73221	MRI of an upper-extremity joint (e.g., shoulder) without contrast	Radiology	4,676	92.5%	4.2x
96367	IV infusion, additional sequential drug, up to 1 hour	Infusion and Drug Administration	4,659	82.7%	5.3x
S1015	IV tubing extension set	other-hcpcs	4,650	74.8%	6.1x
85730	Partial thromboplastin time (PTT) clotting test	Pathology and Lab	4,634	83.2%	3.4x
76801	Obstetric ultrasound, first trimester	Radiology	4,623	88.3%	6.0x
73090	Forearm X-ray, 2 views	Radiology	4,584	87.8%	7.6x
93970	Duplex ultrasound of extremity veins (clot check), complete bilateral	Cardiology	4,528	90.7%	8.1x
80307	Drug screen, presumptive, instrument-based	Pathology and Lab	4,509	83.7%	1.9x
95886	Needle electromyography, each extremity, with related paraspinal areas, when performed, do	IONM and Neurodiagnostics	4,443	83.9%	41.5x
87040	Blood culture for bacteria	Pathology and Lab	4,413	80%	5.4x
00300	Anesthesia for procedures on the head, neck, or posterior trunk	Anesthesia	4,396	82.4%	4.0x
00902	Anesthesia for anorectal procedures	Anesthesia	4,376	82.9%	4.7x
A6454	Self-adherent elastic bandage, per yard	other-hcpcs	4,376	68.8%	5.4x
44970	Laparoscopy, surgical, appendectomy	General Surgery	4,269	84.9%	24.0x
73140	Finger X-ray, 2+ views	Radiology	4,200	84.5%	7.7x
99236	Hospital admission and discharge on the same day, high complexity	Hospital Medicine	4,200	80.1%	10.7x
72197	MRI scan of pelvis before and after contrast	Radiology	4,174	94.2%	4.8x
36000	Placement of needle or catheter into a vein	Cardiovascular and Thoracic Surgery	4,148	69.6%	6.3x
A4305	Disposable drug delivery system, 50+ mL per hour	other-hcpcs	4,119	70.5%	5.3x
87631	Respiratory virus panel (PCR, 3-5 targets)	Pathology and Lab	4,067	76.9%	3.0x
J7120	Lactated Ringer's IV solution, up to 1,000 mL	Infusion and Drug Administration	4,063	78.7%	3.6x
A4649	Miscellaneous surgical supply	other-hcpcs	4,057	73.6%	5.1x
73560	Knee X-ray, 1-2 views	Radiology	4,030	89.6%	7.6x
80069	Renal (kidney) function panel	Pathology and Lab	3,989	83.9%	9.2x
0250	Hospital revenue code - pharmacy, general	other-hcpcs	3,982	87.6%	2.8x
J0131	Acetaminophen (IV Ofirmev) injection, 10 mg	Infusion and Drug Administration	3,972	72.9%	8.3x
63047	Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of s	Neurosurgery and Pain	3,970	85.3%	52.3x
81420	Fetal chromosomal aneuploidy screening, genomic sequencing (NIPT)	Pathology and Lab	3,922	77.6%	1.0x
272	Hospital revenue code - sterile medical/surgical supplies	other-hcpcs	3,840	89.6%	2.2x
Q0144	Azithromycin, oral, 1 g	other-hcpcs	3,818	87.3%	6.0x
01830	Anesthesia for open procedures on the distal radius, ulna, wrist, or hand joints	Anesthesia	3,781	81.1%	5.3x
313	Hospital revenue code - pathology laboratory	other-hcpcs	3,769	75.7%	4.3x
S0028	Famotidine (Pepcid) injection	other-hcpcs	3,769	82.4%	6.6x
22551	Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytec	Orthopedic Surgery	3,705	84.9%	30.9x
01214	Anesthesia for total hip replacement	Anesthesia	3,704	83.4%	3.9x
84100	Phosphorus blood test	Pathology and Lab	3,696	77%	6.9x
72040	X-ray of upper spine, 2-3 views	Radiology	3,691	89.7%	7.7x
47562	Laparoscopy, surgical; cholecystectomy	General Surgery	3,651	84.5%	29.6x
01938	Anesthesia for percutaneous image-guided spine injection/drainage, lumbar or sacral	Anesthesia	3,639	82.1%	8.6x
77049	MRI scan of both breasts	Radiology	3,632	93.4%	3.7x
E1399	Miscellaneous durable medical equipment	other-hcpcs	3,629	70.8%	6.2x
84443	Thyroid stimulating hormone (TSH) test	Pathology and Lab	3,627	82.5%	3.7x
563	FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC	other-hcpcs	3,593	73.2%	5.2x
00126	Anesthesia for tympanotomy (ear tube surgery)	Anesthesia	3,554	79.9%	6.7x
76819	Ultrasound scan of fetus	Radiology	3,533	93.4%	5.7x
00918	Anesthesia for transurethral removal of ureteral stones (lithotripsy)	Anesthesia	3,455	83.8%	3.9x
99238	Hospital discharge management, 30 minutes or less	Hospital Medicine	3,443	84.4%	6.0x
87798	Infectious agent PCR test, not otherwise specified	Pathology and Lab	3,339	70.5%	6.7x
95865	Needle electromyography; larynx	IONM and Neurodiagnostics	3,334	85.4%	34.5x
64483	Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging gu	Neurosurgery and Pain	3,321	85.6%	39.1x
10061	Incision and drainage of abscess, complicated or multiple	General Surgery	3,281	79.5%	4.5x
605	TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC	other-hcpcs	3,249	71.8%	5.3x
J2765	Metoclopramide (Reglan) injection, 10 mg	Infusion and Drug Administration	3,244	79.8%	3.5x
J2919	Methylprednisolone (Solu-Medrol) injection, 5 mg	Infusion and Drug Administration	3,186	76.6%	3.3x
86308	Heterophile antibody screen (mononucleosis test)	Pathology and Lab	3,185	84.9%	5.0x
87591	Neisseria gonorrhoeae PCR test	Pathology and Lab	3,178	77%	4.1x
00910	Anesthesia for transurethral bladder procedures (e.g., cystoscopy)	Anesthesia	3,172	84.3%	4.2x
A9150	Non-prescription drug	other-hcpcs	3,138	75.6%	4.0x
87491	Chlamydia trachomatis PCR test	Pathology and Lab	3,130	77%	4.3x
74019	X-ray of abdomen, 2 views	Radiology	3,068	89%	8.9x
74181	MRI scan of abdomen without contrast	Radiology	3,059	91.3%	4.2x
95908	Nerve conduction studies; 3-4 studies	IONM and Neurodiagnostics	2,998	86.7%	26.1x
72170	X-ray of pelvis, 1-2 views	Radiology	2,995	91.6%	7.8x
A4930	Gloves, sterile, per pair	other-hcpcs	2,993	67.4%	6.2x
63048	Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of s	Neurosurgery and Pain	2,981	85.3%	77.1x
96523	Irrigation of implanted venous access drug delivery device	Infusion and Drug Administration	2,974	71.9%	5.3x
96368	IV infusion, concurrent additional drug	Infusion and Drug Administration	2,968	89.6%	4.2x
A4550	Surgical trays	other-hcpcs	2,952	71.1%	6.0x
22845	Anterior instrumentation; 2 to 3 vertebral segments	Orthopedic Surgery	2,930	84.2%	42.4x
19083	Biopsy of breast and placement of locating device using ultrasound, first growth	General Surgery	2,929	91.8%	7.7x
58662	Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscer	OB/GYN	2,902	88.2%	49.1x
87486	Chlamydia pneumoniae PCR test	Pathology and Lab	2,847	78.6%	5.7x
01922	Anesthesia for X-ray or radiation therapy	Anesthesia	2,827	82.7%	3.2x
36475	Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guida	Cardiovascular and Thoracic Surgery	2,823	81.9%	73.8x
72156	MRI scan of upper spinal canal before and after contrast	Radiology	2,812	91.5%	4.6x
87581	Mycoplasma pneumoniae PCR test	Pathology and Lab	2,787	75.1%	5.4x
94760	Test to measure oxygen level in blood using ear or finger device	Pulmonary Medicine	2,781	73.4%	5.0x
29826	Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromiopl	Orthopedic Surgery	2,761	85.6%	51.2x
78815	Nuclear medicine study from skull base to mid-thigh with CT scan	Radiology	2,760	92.2%	4.3x
27447	Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without p	Orthopedic Surgery	2,754	87.5%	17.0x
71101	X-ray of ribs on side of body, minimum of 3 views	Radiology	2,724	88.9%	5.6x
64484	Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging gu	Neurosurgery and Pain	2,709	84.4%	74.7x
29827	Arthroscopy, shoulder, surgical; with rotator cuff repair	Orthopedic Surgery	2,636	86.7%	20.7x
95867	Needle electromyography; cranial nerve supplied muscle(s), unilateral	IONM and Neurodiagnostics	2,635	85.2%	39.8x
14301	Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm	General Surgery	2,621	86.1%	22.7x
00320	Anesthesia for other procedure on neck area (1 year or older)	Anesthesia	2,609	81.6%	3.1x
63030	Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facet	Neurosurgery and Pain	2,605	85.4%	38.6x
72158	MRI scan of lower spinal canal before and after contrast	Radiology	2,592	91.4%	4.1x
29125	Application of nonmoveable forearm to hand splint	Orthopedic Surgery	2,553	78.7%	4.9x
64488	Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilat	Neurosurgery and Pain	2,535	86.5%	5.7x
64493	Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (	Neurosurgery and Pain	2,513	83.7%	60.9x
87811	Detection test by immunoassay with direct visual observation for severe acute respiratory	Pathology and Lab	2,505	66.7%	7.9x
76882	Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s)	Radiology	2,503	90.9%	7.6x
22612	Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with latera	Orthopedic Surgery	2,501	83.2%	30.6x
73552	X-ray of thigh bone, minimum 2 views	Radiology	2,501	90.5%	8.9x
99231	Subsequent hospital care with straightforward or low level of medical decision making, per	Hospital Medicine	2,465	83.7%	55.7x
82803	Blood gases measurement	Pathology and Lab	2,456	78.4%	5.6x
70544	MRI scan of blood vessels of head without contrast	Radiology	2,453	92.2%	3.9x
203	BRONCHITIS AND ASTHMA WITHOUT CC/MCC	other-hcpcs	2,447	68%	5.4x
64450	Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch	Neurosurgery and Pain	2,441	83.8%	26.6x
00630	Anesthesia for other procedure on lower spine	Anesthesia	2,434	83.6%	4.2x
552	MEDICAL BACK PROBLEMS WITHOUT MCC	other-hcpcs	2,432	74.5%	4.1x
95927	Placement of skin electrodes and measurement of stimulated sites in trunk or head	IONM and Neurodiagnostics	2,424	85.3%	45.0x
72146	MRI scan of middle spinal canal without contrast	Radiology	2,421	91.9%	4.2x
G0279	Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addit	other-hcpcs	2,417	93.9%	4.9x
77080	DXA bone density measurement of hip, pelvis, spine	Radiology	2,408	94.6%	7.0x
86901	Blood typing for Rh (D) antigen	Pathology and Lab	2,407	82.7%	3.8x
99292	Critical care, each additional 30 minutes	Critical Care	2,399	82.4%	7.3x
73564	X-ray of knee, 4 or more views	Radiology	2,392	89.5%	7.0x
73060	X-ray of upper arm, minimum of 2 views	Radiology	2,376	88.6%	7.3x
76942	Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization	Radiology	2,375	89.5%	6.1x
731	Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endosc	other-hcpcs	2,365	84.9%	5.1x
64494	Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (	Neurosurgery and Pain	2,360	82.8%	97.7x
00402	Anesthesia for reconstruction of breast	Anesthesia	2,346	80.5%	3.3x
22842	Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks a	Orthopedic Surgery	2,340	84.1%	40.4x
86900	Blood group typing (ABO)	Pathology and Lab	2,337	83%	4.5x
95957	Digital analysis of an electroencephalogram (EEG). This procedure involves a computer-base	IONM and Neurodiagnostics	2,321	82.5%	18.9x
J7620	Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product,	Infusion and Drug Administration	2,320	71.2%	6.5x
22552	Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytec	Orthopedic Surgery	2,318	85%	50.0x
22614	Arthrodesis, posterior or posterolateral technique, single interspace; each additional int	Orthopedic Surgery	2,316	83.3%	51.4x
J2550	Injection, promethazine hcl, up to 50 mg	Infusion and Drug Administration	2,302	74.2%	7.0x
00537	Anesthesia for procedure to assess heart electrical activity	Anesthesia	2,291	81.3%	3.3x
75574	CT scan of blood vessels and grafts of heart with contrast	Radiology	2,284	91.4%	5.5x
J2060	Injection, lorazepam, 2 mg	Infusion and Drug Administration	2,273	81.4%	3.6x
22840	Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation ac	Orthopedic Surgery	2,252	85.4%	42.5x
22558	Arthrodesis, anterior interbody technique, including minimal discectomy to prepare intersp	Orthopedic Surgery	2,232	85.7%	45.9x
J7040	Infusion, normal saline solution, sterile (500 ml = 1 unit)	Infusion and Drug Administration	2,217	79.2%	3.5x
99001	Handling and/or conveyance of specimen for transfer to a laboratory	other	2,216	75.1%	7.0x
76857	Limited ultrasound scan of pelvis	Radiology	2,211	90.2%	6.5x
20610	Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee	Orthopedic Surgery	2,161	85%	21.7x
01470	Anesthesia for other procedure on nerves, muscles, tendons, and tissue of lower leg, ankle	Anesthesia	2,136	82.7%	6.8x
00873	Anesthesia for shock wave therapy for urinary system stones without water bath	Anesthesia	2,106	83.9%	7.2x
77012	Review by radiologist of CT guidance for needle placement	Radiology	2,105	92.3%	7.2x
E0114	adjustable crutches	other-hcpcs	2,085	81.7%	4.1x
00940	Anesthesia for other procedure on female genitals	Anesthesia	2,084	86.2%	3.5x
73718	MRI scan of leg without contrast	Radiology	2,079	91.9%	4.7x
70487	CT scan of face with contrast	Radiology	2,078	88.6%	5.4x
13131	Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or fee	General Surgery	2,074	86.5%	34.6x
95885	Needle electromyography, each extremity, with related paraspinal areas, when performed, do	IONM and Neurodiagnostics	2,068	84.7%	78.9x
690	KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	other-hcpcs	2,062	73.6%	4.4x
72157	MRI scan of middle spinal canal before and after contrast	Radiology	2,052	92.1%	4.3x
14302	Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part t	General Surgery	2,049	85.6%	21.2x
72110	X-ray of lower and sacral spine, minimum of 4 views	Radiology	2,036	89%	6.7x
49083	Drainage of fluid from abdominal cavity using imaging guidance	General Surgery	2,030	90.6%	7.6x
01940	Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed	Anesthesia	2,020	81.1%	17.1x
71271	Low dose CT scan of chest for lung cancer screening	Radiology	2,017	91%	6.5x
27130	Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplas	Orthopedic Surgery	1,979	87.6%	33.0x
87186	Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or aga	Pathology and Lab	1,971	81.6%	4.3x
73200	CT scan of arm without contrast	Radiology	1,968	89.6%	5.1x
95907	Nerve conduction studies; 1-2 studies	IONM and Neurodiagnostics	1,960	87.5%	36.9x
76775	Limited ultrasound scan behind abdominal cavity	Radiology	1,959	90.9%	6.5x
87088	Bacterial urine culture	Pathology and Lab	1,955	83.5%	4.1x
A4248	Chlorhexidine containing antiseptic, 1 ml	other-hcpcs	1,946	68.9%	5.8x
00920	Anesthesia for other procedure on male genitals	Anesthesia	1,937	81.5%	4.6x
J2543	Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)	Infusion and Drug Administration	1,924	76%	4.8x
77062	3D breast mammography of both breasts	Radiology	1,919	94.4%	2.1x
103	HEADACHES WITHOUT MCC	other-hcpcs	1,917	75.8%	4.7x
87651	Detection test by nucleic acid for Strep (Streptococcus, group A), amplified probe techniq	Pathology and Lab	1,915	79.2%	1.0x
93041	Electrocardiogram (ECG) 1 to 3 leads	Cardiology	1,876	76.9%	5.1x
72192	CT scan of pelvis without contrast	Radiology	1,873	88.1%	5.0x
01610	Anesthesia for procedure on nerves, muscles, tendons, fascia, and bursae of shoulder and u	Anesthesia	1,864	83.3%	3.2x
J2003	Injection, lidocaine hydrochloride, 1 mg	Infusion and Drug Administration	1,858	75.3%	4.5x
00797	Anesthesia for procedure on stomach for weight loss	Anesthesia	1,849	84.5%	4.0x
84439	Thyroxine (thyroid chemical), free	Pathology and Lab	1,845	82.5%	5.5x
603	CELLULITIS WITHOUT MCC	other-hcpcs	1,841	74.2%	4.4x
J3010	Injection, fentanyl citrate, 0.1 mg	Infusion and Drug Administration	1,840	83%	2.5x
47563	Laparoscopy, surgical; cholecystectomy with cholangiography	General Surgery	1,836	85.8%	22.6x
01930	Anesthesia for therapeutic interventional radiological procedures involving the venous/lym	Anesthesia	1,833	81.1%	12.3x
72132	CT scan of lower spine with contrast	Radiology	1,822	90.3%	4.7x
871	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC	other-hcpcs	1,819	82.5%	2.3x
00732	Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope	Anesthesia	1,818	85.9%	3.7x
99469	Follow-up inpatient hospital critical care of newborn per day (28 days or younger)	Neonatal and Pediatric Critical Care	1,811	83.1%	2.9x
81002	Urinalysis, manual test	Pathology and Lab	1,808	88.6%	5.4x
A6257	Transparent film, sterile, 16 sq. in. or less, each dressing	other-hcpcs	1,796	75%	5.8x
J2470	Injection, pantoprazole sodium, 40 mg	Infusion and Drug Administration	1,792	77.2%	4.0x
73070	X-ray of elbow, 2 views	Radiology	1,787	87.4%	6.2x
271	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC	other-hcpcs	1,782	90.7%	2.7x
64445	Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve)	Neurosurgery and Pain	1,782	86.7%	16.3x
01968	Anesthesia for cesarean delivery following labor	Anesthesia	1,780	82.4%	3.0x
15734	Muscle, myocutaneous, or fasciocutaneous flap; trunk	General Surgery	1,771	85.3%	20.4x
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify indiv	other-hcpcs	1,769	86.6%	3.5x
22633	Arthrodesis, combined posterior or posterolateral technique with posterior interbody techn	Orthopedic Surgery	1,756	84.9%	30.3x
S0119	Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q	other-hcpcs	1,740	79.6%	4.5x
64636	Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance	Neurosurgery and Pain	1,730	85.4%	80.2x
19380	Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or	General Surgery	1,727	90.6%	31.3x
0272	MEDICAL/SURGICAL SUPPLIES AND DEVICES-STERILE SUPPLY	other-hcpcs	1,719	90.4%	2.6x
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome	other-hcpcs	1,715	80.2%	2.3x
1400	Anesthesia for other procedure or exam of knee joint using an endoscope	other-hcpcs	1,710	86.5%	5.1x
29823	Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg	Orthopedic Surgery	1,709	84.6%	46.9x
813	Anesthesia for procedure on small and large bowel using an endoscope	other-hcpcs	1,698	84.4%	4.7x
84550	Uric acid level, blood	Pathology and Lab	1,696	81.6%	4.7x
840	Anesthesia for other procedure on lower abdomen	other-hcpcs	1,685	84.1%	2.1x
80047	Blood test, basic group of blood chemicals (Calcium, ionized)	Pathology and Lab	1,678	85.9%	5.8x
87807	Detection test by immunoassay with direct visual observation for respiratory syncytial vir	Pathology and Lab	1,670	79.6%	3.6x
J1171	Injection, hydromorphone, 0.1 mg	Infusion and Drug Administration	1,670	76.9%	5.2x
19357	Tissue expander placement in breast reconstruction, including subsequent expansion(s)	General Surgery	1,668	88.4%	23.0x
64635	Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance	Neurosurgery and Pain	1,662	84.4%	28.7x
77061	3D breast mammography of 1 breast	Radiology	1,644	94.9%	2.5x
93880	Ultrasound of both sides of head and neck blood flow	Cardiology	1,635	92.2%	9.9x
270	OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC	other-hcpcs	1,629	88.8%	2.3x
195	SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC	other-hcpcs	1,627	70.5%	5.0x
82962	Blood glucose (sugar) test performed by hand-held instrument	Pathology and Lab	1,621	79.8%	4.8x
29888	Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction	Orthopedic Surgery	1,606	83.6%	32.7x
10060	Simple or single drainage of skin abscess	General Surgery	1,605	79.9%	5.2x
64490	Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (	Neurosurgery and Pain	1,604	86.1%	51.1x
73660	X-ray of toe, minimum of 2 views	Radiology	1,599	83.9%	7.8x
78227	Nuclear medicine study of liver and bile duct system with use of drugs	Radiology	1,598	94%	6.3x
19081	Biopsy of breast and placement of locating device using X-ray with needle, first growth	General Surgery	1,580	92.1%	8.1x
01937	Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of nec	Anesthesia	1,579	81.3%	8.9x
811	Anesthesia for other procedure on large bowel using an endoscope	other-hcpcs	1,574	82.1%	3.2x
76937	Ultrasound guidance for vascular access requiring ultrasound evaluation of potential acces	Radiology	1,566	86.6%	9.6x
29881	Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal	Orthopedic Surgery	1,564	89.2%	34.1x
72129	CT scan of middle spine with contrast	Radiology	1,562	89.7%	4.9x
01965	Anesthesia for incomplete or missed abortion	Anesthesia	1,560	85.3%	3.2x
62321	Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, op	Neurosurgery and Pain	1,560	87%	33.9x
00520	Anesthesia for other closed procedure on chest	Anesthesia	1,559	82%	3.1x
80320	Alcohols levels	Pathology and Lab	1,559	87.6%	2.9x
12013	Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm	General Surgery	1,554	81%	5.6x
641	MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC	other-hcpcs	1,550	70.2%	3.6x
J1170	Injection, hydromorphone, up to 4 mg	Infusion and Drug Administration	1,528	79.1%	4.1x
Q0162	Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete thera	other-hcpcs	1,525	85.6%	2.9x
86850	Screening test for red blood cell antibodies	Pathology and Lab	1,513	82.7%	5.3x
64491	Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (	Neurosurgery and Pain	1,503	86.9%	84.9x
73620	X-ray of foot, 2 views	Radiology	1,496	87.2%	7.3x
99281	Emergency department visit for problem that may not require health care professional	Emergency Medicine	1,491	71.7%	12.0x
00140	Anesthesia for other procedure on eye	Anesthesia	1,489	82.6%	4.9x
62328	Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guida	Neurosurgery and Pain	1,487	93.4%	4.7x
95909	Nerve conduction studies; 5-6 studies	IONM and Neurodiagnostics	1,487	86.5%	34.0x
15777	Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforceme	General Surgery	1,462	89.2%	35.8x
99053	Service provided between 10:00 pm and 8:00 am at a 24-hour facility	other	1,461	85.9%	5.1x
10005	Fine needle aspiration biopsy using ultrasound guidance, first growth	General Surgery	1,458	92.5%	5.8x
00860	Anesthesia for other procedure on lower abdomen outside abdominal cavity	Anesthesia	1,457	84.1%	3.3x
70490	CT scan of soft tissue of neck without contrast	Radiology	1,444	86.9%	4.9x
36561	Insertion of central venous tube with port (5 years or older)	Cardiovascular and Thoracic Surgery	1,443	90.7%	5.3x
J0780	Injection, prochlorperazine, up to 10 mg	Infusion and Drug Administration	1,432	81.1%	2.7x
72072	X-ray of middle spine, 3 views	Radiology	1,426	86.7%	5.9x
790	Anesthesia for other procedure on upper abdomen	other-hcpcs	1,420	85.7%	2.4x
70360	X-ray of soft tissue of neck	Radiology	1,414	87.3%	6.6x
29515	Application of short leg splint (calf to foot)	Orthopedic Surgery	1,409	81%	4.2x
72070	X-ray of middle spine, 2 views	Radiology	1,403	89.6%	6.7x
95887	Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done wi	IONM and Neurodiagnostics	1,401	83.7%	79.8x
J7050	Infusion, normal saline solution, 250 cc	Infusion and Drug Administration	1,399	80.9%	6.3x
1480	Anesthesia for other procedure on lower leg, ankle, and foot bones	other-hcpcs	1,393	85.5%	6.1x
99152	Use of a drug to induce depression of consciousness by physician performing a procedure (5	other	1,386	88.7%	6.7x
1630	Anesthesia for other procedure on top of arm bone and shoulder joint	other-hcpcs	1,385	87.1%	5.9x
A6203	Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, e	other-hcpcs	1,380	63.1%	4.6x
64495	Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (	Neurosurgery and Pain	1,375	83.5%	99.2x
99480	Follow-up intensive care of recovering medium birth weight infant per day	Neonatal and Pediatric Critical Care	1,373	85.2%	3.8x
99468	Initial inpatient hospital critical care of newborn per day (28 days or younger)	Neonatal and Pediatric Critical Care	1,369	83.1%	2.6x
99479	Follow-up intensive care of recovering low birth weight infant per day	Neonatal and Pediatric Critical Care	1,359	83.4%	3.6x
A4213	Syringe, sterile, 20 cc or greater, each	other-hcpcs	1,357	77.9%	5.2x
00830	Anesthesia for other repair of lower abdomen hernia (1 year or older)	Anesthesia	1,351	84.2%	3.3x
00532	Anesthesia for access to central vein	Anesthesia	1,350	84.8%	3.7x
694	URINARY STONES WITHOUT MCC	other-hcpcs	1,328	71%	3.6x
85007	Microscopic examination for white blood cells with manual cell count	Pathology and Lab	1,321	85.3%	3.1x
70480	CT scan of cranial cavity without contrast	Radiology	1,314	89.3%	4.8x
43775	Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve	General Surgery	1,312	84%	20.5x
00145	Anesthesia for retinal surgery	Anesthesia	1,307	80.4%	3.3x
63052	Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of s	Neurosurgery and Pain	1,305	85.6%	159.1x
70543	MRI scan of bone of eye socket, face, and/or neck before and after contrast	Radiology	1,277	92.3%	3.6x
74240	Single contrast X-ray of upper digestive tract	Radiology	1,277	91%	5.5x
83036	Hemoglobin A1C level	Pathology and Lab	1,266	81.5%	4.4x
0241U	Respiratory infectious agent detection by RNA for severe acute respiratory syndrome corona	Pathology and Lab	1,261	74%	2.0x
204	RESPIRATORY SIGNS AND SYMPTOMS	other-hcpcs	1,260	72.4%	4.4x
87070	Bacterial culture, any other source except urine, blood or stool, aerobic	Pathology and Lab	1,258	81.8%	5.2x
29828	Arthroscopy, shoulder, surgical; biceps tenodesis	Orthopedic Surgery	1,246	87.6%	39.8x
72050	X-ray of upper spine, 4-5 views	Radiology	1,242	91.8%	6.1x
29824	Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface	Orthopedic Surgery	1,238	84.5%	45.5x
13152	Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	General Surgery	1,225	83.2%	30.6x
13132	Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or fee	General Surgery	1,215	86.9%	25.5x
01939	Anesthesia for nerve destruction procedures on spine or spinal cord of neck or upper back	Anesthesia	1,214	81.6%	16.7x
58558	Biopsy of lining of uterus and/or removal of polyp using an endoscope	OB/GYN	1,200	88.4%	34.2x
64999	Unlisted procedure, nervous system	Neurosurgery and Pain	1,200	89.3%	33.9x
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	General Surgery	1,199	86.9%	50.0x
74246	Double contrast X-ray of upper digestive tract	Radiology	1,198	92.8%	6.7x
01710	Anesthesia for other procedures on nerves, muscles, tendons, and tissue of upper arm and e	Anesthesia	1,178	81.2%	4.5x
S2068	Breast reconstruction with deep inferior epigastric perforator (diep) flap or superficial	other-hcpcs	1,176	90.1%	8.3x
1810	Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and ha	other-hcpcs	1,175	84.4%	6.2x
80061	Blood test, lipids (cholesterol and triglycerides)	Pathology and Lab	1,161	81.2%	6.6x
99135	Use of low blood pressure complicating anesthesia	Anesthesia	1,159	89.4%	14.2x
25605	Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separa	Orthopedic Surgery	1,155	80.6%	5.6x
00752	Anesthesia for procedure to repair upper abdominal incisional hernia and/or wound opening	Anesthesia	1,152	83.4%	3.4x
99221	Initial hospital care with straightforward or low level of medical decision making, per da	Hospital Medicine	1,151	80.8%	14.4x
15002	Surgical preparation or creation of recipient site by excision of open wounds, burn eschar	General Surgery	1,150	89%	23.3x
36226	Selective catheter placement, vertebral artery, unilateral, with angiography of the ipsila	Cardiovascular and Thoracic Surgery	1,149	85.9%	86.5x
74230	Imaging for evaluation of swallowing function	Radiology	1,147	92.3%	5.8x
607	MINOR SKIN DISORDERS WITHOUT MCC	other-hcpcs	1,145	71.3%	4.9x
75571	CT scan of heart with evaluation of blood vessel calcium	Radiology	1,145	93%	6.5x
70547	MRI scan of blood vessels of neck without contrast	Radiology	1,142	91.1%	4.5x
J3475	Injection, magnesium sulfate, per 500 mg	Infusion and Drug Administration	1,141	81.9%	3.6x
00120	Anesthesia for other procedure on external middle and inner ear	Anesthesia	1,133	83.1%	5.6x
87077	Bacterial culture for aerobic isolates	Pathology and Lab	1,132	81.1%	3.8x
J1650	Injection, enoxaparin sodium, 10 mg	Infusion and Drug Administration	1,127	79.4%	1.5x
77001	Fluoroscopic guidance for insertion or removal of central vein access device	Radiology	1,124	92.3%	9.9x
36224	Selective catheter placement, internal carotid artery, unilateral, with angiography of the	Cardiovascular and Thoracic Surgery	1,121	87.8%	74.4x
69990	Microsurgical techniques, requiring use of operating microscope	ENT Surgery	1,121	88.1%	30.0x
99235	Initial hospital care with same-day admission and discharge with moderate level of medical	Hospital Medicine	1,119	83.1%	14.6x
73100	X-ray of wrist, 2 views	Radiology	1,118	88.6%	6.7x
13151	Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	General Surgery	1,117	84.8%	37.1x
142	Anesthesia for lens surgery	other-hcpcs	1,117	82%	5.3x
74022	X-ray series of abdomen with single X-ray of chest	Radiology	1,117	89.6%	6.2x
72193	CT scan of pelvis with contrast	Radiology	1,113	88.6%	5.2x
J2704	Injection, propofol, 10 mg	Infusion and Drug Administration	1,100	85.6%	2.5x
J8540	Dexamethasone, oral, 0.25 mg	Infusion and Drug Administration	1,098	70.5%	4.2x
31500	Emergent insertion of breathing tube into windpipe using an endoscope	ENT Surgery	1,092	82.6%	4.4x
01638	Anesthesia for open or endoscopic total shoulder joint replacement	Anesthesia	1,089	83.4%	4.4x
72195	MRI scan of pelvis without contrast	Radiology	1,083	91.3%	3.9x
15771	Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, ar	General Surgery	1,078	89%	22.3x
556	SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC	other-hcpcs	1,073	73.6%	3.8x
77002	Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localizatio	Radiology	1,072	91.3%	7.1x
23650	Closed treatment of dislocated shoulder with manipulation	Orthopedic Surgery	1,070	74.8%	3.8x
95822	Electroencephalogram (EEG); recording in coma or sleep only	IONM and Neurodiagnostics	1,068	86.1%	32.3x
00862	Anesthesia for procedure on upper urinary tubes or removal of kidney for transplant	Anesthesia	1,064	84.8%	4.5x
51785	Needle electromyography studies (EMG) of anal or urethral sphincter, any technique	Urology	1,056	87.8%	20.6x
73600	Radiologic examination, ankle; 2 views	Radiology	1,054	89%	6.8x
J2250	Injection, midazolam hydrochloride, per 1 mg	Infusion and Drug Administration	1,052	85.6%	2.7x
62323	Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, op	Neurosurgery and Pain	1,044	86.3%	30.9x
E0445	Oximeter device for measuring blood oxygen levels non-invasively	other-hcpcs	1,043	62.2%	4.5x
50949	Other procedure on ureter using an endoscope	Urology	1,042	88.8%	23.6x
170	Anesthesia for other procedure on mouth	other-hcpcs	1,039	78.1%	3.3x
19364	Reconstruction of breast with tissue graft	General Surgery	1,038	90.2%	22.6x
73000	X-ray of collar bone	Radiology	1,034	87.7%	7.6x
73701	CT scan of leg with contrast material	Radiology	1,032	90.1%	4.8x
32555	Aspiration of fluid from chest cavity using imaging guidance	Cardiovascular and Thoracic Surgery	1,024	92.4%	7.4x
74170	CT scan of abdomen before and after contrast	Radiology	1,021	93.5%	4.9x
82948	Blood glucose (sugar) measurement using reagent strip	Pathology and Lab	1,020	78.9%	5.8x
73120	X-ray of hand, 2 views	Radiology	1,012	91.5%	7.0x
22585	Arthrodesis, anterior interbody technique, including minimal discectomy to prepare intersp	Orthopedic Surgery	1,011	87.9%	70.8x
99214	Established patient office or other outpatient visit with moderate level of decision makin	Office and Urgent Care E/M	1,011	85.7%	13.3x
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	Cardiology	1,005	74.1%	3.0x
872	SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	other-hcpcs	1,000	81.3%	2.5x
78264	Nuclear medicine study of stomach to assess emptying	Radiology	998	93.7%	6.0x
00865	Anesthesia for extensive removal of prostate	Anesthesia	992	87.4%	4.3x
49650	Laparoscopy, surgical; repair initial inguinal hernia	General Surgery	992	87.2%	52.1x
22856	Total disc arthroplasty (artificial disc), anterior approach, including discectomy with en	Orthopedic Surgery	988	86.9%	41.1x
78306	Nuclear medicine study of bone and/or joint whole body	Radiology	987	93.1%	6.0x
149	DYSEQUILIBRIUM	other-hcpcs	982	72.7%	4.0x
38222	Biopsy and aspiration of bone marrow sample for diagnosis	General Surgery	979	92.7%	6.6x
64492	Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (	Neurosurgery and Pain	977	85.4%	79.4x
01202	Anesthesia for procedure on hip joint using an endoscope	Anesthesia	974	83.3%	9.4x
20930	Allograft, morselized, or placement of osteopromotive material, for spine surgery only	Orthopedic Surgery	965	82.7%	26.1x
78452	Nuclear medicine studies of heart muscle at rest and with stress and SPECT	Radiology	958	88.8%	5.7x
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered t	Infusion and Drug Administration	953	70.6%	8.6x
01472	Anesthesia for repair of Achilles tendon	Anesthesia	949	83.2%	4.4x
01942	Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower	Anesthesia	949	83.2%	13.1x
J2001	Injection, lidocaine hcl for intravenous infusion, 10 mg	Infusion and Drug Administration	949	77.8%	5.1x
01320	Anesthesia for procedure on nerves, muscles, tendons, and tissue of knee	Anesthesia	944	84.1%	7.3x
76506	Ultrasound scan of brain	Radiology	940	92.6%	6.1x
400	Anesthesia for other procedure on skin of arms, legs, and front body	other-hcpcs	926	84.6%	3.4x
20936	Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous	Orthopedic Surgery	925	82.1%	22.6x
45499	Other procedure on rectum using an endoscope	General Surgery	924	90.2%	17.8x
78226	Nuclear medicine study of liver and bile duct system	Radiology	923	91.9%	7.2x
J1308	Injection, famotidine, 0.25 mg	Infusion and Drug Administration	923	74.7%	2.7x
19371	Peri-implant capsulectomy, breast, complete, including removal of all intracapsular conten	General Surgery	915	88.7%	43.8x
305	HYPERTENSION WITHOUT MCC	other-hcpcs	915	77.6%	3.3x
J0500	Injection, dicyclomine hcl, up to 20 mg	Infusion and Drug Administration	914	76.8%	5.3x
J0690	Injection, cefazolin sodium, 500 mg	Infusion and Drug Administration	913	84.2%	3.0x
74220	Single contrast X-ray of esophagus	Radiology	912	90.8%	5.5x
64634	Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance	Neurosurgery and Pain	911	87.1%	56.9x
36465	Injection of chemical agent into single incompetent vein of leg using ultrasound guidance	Cardiovascular and Thoracic Surgery	910	84.2%	158.4x
258	CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC	other-hcpcs	901	82.2%	3.6x
95813	Electroencephalogram (EEG) extended monitoring; 61-119 minutes	IONM and Neurodiagnostics	898	85.3%	26.0x
160	Anesthesia for other procedure on nose and sinuses	other-hcpcs	896	81.3%	3.5x
00914	Anesthesia for removal of prostate including use of an endoscope	Anesthesia	895	84.9%	4.4x
J7512	Prednisone, immediate release or delayed release, oral, 1 mg	Infusion and Drug Administration	894	76%	3.2x
87507	Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 1	Pathology and Lab	884	75.5%	7.0x
64633	Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance	Neurosurgery and Pain	876	87.3%	20.1x
73720	MRI scan of leg before and after contrast	Radiology	875	90.2%	3.8x
99140	Emergency condition complicating anesthesia	Anesthesia	873	90.9%	4.1x
95720	Measurement of brain wave activity with video (VEEG), 12-26 hours with review and report b	IONM and Neurodiagnostics	868	91.3%	47.9x
87205	Special Gram or Giemsa stain for microorganism	Pathology and Lab	866	82.1%	4.6x
1402	Anesthesia for procedure for total knee joint replacement	other-hcpcs	864	87.5%	2.3x
58340	Insertion of tube and introduction of contrast for X-ray of uterus and fallopian tubes	OB/GYN	852	90%	9.2x
85652	Red blood cell sedimentation rate, to detect inflammation, automated	Pathology and Lab	852	82.5%	6.8x
76000	Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care pr	Radiology	850	84%	46.4x
73222	MRI scan of arm joint with contrast	Radiology	848	94%	5.6x
49406	Drainage of fluid collection of abdominal cavity by tube using imaging guidance	General Surgery	842	90.7%	7.6x
74250	Single contrast X-ray of small intestine	Radiology	842	91.9%	6.3x
15772	Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, ar	General Surgery	839	88.5%	29.8x
75635	CT scan of abdominal aorta and both leg arteries with contrast	Radiology	839	90.3%	5.9x
J2930	Injection, methylprednisolone sodium succinate, up to 125 mg	Infusion and Drug Administration	838	80.4%	3.4x
300	Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back	other-hcpcs	827	83.9%	3.5x
71100	X-ray of ribs on side of body, 2 views	Radiology	827	87.7%	6.3x
A4217	Sterile water/saline, 500 ml	other-hcpcs	827	66.5%	4.3x
952	Anesthesia for exam of uterus using an endoscope	other-hcpcs	826	87.2%	2.5x
01392	Anesthesia for procedure on kneecap and/or upper part of lower leg bones	Anesthesia	825	83.6%	3.8x
L1830	Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf	other-hcpcs	822	85%	4.2x
47000	Needle biopsy of liver through skin	General Surgery	820	91.6%	5.1x
90714	Diphtheria and tetanus vaccine (7 years or older)	Other Medicine	813	79.6%	4.2x
1961	Anesthesia for cesarean delivery	other-hcpcs	798	85.8%	2.0x
29130	Application of nonmoveable finger splint	Orthopedic Surgery	795	73.6%	7.7x
19342	Insertion or replacement of breast implant on separate day from mastectomy	General Surgery	793	90.4%	19.5x
93925	Ultrasound of leg arteries or artery grafts	Cardiology	792	90.9%	10.9x
A6250	Skin sealants, protectants, moisturizers, ointments, any type, any size	other-hcpcs	790	65%	4.7x
00944	Anesthesia for vaginal removal of uterus	Anesthesia	787	84.5%	2.5x
179	RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC	other-hcpcs	786	71.1%	4.9x
59400	Vaginal delivery with care before and after delivery	OB/GYN	781	85.7%	11.5x
29505	Application of long leg splint (thigh to ankle or toes)	Orthopedic Surgery	778	80.1%	4.6x
0271	MEDICAL/SURGICAL SUPPLIE	other-hcpcs	776	91.7%	2.7x
81007	Urinalysis for bacteria	Pathology and Lab	775	74.5%	5.6x
L3260	surgical boot/shoe, for post-operative care	other-hcpcs	774	77.4%	5.4x
64722	Decompression; unspecified nerve(s) (specify)	Neurosurgery and Pain	772	84.6%	136.0x
72220	X-ray of sacrum and tailbone, minimum of 2 views	Radiology	771	87.4%	6.4x
23430	Tenodesis of long tendon of biceps	Orthopedic Surgery	769	84%	43.0x
36620	Insertion of artery tube for blood sampling or infusion through skin	Cardiovascular and Thoracic Surgery	765	85.5%	6.9x
76604	Ultrasound scan of chest	Radiology	765	92.2%	6.9x
70470	CT scan of head or brain before and after contrast	Radiology	763	91.5%	4.9x
99497	Advance care planning, first 30 minutes	other	759	78.9%	9.4x
29914	Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)	Orthopedic Surgery	758	86.5%	55.5x
22846	Anterior instrumentation; 4 to 7 vertebral segments	Orthopedic Surgery	757	85.6%	35.5x
J0360	Injection, hydralazine hcl, up to 20 mg	Infusion and Drug Administration	756	81.4%	2.7x
00450	Anesthesia for other procedure on collar bone and shoulder blade	Anesthesia	754	77.7%	4.1x
156	OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC	other-hcpcs	754	74.1%	5.0x
918	POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC	other-hcpcs	751	85.2%	2.4x
50200	Needle biopsy of kidney	Urology	750	92%	5.0x
93926	Ultrasound of one leg arteries or artery grafts	Cardiology	746	91.2%	9.7x
J2360	Injection, orphenadrine citrate, up to 60 mg	Infusion and Drug Administration	743	78.9%	2.9x
36558	Insertion of tunneled central venous tube for infusion (5 years or older)	Cardiovascular and Thoracic Surgery	741	89.9%	5.4x
77003	Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous	Radiology	739	88.8%	8.0x
86677	Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria)	Pathology and Lab	736	79.1%	6.8x
29105	Application of lower and upper arm splint	Orthopedic Surgery	729	84.7%	3.9x
29916	Arthroscopy, hip, surgical; with labral repair	Orthopedic Surgery	728	88.9%	17.2x
93042	Electrocardiogram (ECG) 1 to 3 leads with review by physician only	Cardiology	723	76.8%	5.3x
866	VIRAL ILLNESS WITHOUT MCC	other-hcpcs	722	67.8%	5.5x
450	SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED I	other-hcpcs	721	60.9%	1.9x
J1815	Injection, insulin, per 5 units	Infusion and Drug Administration	721	80.8%	3.9x
58571	Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of	OB/GYN	720	83.8%	31.9x
01740	Anesthesia for other procedure on elbow	Anesthesia	717	81.8%	3.7x
J0134	Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg	Infusion and Drug Administration	717	83%	1.7x
E0441	Stationary oxygen contents, gaseous, 1 month's supply = 1 unit	other-hcpcs	716	66.3%	7.5x
29882	Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)	Orthopedic Surgery	711	85.7%	34.0x
29880	Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal	Orthopedic Surgery	709	87.5%	26.9x
71270	CT scan of chest before and after contrast	Radiology	706	90.6%	5.7x
J1836	Injection, metronidazole, 10 mg	Infusion and Drug Administration	705	77.7%	7.5x
01464	Anesthesia for procedure on ankle or foot using an endoscope	Anesthesia	704	80%	4.8x
87632	Detection test by nucleic acid for multiple types of respiratory virus, multiple types or	Pathology and Lab	703	69.6%	5.2x
902	Anesthesia for procedure on anus and rectum	other-hcpcs	703	85.7%	3.8x
22600	Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 s	Orthopedic Surgery	701	84.5%	41.3x
12051	Intermediate repair of wounds involving the face, ears, eyelids, nose, lips, or mucous mem	General Surgery	700	82.6%	16.2x
A4559	Coupling gel or paste, for use with ultrasound device, per oz	other-hcpcs	696	68.1%	6.4x
A4565	Slings	other-hcpcs	695	72.5%	6.5x
20680	Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)	Orthopedic Surgery	689	89.5%	32.0x
36556	Insertion of non-tunneled central venous tube for infusion (5 years or older)	Cardiovascular and Thoracic Surgery	688	85.3%	5.2x
99204	New patient office or other outpatient visit with moderate level of medical decision makin	Office and Urgent Care E/M	688	87.9%	9.7x
1967	Anesthesia for labor during planned vaginal delivery	other-hcpcs	687	81.2%	2.7x
01991	Anesthesia for nerve block and injection	Anesthesia	682	86.9%	22.1x
76805	Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus	Radiology	681	84.9%	5.4x
670	Anesthesia for extensive surgery on spine	other-hcpcs	676	83.3%	2.1x
125	OTHER DISORDERS OF THE EYE WITHOUT MCC	other-hcpcs	674	76.2%	4.7x
87661	Detection test by nucleic acid for Trichomonas vaginalis (genital parasite), amplified pro	Pathology and Lab	669	78.3%	4.2x
J7060	5% dextrose/water (500 ml = 1 unit)	Infusion and Drug Administration	666	86.8%	2.2x
95717	Measurement of brain wave activity (EEG), 2-12 hours with health care professional review	IONM and Neurodiagnostics	664	82.1%	30.7x
88305	Pathology examination of tissue using a microscope, intermediate complexity	Pathology and Lab	661	83.6%	4.5x
J1630	Injection, haloperidol, up to 5 mg	Infusion and Drug Administration	659	87%	2.3x
310	CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC	other-hcpcs	658	71.4%	3.3x
J2004	Injection, lidocaine hcl with epinephrine, 1 mg	Infusion and Drug Administration	657	74.8%	5.1x
1830	Anesthesia for other procedure on forearm, wrist, or hand bones	other-hcpcs	655	84.5%	5.1x
00103	Anesthesia for procedure on eyelid	Anesthesia	654	80.6%	4.0x
0270	MED-SUR SUPPLIES	other-hcpcs	653	91.6%	3.6x
23350	Injection of contrast for imaging of shoulder joint	Orthopedic Surgery	647	94.2%	5.1x
A4209	Syringe with needle, sterile 5 cc or greater, each	other-hcpcs	645	64.8%	5.5x
914	TRAUMATIC INJURY WITHOUT MCC	other-hcpcs	642	77.6%	5.0x
00210	Anesthesia for other procedure on brain	Anesthesia	641	85.5%	2.4x
00567	Anesthesia for heart artery bypass grafting on heart-lung machine	Anesthesia	640	81.7%	2.3x
126	Anesthesia for incision of ear drum	other-hcpcs	638	82.9%	6.3x
00250	PHARMACY-GENERAL	Anesthesia	636	33.9%	1.0x
73218	MRI scan of arm without contrast	Radiology	633	92%	4.4x
74221	Double contrast X-ray of esophagus	Radiology	630	93.2%	5.0x
312	SYNCOPE AND COLLAPSE	other-hcpcs	628	72.5%	2.9x
38505	Needle biopsy or removal of surface lymph nodes	General Surgery	628	88.8%	8.0x
00562	Anesthesia for procedure on heart and large blood vessels using heart-lung machine (1 year	Anesthesia	625	85%	2.6x
36590	Removal of central venous tube with port or pump	Cardiovascular and Thoracic Surgery	624	90.7%	6.1x
27096	Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoros	Orthopedic Surgery	621	86.1%	26.6x
29879	Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary	Orthopedic Surgery	621	86.9%	24.0x
01820	Anesthesia for closed procedure on bones of forearm, wrist, or hand	Anesthesia	618	83%	4.9x
29806	Arthroscopy, shoulder, surgical; capsulorrhaphy	Orthopedic Surgery	618	90.5%	24.3x
93000	Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report	Cardiology	617	81%	1.0x
291	HEART FAILURE AND SHOCK WITH MCC	other-hcpcs	615	84.5%	2.1x
38530	Biopsy or removal of lymph nodes of breast	General Surgery	615	88.3%	45.0x
36227	Selective catheter placement, external carotid artery, unilateral, with angiography of the	Cardiovascular and Thoracic Surgery	613	89.9%	74.3x
00912	Anesthesia for removal of urinary bladder tumors including use of an endoscope	Anesthesia	609	84.4%	4.9x
84145	Procalcitonin (hormone) level	Pathology and Lab	607	80.6%	5.3x
74160	CT scan of abdomen with contrast	Radiology	606	89.4%	4.8x
92950	Manual attempt to restore blood circulation and breathing	Cardiology	605	84.7%	3.2x
61783	Stereotactic computer-assisted (navigational) procedure; spinal	Neurosurgery and Pain	604	84.5%	49.9x
95910	Nerve conduction studies; 7-8 studies	IONM and Neurodiagnostics	604	86.8%	20.7x
01966	Anesthesia for induced abortion	Anesthesia	596	84.8%	20.6x
63045	Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of s	Neurosurgery and Pain	596	84.4%	38.3x
885	PSYCHOSES	other-hcpcs	596	78.7%	2.3x
99472	Follow-up inpatient hospital critical care of infant or young child per day (29 days to 2	Neonatal and Pediatric Critical Care	596	82.6%	4.0x
25600	Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of th	Orthopedic Surgery	594	81.4%	6.3x
82077	Measurement of alcohol level in specimen other than breath or urine	Pathology and Lab	591	72%	1.2x
10120	Removal of foreign body from tissue, accessed beneath the skin, simple	General Surgery	589	80.8%	5.7x
73521	X-ray of both hips, 2 views	Radiology	589	92.7%	11.2x
99477	Initial intensive care of newborn per day (28 days or younger)	Neonatal and Pediatric Critical Care	585	78.9%	2.9x
00921	Anesthesia for vasectomy	Anesthesia	584	79.8%	4.2x
13101	Repair, complex, trunk; 2.6 cm to 7.5 cm	General Surgery	581	89.7%	14.0x
87420	Detection test by immunoassay technique for respiratory syncytial virus (RSV)	Pathology and Lab	580	84.8%	2.6x
01926	Anesthesia for X-ray on artery of brain, heart, or chest	Anesthesia	578	81.5%	3.0x
80074	Acute hepatitis panel	Pathology and Lab	578	80.9%	6.3x
J1644	Injection, heparin sodium, per 1000 units	Infusion and Drug Administration	578	84.3%	2.7x
95999	Other diagnostic neurological or neuromuscular procedure	IONM and Neurodiagnostics	577	87.4%	2.8x
761	MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC	other-hcpcs	576	75.1%	4.9x
J3370	Injection, vancomycin hcl, 500 mg	Infusion and Drug Administration	573	82.8%	3.1x
L4387	Walking boot, non-pneumatic, with or without joints, with or without interface material, p	other-hcpcs	572	76.9%	5.1x
70481	CT scan of cranial cavity with contrast	Radiology	568	90.9%	4.8x
A4246	Betadine or phisohex solution, per pint	other-hcpcs	564	68.1%	4.8x
44180	Release of small bowel scar tissue using an endoscope	General Surgery	563	84.4%	20.0x
86592	Syphilis detection test	Pathology and Lab	562	78.8%	5.5x
A6403	Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq	other-hcpcs	562	63.9%	3.4x
58999	Other procedure on female genital system (nonobstetrical)	OB/GYN	559	92.9%	32.5x
64905	Transfer of nerve to injured nerve, stage 1 of 2	Neurosurgery and Pain	558	90.5%	51.9x
J3480	Injection, potassium chloride, per 2 meq	Infusion and Drug Administration	558	77.6%	3.6x
29876	Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lat	Orthopedic Surgery	556	88.1%	19.5x
01250	Anesthesia for procedure on nerves, muscles, tendons, and tissue of upper leg	Anesthesia	554	82.9%	4.4x
64912	Nerve repair; with nerve allograft, each nerve, first strand (cable)	Neurosurgery and Pain	554	91%	23.8x
72082	X-ray of entire middle and lower spine, 2-3 views	Radiology	554	90.5%	9.6x
J0171	Injection, adrenalin, epinephrine, 0.1 mg	Infusion and Drug Administration	554	81.3%	5.0x
63053	Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of s	Neurosurgery and Pain	552	83.6%	84.0x
00832	Anesthesia for repair of abdominal wall hernia	Anesthesia	551	79.3%	3.6x
833	OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC	other-hcpcs	551	75.8%	2.8x
13102	Repair, complex, trunk; each additional 5 cm or less	General Surgery	549	87.1%	25.6x
43281	Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when perform	General Surgery	548	83.8%	18.1x
10160	Aspiration of abscess, blood, or cyst	General Surgery	546	88.6%	6.8x
1214	Anesthesia for total hip replacement	other-hcpcs	546	84.1%	2.3x
58661	Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy a	OB/GYN	546	88.2%	44.6x
69209	Removal of impacted ear wax by washing	ENT Surgery	541	80.5%	4.9x
0258	PHARMACY-IV SOLUTIONS	other-hcpcs	540	82.7%	3.7x
807	VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC	other-hcpcs	538	79.7%	1.9x
45380	Biopsy of large bowel using a flexible endoscope	General Surgery	536	87.4%	50.3x
52260	Dilation of bladder using an endoscope under general or spinal anesthesia	Urology	536	87.6%	55.9x
19285	Placement of locating device in breast using ultrasound guidance, first growth	General Surgery	533	92.1%	7.5x
97116	Therapy procedure for walking training, each 15 minutes	PT and Rehab	526	70.3%	4.3x
99203	New patient office or other outpatient visit with low level of medical decision making, if	Office and Urgent Care E/M	524	83.8%	13.5x
446	DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC	other-hcpcs	522	72.6%	3.1x
01714	Anesthesia for repair of elbow to shoulder tendon	Anesthesia	517	82.2%	4.9x
11042	Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 s	General Surgery	516	88.8%	43.2x
73723	MRI scan of leg joint before and after contrast	Radiology	512	89.8%	4.8x
76981	Ultrasound scan of organ tissue for measuring elasticity	Radiology	509	93.7%	5.7x
74150	CT scan of abdomen without contrast	Radiology	508	93.4%	5.3x
A4556	Electrodes, (e.g., apnea monitor), per pair	other-hcpcs	507	78.4%	5.8x
50715	Release of scar tissue at ureter	Urology	504	81.4%	9.0x
A4245	Alcohol wipes, per box	other-hcpcs	502	70.6%	1.6x
87389	Detection test by immunoassay technique for HIV-1 antigen and HIV-1 and HIV-2 antibodies	Pathology and Lab	501	81.2%	3.9x

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FAQ

How many service codes have federal IDR benchmark pages?

728 service codes currently qualify, each with at least 500 CMS disputes.

What does a page need to be listed here?

A floor of 500 CMS disputes for code, state, and specialty pages, and 5,000 for payer pages. Lower-sample pages stay live for users but carry noindex and stay out of the sitemap.

How current is the data?

The pages are rebuilt from CMS Federal IDR public use files and currently cover disputes through 2025Q4.

Related benchmarks

Sources and method

Providers won 85.8% of 3.39 million federal IDR disputes through 2025Q4, with a median provider-won award of 4.7x the qualifying payment amount, per CMS public use files.

Data source: CMS Federal IDR public use files, coverage through 2025Q4; data build 2026-09-24. Counts are CMS dispute counts unless a table says line items. Win rates on this page exclude payer no-show defaults unless labeled otherwise. Award multiples are medians versus the qualifying payment amount (QPA). Dollar figures, where shown, come from CMS QPA-and-offer fields or are anchored estimates, not payment records. This page is informational, not legal or reimbursement advice.