Table: hpd_snapshot_data_medical_2018_2023
procedure_category reporting_year type_of_service payer_type record_count
Cesarean section 2019 Provider Medicare 486
Male genital procedures - Diagnostic 2022 Provider Medicare 41449
Physical/occupational/speech therapy - Exercises 2021 Outpatient Facility Commercial 1016535
Nose, mouth, pharynx procedures - Therapeutic 2019 Provider Medicare 16567
CT scan - Abdomen 2023 Inpatient Facility Medi-Cal 3843
GI procedures - Diagnostic 2019 Provider Medicare 31267
Bone procedures - Therapeutic OR (other) 2023 Outpatient Facility Medi-Cal 7446
CABG (coronary artery bypass graft) 2018 Inpatient Facility Medicare 85
Colorectal resection 2019 Outpatient Facility Medi-Cal 85
Laboratory - Chemistry and hematology 2018 Inpatient Facility Commercial 13834
Respiratory procedures - Therapeutic OR (other) 2020 Provider Commercial 6284
Ultrasound - Urinary tract - Diagnostic 2021 Provider Commercial 1489
Abortion (termination of pregnancy) 2019 Outpatient Facility Commercial 2157
Gastrostomy (temporary and permanent) 2020 Inpatient Facility Medicare 433
Hemodialysis 2019 Outpatient Facility Medicare 91833
Non-hospital-based care (home health, hospice) 2018 Hospice Medi-Cal 67183
Eye procedures - Lens and cataract 2018 Outpatient Facility Medicare 121575
Therapeutic procedures - Other 2018 Inpatient Facility Medi-Cal 351
Urinary tract procedures - Therapeutic (other) 2021 Provider Medi-Cal 13924
Extraocular muscle procedures - Therapeutic 2020 Provider Commercial 5026
Intravenous pyelogram 2022 Provider Medi-Cal 272
Obstetric laceration - Repair 2022 Provider Medi-Cal 246
Ileostomy and other enterostomy 2019 Outpatient Facility Commercial 156
X-ray - Lower GI 2018 Provider Medicare 5302
Ultrasound - Diagnostic (other) 2019 Independent Labs Medicare 145
Physical/occupational/speech therapy - Exercises 2023 Provider Medi-Cal 7245580
Consultations 2022 Outpatient Facility Medi-Cal 33155
CT scan - Other 2023 Unclassified/other Commercial 43
Prophylactic vaccinations and inoculations 2022 Pharmacy Medicare 721
Electrocardiogram 2023 Provider Commercial 1960235
Critical care services 2022 Outpatient Facility Medi-Cal 13284
Radioisotope scan - Bone 2022 Provider Medi-Cal 7654
Skin and subcutaneous tissue - Diagnostic (other) 2023 Outpatient Facility Medi-Cal 13008
Aortic resection - Replacement or anastomosis 2020 Provider Medicare 4047
Oophorectomy (unilateral and bilateral) 2018 Provider Medi-Cal 4137
Vessels other than head/neck procedures - Other OR 2021 Pharmacy Medicare 931
Female organ procedures - Diagnostic (other) 2022 Independent Labs Medi-Cal 1457
HCPCS Level II codes not classified 2023 Home Health Medi-Cal 142352
Arthroplasty other than hip or knee 2022 Outpatient Facility Medicare 13152
Ancillary services 2019 Provider Commercial 731091
Esophageal varices - Injection or ligation 2018 Outpatient Facility Commercial 893
Nephrectomy (partial or complete) 2022 Outpatient Facility Commercial 707
Tracheoscopy and laryngoscopy with biopsy 2019 Outpatient Facility Medicare 12687
Musculoskeletal procedures - Therapeutic OR (other) 2018 Provider Medicare 9221
X-ray - Upper GI 2018 Provider Commercial 31926
Treatment, fracture, dislocation - Hip and femur 2020 Provider Medi-Cal 7345
HCPCS Level II codes not classified 2018 Inpatient Facility Commercial 1766
Division of joint capsule (ligament or cartilage) 2020 Outpatient Facility Medi-Cal 756
Skin and subcutaneous tissue - Diagnostic (other) 2019 Outpatient Facility Medicare 26670
Treatment, fracture, dislocation - Radius and ulna 2020 Provider Medicare 17723
Mammography 2018 Provider Medicare 1460524
Skin lesion - Excision 2022 Provider Commercial 1164787
CT scan - Other 2022 Outpatient Facility Medicare 277188
Musculoskeletal procedures - Therapeutic (other) 2022 Outpatient Facility Medi-Cal 366173
Electrocardiogram 2019 Ambulance Commercial 3394
Hospital services 2022 Provider Medi-Cal 6897998
Nose, mouth, pharynx procedures - Therapeutic OR 2023 Inpatient Facility Commercial 49
Infertility services 2020 Provider Commercial 117
Debridement of wound, infection or burn 2021 Inpatient Facility Medicare 128
GI procedures - Therapeutic 2022 Provider Medicare 16448
Treatment, fracture, dislocation - Facial 2022 Provider Commercial 5072
Tonsillectomy and/or adenoidectomy 2022 Outpatient Facility Commercial 9418
Other types of lab tests 2021 Outpatient Facility Medicare 6914250
Consultation, evaluation, and preventive care 2020 Inpatient Facility Medicare 162
Nonoperative removal of foreign body 2021 Provider Commercial 15152
Respiratory intubation and mechanical ventilation 2020 Outpatient Facility Commercial 4713
Telehealth 2022 Provider Medi-Cal 1212776
Cholecystectomy and common duct exploration 2019 Outpatient Facility Medi-Cal 9495
Nervous system procedures - Therapeutic OR (other) 2022 Inpatient Facility Medicare 46
Radiology - Diagnostic (other) 2019 Independent Labs Medi-Cal 63
Arteriogram or venogram (not heart and head) 2021 Inpatient Facility Commercial 60
Endocrine procedures - Diagnostic 2021 Outpatient Facility Commercial 833
Preventive visits 2022 Outpatient Facility Commercial 10693
Hemic/lymphatic system procedures - Therapeutic 2023 Outpatient Facility Medi-Cal 7036
Nephrectomy (partial or complete) 2018 Outpatient Facility Medi-Cal 53
Spinal canal stimulator insertion and injection 2018 Unclassified/other Medi-Cal 471
Bone excision (partial) 2023 Inpatient Facility Commercial 48
Wound care - Traction, splints, other 2018 Home Health Medicare 531
MRI (magnetic resonance imaging) 2023 Outpatient Facility Medi-Cal 216222
Oral and dental services 2023 Outpatient Facility Medicare 1376
CT scan - Abdomen 2020 Provider Medicare 848887
GI (lower) procedures - Therapeutic OR 2020 Provider Medi-Cal 8390
Vessels of head/neck procedures - Other OR 2019 Provider Commercial 2353
Ultrasound - Head and neck - Diagnostic 2019 Inpatient Facility Commercial 31
Critical care services 2020 Provider Medicare 1252423
Anesthesia 2018 Provider Medi-Cal 975250
Fallopian tubes - Other operations 2020 Provider Medicare 47
Vascular bypass and shunt - Other (not heart) 2021 Outpatient Facility Medicare 99
Respiratory therapy - Other 2022 Provider Medicare 53860
Psychological and psychiatric evaluation, therapy 2018 Hospice Medicare 1022
Transportation - Patient, provider, equipment 2020 Hospice Medi-Cal 4258
Eye procedures - Glaucoma 2019 Provider Medicare 75156
DME and supplies 2021 Pharmacy Medicare 311
Physical/occupational/speech therapy - Diagnostic 2020 Inpatient Facility Medi-Cal 34876
Ophthalmologic/otologic diagnosis and treatment 2019 Inpatient Facility Medicare 439
Catheterization (Swan-Ganz) for monitoring 2018 Provider Medicare 10226
Colostomy (temporary and permanent) 2019 Outpatient Facility Medicare 31
Behavioral health services 2021 Provider Medi-Cal 159061
Fetal monitoring 2019 Unclassified/other Medi-Cal 48
Bone marrow biopsy 2021 Independent Labs Medicare 137
Treatment, fracture, dislocation - Radius and ulna 2023 Outpatient Facility Medicare 8501
EEG (electroencephalogram) 2018 Inpatient Facility Medicare 1803
HIPPS home health services 2020 Home Health Commercial 5810
Arteriogram or venogram (not heart and head) 2023 Provider Commercial 51962
Intraocular procedures - Therapeutic 2018 Outpatient Facility Medi-Cal 6174
Mammography 2022 Outpatient Facility Medi-Cal 151680
Pacemaker or cardioverter/defibrillator services 2018 Unclassified/other Medi-Cal 58
Nose procedures - Plastic 2019 Outpatient Facility Medi-Cal 3374
Other types of visits 2021 Outpatient Facility Commercial 8657
Skin graft 2023 Outpatient Facility Medicare 25972
Radioisotope scan and function studies 2020 Provider Medi-Cal 119715
GI procedures - Therapeutic OR 2019 Provider Medi-Cal 7576
Exploratory laparotomy 2022 Provider Medi-Cal 2113
Medications (injections, infusions, other forms) 2022 Ambulance Medicare 4108
Emergency department services 2018 Outpatient Facility Medi-Cal 1459931
GI (upper) endoscopy, biopsy 2022 Inpatient Facility Medicare 1527
Observation care services 2020 Outpatient Facility Commercial 126974
Ear procedures - Therapeutic 2020 Outpatient Facility Medicare 13882
Myelogram 2020 Outpatient Facility Commercial 598
Lung and bronchus procedures - Diagnostic (other) 2020 Outpatient Facility Medi-Cal 51607
Female organ procedures - Diagnostic (other) 2019 Outpatient Facility Medi-Cal 19607
Contrast arteriogram - Lower extremity arteries 2023 Provider Medi-Cal 2287
Spinal canal stimulator insertion and injection 2021 Provider Medicare 715490
Joint procedures - Therapeutic OR (other) 2023 Outpatient Facility Commercial 23580
Respiratory intubation and mechanical ventilation 2023 Ambulance Commercial 41
Cholecystectomy and common duct exploration 2021 Outpatient Facility Medi-Cal 9994
Wound care - Traction, splints, other 2020 Provider Medi-Cal 221000
Ultrasound - Head and neck - Diagnostic 2021 Outpatient Facility Medi-Cal 37529
Urinary system (nonoperative) measurements 2022 Unclassified/other Medicare 52
TURP (transurethral resection of prostate) 2019 Provider Medi-Cal 1455
Muscles, tendons, joints - Injections, aspirations 2019 Provider Commercial 186615
Therapeutic procedures - Other 2022 Provider Medicare 2468601
Breast - Mastectomy 2018 Provider Medi-Cal 2823
Radioisotope scan - Other 2022 Independent Labs Commercial 1053
Emergency department services 2022 Unclassified/other Medi-Cal 547
Hip replacement (partial and total) 2020 Provider Medicare 31732
Heart procedures - Other OR 2022 Outpatient Facility Medi-Cal 316
Physical/occupational/speech therapy - Exercises 2018 Independent Labs Commercial 2494
Abdominal paracentesis 2018 Outpatient Facility Medicare 20809
Alcohol and drug management, treatment, and rehab. 2023 Inpatient Facility Medi-Cal 25282
Open-heart procedures - Extracorporeal circulation 2022 Outpatient Facility Medi-Cal 18513
Ancillary services 2021 Hospice Medicare 964
Electrocardiogram 2018 Hospice Medi-Cal 379
Ileostomy and other enterostomy 2020 Outpatient Facility Medi-Cal 192
Vessels other than head/neck procedures - Other OR 2022 Inpatient Facility Commercial 100
Blood and blood product transfusion 2018 Provider Medicare 17517
Conversion of cardiac rhythm 2020 Provider Commercial 6664
Other types of visits 2022 Unclassified/other Commercial 109
Nose, mouth, pharynx procedures - Therapeutic OR 2018 Provider Medicare 34219
Therapeutic procedures - Other 2023 Provider Medicare 2471302
Other vascular catheterization (not heart) 2022 Provider Medicare 269645
Thyroidectomy (partial or complete) 2022 Provider Medi-Cal 2020
MRI (magnetic resonance imaging) 2020 Outpatient Facility Medi-Cal 161820
Bone marrow transplant 2023 Provider Commercial 1742
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2019 Provider Medi-Cal 717844
Urethra - Procedures 2018 Provider Medi-Cal 6126
Obstetrical procedures - Therapeutic (other) 2018 Provider Commercial 61068
Epistaxis control 2023 Outpatient Facility Medicare 5668
Hospital services 2023 Provider Medicare 12777296
Circumcision 2023 Provider Medi-Cal 6882
GI (upper) procedures - Therapeutic OR 2018 Provider Medi-Cal 2471
Extracranial ventricular shunt services 2019 Outpatient Facility Commercial 144
Decompression peripheral nerve 2018 Outpatient Facility Medicare 8418
Heart valve procedures 2023 Inpatient Facility Commercial 111
Ultrasound - Heart (echocardiogram) - Diagnostic 2021 Provider Commercial 676235
Musculoskeletal procedures - Diagnostic (other) 2022 Inpatient Facility Medicare 44
Bronchoscopy and biopsy - Diagnostic 2020 Provider Commercial 9563
Pathology 2019 Inpatient Facility Medicare 22300
Electrocardiogram 2019 Unclassified/other Medi-Cal 576
Skilled nursing facility services (HIPPS) 2018 Outpatient Facility Medi-Cal 61
Consultation, evaluation, and preventive care 2021 Hospice Commercial 329
Medications (injections, infusions, other forms) 2018 Hospice Medicare 11778
Respiratory procedures - Therapeutic (other) 2018 Outpatient Facility Medi-Cal 3921
Knee - Arthroplasty 2022 Inpatient Facility Commercial 83
Ophthalmologic/otologic diagnosis and treatment 2023 Outpatient Facility Medi-Cal 1923736
CPT codes not classified (F codes) 2023 Independent Labs Commercial 863
Transportation - Patient, provider, equipment 2023 Outpatient Facility Medicare 76220
CT scan - Other 2018 Provider Commercial 256568
Gastric bypass and volume reduction 2018 Outpatient Facility Medi-Cal 104
Myringotomy 2018 Provider Commercial 12304
Cardiovascular procedures - Diagnostic (other) 2023 Provider Commercial 41463
Skin and subcutaneous tissue - Incision, drainage 2023 Outpatient Facility Medi-Cal 44940
Emergency department services 2019 Unclassified/other Medicare 60
Male genital procedures - Therapeutic (other) 2020 Provider Commercial 24952
Extracorporeal lithotripsy, urinary 2020 Provider Medi-Cal 6415
Ultrasound - Diagnostic (other) 2021 Outpatient Facility Commercial 820730
Ureteral catheterization 2018 Unclassified/other Medi-Cal 84
Arteriogram or venogram (not heart and head) 2019 Outpatient Facility Medi-Cal 14520
Office visits 2020 Inpatient Facility Medicare 215
Urinary tract procedures - Therapeutic OR (other) 2023 Outpatient Facility Medi-Cal 2677
Consultation, evaluation, and preventive care 2019 Independent Labs Commercial 863
Small bowel resection 2022 Outpatient Facility Medicare 42
CPT codes not classified (F codes) 2019 Home Health Medicare 555
Cesarean section 2021 Outpatient Facility Commercial 36
Respiratory intubation and mechanical ventilation 2019 Inpatient Facility Commercial 162
Arteriogram or venogram (not heart and head) 2022 Provider Medi-Cal 71472
Coronary thrombolysis 2019 Provider Medi-Cal 48
Central nervous system (CNS) incision and excision 2023 Outpatient Facility Medi-Cal 107
Urinary tract - Endoscopy and endoscopic biopsy 2023 Provider Medicare 130422
Other types of lab tests 2019 Outpatient Facility Medicare 6874880
Nose, mouth, pharynx procedures - Diagnostic 2020 Outpatient Facility Medi-Cal 12230
Spinal fusion 2021 Inpatient Facility Medicare 1067
Radiology - Diagnostic (other) 2020 Inpatient Facility Commercial 317
Skin, breast procedures - Therapeutic (other) 2018 Inpatient Facility Medi-Cal 1776
GI (lower) procedures - Therapeutic 2021 Provider Medi-Cal 2814
Microscopic examination (e.g., lab, toxicology) 2018 Unclassified/other Medi-Cal 53819
Psychological and psychiatric evaluation, therapy 2021 Independent Labs Medi-Cal 72
X-ray - Chest (routine) 2020 Independent Labs Medicare 108
DME and supplies 2020 DME (Durable Medical Equipment) Medi-Cal 1818918
TURP (transurethral resection of prostate) 2022 Outpatient Facility Medicare 7640
Fallopian tubes - Other operations 2018 Outpatient Facility Commercial 914
Eye procedures - Corneal transplant 2022 Outpatient Facility Medicare 1813
Laboratory - Chemistry and hematology 2023 Unclassified/other Medicare 465
Hernia repair - Other 2021 Provider Medicare 22144
Skilled nursing facility services 2020 Provider Commercial 499
Kidney transplant 2022 Provider Medicare 2094
Musculoskeletal procedures - Diagnostic (other) 2018 Provider Commercial 5148
CT scan - Head 2023 Outpatient Facility Medi-Cal 440515
Hospital services 2018 Unclassified/other Medi-Cal 110
Ophthalmologic/otologic diagnosis and treatment 2022 Unclassified/other Commercial 216
Transportation - Patient, provider, equipment 2022 Pharmacy Commercial 77
Skin graft 2022 Outpatient Facility Commercial 9768
Myelogram 2018 Provider Commercial 1470
Bone marrow biopsy 2018 Inpatient Facility Medicare 47
Visual aids and other optical supplies 2018 Independent Labs Medi-Cal 1046023
Pleura incision, thoracentesis, chest drainage 2023 Outpatient Facility Medi-Cal 2441
Colorectal resection 2023 Inpatient Facility Commercial 63
Eye procedures - Therapeutic (other) 2023 Outpatient Facility Medicare 21058
Therapeutic procedures - Other 2021 Inpatient Facility Commercial 88
Medications (injections, infusions, other forms) 2021 Pharmacy Medicare 216744
Conversion of cardiac rhythm 2023 Provider Commercial 9523
Delivery - Other procedures to assist 2018 Inpatient Facility Medi-Cal 198
Skilled nursing facility services (HIPPS) 2018 Home Health Medi-Cal 316
Nervous system procedures - Therapeutic (other) 2020 Provider Medicare 496998
Peritoneal dialysis 2019 Outpatient Facility Commercial 471001
MRI (magnetic resonance imaging) 2018 Unclassified/other Medi-Cal 7129
Fetal monitoring 2019 Inpatient Facility Commercial 58
Ear procedures - Therapeutic 2019 Outpatient Facility Commercial 6804
Psychological and psychiatric evaluation, therapy 2021 Ambulance Medi-Cal 127
Vascular bypass and shunt - Other (not heart) 2021 Outpatient Facility Medi-Cal 52
Chemotherapy - Cancer 2018 Provider Medi-Cal 193204
Amniocentesis - Diagnostic 2020 Provider Commercial 1981
Anesthesia 2019 Provider Commercial 1293967
Cardiovascular procedures - Diagnostic (other) 2020 Outpatient Facility Medicare 39830
Radioisotope scan and function studies 2019 Provider Commercial 145669
Behavioral health services 2020 Provider Commercial 28740
Muscles, tendons, joints - Injections, aspirations 2019 Outpatient Facility Medi-Cal 11755
Care management/coordination services 2023 Home Health Medi-Cal 608
Arterial blood gases 2021 Provider Medicare 8270
GI (upper) endoscopy, biopsy 2021 Outpatient Facility Commercial 126155
Heart valve procedures 2018 Provider Medi-Cal 4425
Hernia repair - Inguinal and femoral 2022 Provider Medicare 23032
Urinary tract - Endoscopy and endoscopic biopsy 2022 Provider Commercial 47911
Vascular bypass and shunt - Other (not heart) 2019 Outpatient Facility Medi-Cal 31
Anesthesia 2019 Provider Medi-Cal 1023007
Nervous system procedures - Therapeutic (other) 2019 Outpatient Facility Medi-Cal 33613
Heart valve procedures 2019 Inpatient Facility Medicare 154
Skin graft 2021 Outpatient Facility Medicare 27350
Radiology - Therapeutic 2021 Outpatient Facility Commercial 199392
Arterial blood gases 2021 Outpatient Facility Medi-Cal 61159
Emergency department services 2021 Provider Medi-Cal 5188486
DME and supplies 2023 Ambulance Medicare 166
Hospital services 2018 Outpatient Facility Medicare 242
Other types of lab tests 2018 Provider Medicare 3547873
Ear procedures - Therapeutic 2018 Provider Commercial 147834
Medications (injections, infusions, other forms) 2021 Outpatient Facility Commercial 5902032
Transportation - Patient, provider, equipment 2022 Provider Commercial 22910
Conversion of cardiac rhythm 2022 Provider Medicare 24631
Bone marrow biopsy 2019 Outpatient Facility Medi-Cal 2134
Myringotomy 2021 Outpatient Facility Medi-Cal 1802
Skin, breast procedures - Therapeutic OR (other) 2021 Provider Commercial 37926
Skilled nursing facility services 2022 Independent Labs Commercial 324
CT scan - Head 2020 Unclassified/other Medi-Cal 224
Joint procedures - Therapeutic OR (other) 2021 Outpatient Facility Commercial 24146
Care management/coordination services 2023 Hospice Commercial 874
Treatment, fracture, dislocation - Radius and ulna 2021 Outpatient Facility Medi-Cal 13284
GI (upper) endoscopy, biopsy 2020 Provider Commercial 157925
Psychological and psychiatric evaluation, therapy 2020 Outpatient Facility Commercial 198388
Mammography 2020 Provider Commercial 1660415
Pleura incision, thoracentesis, chest drainage 2022 Provider Commercial 11842
Peritoneal dialysis 2019 Provider Commercial 3792
Hernia repair - Inguinal and femoral 2022 Inpatient Facility Medicare 53
Fetal monitoring 2018 Outpatient Facility Medi-Cal 174190
Cardiovascular procedures - Diagnostic (other) 2018 Provider Medicare 235223
Ungrouped Procedures 2023 Hospice Medi-Cal 958
Fallopian tubes - Ligation 2018 Provider Medi-Cal 14077
Ophthalmologic/otologic diagnosis and treatment 2022 Pharmacy Medi-Cal 57
MRI (magnetic resonance imaging) 2019 Inpatient Facility Medi-Cal 1464
PTCA (percutaneous transluminal coronary angio.) 2023 Inpatient Facility Commercial 198
Colorectal resection 2021 Outpatient Facility Commercial 510
Urinary tract - Endoscopy and endoscopic biopsy 2021 Provider Medi-Cal 23260
Extracorporeal lithotripsy, urinary 2022 Outpatient Facility Commercial 12617
Radioisotope scan and function studies 2019 Inpatient Facility Medi-Cal 237
Eye procedures - Diagnostic 2023 Provider Commercial 9954
Office visits 2021 Independent Labs Medi-Cal 3690
Therapeutic procedures - Other 2021 Inpatient Facility Medicare 15758
Vessels other than head/neck procedures - Other OR 2023 Pharmacy Commercial 139
Obstetric laceration - Repair 2021 Provider Medi-Cal 213
Musculoskeletal procedures - Therapeutic (other) 2022 Pharmacy Commercial 179
Other types of lab tests 2022 Home Health Medi-Cal 71
Other vascular catheterization (not heart) 2020 Inpatient Facility Medi-Cal 233
Hemorrhoid procedures 2018 Outpatient Facility Commercial 5002
CT scan - Abdomen 2021 Provider Medi-Cal 737159
Abortion (termination of pregnancy) 2018 Provider Medi-Cal 59567
Consultations 2019 Provider Medi-Cal 641699
Spinal fusion 2020 Outpatient Facility Commercial 3241
Intravenous pyelogram 2022 Outpatient Facility Commercial 87
Ileostomy and other enterostomy 2018 Provider Commercial 1782
Bronchoscopy and biopsy - Diagnostic 2019 Outpatient Facility Medicare 15481
Non-hospital-based care (home health, hospice) 2020 Independent Labs Medicare 916
Urinary obstruction - Excision, drainage, removal 2020 Outpatient Facility Medi-Cal 2279
Liver biopsy 2019 Inpatient Facility Medicare 34
Urinary tract procedures - Therapeutic OR (other) 2021 Independent Labs Commercial 793
Prophylactic vaccinations and inoculations 2022 Outpatient Facility Medi-Cal 4275258
Bone procedures - Therapeutic OR (other) 2022 Provider Medicare 54208
Esophageal dilatation 2023 Provider Medi-Cal 7654
Physical/occupational/speech therapy - Other 2021 Inpatient Facility Medi-Cal 71981
Anesthesia 2023 Independent Labs Commercial 72
Knee - Excision of semilunar cartilage 2022 Outpatient Facility Medicare 5166
Nephrectomy (partial or complete) 2019 Provider Commercial 3024
X-ray - Upper GI 2023 Outpatient Facility Medi-Cal 15759
Cesarean section 2019 Outpatient Facility Medi-Cal 756
Ultrasound - Heart (echocardiogram) - Diagnostic 2020 Provider Medicare 1270900
Telehealth 2023 Independent Labs Commercial 49
Respiratory procedures - Diagnostic (other) 2023 Outpatient Facility Medi-Cal 2115
Microscopic examination (e.g., lab, toxicology) 2021 Provider Medi-Cal 3301180
Nose, mouth, pharynx procedures - Therapeutic 2019 Outpatient Facility Medicare 22384
EEG (electroencephalogram) 2023 Outpatient Facility Commercial 9616
Ultrasound - Diagnostic (other) 2018 Inpatient Facility Medi-Cal 745
Cystocele/rectocele repair, oblit. of vag. vault 2023 Provider Commercial 3930
Preventive visits 2022 Unclassified/other Commercial 817
Pathology 2022 Outpatient Facility Medicare 966089
Respiratory procedures - Therapeutic OR (other) 2020 Inpatient Facility Medicare 104
Circumcision 2022 Provider Medi-Cal 6245
Physical/occupational/speech therapy - Diagnostic 2023 Pharmacy Medi-Cal 99
Female organ procedures - Therapeutic (other) 2021 Outpatient Facility Commercial 7715
Cardiac catheterization/arteriography - Diagnostic 2023 Outpatient Facility Medicare 70710
Endocrine procedures - Diagnostic 2023 Provider Medi-Cal 22255
Gastrostomy (temporary and permanent) 2019 Provider Commercial 4232
GI procedures - Diagnostic 2019 Outpatient Facility Commercial 10829
Vessels other than head/neck procedures - Other OR 2020 Pharmacy Commercial 84
Eye procedures - Glaucoma 2021 Provider Medi-Cal 14070
Abdominal paracentesis 2020 Outpatient Facility Medi-Cal 14243
Cardiac catheterization/arteriography - Diagnostic 2019 Inpatient Facility Medi-Cal 101
Endocrine procedures - Therapeutic 2019 Provider Medicare 5542
Critical care services 2023 Provider Medi-Cal 1323478
Eye procedures - Repair of retinal tear/detachment 2023 Provider Medi-Cal 9358
Prophylactic vaccinations and inoculations 2020 Independent Labs Medi-Cal 152
X-ray - Lower GI 2020 Provider Medicare 3311
Office visits 2019 Hospice Medicare 66
Skin, breast procedures - Therapeutic (other) 2022 Outpatient Facility Medi-Cal 92798
Nervous system procedures - Diagnostic (other) 2019 Independent Labs Medicare 2725
Urinary tract procedures - Therapeutic (other) 2023 Provider Medi-Cal 16293
GI (upper) procedures - Therapeutic OR 2020 Inpatient Facility Medicare 60
Ancillary services 2020 Inpatient Facility Commercial 478
Bone procedures - Therapeutic OR (other) 2018 Provider Commercial 36642
Organ transplantation - Other 2021 Provider Medi-Cal 1145
Laparoscopy 2022 Provider Medicare 6827
Physical/occupational/speech therapy - Exercises 2022 Pharmacy Commercial 390
X-ray - Upper GI 2020 Inpatient Facility Medicare 1477
Cervix and uterus - Other excision 2019 Provider Medi-Cal 9775
Proctoscopy and anorectal biopsy 2022 Outpatient Facility Medi-Cal 4936
Hemodialysis 2020 Outpatient Facility Commercial 21139
Aortic resection - Replacement or anastomosis 2022 Provider Commercial 1924
Ultrasound - Urinary tract - Diagnostic 2023 Outpatient Facility Commercial 687
Female organ procedures - Diagnostic (other) 2022 Provider Commercial 256989
Laboratory - Chemistry and hematology 2021 Outpatient Facility Commercial 19568210
Decompression peripheral nerve 2023 Provider Commercial 15235
Respiratory procedures - Therapeutic (other) 2021 Inpatient Facility Medi-Cal 1816
CT scan - Chest 2023 Inpatient Facility Medicare 10960
Musculoskeletal procedures - Therapeutic OR (other) 2019 Provider Commercial 3471
Hysterectomy (abdominal and vaginal) 2018 Provider Medicare 9948
DME and supplies 2019 Independent Labs Medi-Cal 276
Non-hospital-based care (home health, hospice) 2018 Outpatient Facility Medi-Cal 17766
Heart procedures - Other OR 2019 Provider Medicare 10581
Gastrostomy (temporary and permanent) 2022 Provider Medi-Cal 17162
Male genital procedures - Therapeutic (other) 2018 Provider Medi-Cal 6967
Nose, mouth, pharynx procedures - Therapeutic 2021 Inpatient Facility Medi-Cal 56872
Transportation - Patient, provider, equipment 2018 Unclassified/other Commercial 480
Colorectal resection 2021 Inpatient Facility Commercial 47
Physical/occupational/speech therapy - Other 2018 Home Health Commercial 844
Vessels of head/neck procedures - Other OR 2022 Provider Medi-Cal 3099
Ear procedures - Diagnostic 2022 Outpatient Facility Medicare 1124
Ear procedures - Therapeutic 2021 Provider Commercial 172854
Open-heart procedures - Extracorporeal circulation 2020 Provider Commercial 4206
Cardiovascular procedures - Therapeutic (other) 2020 Inpatient Facility Medicare 1582
Radiology - Diagnostic (other) 2021 Outpatient Facility Medi-Cal 1726640
Excision, lysis peritoneal adhesions 2021 Provider Medi-Cal 754
Colostomy (temporary and permanent) 2020 Provider Medi-Cal 755
Therapeutic procedures - Other 2023 Inpatient Facility Medicare 7391
DME and supplies 2019 Unclassified/other Medi-Cal 646
Spinal tap - Diagnostic 2021 Provider Medi-Cal 13116
CT scan - Head 2022 Outpatient Facility Medicare 550720
Ancillary services 2021 Ambulance Commercial 61
Radioisotope scan - Other 2021 Independent Labs Medicare 123
Liver biopsy 2023 Outpatient Facility Medicare 4351
Visual aids and other optical supplies 2020 Provider Medicare 322776
Urinary tract procedures - Therapeutic OR (other) 2021 Outpatient Facility Medicare 150177
Office visits 2023 Provider Medicare 35489885
Kidney transplant 2018 Provider Medi-Cal 621
Lobectomy or pneumonectomy 2020 Provider Medicare 4370
Appendectomy 2022 Outpatient Facility Commercial 11218
Eye procedures - Repair of retinal tear/detachment 2019 Outpatient Facility Medi-Cal 3335
Contrast aortogram 2022 Provider Commercial 3458
Skin and subcutaneous tissue - Incision, drainage 2021 Provider Commercial 105694
Indwelling catheter 2021 Provider Commercial 15525
Hernia repair - Other 2020 Inpatient Facility Medicare 185
Arteriogram or venogram (not heart and head) 2018 Inpatient Facility Medi-Cal 116
Non-hospital-based care (home health, hospice) 2022 Hospice Medicare 9015365
PTCA (percutaneous transluminal coronary angio.) 2018 Outpatient Facility Medicare 17764
Office visits 2022 Pharmacy Commercial 76479
Eye procedures - Corneal transplant 2020 Outpatient Facility Medi-Cal 396
Female organ procedures - Therapeutic OR (other) 2019 Outpatient Facility Medi-Cal 6514
Small bowel resection 2021 Provider Commercial 2038
Pleura incision, thoracentesis, chest drainage 2018 Outpatient Facility Medi-Cal 1954
Nose, mouth, pharynx procedures - Therapeutic 2022 Provider Medi-Cal 99027
GI procedures - Diagnostic 2021 Provider Medi-Cal 20087
Arthroscopy 2020 Provider Medi-Cal 4020
Ureteral catheterization 2018 Outpatient Facility Medi-Cal 2297
Ultrasound - Diagnostic (other) 2020 Outpatient Facility Medicare 328843
Cardiovascular procedures - Diagnostic (other) 2018 Outpatient Facility Medi-Cal 8894
Radioisotope scan - Bone 2021 Provider Medi-Cal 8482
Muscle and tendon procedures - Therapeutic (other) 2023 Independent Labs Medicare 148
Ultrasound - Diagnostic (other) 2022 Unclassified/other Medi-Cal 365
Hip replacement (partial and total) 2021 Outpatient Facility Commercial 10018
X-ray - Chest (routine) 2023 Unclassified/other Medi-Cal 663
Bunionectomy or repair of toe deformities 2022 Provider Medi-Cal 3544
Alcohol and drug management, treatment, and rehab. 2019 Pharmacy Medi-Cal 248
Hip replacement (partial and total) 2019 Outpatient Facility Commercial 4739
Delivery - Other procedures to assist 2022 Inpatient Facility Commercial 78
Male genital procedures - Therapeutic OR (other) 2022 Inpatient Facility Medicare 48
Chemotherapy - Cancer 2021 Provider Medicare 627093
CPT codes not classified (F codes) 2018 Outpatient Facility Medicare 7787
Cardiac stress tests 2020 Outpatient Facility Medi-Cal 16968
Electrographic cardiac monitoring 2022 Outpatient Facility Medi-Cal 24665
Medications (injections, infusions, other forms) 2022 Inpatient Facility Medi-Cal 293741
Esophageal varices - Injection or ligation 2021 Provider Medicare 3584
Muscle and tendon procedures - Therapeutic (other) 2020 Provider Commercial 59233
Ungrouped Procedures 2020 Inpatient Facility Medicare 26842
Respiratory intubation and mechanical ventilation 2018 Provider Medi-Cal 33325
Breast - Biopsy, procedures - Diagnostic (other) 2019 Provider Commercial 49865
Urinary system (nonoperative) measurements 2019 Outpatient Facility Medi-Cal 1605416
Fallopian tubes - Ligation 2022 Provider Medicare 83
D&C - Aspiration after delivery or abortion 2020 Provider Medi-Cal 5730
Nose, mouth, pharynx procedures - Therapeutic OR 2019 Outpatient Facility Medi-Cal 10176
Urinary system (nonoperative) measurements 2022 Inpatient Facility Commercial 55
Care management/coordination services 2018 Home Health Medicare 385
Laboratory - Chemistry and hematology 2020 Provider Commercial 4365439
Extraocular muscle procedures - Therapeutic 2019 Outpatient Facility Medicare 1730
Breast - Biopsy, procedures - Diagnostic (other) 2022 Outpatient Facility Medi-Cal 7213
Open-heart procedures - Extracorporeal circulation 2022 Provider Medi-Cal 31754
Skin and subcutaneous tissue - Diagnostic (other) 2022 Provider Medicare 724630
Respiratory therapy - Other 2020 Provider Medi-Cal 49153
Physical/occupational/speech therapy - Exercises 2020 Pharmacy Commercial 820
Spleen procedures 2021 Provider Medicare 408
Behavioral health services 2018 Outpatient Facility Medi-Cal 10233
Nephrotomy and nephrostomy 2023 Outpatient Facility Commercial 2377
Ancillary services 2019 Inpatient Facility Medicare 1129
Genitourinary incontinence procedures 2021 Outpatient Facility Commercial 4076
Medications (injections, infusions, other forms) 2019 Hospice Commercial 373
Prostatectomy (open ) 2021 Provider Commercial 2917
Obstetrical procedures - Therapeutic (other) 2023 Outpatient Facility Medi-Cal 34877
Decompression peripheral nerve 2021 Outpatient Facility Medicare 9745
Non-hospital-based care (home health, hospice) 2023 Outpatient Facility Commercial 34611
Hearing devices and audiology supplies 2023 Outpatient Facility Medicare 927
Hemorrhoid procedures 2019 Provider Medi-Cal 6225
Treatment, fracture, dislocation - Other 2023 Inpatient Facility Commercial 82
Tracheostomy (temporary and permanent) 2022 Outpatient Facility Medi-Cal 56
Skin, breast procedures - Therapeutic (other) 2020 Outpatient Facility Medicare 105223
Ultrasound - Urinary tract - Diagnostic 2019 Provider Medi-Cal 2968
GI procedures - Therapeutic 2018 Outpatient Facility Medicare 3774
Other types of visits 2020 Home Health Medi-Cal 217
Emergency department services 2019 Inpatient Facility Commercial 236
CT scan - Abdomen 2018 Inpatient Facility Medicare 12083
Varicose vein stripping - Lower limb 2023 Provider Commercial 2842
HIPPS home health services 2020 Home Health Medicare 1353027
Microscopic examination (e.g., lab, toxicology) 2020 Outpatient Facility Commercial 2653809
Wound care - Traction, splints, other 2020 Unclassified/other Medi-Cal 42
Spinal canal stimulator insertion and injection 2022 Pharmacy Commercial 206
Male genital procedures - Therapeutic OR (other) 2023 Outpatient Facility Medicare 6270
Radioisotope scan - Pulmonary 2021 Inpatient Facility Medi-Cal 31
Behavioral health services 2023 Inpatient Facility Medicare 64
Physical/occupational/speech therapy - Diagnostic 2021 Inpatient Facility Medicare 134679
Eye procedures - Destruction of retinal lesion 2022 Provider Medi-Cal 20359
DME and supplies 2022 DME (Durable Medical Equipment) Commercial 1568568
Urethra - Procedures 2021 Outpatient Facility Medi-Cal 1023
Extracorporeal lithotripsy, urinary 2018 Outpatient Facility Medicare 9123
Respiratory intubation and mechanical ventilation 2023 Provider Medicare 51716
PTCA (percutaneous transluminal coronary angio.) 2018 Provider Medi-Cal 11155
Urinary tract - Endoscopy and endoscopic biopsy 2018 Unclassified/other Medi-Cal 33
Care management/coordination services 2021 Home Health Medicare 471
Arthrocentesis 2019 Unclassified/other Medi-Cal 198
GI procedures - Therapeutic OR 2021 Outpatient Facility Medicare 3467
Psychological and psychiatric evaluation, therapy 2018 Unclassified/other Medicare 1942
Laboratory - Chemistry and hematology 2023 Inpatient Facility Medicare 1782175
HCPCS Level II codes not classified 2020 Outpatient Facility Medicare 88771
Telehealth 2021 Provider Medi-Cal 1326353
GI (lower) procedures - Therapeutic OR 2019 Outpatient Facility Commercial 6739
Circumcision 2018 Outpatient Facility Medi-Cal 3231
Alcohol and drug management, treatment, and rehab. 2022 Hospice Medi-Cal 89
Intraocular procedures - Therapeutic 2019 Provider Commercial 84003
Skilled nursing facility services 2018 Outpatient Facility Commercial 73
Skin and subcutaneous tissue - Suture 2022 Provider Commercial 176503
Nervous system procedures - Diagnostic (other) 2022 Independent Labs Medicare 3160
GI (lower) procedures - Therapeutic OR 2022 Provider Commercial 12456
Preventive visits 2020 Unclassified/other Commercial 719
Bone excision (partial) 2020 Provider Commercial 15414
Consultation, evaluation, and preventive care 2022 Independent Labs Medicare 964
Nose procedures - Plastic 2019 Outpatient Facility Medicare 2277
Transportation - Patient, provider, equipment 2021 Ambulance Medicare 3238752
Observation care services 2021 Inpatient Facility Medicare 66
Treatment, fracture, dislocation - Other 2023 Outpatient Facility Medicare 10082
Ultrasound - Head and neck - Diagnostic 2022 Outpatient Facility Medi-Cal 36512
Female organ procedures - Diagnostic (other) 2021 Independent Labs Commercial 12895
Breast - Mastectomy 2021 Provider Medicare 4648
Conversion of cardiac rhythm 2018 Inpatient Facility Medicare 152
Nasogastric tube 2021 Provider Commercial 389
Muscles, tendons, joints - Injections, aspirations 2022 Outpatient Facility Commercial 7686
Abdominal paracentesis 2022 Outpatient Facility Commercial 8727
Colonoscopy and biopsy 2022 Unclassified/other Commercial 42
Male genital procedures - Diagnostic 2020 Provider Commercial 17025
Obstetrical procedures - Therapeutic (other) 2021 Provider Commercial 62803
Skin, breast procedures - Therapeutic OR (other) 2018 Unclassified/other Medi-Cal 162
Arterial blood gases 2020 Inpatient Facility Medicare 38959
Bunionectomy or repair of toe deformities 2020 Outpatient Facility Medi-Cal 2002
Skin and subcutaneous tissue - Diagnostic (other) 2021 Outpatient Facility Commercial 12963
Nose, mouth, pharynx procedures - Diagnostic 2023 Provider Medi-Cal 132780
X-ray - Chest (routine) 2022 Unclassified/other Commercial 380
Electrographic cardiac monitoring 2023 Outpatient Facility Commercial 14964
Radioisotope scan - Bone 2019 Outpatient Facility Medicare 26559
Prophylactic vaccinations and inoculations 2021 Outpatient Facility Medicare 504764
Transportation - Patient, provider, equipment 2019 Pharmacy Medi-Cal 9138
Pleura incision, thoracentesis, chest drainage 2021 Inpatient Facility Medi-Cal 109
Laboratory - Chemistry and hematology 2019 Unclassified/other Medi-Cal 7741
Hernia repair - Inguinal and femoral 2020 Outpatient Facility Medi-Cal 4946
Respiratory procedures - Therapeutic (other) 2023 Provider Medicare 6956
D&C - Aspiration after delivery or abortion 2018 Outpatient Facility Medi-Cal 4549
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2023 Outpatient Facility Medi-Cal 353039
Hearing devices and audiology supplies 2020 Provider Medicare 17015
Ultrasound - Urinary tract - Diagnostic 2018 Provider Medicare 6070
Ungrouped Procedures 2022 Outpatient Facility Medi-Cal 9318703
Physical/occupational/speech therapy - Exercises 2020 Independent Labs Commercial 673
Extracranial ventricular shunt services 2023 Outpatient Facility Medi-Cal 191
Eye procedures - Repair of retinal tear/detachment 2018 Outpatient Facility Medicare 4514
Esophageal dilatation 2020 Provider Medicare 23745
DME and supplies 2018 DME (Durable Medical Equipment) Medicare 5285946
Muscle and tendon procedures - Therapeutic (other) 2021 Provider Commercial 130119
Decompression peripheral nerve 2019 Provider Commercial 14893
CT scan - Chest 2020 Provider Commercial 249498
GI procedures - Diagnostic 2023 Outpatient Facility Medi-Cal 10129
Nervous system procedures - Diagnostic (other) 2021 Independent Labs Medicare 1132
Intravenous pyelogram 2018 Provider Medi-Cal 322
Gastric bypass and volume reduction 2022 Provider Medicare 2246
Urinary system (nonoperative) measurements 2021 Independent Labs Medi-Cal 310348
Ancillary services 2018 Provider Medicare 312903
Bone procedures - Therapeutic OR (other) 2020 Provider Commercial 32831
Contrast aortogram 2020 Provider Medi-Cal 7511
Cardiac stress tests 2022 Outpatient Facility Medicare 58072
Arthroscopy 2022 Outpatient Facility Commercial 9550
Non-hospital-based care (home health, hospice) 2022 Unclassified/other Medi-Cal 169
Radiology - Therapeutic 2018 Outpatient Facility Medicare 475671
Medications (injections, infusions, other forms) 2020 Unclassified/other Medicare 566
Female organ procedures - Therapeutic OR (other) 2022 Provider Medi-Cal 13493
Treatment, fracture, dislocation - Other 2021 Outpatient Facility Commercial 15748
Cervix and uterus - Other excision 2022 Provider Medicare 1644
Hysterectomy (abdominal and vaginal) 2023 Outpatient Facility Medi-Cal 4520
Nephrotomy and nephrostomy 2020 Provider Medi-Cal 5761
Respiratory procedures - Therapeutic OR (other) 2019 Outpatient Facility Commercial 2329
Oophorectomy (unilateral and bilateral) 2023 Provider Medicare 2481
Intraocular procedures - Therapeutic 2023 Provider Medicare 576792
HCPCS Level II codes not classified 2021 Outpatient Facility Medicare 193705
Ultrasound - Heart (echocardiogram) - Diagnostic 2019 Outpatient Facility Medicare 256339
Vessels other than head/neck procedures - Other OR 2019 Provider Medi-Cal 25137
Other vascular catheterization (not heart) 2019 Inpatient Facility Medicare 1804
Microscopic examination (e.g., lab, toxicology) 2021 Independent Labs Commercial 9898923
Circumcision 2021 Provider Commercial 29157
X-ray - Chest (routine) 2018 Provider Commercial 1824465
Treatment, fracture, dislocation - Lower extrem. 2019 Outpatient Facility Medi-Cal 7358
EEG (electroencephalogram) 2022 Outpatient Facility Medicare 10857
Nose, mouth, pharynx procedures - Diagnostic 2018 Provider Medi-Cal 68042
Therapeutic procedures - Other 2020 Provider Medi-Cal 865267
Obstetric laceration - Repair 2019 Provider Medi-Cal 236
Enteral and parenteral nutrition 2018 Home Health Commercial 1906
GI (upper) procedures - Therapeutic OR 2023 Provider Medicare 3176
Prophylactic vaccinations and inoculations 2018 Unclassified/other Commercial 844
Electrocardiogram 2022 Ambulance Medi-Cal 151351
Abdominal paracentesis 2023 Provider Commercial 18557
Laminectomy, excision intervertebral disc 2018 Outpatient Facility Commercial 6342
Mastoidectomy 2021 Provider Medicare 528
Consultations 2018 Provider Medicare 57394
CT scan - Chest 2019 Provider Commercial 262753
Extracorporeal shock wave (other than urinary) 2021 Outpatient Facility Medi-Cal 10434
Musculoskeletal procedures - Therapeutic OR (other) 2023 Outpatient Facility Medicare 5164
Hemodialysis 2023 Outpatient Facility Commercial 18239
Prophylactic vaccinations and inoculations 2022 Hospice Medicare 47
Bone procedures - Therapeutic OR (other) 2021 Provider Medicare 59853
Cystocele/rectocele repair, oblit. of vag. vault 2022 Provider Commercial 4180
Tonsillectomy and/or adenoidectomy 2023 Provider Commercial 14962
X-ray - Upper GI 2022 Outpatient Facility Medicare 34808
Appendectomy 2020 Inpatient Facility Medicare 114
Non-hospital-based care (home health, hospice) 2020 Ambulance Medicare 67
Eye procedures - Lens and cataract 2022 Outpatient Facility Medicare 139238
Respiratory procedures - Diagnostic (other) 2022 Outpatient Facility Medi-Cal 1827
Tympanoplasty 2023 Outpatient Facility Medicare 550
Spinal fusion 2019 Outpatient Facility Medicare 2867
Amniocentesis - Diagnostic 2023 Provider Medi-Cal 911
Preventive visits 2020 Provider Medicare 1255647
Laboratory - Chemistry and hematology 2023 Ambulance Medicare 417
Telehealth 2021 Provider Commercial 6442692
Arthrocentesis 2019 Provider Medicare 881611
Radioisotope scan - Pulmonary 2021 Inpatient Facility Medicare 460
Physical/occupational/speech therapy - Diagnostic 2020 Unclassified/other Medi-Cal 586
Breast - Mastectomy 2020 Provider Medi-Cal 2826
Skin and subcutaneous tissue - Suture 2022 Provider Medi-Cal 132909
GI (lower) procedures - Therapeutic OR 2021 Outpatient Facility Medicare 1476
HIPPS home health services 2020 Home Health Medi-Cal 6851
Urethra - Procedures 2020 Outpatient Facility Commercial 1752
Care management/coordination services 2020 Outpatient Facility Medi-Cal 21431
Lung and bronchus procedures - Diagnostic (other) 2020 Provider Commercial 223947
Eye procedures - Destruction of retinal lesion 2022 Provider Medicare 21404
Alcohol and drug management, treatment, and rehab. 2021 Outpatient Facility Medicare 9041
HCPCS Level II codes not classified 2020 Outpatient Facility Medi-Cal 415953
Urinary system (nonoperative) measurements 2023 Unclassified/other Medi-Cal 8598
Respiratory intubation and mechanical ventilation 2023 Provider Medi-Cal 33821
Transportation - Patient, provider, equipment 2021 Home Health Medi-Cal 5321
Mammography 2023 Outpatient Facility Medicare 675663
Ultrasound - Head and neck - Diagnostic 2021 Provider Medi-Cal 213562
Bone excision (partial) 2020 Outpatient Facility Medicare 4762
Female organ procedures - Diagnostic (other) 2020 Independent Labs Medicare 11156
Spinal canal stimulator insertion and injection 2022 Pharmacy Medicare 47
Respiratory therapy - Other 2023 Provider Commercial 90586
Tympanoplasty 2018 Provider Medi-Cal 1697
Observation care services 2021 Inpatient Facility Commercial 50
Nose procedures - Plastic 2019 Provider Commercial 14067
Ancillary services 2023 Outpatient Facility Medi-Cal 5413167
Microscopic examination (e.g., lab, toxicology) 2019 Unclassified/other Medi-Cal 3644
Consultation, evaluation, and preventive care 2022 Independent Labs Medi-Cal 95
GI (lower) procedures - Therapeutic OR 2018 Outpatient Facility Medi-Cal 2487
Tonsillectomy and/or adenoidectomy 2019 Outpatient Facility Commercial 13986
Electrocardiogram 2020 Inpatient Facility Medi-Cal 10264
DME and supplies 2022 Ambulance Medicare 31
Behavioral health services 2023 Outpatient Facility Commercial 336
EEG (electroencephalogram) 2020 Inpatient Facility Medicare 2388
Knee - Excision of semilunar cartilage 2018 Outpatient Facility Commercial 24115
Cardiovascular procedures - Diagnostic (other) 2021 Provider Commercial 39340
Extracorporeal lithotripsy, urinary 2018 Outpatient Facility Medi-Cal 4199
Wound care - Traction, splints, other 2020 Provider Medicare 465131
Intraocular procedures - Therapeutic 2019 Outpatient Facility Medicare 28784
Nervous system procedures - Diagnostic (other) 2022 Inpatient Facility Medicare 967
Psychological and psychiatric evaluation, therapy 2018 Pharmacy Medi-Cal 193
Emergency department services 2018 Outpatient Facility Medicare 2120017
Conversion of cardiac rhythm 2018 Outpatient Facility Commercial 6383
Cervix and uterus - Other excision 2021 Outpatient Facility Medicare 813
Laboratory - Chemistry and hematology 2019 Pharmacy Medicare 183
Transportation - Patient, provider, equipment 2019 Provider Medicare 601536
Ear procedures - Diagnostic 2021 Outpatient Facility Medicare 1186
Ancillary services 2018 Pharmacy Commercial 107
Hearing devices and audiology supplies 2020 Outpatient Facility Commercial 784
Muscle and tendon procedures - Therapeutic (other) 2022 Outpatient Facility Medi-Cal 61709
Other types of visits 2019 Home Health Commercial 138
Eye procedures - Therapeutic (other) 2019 Provider Commercial 66088
Decompression peripheral nerve 2019 Provider Medicare 27926
Treatment, fracture, dislocation - Other 2020 Provider Medi-Cal 37301
Bone procedures - Therapeutic OR (other) 2020 Provider Medicare 56835
Pathology 2021 Provider Commercial 2090151
Abdominal paracentesis 2022 Outpatient Facility Medicare 24649
Arthroscopy 2023 Provider Commercial 13213
Colonoscopy and biopsy 2022 Outpatient Facility Commercial 348360
Prostatectomy (open ) 2020 Provider Medi-Cal 646
X-ray - Chest (routine) 2023 Outpatient Facility Medicare 1092523
Intravenous pyelogram 2018 Provider Medicare 700
Radiology - Diagnostic (other) 2023 Unclassified/other Commercial 281
CT scan - Head 2019 Outpatient Facility Medi-Cal 315807
Respiratory therapy - Other 2020 Inpatient Facility Medicare 7184
Skin, breast procedures - Therapeutic OR (other) 2018 Outpatient Facility Medi-Cal 6682
Bunionectomy or repair of toe deformities 2019 Provider Commercial 11236
Physical/occupational/speech therapy - Exercises 2019 Unclassified/other Commercial 6222
Medications (injections, infusions, other forms) 2021 Ambulance Commercial 5412
D&C - Aspiration after delivery or abortion 2019 Provider Commercial 9464
Radioisotope scan - Bone 2019 Provider Medicare 39966
GI procedures - Diagnostic 2023 Outpatient Facility Medicare 16676
Laparoscopy 2020 Provider Commercial 7310
Male genital procedures - Diagnostic 2019 Independent Labs Medi-Cal 195
Excision, lysis peritoneal adhesions 2019 Provider Medicare 1707
D&C - Aspiration after delivery or abortion 2023 Provider Medicare 40
Nose, mouth, pharynx procedures - Therapeutic 2018 Outpatient Facility Medicare 19087
Spleen procedures 2018 Provider Commercial 402
Arterial blood gases 2020 Outpatient Facility Medicare 66216
Large intestine lesion - Local excision 2018 Provider Medicare 387
Ungrouped Procedures 2022 DME (Durable Medical Equipment) Medicare 707023
Contrast aortogram 2021 Inpatient Facility Medi-Cal 82
Skin and subcutaneous tissue - Diagnostic (other) 2021 Outpatient Facility Medicare 27413
Hernia repair - Inguinal and femoral 2020 Provider Commercial 15179
Urinary system (nonoperative) measurements 2021 Inpatient Facility Medi-Cal 458
Pleura incision, thoracentesis, chest drainage 2020 Outpatient Facility Medicare 11262
Non-hospital-based care (home health, hospice) 2023 Home Health Commercial 459332
Vessels other than head/neck procedures - Other OR 2022 Provider Commercial 41668
Ancillary services 2021 Outpatient Facility Commercial 101659
Nervous system procedures - Therapeutic (other) 2018 Unclassified/other Medi-Cal 173
Blood and blood product transfusion 2019 Inpatient Facility Medicare 10045
CT scan - Head 2020 Inpatient Facility Medi-Cal 2446
DME and supplies 2020 Independent Labs Medi-Cal 3804
Conversion of cardiac rhythm 2021 Provider Medi-Cal 3418
Delivery - Forceps, vacuum, and breech 2022 Outpatient Facility Commercial 279
Ileostomy and other enterostomy 2021 Outpatient Facility Medicare 505
Urinary tract - Endoscopy and endoscopic biopsy 2020 Outpatient Facility Medi-Cal 3254
HIPPS home health services 2023 Provider Commercial 51
Varicose vein stripping - Lower limb 2018 Outpatient Facility Medicare 983
Eye procedures - Therapeutic (other) 2022 Outpatient Facility Medi-Cal 8916
MRI (magnetic resonance imaging) 2018 Outpatient Facility Commercial 393846
Alcohol and drug management, treatment, and rehab. 2023 Provider Medi-Cal 15877000
GI (lower) procedures - Therapeutic 2018 Outpatient Facility Medi-Cal 1157
Male genital procedures - Therapeutic (other) 2022 Provider Medicare 10903
Pathology 2023 Provider Medi-Cal 1178949
Ovary operations - Other 2018 Provider Medi-Cal 3787
Emergency department services 2021 Ambulance Medi-Cal 167
Hernia repair - Other 2022 Provider Medi-Cal 14490
Consultation, evaluation, and preventive care 2019 Provider Commercial 1664618
Proctoscopy and anorectal biopsy 2019 Provider Medicare 42719
Thyroidectomy (partial or complete) 2018 Outpatient Facility Medicare 1827
Skilled nursing facility services 2021 Outpatient Facility Commercial 97
Myringotomy 2019 Provider Medi-Cal 10938
Heart procedures - Other OR 2023 Inpatient Facility Medicare 32
Cardiovascular procedures - Therapeutic (other) 2022 Provider Medi-Cal 63882
Ungrouped Procedures 2019 Inpatient Facility Medicare 30651
Musculoskeletal procedures - Diagnostic (other) 2019 Provider Medi-Cal 4083
GI (upper) endoscopy, biopsy 2019 Provider Commercial 191406
Medications (injections, infusions, other forms) 2021 Ambulance Medicare 3410
Office visits 2020 Provider Commercial 28931022
Skin, breast procedures - Therapeutic OR (other) 2019 Outpatient Facility Medicare 8417
Extracorporeal lithotripsy, urinary 2021 Provider Medicare 15449
TURP (transurethral resection of prostate) 2023 Provider Commercial 2384
Radiology - Therapeutic 2019 Inpatient Facility Medicare 677
Ureteral catheterization 2020 Outpatient Facility Medicare 7970
Arterial blood gases 2020 Provider Commercial 9532
Eye procedures - Corneal transplant 2023 Provider Commercial 739
Other types of lab tests 2018 Provider Commercial 2976376
Psychological and psychiatric evaluation, therapy 2020 Inpatient Facility Medicare 816
Cardiovascular procedures - Therapeutic (other) 2019 Outpatient Facility Medicare 101585
Emergency department services 2020 Provider Medicare 2207571
Eye procedures - Therapeutic (other) 2023 Provider Medicare 285796
Other types of lab tests 2018 Outpatient Facility Medi-Cal 3201425
Pleura incision, thoracentesis, chest drainage 2022 Provider Medicare 51164
Cardiovascular procedures - Therapeutic (other) 2018 Unclassified/other Medi-Cal 49
Hernia repair - Inguinal and femoral 2022 Outpatient Facility Medi-Cal 6030
Preventive visits 2018 Outpatient Facility Medi-Cal 263476
Skin and subcutaneous tissue - Incision, drainage 2023 Unclassified/other Medi-Cal 79
Skin, breast procedures - Therapeutic OR (other) 2020 Provider Medicare 20265
CT scan - Head 2021 Independent Labs Commercial 169
CPT codes not classified (F codes) 2020 Independent Labs Medi-Cal 17263
DME and supplies 2022 Provider Medicare 5663953
HIPPS home health services 2023 Home Health Medi-Cal 42879
Care management/coordination services 2022 Provider Medi-Cal 100973
Ancillary services 2022 Ambulance Commercial 85
Male genital procedures - Therapeutic OR (other) 2018 Outpatient Facility Medicare 6319
Ungrouped Procedures 2023 DME (Durable Medical Equipment) Medicare 678308
Musculoskeletal procedures - Diagnostic (other) 2019 Outpatient Facility Commercial 3146
Myringotomy 2021 Provider Commercial 4999
Chemotherapy - Cancer 2018 Inpatient Facility Medicare 85
Medications (injections, infusions, other forms) 2021 Outpatient Facility Medi-Cal 8100864
Radioisotope scan - Other 2022 Outpatient Facility Commercial 3768
Telehealth 2018 Unclassified/other Commercial 92
Ovary operations - Other 2018 Outpatient Facility Commercial 539
Ileostomy and other enterostomy 2023 Outpatient Facility Medi-Cal 196
GI (upper) endoscopy, biopsy 2019 Inpatient Facility Medicare 1878
Eye procedures - Corneal transplant 2022 Provider Medi-Cal 710
Conversion of cardiac rhythm 2021 Outpatient Facility Commercial 6739
Office visits 2020 Outpatient Facility Medicare 4328710
Nervous system procedures - Therapeutic (other) 2018 Provider Medi-Cal 174846
Ungrouped Procedures 2019 Independent Labs Medicare 5318
Skilled nursing facility services 2021 Inpatient Facility Commercial 7455
Fetal monitoring 2018 Provider Commercial 204903
Extracorporeal lithotripsy, urinary 2021 Outpatient Facility Medicare 10789
Thyroidectomy (partial or complete) 2019 Provider Medicare 3139
Arterial blood gases 2021 Provider Commercial 9562
Vessels other than head/neck procedures - Other OR 2022 Outpatient Facility Medi-Cal 38661
Psychological and psychiatric evaluation, therapy 2020 Home Health Medi-Cal 18783
Consultation, evaluation, and preventive care 2019 Independent Labs Medicare 664
Urinary tract - Endoscopy and endoscopic biopsy 2022 Outpatient Facility Commercial 5332
Radiology - Therapeutic 2020 Outpatient Facility Medi-Cal 156487
Urinary tract procedures - Therapeutic OR (other) 2023 Provider Medi-Cal 7079
Alcohol and drug management, treatment, and rehab. 2023 Outpatient Facility Medicare 13584
Peritoneal dialysis 2019 Inpatient Facility Medi-Cal 534
Heart valve procedures 2018 Outpatient Facility Medi-Cal 67
Heart valve procedures 2020 Provider Commercial 3706
Eye procedures - Corneal transplant 2019 Provider Medicare 4203
Skin and subcutaneous tissue - Suture 2021 Unclassified/other Commercial 38
Chemotherapy - Cancer 2020 Provider Commercial 412783
Male genital procedures - Therapeutic OR (other) 2020 Provider Medicare 7223
CPT codes not classified (F codes) 2021 Provider Medicare 8596745
Open-heart procedures - Extracorporeal circulation 2021 Inpatient Facility Medicare 832
Pleura incision, thoracentesis, chest drainage 2018 Inpatient Facility Medicare 330
Fallopian tubes - Ligation 2020 Provider Medicare 100
GI procedures - Diagnostic 2022 Inpatient Facility Medicare 39
Delivery - Other procedures to assist 2021 Provider Commercial 2038
Breast - Biopsy, procedures - Diagnostic (other) 2019 Outpatient Facility Medi-Cal 5834
Electrographic cardiac monitoring 2022 Inpatient Facility Medicare 1218
Kidney transplant 2018 Provider Commercial 476
Non-hospital-based care (home health, hospice) 2021 Provider Medicare 4898510
Care management/coordination services 2019 Outpatient Facility Medicare 92020
Gastrostomy (temporary and permanent) 2023 Provider Medi-Cal 19624
Spinal tap - Diagnostic 2021 Provider Commercial 10516
Medications (injections, infusions, other forms) 2022 Independent Labs Commercial 526
Alcohol and drug management, treatment, and rehab. 2018 Ambulance Medi-Cal 5734
Urinary system (nonoperative) measurements 2019 Inpatient Facility Medi-Cal 1007
Peritoneal dialysis 2021 Home Health Commercial 39
Small bowel resection 2019 Provider Commercial 2166
Hip replacement (partial and total) 2019 Inpatient Facility Medicare 308
Varicose vein stripping - Lower limb 2023 Outpatient Facility Medi-Cal 681
Prostatectomy (open ) 2018 Inpatient Facility Medicare 169
Office visits 2023 Provider Medi-Cal 30032424
DME and supplies 2019 Outpatient Facility Commercial 1296702
Radiology - Therapeutic 2023 Provider Medicare 1111474
Esophageal varices - Injection or ligation 2022 Provider Medicare 3386
Liver biopsy 2023 Outpatient Facility Medi-Cal 1774
Muscle and tendon procedures - Therapeutic (other) 2020 Outpatient Facility Medi-Cal 11595
Ear procedures - Therapeutic 2022 Outpatient Facility Medicare 19686
Office visits 2022 Outpatient Facility Medicare 5083539
Treatment, fracture, dislocation - Other 2019 Inpatient Facility Medicare 193
Ungrouped Procedures 2020 Pharmacy Medicare 6622
Arterial blood gases 2023 Provider Medicare 7451
Cardiac stress tests 2021 Inpatient Facility Medicare 1483
Radioisotope scan - Pulmonary 2020 Provider Commercial 3697
Ultrasound - Diagnostic (other) 2020 Outpatient Facility Medi-Cal 737351
CT scan - Head 2022 Outpatient Facility Commercial 283949
Indwelling catheter 2020 Outpatient Facility Medi-Cal 12546
Arthroscopy 2021 Provider Commercial 10767
Respiratory therapy - Other 2018 Inpatient Facility Medicare 10440
Female organ procedures - Therapeutic OR (other) 2019 Inpatient Facility Medicare 88
PTCA (percutaneous transluminal coronary angio.) 2018 Outpatient Facility Commercial 6033
Spinal tap - Diagnostic 2022 Outpatient Facility Medicare 3162
D&C - Aspiration after delivery or abortion 2023 Outpatient Facility Commercial 5354
D&C - Aspiration after delivery or abortion 2018 Provider Medicare 75
Treatment, fracture, dislocation - Other 2020 Inpatient Facility Commercial 73
CT scan - Head 2018 Outpatient Facility Medi-Cal 273613
Laboratory - Chemistry and hematology 2022 Ambulance Medi-Cal 55
Contrast arteriogram - Lower extremity arteries 2021 Inpatient Facility Medicare 59
Muscle and tendon procedures - Therapeutic (other) 2021 Provider Medicare 88123
Esophageal dilatation 2021 Outpatient Facility Medicare 10593
Intravenous pyelogram 2019 Outpatient Facility Medi-Cal 32
Male genital procedures - Therapeutic (other) 2019 Provider Commercial 31894
Laparoscopy 2018 Unclassified/other Medi-Cal 72
Cardiac stress tests 2022 Inpatient Facility Medicare 1376
Eye procedures - Therapeutic (other) 2018 Provider Commercial 66574
Delivery - Forceps, vacuum, and breech 2020 Outpatient Facility Commercial 219
Extracranial ventricular shunt services 2023 Provider Commercial 2726
Pleura incision, thoracentesis, chest drainage 2018 Unclassified/other Medi-Cal 57
Colonoscopy and biopsy 2020 Provider Medicare 457700
Arthroscopy 2022 Provider Medi-Cal 4526
Radioisotope scan - Bone 2020 Outpatient Facility Commercial 10235
Other types of visits 2018 Hospice Commercial 936
Vessels other than head/neck procedures - Other OR 2018 Inpatient Facility Medicare 468
Medications (injections, infusions, other forms) 2020 Home Health Medi-Cal 2798
GI (upper) procedures - Therapeutic OR 2022 Provider Medicare 3254
Hernia repair - Inguinal and femoral 2018 Provider Medicare 22169
X-ray - Chest (routine) 2023 Inpatient Facility Commercial 383
Large intestine lesion - Local excision 2019 Provider Commercial 320
Obstetrical procedures - Therapeutic (other) 2022 Inpatient Facility Medi-Cal 588
Ancillary services 2018 Inpatient Facility Commercial 2553
Nose, mouth, pharynx procedures - Therapeutic 2018 Inpatient Facility Commercial 333
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2022 Outpatient Facility Medi-Cal 316909
Bone procedures - Therapeutic OR (other) 2021 Inpatient Facility Commercial 182
Arterial blood gases 2019 Outpatient Facility Commercial 24343
Radiology - Diagnostic (other) 2023 Outpatient Facility Medi-Cal 1649793
Pathology 2021 Inpatient Facility Commercial 545
Ultrasound - Urinary tract - Diagnostic 2018 Outpatient Facility Medi-Cal 909
Cervix and uterus - Other excision 2021 Provider Medi-Cal 8742
Transportation - Patient, provider, equipment 2019 Unclassified/other Commercial 224
Skin and subcutaneous tissue - Diagnostic (other) 2021 Provider Commercial 471560
Female organ procedures - Therapeutic OR (other) 2020 Outpatient Facility Commercial 9522
Bunionectomy or repair of toe deformities 2018 Provider Medicare 19957
Skin, breast procedures - Therapeutic (other) 2023 Provider Medicare 2637389
Prophylactic vaccinations and inoculations 2021 Inpatient Facility Medi-Cal 1275
Musculoskeletal procedures - Diagnostic (other) 2019 Outpatient Facility Medi-Cal 1217
Transportation - Patient, provider, equipment 2022 Outpatient Facility Medicare 68741
Conversion of cardiac rhythm 2021 Outpatient Facility Medicare 17398
Thyroidectomy (partial or complete) 2019 Inpatient Facility Medicare 38
Joint procedures - Therapeutic OR (other) 2020 Provider Commercial 36008
GI (lower) procedures - Therapeutic 2018 Provider Medicare 4020
Telehealth 2019 Outpatient Facility Commercial 1510
Proctoscopy and anorectal biopsy 2020 Provider Medi-Cal 12810
Cesarean section 2023 Outpatient Facility Medi-Cal 955
Male genital procedures - Therapeutic (other) 2022 Outpatient Facility Medicare 3266
Psychological and psychiatric evaluation, therapy 2020 Independent Labs Medi-Cal 64
Ungrouped Procedures 2019 Inpatient Facility Medi-Cal 2196
Cardiovascular procedures - Therapeutic (other) 2022 Provider Commercial 63719
Delivery - Forceps, vacuum, and breech 2023 Unclassified/other Medi-Cal 39
Medications (injections, infusions, other forms) 2021 Inpatient Facility Commercial 133441
Preventive visits 2018 Pharmacy Commercial 84
Emergency department services 2020 Inpatient Facility Medicare 625
Heart procedures - Other OR 2023 Inpatient Facility Commercial 131
Other vascular catheterization (not heart) 2023 Outpatient Facility Medi-Cal 21699
Eye procedures - Therapeutic (other) 2021 Provider Medicare 254656
Consultation, evaluation, and preventive care 2019 Outpatient Facility Medi-Cal 24698
Ancillary services 2021 Inpatient Facility Medicare 1027
Ear procedures - Diagnostic 2023 Provider Medi-Cal 2716
Genitourinary incontinence procedures 2020 Outpatient Facility Commercial 3391
Urinary tract procedures - Therapeutic OR (other) 2023 Provider Medicare 22897
Ophthalmologic/otologic diagnosis and treatment 2022 Outpatient Facility Commercial 71217
Lung and bronchus procedures - Diagnostic (other) 2023 Outpatient Facility Commercial 58515
Cardiovascular procedures - Therapeutic (other) 2019 Outpatient Facility Medi-Cal 14955
Office visits 2020 Pharmacy Medi-Cal 461
Ileostomy and other enterostomy 2022 Outpatient Facility Medicare 434
Other types of lab tests 2018 Pharmacy Commercial 39
Skilled nursing facility services 2021 Inpatient Facility Medi-Cal 24557
Vessels other than head/neck procedures - Other OR 2022 Independent Labs Medi-Cal 113
Eye procedures - Corneal transplant 2023 Outpatient Facility Medi-Cal 551
Blood and blood product transfusion 2019 Provider Medicare 18694
CT scan - Head 2020 Provider Commercial 341193
Ureteral catheterization 2020 Outpatient Facility Medi-Cal 2083
CPT codes not classified (F codes) 2019 Unclassified/other Commercial 82
Pathology 2023 Provider Commercial 2235376
Hip replacement (partial and total) 2019 Inpatient Facility Commercial 199
Lobectomy or pneumonectomy 2019 Provider Medicare 5042
Ophthalmologic/otologic diagnosis and treatment 2021 Provider Commercial 4944460
Urinary tract procedures - Therapeutic OR (other) 2023 Inpatient Facility Medicare 45
Emergency department services 2019 Unclassified/other Commercial 214
Eye procedures - Therapeutic (other) 2020 Provider Medi-Cal 50523
Psychological and psychiatric evaluation, therapy 2019 Unclassified/other Commercial 15791
Transportation - Patient, provider, equipment 2022 Ambulance Medicare 3278782
Medications (injections, infusions, other forms) 2023 Outpatient Facility Medi-Cal 8590782
Other types of lab tests 2018 Inpatient Facility Commercial 6267
Skin, breast procedures - Therapeutic OR (other) 2019 Outpatient Facility Commercial 23728
Cesarean section 2022 Inpatient Facility Commercial 64
Fetal monitoring 2023 Provider Medicare 1091
Heart procedures - Other OR 2022 Inpatient Facility Medi-Cal 44
Genitourinary incontinence procedures 2019 Outpatient Facility Medi-Cal 1362
Other vascular catheterization (not heart) 2022 Outpatient Facility Medicare 44452
Conversion of cardiac rhythm 2020 Outpatient Facility Medi-Cal 1438
Skilled nursing facility services 2020 Inpatient Facility Medi-Cal 25775
DME and supplies 2020 Hospice Medi-Cal 970
Ileostomy and other enterostomy 2021 Outpatient Facility Medi-Cal 190
Radiology - Therapeutic 2018 Provider Medi-Cal 307199
Peritoneal dialysis 2023 Outpatient Facility Commercial 463229
Arterial blood gases 2021 Independent Labs Medicare 511
Male genital procedures - Therapeutic (other) 2021 Provider Commercial 30310
Alcohol and drug management, treatment, and rehab. 2018 Unclassified/other Commercial 3232
Proctoscopy and anorectal biopsy 2019 Provider Medi-Cal 14822
Ungrouped Procedures 2019 Home Health Commercial 488
Cardiovascular procedures - Therapeutic (other) 2021 Provider Commercial 66202
Preventive visits 2018 Ambulance Medi-Cal 1015
Telehealth 2018 Outpatient Facility Medi-Cal 6227
Musculoskeletal procedures - Diagnostic (other) 2018 Outpatient Facility Medi-Cal 1200
CPT codes not classified (F codes) 2019 Outpatient Facility Commercial 851
Skin and subcutaneous tissue - Incision, drainage 2022 Outpatient Facility Commercial 15691
Blood and blood product transfusion 2019 Inpatient Facility Commercial 2254
Delivery - Forceps, vacuum, and breech 2023 Inpatient Facility Commercial 70
Eye procedures - Corneal transplant 2021 Provider Medicare 3571
Ureteral catheterization 2019 Outpatient Facility Medicare 8462
CT scan - Head 2020 Independent Labs Medicare 149
Thyroidectomy (partial or complete) 2018 Inpatient Facility Medicare 58
Office visits 2020 Inpatient Facility Commercial 92
Electrocardiogram 2018 Inpatient Facility Medicare 55995
Extracorporeal lithotripsy, urinary 2021 Provider Medi-Cal 6945
Cardiovascular procedures - Therapeutic (other) 2018 Outpatient Facility Medicare 94527
Knee - Arthroplasty 2018 Unclassified/other Medi-Cal 90
Ancillary services 2021 Home Health Medicare 46136
Enteral and parenteral nutrition 2020 Home Health Medi-Cal 2052
CT scan - Abdomen 2023 Provider Medicare 1107618
Catheterization (Swan-Ganz) for monitoring 2019 Provider Medicare 10179
Hemic/lymphatic system procedures - Therapeutic 2020 Outpatient Facility Medicare 18788
HCPCS Level II codes not classified 2023 Unclassified/other Commercial 236
Eye procedures - Lens and cataract 2019 Outpatient Facility Medicare 129078
CT scan - Other 2018 Provider Medicare 611742
Nasogastric tube 2020 Outpatient Facility Medicare 278
Tracheoscopy and laryngoscopy with biopsy 2021 Provider Medi-Cal 36249
Microscopic examination (e.g., lab, toxicology) 2023 Independent Labs Commercial 10980450
Bone marrow biopsy 2021 Provider Commercial 8793
Colonoscopy and biopsy 2019 Provider Commercial 457636
Spinal fusion 2022 Provider Commercial 41310
ERCP (endoscopic retro. cannulation of pancreas) 2020 Provider Medicare 38040
Oophorectomy (unilateral and bilateral) 2021 Outpatient Facility Commercial 6969
Nose, mouth, pharynx procedures - Diagnostic 2021 Outpatient Facility Commercial 14470
Treatment, fracture, dislocation - Facial 2019 Provider Medicare 4179
Therapeutic procedures - Other 2019 Inpatient Facility Medicare 15515
GI (upper) endoscopy, biopsy 2022 Outpatient Facility Medi-Cal 82275
Emergency department services 2023 Inpatient Facility Medi-Cal 10273
Psychological and psychiatric evaluation, therapy 2022 Independent Labs Medi-Cal 52
Nervous system procedures - Therapeutic OR (other) 2018 Provider Commercial 36050
Respiratory procedures - Therapeutic (other) 2019 Provider Commercial 2906
Hospital services 2020 Outpatient Facility Medi-Cal 166612
Obstetrical procedures - Therapeutic (other) 2018 Unclassified/other Medi-Cal 75
Bronchoscopy and biopsy - Diagnostic 2023 Inpatient Facility Medicare 97
Pregnancy (ectopic) - Removal 2019 Outpatient Facility Medi-Cal 770
Coronary thrombolysis 2022 Provider Commercial 48
Skilled nursing facility services (HIPPS) 2021 Outpatient Facility Medi-Cal 527
Medications (injections, infusions, other forms) 2018 Inpatient Facility Medicare 684603
Vessels of head/neck - Endarterectomy 2018 Provider Medi-Cal 700
Amputation - Lower extremity 2023 Provider Medi-Cal 8802
Ultrasound - Heart (echocardiogram) - Diagnostic 2021 Unclassified/other Commercial 77
MRI (magnetic resonance imaging) 2020 Provider Medi-Cal 582748
Intraoperative cholangiogram 2021 Provider Commercial 1439
DME and supplies 2023 Unclassified/other Medicare 154
Tympanoplasty 2020 Outpatient Facility Medicare 383
Electrographic cardiac monitoring 2018 Provider Medicare 763186
Consultations 2023 Unclassified/other Commercial 106
Laboratory - Chemistry and hematology 2018 Unclassified/other Medicare 223
Appendectomy 2018 Inpatient Facility Medi-Cal 39
Urinary tract procedures - Diagnostic (other) 2020 Outpatient Facility Medi-Cal 1546
Oral and dental services 2019 Provider Commercial 3428
Extracranial ventricular shunt services 2019 Provider Commercial 2586
X-ray - Chest (routine) 2020 Unclassified/other Commercial 88
Treatment, fracture, dislocation - Other 2019 Inpatient Facility Commercial 60
Indwelling catheter 2020 Outpatient Facility Medicare 36980
Open-heart procedures - Extracorporeal circulation 2021 Outpatient Facility Commercial 90444
Muscle and tendon procedures - Therapeutic (other) 2021 Inpatient Facility Medicare 146
Colostomy (temporary and permanent) 2022 Provider Commercial 513
Non-hospital-based care (home health, hospice) 2022 Hospice Commercial 83563
Medications (injections, infusions, other forms) 2022 Pharmacy Commercial 7924
Prostatectomy (open ) 2019 Inpatient Facility Medicare 165
Urinary system (nonoperative) measurements 2019 Unclassified/other Commercial 128
Respiratory intubation and mechanical ventilation 2018 Ambulance Commercial 76
Respiratory therapy - Other 2018 Provider Medicare 145941
Office visits 2023 Provider Commercial 34795015
Alcohol and drug management, treatment, and rehab. 2018 Pharmacy Medi-Cal 230
Office visits 2022 Outpatient Facility Medi-Cal 33065902
Heart valve procedures 2021 Outpatient Facility Medicare 113
Hernia repair - Other 2019 Provider Medicare 24656
CT scan - Head 2022 Outpatient Facility Medi-Cal 385251
Radioisotope scan - Other 2021 Independent Labs Medi-Cal 173
Pregnancy (ectopic) - Removal 2021 Provider Medi-Cal 1498
Arteriogram or venogram (not heart and head) 2018 Inpatient Facility Commercial 63
Peritoneal dialysis 2021 Provider Medi-Cal 33325
Cardiovascular procedures - Therapeutic (other) 2019 Provider Medicare 174600
Visual aids and other optical supplies 2020 Provider Medi-Cal 712813
Ancillary services 2023 Home Health Medicare 45102
Ultrasound - Diagnostic (other) 2020 Outpatient Facility Commercial 774834
CPT codes not classified (F codes) 2021 Unclassified/other Commercial 1497
Spinal tap - Diagnostic 2021 Outpatient Facility Medicare 3179
Urinary tract procedures - Therapeutic OR (other) 2021 Provider Medi-Cal 220624
Genitourinary incontinence procedures 2018 Provider Commercial 6036
Skin and subcutaneous tissue - Incision, drainage 2021 Outpatient Facility Medi-Cal 43333
DME and supplies 2019 Outpatient Facility Medi-Cal 1714594
Fetal monitoring 2021 Outpatient Facility Medicare 925
Small bowel resection 2018 Provider Medicare 4680
Nose, mouth, pharynx procedures - Therapeutic 2023 Inpatient Facility Medicare 207378
Breast - Biopsy, procedures - Diagnostic (other) 2019 Outpatient Facility Medicare 20258
Fallopian tubes - Ligation 2021 Outpatient Facility Commercial 744
Liver biopsy 2023 Outpatient Facility Commercial 3043
Joint procedures - Therapeutic OR (other) 2023 Provider Medicare 38173
Cardiovascular procedures - Diagnostic (other) 2022 Provider Medi-Cal 49733
Chemotherapy - Cancer 2021 Provider Medi-Cal 198849
CPT codes not classified (F codes) 2023 Pharmacy Medicare 177
Nervous system procedures - Therapeutic (other) 2023 Outpatient Facility Commercial 69964
Hemic/lymphatic system procedures - Therapeutic 2018 Unclassified/other Medi-Cal 50
Gastric bypass and volume reduction 2019 Outpatient Facility Medi-Cal 116
Bone marrow biopsy 2022 Independent Labs Medicare 152
Psychological and psychiatric evaluation, therapy 2021 Pharmacy Commercial 1035
Medications (injections, infusions, other forms) 2018 Outpatient Facility Medicare 15511430
Respiratory procedures - Therapeutic (other) 2020 Inpatient Facility Medi-Cal 1862
ERCP (endoscopic retro. cannulation of pancreas) 2019 Provider Medi-Cal 21838
Skilled nursing facility services (HIPPS) 2019 Outpatient Facility Commercial 118
Oral and dental services 2018 Outpatient Facility Commercial 3910
Pathology 2019 Unclassified/other Commercial 228
Spinal fusion 2023 Inpatient Facility Commercial 171
Preventive visits 2020 Independent Labs Medicare 50
Other types of lab tests 2019 Unclassified/other Medicare 156
Consultations 2022 Provider Medi-Cal 517789
Bronchoscopy and biopsy - Diagnostic 2021 Outpatient Facility Medicare 15502
Coronary thrombolysis 2023 Outpatient Facility Medicare 38
Hospital services 2020 Pharmacy Medicare 54
X-ray - Chest (routine) 2021 Inpatient Facility Medi-Cal 13066
Physical/occupational/speech therapy - Exercises 2018 Pharmacy Commercial 2023
Intraoperative cholangiogram 2022 Inpatient Facility Medicare 33
Treatment, fracture, dislocation - Facial 2018 Outpatient Facility Commercial 4336
Nose, mouth, pharynx procedures - Diagnostic 2021 Provider Medicare 219862
GI (upper) endoscopy, biopsy 2022 Provider Medicare 337687
Obstetrical procedures - Therapeutic (other) 2019 Outpatient Facility Medi-Cal 35972
GI (lower) procedures - Therapeutic 2022 Provider Medicare 3958
Laboratory - Chemistry and hematology 2018 Outpatient Facility Medi-Cal 14174158
CT scan - Other 2019 Inpatient Facility Medicare 4817
Blood and blood product transfusion 2022 Independent Labs Commercial 110
Enteral and parenteral nutrition 2021 Home Health Commercial 1835
Debridement of wound, infection or burn 2018 Outpatient Facility Commercial 20094
Urinary obstruction - Excision, drainage, removal 2022 Outpatient Facility Medi-Cal 2484
Extracranial ventricular shunt services 2020 Outpatient Facility Medi-Cal 94
Electrographic cardiac monitoring 2018 Independent Labs Commercial 3253
HCPCS Level II codes not classified 2023 Independent Labs Medi-Cal 111
Amputation - Lower extremity 2021 Provider Medicare 13387
Tracheoscopy and laryngoscopy with biopsy 2022 Outpatient Facility Medi-Cal 6084
AVF or vessel-to-vessel cannula for dialysis svcs. 2018 Provider Medi-Cal 25685
Telehealth 2021 Ambulance Medi-Cal 931
Obstetric laceration - Repair 2022 Outpatient Facility Medi-Cal 60
Other vascular catheterization (not heart) 2020 Outpatient Facility Commercial 21053
Spinal fusion 2019 Provider Commercial 44765
Musculoskeletal procedures - Therapeutic OR (other) 2023 Provider Medi-Cal 3907
Anesthesia 2023 Outpatient Facility Commercial 78375
Ultrasound - Heart (echocardiogram) - Diagnostic 2019 Provider Medi-Cal 799846
Pathology 2021 Unclassified/other Commercial 405
Physical/occupational/speech therapy - Other 2020 Provider Medicare 140645
Cesarean section 2018 Outpatient Facility Commercial 32
Arthroplasty other than hip or knee 2021 Outpatient Facility Commercial 11195
Liver biopsy 2018 Outpatient Facility Commercial 3184
HCPCS Level II codes not classified 2022 Independent Labs Commercial 43
Cystocele/rectocele repair, oblit. of vag. vault 2022 Provider Medicare 7595
Urinary obstruction - Excision, drainage, removal 2019 Provider Commercial 11588
Electrocardiogram 2022 Pharmacy Medi-Cal 35
Nephrectomy (partial or complete) 2019 Provider Medicare 6599
Bronchoscopy and biopsy - Diagnostic 2019 Provider Medicare 34979
Circumcision 2023 Outpatient Facility Commercial 3668
Hysterectomy (abdominal and vaginal) 2022 Provider Commercial 24267
Microscopic examination (e.g., lab, toxicology) 2021 Unclassified/other Medi-Cal 579
Tracheoscopy and laryngoscopy with biopsy 2019 Outpatient Facility Commercial 4739
DME and supplies 2018 Outpatient Facility Commercial 1233573
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2023 Unclassified/other Commercial 41
Esophageal dilatation 2022 Provider Medi-Cal 6142
Vessels other than head/neck procedures - Other OR 2019 Provider Medicare 87559
Eye procedures - Glaucoma 2022 Outpatient Facility Commercial 3967
Laminectomy, excision intervertebral disc 2019 Outpatient Facility Medicare 8050
Prophylactic vaccinations and inoculations 2019 Outpatient Facility Medicare 690716
Gastrectomy (partial and total) 2020 Provider Commercial 211
Respiratory procedures - Therapeutic OR (other) 2018 Outpatient Facility Medi-Cal 1062
Female organ procedures - Therapeutic (other) 2020 Outpatient Facility Medicare 3033
Non-hospital-based care (home health, hospice) 2020 Home Health Commercial 433739
Prophylactic vaccinations and inoculations 2021 Provider Medicare 6330054
Bone procedures - Therapeutic OR (other) 2023 Inpatient Facility Commercial 263
Preventive visits 2023 Provider Commercial 5285838
Enteral and parenteral nutrition 2018 Provider Commercial 48538
Respiratory procedures - Diagnostic (other) 2022 Outpatient Facility Medicare 726
Abortion (termination of pregnancy) 2018 Home Health Medi-Cal 95
Telehealth 2023 Provider Medi-Cal 1363737
Consultations 2019 Independent Labs Commercial 87
Intravenous pyelogram 2022 Provider Commercial 226
X-ray - Chest (routine) 2018 Inpatient Facility Medicare 82503
Laboratory - Chemistry and hematology 2018 Ambulance Commercial 321
Treatment, fracture, dislocation - Lower extrem. 2021 Provider Commercial 28932
Extracorporeal shock wave (other than urinary) 2022 Provider Medi-Cal 23349
Radioisotope scan - Pulmonary 2021 Outpatient Facility Medicare 5360
Muscles, tendons, joints - Injections, aspirations 2022 Provider Commercial 170279
Skin and subcutaneous tissue - Suture 2023 Outpatient Facility Commercial 76517
Behavioral health services 2023 Pharmacy Medi-Cal 111
Cardiovascular procedures - Diagnostic (other) 2022 Independent Labs Medicare 1083
Microscopic examination (e.g., lab, toxicology) 2019 Independent Labs Medicare 6398335
Bone marrow biopsy 2020 Provider Medicare 16993
Knee - Arthroplasty 2022 Provider Commercial 20390
Conversion of cardiac rhythm 2018 Provider Commercial 7464
Nose procedures - Plastic 2020 Outpatient Facility Commercial 10808
GI (lower) procedures - Therapeutic OR 2022 Inpatient Facility Medi-Cal 47
Ophthalmologic/otologic diagnosis and treatment 2020 Outpatient Facility Commercial 55676
Female organ procedures - Diagnostic (other) 2019 Outpatient Facility Commercial 29731
Psychological and psychiatric evaluation, therapy 2018 Provider Medi-Cal 6160348
Laboratory - Chemistry and hematology 2023 Independent Labs Medicare 41553791
Nervous system procedures - Diagnostic (other) 2022 Provider Commercial 304074
Observation care services 2020 Inpatient Facility Commercial 64
Spinal canal stimulator insertion and injection 2021 Provider Medi-Cal 112837
Tympanoplasty 2019 Provider Commercial 2386
Fetal monitoring 2020 Outpatient Facility Medicare 991
Consultation, evaluation, and preventive care 2022 Outpatient Facility Medicare 25164
Electrocardiogram 2020 Provider Commercial 1639009
Breast - Mastectomy 2019 Outpatient Facility Medi-Cal 1048
Arthrocentesis 2018 Provider Commercial 365536
TURP (transurethral resection of prostate) 2020 Outpatient Facility Medicare 5628
Vascular bypass - Peripheral 2018 Provider Medicare 3279
HIPPS home health services 2020 Outpatient Facility Medicare 482
Transportation - Patient, provider, equipment 2020 Outpatient Facility Commercial 2070
HCPCS Level II codes not classified 2020 Ambulance Commercial 51
Ungrouped Procedures 2023 Pharmacy Medicare 7688
Physical/occupational/speech therapy - Diagnostic 2020 Inpatient Facility Commercial 809
Anesthesia 2022 Outpatient Facility Medicare 143796
Extracorporeal lithotripsy, urinary 2018 Unclassified/other Medi-Cal 93
Respiratory intubation and mechanical ventilation 2022 Provider Medi-Cal 32630
DME and supplies 2021 Pharmacy Medi-Cal 952
Wound care - Traction, splints, other 2021 Outpatient Facility Medi-Cal 120149
Other types of visits 2021 Provider Medicare 707962
Therapeutic procedures - Other 2022 Provider Medi-Cal 903963
EEG (electroencephalogram) 2018 Provider Medicare 75082
Eye procedures - Destruction of retinal lesion 2023 Outpatient Facility Medicare 665
Rehabilitation facility services 2023 Outpatient Facility Commercial 41
Cholecystectomy and common duct exploration 2022 Provider Medicare 20222
Pacemaker or cardioverter/defibrillator services 2019 Outpatient Facility Medicare 20448
Bone excision (partial) 2022 Outpatient Facility Medicare 5886
Ophthalmologic/otologic diagnosis and treatment 2021 Inpatient Facility Medi-Cal 168
Ultrasound - Head and neck - Diagnostic 2023 Outpatient Facility Medi-Cal 42767
Hemic/lymphatic system procedures - Therapeutic 2021 Outpatient Facility Commercial 21442
Psychological and psychiatric evaluation, therapy 2019 Inpatient Facility Medicare 872
Urethra - Procedures 2022 Provider Commercial 6400
Lung and bronchus procedures - Diagnostic (other) 2022 Inpatient Facility Medicare 3094
Tonsillectomy and/or adenoidectomy 2021 Provider Commercial 7388
Nasogastric tube 2022 Provider Commercial 346
Other types of lab tests 2020 Provider Commercial 2789439
Cholecystectomy and common duct exploration 2018 Inpatient Facility Medi-Cal 56
Indwelling catheter 2023 Provider Commercial 16015
CT scan - Abdomen 2019 Inpatient Facility Commercial 276
Care management/coordination services 2021 Provider Commercial 22440
Preventive visits 2021 Unclassified/other Medi-Cal 283
Eye procedures - Diagnostic 2019 Outpatient Facility Medi-Cal 1060
Ancillary services 2023 Provider Medicare 358959
HCPCS Level II codes not classified 2021 Ambulance Commercial 59
Fallopian tubes - Other operations 2020 Outpatient Facility Commercial 694
Mammography 2018 Outpatient Facility Medi-Cal 126406
Alcohol and drug management, treatment, and rehab. 2022 Provider Commercial 777179
Critical care services 2018 Provider Medi-Cal 622401
Breast - Lumpectomy, quadrantectomy 2020 Outpatient Facility Medicare 9431
Blood and blood product transfusion 2023 Outpatient Facility Commercial 54545
Physical/occupational/speech therapy - Diagnostic 2021 Unclassified/other Commercial 172
Urinary tract procedures - Diagnostic (other) 2022 Outpatient Facility Commercial 2660
Telehealth 2022 Pharmacy Commercial 101
Knee - Excision of semilunar cartilage 2020 Outpatient Facility Medi-Cal 4674
DME and supplies 2022 Outpatient Facility Medi-Cal 1763624
Skilled nursing facility services 2019 Inpatient Facility Medicare 665659
GI procedures - Therapeutic 2021 Outpatient Facility Medicare 3978
Arteriogram or venogram (not heart and head) 2020 Provider Commercial 29832
Observation care services 2022 Unclassified/other Commercial 110
Vascular bypass - Peripheral 2019 Provider Medi-Cal 1006
Musculoskeletal procedures - Therapeutic (other) 2019 Outpatient Facility Medi-Cal 156012
Electrocardiogram 2021 Independent Labs Medicare 36
PTCA (percutaneous transluminal coronary angio.) 2019 Provider Commercial 13912
Division of joint capsule (ligament or cartilage) 2019 Provider Medi-Cal 2339
GI (lower) procedures - Therapeutic OR 2023 Provider Medi-Cal 9673
Nonoperative removal of foreign body 2018 Provider Commercial 15865
Radioisotope scan - Pulmonary 2022 Inpatient Facility Medi-Cal 50
Skin and subcutaneous tissue - Suture 2023 Provider Commercial 176795
Treatment, fracture, dislocation - Facial 2022 Outpatient Facility Commercial 3443
Treatment, fracture, dislocation - Radius and ulna 2018 Outpatient Facility Medicare 6985
Bronchoscopy and biopsy - Diagnostic 2019 Provider Commercial 10770
Intravenous pyelogram 2023 Provider Commercial 162
Other vascular catheterization (not heart) 2020 Provider Medicare 262442
Amputation - Lower extremity 2020 Inpatient Facility Medicare 55
Consultations 2020 Provider Medicare 41456
Prophylactic vaccinations and inoculations 2022 Outpatient Facility Commercial 229024
Telehealth 2023 Pharmacy Commercial 159
Vessels other than head/neck procedures - Other OR 2020 Provider Commercial 51597
Extraocular muscle procedures - Therapeutic 2021 Outpatient Facility Medi-Cal 3220
Esophageal varices - Injection or ligation 2018 Provider Medi-Cal 4159
Hemodialysis 2018 Outpatient Facility Medi-Cal 22133
Preventive visits 2023 Pharmacy Commercial 760
Physical/occupational/speech therapy - Other 2021 Inpatient Facility Medicare 181534
Arthroplasty other than hip or knee 2023 Inpatient Facility Medicare 481
Cesarean section 2019 Inpatient Facility Medi-Cal 34
Nose, mouth, pharynx procedures - Therapeutic 2020 Inpatient Facility Medicare 185636
Tracheoscopy and laryngoscopy with biopsy 2019 Provider Medicare 118978
CT scan - Abdomen 2021 Provider Commercial 626247
Critical care services 2022 Provider Medi-Cal 1255917
Circumcision 2022 Provider Commercial 27676
Musculoskeletal procedures - Therapeutic (other) 2022 Provider Commercial 1403157
Anesthesia 2023 Provider Medicare 2048074
Gastrostomy (temporary and permanent) 2019 Outpatient Facility Medicare 11436
Other types of lab tests 2021 Unclassified/other Medicare 321
Bone procedures - Therapeutic OR (other) 2023 Provider Medi-Cal 26083
GI procedures - Diagnostic 2019 Outpatient Facility Medi-Cal 6479
Treatment, fracture, dislocation - Lower extrem. 2021 Outpatient Facility Medi-Cal 8497
X-ray - Lower GI 2019 Outpatient Facility Medi-Cal 1337
Urinary tract procedures - Therapeutic OR (other) 2021 Home Health Medicare 170
Urinary obstruction - Excision, drainage, removal 2020 Outpatient Facility Medicare 12393
Pathology 2022 Provider Commercial 2135149
X-ray - Lower GI 2023 Outpatient Facility Medi-Cal 1199
Obstetric laceration - Repair 2023 Provider Commercial 325
Electrocardiogram 2022 Unclassified/other Medi-Cal 1142
Cardiac catheterization/arteriography - Diagnostic 2023 Provider Commercial 45100
Knee - Excision of semilunar cartilage 2023 Provider Commercial 21787
Ileostomy and other enterostomy 2019 Provider Medi-Cal 2145
DME and supplies 2018 Inpatient Facility Medicare 341537
Physical/occupational/speech therapy - Diagnostic 2023 Provider Commercial 1258018
Skin and subcutaneous tissue - Diagnostic (other) 2023 Provider Medicare 765786
Prophylactic vaccinations and inoculations 2019 Provider Commercial 18130686
Liver biopsy 2019 Outpatient Facility Commercial 3311
Radioisotope scan - Bone 2023 Outpatient Facility Commercial 9007
Microscopic examination (e.g., lab, toxicology) 2021 Provider Medicare 872692
Eye procedures - Glaucoma 2021 Provider Commercial 13112
Ultrasound - Heart (echocardiogram) - Diagnostic 2020 Unclassified/other Medi-Cal 173
Urinary tract procedures - Diagnostic (other) 2023 Provider Medi-Cal 3515
Organ transplantation - Other 2018 Provider Commercial 961
Wound care - Traction, splints, other 2018 Inpatient Facility Medicare 905
GI (upper) procedures - Therapeutic 2022 Outpatient Facility Medi-Cal 204
Mammography 2019 Outpatient Facility Medicare 575246
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2018 Provider Medicare 837377
Skin and subcutaneous tissue - Diagnostic (other) 2019 Provider Commercial 516215
Nonoperative removal of foreign body 2021 Outpatient Facility Medicare 1745
Critical care services 2020 Provider Medi-Cal 1243547
Treatment, fracture, dislocation - Facial 2023 Provider Medi-Cal 4013
Breast - Lumpectomy, quadrantectomy 2022 Outpatient Facility Commercial 13234
Radiology - Diagnostic (other) 2019 Independent Labs Commercial 281
Ureteral catheterization 2021 Outpatient Facility Medicare 8485
Central nervous system (CNS) incision and excision 2019 Provider Medicare 8158
Tonsillectomy and/or adenoidectomy 2021 Provider Medicare 327
Arteriogram or venogram (not heart and head) 2021 Inpatient Facility Medi-Cal 442
Fallopian tubes - Other operations 2022 Outpatient Facility Commercial 710
Nose, mouth, pharynx procedures - Therapeutic OR 2023 Provider Medi-Cal 23193
HCPCS Level II codes not classified 2018 Inpatient Facility Medi-Cal 135760
Bone marrow transplant 2019 Provider Commercial 2054
Pathology 2018 Inpatient Facility Medi-Cal 2103
Electrocardiogram 2019 Inpatient Facility Commercial 607
Infertility services 2019 Provider Commercial 94
GI (lower) procedures - Therapeutic 2019 Outpatient Facility Medicare 2197
Other types of lab tests 2021 Unclassified/other Medi-Cal 2206
Skin lesion - Excision 2022 Outpatient Facility Medicare 89951
Musculoskeletal procedures - Therapeutic (other) 2022 Outpatient Facility Medicare 27616
Spinal canal stimulator insertion and injection 2019 Inpatient Facility Medicare 98
Cholecystectomy and common duct exploration 2019 Outpatient Facility Commercial 20606
Endocrine procedures - Diagnostic 2022 Outpatient Facility Medicare 2105
Respiratory intubation and mechanical ventilation 2020 Outpatient Facility Medi-Cal 7278
Ultrasound - Head and neck - Diagnostic 2019 Provider Medicare 644754
Psychological and psychiatric evaluation, therapy 2023 Provider Medi-Cal 12223074
CT scan - Other 2022 Provider Commercial 289026
Hospital services 2022 Provider Commercial 2423055
CPT codes not classified (F codes) 2022 Pharmacy Commercial 75
Vessels of head/neck procedures - Other OR 2019 Outpatient Facility Medicare 578
Consultation, evaluation, and preventive care 2020 Outpatient Facility Commercial 9300
Nervous system procedures - Therapeutic OR (other) 2022 Outpatient Facility Commercial 13663
Male genital procedures - Diagnostic 2018 Independent Labs Commercial 71
Physical/occupational/speech therapy - Diagnostic 2018 Provider Commercial 986567
Anesthesia 2018 Provider Medicare 1902317
Knee - Arthroplasty 2020 Inpatient Facility Medicare 1174
Medications (injections, infusions, other forms) 2023 Unclassified/other Medi-Cal 3864
Skilled nursing facility services (HIPPS) 2020 Outpatient Facility Commercial 84
Abdominal paracentesis 2018 Inpatient Facility Medicare 195
Coronary thrombolysis 2020 Provider Medicare 55
HCPCS Level II codes not classified 2019 Outpatient Facility Commercial 15075
Psychological and psychiatric evaluation, therapy 2021 Provider Medicare 3025116
Gastric bypass and volume reduction 2018 Inpatient Facility Commercial 37
Blood and blood product transfusion 2021 Provider Medicare 21416
Bone marrow transplant 2022 Outpatient Facility Commercial 1922
Telehealth 2020 Pharmacy Medi-Cal 34
Hemic/lymphatic system procedures - Therapeutic 2018 Provider Medicare 34210
Nasogastric tube 2018 Provider Commercial 501
Consultation, evaluation, and preventive care 2022 Hospice Medi-Cal 989
X-ray - Chest (routine) 2020 Outpatient Facility Commercial 696289
Central nervous system (CNS) incision and excision 2023 Inpatient Facility Commercial 119
Epistaxis control 2022 Provider Medicare 16016
ERCP (endoscopic retro. cannulation of pancreas) 2018 Provider Medi-Cal 20828
Skin, breast procedures - Therapeutic (other) 2018 Provider Medi-Cal 427371
Nose, mouth, pharynx procedures - Diagnostic 2020 Provider Medicare 170997
Amputation - Lower extremity 2020 Provider Medi-Cal 7028
Bronchoscopy and biopsy - Diagnostic 2020 Outpatient Facility Commercial 4762
Urinary tract procedures - Diagnostic (other) 2018 Provider Commercial 3220
Respiratory procedures - Therapeutic (other) 2018 Inpatient Facility Medi-Cal 155
Radiology - Diagnostic (other) 2020 Outpatient Facility Medicare 1404782
Knee - Arthroplasty 2021 Provider Medi-Cal 9624
Preventive visits 2019 Pharmacy Medi-Cal 97
GI (lower) procedures - Therapeutic 2022 Provider Commercial 4513
Colonoscopy and biopsy 2018 Outpatient Facility Medi-Cal 103566
CPT codes not classified (F codes) 2023 Unclassified/other Commercial 1422
Ophthalmologic/otologic diagnosis and treatment 2023 Unclassified/other Commercial 144
Musculoskeletal procedures - Diagnostic (other) 2023 Provider Medicare 11287
Ultrasound - Heart (echocardiogram) - Diagnostic 2022 Inpatient Facility Medi-Cal 3940
Hospital services 2020 Hospice Medi-Cal 282
Spinal fusion 2020 Provider Medicare 102200
GI (upper) endoscopy, biopsy 2022 Provider Commercial 188585
Extracorporeal shock wave (other than urinary) 2023 Outpatient Facility Medicare 57765
Electrocardiogram 2020 Independent Labs Medi-Cal 80
Vessels of head/neck procedures - Other OR 2022 Outpatient Facility Commercial 218
Medications (injections, infusions, other forms) 2018 Hospice Commercial 427
Nervous system procedures - Therapeutic (other) 2023 Inpatient Facility Medicare 185
Intraoperative cholangiogram 2019 Provider Medi-Cal 2182
Microscopic examination (e.g., lab, toxicology) 2022 Outpatient Facility Medicare 3634393
CT scan - Other 2019 Inpatient Facility Medi-Cal 800
Decompression peripheral nerve 2018 Outpatient Facility Commercial 10434
Physical/occupational/speech therapy - Exercises 2018 Home Health Commercial 741
Respiratory procedures - Diagnostic (other) 2020 Provider Medicare 10487
Tympanoplasty 2022 Outpatient Facility Medi-Cal 937
Observation care services 2023 Provider Medi-Cal 30803
Hysterectomy (abdominal and vaginal) 2022 Outpatient Facility Medicare 5039
Circumcision 2020 Outpatient Facility Medicare 576
Electrographic cardiac monitoring 2019 Provider Medi-Cal 163077
Treatment, fracture, dislocation - Lower extrem. 2018 Outpatient Facility Medi-Cal 7509
Arthroplasty other than hip or knee 2019 Provider Medicare 29769
Female organ procedures - Therapeutic (other) 2018 Provider Medicare 24490
Oophorectomy (unilateral and bilateral) 2022 Provider Medicare 2510
X-ray - Upper GI 2021 Provider Commercial 40343
Skin lesion - Excision 2021 Unclassified/other Commercial 132
Extracorporeal shock wave (other than urinary) 2020 Outpatient Facility Medi-Cal 6969
Therapeutic procedures - Other 2020 Inpatient Facility Commercial 206
Amniocentesis - Diagnostic 2022 Outpatient Facility Commercial 334
AVF or vessel-to-vessel cannula for dialysis svcs. 2021 Provider Commercial 5787
Eye procedures - Lens and cataract 2021 Outpatient Facility Medicare 126344
Nephrotomy and nephrostomy 2019 Provider Medi-Cal 5996
GI procedures - Therapeutic OR 2023 Provider Medi-Cal 9172
Cystocele/rectocele repair, oblit. of vag. vault 2021 Provider Commercial 3862
Radiology - Diagnostic (other) 2018 Provider Commercial 5352646
Vessels of head/neck - Endarterectomy 2023 Provider Commercial 410
Nose procedures - Plastic 2023 Provider Medicare 4834
Laboratory - Chemistry and hematology 2019 Inpatient Facility Medicare 1681399
Bone marrow transplant 2018 Provider Medicare 1197
Musculoskeletal procedures - Therapeutic OR (other) 2022 Provider Commercial 4667
Intraocular procedures - Therapeutic 2022 Provider Medi-Cal 143079
Physical/occupational/speech therapy - Other 2019 Unclassified/other Medi-Cal 450
Spinal fusion 2018 Provider Commercial 44004
Tracheostomy (temporary and permanent) 2020 Inpatient Facility Medicare 51
Cardiac catheterization/arteriography - Diagnostic 2022 Inpatient Facility Commercial 112
EEG (electroencephalogram) 2021 Provider Medi-Cal 85650
Hearing devices and audiology supplies 2019 Outpatient Facility Medi-Cal 10267
Epistaxis control 2018 Provider Commercial 11248
Appendectomy 2019 Outpatient Facility Commercial 11613
Hemodialysis 2022 Outpatient Facility Commercial 21373
Mastoidectomy 2020 Provider Commercial 743
Endocrine procedures - Therapeutic 2023 Inpatient Facility Medicare 39
Non-hospital-based care (home health, hospice) 2019 Outpatient Facility Medicare 157308
Contrast aortogram 2019 Outpatient Facility Medicare 7833
X-ray - Chest (routine) 2018 Independent Labs Medicare 553
Ileostomy and other enterostomy 2019 Outpatient Facility Medicare 608
Intravenous pyelogram 2021 Provider Medi-Cal 274
Cardiac catheterization/arteriography - Diagnostic 2018 Inpatient Facility Commercial 134
Respiratory procedures - Therapeutic OR (other) 2021 Inpatient Facility Medicare 117
Spinal fusion 2020 Inpatient Facility Commercial 187
Esophageal varices - Injection or ligation 2018 Outpatient Facility Medi-Cal 1570
Non-hospital-based care (home health, hospice) 2020 Unclassified/other Medicare 122
Tracheoscopy and laryngoscopy with biopsy 2018 Outpatient Facility Medicare 11899
Preventive visits 2023 Outpatient Facility Medicare 60465
Respiratory procedures - Diagnostic (other) 2023 Outpatient Facility Commercial 663
Nose, mouth, pharynx procedures - Therapeutic 2020 Inpatient Facility Commercial 253
Vessels other than head/neck procedures - Other OR 2021 Inpatient Facility Medicare 2466
Knee - Excision of semilunar cartilage 2023 Outpatient Facility Medicare 4475
Arthroplasty other than hip or knee 2022 Provider Medicare 27916
Ultrasound - Diagnostic (other) 2018 Provider Medi-Cal 1954789
Abortion (termination of pregnancy) 2018 Outpatient Facility Medi-Cal 15702
Bronchoscopy and biopsy - Diagnostic 2019 Outpatient Facility Commercial 5751
Consultations 2021 Outpatient Facility Medicare 314
CT scan - Abdomen 2022 Inpatient Facility Medi-Cal 4202
Other types of lab tests 2022 Inpatient Facility Commercial 1793
Prophylactic vaccinations and inoculations 2022 Provider Commercial 16319416
Female organ procedures - Diagnostic (other) 2021 Provider Commercial 263087
Treatment, fracture, dislocation - Lower extrem. 2021 Outpatient Facility Commercial 13435
Urinary obstruction - Excision, drainage, removal 2019 Inpatient Facility Medicare 78
Endocrine procedures - Diagnostic 2023 Provider Commercial 43962
DME and supplies 2018 Inpatient Facility Commercial 6674
Colonoscopy and biopsy 2023 Unclassified/other Commercial 59
Telehealth 2023 Outpatient Facility Medi-Cal 500779
X-ray - Lower GI 2022 Provider Medicare 3277
Aortic resection - Replacement or anastomosis 2019 Provider Commercial 1403
Critical care services 2022 Outpatient Facility Medicare 52286
Hemodialysis 2018 Unclassified/other Medi-Cal 37
Musculoskeletal procedures - Therapeutic OR (other) 2018 Outpatient Facility Commercial 1494
Large intestine lesion - Local excision 2023 Provider Medi-Cal 86
Gastrostomy (temporary and permanent) 2019 Outpatient Facility Medi-Cal 5277
Pathology 2022 Outpatient Facility Commercial 807293
Nephrectomy (partial or complete) 2020 Outpatient Facility Medicare 431
X-ray - Lower GI 2019 Inpatient Facility Medicare 39
Electrocardiogram 2023 Inpatient Facility Medi-Cal 13704
HCPCS Level II codes not classified 2022 Inpatient Facility Medicare 4969
Amputation - Lower extremity 2019 Provider Commercial 2967
Hysterectomy (abdominal and vaginal) 2019 Inpatient Facility Medicare 195
Hemodialysis 2020 Provider Medi-Cal 43983
Urinary tract procedures - Therapeutic (other) 2022 Inpatient Facility Medicare 34
Colorectal resection 2019 Provider Commercial 9897
Skin and subcutaneous tissue - Incision, drainage 2018 Outpatient Facility Medicare 14101
Physical/occupational/speech therapy - Exercises 2021 Unclassified/other Medi-Cal 468
GI (upper) procedures - Therapeutic OR 2020 Provider Commercial 2053
Liver biopsy 2020 Provider Medicare 6870
Joint procedures - Therapeutic OR (other) 2018 Outpatient Facility Medi-Cal 7285
Treatment, fracture, dislocation - Hip and femur 2020 Provider Medicare 30816
Esophageal dilatation 2018 Inpatient Facility Medicare 37
Vessels of head/neck procedures - Other OR 2023 Inpatient Facility Commercial 60
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2021 Provider Medi-Cal 759010
DME and supplies 2019 Ambulance Commercial 65
Gastrostomy (temporary and permanent) 2021 Outpatient Facility Medi-Cal 5092
Ultrasound - Urinary tract - Diagnostic 2023 Provider Commercial 1726
Laboratory - Chemistry and hematology 2021 Home Health Medi-Cal 469
Male genital procedures - Diagnostic 2023 Independent Labs Medi-Cal 392
Respiratory procedures - Therapeutic (other) 2021 Outpatient Facility Medicare 6527
Endocrine procedures - Therapeutic 2020 Outpatient Facility Medi-Cal 929
Other types of lab tests 2023 Inpatient Facility Commercial 1612
Prophylactic vaccinations and inoculations 2020 Outpatient Facility Medi-Cal 3922258
Non-hospital-based care (home health, hospice) 2018 Provider Commercial 747331
Tracheoscopy and laryngoscopy with biopsy 2020 Provider Medicare 86317
Female organ procedures - Diagnostic (other) 2022 Unclassified/other Medi-Cal 62
Cardiac catheterization/arteriography - Diagnostic 2019 Outpatient Facility Medi-Cal 12333
Pathology 2020 Independent Labs Medicare 1286909
Nephrectomy (partial or complete) 2022 Outpatient Facility Medi-Cal 130
Physical/occupational/speech therapy - Other 2018 Outpatient Facility Medi-Cal 336441
Delivery - Forceps, vacuum, and breech 2018 Inpatient Facility Commercial 49
Office visits 2018 Pharmacy Commercial 692
Arteriogram or venogram (not heart and head) 2023 Outpatient Facility Commercial 30002
Blood and blood product transfusion 2021 Provider Commercial 11481
GI (upper) procedures - Therapeutic 2023 Outpatient Facility Commercial 417
Male genital procedures - Diagnostic 2018 Outpatient Facility Medicare 5354
Physical/occupational/speech therapy - Diagnostic 2019 Outpatient Facility Medicare 354404
Ultrasound - Head and neck - Diagnostic 2020 Outpatient Facility Medi-Cal 33012
CT scan - Other 2023 Inpatient Facility Medi-Cal 1181
Electrocardiogram 2020 Ambulance Medicare 2442
Central nervous system (CNS) incision and excision 2021 Provider Medicare 8331
ERCP (endoscopic retro. cannulation of pancreas) 2019 Outpatient Facility Commercial 7558
Nasogastric tube 2018 Outpatient Facility Medi-Cal 334
Extracorporeal shock wave (other than urinary) 2023 Outpatient Facility Commercial 31479
Epistaxis control 2021 Provider Commercial 10379
Vessels of head/neck procedures - Other OR 2021 Inpatient Facility Commercial 40
Gastrectomy (partial and total) 2021 Provider Commercial 227
Spinal canal stimulator insertion and injection 2020 Provider Medi-Cal 73896
Mastoidectomy 2023 Provider Medi-Cal 588
GI (lower) procedures - Therapeutic 2022 Outpatient Facility Medi-Cal 1245
Respiratory intubation and mechanical ventilation 2021 Outpatient Facility Medi-Cal 6765
Bone marrow transplant 2021 Provider Medi-Cal 1161
Heart valve procedures 2023 Outpatient Facility Medicare 108
Pathology 2018 Outpatient Facility Medicare 867511
AVF or vessel-to-vessel cannula for dialysis svcs. 2022 Provider Medicare 64803
HCPCS Level II codes not classified 2019 Inpatient Facility Medi-Cal 6849
Debridement of wound, infection or burn 2022 Provider Medi-Cal 194415
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2020 Inpatient Facility Medi-Cal 2095
Other types of lab tests 2019 Provider Medi-Cal 3426678
Bronchoscopy and biopsy - Diagnostic 2021 Inpatient Facility Medicare 277
Colonoscopy and biopsy 2018 Inpatient Facility Medicare 700
Observation care services 2019 Inpatient Facility Commercial 75
Nervous system procedures - Therapeutic OR (other) 2023 Provider Medicare 147584
Emergency department services 2021 Unclassified/other Medicare 53
Ophthalmologic/otologic diagnosis and treatment 2023 Provider Commercial 5007157
Transportation - Patient, provider, equipment 2023 Provider Medi-Cal 505237
CPT codes not classified (F codes) 2023 Outpatient Facility Medi-Cal 7731977
Ureteral catheterization 2023 Inpatient Facility Commercial 63
Urinary tract procedures - Diagnostic (other) 2018 Outpatient Facility Medi-Cal 2384
Wound care - Traction, splints, other 2018 Provider Medicare 535438
Knee - Arthroplasty 2022 Outpatient Facility Medicare 30139
Small bowel resection 2023 Outpatient Facility Commercial 39
Eye procedures - Therapeutic (other) 2021 Outpatient Facility Medicare 18844
Colostomy (temporary and permanent) 2023 Provider Medicare 1318
Eye procedures - Corneal transplant 2021 Provider Medi-Cal 772
Cardiovascular procedures - Diagnostic (other) 2023 Outpatient Facility Medi-Cal 10705
Respiratory therapy - Other 2019 Outpatient Facility Commercial 61942
Visual aids and other optical supplies 2021 Independent Labs Medi-Cal 1401005
Ureteral catheterization 2020 Outpatient Facility Commercial 5934
Radioisotope scan - Other 2021 Outpatient Facility Medi-Cal 13611
Transportation - Patient, provider, equipment 2022 Ambulance Medi-Cal 14917481
Ungrouped Procedures 2018 Pharmacy Commercial 659885
CPT codes not classified (F codes) 2019 Provider Medicare 9108917
Fetal monitoring 2023 Provider Commercial 243002
Laboratory - Chemistry and hematology 2023 Provider Medi-Cal 14121538
Esophageal varices - Injection or ligation 2023 Outpatient Facility Medicare 1618
Alcohol and drug management, treatment, and rehab. 2018 Provider Medicare 116299
Urinary tract procedures - Therapeutic OR (other) 2022 Independent Labs Commercial 90
Other vascular catheterization (not heart) 2022 Outpatient Facility Medi-Cal 21290
Myringotomy 2019 Outpatient Facility Commercial 8385
Ear procedures - Therapeutic 2023 Unclassified/other Medi-Cal 228
Urinary tract - Endoscopy and endoscopic biopsy 2020 Inpatient Facility Medicare 37
Blood and blood product transfusion 2018 Outpatient Facility Medi-Cal 49950
Genitourinary incontinence procedures 2018 Unclassified/other Medi-Cal 36
Lobectomy or pneumonectomy 2019 Outpatient Facility Commercial 53
Respiratory intubation and mechanical ventilation 2019 Outpatient Facility Commercial 5788
Prostatectomy (open ) 2019 Provider Commercial 3220
CT scan - Head 2020 Independent Labs Commercial 158
Office visits 2019 Unclassified/other Medi-Cal 70650
Cesarean section 2021 Provider Medicare 403
Physical/occupational/speech therapy - Diagnostic 2018 Home Health Commercial 4961
Cardiovascular procedures - Therapeutic (other) 2022 Outpatient Facility Commercial 42024
Medications (injections, infusions, other forms) 2023 Inpatient Facility Medi-Cal 268824
Nose, mouth, pharynx procedures - Therapeutic 2023 Outpatient Facility Medicare 21904
Muscles, tendons, joints - Injections, aspirations 2022 Unclassified/other Medi-Cal 88
DME and supplies 2020 Home Health Medicare 58620
Open-heart procedures - Extracorporeal circulation 2022 Inpatient Facility Medi-Cal 30
Proctoscopy and anorectal biopsy 2019 Outpatient Facility Medi-Cal 4624
Knee - Arthroplasty 2018 Provider Medicare 58574
Male genital procedures - Therapeutic (other) 2022 Outpatient Facility Commercial 2918
Emergency department services 2019 Provider Medi-Cal 6235138
Eye procedures - Repair of retinal tear/detachment 2022 Outpatient Facility Commercial 4733
Aortic resection - Replacement or anastomosis 2022 Provider Medicare 4231
Contrast arteriogram - Lower extremity arteries 2018 Provider Medi-Cal 1459
CT scan - Chest 2023 Provider Medi-Cal 373860
Radioisotope scan - Other 2018 Inpatient Facility Medicare 196
Musculoskeletal procedures - Therapeutic OR (other) 2020 Outpatient Facility Commercial 1856
Cystocele/rectocele repair, oblit. of vag. vault 2018 Outpatient Facility Medi-Cal 1080
Cervix and uterus - Other excision 2018 Outpatient Facility Commercial 11391
Bowel procedures - Diagnostic 2019 Provider Commercial 131
CABG (coronary artery bypass graft) 2020 Provider Medi-Cal 7345
GI (upper) procedures - Therapeutic OR 2021 Provider Medi-Cal 2505
Excision, lysis peritoneal adhesions 2021 Provider Medicare 1507
CT scan - Head 2018 Inpatient Facility Medicare 16676
Ungrouped Procedures 2018 Home Health Commercial 1217
Gastrostomy (temporary and permanent) 2018 Inpatient Facility Medicare 375
Ultrasound - Diagnostic (other) 2022 Unclassified/other Medicare 40
CABG (coronary artery bypass graft) 2022 Provider Medicare 24651
Urinary tract procedures - Therapeutic (other) 2022 Provider Medicare 67471
Hernia repair - Inguinal and femoral 2018 Provider Medi-Cal 10343
Office visits 2019 Inpatient Facility Commercial 125
DME and supplies 2020 Pharmacy Medicare 310
Obstetrical procedures - Therapeutic (other) 2023 Provider Commercial 59367
Laminectomy, excision intervertebral disc 2020 Provider Commercial 22747
Treatment, fracture, dislocation - Other 2023 Inpatient Facility Medicare 68
Eye procedures - Corneal transplant 2018 Outpatient Facility Medicare 1831
Arterial blood gases 2019 Inpatient Facility Medicare 34112
Transportation - Patient, provider, equipment 2019 Ambulance Medicare 3449562
Laparoscopy 2018 Provider Medi-Cal 5633
Laparoscopy 2022 Outpatient Facility Medi-Cal 2566
Ear procedures - Diagnostic 2019 Outpatient Facility Commercial 619
Arthroplasty other than hip or knee 2018 Provider Medicare 28521
Delivery - Forceps, vacuum, and breech 2020 Inpatient Facility Medi-Cal 798
Ear procedures - Diagnostic 2022 Outpatient Facility Medi-Cal 633
Ultrasound - Urinary tract - Diagnostic 2019 Provider Medicare 7039
Ungrouped Procedures 2022 Provider Medicare 5354777
Extraocular muscle procedures - Therapeutic 2019 Outpatient Facility Medi-Cal 3328
Decompression peripheral nerve 2021 Provider Commercial 14904
Colonoscopy and biopsy 2023 Provider Commercial 519025
Hearing devices and audiology supplies 2022 Outpatient Facility Medi-Cal 9011
Medications (injections, infusions, other forms) 2018 Unclassified/other Medi-Cal 11747
Male genital procedures - Diagnostic 2023 Provider Medicare 40668
Bone procedures - Therapeutic OR (other) 2019 Inpatient Facility Medicare 451
Respiratory procedures - Therapeutic (other) 2022 Outpatient Facility Medi-Cal 3965
D&C - Aspiration after delivery or abortion 2021 Outpatient Facility Medicare 40
D&C (dilatation and curettage) - Diagnostic 2023 Outpatient Facility Medicare 454
Other vascular catheterization (not heart) 2018 Outpatient Facility Medi-Cal 17799
Laboratory - Chemistry and hematology 2021 Pharmacy Medi-Cal 259
Colorectal resection 2020 Outpatient Facility Medi-Cal 85
Physical/occupational/speech therapy - Exercises 2022 Inpatient Facility Medicare 3117743
Prophylactic vaccinations and inoculations 2020 Provider Medicare 6952960
Treatment, fracture, dislocation - Hip and femur 2022 Provider Medicare 32994
Nose, mouth, pharynx procedures - Diagnostic 2023 Inpatient Facility Medi-Cal 6000
Female organ procedures - Diagnostic (other) 2023 Outpatient Facility Medicare 14904
Radiology - Diagnostic (other) 2022 Unclassified/other Commercial 362
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2022 Inpatient Facility Medicare 8621
Eye procedures - Repair of retinal tear/detachment 2023 Outpatient Facility Commercial 4741
GI procedures - Therapeutic 2018 Outpatient Facility Medi-Cal 1342
Pleura incision, thoracentesis, chest drainage 2022 Inpatient Facility Medi-Cal 118
Nephrotomy and nephrostomy 2022 Inpatient Facility Medicare 164
Contrast aortogram 2021 Provider Commercial 2728
Other types of visits 2020 Home Health Commercial 115
Breast - Biopsy, procedures - Diagnostic (other) 2022 Outpatient Facility Medicare 22395
Behavioral health services 2018 Outpatient Facility Commercial 565
Lobectomy or pneumonectomy 2021 Outpatient Facility Commercial 59
Female organ procedures - Therapeutic OR (other) 2023 Provider Commercial 22878
Ancillary services 2019 Home Health Medicare 38754
Appendectomy 2022 Outpatient Facility Medi-Cal 5050
Open-heart procedures - Extracorporeal circulation 2022 Provider Commercial 31554
Embolectomy and endarterectomy of lower limbs 2018 Outpatient Facility Medicare 138
X-ray - Chest (routine) 2023 Outpatient Facility Commercial 631022
Male genital procedures - Diagnostic 2021 Outpatient Facility Commercial 2525
Physical/occupational/speech therapy - Exercises 2020 Outpatient Facility Medicare 2053253
Nervous system procedures - Diagnostic (other) 2018 Provider Medicare 365159
Skin, breast procedures - Therapeutic (other) 2022 Provider Medicare 2659792
Contrast arteriogram - Lower extremity arteries 2019 Provider Commercial 1000
Esophageal dilatation 2020 Outpatient Facility Commercial 6490
Intraoperative cholangiogram 2022 Provider Medicare 1928
Cervix and uterus - Other excision 2019 Outpatient Facility Commercial 11317
Medications (injections, infusions, other forms) 2020 DME (Durable Medical Equipment) Medicare 85
Pathology 2020 Provider Medi-Cal 920569
Prophylactic vaccinations and inoculations 2018 Outpatient Facility Commercial 269065
Gastrostomy (temporary and permanent) 2022 Outpatient Facility Medicare 9689
Physical/occupational/speech therapy - Other 2019 Inpatient Facility Medi-Cal 51977
Cardiac catheterization/arteriography - Diagnostic 2020 Inpatient Facility Medicare 2046
Bunionectomy or repair of toe deformities 2022 Provider Medicare 15435
Laboratory - Chemistry and hematology 2020 Provider Medi-Cal 12024508
CT scan - Chest 2021 Outpatient Facility Commercial 162728
Muscle and tendon procedures - Therapeutic (other) 2022 Inpatient Facility Medicare 170
Prostatectomy (open ) 2020 Outpatient Facility Medicare 1860
Eye procedures - Repair of retinal tear/detachment 2019 Outpatient Facility Medicare 4589
Spleen procedures 2021 Provider Medi-Cal 415
Respiratory therapy - Other 2019 Unclassified/other Medi-Cal 178
Office visits 2020 Hospice Medi-Cal 138
Excision, lysis peritoneal adhesions 2018 Provider Commercial 852
Delivery - Other procedures to assist 2023 Inpatient Facility Commercial 55
Fallopian tubes - Ligation 2022 Provider Commercial 5024
Ultrasound - Diagnostic (other) 2021 Independent Labs Commercial 69
CT scan - Head 2022 Unclassified/other Medicare 57
Cardiovascular procedures - Diagnostic (other) 2022 Provider Medicare 279539
Therapeutic procedures - Other 2023 Inpatient Facility Commercial 120
Ungrouped Procedures 2018 Outpatient Facility Commercial 83091
Other vascular catheterization (not heart) 2022 Inpatient Facility Commercial 291
Eye procedures - Corneal transplant 2021 Outpatient Facility Commercial 706
Indwelling catheter 2021 Outpatient Facility Medi-Cal 13260
Genitourinary incontinence procedures 2018 Provider Medi-Cal 2887
Skin and subcutaneous tissue - Incision, drainage 2021 Outpatient Facility Medicare 11871
Breast - Biopsy, procedures - Diagnostic (other) 2020 Outpatient Facility Medicare 17784
Open-heart procedures - Extracorporeal circulation 2021 Provider Medicare 236703
Other types of visits 2022 Hospice Medicare 732
Colostomy (temporary and permanent) 2022 Provider Medi-Cal 774
TURP (transurethral resection of prostate) 2021 Provider Commercial 2179
Respiratory therapy - Other 2018 Unclassified/other Medi-Cal 130
Kidney transplant 2020 Provider Medi-Cal 744
Visual aids and other optical supplies 2020 Provider Commercial 41089
Peritoneal dialysis 2021 Provider Medicare 14072
Cardiovascular procedures - Therapeutic (other) 2020 Inpatient Facility Medi-Cal 61
CPT codes not classified (F codes) 2018 Outpatient Facility Commercial 956
Prostatectomy (open ) 2018 Provider Medicare 4758
Radioisotope scan - Other 2021 Independent Labs Commercial 1058
Medications (injections, infusions, other forms) 2022 Pharmacy Medi-Cal 371
Lobectomy or pneumonectomy 2018 Provider Commercial 2061
Ear procedures - Therapeutic 2023 Outpatient Facility Medicare 21722
Muscle and tendon procedures - Therapeutic (other) 2021 Independent Labs Medicare 89
Male genital procedures - Therapeutic OR (other) 2021 Provider Medicare 8235
Hernia repair - Other 2019 Provider Medi-Cal 15977
Pregnancy (ectopic) - Removal 2022 Outpatient Facility Commercial 1248
Heart valve procedures 2021 Provider Commercial 3932
Electrographic cardiac monitoring 2023 Independent Labs Commercial 1771
Ancillary services 2023 Home Health Medi-Cal 1136519
GI procedures - Diagnostic 2023 Independent Labs Medi-Cal 129
Alcohol and drug management, treatment, and rehab. 2018 Outpatient Facility Medicare 10931
Blood and blood product transfusion 2018 Inpatient Facility Commercial 2091
Ureteral catheterization 2018 Inpatient Facility Commercial 37
Chemotherapy - Cancer 2021 Provider Commercial 420656
Skin graft 2020 Provider Medi-Cal 43467
Musculoskeletal procedures - Diagnostic (other) 2020 Outpatient Facility Commercial 2820
Behavioral health services 2020 Outpatient Facility Medi-Cal 32356
Peritoneal dialysis 2019 Provider Medi-Cal 31619
CT scan - Head 2021 Outpatient Facility Medicare 489097
Urinary tract - Endoscopy and endoscopic biopsy 2023 Outpatient Facility Commercial 5676
Hernia repair - Inguinal and femoral 2023 Outpatient Facility Medicare 18048
Care management/coordination services 2023 Hospice Medicare 2910
Vascular bypass and shunt - Other (not heart) 2019 Provider Commercial 302
Extracorporeal lithotripsy, urinary 2023 Outpatient Facility Medicare 11573
Ophthalmologic/otologic diagnosis and treatment 2022 Pharmacy Medicare 54
Myelogram 2019 Outpatient Facility Medicare 1741
Cardiovascular procedures - Diagnostic (other) 2019 Inpatient Facility Medicare 775
Nonoperative removal of foreign body 2022 Outpatient Facility Medi-Cal 9373
Bone marrow biopsy 2019 Outpatient Facility Medicare 7475
MRI (magnetic resonance imaging) 2018 Provider Commercial 1010808
Other types of visits 2021 Home Health Medi-Cal 131
PTCA (percutaneous transluminal coronary angio.) 2022 Outpatient Facility Medi-Cal 1602
Fallopian tubes - Ligation 2019 Outpatient Facility Commercial 1246
Conversion of cardiac rhythm 2023 Outpatient Facility Commercial 8630
Alcohol and drug management, treatment, and rehab. 2023 Unclassified/other Medi-Cal 796
Emergency department services 2021 Outpatient Facility Commercial 2003462
Anesthesia 2020 Inpatient Facility Medicare 1315
Radioisotope scan and function studies 2018 Outpatient Facility Medi-Cal 37328
Treatment, fracture, dislocation - Radius and ulna 2021 Outpatient Facility Medicare 8435
DME and supplies 2023 Independent Labs Commercial 27335
GI (upper) endoscopy, biopsy 2020 Inpatient Facility Medi-Cal 47
Therapeutic procedures - Other 2021 Unclassified/other Medicare 81
Other types of lab tests 2018 Unclassified/other Medi-Cal 67328
Eye procedures - Diagnostic 2022 Provider Medi-Cal 10674
Transportation - Patient, provider, equipment 2023 Independent Labs Medi-Cal 7491
TURP (transurethral resection of prostate) 2019 Inpatient Facility Medicare 71
Division of joint capsule (ligament or cartilage) 2023 Outpatient Facility Medicare 1267
Rehabilitation facility services 2021 Inpatient Facility Medi-Cal 170
Mammography 2020 Provider Medi-Cal 458236
Ungrouped Procedures 2023 Independent Labs Commercial 1855227
Joint procedures - Therapeutic OR (other) 2022 Outpatient Facility Medi-Cal 6347
Ear procedures - Therapeutic 2018 Provider Medi-Cal 98014
Heart valve procedures 2019 Outpatient Facility Medi-Cal 65
Arterial blood gases 2023 Independent Labs Commercial 46
Radioisotope scan and function studies 2019 Provider Medi-Cal 134436
Visual aids and other optical supplies 2018 Outpatient Facility Medi-Cal 12285
Mammography 2020 Outpatient Facility Medicare 551224
Behavioral health services 2019 Unclassified/other Medi-Cal 88
Vascular bypass and shunt - Other (not heart) 2020 Outpatient Facility Medicare 71
DME and supplies 2023 Home Health Medicare 54820
Hospital services 2019 Hospice Medicare 9582
Arterial blood gases 2022 Independent Labs Medicare 355
Urinary tract - Endoscopy and endoscopic biopsy 2021 Provider Commercial 49588
Delivery - Other procedures to assist 2018 Provider Commercial 1676
Spleen procedures 2023 Provider Commercial 339
Chemotherapy - Cancer 2018 Provider Medicare 613903
Cardiovascular procedures - Diagnostic (other) 2019 Independent Labs Commercial 92
Muscles, tendons, joints - Injections, aspirations 2018 Provider Commercial 195207
Radiology - Therapeutic 2022 Outpatient Facility Commercial 208707
Other types of visits 2020 Hospice Medicare 997
Skin, breast procedures - Therapeutic OR (other) 2022 Provider Medi-Cal 16495
Joint procedures - Therapeutic OR (other) 2021 Inpatient Facility Medicare 105
Hernia repair - Inguinal and femoral 2023 Inpatient Facility Medicare 71
Other types of lab tests 2018 Provider Medi-Cal 3561094
Ungrouped Procedures 2023 Hospice Medicare 1140
Colorectal resection 2022 Outpatient Facility Medi-Cal 130
Bone marrow biopsy 2019 Outpatient Facility Commercial 3744
Peritoneal dialysis 2019 Outpatient Facility Medicare 6593302
Ear procedures - Therapeutic 2018 Outpatient Facility Medicare 17276
Eye procedures - Diagnostic 2023 Provider Medi-Cal 13921
Transportation - Patient, provider, equipment 2022 Pharmacy Medicare 32
Rehabilitation facility services 2021 Inpatient Facility Commercial 823
Fallopian tubes - Ligation 2018 Provider Medicare 147
Conversion of cardiac rhythm 2023 Provider Medicare 28000
CT scan - Head 2020 Unclassified/other Commercial 49
Skin graft 2022 Provider Commercial 32920
Therapeutic procedures - Other 2021 Unclassified/other Medi-Cal 110
Treatment, fracture, dislocation - Radius and ulna 2021 Outpatient Facility Commercial 15520
Anesthesia 2020 Provider Medicare 1715188
Extracorporeal lithotripsy, urinary 2023 Outpatient Facility Medi-Cal 4628
MRI (magnetic resonance imaging) 2019 Inpatient Facility Commercial 229
Care management/coordination services 2023 Home Health Medicare 323
Nervous system procedures - Therapeutic (other) 2020 Outpatient Facility Commercial 61721
Nonoperative removal of foreign body 2022 Provider Medicare 18365
Emergency department services 2021 Provider Medicare 2376340
Myelogram 2019 Outpatient Facility Commercial 746
Electrocardiogram 2018 Ambulance Medicare 2667
Nose, mouth, pharynx procedures - Therapeutic 2023 Unclassified/other Medi-Cal 110
Urinary tract procedures - Therapeutic OR (other) 2022 Outpatient Facility Medi-Cal 28273
Delivery - Forceps, vacuum, and breech 2021 Outpatient Facility Commercial 309
Alcohol and drug management, treatment, and rehab. 2019 Ambulance Medi-Cal 2811
Male genital procedures - Therapeutic (other) 2020 Outpatient Facility Medicare 2694
Other types of visits 2023 Home Health Medi-Cal 140
Eye procedures - Corneal transplant 2022 Outpatient Facility Medi-Cal 407
Other vascular catheterization (not heart) 2022 Provider Medi-Cal 119840
Radioisotope scan - Other 2021 Pharmacy Medi-Cal 83
Blood and blood product transfusion 2018 Provider Medi-Cal 8466
Cardiovascular procedures - Diagnostic (other) 2023 Provider Medi-Cal 71264
Skin and subcutaneous tissue - Incision, drainage 2022 Outpatient Facility Medi-Cal 41917
Urinary system (nonoperative) measurements 2020 Inpatient Facility Medicare 9669
Lobectomy or pneumonectomy 2020 Outpatient Facility Commercial 60
Fetal monitoring 2022 Outpatient Facility Medi-Cal 180667
Prostatectomy (open ) 2019 Provider Medicare 5128
Respiratory therapy - Other 2019 Provider Commercial 154587
Peritoneal dialysis 2022 Provider Commercial 3412
TURP (transurethral resection of prostate) 2022 Provider Commercial 2438
Myelogram 2023 Provider Commercial 852
Respiratory intubation and mechanical ventilation 2018 Outpatient Facility Medicare 17738
Hernia repair - Other 2020 Provider Medicare 20197
Emergency department services 2019 Unclassified/other Medi-Cal 779
Visual aids and other optical supplies 2021 Pharmacy Medi-Cal 63
Ureteral catheterization 2018 Provider Medicare 17471
Laboratory - Chemistry and hematology 2023 Unclassified/other Medi-Cal 11797
Arteriogram or venogram (not heart and head) 2018 Provider Commercial 26167
Open-heart procedures - Extracorporeal circulation 2022 Outpatient Facility Medicare 1897
Heart valve procedures 2022 Outpatient Facility Medi-Cal 52
Ancillary services 2020 Unclassified/other Medi-Cal 12794
Ungrouped Procedures 2018 Provider Medi-Cal 21059659
Ultrasound - Diagnostic (other) 2021 Outpatient Facility Medi-Cal 843248
Genitourinary incontinence procedures 2019 Provider Commercial 5939
CPT codes not classified (F codes) 2019 Home Health Medi-Cal 714
Cardiovascular procedures - Therapeutic (other) 2020 Provider Medicare 151522
Small bowel resection 2020 Provider Medicare 4698
Fallopian tubes - Ligation 2023 Provider Medicare 49
Pregnancy (ectopic) - Removal 2023 Provider Medi-Cal 1532
Hip replacement (partial and total) 2020 Inpatient Facility Commercial 100
Kidney transplant 2022 Provider Medi-Cal 783
CT scan - Head 2023 Outpatient Facility Commercial 279718
Bone excision (partial) 2019 Provider Medi-Cal 10994
Intraocular procedures - Therapeutic 2018 Provider Medicare 452522
Psychological and psychiatric evaluation, therapy 2019 Outpatient Facility Medicare 688143
Spinal canal stimulator insertion and injection 2022 Inpatient Facility Medicare 457
Nervous system procedures - Diagnostic (other) 2023 Independent Labs Medicare 801
Wound care - Traction, splints, other 2021 Inpatient Facility Medicare 865
Knee - Excision of semilunar cartilage 2018 Provider Commercial 26552
Microscopic examination (e.g., lab, toxicology) 2020 Outpatient Facility Medi-Cal 3425387
Observation care services 2020 Provider Commercial 198970
Breast - Mastectomy 2021 Outpatient Facility Commercial 5407
Alcohol and drug management, treatment, and rehab. 2022 Inpatient Facility Medi-Cal 20960
Nasogastric tube 2021 Provider Medi-Cal 573
Pacemaker or cardioverter/defibrillator services 2019 Outpatient Facility Medi-Cal 1867
Blood and blood product transfusion 2022 Provider Medicare 18904
EEG (electroencephalogram) 2020 Outpatient Facility Commercial 7320
Treatment, fracture, dislocation - Other 2023 Provider Medicare 31179
Tonsillectomy and/or adenoidectomy 2018 Outpatient Facility Medi-Cal 10926
Arthrocentesis 2020 Outpatient Facility Commercial 11485
Emergency department services 2018 Provider Medicare 2704201
Skilled nursing facility services 2019 Outpatient Facility Commercial 61
Preventive visits 2021 Independent Labs Commercial 516
Lung and bronchus procedures - Diagnostic (other) 2020 Provider Medi-Cal 196135
Skin and subcutaneous tissue - Suture 2022 Provider Medicare 260408
Ophthalmologic/otologic diagnosis and treatment 2020 Pharmacy Medicare 319
Radioisotope scan - Pulmonary 2021 Outpatient Facility Commercial 1897
HCPCS Level II codes not classified 2020 Pharmacy Medicare 197
Musculoskeletal procedures - Therapeutic (other) 2019 Pharmacy Commercial 181
Laboratory - Chemistry and hematology 2023 Outpatient Facility Medi-Cal 19074461
Female organ procedures - Diagnostic (other) 2019 Provider Medicare 129875
Urethra - Procedures 2019 Outpatient Facility Commercial 2024
Vascular bypass - Peripheral 2020 Provider Commercial 479
Telehealth 2021 Unclassified/other Commercial 2382
Consultation, evaluation, and preventive care 2023 Hospice Medicare 1230
Urinary tract - Endoscopy and endoscopic biopsy 2019 Outpatient Facility Commercial 5731
Extracorporeal lithotripsy, urinary 2019 Outpatient Facility Medicare 10042
Transportation - Patient, provider, equipment 2021 Independent Labs Medi-Cal 6063
Eye procedures - Destruction of retinal lesion 2023 Outpatient Facility Commercial 538
Respiratory intubation and mechanical ventilation 2023 Outpatient Facility Commercial 5134
Care management/coordination services 2020 Provider Commercial 26751
Nose procedures - Plastic 2019 Provider Medi-Cal 5350
Mammography 2022 Unclassified/other Commercial 187
Electrocardiogram 2020 Unclassified/other Medicare 37
Circumcision 2018 Provider Commercial 28142
DME and supplies 2021 Provider Medicare 5869258
GI procedures - Therapeutic OR 2020 Provider Medicare 14353
Ancillary services 2023 Independent Labs Medicare 76588
HIPPS home health services 2020 Inpatient Facility Medicare 222
Observation care services 2023 Outpatient Facility Medi-Cal 68175
Oophorectomy (unilateral and bilateral) 2023 Provider Medi-Cal 5648
Other vascular catheterization (not heart) 2019 Provider Medi-Cal 116082
Myelogram 2018 Outpatient Facility Medicare 1833
Physical/occupational/speech therapy - Diagnostic 2022 Outpatient Facility Medicare 384362
Eye procedures - Glaucoma 2020 Outpatient Facility Commercial 4110
Vessels other than head/neck procedures - Other OR 2020 Outpatient Facility Medicare 16765
Consultations 2019 Outpatient Facility Medicare 302
Knee - Excision of semilunar cartilage 2021 Outpatient Facility Commercial 20227
Female organ procedures - Therapeutic (other) 2020 Provider Medicare 21053
Bone marrow transplant 2018 Provider Medi-Cal 999
Hemodialysis 2023 Unclassified/other Medi-Cal 37
Microscopic examination (e.g., lab, toxicology) 2021 Inpatient Facility Medicare 196981
Cardiac catheterization/arteriography - Diagnostic 2022 Provider Commercial 42457
Spinal fusion 2018 Outpatient Facility Commercial 2273
Respiratory procedures - Diagnostic (other) 2020 Provider Commercial 12214
AVF or vessel-to-vessel cannula for dialysis svcs. 2021 Outpatient Facility Medicare 28880
Hysterectomy (abdominal and vaginal) 2023 Outpatient Facility Commercial 16564
Esophageal dilatation 2022 Outpatient Facility Medi-Cal 4140
X-ray - Chest (routine) 2018 Outpatient Facility Medicare 1135130
Respiratory procedures - Therapeutic OR (other) 2018 Provider Medicare 14754
Nephrotomy and nephrostomy 2020 Provider Commercial 3930
GI procedures - Therapeutic OR 2023 Provider Commercial 7998
Mastoidectomy 2021 Outpatient Facility Medicare 326
Urinary tract procedures - Therapeutic OR (other) 2020 Outpatient Facility Commercial 2564
Prophylactic vaccinations and inoculations 2019 Inpatient Facility Medi-Cal 1157
Arthroplasty other than hip or knee 2020 Provider Medi-Cal 4968
GI procedures - Diagnostic 2018 Outpatient Facility Medi-Cal 5774
HCPCS Level II codes not classified 2021 Outpatient Facility Medi-Cal 787572
Therapeutic procedures - Other 2020 Pharmacy Medicare 80
Physical/occupational/speech therapy - Other 2021 Inpatient Facility Commercial 213
Ultrasound - Heart (echocardiogram) - Diagnostic 2020 Inpatient Facility Commercial 170
Cervix and uterus - Other excision 2022 Provider Medi-Cal 8561
Circumcision 2021 Outpatient Facility Commercial 3563
CT scan - Abdomen 2021 Outpatient Facility Medi-Cal 407603
Appendectomy 2020 Provider Medicare 4298
Non-hospital-based care (home health, hospice) 2020 Hospice Medicare 8372292
Cystocele/rectocele repair, oblit. of vag. vault 2022 Outpatient Facility Medi-Cal 1211
Intraocular procedures - Therapeutic 2022 Provider Commercial 100089
Extracorporeal shock wave (other than urinary) 2019 Provider Medicare 68863
X-ray - Upper GI 2022 Outpatient Facility Medi-Cal 14391
Prophylactic vaccinations and inoculations 2022 Home Health Medi-Cal 57
GI (upper) procedures - Therapeutic OR 2021 Outpatient Facility Commercial 708
Nervous system procedures - Diagnostic (other) 2019 Provider Medi-Cal 203875
Arterial blood gases 2019 Independent Labs Medi-Cal 120
Gastric bypass and volume reduction 2021 Provider Commercial 10608
Bunionectomy or repair of toe deformities 2018 Unclassified/other Medi-Cal 60
Laparoscopy 2018 Outpatient Facility Medi-Cal 2461
Organ transplantation - Other 2023 Provider Medicare 3082
Delivery - Forceps, vacuum, and breech 2019 Provider Commercial 54934
Respiratory procedures - Therapeutic (other) 2022 Inpatient Facility Commercial 39
Abdominal paracentesis 2021 Outpatient Facility Commercial 8785
Arthroplasty other than hip or knee 2018 Outpatient Facility Medi-Cal 2163
Transportation - Patient, provider, equipment 2019 Outpatient Facility Medicare 60233
Skin and subcutaneous tissue - Incision, drainage 2020 Provider Medi-Cal 93640
Colonoscopy and biopsy 2021 Inpatient Facility Medicare 783
Male genital procedures - Therapeutic (other) 2019 Provider Medi-Cal 7683
Non-hospital-based care (home health, hospice) 2019 Ambulance Medi-Cal 276
Ungrouped Procedures 2018 DME (Durable Medical Equipment) Commercial 56
Radiology - Diagnostic (other) 2023 Outpatient Facility Medicare 1647086
Extracranial ventricular shunt services 2022 Provider Medicare 5429
X-ray - Lower GI 2021 Provider Medicare 3391
Prophylactic vaccinations and inoculations 2020 Pharmacy Medi-Cal 396
Hysterectomy (abdominal and vaginal) 2019 Provider Commercial 26095
Esophageal dilatation 2019 Provider Medi-Cal 6339
Contrast arteriogram - Lower extremity arteries 2019 Outpatient Facility Medi-Cal 432
Laparoscopy 2023 Provider Medicare 6649
D&C - Aspiration after delivery or abortion 2023 Outpatient Facility Medi-Cal 3684
Medications (injections, infusions, other forms) 2019 Unclassified/other Medicare 228
Treatment, fracture, dislocation - Other 2020 Inpatient Facility Medicare 177
Eye procedures - Therapeutic (other) 2018 Provider Medicare 271758
Intravenous pyelogram 2018 Outpatient Facility Medicare 350
Cardiac catheterization/arteriography - Diagnostic 2019 Provider Medi-Cal 42803
Office visits 2019 Provider Medi-Cal 25875329
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2022 Inpatient Facility Commercial 115
Heart procedures - Other OR 2020 Provider Medicare 9686
Cervix and uterus - Other excision 2020 Provider Medicare 1554
Ungrouped Procedures 2022 Ambulance Medicare 5349
D&C (dilatation and curettage) - Diagnostic 2022 Provider Medi-Cal 2183
Laboratory - Chemistry and hematology 2022 Hospice Medi-Cal 404
Ear procedures - Diagnostic 2018 Provider Commercial 5838
Radioisotope scan - Other 2020 Outpatient Facility Medicare 2305
Bone procedures - Therapeutic OR (other) 2020 Outpatient Facility Medi-Cal 5628
Pathology 2020 Outpatient Facility Commercial 736956
Skin, breast procedures - Therapeutic (other) 2023 Unclassified/other Commercial 75
Prophylactic vaccinations and inoculations 2018 Independent Labs Medi-Cal 324
Vessels of head/neck procedures - Other OR 2023 Provider Medi-Cal 3406
Eye procedures - Destruction of retinal lesion 2021 Provider Commercial 10494
Peritoneal dialysis 2021 Outpatient Facility Commercial 483956
Prophylactic vaccinations and inoculations 2023 Outpatient Facility Medi-Cal 4380953
GI procedures - Diagnostic 2021 Independent Labs Medicare 1663
Non-hospital-based care (home health, hospice) 2022 Home Health Commercial 472672
Chemotherapy - Cancer 2021 Outpatient Facility Medi-Cal 187632
Fallopian tubes - Ligation 2021 Provider Medicare 84
Spinal tap - Diagnostic 2021 Provider Medicare 12113
Muscle and tendon procedures - Therapeutic (other) 2019 Inpatient Facility Medicare 104
Male genital procedures - Therapeutic OR (other) 2021 Outpatient Facility Medi-Cal 5150
Medications (injections, infusions, other forms) 2022 Outpatient Facility Commercial 6132732
Cardiac stress tests 2019 Provider Medicare 363235
DME and supplies 2019 Pharmacy Medi-Cal 2547
Care management/coordination services 2020 Home Health Commercial 568
CPT codes not classified (F codes) 2022 Home Health Medicare 335
Liver biopsy 2021 Provider Commercial 4840
Hernia repair - Other 2023 Provider Medicare 4305
Esophageal varices - Injection or ligation 2021 Outpatient Facility Medi-Cal 1517
Varicose vein stripping - Lower limb 2021 Outpatient Facility Medicare 764
Office visits 2023 Unclassified/other Commercial 25459
Respiratory procedures - Therapeutic OR (other) 2022 Provider Commercial 7077
Nose, mouth, pharynx procedures - Therapeutic 2022 Inpatient Facility Medicare 163939
Small bowel resection 2020 Outpatient Facility Commercial 39
Arthroscopy 2019 Provider Medicare 3239
Urinary system (nonoperative) measurements 2019 Outpatient Facility Medicare 662564
Abortion (termination of pregnancy) 2021 Provider Medicare 92
Ovary operations - Other 2022 Outpatient Facility Medi-Cal 116
Respiratory intubation and mechanical ventilation 2018 Inpatient Facility Medi-Cal 576
Ultrasound - Diagnostic (other) 2020 Provider Medi-Cal 2118228
Delivery - Other procedures to assist 2022 Inpatient Facility Medi-Cal 1444
ERCP (endoscopic retro. cannulation of pancreas) 2023 Provider Commercial 16505
Indwelling catheter 2020 Provider Medicare 68032
Office visits 2021 Unclassified/other Medicare 433
Bowel procedures - Diagnostic 2023 Provider Medi-Cal 123
D&C (dilatation and curettage) - Diagnostic 2021 Provider Medicare 953
HCPCS Level II codes not classified 2018 Home Health Medicare 477
Ungrouped Procedures 2020 Independent Labs Commercial 5740729
Ungrouped Procedures 2021 Provider Medicare 2537189
Treatment, fracture, dislocation - Other 2019 Provider Commercial 35187
Visual aids and other optical supplies 2019 Outpatient Facility Medicare 84478
Arteriogram or venogram (not heart and head) 2018 Inpatient Facility Medicare 2229
Open-heart procedures - Extracorporeal circulation 2019 Provider Medi-Cal 10150
Heart valve procedures 2021 Inpatient Facility Commercial 60
Kidney transplant 2019 Provider Commercial 611
Hospital services 2022 Unclassified/other Commercial 207
Wound care - Traction, splints, other 2018 Outpatient Facility Commercial 68615
Nonoperative removal of foreign body 2021 Provider Medicare 18693
Bone marrow transplant 2020 Outpatient Facility Commercial 1662
Arteriogram or venogram (not heart and head) 2021 Inpatient Facility Medicare 3042
Nephrectomy (partial or complete) 2018 Outpatient Facility Medicare 311
Hemic/lymphatic system procedures - Therapeutic 2022 Provider Medi-Cal 11786
GI procedures - Therapeutic 2023 Provider Medicare 16836
CT scan - Other 2022 Provider Medicare 796209
GI (upper) procedures - Therapeutic 2022 Provider Commercial 1052
CPT codes not classified (F codes) 2022 Independent Labs Medi-Cal 72359
Central nervous system (CNS) incision and excision 2021 Inpatient Facility Medicare 69
Physical/occupational/speech therapy - Diagnostic 2019 Inpatient Facility Medi-Cal 34408
Skin lesion - Excision 2022 Provider Medi-Cal 338926
MRI (magnetic resonance imaging) 2023 Outpatient Facility Medicare 480654
AVF or vessel-to-vessel cannula for dialysis svcs. 2022 Outpatient Facility Medicare 26710
Microscopic examination (e.g., lab, toxicology) 2018 Hospice Medi-Cal 1851
Nervous system procedures - Therapeutic OR (other) 2021 Outpatient Facility Medi-Cal 6136
Critical care services 2021 Inpatient Facility Commercial 44
Thyroidectomy (partial or complete) 2020 Provider Medi-Cal 2226
Musculoskeletal procedures - Therapeutic (other) 2021 Provider Medicare 1766930
Knee - Arthroplasty 2019 Outpatient Facility Commercial 9113
Ultrasound - Head and neck - Diagnostic 2020 Independent Labs Medicare 38
Observation care services 2018 Hospice Medicare 247
Division of joint capsule (ligament or cartilage) 2020 Provider Commercial 3474
Skin and subcutaneous tissue - Diagnostic (other) 2019 Independent Labs Medi-Cal 43
GI (lower) procedures - Therapeutic 2019 Provider Commercial 4998
Vessels of head/neck procedures - Other OR 2018 Provider Medi-Cal 2442
Treatment, fracture, dislocation - Facial 2022 Provider Medicare 2274
Epistaxis control 2019 Provider Medi-Cal 6718
HCPCS Level II codes not classified 2018 Inpatient Facility Medicare 755321
Preventive visits 2022 Pharmacy Commercial 13170
Bone excision (partial) 2018 Provider Medicare 32924
Urinary tract procedures - Diagnostic (other) 2023 Provider Medicare 6103
Electrocardiogram 2018 Provider Commercial 2008720
Radiology - Diagnostic (other) 2019 Independent Labs Medicare 259
Mastoidectomy 2022 Provider Medicare 538
Fallopian tubes - Other operations 2022 Provider Medi-Cal 1005
Psychological and psychiatric evaluation, therapy 2023 Outpatient Facility Medicare 557140
Cholecystectomy and common duct exploration 2019 Outpatient Facility Medicare 8280
X-ray - Chest (routine) 2020 Inpatient Facility Medi-Cal 11846
Spinal fusion 2021 Provider Commercial 42841
Medications (injections, infusions, other forms) 2018 Inpatient Facility Medi-Cal 63915
DME and supplies 2023 Outpatient Facility Medicare 4560818
Thyroidectomy (partial or complete) 2023 Outpatient Facility Medi-Cal 1287
Emergency department services 2023 Inpatient Facility Medicare 273
Obstetrical procedures - Therapeutic (other) 2018 Inpatient Facility Medi-Cal 72
CT scan - Abdomen 2023 Unclassified/other Commercial 73
Musculoskeletal procedures - Therapeutic (other) 2018 Provider Commercial 1990789
Eye procedures - Lens and cataract 2019 Provider Commercial 51751
Gastric bypass and volume reduction 2018 Provider Medi-Cal 6487
Physical/occupational/speech therapy - Exercises 2018 Inpatient Facility Medicare 2562055
Skin, breast procedures - Therapeutic (other) 2018 Provider Commercial 778121
Nose, mouth, pharynx procedures - Diagnostic 2020 Provider Medi-Cal 76066
GI (upper) endoscopy, biopsy 2022 Outpatient Facility Medicare 121276
Radiology - Diagnostic (other) 2020 Outpatient Facility Commercial 1396935
Microscopic examination (e.g., lab, toxicology) 2023 Independent Labs Medi-Cal 9377556
Vessels of head/neck - Endarterectomy 2018 Provider Medicare 4944
Bronchoscopy and biopsy - Diagnostic 2023 Outpatient Facility Commercial 7166
Intraoperative cholangiogram 2020 Provider Commercial 1352
MRI (magnetic resonance imaging) 2020 Provider Medicare 1023648
Tympanoplasty 2020 Outpatient Facility Medi-Cal 837
Consultations 2023 Outpatient Facility Medi-Cal 33361
Nervous system procedures - Therapeutic (other) 2023 Provider Commercial 287631
ERCP (endoscopic retro. cannulation of pancreas) 2020 Inpatient Facility Commercial 67
Epistaxis control 2022 Provider Commercial 10081
Psychological and psychiatric evaluation, therapy 2022 Hospice Medicare 468
Hemic/lymphatic system procedures - Therapeutic 2019 Outpatient Facility Medicare 19134
Ultrasound - Heart (echocardiogram) - Diagnostic 2021 Unclassified/other Medi-Cal 125
Blood and blood product transfusion 2022 Inpatient Facility Medi-Cal 7094
Pathology 2019 Outpatient Facility Medicare 933291
Respiratory procedures - Therapeutic (other) 2018 Provider Medicare 5673
Extracranial ventricular shunt services 2019 Outpatient Facility Medicare 294
Colonoscopy and biopsy 2019 Provider Medi-Cal 158948
Skilled nursing facility services (HIPPS) 2021 Outpatient Facility Commercial 268
Urinary tract procedures - Diagnostic (other) 2020 Outpatient Facility Medicare 6692
CT scan - Other 2018 Unclassified/other Medi-Cal 1908
Catheterization (Swan-Ganz) for monitoring 2020 Provider Commercial 2705
Urinary obstruction - Excision, drainage, removal 2021 Provider Medicare 31768
Nasogastric tube 2020 Provider Commercial 400
Other types of lab tests 2020 Outpatient Facility Commercial 4649110
Ungrouped Procedures 2020 Inpatient Facility Medi-Cal 2024
Respiratory procedures - Therapeutic OR (other) 2023 Outpatient Facility Medi-Cal 1918
Liver biopsy 2022 Outpatient Facility Commercial 3106
Radiology - Therapeutic 2023 Inpatient Facility Medicare 933
Ancillary services 2022 Provider Medi-Cal 4437388
Fallopian tubes - Ligation 2019 Provider Commercial 6878
Skin, breast procedures - Therapeutic OR (other) 2023 Outpatient Facility Medicare 9369
Non-hospital-based care (home health, hospice) 2021 Inpatient Facility Medicare 493264
Medications (injections, infusions, other forms) 2019 Pharmacy Commercial 6252
Ultrasound - Diagnostic (other) 2019 Unclassified/other Medi-Cal 196
Urinary system (nonoperative) measurements 2018 Provider Medicare 1226295
Spinal tap - Diagnostic 2020 Outpatient Facility Medicare 2696
Arterial blood gases 2023 Inpatient Facility Medi-Cal 593
Ear procedures - Diagnostic 2018 Outpatient Facility Medi-Cal 497
Prophylactic vaccinations and inoculations 2023 Pharmacy Medi-Cal 371
Ovary operations - Other 2023 Outpatient Facility Commercial 936
Arthroscopy 2020 Outpatient Facility Medicare 516
D&C (dilatation and curettage) - Diagnostic 2022 Provider Commercial 2645
Hemorrhoid procedures 2022 Provider Medi-Cal 6839
Nervous system procedures - Diagnostic (other) 2018 Outpatient Facility Commercial 22277
Physical/occupational/speech therapy - Other 2023 Inpatient Facility Medicare 217827
Nose, mouth, pharynx procedures - Therapeutic 2022 Outpatient Facility Medicare 22314
Visual aids and other optical supplies 2019 Provider Medi-Cal 602365
Delivery - Other procedures to assist 2020 Outpatient Facility Commercial 1079
Laminectomy, excision intervertebral disc 2023 Inpatient Facility Medicare 506
Treatment, fracture, dislocation - Other 2018 Outpatient Facility Medi-Cal 13865
Electrographic cardiac monitoring 2021 Outpatient Facility Medi-Cal 25005
Male genital procedures - Therapeutic OR (other) 2019 Provider Medicare 8218
Ungrouped Procedures 2021 Independent Labs Medicare 4757487
Breast - Biopsy, procedures - Diagnostic (other) 2018 Outpatient Facility Medi-Cal 5698
HCPCS Level II codes not classified 2018 Independent Labs Medi-Cal 39
Open-heart procedures - Extracorporeal circulation 2020 Outpatient Facility Medicare 52
Hip replacement (partial and total) 2018 Outpatient Facility Commercial 4311
Office visits 2022 Independent Labs Commercial 7216
Indwelling catheter 2019 Provider Commercial 18551
Care management/coordination services 2019 Home Health Medicare 665
Female organ procedures - Therapeutic OR (other) 2018 Outpatient Facility Medi-Cal 6112
CT scan - Head 2021 Unclassified/other Medi-Cal 85
Eye procedures - Destruction of retinal lesion 2022 Outpatient Facility Medi-Cal 1562
DME and supplies 2021 Independent Labs Medicare 28701
Office visits 2023 Inpatient Facility Medicare 589
CPT codes not classified (F codes) 2021 Outpatient Facility Medi-Cal 2713748
Esophageal varices - Injection or ligation 2021 Provider Medi-Cal 4351
Breast - Lumpectomy, quadrantectomy 2018 Provider Medicare 14368
Eye procedures - Destruction of retinal lesion 2019 Outpatient Facility Medicare 856
Varicose vein stripping - Lower limb 2021 Provider Medi-Cal 1293
Ancillary services 2022 Inpatient Facility Medi-Cal 50058
CPT codes not classified (F codes) 2020 Provider Medicare 7390613
CT scan - Chest 2022 Provider Medicare 789920
Respiratory procedures - Therapeutic OR (other) 2023 Inpatient Facility Medicare 45
ERCP (endoscopic retro. cannulation of pancreas) 2023 Inpatient Facility Commercial 74
Cardiac stress tests 2020 Inpatient Facility Medicare 1482
Laminectomy, excision intervertebral disc 2022 Provider Medicare 56417
Treatment, fracture, dislocation - Lower extrem. 2023 Outpatient Facility Commercial 13105
Spinal tap - Diagnostic 2020 Outpatient Facility Medi-Cal 3098
Non-hospital-based care (home health, hospice) 2021 Provider Commercial 867467
Skin and subcutaneous tissue - Suture 2020 Inpatient Facility Medicare 44
Prophylactic vaccinations and inoculations 2023 Pharmacy Commercial 1277
Radiology - Diagnostic (other) 2022 Independent Labs Commercial 118
Hip replacement (partial and total) 2023 Outpatient Facility Commercial 11244
Arthroscopy 2018 Provider Medicare 2946
Office visits 2023 Inpatient Facility Commercial 122
Skin, breast procedures - Therapeutic (other) 2021 Outpatient Facility Medi-Cal 94696
Ophthalmologic/otologic diagnosis and treatment 2018 Unclassified/other Commercial 145
Ultrasound - Head and neck - Diagnostic 2018 Independent Labs Commercial 81
Eye procedures - Repair of retinal tear/detachment 2020 Provider Medicare 13349
Hemorrhoid procedures 2022 Outpatient Facility Medicare 2479
Ungrouped Procedures 2020 Ambulance Medicare 1906
Indwelling catheter 2018 Provider Commercial 18524
Muscle and tendon procedures - Therapeutic (other) 2019 Outpatient Facility Commercial 42646
Female organ procedures - Therapeutic OR (other) 2018 Provider Medicare 7774
Nose, mouth, pharynx procedures - Therapeutic OR 2022 Outpatient Facility Medicare 10588
Medications (injections, infusions, other forms) 2019 Provider Medicare 6274983
Care management/coordination services 2018 Provider Medicare 492025
Consultation, evaluation, and preventive care 2021 Outpatient Facility Medi-Cal 153589
Ultrasound - Heart (echocardiogram) - Diagnostic 2021 Outpatient Facility Medi-Cal 159087
Knee - Arthroplasty 2020 Provider Medicare 49516
Radioisotope scan - Pulmonary 2018 Outpatient Facility Medicare 6820
D&C (dilatation and curettage) - Diagnostic 2020 Provider Medicare 884
Transportation - Patient, provider, equipment 2018 Independent Labs Commercial 862
Heart valve procedures 2019 Outpatient Facility Medicare 97
Genitourinary incontinence procedures 2023 Outpatient Facility Medi-Cal 2345
Nervous system procedures - Diagnostic (other) 2018 Inpatient Facility Medi-Cal 73
Lung and bronchus procedures - Diagnostic (other) 2018 Inpatient Facility Medicare 1215
Chemotherapy - Cancer 2020 Outpatient Facility Medi-Cal 173742
Urinary system (nonoperative) measurements 2019 Inpatient Facility Commercial 129
Alcohol and drug management, treatment, and rehab. 2020 Provider Medi-Cal 23920282
Radiology - Diagnostic (other) 2020 Independent Labs Medi-Cal 49
Ureteral catheterization 2023 Outpatient Facility Medi-Cal 2369
Nose, mouth, pharynx procedures - Diagnostic 2020 Inpatient Facility Medicare 27340
GI (lower) procedures - Therapeutic 2021 Outpatient Facility Medicare 2122
Preventive visits 2019 Independent Labs Commercial 63
Myringotomy 2023 Outpatient Facility Medicare 697
Psychological and psychiatric evaluation, therapy 2021 Outpatient Facility Medi-Cal 1572696
Gastrectomy (partial and total) 2021 Provider Medicare 582
Vessels of head/neck procedures - Other OR 2021 Outpatient Facility Medi-Cal 101
X-ray - Chest (routine) 2019 Unclassified/other Commercial 78
Other types of lab tests 2019 Provider Medicare 3432775
Skilled nursing facility services (HIPPS) 2019 Home Health Medi-Cal 474
HCPCS Level II codes not classified 2019 Independent Labs Commercial 72
Coronary thrombolysis 2019 Outpatient Facility Medi-Cal 35
Respiratory intubation and mechanical ventilation 2021 Provider Commercial 30006
AVF or vessel-to-vessel cannula for dialysis svcs. 2023 Outpatient Facility Medi-Cal 9019
Skin, breast procedures - Therapeutic (other) 2018 Hospice Medicare 134
Microscopic examination (e.g., lab, toxicology) 2018 Provider Medi-Cal 4038472
Blood and blood product transfusion 2021 Inpatient Facility Medi-Cal 6026
Heart valve procedures 2023 Provider Medi-Cal 4984
Musculoskeletal procedures - Diagnostic (other) 2022 Provider Commercial 5157
Spinal canal stimulator insertion and injection 2021 Home Health Commercial 33
Intraoperative cholangiogram 2018 Provider Medi-Cal 2378
CPT codes not classified (F codes) 2023 Outpatient Facility Medicare 172790
CT scan - Other 2018 Outpatient Facility Commercial 107164
Epistaxis control 2021 Provider Medi-Cal 7362
Mastoidectomy 2023 Provider Medicare 493
Central nervous system (CNS) incision and excision 2022 Inpatient Facility Commercial 97
GI (upper) procedures - Therapeutic OR 2018 Provider Commercial 2288
Circumcision 2023 Provider Commercial 25108
Emergency department services 2022 Provider Medicare 2593823
Thyroidectomy (partial or complete) 2021 Outpatient Facility Medi-Cal 1092
ERCP (endoscopic retro. cannulation of pancreas) 2018 Inpatient Facility Commercial 53
Pathology 2019 Inpatient Facility Commercial 914
Urinary tract - Endoscopy and endoscopic biopsy 2023 Provider Medi-Cal 26533
Observation care services 2018 Provider Commercial 203086
Physical/occupational/speech therapy - Diagnostic 2019 Provider Medi-Cal 686852
Organ transplantation - Other 2019 Provider Medicare 2908
Bone marrow transplant 2020 Provider Medi-Cal 1019
Non-hospital-based care (home health, hospice) 2018 Home Health Commercial 339236
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2020 Inpatient Facility Medicare 7853
Debridement of wound, infection or burn 2023 Inpatient Facility Medicare 105
Telehealth 2020 Home Health Medi-Cal 544
Care management/coordination services 2021 Outpatient Facility Commercial 1023
Muscles, tendons, joints - Injections, aspirations 2022 Provider Medicare 266261
Transportation - Patient, provider, equipment 2021 Independent Labs Medicare 76350
Hemic/lymphatic system procedures - Therapeutic 2021 Outpatient Facility Medicare 22334
CT scan - Head 2023 Provider Commercial 447185
Respiratory therapy - Other 2019 Inpatient Facility Commercial 101
Nervous system procedures - Therapeutic (other) 2018 Inpatient Facility Medicare 88
Eye procedures - Diagnostic 2019 Provider Medicare 33058
Vascular bypass - Peripheral 2023 Provider Medi-Cal 894
Lung and bronchus procedures - Diagnostic (other) 2022 Provider Commercial 262184
Breast - Biopsy, procedures - Diagnostic (other) 2020 Provider Medi-Cal 17258
Male genital procedures - Therapeutic (other) 2022 Inpatient Facility Medicare 34
Urinary tract procedures - Therapeutic OR (other) 2021 Provider Medicare 1090464
Office visits 2020 Hospice Medicare 77
Ancillary services 2023 Pharmacy Medi-Cal 1020
GI (lower) procedures - Therapeutic OR 2019 Provider Commercial 12420
Visual aids and other optical supplies 2022 Outpatient Facility Medi-Cal 89022
Nonoperative removal of foreign body 2019 Outpatient Facility Medi-Cal 9380
DME and supplies 2022 Home Health Commercial 29761
Blood and blood product transfusion 2023 Provider Commercial 9691
Urinary tract procedures - Diagnostic (other) 2021 Provider Medi-Cal 3230
Musculoskeletal procedures - Therapeutic (other) 2020 Provider Commercial 1394125
Ancillary services 2021 Independent Labs Medi-Cal 74411
Fetal monitoring 2022 Outpatient Facility Medicare 812
Ungrouped Procedures 2018 Outpatient Facility Medi-Cal 6833059
Prostatectomy (open ) 2019 Outpatient Facility Medi-Cal 97
Colostomy (temporary and permanent) 2022 Provider Medicare 1291
Ileostomy and other enterostomy 2020 Provider Medi-Cal 2056
Urinary system (nonoperative) measurements 2020 Outpatient Facility Medi-Cal 1630687
Myelogram 2023 Provider Medi-Cal 566
GI (upper) endoscopy, biopsy 2018 Unclassified/other Medi-Cal 372
Arthrocentesis 2020 Outpatient Facility Medi-Cal 25507
Female organ procedures - Diagnostic (other) 2020 Provider Medi-Cal 79071
Bone excision (partial) 2021 Inpatient Facility Commercial 43
Consultation, evaluation, and preventive care 2023 Unclassified/other Commercial 315
Psychological and psychiatric evaluation, therapy 2022 Unclassified/other Medicare 3618
Skin graft 2019 Outpatient Facility Commercial 8885
Tonsillectomy and/or adenoidectomy 2019 Provider Medi-Cal 13657
Critical care services 2019 Inpatient Facility Medicare 77
Nasogastric tube 2022 Outpatient Facility Commercial 110
GI procedures - Therapeutic 2021 Inpatient Facility Commercial 55
Observation care services 2021 Outpatient Facility Medicare 258529
Electrocardiogram 2021 Inpatient Facility Medicare 48308
Skilled nursing facility services (HIPPS) 2023 Provider Medicare 18836
Ophthalmologic/otologic diagnosis and treatment 2021 Outpatient Facility Commercial 67834
Physical/occupational/speech therapy - Diagnostic 2021 Provider Commercial 1069804
CT scan - Other 2021 Inpatient Facility Medicare 5070
Ultrasound - Head and neck - Diagnostic 2018 Outpatient Facility Medi-Cal 31833
Chemotherapy - Cancer 2023 Provider Medi-Cal 228639
HCPCS Level II codes not classified 2020 Provider Commercial 493345
Mammography 2018 Inpatient Facility Medi-Cal 66
Indwelling catheter 2022 Outpatient Facility Commercial 6449
Division of joint capsule (ligament or cartilage) 2018 Outpatient Facility Commercial 2562
Radioisotope scan - Pulmonary 2023 Outpatient Facility Commercial 1495
CT scan - Abdomen 2020 Inpatient Facility Commercial 346
Microscopic examination (e.g., lab, toxicology) 2020 Pharmacy Commercial 2013
Respiratory intubation and mechanical ventilation 2019 Inpatient Facility Medi-Cal 3264
Ultrasound - Diagnostic (other) 2021 Independent Labs Medi-Cal 130
Laboratory - Chemistry and hematology 2023 Provider Commercial 4698258
Radioisotope scan - Other 2021 Provider Commercial 92112
Other types of visits 2022 Outpatient Facility Medicare 14992
Cardiovascular procedures - Therapeutic (other) 2022 Inpatient Facility Medicare 1230
Peritoneal dialysis 2023 Provider Medi-Cal 20504
Visual aids and other optical supplies 2021 Provider Commercial 50170
Eye procedures - Corneal transplant 2021 Outpatient Facility Medi-Cal 481
Kidney transplant 2020 Provider Medicare 2034
Nose, mouth, pharynx procedures - Therapeutic 2023 Outpatient Facility Medi-Cal 67296
Alcohol and drug management, treatment, and rehab. 2019 Independent Labs Commercial 70
Heart procedures - Other OR 2022 Provider Commercial 4137
Hip replacement (partial and total) 2020 Inpatient Facility Medicare 1398
Proctoscopy and anorectal biopsy 2018 Outpatient Facility Commercial 7555
Small bowel resection 2022 Provider Medicare 4734
Other vascular catheterization (not heart) 2023 Inpatient Facility Commercial 275
CPT codes not classified (F codes) 2019 Independent Labs Commercial 746
TURP (transurethral resection of prostate) 2021 Provider Medicare 10128
Ureteral catheterization 2019 Provider Medicare 17701
Genitourinary incontinence procedures 2019 Provider Medi-Cal 2931
Skin and subcutaneous tissue - Incision, drainage 2022 Provider Commercial 103702
Arteriogram or venogram (not heart and head) 2018 Provider Medicare 111920
Cardiovascular procedures - Diagnostic (other) 2023 Inpatient Facility Medi-Cal 101
Esophageal varices - Injection or ligation 2023 Outpatient Facility Medi-Cal 1793
Hernia repair - Other 2021 Outpatient Facility Commercial 15539
Medications (injections, infusions, other forms) 2023 Ambulance Medi-Cal 697
Emergency department services 2020 Ambulance Medi-Cal 234
Chemotherapy - Cancer 2023 Inpatient Facility Medicare 174
Non-hospital-based care (home health, hospice) 2020 Provider Commercial 741228
Liver biopsy 2020 Inpatient Facility Medicare 44
Consultations 2020 Provider Medi-Cal 541683
Other vascular catheterization (not heart) 2020 Provider Medi-Cal 119976
Musculoskeletal procedures - Therapeutic (other) 2023 Outpatient Facility Medicare 25511
Colorectal resection 2018 Inpatient Facility Commercial 49
Physical/occupational/speech therapy - Exercises 2021 Pharmacy Medicare 203
Ultrasound - Urinary tract - Diagnostic 2022 Inpatient Facility Medicare 95
Intravenous pyelogram 2023 Outpatient Facility Medicare 119
DME and supplies 2018 Inpatient Facility Medi-Cal 65798
Nephrectomy (partial or complete) 2020 Provider Medi-Cal 1955
X-ray - Lower GI 2019 Outpatient Facility Medicare 2378
Gastrostomy (temporary and permanent) 2020 Outpatient Facility Medicare 9906
X-ray - Lower GI 2023 Outpatient Facility Commercial 1022
Eye procedures - Glaucoma 2022 Provider Medicare 63396
GI procedures - Diagnostic 2020 Independent Labs Medicare 737
Bone procedures - Therapeutic OR (other) 2023 Provider Commercial 34583
Esophageal varices - Injection or ligation 2018 Provider Commercial 1963
Cardiac catheterization/arteriography - Diagnostic 2018 Inpatient Facility Medi-Cal 67
Microscopic examination (e.g., lab, toxicology) 2022 Independent Labs Medi-Cal 8407666
Urinary tract procedures - Therapeutic (other) 2020 Outpatient Facility Medi-Cal 2543
Urinary obstruction - Excision, drainage, removal 2021 Outpatient Facility Medi-Cal 2492
Amputation - Lower extremity 2019 Provider Medicare 13656
Female organ procedures - Diagnostic (other) 2021 Independent Labs Medi-Cal 1939
Cesarean section 2020 Provider Commercial 53422
Prophylactic vaccinations and inoculations 2019 Provider Medi-Cal 9084018
Extraocular muscle procedures - Therapeutic 2021 Outpatient Facility Commercial 3576
Vessels other than head/neck procedures - Other OR 2021 Independent Labs Medi-Cal 877
Critical care services 2022 Provider Commercial 413529
Prophylactic vaccinations and inoculations 2022 Provider Medicare 7465840
Arthroplasty other than hip or knee 2023 Outpatient Facility Commercial 10343
Telehealth 2023 Pharmacy Medicare 38
Nose, mouth, pharynx procedures - Therapeutic 2020 Outpatient Facility Commercial 7976
CT scan - Abdomen 2022 Outpatient Facility Commercial 412575
HCPCS Level II codes not classified 2022 Outpatient Facility Commercial 79437
Knee - Excision of semilunar cartilage 2023 Provider Medi-Cal 8310
Physical/occupational/speech therapy - Exercises 2023 Independent Labs Commercial 469
Abortion (termination of pregnancy) 2019 Provider Medi-Cal 56681
Preventive visits 2023 Pharmacy Medi-Cal 140
Respiratory procedures - Therapeutic OR (other) 2021 Outpatient Facility Commercial 2802
Electrocardiogram 2022 Unclassified/other Medicare 163
Cardiac stress tests 2020 Outpatient Facility Medicare 46134
Nose, mouth, pharynx procedures - Therapeutic 2021 Provider Medicare 24821
Liver biopsy 2023 Provider Commercial 4630
Esophageal varices - Injection or ligation 2020 Provider Medicare 3391
CPT codes not classified (F codes) 2018 Pharmacy Medicare 121
Arterial blood gases 2023 Inpatient Facility Medicare 35686
Small bowel resection 2019 Provider Medicare 5104
Radioisotope scan - Pulmonary 2020 Provider Medi-Cal 5547
Prophylactic vaccinations and inoculations 2023 Provider Medi-Cal 7578001
Male genital procedures - Therapeutic OR (other) 2022 Outpatient Facility Commercial 8455
GI procedures - Diagnostic 2021 Provider Commercial 35602
Electrographic cardiac monitoring 2022 Outpatient Facility Commercial 14941
Peritoneal dialysis 2022 Inpatient Facility Medi-Cal 399
Gastrostomy (temporary and permanent) 2023 Provider Medicare 31012
Hip replacement (partial and total) 2018 Outpatient Facility Medicare 1542
Ungrouped Procedures 2020 Outpatient Facility Commercial 493193
Chemotherapy - Cancer 2021 Inpatient Facility Medicare 140
Cardiovascular procedures - Therapeutic (other) 2020 Outpatient Facility Commercial 43872
Varicose vein stripping - Lower limb 2022 Outpatient Facility Commercial 1700
Visual aids and other optical supplies 2020 Independent Labs Medi-Cal 1008004
Skin and subcutaneous tissue - Suture 2022 Outpatient Facility Medi-Cal 94543
DME and supplies 2019 Outpatient Facility Medicare 4750180
Female organ procedures - Therapeutic OR (other) 2019 Outpatient Facility Medicare 3441
Eye procedures - Corneal transplant 2020 Outpatient Facility Commercial 603
Pleura incision, thoracentesis, chest drainage 2018 Outpatient Facility Commercial 3125
Breast - Biopsy, procedures - Diagnostic (other) 2018 Provider Commercial 48468
Respiratory intubation and mechanical ventilation 2018 Inpatient Facility Commercial 209
Medications (injections, infusions, other forms) 2022 Inpatient Facility Medicare 625975
PTCA (percutaneous transluminal coronary angio.) 2018 Provider Commercial 14125
Ultrasound - Diagnostic (other) 2020 Provider Commercial 2409996
Urinary system (nonoperative) measurements 2019 Outpatient Facility Commercial 914182
Kidney transplant 2018 Provider Medicare 1891
Non-hospital-based care (home health, hospice) 2021 Unclassified/other Medi-Cal 266
Hemorrhoid procedures 2022 Provider Medicare 21634
CT scan - Head 2022 Provider Commercial 440765
Ear procedures - Therapeutic 2021 Outpatient Facility Medicare 18002
Office visits 2022 Independent Labs Medicare 3515
Open-heart procedures - Extracorporeal circulation 2020 Provider Medi-Cal 10445
Treatment, fracture, dislocation - Other 2019 Outpatient Facility Commercial 15942
Ureteral catheterization 2018 Outpatient Facility Commercial 6207
Fallopian tubes - Ligation 2022 Provider Medi-Cal 9430
Intraocular procedures - Therapeutic 2018 Outpatient Facility Medicare 26063
Nervous system procedures - Diagnostic (other) 2021 Outpatient Facility Medicare 35464
Cardiovascular procedures - Diagnostic (other) 2020 Provider Medicare 243064
Mammography 2022 Provider Medi-Cal 683695
Urinary system (nonoperative) measurements 2023 Outpatient Facility Medicare 653868
TURP (transurethral resection of prostate) 2021 Inpatient Facility Medicare 45
Ear procedures - Therapeutic 2020 Provider Medicare 252727
Other types of visits 2022 Home Health Medicare 71
Exploratory laparotomy 2023 Outpatient Facility Medi-Cal 35
Wound care - Traction, splints, other 2020 Inpatient Facility Medicare 1063
Behavioral health services 2022 Outpatient Facility Commercial 306
Knee - Arthroplasty 2023 Inpatient Facility Medicare 1002
Emergency department services 2018 Ambulance Medi-Cal 559
Vascular bypass and shunt - Other (not heart) 2022 Provider Medicare 579
Anesthesia 2022 Provider Medicare 2009347
Respiratory intubation and mechanical ventilation 2023 Inpatient Facility Commercial 148
Ultrasound - Head and neck - Diagnostic 2021 Independent Labs Medi-Cal 54
Ungrouped Procedures 2023 Provider Medicare 6120798
Fetal monitoring 2021 Inpatient Facility Medi-Cal 1682
Observation care services 2020 Outpatient Facility Medi-Cal 41429
Breast - Mastectomy 2019 Provider Medi-Cal 3029
Catheterization (Swan-Ganz) for monitoring 2019 Provider Commercial 3208
Bone marrow biopsy 2021 Outpatient Facility Commercial 4129
Myelogram 2022 Provider Medicare 2535
Cholecystectomy and common duct exploration 2023 Outpatient Facility Medi-Cal 11902
DME and supplies 2021 Provider Commercial 4840070
Colostomy (temporary and permanent) 2019 Provider Medi-Cal 753
Spinal canal stimulator insertion and injection 2022 Independent Labs Commercial 647
Arthrocentesis 2018 Unclassified/other Medi-Cal 64
Therapeutic procedures - Other 2022 Unclassified/other Medicare 288
HIPPS home health services 2019 Home Health Commercial 6081
Lung and bronchus procedures - Diagnostic (other) 2019 Provider Medi-Cal 288032
EEG (electroencephalogram) 2019 Inpatient Facility Medicare 1971
Transportation - Patient, provider, equipment 2020 Provider Medi-Cal 344680
Ophthalmologic/otologic diagnosis and treatment 2019 Outpatient Facility Commercial 69735
Female organ procedures - Diagnostic (other) 2019 Outpatient Facility Medicare 18679
Laboratory - Chemistry and hematology 2022 Pharmacy Medicare 98
Skin graft 2023 Provider Medi-Cal 50837
GI procedures - Therapeutic OR 2020 Provider Medi-Cal 7831
HCPCS Level II codes not classified 2020 Hospice Medicare 195
Nose procedures - Plastic 2018 Provider Commercial 13863
Contrast arteriogram - Lower extremity arteries 2023 Inpatient Facility Medicare 52
Radioisotope scan and function studies 2020 Provider Medicare 388439
Eye procedures - Glaucoma 2019 Outpatient Facility Commercial 4672
Muscles, tendons, joints - Injections, aspirations 2020 Provider Medicare 221856
Treatment, fracture, dislocation - Radius and ulna 2023 Provider Commercial 23277
Gastric bypass and volume reduction 2019 Inpatient Facility Commercial 45
Abdominal paracentesis 2018 Unclassified/other Medi-Cal 207
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2020 Unclassified/other Medi-Cal 152
Microscopic examination (e.g., lab, toxicology) 2022 Provider Medicare 1085649
X-ray - Chest (routine) 2021 Inpatient Facility Commercial 441
Colonoscopy and biopsy 2019 Inpatient Facility Medi-Cal 112
Electrographic cardiac monitoring 2018 Inpatient Facility Medicare 260
Obstetrical procedures - Therapeutic (other) 2018 Outpatient Facility Medi-Cal 44304
Blood and blood product transfusion 2022 Outpatient Facility Commercial 53341
Other types of lab tests 2020 Independent Labs Commercial 12700513
Telehealth 2020 Unclassified/other Medi-Cal 2245
Catheterization (Swan-Ganz) for monitoring 2020 Provider Medi-Cal 2869
Oral and dental services 2018 Provider Medicare 2687
Emergency department services 2023 Outpatient Facility Commercial 2207396
MRI (magnetic resonance imaging) 2020 Unclassified/other Commercial 116
Thyroidectomy (partial or complete) 2023 Outpatient Facility Medicare 1854
Consultations 2023 Outpatient Facility Medicare 426
Amputation - Lower extremity 2021 Provider Medi-Cal 7736
Physical/occupational/speech therapy - Exercises 2018 Outpatient Facility Medi-Cal 4053169
GI (upper) endoscopy, biopsy 2023 Provider Commercial 196020
ERCP (endoscopic retro. cannulation of pancreas) 2019 Outpatient Facility Medicare 15324
Urinary tract procedures - Diagnostic (other) 2019 Provider Commercial 3279
Pathology 2019 Provider Medi-Cal 1104209
CT scan - Other 2019 Provider Medicare 684247
DME and supplies 2023 Provider Commercial 4054027
Enteral and parenteral nutrition 2020 Provider Commercial 46451
Musculoskeletal procedures - Therapeutic (other) 2018 Provider Medicare 1880097
Nervous system procedures - Therapeutic OR (other) 2018 Inpatient Facility Medicare 49
Extracranial ventricular shunt services 2018 Provider Commercial 2489
Hospital services 2020 Outpatient Facility Medicare 515
Skin lesion - Excision 2019 Inpatient Facility Medicare 54
HCPCS Level II codes not classified 2023 Hospice Medi-Cal 176
Radioisotope scan and function studies 2022 Outpatient Facility Commercial 72155
Urethra - Procedures 2018 Outpatient Facility Medi-Cal 1129
Spinal fusion 2021 Provider Medicare 112050
Vessels of head/neck - Endarterectomy 2019 Provider Commercial 540
Nasogastric tube 2019 Provider Medi-Cal 661
Preventive visits 2020 Independent Labs Commercial 56
Psychological and psychiatric evaluation, therapy 2022 Inpatient Facility Commercial 1480
Respiratory procedures - Therapeutic (other) 2019 Inpatient Facility Medi-Cal 1204
Skilled nursing facility services (HIPPS) 2021 Outpatient Facility Medicare 147
Nose, mouth, pharynx procedures - Diagnostic 2021 Outpatient Facility Medicare 45437
Hemic/lymphatic system procedures - Therapeutic 2019 Provider Commercial 26702
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2020 Provider Medi-Cal 646737
X-ray - Chest (routine) 2020 Inpatient Facility Medicare 77854
Radiology - Diagnostic (other) 2020 Outpatient Facility Medi-Cal 1223674
Bone marrow transplant 2023 Outpatient Facility Commercial 1711
Medications (injections, infusions, other forms) 2018 Home Health Medicare 350
Consultations 2023 Outpatient Facility Commercial 3271
Laboratory - Chemistry and hematology 2018 Pharmacy Medicare 197
Intraoperative cholangiogram 2020 Outpatient Facility Medicare 630
Nervous system procedures - Therapeutic (other) 2023 Provider Medi-Cal 186520
Extracranial ventricular shunt services 2018 Outpatient Facility Medicare 274
Hospital services 2019 Unclassified/other Medi-Cal 37
Thyroidectomy (partial or complete) 2023 Outpatient Facility Commercial 3615
Spinal fusion 2021 Provider Medi-Cal 30281
Psychological and psychiatric evaluation, therapy 2021 Provider Commercial 11810091
Treatment, fracture, dislocation - Facial 2018 Provider Medicare 3834
HCPCS Level II codes not classified 2023 Outpatient Facility Commercial 87018
Preventive visits 2020 Pharmacy Commercial 4154
Respiratory procedures - Therapeutic (other) 2018 Provider Medi-Cal 3787
Central nervous system (CNS) incision and excision 2022 Provider Medi-Cal 5708
DME and supplies 2023 Pharmacy Medi-Cal 3719
Ureteral catheterization 2023 Provider Medicare 17330
Emergency department services 2022 Provider Commercial 2338379
Urinary tract procedures - Diagnostic (other) 2019 Outpatient Facility Medicare 8466
Ultrasound - Heart (echocardiogram) - Diagnostic 2021 Inpatient Facility Medicare 20788
MRI (magnetic resonance imaging) 2020 Inpatient Facility Medi-Cal 1554
Skin, breast procedures - Therapeutic (other) 2018 Outpatient Facility Medicare 161006
Abdominal paracentesis 2018 Provider Medicare 38364
Bronchoscopy and biopsy - Diagnostic 2022 Inpatient Facility Medicare 280
Amputation - Lower extremity 2022 Provider Commercial 3379
Electrographic cardiac monitoring 2018 Inpatient Facility Medi-Cal 36
Obstetrical procedures - Therapeutic (other) 2018 Outpatient Facility Commercial 1538
Coronary thrombolysis 2020 Provider Commercial 54
GI (lower) procedures - Therapeutic 2023 Provider Commercial 4728
Blood and blood product transfusion 2022 Inpatient Facility Medicare 6172
Epistaxis control 2022 Provider Medi-Cal 7148
Hemic/lymphatic system procedures - Therapeutic 2019 Outpatient Facility Medi-Cal 4751
Nose, mouth, pharynx procedures - Diagnostic 2020 Provider Commercial 132087
Microscopic examination (e.g., lab, toxicology) 2022 Provider Medi-Cal 4067412
Physical/occupational/speech therapy - Diagnostic 2023 Unclassified/other Commercial 78
Skilled nursing facility services (HIPPS) 2019 Provider Medicare 14302
Musculoskeletal procedures - Therapeutic (other) 2018 Provider Medi-Cal 228830
ERCP (endoscopic retro. cannulation of pancreas) 2020 Inpatient Facility Medi-Cal 112
Telehealth 2021 Inpatient Facility Medicare 5970
Pathology 2023 Inpatient Facility Medicare 21390
Radioisotope scan - Bone 2023 Provider Medicare 27531
Urinary obstruction - Excision, drainage, removal 2021 Inpatient Facility Medicare 85
Cesarean section 2020 Outpatient Facility Medi-Cal 1213
Delivery - Forceps, vacuum, and breech 2018 Inpatient Facility Medi-Cal 150
DME and supplies 2018 Unclassified/other Medi-Cal 6807
Laboratory - Chemistry and hematology 2021 Home Health Commercial 321
Ultrasound - Urinary tract - Diagnostic 2022 Provider Medi-Cal 3352
Urinary tract procedures - Therapeutic (other) 2021 Inpatient Facility Medicare 48
Bowel procedures - Diagnostic 2019 Provider Medi-Cal 116
Male genital procedures - Diagnostic 2022 Outpatient Facility Medi-Cal 866
Organ transplantation - Other 2022 Outpatient Facility Medi-Cal 71
Cardiac catheterization/arteriography - Diagnostic 2018 Provider Commercial 41386
Heart procedures - Other OR 2018 Provider Commercial 4050
Hysterectomy (abdominal and vaginal) 2019 Outpatient Facility Commercial 14918
Proctoscopy and anorectal biopsy 2022 Provider Medi-Cal 14600
Gastrostomy (temporary and permanent) 2020 Outpatient Facility Commercial 1701
Ultrasound - Diagnostic (other) 2019 Provider Medi-Cal 2152790
Female organ procedures - Diagnostic (other) 2022 Inpatient Facility Medi-Cal 59
Ancillary services 2019 Provider Medicare 352478
Cystocele/rectocele repair, oblit. of vag. vault 2018 Outpatient Facility Medicare 4211
Therapeutic procedures - Other 2018 Outpatient Facility Commercial 1306137
Physical/occupational/speech therapy - Exercises 2021 Outpatient Facility Medi-Cal 3970020
Liver biopsy 2019 Provider Medicare 7407
Nose, mouth, pharynx procedures - Therapeutic 2021 Outpatient Facility Medicare 21554
Skin and subcutaneous tissue - Incision, drainage 2018 Provider Commercial 137569
GI (upper) procedures - Therapeutic OR 2019 Outpatient Facility Medicare 423
Office visits 2018 Outpatient Facility Medicare 5750238
Non-hospital-based care (home health, hospice) 2018 Provider Medi-Cal 1428949
CABG (coronary artery bypass graft) 2018 Provider Commercial 9552
Tracheoscopy and laryngoscopy with biopsy 2020 Provider Medi-Cal 29384
Physical/occupational/speech therapy - Exercises 2023 Unclassified/other Commercial 2088
Esophageal dilatation 2018 Outpatient Facility Commercial 6914
Extraocular muscle procedures - Therapeutic 2021 Provider Medicare 16870
Abortion (termination of pregnancy) 2020 Provider Medicare 90
X-ray - Lower GI 2021 Outpatient Facility Medi-Cal 1220
X-ray - Upper GI 2018 Provider Medicare 73927
Nephrectomy (partial or complete) 2021 Outpatient Facility Medi-Cal 103
Hemodialysis 2020 Provider Commercial 5746
Eye procedures - Glaucoma 2023 Provider Medicare 64378
Joint procedures - Therapeutic OR (other) 2018 Outpatient Facility Medicare 9372
Treatment, fracture, dislocation - Hip and femur 2021 Inpatient Facility Medicare 215
Endocrine procedures - Therapeutic 2019 Outpatient Facility Medi-Cal 1112
Oophorectomy (unilateral and bilateral) 2018 Unclassified/other Medi-Cal 89
Arthrocentesis 2022 Provider Medicare 870165
Aortic resection - Replacement or anastomosis 2023 Outpatient Facility Medicare 42
Contrast arteriogram - Lower extremity arteries 2018 Provider Commercial 981
Endocrine procedures - Therapeutic 2018 Provider Medicare 5238
Office visits 2019 Independent Labs Commercial 3162
Other types of lab tests 2022 Provider Medicare 3194307
Pathology 2023 Independent Labs Medi-Cal 1462678
Skin, breast procedures - Therapeutic (other) 2022 Outpatient Facility Medicare 101861
Hysterectomy (abdominal and vaginal) 2018 Provider Medi-Cal 12630
GI (upper) procedures - Therapeutic OR 2019 Outpatient Facility Commercial 696
Critical care services 2023 Provider Medicare 1313885
DME and supplies 2019 Independent Labs Medicare 793
Ancillary services 2020 Independent Labs Medicare 87647
Female organ procedures - Diagnostic (other) 2021 Unclassified/other Commercial 40
CT scan - Abdomen 2023 Inpatient Facility Commercial 275
Hemodialysis 2020 Outpatient Facility Medi-Cal 38128
Physical/occupational/speech therapy - Exercises 2022 Home Health Medicare 6326
Aortic resection - Replacement or anastomosis 2022 Outpatient Facility Medicare 37
Vessels other than head/neck procedures - Other OR 2021 Pharmacy Medi-Cal 1458
Laboratory - Chemistry and hematology 2021 Outpatient Facility Medi-Cal 16287827
Non-hospital-based care (home health, hospice) 2018 Outpatient Facility Commercial 24039
Epistaxis control 2023 Provider Commercial 9395
Transportation - Patient, provider, equipment 2018 Provider Medicare 663539
Eye procedures - Repair of retinal tear/detachment 2022 Provider Commercial 13149
Radiology - Diagnostic (other) 2022 Provider Commercial 5261889
Nephrectomy (partial or complete) 2023 Inpatient Facility Medicare 59
Urinary tract procedures - Therapeutic (other) 2022 Outpatient Facility Medicare 10882
Colorectal resection 2020 Inpatient Facility Commercial 61
Physical/occupational/speech therapy - Exercises 2023 Provider Commercial 14527200
Nose, mouth, pharynx procedures - Therapeutic 2021 Inpatient Facility Medicare 176221
Decompression peripheral nerve 2023 Provider Medi-Cal 8419
Bone procedures - Therapeutic OR (other) 2018 Provider Medi-Cal 23502
X-ray - Lower GI 2020 Provider Medi-Cal 2549
Arthrocentesis 2022 Outpatient Facility Medicare 61747
CABG (coronary artery bypass graft) 2021 Provider Commercial 8573
Gastrostomy (temporary and permanent) 2021 Provider Medicare 31963
Joint procedures - Therapeutic OR (other) 2019 Provider Medi-Cal 17764
Proctoscopy and anorectal biopsy 2022 Outpatient Facility Commercial 7466
Organ transplantation - Other 2021 Provider Commercial 1124
Radioisotope scan - Other 2019 Outpatient Facility Medicare 1225
X-ray - Upper GI 2020 Inpatient Facility Medi-Cal 160
Skin and subcutaneous tissue - Incision, drainage 2019 Provider Medicare 100315
Cardiac catheterization/arteriography - Diagnostic 2018 Outpatient Facility Medi-Cal 13137
Male genital procedures - Diagnostic 2023 Outpatient Facility Medicare 9085
Liver biopsy 2021 Outpatient Facility Medi-Cal 1580
Extraocular muscle procedures - Therapeutic 2023 Provider Medicare 12884
Musculoskeletal procedures - Therapeutic OR (other) 2018 Provider Medi-Cal 2578
Treatment, fracture, dislocation - Hip and femur 2022 Outpatient Facility Medicare 2348
Contrast arteriogram - Lower extremity arteries 2018 Outpatient Facility Commercial 394
Decompression peripheral nerve 2020 Outpatient Facility Medi-Cal 3832
Pleura incision, thoracentesis, chest drainage 2020 Provider Medi-Cal 17081
Medications (injections, infusions, other forms) 2020 Unclassified/other Commercial 730
Breast - Biopsy, procedures - Diagnostic (other) 2023 Outpatient Facility Commercial 28000
Gastrostomy (temporary and permanent) 2018 Provider Medicare 20835
Cardiac stress tests 2023 Outpatient Facility Commercial 25015
Hernia repair - Inguinal and femoral 2021 Outpatient Facility Commercial 15191
D&C - Aspiration after delivery or abortion 2020 Outpatient Facility Medi-Cal 3546
Contrast aortogram 2021 Outpatient Facility Medicare 7372
Ultrasound - Diagnostic (other) 2022 Inpatient Facility Medi-Cal 2892
Ultrasound - Urinary tract - Diagnostic 2019 Outpatient Facility Medicare 2039
Non-hospital-based care (home health, hospice) 2023 Hospice Medi-Cal 191443
Excision, lysis peritoneal adhesions 2021 Provider Commercial 548
Behavioral health services 2018 Inpatient Facility Medicare 103
Female organ procedures - Therapeutic OR (other) 2022 Outpatient Facility Medicare 3931
Other types of visits 2019 Hospice Medicare 1323
Laparoscopy 2021 Outpatient Facility Medi-Cal 2704
Physical/occupational/speech therapy - Exercises 2020 Unclassified/other Medi-Cal 3968
Appendectomy 2021 Outpatient Facility Commercial 11708
Muscle and tendon procedures - Therapeutic (other) 2022 Provider Medi-Cal 90366
CT scan - Chest 2020 Outpatient Facility Medicare 276555
Hip replacement (partial and total) 2021 Provider Medicare 36765
Skin, breast procedures - Therapeutic (other) 2020 Inpatient Facility Medicare 10695
Treatment, fracture, dislocation - Other 2022 Provider Medicare 30812
Bunionectomy or repair of toe deformities 2022 Provider Commercial 10568
Spleen procedures 2019 Provider Medi-Cal 419
Tracheostomy (temporary and permanent) 2023 Outpatient Facility Medi-Cal 39
Nose, mouth, pharynx procedures - Therapeutic OR 2019 Outpatient Facility Commercial 35121
Ungrouped Procedures 2022 Provider Commercial 5972896
Colonoscopy and biopsy 2023 Outpatient Facility Medicare 226447
Radiology - Diagnostic (other) 2021 Outpatient Facility Commercial 1427734
DME and supplies 2020 Pharmacy Commercial 235
Eye procedures - Repair of retinal tear/detachment 2018 Unclassified/other Medi-Cal 63
Open-heart procedures - Extracorporeal circulation 2022 Pharmacy Medicare 198
Ancillary services 2019 Inpatient Facility Commercial 262
Skin and subcutaneous tissue - Diagnostic (other) 2023 Independent Labs Medicare 38
Radioisotope scan - Bone 2022 Outpatient Facility Medicare 22358
Office visits 2018 Home Health Medi-Cal 17285
GI procedures - Therapeutic 2018 Outpatient Facility Commercial 2067
Male genital procedures - Diagnostic 2021 Independent Labs Medicare 4331
Laboratory - Chemistry and hematology 2020 Outpatient Facility Medi-Cal 14017884
X-ray - Chest (routine) 2023 Unclassified/other Commercial 330
Vessels other than head/neck procedures - Other OR 2018 Provider Medi-Cal 22740
Cardiac catheterization/arteriography - Diagnostic 2020 Inpatient Facility Commercial 92
Non-hospital-based care (home health, hospice) 2019 Inpatient Facility Medi-Cal 151658
Abdominal paracentesis 2020 Provider Commercial 15810
Cystocele/rectocele repair, oblit. of vag. vault 2019 Outpatient Facility Commercial 3133
Pleura incision, thoracentesis, chest drainage 2019 Outpatient Facility Commercial 3069
X-ray - Lower GI 2022 Outpatient Facility Commercial 1125
Skin, breast procedures - Therapeutic (other) 2023 Outpatient Facility Medi-Cal 100309
Colonoscopy and biopsy 2021 Outpatient Facility Commercial 306497
Hysterectomy (abdominal and vaginal) 2019 Provider Medicare 10060
Hernia repair - Inguinal and femoral 2018 Outpatient Facility Medi-Cal 6689
Skin and subcutaneous tissue - Incision, drainage 2019 Unclassified/other Medi-Cal 46
Radioisotope scan - Other 2019 Provider Commercial 1266
Heart procedures - Other OR 2021 Inpatient Facility Medicare 187
D&C - Aspiration after delivery or abortion 2022 Provider Commercial 8349
Physical/occupational/speech therapy - Exercises 2022 Provider Commercial 14110351
Ear procedures - Diagnostic 2018 Provider Medicare 23937
Male genital procedures - Therapeutic (other) 2020 Inpatient Facility Medicare 36
Arterial blood gases 2019 Inpatient Facility Commercial 66
Ungrouped Procedures 2022 DME (Durable Medical Equipment) Medi-Cal 133335
Contrast arteriogram - Lower extremity arteries 2020 Provider Commercial 997
GI (upper) procedures - Therapeutic OR 2021 Outpatient Facility Medicare 508
Intraoperative cholangiogram 2022 Outpatient Facility Medicare 473
Bunionectomy or repair of toe deformities 2019 Outpatient Facility Medi-Cal 2428
Female organ procedures - Therapeutic OR (other) 2020 Provider Medi-Cal 11921
Radiology - Diagnostic (other) 2023 Inpatient Facility Commercial 269
Prophylactic vaccinations and inoculations 2020 Provider Commercial 16826393
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2022 Provider Medicare 911975
Respiratory procedures - Therapeutic (other) 2022 Inpatient Facility Medicare 2874
Office visits 2019 Independent Labs Medicare 840
Nervous system procedures - Diagnostic (other) 2019 Provider Medicare 396301
Medications (injections, infusions, other forms) 2020 Hospice Medicare 2356
Arthroplasty other than hip or knee 2018 Provider Commercial 17273
Cervix and uterus - Other excision 2020 Outpatient Facility Commercial 9174
Pathology 2020 Outpatient Facility Medi-Cal 349386
Laparoscopy 2019 Outpatient Facility Medicare 3468
Transportation - Patient, provider, equipment 2019 Ambulance Medi-Cal 13394897
Laparoscopy 2023 Inpatient Facility Medicare 77
Extracranial ventricular shunt services 2021 Provider Medicare 5477
Gastric bypass and volume reduction 2020 Provider Medicare 1930
Ancillary services 2020 Pharmacy Medicare 120
Eye procedures - Therapeutic (other) 2019 Outpatient Facility Medi-Cal 8193
Ungrouped Procedures 2018 DME (Durable Medical Equipment) Medi-Cal 188
CT scan - Head 2018 Provider Commercial 399768
HCPCS Level II codes not classified 2021 Outpatient Facility Commercial 55206
Endocrine procedures - Diagnostic 2018 Provider Commercial 17516
Musculoskeletal procedures - Therapeutic (other) 2021 Outpatient Facility Medi-Cal 326018
Eye procedures - Diagnostic 2019 Outpatient Facility Medicare 583
Ancillary services 2023 Unclassified/other Medi-Cal 6246
Consultations 2018 Outpatient Facility Medi-Cal 13670
Microscopic examination (e.g., lab, toxicology) 2020 Provider Medicare 783907
Urinary tract procedures - Diagnostic (other) 2022 Outpatient Facility Medicare 5980
Psychological and psychiatric evaluation, therapy 2022 Unclassified/other Commercial 66655
Treatment, fracture, dislocation - Radius and ulna 2019 Provider Medi-Cal 29226
Visual aids and other optical supplies 2022 Outpatient Facility Commercial 22795
Nervous system procedures - Therapeutic OR (other) 2020 Provider Medi-Cal 30365
Respiratory intubation and mechanical ventilation 2019 Outpatient Facility Medicare 18977
Tonsillectomy and/or adenoidectomy 2020 Provider Commercial 8728
Fallopian tubes - Other operations 2019 Outpatient Facility Commercial 856
CT scan - Abdomen 2019 Unclassified/other Medi-Cal 120
Preventive visits 2022 Independent Labs Commercial 1069
Other types of lab tests 2021 Hospice Medi-Cal 988
DME and supplies 2022 Independent Labs Medi-Cal 66390
Observation care services 2022 Inpatient Facility Medicare 36
Breast - Lumpectomy, quadrantectomy 2020 Provider Commercial 12123
Oral and dental services 2021 Provider Medicare 2696
Hemic/lymphatic system procedures - Therapeutic 2022 Outpatient Facility Commercial 21893
Lung and bronchus procedures - Diagnostic (other) 2022 Outpatient Facility Medicare 151277
Care management/coordination services 2021 Hospice Commercial 972
Critical care services 2018 Provider Medicare 1009005
Indwelling catheter 2023 Inpatient Facility Medi-Cal 185
HIPPS home health services 2022 Outpatient Facility Medicare 110
Small bowel resection 2023 Provider Medicare 4535
Bone excision (partial) 2018 Outpatient Facility Medi-Cal 3102
Arteriogram or venogram (not heart and head) 2020 Provider Medicare 124357
Division of joint capsule (ligament or cartilage) 2019 Provider Medicare 7130
Male genital procedures - Therapeutic OR (other) 2023 Provider Commercial 10287
Bone excision (partial) 2021 Provider Commercial 16011
Radioisotope scan - Pulmonary 2023 Inpatient Facility Medi-Cal 34
Skin graft 2019 Inpatient Facility Medicare 106
Telehealth 2022 Pharmacy Medicare 47
GI (lower) procedures - Therapeutic OR 2020 Outpatient Facility Medicare 1289
Ultrasound - Head and neck - Diagnostic 2023 Provider Commercial 306151
Skilled nursing facility services (HIPPS) 2023 Outpatient Facility Medicare 105
Knee - Excision of semilunar cartilage 2020 Provider Medi-Cal 7442
Nonoperative removal of foreign body 2018 Provider Medicare 18414
Emergency department services 2023 Unclassified/other Medi-Cal 1094
Amputation - Lower extremity 2021 Provider Commercial 3116
DME and supplies 2023 Pharmacy Medicare 252
GI (upper) endoscopy, biopsy 2023 Outpatient Facility Medicare 121398
Urinary tract procedures - Diagnostic (other) 2019 Provider Medi-Cal 3192
Gastric bypass and volume reduction 2018 Provider Medicare 2737
MRI (magnetic resonance imaging) 2021 Outpatient Facility Medicare 419774
Catheterization (Swan-Ganz) for monitoring 2020 Provider Medicare 8452
Psychological and psychiatric evaluation, therapy 2022 Inpatient Facility Medi-Cal 12577
Other types of lab tests 2020 Outpatient Facility Medicare 6163927
Vessels of head/neck - Endarterectomy 2019 Outpatient Facility Medicare 47
Consultations 2023 Pharmacy Medi-Cal 70
Bronchoscopy and biopsy - Diagnostic 2022 Outpatient Facility Medi-Cal 3979
Bone marrow biopsy 2021 Provider Medi-Cal 8407
CT scan - Other 2019 Provider Medi-Cal 309873
Physical/occupational/speech therapy - Exercises 2018 Outpatient Facility Commercial 1093908
Electrographic cardiac monitoring 2019 Independent Labs Commercial 2243
Appendectomy 2018 Inpatient Facility Medicare 125
Oophorectomy (unilateral and bilateral) 2020 Outpatient Facility Medi-Cal 2131
Enteral and parenteral nutrition 2021 Provider Medicare 180966
Ultrasound - Heart (echocardiogram) - Diagnostic 2022 Provider Medi-Cal 853706
Colonoscopy and biopsy 2019 Inpatient Facility Medicare 793
Laboratory - Chemistry and hematology 2018 Provider Commercial 6382045
Treatment, fracture, dislocation - Facial 2019 Outpatient Facility Medi-Cal 1717
Obstetrical procedures - Therapeutic (other) 2019 Outpatient Facility Commercial 1547
HCPCS Level II codes not classified 2023 Independent Labs Commercial 66
Medications (injections, infusions, other forms) 2018 Outpatient Facility Medi-Cal 8556925
Urinary obstruction - Excision, drainage, removal 2022 Inpatient Facility Medi-Cal 79
X-ray - Chest (routine) 2020 Unclassified/other Medi-Cal 2137
Skilled nursing facility services (HIPPS) 2021 Provider Commercial 5090
Eye procedures - Lens and cataract 2018 Provider Medi-Cal 54444
CT scan - Abdomen 2023 Unclassified/other Medi-Cal 265
Nervous system procedures - Therapeutic (other) 2023 Provider Medicare 603239
Tympanoplasty 2020 Provider Commercial 1998
Nasogastric tube 2019 Provider Commercial 496
Abdominal paracentesis 2019 Inpatient Facility Medi-Cal 76
Extracranial ventricular shunt services 2019 Provider Medicare 4885
Pregnancy (ectopic) - Removal 2019 Provider Commercial 1314
Microscopic examination (e.g., lab, toxicology) 2022 Unclassified/other Commercial 1933
Pacemaker or cardioverter/defibrillator services 2020 Provider Commercial 4471
Oral and dental services 2019 Provider Medicare 2795
Therapeutic procedures - Other 2018 Unclassified/other Medi-Cal 166
ERCP (endoscopic retro. cannulation of pancreas) 2020 Outpatient Facility Commercial 7070
Hemic/lymphatic system procedures - Therapeutic 2020 Provider Medicare 34498
HIPPS home health services 2022 Unclassified/other Medi-Cal 805
PTCA (percutaneous transluminal coronary angio.) 2021 Outpatient Facility Commercial 5262
Other types of lab tests 2020 Unclassified/other Medicare 219
CT scan - Other 2021 Outpatient Facility Commercial 118979
Skin graft 2019 Outpatient Facility Medicare 27790
Preventive visits 2021 Outpatient Facility Commercial 10089
Vascular bypass - Peripheral 2021 Provider Medi-Cal 896
Breast - Lumpectomy, quadrantectomy 2020 Outpatient Facility Commercial 11424
Blood and blood product transfusion 2023 Inpatient Facility Medi-Cal 6509
Respiratory intubation and mechanical ventilation 2020 Ambulance Commercial 81
Arthrocentesis 2020 Provider Commercial 292481
Care management/coordination services 2022 Hospice Commercial 769
HCPCS Level II codes not classified 2020 Provider Medicare 5192845
Psychological and psychiatric evaluation, therapy 2022 Provider Commercial 12818617
Physical/occupational/speech therapy - Diagnostic 2018 Inpatient Facility Commercial 786
Skilled nursing facility services (HIPPS) 2022 Provider Medicare 20326
GI (lower) procedures - Therapeutic OR 2019 Provider Medicare 9832
GI procedures - Therapeutic 2022 Inpatient Facility Medicare 116
Spinal canal stimulator insertion and injection 2018 Outpatient Facility Commercial 56859
Telehealth 2022 Home Health Medi-Cal 219
Urethra - Procedures 2023 Outpatient Facility Medi-Cal 936
Nasogastric tube 2022 Outpatient Facility Medicare 214
Anesthesia 2018 Outpatient Facility Commercial 63092
Ultrasound - Head and neck - Diagnostic 2018 Provider Commercial 292735
Visual aids and other optical supplies 2022 Provider Commercial 47273
Nonoperative removal of foreign body 2019 Provider Commercial 15617
Mammography 2018 Unclassified/other Medi-Cal 1649
Nervous system procedures - Diagnostic (other) 2023 Outpatient Facility Medi-Cal 41484
Electrocardiogram 2021 Outpatient Facility Medicare 1147651
Fallopian tubes - Other operations 2021 Outpatient Facility Commercial 802
Endocrine procedures - Diagnostic 2020 Outpatient Facility Medicare 1436
Urinary tract procedures - Diagnostic (other) 2021 Provider Medicare 6554
Tonsillectomy and/or adenoidectomy 2021 Outpatient Facility Medi-Cal 5830
CT scan - Abdomen 2019 Outpatient Facility Medi-Cal 334514
GI (upper) endoscopy, biopsy 2019 Inpatient Facility Medi-Cal 154
MRI (magnetic resonance imaging) 2022 Unclassified/other Commercial 167
Radioisotope scan - Pulmonary 2023 Outpatient Facility Medi-Cal 1484
DME and supplies 2022 Inpatient Facility Medi-Cal 92023
Division of joint capsule (ligament or cartilage) 2018 Outpatient Facility Medi-Cal 870
Indwelling catheter 2023 Outpatient Facility Medicare 40393
Treatment, fracture, dislocation - Radius and ulna 2019 Outpatient Facility Commercial 14809
Microscopic examination (e.g., lab, toxicology) 2020 Provider Commercial 1710849
Chemotherapy - Cancer 2023 Provider Medicare 682187
Transportation - Patient, provider, equipment 2018 Provider Commercial 9506
Musculoskeletal procedures - Therapeutic OR (other) 2019 Outpatient Facility Medicare 2586
Cardiac catheterization/arteriography - Diagnostic 2019 Outpatient Facility Medicare 69089
Female organ procedures - Diagnostic (other) 2022 Outpatient Facility Medi-Cal 30238
Liver biopsy 2021 Inpatient Facility Medicare 41
Nose, mouth, pharynx procedures - Therapeutic 2021 Provider Commercial 55297
Decompression peripheral nerve 2023 Outpatient Facility Medi-Cal 5039
Therapeutic procedures - Other 2018 Outpatient Facility Medi-Cal 2350527
Esophageal dilatation 2018 Outpatient Facility Medi-Cal 3166
Colorectal resection 2019 Provider Medi-Cal 6604
X-ray - Lower GI 2021 Provider Commercial 2129
Other types of lab tests 2022 Pharmacy Medicare 2424
Prophylactic vaccinations and inoculations 2020 Outpatient Facility Medicare 547260
CT scan - Abdomen 2022 Unclassified/other Medi-Cal 62
Abdominal paracentesis 2020 Inpatient Facility Medicare 278
Office visits 2019 Home Health Medi-Cal 19987
Arthrocentesis 2023 Outpatient Facility Medi-Cal 37343
Proctoscopy and anorectal biopsy 2022 Inpatient Facility Medicare 80
Hysterectomy (abdominal and vaginal) 2019 Outpatient Facility Medi-Cal 2723
Gastrostomy (temporary and permanent) 2022 Provider Commercial 4718
Vessels of head/neck procedures - Other OR 2022 Outpatient Facility Medi-Cal 96
DME and supplies 2019 DME (Durable Medical Equipment) Commercial 1426794
Radioisotope scan - Other 2019 Outpatient Facility Medi-Cal 324
Skin and subcutaneous tissue - Incision, drainage 2019 Provider Commercial 129279
Heart procedures - Other OR 2018 Provider Medicare 9575
Contrast arteriogram - Lower extremity arteries 2018 Inpatient Facility Medicare 106
Oophorectomy (unilateral and bilateral) 2019 Outpatient Facility Medi-Cal 2463
Physical/occupational/speech therapy - Exercises 2023 Unclassified/other Medicare 523
Cystocele/rectocele repair, oblit. of vag. vault 2018 Provider Commercial 5144
Ancillary services 2019 Unclassified/other Commercial 1677
Extraocular muscle procedures - Therapeutic 2023 Outpatient Facility Medicare 2270
Endocrine procedures - Therapeutic 2019 Provider Commercial 5841
Joint procedures - Therapeutic OR (other) 2019 Provider Commercial 40484
Non-hospital-based care (home health, hospice) 2018 Inpatient Facility Medicare 346167
Treatment, fracture, dislocation - Hip and femur 2021 Outpatient Facility Commercial 737
Organ transplantation - Other 2021 Outpatient Facility Medi-Cal 98
Ultrasound - Diagnostic (other) 2019 Outpatient Facility Commercial 758497
Respiratory procedures - Therapeutic (other) 2021 Provider Medi-Cal 4197
X-ray - Upper GI 2018 Unclassified/other Medi-Cal 505
Aortic resection - Replacement or anastomosis 2021 Provider Medicare 4437
Nephrectomy (partial or complete) 2022 Provider Medi-Cal 1831
Hemodialysis 2020 Inpatient Facility Medi-Cal 1992
GI procedures - Therapeutic OR 2018 Inpatient Facility Medicare 100
Ultrasound - Head and neck - Diagnostic 2019 Outpatient Facility Medi-Cal 35376
Ureteral catheterization 2022 Provider Medicare 17078
Arteriogram or venogram (not heart and head) 2022 Inpatient Facility Medicare 3176
MRI (magnetic resonance imaging) 2023 Provider Medi-Cal 785050
Nonoperative removal of foreign body 2020 Provider Medicare 16402
Musculoskeletal procedures - Therapeutic (other) 2022 Inpatient Facility Commercial 48
Physical/occupational/speech therapy - Diagnostic 2019 Outpatient Facility Commercial 129981
Mastoidectomy 2023 Outpatient Facility Medicare 345
Knee - Arthroplasty 2021 Outpatient Facility Medi-Cal 2422
Respiratory intubation and mechanical ventilation 2021 Inpatient Facility Medi-Cal 5713
Division of joint capsule (ligament or cartilage) 2022 Outpatient Facility Medi-Cal 837
Skin and subcutaneous tissue - Diagnostic (other) 2019 Outpatient Facility Commercial 11819
Rehabilitation facility services 2019 Outpatient Facility Medi-Cal 75
Female organ procedures - Diagnostic (other) 2018 Independent Labs Medi-Cal 3315
Hemic/lymphatic system procedures - Therapeutic 2022 Provider Medicare 39355
Microscopic examination (e.g., lab, toxicology) 2018 Outpatient Facility Medicare 3462832
Spinal canal stimulator insertion and injection 2020 Outpatient Facility Medi-Cal 19989
Vessels of head/neck procedures - Other OR 2019 Inpatient Facility Medicare 97
Other types of lab tests 2021 Provider Commercial 4274093
Cholecystectomy and common duct exploration 2020 Provider Medi-Cal 24296
Organ transplantation - Other 2018 Outpatient Facility Commercial 134
Central nervous system (CNS) incision and excision 2021 Provider Commercial 4948
Thyroidectomy (partial or complete) 2021 Inpatient Facility Medicare 36
Preventive visits 2018 Provider Medicare 1339033
Electrocardiogram 2019 Independent Labs Medi-Cal 96
HCPCS Level II codes not classified 2019 Ambulance Commercial 33
GI (lower) procedures - Therapeutic 2021 Inpatient Facility Medicare 78
AVF or vessel-to-vessel cannula for dialysis svcs. 2022 Provider Medi-Cal 22770
CPT codes not classified (F codes) 2022 Outpatient Facility Commercial 1606
Urinary tract procedures - Therapeutic (other) 2019 Outpatient Facility Medicare 9561
CT scan - Other 2022 Inpatient Facility Medi-Cal 1311
Psychological and psychiatric evaluation, therapy 2023 Pharmacy Medi-Cal 1157
Breast - Lumpectomy, quadrantectomy 2023 Provider Medicare 15420
Endocrine procedures - Diagnostic 2021 Provider Medicare 51196
Debridement of wound, infection or burn 2022 Outpatient Facility Medicare 123403
Pathology 2018 Independent Labs Commercial 2789628
Consultation, evaluation, and preventive care 2020 Hospice Medicare 512
Visual aids and other optical supplies 2023 Provider Medicare 627907
GI (upper) procedures - Therapeutic 2021 Provider Medi-Cal 684
Nervous system procedures - Therapeutic OR (other) 2021 Provider Commercial 38788
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2018 Outpatient Facility Medicare 223657
Myringotomy 2022 Provider Medi-Cal 5944
Telehealth 2019 Provider Medicare 788957
MRI (magnetic resonance imaging) 2021 Independent Labs Commercial 84
Hospital services 2020 Hospice Medicare 8157
Pathology 2019 Provider Medicare 2601233
Catheterization (Swan-Ganz) for monitoring 2021 Outpatient Facility Medicare 38
Medications (injections, infusions, other forms) 2018 Pharmacy Commercial 5474
Vessels of head/neck procedures - Other OR 2021 Outpatient Facility Medicare 618
GI (lower) procedures - Therapeutic 2022 Provider Medi-Cal 2611
Intraoperative cholangiogram 2020 Provider Medicare 1790
Coronary thrombolysis 2021 Outpatient Facility Medicare 76
ERCP (endoscopic retro. cannulation of pancreas) 2018 Unclassified/other Medi-Cal 116
GI (upper) endoscopy, biopsy 2023 Inpatient Facility Commercial 50
Microscopic examination (e.g., lab, toxicology) 2022 Pharmacy Commercial 2840
Consultation, evaluation, and preventive care 2021 Provider Commercial 1237592
Urinary obstruction - Excision, drainage, removal 2022 Outpatient Facility Commercial 4825
Musculoskeletal procedures - Diagnostic (other) 2022 Provider Medicare 10935
Nose, mouth, pharynx procedures - Diagnostic 2021 Inpatient Facility Medi-Cal 5815
Skilled nursing facility services (HIPPS) 2019 Outpatient Facility Medi-Cal 58
Ultrasound - Heart (echocardiogram) - Diagnostic 2022 Inpatient Facility Medicare 21643
Gastric bypass and volume reduction 2019 Outpatient Facility Commercial 727
DME and supplies 2023 Provider Medi-Cal 7525124
Other types of lab tests 2019 Unclassified/other Medi-Cal 7100
Electrocardiogram 2023 Unclassified/other Medi-Cal 1756
Amputation - Lower extremity 2020 Provider Medicare 13114
Bronchoscopy and biopsy - Diagnostic 2021 Provider Commercial 11151
Extracranial ventricular shunt services 2020 Outpatient Facility Commercial 91
Urinary tract procedures - Diagnostic (other) 2018 Provider Medicare 9858
Emergency department services 2023 Outpatient Facility Medicare 2202603
Telehealth 2020 Provider Commercial 7955017
CT scan - Other 2019 Outpatient Facility Commercial 117859
Preventive visits 2019 Provider Medi-Cal 4136220
Psychological and psychiatric evaluation, therapy 2021 Outpatient Facility Medicare 430813
Abdominal paracentesis 2019 Inpatient Facility Medicare 245
Respiratory procedures - Therapeutic (other) 2019 Outpatient Facility Commercial 2959
Physical/occupational/speech therapy - Exercises 2018 Outpatient Facility Medicare 2507887
Spinal fusion 2022 Inpatient Facility Commercial 184
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2020 Outpatient Facility Medi-Cal 259757
CPT codes not classified (F codes) 2023 Pharmacy Medi-Cal 1162
X-ray - Chest (routine) 2020 Outpatient Facility Medicare 971491
Electrocardiogram 2022 Inpatient Facility Commercial 592
Cystocele/rectocele repair, oblit. of vag. vault 2022 Inpatient Facility Medicare 67
Intraoperative cholangiogram 2018 Outpatient Facility Commercial 1076
Musculoskeletal procedures - Therapeutic OR (other) 2023 Provider Medicare 16395
Cardiac catheterization/arteriography - Diagnostic 2022 Inpatient Facility Medicare 1693
Gastrectomy (partial and total) 2020 Provider Medi-Cal 288
Non-hospital-based care (home health, hospice) 2020 Home Health Medi-Cal 1669260
GI procedures - Diagnostic 2018 Independent Labs Medicare 639
Esophageal dilatation 2021 Provider Medi-Cal 6371
Obstetric laceration - Repair 2020 Outpatient Facility Commercial 37
Prophylactic vaccinations and inoculations 2021 Provider Medi-Cal 7882003
X-ray - Upper GI 2023 Provider Commercial 38041
Pacemaker or cardioverter/defibrillator services 2023 Inpatient Facility Medicare 258
Female organ procedures - Therapeutic (other) 2020 Outpatient Facility Medi-Cal 31245
Cesarean section 2018 Outpatient Facility Medi-Cal 231
Treatment, fracture, dislocation - Lower extrem. 2020 Outpatient Facility Medicare 4502
Microscopic examination (e.g., lab, toxicology) 2021 Unclassified/other Commercial 1671
EEG (electroencephalogram) 2023 Outpatient Facility Medicare 10759
HCPCS Level II codes not classified 2022 Hospice Medi-Cal 159
Abdominal paracentesis 2023 Provider Medicare 45749
Respiratory procedures - Therapeutic OR (other) 2018 Outpatient Facility Medicare 2519
Nose, mouth, pharynx procedures - Diagnostic 2018 Inpatient Facility Medi-Cal 4394
Urinary tract procedures - Therapeutic OR (other) 2021 Independent Labs Medi-Cal 728
Vessels other than head/neck procedures - Other OR 2020 Inpatient Facility Commercial 67
Extracorporeal shock wave (other than urinary) 2021 Provider Commercial 37276
Consultations 2019 Outpatient Facility Commercial 6329
Appendectomy 2020 Outpatient Facility Commercial 11147
CT scan - Abdomen 2021 Inpatient Facility Medi-Cal 3394
Circumcision 2022 Provider Medicare 1122
Tonsillectomy and/or adenoidectomy 2023 Provider Medi-Cal 13145
Hysterectomy (abdominal and vaginal) 2022 Provider Medi-Cal 10910
Ultrasound - Heart (echocardiogram) - Diagnostic 2019 Provider Commercial 661018
Physical/occupational/speech therapy - Diagnostic 2023 Inpatient Facility Medi-Cal 27490
Nephrectomy (partial or complete) 2019 Provider Medi-Cal 2004
Respiratory procedures - Diagnostic (other) 2022 Provider Commercial 15006
Hemodialysis 2023 Outpatient Facility Medi-Cal 27707
Spinal fusion 2019 Provider Medi-Cal 31626
Tympanoplasty 2023 Provider Medi-Cal 1309
Physical/occupational/speech therapy - Other 2020 Provider Medi-Cal 399773
Amputation - Lower extremity 2019 Inpatient Facility Medicare 48
Arthroplasty other than hip or knee 2020 Outpatient Facility Medi-Cal 1952
Bone procedures - Therapeutic OR (other) 2022 Outpatient Facility Commercial 16068
X-ray - Chest (routine) 2018 Inpatient Facility Medi-Cal 3125
Cholecystectomy and common duct exploration 2021 Inpatient Facility Commercial 48
Alcohol and drug management, treatment, and rehab. 2021 Inpatient Facility Medicare 803
Medications (injections, infusions, other forms) 2022 Ambulance Medi-Cal 593
GI procedures - Therapeutic OR 2018 Outpatient Facility Medicare 2904
Ungrouped Procedures 2023 Home Health Medicare 22443
Other types of visits 2020 Unclassified/other Commercial 137
Nervous system procedures - Therapeutic (other) 2021 Provider Medicare 549436
Peritoneal dialysis 2020 Outpatient Facility Commercial 481802
Radiology - Therapeutic 2021 Provider Medicare 1008866
Muscles, tendons, joints - Injections, aspirations 2020 Outpatient Facility Medi-Cal 12772
Contrast arteriogram - Lower extremity arteries 2022 Provider Commercial 1087
Psychological and psychiatric evaluation, therapy 2018 Outpatient Facility Commercial 172757
Urinary system (nonoperative) measurements 2022 Unclassified/other Medi-Cal 10157
Treatment, fracture, dislocation - Radius and ulna 2023 Outpatient Facility Commercial 13836
Mammography 2020 Outpatient Facility Medi-Cal 123152
DME and supplies 2023 Home Health Medi-Cal 27199
Anesthesia 2020 Provider Commercial 1119951
Arterial blood gases 2022 Outpatient Facility Medicare 77442
Skin, breast procedures - Therapeutic OR (other) 2022 Outpatient Facility Medicare 9451
Vascular bypass and shunt - Other (not heart) 2022 Provider Commercial 367
Rehabilitation facility services 2020 Inpatient Facility Medicare 20602
Radioisotope scan and function studies 2020 Outpatient Facility Medicare 140739
Myelogram 2019 Provider Medicare 4227
Hospital services 2019 Outpatient Facility Medi-Cal 186298
Ear procedures - Therapeutic 2020 Outpatient Facility Medi-Cal 27187
Wound care - Traction, splints, other 2019 Provider Medi-Cal 271376
Respiratory therapy - Other 2023 Outpatient Facility Commercial 50010
GI (upper) endoscopy, biopsy 2021 Unclassified/other Medi-Cal 136
Care management/coordination services 2023 Outpatient Facility Commercial 778
Laboratory - Chemistry and hematology 2022 Pharmacy Commercial 141
Colostomy (temporary and permanent) 2018 Provider Commercial 447
Skin graft 2023 Outpatient Facility Commercial 10112
Embolectomy and endarterectomy of lower limbs 2023 Outpatient Facility Medicare 141
PTCA (percutaneous transluminal coronary angio.) 2023 Provider Medi-Cal 10266
Transportation - Patient, provider, equipment 2023 Ambulance Medi-Cal 14673301
Hernia repair - Inguinal and femoral 2023 Provider Medicare 24940
Ophthalmologic/otologic diagnosis and treatment 2023 Inpatient Facility Medicare 79
Therapeutic procedures - Other 2021 Provider Medicare 2463945
Fallopian tubes - Ligation 2018 Provider Commercial 7773
Bone marrow biopsy 2018 Provider Medicare 17897
Pathology 2021 Outpatient Facility Commercial 851293
Nose, mouth, pharynx procedures - Therapeutic 2018 Outpatient Facility Medi-Cal 9160
Hearing devices and audiology supplies 2021 Outpatient Facility Commercial 966
Breast - Biopsy, procedures - Diagnostic (other) 2021 Outpatient Facility Commercial 23473
Appendectomy 2021 Outpatient Facility Medicare 1858
Skin, breast procedures - Therapeutic (other) 2019 Provider Medi-Cal 488951
DME and supplies 2018 Independent Labs Medi-Cal 276
Treatment, fracture, dislocation - Other 2022 Outpatient Facility Commercial 16379
Physical/occupational/speech therapy - Exercises 2020 Home Health Medicare 5377
X-ray - Chest (routine) 2022 Provider Medicare 3554307
Non-hospital-based care (home health, hospice) 2022 Unclassified/other Medicare 117
Electrographic cardiac monitoring 2023 Inpatient Facility Medicare 1291
Male genital procedures - Diagnostic 2020 Outpatient Facility Medicare 6099
Eye procedures - Repair of retinal tear/detachment 2018 Outpatient Facility Medi-Cal 3512
Ultrasound - Urinary tract - Diagnostic 2019 Inpatient Facility Medi-Cal 43
Laboratory - Chemistry and hematology 2020 Independent Labs Medicare 32778103
Intravenous pyelogram 2019 Provider Medicare 330
Ear procedures - Diagnostic 2021 Outpatient Facility Medi-Cal 640
Excision, lysis peritoneal adhesions 2019 Provider Medi-Cal 862
D&C - Aspiration after delivery or abortion 2019 Outpatient Facility Medi-Cal 4276
Urinary system (nonoperative) measurements 2021 Independent Labs Medicare 237187
Tracheostomy (temporary and permanent) 2020 Provider Medi-Cal 3460
Abdominal paracentesis 2022 Outpatient Facility Medi-Cal 16806
Pleura incision, thoracentesis, chest drainage 2021 Inpatient Facility Medicare 673
Other types of visits 2019 Outpatient Facility Medi-Cal 41277
Extraocular muscle procedures - Therapeutic 2018 Outpatient Facility Medi-Cal 3362
Decompression peripheral nerve 2020 Outpatient Facility Medicare 7455
Spleen procedures 2019 Provider Medicare 457
Obstetrical procedures - Therapeutic (other) 2022 Provider Commercial 62517
Laparoscopy 2021 Provider Commercial 7959
Radiology - Diagnostic (other) 2021 Independent Labs Commercial 1184
Medications (injections, infusions, other forms) 2020 Unclassified/other Medi-Cal 13308
Bunionectomy or repair of toe deformities 2021 Provider Commercial 10551
Arthroscopy 2023 Outpatient Facility Medicare 522
Ultrasound - Diagnostic (other) 2022 Outpatient Facility Commercial 805276
Colonoscopy and biopsy 2022 Provider Medicare 607597
Large intestine lesion - Local excision 2020 Provider Medi-Cal 105
Contrast aortogram 2020 Provider Medicare 24858
Gastric bypass and volume reduction 2023 Inpatient Facility Commercial 52
Muscle and tendon procedures - Therapeutic (other) 2021 Outpatient Facility Medicare 29728
Female organ procedures - Therapeutic OR (other) 2022 Provider Commercial 22291
Colonoscopy and biopsy 2019 Provider Medicare 602562
Spinal fusion 2022 Provider Medi-Cal 28347
Extracranial ventricular shunt services 2020 Provider Medicare 4715
Urinary tract procedures - Diagnostic (other) 2020 Provider Medi-Cal 2891
Psychological and psychiatric evaluation, therapy 2022 Pharmacy Medi-Cal 1101
Pacemaker or cardioverter/defibrillator services 2021 Provider Commercial 4592
Mammography 2023 Unclassified/other Commercial 153
Hemic/lymphatic system procedures - Therapeutic 2020 Provider Medi-Cal 11178
Skin lesion - Excision 2019 Unclassified/other Commercial 74
Catheterization (Swan-Ganz) for monitoring 2022 Provider Medi-Cal 3025
Electrographic cardiac monitoring 2019 Outpatient Facility Medicare 60200
Tympanoplasty 2021 Provider Medicare 1683
Oral and dental services 2021 Outpatient Facility Commercial 3698
Endocrine procedures - Therapeutic 2021 Outpatient Facility Medicare 2626
Physical/occupational/speech therapy - Exercises 2018 Unclassified/other Medi-Cal 213
Intraoperative cholangiogram 2021 Provider Medicare 1954
MRI (magnetic resonance imaging) 2022 Inpatient Facility Medi-Cal 2011
Other types of lab tests 2023 Pharmacy Medi-Cal 1108
Contrast aortogram 2018 Outpatient Facility Commercial 1470
Tracheoscopy and laryngoscopy with biopsy 2022 Outpatient Facility Commercial 4880
Debridement of wound, infection or burn 2018 Inpatient Facility Medicare 138
Bone marrow biopsy 2022 Provider Commercial 8634
Microscopic examination (e.g., lab, toxicology) 2023 Independent Labs Medicare 7923614
X-ray - Chest (routine) 2021 Provider Commercial 1681344
Pregnancy (ectopic) - Removal 2021 Provider Commercial 1441
Bronchoscopy and biopsy - Diagnostic 2023 Outpatient Facility Medicare 22127
Nose procedures - Plastic 2021 Outpatient Facility Medicare 2124
Vessels of head/neck - Endarterectomy 2021 Provider Commercial 453
Obstetrical procedures - Therapeutic (other) 2020 Inpatient Facility Commercial 48
Nervous system procedures - Therapeutic OR (other) 2018 Unclassified/other Medi-Cal 37
Skilled nursing facility services (HIPPS) 2022 Provider Commercial 4243
CT scan - Chest 2018 Provider Medi-Cal 219686
HCPCS Level II codes not classified 2023 Outpatient Facility Medicare 339176
Urinary obstruction - Excision, drainage, removal 2023 Inpatient Facility Medi-Cal 32
GI (upper) procedures - Therapeutic 2018 Provider Medi-Cal 766
Respiratory procedures - Therapeutic (other) 2019 Provider Medicare 5661
Musculoskeletal procedures - Therapeutic OR (other) 2021 Outpatient Facility Commercial 2126
Amputation - Lower extremity 2022 Provider Medicare 13414
Ultrasound - Heart (echocardiogram) - Diagnostic 2023 Outpatient Facility Medi-Cal 181454
Treatment, fracture, dislocation - Facial 2020 Outpatient Facility Medi-Cal 1297
Radioisotope scan and function studies 2023 Outpatient Facility Commercial 72402
Nephrectomy (partial or complete) 2023 Outpatient Facility Medicare 823
Hospital services 2021 Hospice Medi-Cal 253
Critical care services 2018 Outpatient Facility Medi-Cal 9847
AVF or vessel-to-vessel cannula for dialysis svcs. 2018 Outpatient Facility Medi-Cal 8797
Laboratory - Chemistry and hematology 2019 Ambulance Medi-Cal 50
Eye procedures - Lens and cataract 2019 Provider Medicare 474259
CT scan - Abdomen 2023 Provider Commercial 661323
Amputation - Lower extremity 2023 Provider Commercial 3297
Bronchoscopy and biopsy - Diagnostic 2023 Provider Medi-Cal 19542
Eye procedures - Lens and cataract 2020 Outpatient Facility Medicare 94939
MRI (magnetic resonance imaging) 2021 Inpatient Facility Medi-Cal 1794
Obstetrical procedures - Therapeutic (other) 2020 Outpatient Facility Medi-Cal 30786
Oral and dental services 2019 Outpatient Facility Medicare 1694
Radioisotope scan and function studies 2021 Provider Medi-Cal 130684
Emergency department services 2023 Provider Commercial 2339851
Spinal fusion 2023 Inpatient Facility Medicare 633
Hemic/lymphatic system procedures - Therapeutic 2019 Inpatient Facility Medicare 272
HCPCS Level II codes not classified 2023 Provider Commercial 762903
Tympanoplasty 2019 Provider Medicare 1866
Urinary tract procedures - Diagnostic (other) 2021 Outpatient Facility Commercial 2621
Skilled nursing facility services (HIPPS) 2020 Provider Medi-Cal 2042
Pacemaker or cardioverter/defibrillator services 2020 Inpatient Facility Medicare 550
Laboratory - Chemistry and hematology 2019 Independent Labs Commercial 37017730
Appendectomy 2018 Inpatient Facility Commercial 105
Musculoskeletal procedures - Therapeutic (other) 2018 Outpatient Facility Medicare 25579
Bone marrow biopsy 2023 Outpatient Facility Commercial 4457
Respiratory procedures - Therapeutic (other) 2020 Outpatient Facility Commercial 2349
CT scan - Other 2019 Outpatient Facility Medi-Cal 128604
Ultrasound - Heart (echocardiogram) - Diagnostic 2022 Outpatient Facility Commercial 112098
AVF or vessel-to-vessel cannula for dialysis svcs. 2018 Unclassified/other Medi-Cal 356
Treatment, fracture, dislocation - Facial 2020 Provider Medicare 3552
Consultations 2022 Provider Medicare 27951
Nephrotomy and nephrostomy 2018 Inpatient Facility Medicare 99
Psychological and psychiatric evaluation, therapy 2022 Home Health Medi-Cal 29878
Mastoidectomy 2018 Outpatient Facility Medicare 354
Urinary obstruction - Excision, drainage, removal 2023 Outpatient Facility Medicare 13991
Enteral and parenteral nutrition 2021 Home Health Medi-Cal 1789
Skin lesion - Excision 2018 Provider Medi-Cal 347193
Hospital services 2020 Inpatient Facility Medi-Cal 3118
Other types of lab tests 2020 Inpatient Facility Medi-Cal 45899
Extracranial ventricular shunt services 2021 Provider Medi-Cal 4597
Catheterization (Swan-Ganz) for monitoring 2023 Outpatient Facility Medicare 67
Debridement of wound, infection or burn 2018 Outpatient Facility Medicare 129838
Electrographic cardiac monitoring 2018 Provider Commercial 172942
GI (upper) endoscopy, biopsy 2023 Outpatient Facility Commercial 132033
Gastric bypass and volume reduction 2020 Provider Medi-Cal 6108
Physical/occupational/speech therapy - Exercises 2019 Independent Labs Commercial 1325
Pregnancy (ectopic) - Removal 2019 Outpatient Facility Commercial 1135
Telehealth 2021 Pharmacy Medicare 37
Male genital procedures - Therapeutic OR (other) 2023 Outpatient Facility Commercial 8431
Nasogastric tube 2021 Outpatient Facility Commercial 112
Nervous system procedures - Diagnostic (other) 2022 Provider Medi-Cal 203510
Urethra - Procedures 2020 Provider Medicare 23473
Indwelling catheter 2022 Outpatient Facility Medi-Cal 13635
HCPCS Level II codes not classified 2020 Inpatient Facility Medicare 2493
Conversion of cardiac rhythm 2019 Provider Medicare 19808
Treatment, fracture, dislocation - Other 2023 Outpatient Facility Commercial 15321
HIPPS home health services 2022 Home Health Medicare 1586562
Respiratory procedures - Diagnostic (other) 2018 Provider Commercial 28985
Spinal canal stimulator insertion and injection 2023 Independent Labs Commercial 32
Laboratory - Chemistry and hematology 2023 Inpatient Facility Medi-Cal 78974
Skilled nursing facility services 2019 Home Health Medicare 374
Alcohol and drug management, treatment, and rehab. 2022 Unclassified/other Medi-Cal 1050
Tonsillectomy and/or adenoidectomy 2020 Outpatient Facility Commercial 8647
Knee - Arthroplasty 2023 Provider Medicare 70486
Ancillary services 2023 Provider Commercial 765238
Arthrocentesis 2019 Provider Commercial 352124
Radioisotope scan - Pulmonary 2022 Provider Commercial 3514
Ophthalmologic/otologic diagnosis and treatment 2020 Pharmacy Commercial 85
DME and supplies 2022 Hospice Medi-Cal 128
Skin graft 2018 Outpatient Facility Medicare 30716
PTCA (percutaneous transluminal coronary angio.) 2019 Outpatient Facility Medi-Cal 1645
Musculoskeletal procedures - Therapeutic (other) 2019 Inpatient Facility Medicare 37
Electrocardiogram 2020 Provider Medicare 3395219
Observation care services 2021 Provider Medi-Cal 102670
EEG (electroencephalogram) 2019 Provider Medicare 76333
Bone excision (partial) 2021 Inpatient Facility Medicare 75
GI procedures - Therapeutic 2021 Outpatient Facility Commercial 2348
Breast - Mastectomy 2020 Provider Commercial 6779
Blood and blood product transfusion 2022 Outpatient Facility Medicare 163184
CT scan - Abdomen 2018 Inpatient Facility Commercial 352
Preventive visits 2020 Provider Commercial 4121264
Extracorporeal lithotripsy, urinary 2019 Inpatient Facility Medicare 40
Transportation - Patient, provider, equipment 2021 Ambulance Medi-Cal 13396262
Consultation, evaluation, and preventive care 2022 Provider Commercial 1527442
Wound care - Traction, splints, other 2022 Outpatient Facility Medicare 111387
Female organ procedures - Diagnostic (other) 2020 Provider Medicare 100714
Psychological and psychiatric evaluation, therapy 2019 Inpatient Facility Commercial 773
Vascular bypass - Peripheral 2019 Provider Commercial 544
Circumcision 2018 Outpatient Facility Commercial 3498
Nonoperative removal of foreign body 2018 Outpatient Facility Medicare 1872
Contrast aortogram 2019 Outpatient Facility Medi-Cal 1643
Laminectomy, excision intervertebral disc 2018 Inpatient Facility Medicare 647
Tympanoplasty 2023 Outpatient Facility Medi-Cal 846
Urinary obstruction - Excision, drainage, removal 2018 Outpatient Facility Medicare 12436
Electrocardiogram 2022 Ambulance Commercial 3830
Cervix and uterus - Other excision 2023 Outpatient Facility Commercial 11447
Microscopic examination (e.g., lab, toxicology) 2021 Hospice Medi-Cal 5182
Mastoidectomy 2021 Provider Medi-Cal 687
Musculoskeletal procedures - Therapeutic OR (other) 2022 Outpatient Facility Medicare 3897
Physical/occupational/speech therapy - Other 2020 Home Health Commercial 918
Knee - Excision of semilunar cartilage 2021 Outpatient Facility Medi-Cal 5340
Arthroplasty other than hip or knee 2021 Inpatient Facility Medicare 506
Cystocele/rectocele repair, oblit. of vag. vault 2021 Provider Medi-Cal 2362
Radiology - Diagnostic (other) 2018 Provider Medi-Cal 3356192
Skin lesion - Excision 2021 Provider Medicare 3284834
CT scan - Chest 2019 Outpatient Facility Medicare 294895
Breast - Mastectomy 2023 Provider Commercial 7314
Tracheostomy (temporary and permanent) 2020 Outpatient Facility Medi-Cal 43
Obstetric laceration - Repair 2019 Provider Commercial 341
Eye procedures - Lens and cataract 2022 Provider Commercial 50294
Cardiac catheterization/arteriography - Diagnostic 2022 Inpatient Facility Medi-Cal 173
Respiratory procedures - Diagnostic (other) 2021 Outpatient Facility Commercial 480
Pacemaker or cardioverter/defibrillator services 2023 Provider Medicare 40260
Ultrasound - Heart (echocardiogram) - Diagnostic 2019 Outpatient Facility Medi-Cal 150469
Female organ procedures - Therapeutic (other) 2018 Provider Medi-Cal 102971
Urinary tract procedures - Therapeutic OR (other) 2019 Outpatient Facility Medi-Cal 1281
Physical/occupational/speech therapy - Diagnostic 2022 Provider Medi-Cal 837343
Treatment, fracture, dislocation - Lower extrem. 2019 Outpatient Facility Commercial 12275
Bone procedures - Therapeutic OR (other) 2022 Inpatient Facility Commercial 244
Hysterectomy (abdominal and vaginal) 2022 Outpatient Facility Medi-Cal 3836
Prophylactic vaccinations and inoculations 2018 Provider Medicare 6622685
Endocrine procedures - Therapeutic 2023 Provider Medicare 5345
Amniocentesis - Diagnostic 2021 Provider Medi-Cal 897
Spinal fusion 2018 Outpatient Facility Medicare 2211
Other vascular catheterization (not heart) 2019 Outpatient Facility Commercial 20946
Hemodialysis 2022 Outpatient Facility Medi-Cal 28500
Non-hospital-based care (home health, hospice) 2019 Outpatient Facility Medi-Cal 54673
Nose, mouth, pharynx procedures - Diagnostic 2018 Inpatient Facility Commercial 148
Vessels of head/neck - Endarterectomy 2023 Provider Medi-Cal 532
X-ray - Upper GI 2021 Provider Medi-Cal 44786
Esophageal dilatation 2022 Outpatient Facility Medicare 11434
GI procedures - Diagnostic 2018 Independent Labs Commercial 1253
Extracorporeal shock wave (other than urinary) 2021 Outpatient Facility Medicare 48469
Circumcision 2020 Outpatient Facility Medi-Cal 2740
X-ray - Chest (routine) 2018 Inpatient Facility Commercial 559
Gastric bypass and volume reduction 2022 Provider Commercial 11812
CT scan - Head 2018 Outpatient Facility Medicare 467474
Ultrasound - Heart (echocardiogram) - Diagnostic 2023 Provider Medi-Cal 958425
Spinal tap - Diagnostic 2022 Provider Medi-Cal 12885
Vessels other than head/neck procedures - Other OR 2018 Outpatient Facility Medi-Cal 4050
Eye procedures - Therapeutic (other) 2020 Outpatient Facility Commercial 10550
Arthroscopy 2021 Provider Medi-Cal 4636
Ancillary services 2018 Inpatient Facility Medicare 3652
Laparoscopy 2019 Outpatient Facility Commercial 4830
Treatment, fracture, dislocation - Other 2021 Inpatient Facility Medicare 201
Arterial blood gases 2019 Outpatient Facility Medi-Cal 56184
Female organ procedures - Therapeutic OR (other) 2020 Outpatient Facility Medicare 2765
Bone procedures - Therapeutic OR (other) 2021 Outpatient Facility Commercial 15579
Ear procedures - Diagnostic 2019 Provider Medi-Cal 1409
Male genital procedures - Diagnostic 2019 Provider Commercial 20814
Cervix and uterus - Other excision 2022 Outpatient Facility Medi-Cal 4535
Medications (injections, infusions, other forms) 2020 Hospice Medi-Cal 683
Obstetrical procedures - Therapeutic (other) 2022 Outpatient Facility Commercial 2109
Extracranial ventricular shunt services 2023 Provider Medicare 5368
Hernia repair - Inguinal and femoral 2018 Inpatient Facility Medicare 78
Delivery - Forceps, vacuum, and breech 2020 Provider Commercial 53324
GI (upper) procedures - Therapeutic OR 2022 Inpatient Facility Medicare 31
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2022 Provider Medi-Cal 782202
Colonoscopy and biopsy 2021 Provider Medicare 579934
Esophageal dilatation 2020 Provider Medi-Cal 5634
Laboratory - Chemistry and hematology 2019 Provider Medicare 7379458
Nose, mouth, pharynx procedures - Diagnostic 2022 Provider Medi-Cal 109247
Bunionectomy or repair of toe deformities 2020 Outpatient Facility Commercial 9936
Non-hospital-based care (home health, hospice) 2019 Independent Labs Medicare 647
Pleura incision, thoracentesis, chest drainage 2019 Inpatient Facility Medi-Cal 70
X-ray - Chest (routine) 2021 Unclassified/other Medi-Cal 733
Abdominal paracentesis 2022 Inpatient Facility Medi-Cal 156
Physical/occupational/speech therapy - Exercises 2020 Home Health Commercial 335
Large intestine lesion - Local excision 2020 Provider Commercial 226
Other types of visits 2018 Hospice Medicare 846
Ungrouped Procedures 2022 Hospice Medi-Cal 1854
Pathology 2020 Unclassified/other Medi-Cal 447
Contrast arteriogram - Lower extremity arteries 2020 Outpatient Facility Commercial 433
Laparoscopy 2021 Outpatient Facility Medicare 3468
Colonoscopy and biopsy 2023 Provider Medi-Cal 203311
Embolectomy and endarterectomy of lower limbs 2018 Outpatient Facility Medi-Cal 31
Excision, lysis peritoneal adhesions 2019 Provider Commercial 759
Hernia repair - Inguinal and femoral 2021 Outpatient Facility Medi-Cal 5850
Gastric bypass and volume reduction 2023 Provider Medicare 2272
Prostatectomy (open ) 2020 Provider Commercial 2927
DME and supplies 2018 Independent Labs Commercial 1364
Contrast aortogram 2021 Provider Medi-Cal 8605
Alcohol and drug management, treatment, and rehab. 2019 Independent Labs Medi-Cal 221
Pathology 2021 Outpatient Facility Medi-Cal 430093
Extraocular muscle procedures - Therapeutic 2018 Outpatient Facility Medicare 1826
Female organ procedures - Therapeutic OR (other) 2023 Provider Medi-Cal 14884
Spleen procedures 2020 Outpatient Facility Commercial 32
Ancillary services 2019 Hospice Medi-Cal 4300
Appendectomy 2021 Outpatient Facility Medi-Cal 4992
Tracheostomy (temporary and permanent) 2020 Provider Medicare 4341
Pleura incision, thoracentesis, chest drainage 2021 Provider Medicare 50833
Male genital procedures - Diagnostic 2021 Outpatient Facility Medi-Cal 725
Ear procedures - Diagnostic 2021 Outpatient Facility Commercial 610
Decompression peripheral nerve 2020 Provider Commercial 13734
Muscle and tendon procedures - Therapeutic (other) 2022 Outpatient Facility Commercial 46328
Arthroscopy 2023 Outpatient Facility Medi-Cal 2529
Ungrouped Procedures 2022 Unclassified/other Commercial 2168
Respiratory therapy - Other 2020 Inpatient Facility Commercial 64
Non-hospital-based care (home health, hospice) 2023 Hospice Medicare 9441987
X-ray - Chest (routine) 2023 Outpatient Facility Medi-Cal 1131165
Cardiac stress tests 2023 Outpatient Facility Medi-Cal 23632
Obstetrical procedures - Therapeutic (other) 2022 Provider Medi-Cal 426834
Hearing devices and audiology supplies 2022 Outpatient Facility Commercial 1018
Nose, mouth, pharynx procedures - Therapeutic 2018 Outpatient Facility Commercial 9283
Urinary system (nonoperative) measurements 2021 Provider Commercial 1788561
Radioisotope scan - Bone 2020 Provider Commercial 13822
Large intestine lesion - Local excision 2020 Provider Medicare 311
Other types of visits 2019 Outpatient Facility Commercial 7927
D&C - Aspiration after delivery or abortion 2019 Outpatient Facility Medicare 47
Ultrasound - Diagnostic (other) 2022 Outpatient Facility Medi-Cal 846899
Nephrotomy and nephrostomy 2022 Outpatient Facility Commercial 2271
Medications (injections, infusions, other forms) 2018 Unclassified/other Commercial 403
Skin and subcutaneous tissue - Diagnostic (other) 2022 Independent Labs Commercial 102
Treatment, fracture, dislocation - Other 2022 Inpatient Facility Medicare 93
Breast - Biopsy, procedures - Diagnostic (other) 2021 Outpatient Facility Medi-Cal 6634
Lobectomy or pneumonectomy 2019 Provider Medi-Cal 1328
Electrocardiogram 2018 Inpatient Facility Medi-Cal 3744
Telehealth 2018 Outpatient Facility Medicare 9350
Ancillary services 2021 Inpatient Facility Medi-Cal 34666
Medications (injections, infusions, other forms) 2021 Independent Labs Commercial 53
Cardiovascular procedures - Therapeutic (other) 2019 Outpatient Facility Commercial 44920
Urinary tract - Endoscopy and endoscopic biopsy 2021 Outpatient Facility Commercial 5417
Delivery - Forceps, vacuum, and breech 2023 Inpatient Facility Medi-Cal 625
Office visits 2020 Inpatient Facility Medi-Cal 574
Cardiovascular procedures - Therapeutic (other) 2022 Outpatient Facility Medicare 95061
Transportation - Patient, provider, equipment 2022 Home Health Medi-Cal 3729
Conversion of cardiac rhythm 2020 Outpatient Facility Medicare 14510
Preventive visits 2018 Home Health Medi-Cal 530
Hip replacement (partial and total) 2020 Provider Commercial 15418
Skilled nursing facility services 2021 Inpatient Facility Medicare 443753
HCPCS Level II codes not classified 2019 Outpatient Facility Medicare 101018
Colonoscopy and biopsy 2018 Provider Commercial 444571
Ophthalmologic/otologic diagnosis and treatment 2023 Outpatient Facility Medicare 214405
Blood and blood product transfusion 2021 Outpatient Facility Commercial 52444
Extracranial ventricular shunt services 2018 Provider Medicare 4810
Hospital services 2020 Inpatient Facility Commercial 528
Epistaxis control 2023 Outpatient Facility Medi-Cal 2462
Preventive visits 2019 Provider Commercial 5543246
Skin, breast procedures - Therapeutic (other) 2019 Hospice Medicare 64
Nasogastric tube 2018 Provider Medi-Cal 704
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2019 Provider Commercial 721634
Thyroidectomy (partial or complete) 2023 Provider Medi-Cal 2357
Amputation - Lower extremity 2021 Inpatient Facility Medicare 61
Abdominal paracentesis 2019 Outpatient Facility Commercial 7837
DME and supplies 2023 Provider Medicare 5793992
X-ray - Chest (routine) 2020 Provider Commercial 1590465
Musculoskeletal procedures - Diagnostic (other) 2023 Outpatient Facility Commercial 3365
Intraoperative cholangiogram 2021 Inpatient Facility Medicare 43
GI (upper) procedures - Therapeutic OR 2018 Provider Medicare 3450
Respiratory procedures - Therapeutic (other) 2019 Inpatient Facility Medicare 1907
Urethra - Procedures 2018 Provider Commercial 6364
GI (lower) procedures - Therapeutic 2021 Provider Commercial 4629
Knee - Arthroplasty 2022 Inpatient Facility Medicare 899
Bone marrow transplant 2023 Outpatient Facility Medicare 1617
MRI (magnetic resonance imaging) 2020 Outpatient Facility Commercial 373561
Physical/occupational/speech therapy - Exercises 2018 Home Health Medicare 5375
Vessels of head/neck procedures - Other OR 2021 Provider Commercial 2703
Other types of lab tests 2019 Outpatient Facility Medi-Cal 3421625
Bronchoscopy and biopsy - Diagnostic 2020 Outpatient Facility Medicare 12928
Hemic/lymphatic system procedures - Therapeutic 2018 Inpatient Facility Medicare 230
Consultation, evaluation, and preventive care 2021 Outpatient Facility Medicare 24667
Spinal fusion 2022 Inpatient Facility Medicare 656
Radiology - Diagnostic (other) 2020 Provider Medi-Cal 2906447
Pathology 2019 Inpatient Facility Medi-Cal 3748
Telehealth 2020 Pharmacy Medicare 56
Obstetrical procedures - Therapeutic (other) 2018 Provider Medi-Cal 723581
CPT codes not classified (F codes) 2023 Independent Labs Medi-Cal 64994
Transportation - Patient, provider, equipment 2023 Outpatient Facility Medi-Cal 379794
Emergency department services 2022 Unclassified/other Commercial 1887
Nervous system procedures - Therapeutic (other) 2022 Outpatient Facility Commercial 68459
Electrocardiogram 2019 Unclassified/other Commercial 119
Coronary thrombolysis 2021 Provider Commercial 78
Nose, mouth, pharynx procedures - Diagnostic 2021 Inpatient Facility Commercial 115
ERCP (endoscopic retro. cannulation of pancreas) 2019 Inpatient Facility Commercial 41
Microscopic examination (e.g., lab, toxicology) 2018 Unclassified/other Commercial 262
Nasogastric tube 2023 Provider Medicare 1086
CT scan - Other 2020 Provider Medicare 634799
Hemic/lymphatic system procedures - Therapeutic 2021 Inpatient Facility Medicare 200
Physical/occupational/speech therapy - Diagnostic 2018 Inpatient Facility Medicare 130486
Anesthesia 2018 Outpatient Facility Medicare 118992
Observation care services 2022 Provider Medicare 612798
Musculoskeletal procedures - Therapeutic (other) 2020 Outpatient Facility Commercial 3095
Spinal canal stimulator insertion and injection 2018 Outpatient Facility Medicare 59540
Visual aids and other optical supplies 2021 Provider Medicare 338045
GI (upper) endoscopy, biopsy 2018 Outpatient Facility Medicare 101056
CT scan - Abdomen 2019 Provider Medi-Cal 627630
Preventive visits 2021 Unclassified/other Commercial 1714
Eye procedures - Diagnostic 2019 Outpatient Facility Commercial 430
Ultrasound - Head and neck - Diagnostic 2018 Inpatient Facility Commercial 41
Blood and blood product transfusion 2023 Outpatient Facility Medi-Cal 69557
Urinary tract procedures - Therapeutic (other) 2021 Provider Commercial 16299
CT scan - Abdomen 2022 Outpatient Facility Medi-Cal 443951
X-ray - Upper GI 2019 Outpatient Facility Commercial 15554
Urinary tract procedures - Diagnostic (other) 2023 Outpatient Facility Medi-Cal 1631
Skin graft 2018 Provider Commercial 33620
Consultation, evaluation, and preventive care 2023 Outpatient Facility Medi-Cal 147200
DME and supplies 2022 Outpatient Facility Commercial 1286636
Ophthalmologic/otologic diagnosis and treatment 2021 Home Health Medicare 42
Arteriogram or venogram (not heart and head) 2020 Provider Medi-Cal 53669
Care management/coordination services 2022 Hospice Medi-Cal 919
Vascular bypass - Peripheral 2022 Provider Commercial 430
HCPCS Level II codes not classified 2021 Independent Labs Medicare 343
Knee - Excision of semilunar cartilage 2020 Outpatient Facility Medicare 4295
Critical care services 2018 Provider Commercial 344829
Skilled nursing facility services (HIPPS) 2023 Outpatient Facility Commercial 168
Indwelling catheter 2023 Provider Medi-Cal 15879
Bone excision (partial) 2022 Outpatient Facility Medi-Cal 2920
Lung and bronchus procedures - Diagnostic (other) 2022 Outpatient Facility Commercial 56065
GI procedures - Therapeutic 2022 Outpatient Facility Medi-Cal 1611
Radioisotope scan - Other 2018 Outpatient Facility Medicare 1164
Abortion (termination of pregnancy) 2021 Provider Medi-Cal 65931
Non-hospital-based care (home health, hospice) 2018 Hospice Commercial 72855
DME and supplies 2019 DME (Durable Medical Equipment) Medicare 5570358
GI procedures - Diagnostic 2019 Provider Commercial 31627
Critical care services 2023 Inpatient Facility Commercial 44
Urinary obstruction - Excision, drainage, removal 2021 Provider Commercial 11191
Laboratory - Chemistry and hematology 2021 Independent Labs Commercial 36825649
Ancillary services 2020 Home Health Commercial 9911
CABG (coronary artery bypass graft) 2019 Provider Commercial 9548
Oophorectomy (unilateral and bilateral) 2019 Provider Commercial 9745
Extraocular muscle procedures - Therapeutic 2022 Provider Medi-Cal 8589
Radioisotope scan - Pulmonary 2022 Provider Medicare 16779
Respiratory intubation and mechanical ventilation 2020 Ambulance Medi-Cal 30
Tonsillectomy and/or adenoidectomy 2021 Outpatient Facility Medicare 193
HIPPS home health services 2022 Inpatient Facility Medicare 87
Nervous system procedures - Diagnostic (other) 2023 Provider Commercial 329579
Other types of lab tests 2020 Pharmacy Medicare 216
Psychological and psychiatric evaluation, therapy 2022 Provider Medicare 3160434
Telehealth 2022 Outpatient Facility Medicare 435497
Medications (injections, infusions, other forms) 2023 Pharmacy Medicare 350604
PTCA (percutaneous transluminal coronary angio.) 2019 Provider Medi-Cal 11378
Cholecystectomy and common duct exploration 2018 Unclassified/other Medi-Cal 307
Breast - Lumpectomy, quadrantectomy 2020 Outpatient Facility Medi-Cal 3182
Treatment, fracture, dislocation - Facial 2022 Outpatient Facility Medi-Cal 1614
Treatment, fracture, dislocation - Radius and ulna 2018 Provider Commercial 26046
CT scan - Other 2023 Provider Medi-Cal 443950
Skin and subcutaneous tissue - Incision, drainage 2018 Provider Medicare 96005
Treatment, fracture, dislocation - Hip and femur 2021 Outpatient Facility Medicare 2360
Endocrine procedures - Therapeutic 2018 Inpatient Facility Medicare 171
Other types of lab tests 2022 Outpatient Facility Commercial 5191241
X-ray - Lower GI 2019 Provider Commercial 2852
Nose, mouth, pharynx procedures - Therapeutic 2020 Outpatient Facility Medicare 18827
Electrocardiogram 2023 Outpatient Facility Medicare 1268168
Bowel procedures - Diagnostic 2020 Provider Commercial 108
Physical/occupational/speech therapy - Exercises 2023 Inpatient Facility Commercial 4450
Eye procedures - Lens and cataract 2018 Outpatient Facility Commercial 41836
Physical/occupational/speech therapy - Exercises 2021 Provider Commercial 13638332
Prophylactic vaccinations and inoculations 2022 Unclassified/other Commercial 669
Aortic resection - Replacement or anastomosis 2020 Provider Commercial 1641
Proctoscopy and anorectal biopsy 2021 Outpatient Facility Medi-Cal 4643
Consultations 2021 Provider Medicare 38330
Hemodialysis 2019 Outpatient Facility Medi-Cal 29362
Esophageal varices - Injection or ligation 2019 Inpatient Facility Medicare 37
Joint procedures - Therapeutic OR (other) 2018 Provider Medi-Cal 18155
Pathology 2022 Provider Medi-Cal 1042936
Office visits 2018 Provider Medi-Cal 24711470
Heart procedures - Other OR 2019 Inpatient Facility Commercial 42
Arthrocentesis 2021 Outpatient Facility Medi-Cal 29922
Ultrasound - Urinary tract - Diagnostic 2021 Outpatient Facility Medi-Cal 991
Hysterectomy (abdominal and vaginal) 2018 Inpatient Facility Commercial 74
Therapeutic procedures - Other 2018 Provider Medi-Cal 955784
Female organ procedures - Diagnostic (other) 2021 Inpatient Facility Medi-Cal 36
Tracheoscopy and laryngoscopy with biopsy 2021 Outpatient Facility Medicare 11357
Respiratory procedures - Therapeutic OR (other) 2021 Outpatient Facility Medi-Cal 1567
Organ transplantation - Other 2020 Outpatient Facility Medicare 138
D&C (dilatation and curettage) - Diagnostic 2018 Outpatient Facility Medi-Cal 1015
Ultrasound - GI tract - Diagnostic 2019 Provider Medicare 50
Embolectomy and endarterectomy of lower limbs 2021 Outpatient Facility Medicare 153
Male genital procedures - Therapeutic OR (other) 2019 Outpatient Facility Medi-Cal 4866
Ophthalmologic/otologic diagnosis and treatment 2018 Inpatient Facility Medi-Cal 98
Nervous system procedures - Diagnostic (other) 2018 Independent Labs Medi-Cal 5255
Physical/occupational/speech therapy - Other 2023 Home Health Commercial 1576
Prostatectomy (open ) 2022 Outpatient Facility Medicare 2150
ERCP (endoscopic retro. cannulation of pancreas) 2022 Inpatient Facility Commercial 71
Muscle and tendon procedures - Therapeutic (other) 2023 Provider Commercial 134947
Ungrouped Procedures 2021 Independent Labs Commercial 17054194
Laminectomy, excision intervertebral disc 2022 Provider Commercial 21752
Contrast aortogram 2023 Outpatient Facility Medicare 8059
Cardiac stress tests 2018 Inpatient Facility Medi-Cal 44
GI procedures - Therapeutic 2020 Inpatient Facility Medicare 206
Ovary operations - Other 2019 Provider Commercial 2801
Alcohol and drug management, treatment, and rehab. 2020 Home Health Medi-Cal 2029
Office visits 2018 Hospice Medicare 105
CT scan - Chest 2022 Provider Medi-Cal 323226
Urinary system (nonoperative) measurements 2022 Provider Commercial 1807127
Eye procedures - Destruction of retinal lesion 2019 Outpatient Facility Medi-Cal 1137
Respiratory therapy - Other 2021 Outpatient Facility Medi-Cal 90196
Hip replacement (partial and total) 2022 Inpatient Facility Medicare 640
Radioisotope scan - Other 2023 Inpatient Facility Medicare 155
DME and supplies 2021 DME (Durable Medical Equipment) Commercial 1560170
Skin, breast procedures - Therapeutic (other) 2021 Inpatient Facility Medicare 10566
Eye procedures - Repair of retinal tear/detachment 2021 Provider Medi-Cal 8411
Ungrouped Procedures 2019 Outpatient Facility Medicare 81519
Radiology - Diagnostic (other) 2021 Provider Medicare 6994515
Arthroplasty other than hip or knee 2023 Provider Commercial 13818
Heart procedures - Other OR 2018 Outpatient Facility Medi-Cal 259
Female organ procedures - Therapeutic (other) 2023 Provider Medi-Cal 107632
Ancillary services 2022 Independent Labs Medi-Cal 72405
Care management/coordination services 2018 Provider Medi-Cal 57676
CPT codes not classified (F codes) 2021 Home Health Medicare 378
Skin and subcutaneous tissue - Suture 2018 Provider Medicare 244080
Genitourinary incontinence procedures 2022 Inpatient Facility Medicare 41
Tracheostomy (temporary and permanent) 2023 Provider Commercial 1186
Medications (injections, infusions, other forms) 2019 Inpatient Facility Medi-Cal 173445
Lung and bronchus procedures - Diagnostic (other) 2018 Inpatient Facility Medi-Cal 90
Oral and dental services 2021 Provider Medi-Cal 4349
Knee - Arthroplasty 2019 Outpatient Facility Medicare 17271
GI (lower) procedures - Therapeutic OR 2021 Inpatient Facility Medicare 49
Respiratory intubation and mechanical ventilation 2020 Provider Commercial 28518
Breast - Lumpectomy, quadrantectomy 2021 Outpatient Facility Medicare 11295
Telehealth 2022 Unclassified/other Medicare 241
Hospital services 2021 Provider Medicare 11816719
Radioisotope scan - Pulmonary 2023 Provider Commercial 2978
CT scan - Other 2021 Provider Commercial 270817
Debridement of wound, infection or burn 2021 Provider Commercial 61567
Microscopic examination (e.g., lab, toxicology) 2018 Independent Labs Commercial 9958965
Critical care services 2019 Outpatient Facility Medicare 45643
Treatment, fracture, dislocation - Facial 2023 Outpatient Facility Medi-Cal 1663
Hemic/lymphatic system procedures - Therapeutic 2022 Inpatient Facility Commercial 42
Infertility services 2022 Provider Commercial 661
Vascular bypass and shunt - Other (not heart) 2018 Outpatient Facility Medicare 78
Endocrine procedures - Diagnostic 2019 Provider Commercial 23947
Bone excision (partial) 2023 Outpatient Facility Medi-Cal 3093
Nose, mouth, pharynx procedures - Therapeutic OR 2023 Outpatient Facility Medicare 10747
Visual aids and other optical supplies 2022 Provider Medicare 529938
Division of joint capsule (ligament or cartilage) 2020 Provider Medicare 5520
Urethra - Procedures 2023 Provider Medi-Cal 6623
Consultations 2018 Outpatient Facility Commercial 5460
Nervous system procedures - Therapeutic OR (other) 2020 Provider Commercial 35318
GI procedures - Therapeutic 2023 Outpatient Facility Medi-Cal 1639
Nonoperative removal of foreign body 2019 Provider Medi-Cal 17688
Electrocardiogram 2021 Provider Medi-Cal 2039109
Other types of lab tests 2021 Home Health Medi-Cal 88
Skin graft 2019 Provider Medi-Cal 41936
Treatment, fracture, dislocation - Radius and ulna 2019 Outpatient Facility Medi-Cal 12847
Nephrectomy (partial or complete) 2018 Provider Medi-Cal 1933
Bone excision (partial) 2018 Outpatient Facility Commercial 9912
Musculoskeletal procedures - Therapeutic (other) 2021 Outpatient Facility Commercial 3569
Arteriogram or venogram (not heart and head) 2021 Outpatient Facility Medicare 53076
Anesthesia 2019 Outpatient Facility Commercial 65311
Spinal canal stimulator insertion and injection 2019 Outpatient Facility Medi-Cal 21880
MRI (magnetic resonance imaging) 2022 Outpatient Facility Medi-Cal 180605
Psychological and psychiatric evaluation, therapy 2023 Inpatient Facility Commercial 1568
Skin and subcutaneous tissue - Diagnostic (other) 2018 Outpatient Facility Medi-Cal 2175
HCPCS Level II codes not classified 2018 Outpatient Facility Medicare 926729
Cholecystectomy and common duct exploration 2019 Provider Medi-Cal 27465
PTCA (percutaneous transluminal coronary angio.) 2020 Provider Commercial 10300
Tonsillectomy and/or adenoidectomy 2022 Provider Commercial 9306
Cholecystectomy and common duct exploration 2020 Outpatient Facility Commercial 18527
CPT codes not classified (F codes) 2022 Pharmacy Medi-Cal 93
Thyroidectomy (partial or complete) 2020 Outpatient Facility Medicare 1553
GI (lower) procedures - Therapeutic 2019 Outpatient Facility Medi-Cal 1337
Telehealth 2019 Provider Commercial 1777915
Electrocardiogram 2019 Inpatient Facility Medi-Cal 9084
Other types of lab tests 2021 Unclassified/other Commercial 6442
Central nervous system (CNS) incision and excision 2020 Inpatient Facility Commercial 65
Rehabilitation facility services 2018 Inpatient Facility Medicare 20595
HCPCS Level II codes not classified 2018 Provider Medi-Cal 600609
Preventive visits 2018 Pharmacy Medi-Cal 278
Epistaxis control 2020 Provider Commercial 8260
Vessels of head/neck procedures - Other OR 2020 Outpatient Facility Medicare 454
GI (upper) procedures - Therapeutic 2022 Outpatient Facility Medicare 767
Consultation, evaluation, and preventive care 2021 Ambulance Medicare 51
Bone marrow transplant 2019 Provider Medi-Cal 1120
Radiology - Diagnostic (other) 2019 Outpatient Facility Medicare 1555068
AVF or vessel-to-vessel cannula for dialysis svcs. 2022 Outpatient Facility Medi-Cal 7621
Skin lesion - Excision 2023 Outpatient Facility Medi-Cal 64932
Spinal canal stimulator insertion and injection 2019 Provider Medicare 375308
Hemodialysis 2018 Outpatient Facility Commercial 21753
Hospital services 2023 Inpatient Facility Medi-Cal 6965
Nervous system procedures - Therapeutic OR (other) 2023 Outpatient Facility Commercial 14073
Organ transplantation - Other 2018 Provider Medi-Cal 1015
Musculoskeletal procedures - Diagnostic (other) 2021 Provider Commercial 5063
Breast - Lumpectomy, quadrantectomy 2022 Outpatient Facility Medi-Cal 3949
Treatment, fracture, dislocation - Facial 2023 Provider Medicare 2232
Blood and blood product transfusion 2020 Provider Commercial 11046
Division of joint capsule (ligament or cartilage) 2021 Outpatient Facility Medicare 1309
Wound care - Traction, splints, other 2018 Unclassified/other Medi-Cal 72
Critical care services 2021 Provider Commercial 437685
Nose, mouth, pharynx procedures - Therapeutic OR 2023 Provider Medicare 37279
Fallopian tubes - Other operations 2022 Outpatient Facility Medi-Cal 199
Pathology 2018 Inpatient Facility Commercial 1318
Mammography 2019 Outpatient Facility Medi-Cal 134264
Arteriogram or venogram (not heart and head) 2021 Provider Medicare 152642
Psychological and psychiatric evaluation, therapy 2023 Provider Medicare 3382734
Nose, mouth, pharynx procedures - Diagnostic 2019 Outpatient Facility Commercial 14636
Respiratory intubation and mechanical ventilation 2021 Ambulance Commercial 67
Ultrasound - Head and neck - Diagnostic 2019 Provider Medi-Cal 217352
Debridement of wound, infection or burn 2022 Outpatient Facility Commercial 18687
Medications (injections, infusions, other forms) 2023 Unclassified/other Commercial 2839
Knee - Arthroplasty 2020 Inpatient Facility Commercial 138
Prophylactic vaccinations and inoculations 2018 Independent Labs Commercial 61
Vessels other than head/neck procedures - Other OR 2018 Outpatient Facility Medicare 17351
Eye procedures - Therapeutic (other) 2018 Unclassified/other Medi-Cal 127
D&C (dilatation and curettage) - Diagnostic 2022 Provider Medicare 845
Skin and subcutaneous tissue - Diagnostic (other) 2021 Independent Labs Medicare 92
Medications (injections, infusions, other forms) 2020 Hospice Commercial 424
Esophageal dilatation 2019 Provider Commercial 10296
Radiology - Diagnostic (other) 2023 Provider Commercial 5409907
Ancillary services 2018 Inpatient Facility Medi-Cal 61172
Hysterectomy (abdominal and vaginal) 2020 Provider Commercial 22168
Radioisotope scan - Bone 2019 Outpatient Facility Medi-Cal 4287
Skin, breast procedures - Therapeutic (other) 2023 Unclassified/other Medi-Cal 292
Female organ procedures - Therapeutic OR (other) 2020 Outpatient Facility Medi-Cal 6103
Nose, mouth, pharynx procedures - Diagnostic 2022 Provider Commercial 170924
Laboratory - Chemistry and hematology 2022 Independent Labs Commercial 38217123
Cardiac stress tests 2021 Outpatient Facility Medi-Cal 19671
D&C - Aspiration after delivery or abortion 2023 Outpatient Facility Medicare 34
X-ray - Chest (routine) 2022 Inpatient Facility Commercial 396
Gastric bypass and volume reduction 2022 Provider Medi-Cal 8871
Abdominal paracentesis 2022 Inpatient Facility Medicare 354
Office visits 2019 Provider Medicare 35021476
Pathology 2020 Inpatient Facility Medicare 21067
Delivery - Forceps, vacuum, and breech 2019 Outpatient Facility Medi-Cal 1930
Colonoscopy and biopsy 2021 Unclassified/other Commercial 99
Extracranial ventricular shunt services 2022 Provider Medi-Cal 4551
Hernia repair - Inguinal and femoral 2018 Outpatient Facility Commercial 16235
Male genital procedures - Diagnostic 2019 Outpatient Facility Medicare 6071
Nervous system procedures - Diagnostic (other) 2020 Inpatient Facility Medicare 691
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2021 Unclassified/other Medi-Cal 73
Prophylactic vaccinations and inoculations 2021 Home Health Medicare 1779
Respiratory procedures - Therapeutic (other) 2022 Provider Medi-Cal 3795
Non-hospital-based care (home health, hospice) 2019 Inpatient Facility Commercial 763
Pleura incision, thoracentesis, chest drainage 2019 Inpatient Facility Medicare 548
Arthroplasty other than hip or knee 2018 Outpatient Facility Medicare 7330
Transportation - Patient, provider, equipment 2019 Outpatient Facility Medi-Cal 687766
Arterial blood gases 2019 Independent Labs Commercial 39
Laparoscopy 2023 Provider Medi-Cal 6577
Other vascular catheterization (not heart) 2018 Inpatient Facility Commercial 193
Ear procedures - Diagnostic 2018 Outpatient Facility Medicare 1115
Treatment, fracture, dislocation - Other 2020 Outpatient Facility Commercial 14350
Heart procedures - Other OR 2021 Provider Medi-Cal 6049
Contrast arteriogram - Lower extremity arteries 2020 Outpatient Facility Medi-Cal 440
Ultrasound - Heart (echocardiogram) - Diagnostic 2020 Provider Commercial 580789
Treatment, fracture, dislocation - Lower extrem. 2021 Provider Medicare 21248
Eye procedures - Glaucoma 2023 Provider Commercial 12893
Musculoskeletal procedures - Therapeutic OR (other) 2018 Inpatient Facility Medicare 267
Endocrine procedures - Diagnostic 2023 Outpatient Facility Medi-Cal 2232
Esophageal dilatation 2023 Outpatient Facility Commercial 7736
Obstetric laceration - Repair 2020 Provider Medi-Cal 239
GI procedures - Diagnostic 2019 Independent Labs Medi-Cal 35
Respiratory procedures - Therapeutic OR (other) 2019 Provider Medi-Cal 8101
Aortic resection - Replacement or anastomosis 2018 Provider Commercial 1251
Ileostomy and other enterostomy 2018 Outpatient Facility Commercial 150
Hemodialysis 2018 Provider Medi-Cal 43595
Cystocele/rectocele repair, oblit. of vag. vault 2023 Outpatient Facility Commercial 3009
Colorectal resection 2018 Outpatient Facility Medi-Cal 114
Prophylactic vaccinations and inoculations 2019 Unclassified/other Medi-Cal 8930
Tracheoscopy and laryngoscopy with biopsy 2018 Outpatient Facility Medi-Cal 5415
Physical/occupational/speech therapy - Exercises 2023 Outpatient Facility Commercial 1101582
Female organ procedures - Diagnostic (other) 2021 Outpatient Facility Medicare 15808
Gastrostomy (temporary and permanent) 2019 Inpatient Facility Medicare 376
CT scan - Abdomen 2022 Provider Commercial 652297
Pathology 2022 Inpatient Facility Medicare 19328
Vessels other than head/neck procedures - Other OR 2021 Inpatient Facility Medi-Cal 55
Nephrectomy (partial or complete) 2021 Outpatient Facility Commercial 587
Nose, mouth, pharynx procedures - Therapeutic 2019 Inpatient Facility Commercial 343
HCPCS Level II codes not classified 2022 Provider Commercial 702561
Amputation - Lower extremity 2020 Outpatient Facility Medicare 1808
Consultations 2021 Outpatient Facility Commercial 3636
Bone procedures - Therapeutic OR (other) 2022 Outpatient Facility Medicare 8462
Cesarean section 2018 Provider Commercial 57455
Microscopic examination (e.g., lab, toxicology) 2022 Outpatient Facility Commercial 2941499
Other types of lab tests 2022 Outpatient Facility Medicare 7090399
Urinary obstruction - Excision, drainage, removal 2019 Provider Medicare 32038
Prophylactic vaccinations and inoculations 2022 Inpatient Facility Commercial 1654
X-ray - Chest (routine) 2019 Inpatient Facility Commercial 474
Intravenous pyelogram 2021 Provider Commercial 208
Urinary tract procedures - Therapeutic (other) 2020 Provider Commercial 15378
Other vascular catheterization (not heart) 2021 Outpatient Facility Commercial 23302
Abortion (termination of pregnancy) 2018 Outpatient Facility Commercial 2054
DME and supplies 2018 Outpatient Facility Medi-Cal 1344593
Cardiac catheterization/arteriography - Diagnostic 2023 Inpatient Facility Medicare 1055
Liver biopsy 2018 Outpatient Facility Medicare 3861
Electrocardiogram 2023 Ambulance Medicare 957
Physical/occupational/speech therapy - Diagnostic 2023 Inpatient Facility Medicare 146560
Pathology 2023 Outpatient Facility Medicare 1006329
Alcohol and drug management, treatment, and rehab. 2023 Independent Labs Medi-Cal 339
Consultation, evaluation, and preventive care 2019 Outpatient Facility Medicare 23986
Radioisotope scan - Other 2021 Unclassified/other Commercial 61
Musculoskeletal procedures - Diagnostic (other) 2019 Outpatient Facility Medicare 4370
Skin and subcutaneous tissue - Incision, drainage 2023 Outpatient Facility Commercial 16167
Blood and blood product transfusion 2019 Inpatient Facility Medi-Cal 4941
Cesarean section 2023 Outpatient Facility Commercial 82
Vessels other than head/neck procedures - Other OR 2022 Independent Labs Commercial 119
Ungrouped Procedures 2019 Ambulance Medicare 1347
Eye procedures - Therapeutic (other) 2020 Provider Commercial 52224
Nervous system procedures - Therapeutic (other) 2018 Provider Medicare 535548
Arterial blood gases 2021 Inpatient Facility Commercial 48
Hernia repair - Other 2023 Provider Commercial 3729
Genitourinary incontinence procedures 2020 Outpatient Facility Medi-Cal 1106
Knee - Arthroplasty 2019 Inpatient Facility Commercial 184
Heart procedures - Other OR 2022 Provider Medicare 12986
Varicose vein stripping - Lower limb 2018 Outpatient Facility Commercial 2044
Psychological and psychiatric evaluation, therapy 2020 Inpatient Facility Commercial 866
Eye procedures - Corneal transplant 2022 Outpatient Facility Commercial 637
Thyroidectomy (partial or complete) 2018 Outpatient Facility Commercial 3833
DME and supplies 2020 Hospice Medicare 1714
GI (lower) procedures - Therapeutic 2019 Outpatient Facility Commercial 2890
Ophthalmologic/otologic diagnosis and treatment 2021 Provider Medi-Cal 6789648
Myringotomy 2020 Provider Commercial 6701
Female organ procedures - Therapeutic OR (other) 2022 Outpatient Facility Medi-Cal 7040
Cardiac stress tests 2023 Inpatient Facility Medicare 1306
Intravenous pyelogram 2020 Provider Medicare 313
Contrast aortogram 2020 Outpatient Facility Medicare 6349
Urinary system (nonoperative) measurements 2021 Independent Labs Commercial 230616
Radioisotope scan - Bone 2021 Outpatient Facility Medi-Cal 4362
Lobectomy or pneumonectomy 2022 Outpatient Facility Commercial 41
Obstetrical procedures - Therapeutic (other) 2023 Inpatient Facility Medi-Cal 361
CT scan - Chest 2020 Outpatient Facility Medi-Cal 111681
Tracheostomy (temporary and permanent) 2021 Provider Medi-Cal 4118
DME and supplies 2018 Hospice Medi-Cal 1210
Ungrouped Procedures 2022 Provider Medi-Cal 20701958
Laparoscopy 2021 Outpatient Facility Commercial 4664
Bunionectomy or repair of toe deformities 2022 Outpatient Facility Medicare 8011
Nose, mouth, pharynx procedures - Therapeutic 2018 Inpatient Facility Medi-Cal 32822
Embolectomy and endarterectomy of lower limbs 2019 Outpatient Facility Medicare 165
Colonoscopy and biopsy 2023 Outpatient Facility Medi-Cal 142562
Muscle and tendon procedures - Therapeutic (other) 2022 Inpatient Facility Medi-Cal 63
Pleura incision, thoracentesis, chest drainage 2020 Provider Medicare 46038
Extraocular muscle procedures - Therapeutic 2020 Outpatient Facility Medi-Cal 2939
Ear procedures - Diagnostic 2022 Outpatient Facility Commercial 622
Eye procedures - Repair of retinal tear/detachment 2019 Outpatient Facility Commercial 4846
Alcohol and drug management, treatment, and rehab. 2019 Outpatient Facility Medi-Cal 129139
Respiratory therapy - Other 2019 Provider Medicare 136096
Ultrasound - Urinary tract - Diagnostic 2019 Provider Commercial 1632
Breast - Biopsy, procedures - Diagnostic (other) 2022 Outpatient Facility Commercial 25833
Medications (injections, infusions, other forms) 2020 Provider Medicare 5731106
Radiology - Diagnostic (other) 2021 Home Health Medi-Cal 467
Prostatectomy (open ) 2020 Outpatient Facility Commercial 1285
Skin and subcutaneous tissue - Diagnostic (other) 2022 Outpatient Facility Medicare 29263
Ultrasound - Diagnostic (other) 2022 Inpatient Facility Medicare 12952
Open-heart procedures - Extracorporeal circulation 2022 Pharmacy Commercial 468
Physical/occupational/speech therapy - Exercises 2020 Unclassified/other Commercial 5802
GI procedures - Therapeutic 2018 Inpatient Facility Medicare 117
Gastrostomy (temporary and permanent) 2018 Provider Medi-Cal 9744
D&C - Aspiration after delivery or abortion 2018 Unclassified/other Medi-Cal 57
Skin, breast procedures - Therapeutic (other) 2019 Provider Commercial 791003
Male genital procedures - Diagnostic 2021 Independent Labs Medi-Cal 185
Nephrotomy and nephrostomy 2022 Inpatient Facility Medi-Cal 52
X-ray - Chest (routine) 2023 Inpatient Facility Medi-Cal 14241
Obstetrical procedures - Therapeutic (other) 2023 Provider Medicare 232
Physical/occupational/speech therapy - Exercises 2021 Home Health Medicare 5250
Male genital procedures - Diagnostic 2021 Outpatient Facility Medicare 7482
Behavioral health services 2019 Outpatient Facility Medicare 5775
Radiology - Diagnostic (other) 2021 Independent Labs Medi-Cal 253
D&C (dilatation and curettage) - Diagnostic 2018 Provider Commercial 3881
Hearing devices and audiology supplies 2022 Outpatient Facility Medicare 1072
Alcohol and drug management, treatment, and rehab. 2019 Provider Commercial 1023658
Extraocular muscle procedures - Therapeutic 2019 Provider Commercial 6293
Treatment, fracture, dislocation - Other 2022 Outpatient Facility Medi-Cal 13799
Spleen procedures 2022 Provider Medi-Cal 441
Embolectomy and endarterectomy of lower limbs 2020 Outpatient Facility Medi-Cal 35
Breast - Biopsy, procedures - Diagnostic (other) 2022 Provider Medi-Cal 20283
Skin, breast procedures - Therapeutic (other) 2019 Unclassified/other Medi-Cal 242
Respiratory therapy - Other 2021 Outpatient Facility Medicare 131727
Contrast aortogram 2022 Provider Medi-Cal 8455
CT scan - Chest 2022 Inpatient Facility Medi-Cal 2580
Nephrotomy and nephrostomy 2022 Outpatient Facility Medi-Cal 2169
DME and supplies 2020 Outpatient Facility Commercial 1167546
Genitourinary incontinence procedures 2021 Outpatient Facility Medi-Cal 1465
Ungrouped Procedures 2019 Pharmacy Medicare 6846
Prostatectomy (open ) 2022 Provider Medi-Cal 686
Non-hospital-based care (home health, hospice) 2023 Outpatient Facility Medicare 208221
Exploratory laparotomy 2018 Provider Medi-Cal 2244
Hemorrhoid procedures 2020 Outpatient Facility Commercial 4397
Appendectomy 2022 Outpatient Facility Medicare 1819
Cardiac stress tests 2018 Outpatient Facility Commercial 22513
Ungrouped Procedures 2020 Provider Commercial 1385709
Urinary system (nonoperative) measurements 2022 Inpatient Facility Medi-Cal 603
Varicose vein stripping - Lower limb 2019 Outpatient Facility Medi-Cal 597
Cardiovascular procedures - Therapeutic (other) 2023 Provider Commercial 66914
Decompression peripheral nerve 2021 Provider Medicare 25428
Ancillary services 2019 Hospice Medicare 700
Medications (injections, infusions, other forms) 2019 Hospice Medi-Cal 367
Muscle and tendon procedures - Therapeutic (other) 2023 Provider Medicare 116133
Lobectomy or pneumonectomy 2022 Provider Medicare 4448
Eye procedures - Repair of retinal tear/detachment 2019 Provider Commercial 12569
GI procedures - Therapeutic 2020 Outpatient Facility Medicare 3780
Physical/occupational/speech therapy - Other 2022 Outpatient Facility Medicare 244889
Female organ procedures - Therapeutic (other) 2022 Unclassified/other Medi-Cal 109
Tracheostomy (temporary and permanent) 2022 Provider Commercial 1361
Laboratory - Chemistry and hematology 2020 Inpatient Facility Medi-Cal 71427
Other types of visits 2020 Hospice Commercial 534
Nose, mouth, pharynx procedures - Therapeutic OR 2020 Provider Commercial 38647
Hip replacement (partial and total) 2021 Outpatient Facility Medicare 13475
CABG (coronary artery bypass graft) 2022 Provider Medi-Cal 7637
Treatment, fracture, dislocation - Hip and femur 2023 Outpatient Facility Commercial 750
Male genital procedures - Therapeutic (other) 2019 Outpatient Facility Medi-Cal 1410
Medications (injections, infusions, other forms) 2020 Inpatient Facility Medi-Cal 195254
Non-hospital-based care (home health, hospice) 2019 Outpatient Facility Commercial 26168
Skin and subcutaneous tissue - Incision, drainage 2020 Outpatient Facility Medi-Cal 40804
X-ray - Chest (routine) 2022 Outpatient Facility Commercial 683146
Heart procedures - Other OR 2020 Outpatient Facility Medicare 297
Ancillary services 2020 Outpatient Facility Commercial 103093
GI (upper) procedures - Therapeutic OR 2022 Provider Medi-Cal 2155
Intraoperative cholangiogram 2022 Provider Medi-Cal 2165
Prophylactic vaccinations and inoculations 2018 Inpatient Facility Medicare 101521
Cervix and uterus - Other excision 2020 Outpatient Facility Medi-Cal 4028
Respiratory procedures - Therapeutic (other) 2023 Inpatient Facility Medicare 2659
Bone procedures - Therapeutic OR (other) 2019 Inpatient Facility Commercial 158
Emergency department services 2020 Provider Commercial 1878792
Arterial blood gases 2019 Inpatient Facility Medi-Cal 765
D&C - Aspiration after delivery or abortion 2021 Provider Commercial 8927
D&C (dilatation and curettage) - Diagnostic 2023 Outpatient Facility Medi-Cal 644
Radioisotope scan - Other 2019 Provider Medicare 7571
Delivery - Forceps, vacuum, and breech 2020 Inpatient Facility Commercial 58
Gastric bypass and volume reduction 2021 Outpatient Facility Commercial 2670
Cardiac stress tests 2021 Provider Medicare 318172
Laboratory - Chemistry and hematology 2021 Pharmacy Medicare 693
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2022 Outpatient Facility Commercial 279652
Skin, breast procedures - Therapeutic (other) 2022 Unclassified/other Commercial 111
Nervous system procedures - Diagnostic (other) 2019 Outpatient Facility Medi-Cal 38129
Ungrouped Procedures 2021 Unclassified/other Medi-Cal 37396
Radiology - Diagnostic (other) 2022 Unclassified/other Medi-Cal 447
Vessels other than head/neck procedures - Other OR 2018 Provider Medicare 81327
Prophylactic vaccinations and inoculations 2021 Inpatient Facility Commercial 2045
Hysterectomy (abdominal and vaginal) 2021 Outpatient Facility Commercial 15289
Urinary tract - Endoscopy and endoscopic biopsy 2019 Provider Commercial 53430
Conversion of cardiac rhythm 2021 Provider Medicare 22394
Other vascular catheterization (not heart) 2018 Outpatient Facility Commercial 21006
Pleura incision, thoracentesis, chest drainage 2019 Outpatient Facility Medicare 11635
Female organ procedures - Therapeutic OR (other) 2020 Provider Medicare 6592
Laparoscopy 2018 Provider Medicare 6707
Hernia repair - Inguinal and femoral 2018 Provider Commercial 17405
Abdominal paracentesis 2020 Provider Medi-Cal 32763
Colonoscopy and biopsy 2020 Provider Medi-Cal 123294
Pathology 2020 Provider Commercial 1817402
Contrast arteriogram - Lower extremity arteries 2020 Provider Medi-Cal 1797
Physical/occupational/speech therapy - Exercises 2022 Unclassified/other Commercial 7561
Cesarean section 2021 Provider Commercial 55275
Cardiovascular procedures - Therapeutic (other) 2018 Inpatient Facility Medi-Cal 54
Other types of lab tests 2018 Hospice Medi-Cal 4774
Ureteral catheterization 2020 Provider Medi-Cal 6654
Extracorporeal lithotripsy, urinary 2021 Outpatient Facility Medi-Cal 4251
Knee - Arthroplasty 2018 Outpatient Facility Medicare 11751
Medications (injections, infusions, other forms) 2023 Inpatient Facility Commercial 101527
Myringotomy 2018 Provider Medicare 6699
Thyroidectomy (partial or complete) 2019 Provider Commercial 5213
Lung and bronchus procedures - Diagnostic (other) 2023 Provider Medi-Cal 280484
Radioisotope scan - Other 2022 Inpatient Facility Medicare 472
TURP (transurethral resection of prostate) 2023 Provider Medicare 11359
Hernia repair - Other 2022 Outpatient Facility Commercial 15837
Transportation - Patient, provider, equipment 2021 Unclassified/other Commercial 167
Psychological and psychiatric evaluation, therapy 2019 Pharmacy Medi-Cal 126
Pathology 2023 Unclassified/other Medi-Cal 786
Other types of visits 2023 Provider Medi-Cal 400782
Arterial blood gases 2021 Independent Labs Commercial 44
Ophthalmologic/otologic diagnosis and treatment 2021 Pharmacy Commercial 47
Heart procedures - Other OR 2023 Outpatient Facility Commercial 601
Office visits 2020 Provider Medicare 28634486
Ileostomy and other enterostomy 2023 Outpatient Facility Commercial 171
Muscles, tendons, joints - Injections, aspirations 2023 Provider Medi-Cal 97719
Eye procedures - Therapeutic (other) 2022 Outpatient Facility Medicare 20813
Alcohol and drug management, treatment, and rehab. 2023 Inpatient Facility Medicare 1909
Electrocardiogram 2018 Independent Labs Medicare 49
Ancillary services 2021 Outpatient Facility Medicare 124481
Blood and blood product transfusion 2018 Unclassified/other Medi-Cal 556
CT scan - Head 2019 Provider Medi-Cal 552680
Skilled nursing facility services 2020 Home Health Medicare 245
Skin and subcutaneous tissue - Incision, drainage 2023 Provider Commercial 105432
Ungrouped Procedures 2018 Unclassified/other Commercial 733
Delivery - Forceps, vacuum, and breech 2022 Provider Commercial 54999
CPT codes not classified (F codes) 2020 Independent Labs Commercial 704
Other vascular catheterization (not heart) 2023 Provider Medicare 266471
Eye procedures - Corneal transplant 2023 Provider Medicare 3247
Genitourinary incontinence procedures 2020 Provider Medicare 5558
Peritoneal dialysis 2020 Unclassified/other Medi-Cal 259
Kidney transplant 2019 Provider Medi-Cal 663
Ungrouped Procedures 2021 Pharmacy Commercial 727902
Eye procedures - Destruction of retinal lesion 2021 Provider Medicare 22774
Indwelling catheter 2020 Inpatient Facility Medicare 74
Skin and subcutaneous tissue - Suture 2021 Provider Medi-Cal 136475
Cardiac stress tests 2020 Provider Medicare 276291
Delivery - Other procedures to assist 2022 Outpatient Facility Medi-Cal 631
Heart valve procedures 2021 Outpatient Facility Commercial 70
Ovary operations - Other 2022 Provider Medicare 131
Arthroscopy 2021 Outpatient Facility Medicare 686
Ear procedures - Therapeutic 2022 Outpatient Facility Commercial 7107
Electrographic cardiac monitoring 2021 Inpatient Facility Medicare 1111
Female organ procedures - Therapeutic OR (other) 2019 Provider Medicare 7999
CPT codes not classified (F codes) 2021 Provider Medi-Cal 7192898
Chemotherapy - Cancer 2022 Provider Commercial 410635
Visual aids and other optical supplies 2019 Provider Commercial 30058
Office visits 2022 Hospice Medi-Cal 64
HCPCS Level II codes not classified 2018 Hospice Medicare 136
Abortion (termination of pregnancy) 2023 Provider Medi-Cal 73480
Muscle and tendon procedures - Therapeutic (other) 2021 Independent Labs Commercial 1082
Colostomy (temporary and permanent) 2021 Provider Medicare 1188
GI procedures - Diagnostic 2022 Independent Labs Medicare 2000
Ancillary services 2023 Ambulance Commercial 48
Hernia repair - Other 2020 Provider Commercial 19379
Arteriogram or venogram (not heart and head) 2018 Outpatient Facility Medi-Cal 10617
Breast - Biopsy, procedures - Diagnostic (other) 2018 Outpatient Facility Commercial 20992
Open-heart procedures - Extracorporeal circulation 2021 Inpatient Facility Medi-Cal 303
Radiology - Therapeutic 2023 Provider Medi-Cal 332813
Pleura incision, thoracentesis, chest drainage 2018 Provider Medi-Cal 16119
Urinary tract procedures - Therapeutic OR (other) 2021 Pharmacy Medicare 709
CT scan - Head 2022 Unclassified/other Commercial 154
Liver biopsy 2021 Provider Medicare 7426
Nose, mouth, pharynx procedures - Therapeutic 2023 Inpatient Facility Medi-Cal 51573
Radioisotope scan - Pulmonary 2020 Outpatient Facility Commercial 1985
DME and supplies 2019 Inpatient Facility Medicare 413719
Office visits 2023 Unclassified/other Medicare 296
Hip replacement (partial and total) 2018 Inpatient Facility Medicare 318
Spinal tap - Diagnostic 2022 Outpatient Facility Medi-Cal 2984
Non-hospital-based care (home health, hospice) 2022 Inpatient Facility Commercial 688
Esophageal varices - Injection or ligation 2022 Provider Commercial 2059
Small bowel resection 2018 Provider Medi-Cal 2426
Treatment, fracture, dislocation - Other 2018 Unclassified/other Medi-Cal 73
Physical/occupational/speech therapy - Diagnostic 2022 Home Health Commercial 8774
Bunionectomy or repair of toe deformities 2023 Outpatient Facility Medicare 7743
X-ray - Lower GI 2020 Provider Commercial 2147
Abortion (termination of pregnancy) 2021 Outpatient Facility Medi-Cal 25872
Therapeutic procedures - Other 2020 Unclassified/other Commercial 268
Hemodialysis 2023 Provider Medi-Cal 41037
Consultations 2021 Provider Commercial 405266
Urinary tract procedures - Therapeutic (other) 2021 Outpatient Facility Medi-Cal 2928
Esophageal varices - Injection or ligation 2019 Provider Medi-Cal 4134
Telehealth 2023 Unclassified/other Medicare 81
Nephrotomy and nephrostomy 2021 Outpatient Facility Commercial 2544
Non-hospital-based care (home health, hospice) 2020 Home Health Medicare 11950336
Eye procedures - Lens and cataract 2023 Outpatient Facility Commercial 40659
Radiology - Diagnostic (other) 2018 Outpatient Facility Commercial 1245152
X-ray - Upper GI 2018 Outpatient Facility Commercial 15005
Non-hospital-based care (home health, hospice) 2018 Home Health Medi-Cal 557635
Musculoskeletal procedures - Therapeutic OR (other) 2018 Outpatient Facility Medicare 2022
Ultrasound - Urinary tract - Diagnostic 2023 Inpatient Facility Medicare 107
Cardiac catheterization/arteriography - Diagnostic 2018 Provider Medicare 124625
Ultrasound - Diagnostic (other) 2018 Provider Medicare 1607861
Laboratory - Chemistry and hematology 2018 Independent Labs Commercial 33969065
Vessels other than head/neck procedures - Other OR 2021 Outpatient Facility Medi-Cal 441425
Prophylactic vaccinations and inoculations 2019 Independent Labs Medi-Cal 244
Endocrine procedures - Therapeutic 2022 Outpatient Facility Medicare 2932
Myelogram 2018 Outpatient Facility Medi-Cal 280
HCPCS Level II codes not classified 2021 Provider Medicare 5585093
Urinary system (nonoperative) measurements 2018 Inpatient Facility Medicare 10439
Amputation - Lower extremity 2018 Outpatient Facility Medi-Cal 469
Cystocele/rectocele repair, oblit. of vag. vault 2021 Outpatient Facility Commercial 2829
Bone marrow transplant 2018 Outpatient Facility Medi-Cal 951
Critical care services 2023 Provider Commercial 407518
Oophorectomy (unilateral and bilateral) 2018 Outpatient Facility Commercial 6972
HCPCS Level II codes not classified 2022 Unclassified/other Medi-Cal 1323
Physical/occupational/speech therapy - Exercises 2023 Pharmacy Commercial 351
GI (upper) procedures - Therapeutic OR 2019 Provider Medi-Cal 2426
Prophylactic vaccinations and inoculations 2023 Inpatient Facility Medi-Cal 3145
DME and supplies 2018 Provider Commercial 3444757
Organ transplantation - Other 2020 Outpatient Facility Medi-Cal 62
Radioisotope scan - Other 2018 Outpatient Facility Commercial 639
Physical/occupational/speech therapy - Exercises 2021 Unclassified/other Medicare 512
Arthrocentesis 2022 Outpatient Facility Commercial 13619
Extraocular muscle procedures - Therapeutic 2022 Outpatient Facility Medicare 2299
Nephrectomy (partial or complete) 2021 Provider Medi-Cal 1881
Proctoscopy and anorectal biopsy 2021 Inpatient Facility Medicare 90
Ancillary services 2019 Outpatient Facility Medicare 137577
Cervix and uterus - Other excision 2018 Provider Commercial 22035
Cardiac catheterization/arteriography - Diagnostic 2021 Outpatient Facility Medicare 67630
AVF or vessel-to-vessel cannula for dialysis svcs. 2021 Outpatient Facility Commercial 4167
X-ray - Upper GI 2023 Inpatient Facility Medi-Cal 168
Appendectomy 2020 Outpatient Facility Medicare 1509
Bronchoscopy and biopsy - Diagnostic 2018 Inpatient Facility Medicare 166
Pacemaker or cardioverter/defibrillator services 2022 Outpatient Facility Medi-Cal 2055
Nose procedures - Plastic 2023 Outpatient Facility Medicare 2321
Laminectomy, excision intervertebral disc 2018 Provider Commercial 26284
Ultrasound - Heart (echocardiogram) - Diagnostic 2018 Outpatient Facility Medi-Cal 142210
Arthroplasty other than hip or knee 2019 Provider Commercial 16909
Intraocular procedures - Therapeutic 2022 Outpatient Facility Commercial 6762
Knee - Excision of semilunar cartilage 2021 Provider Medi-Cal 8292
Respiratory procedures - Diagnostic (other) 2020 Outpatient Facility Medi-Cal 477
Circumcision 2022 Outpatient Facility Commercial 3744
Hysterectomy (abdominal and vaginal) 2021 Provider Medicare 9553
Skin lesion - Excision 2021 Outpatient Facility Medi-Cal 58460
Office visits 2018 Pharmacy Medicare 642
Tracheoscopy and laryngoscopy with biopsy 2021 Outpatient Facility Medi-Cal 6084
Nose, mouth, pharynx procedures - Therapeutic 2020 Unclassified/other Medi-Cal 112
Respiratory procedures - Therapeutic OR (other) 2022 Outpatient Facility Commercial 2738
Gastrostomy (temporary and permanent) 2021 Outpatient Facility Medicare 9988
Skin and subcutaneous tissue - Incision, drainage 2018 Provider Medi-Cal 89348
Other types of lab tests 2022 Inpatient Facility Medicare 403690
Pathology 2023 Hospice Medi-Cal 609
Colorectal resection 2018 Provider Medicare 18333
Hysterectomy (abdominal and vaginal) 2018 Provider Commercial 26708
Female organ procedures - Diagnostic (other) 2021 Provider Medicare 116555
Male genital procedures - Diagnostic 2022 Outpatient Facility Medicare 8454
Hemodialysis 2019 Outpatient Facility Commercial 22654
Aortic resection - Replacement or anastomosis 2019 Provider Medicare 3696
Vessels other than head/neck procedures - Other OR 2020 Outpatient Facility Commercial 13840
Tracheostomy (temporary and permanent) 2019 Provider Commercial 1125
Mastoidectomy 2019 Provider Medicare 589
GI (upper) procedures - Therapeutic 2019 Provider Medi-Cal 700
CT scan - Chest 2019 Unclassified/other Medi-Cal 41
Other vascular catheterization (not heart) 2019 Provider Commercial 98062
Consultations 2019 Outpatient Facility Medi-Cal 21801
GI procedures - Therapeutic OR 2023 Outpatient Facility Medi-Cal 974
Treatment, fracture, dislocation - Lower extrem. 2019 Provider Medi-Cal 31491
EEG (electroencephalogram) 2023 Independent Labs Medi-Cal 55
Open-heart procedures - Extracorporeal circulation 2018 Provider Medicare 3048
Wound care - Traction, splints, other 2023 Provider Medicare 545133
Spinal fusion 2018 Inpatient Facility Medicare 508
Electrocardiogram 2022 Inpatient Facility Medicare 50498
Nose procedures - Plastic 2022 Provider Medi-Cal 6029
Vessels of head/neck - Endarterectomy 2019 Provider Medicare 4543
Endocrine procedures - Therapeutic 2021 Provider Medi-Cal 2632
CT scan - Other 2020 Provider Commercial 246702
Bronchoscopy and biopsy - Diagnostic 2023 Provider Commercial 12904
EEG (electroencephalogram) 2020 Provider Medicare 81166
Appendectomy 2018 Outpatient Facility Medi-Cal 4929
Central nervous system (CNS) incision and excision 2018 Outpatient Facility Medicare 99
MRI (magnetic resonance imaging) 2022 Outpatient Facility Commercial 415941
Other types of lab tests 2023 Inpatient Facility Medicare 386394
Colonoscopy and biopsy 2019 Unclassified/other Medi-Cal 143
Therapeutic procedures - Other 2019 Provider Commercial 1792102
Cystocele/rectocele repair, oblit. of vag. vault 2020 Provider Commercial 3736
Extracorporeal shock wave (other than urinary) 2019 Outpatient Facility Commercial 16022
Obstetrical procedures - Therapeutic (other) 2021 Inpatient Facility Commercial 61
Pregnancy (ectopic) - Removal 2020 Outpatient Facility Medi-Cal 663
Eye procedures - Lens and cataract 2020 Outpatient Facility Commercial 34100
Enteral and parenteral nutrition 2023 Home Health Medi-Cal 479
Treatment, fracture, dislocation - Facial 2020 Provider Medi-Cal 6429
Mastoidectomy 2019 Outpatient Facility Medicare 368
Oophorectomy (unilateral and bilateral) 2021 Provider Commercial 9287
Nephrectomy (partial or complete) 2023 Provider Medi-Cal 2367
GI procedures - Therapeutic OR 2022 Inpatient Facility Medicare 75
Pacemaker or cardioverter/defibrillator services 2021 Provider Medi-Cal 6694
Oral and dental services 2020 Outpatient Facility Medi-Cal 12668
Tympanoplasty 2020 Provider Medicare 1555
Laboratory - Chemistry and hematology 2019 Home Health Commercial 168
Ultrasound - Heart (echocardiogram) - Diagnostic 2023 Outpatient Facility Medicare 293767
Urinary tract procedures - Diagnostic (other) 2021 Inpatient Facility Medicare 148
Nervous system procedures - Therapeutic OR (other) 2018 Outpatient Facility Medi-Cal 4400
Microscopic examination (e.g., lab, toxicology) 2023 Inpatient Facility Medi-Cal 7918
Electrographic cardiac monitoring 2019 Inpatient Facility Medi-Cal 95
Intraocular procedures - Therapeutic 2021 Provider Commercial 94853
Ancillary services 2018 Home Health Medi-Cal 664118
Physical/occupational/speech therapy - Exercises 2019 Outpatient Facility Medi-Cal 4376448
HCPCS Level II codes not classified 2023 Pharmacy Medicare 98
AVF or vessel-to-vessel cannula for dialysis svcs. 2019 Outpatient Facility Medicare 32230
Bone marrow biopsy 2023 Provider Medicare 20092
Musculoskeletal procedures - Therapeutic OR (other) 2020 Outpatient Facility Medicare 2832
GI (upper) procedures - Therapeutic 2019 Outpatient Facility Commercial 487
Tracheostomy (temporary and permanent) 2018 Provider Medi-Cal 2714
Hemodialysis 2021 Provider Commercial 6604
Fetal monitoring 2018 Inpatient Facility Medi-Cal 266
PTCA (percutaneous transluminal coronary angio.) 2022 Provider Medi-Cal 9303
Conversion of cardiac rhythm 2023 Provider Medi-Cal 4457
Skin, breast procedures - Therapeutic OR (other) 2021 Outpatient Facility Medicare 8381
Musculoskeletal procedures - Diagnostic (other) 2020 Provider Medi-Cal 3930
Cesarean section 2023 Provider Commercial 52196
Eye procedures - Therapeutic (other) 2023 Outpatient Facility Medi-Cal 10849
Ileostomy and other enterostomy 2023 Provider Medicare 3494
Arterial blood gases 2022 Independent Labs Commercial 36
Myringotomy 2020 Provider Medicare 4611
Heart valve procedures 2018 Inpatient Facility Commercial 57
Medications (injections, infusions, other forms) 2021 Inpatient Facility Medi-Cal 242786
Peritoneal dialysis 2018 Outpatient Facility Medi-Cal 1708219
Radioisotope scan and function studies 2018 Provider Medi-Cal 136982
Skin graft 2021 Outpatient Facility Medi-Cal 8191
Other types of lab tests 2019 Hospice Medi-Cal 2597
DME and supplies 2022 Unclassified/other Medicare 700
Behavioral health services 2020 Provider Medi-Cal 131121
Psychological and psychiatric evaluation, therapy 2020 Provider Commercial 9893887
Care management/coordination services 2022 Outpatient Facility Medi-Cal 31766
Ear procedures - Therapeutic 2019 Outpatient Facility Medi-Cal 27972
Skilled nursing facility services 2022 Provider Commercial 110
CT scan - Head 2020 Provider Medicare 857441
Bone excision (partial) 2023 Provider Medicare 31833
Extracorporeal shock wave (other than urinary) 2018 Outpatient Facility Commercial 10529
Ungrouped Procedures 2023 Ambulance Commercial 6644
Spleen procedures 2022 Provider Medicare 369
Ophthalmologic/otologic diagnosis and treatment 2022 Unclassified/other Medi-Cal 11482
Pleura incision, thoracentesis, chest drainage 2022 Outpatient Facility Medicare 12486
Emergency department services 2021 Outpatient Facility Medicare 1932683
Urinary tract - Endoscopy and endoscopic biopsy 2021 Outpatient Facility Medicare 17900
Nonoperative removal of foreign body 2022 Provider Medi-Cal 17607
Male genital procedures - Therapeutic (other) 2023 Provider Medicare 11623
Transportation - Patient, provider, equipment 2022 Pharmacy Medi-Cal 353
GI (upper) endoscopy, biopsy 2020 Outpatient Facility Medicare 91841
MRI (magnetic resonance imaging) 2019 Independent Labs Commercial 76
Amniocentesis - Diagnostic 2018 Provider Medi-Cal 795
Joint procedures - Therapeutic OR (other) 2020 Provider Medicare 35590
Treatment, fracture, dislocation - Radius and ulna 2021 Provider Medicare 18741
Eye procedures - Diagnostic 2023 Outpatient Facility Medicare 622
Therapeutic procedures - Other 2021 Inpatient Facility Medi-Cal 237
Delivery - Other procedures to assist 2018 Outpatient Facility Commercial 1741
Other types of visits 2020 Hospice Medi-Cal 29734
Radiology - Therapeutic 2020 Provider Medicare 1008503
Hospital services 2019 Hospice Commercial 211
Alcohol and drug management, treatment, and rehab. 2022 Outpatient Facility Medi-Cal 184203
Ophthalmologic/otologic diagnosis and treatment 2020 Outpatient Facility Medicare 164794
Male genital procedures - Therapeutic OR (other) 2023 Inpatient Facility Medicare 68
GI procedures - Therapeutic OR 2021 Outpatient Facility Commercial 1945
Skilled nursing facility services 2018 Inpatient Facility Medi-Cal 44860
Care management/coordination services 2020 Provider Medicare 660915
HCPCS Level II codes not classified 2020 Ambulance Medicare 63
Knee - Arthroplasty 2023 Provider Medi-Cal 13512
Laboratory - Chemistry and hematology 2023 Inpatient Facility Commercial 3530
PTCA (percutaneous transluminal coronary angio.) 2019 Outpatient Facility Medicare 18287
Cholecystectomy and common duct exploration 2023 Inpatient Facility Commercial 62
Psychological and psychiatric evaluation, therapy 2018 Unclassified/other Medi-Cal 244
Respiratory intubation and mechanical ventilation 2023 Outpatient Facility Medicare 17499
Bone excision (partial) 2021 Outpatient Facility Commercial 8738
Muscles, tendons, joints - Injections, aspirations 2021 Provider Commercial 170293
Breast - Mastectomy 2020 Outpatient Facility Medicare 2645
GI (lower) procedures - Therapeutic OR 2018 Inpatient Facility Medicare 42
Indwelling catheter 2022 Outpatient Facility Medicare 40959
Electrocardiogram 2020 Provider Medi-Cal 1785045
Consultation, evaluation, and preventive care 2022 Hospice Medicare 2453
GI (lower) procedures - Therapeutic OR 2023 Outpatient Facility Medicare 1664
Transportation - Patient, provider, equipment 2021 Ambulance Commercial 557653
Observation care services 2021 Provider Medicare 554175
Eye procedures - Diagnostic 2018 Provider Medicare 17846
Telehealth 2021 Outpatient Facility Medicare 480179
HIPPS home health services 2021 Home Health Medi-Cal 14408
Wound care - Traction, splints, other 2021 Provider Commercial 527260
Treatment, fracture, dislocation - Other 2023 Outpatient Facility Medi-Cal 14008
Blood and blood product transfusion 2022 Provider Commercial 10681
Physical/occupational/speech therapy - Diagnostic 2021 Inpatient Facility Medi-Cal 31652
Skin and subcutaneous tissue - Suture 2023 Outpatient Facility Medicare 70834
Emergency department services 2019 Outpatient Facility Medicare 2251602
EEG (electroencephalogram) 2020 Inpatient Facility Medi-Cal 247
Female organ procedures - Diagnostic (other) 2020 Unclassified/other Medi-Cal 90
Ancillary services 2023 Outpatient Facility Commercial 99749
Radioisotope scan - Pulmonary 2021 Provider Commercial 3583
Lung and bronchus procedures - Diagnostic (other) 2022 Inpatient Facility Medi-Cal 827
CT scan - Abdomen 2018 Inpatient Facility Medi-Cal 840
Microscopic examination (e.g., lab, toxicology) 2019 Unclassified/other Commercial 415
Urethra - Procedures 2021 Outpatient Facility Commercial 2031
Preventive visits 2020 Provider Medi-Cal 3174689
Spinal canal stimulator insertion and injection 2022 Outpatient Facility Medi-Cal 38223
Emergency department services 2018 Home Health Commercial 42
Skin graft 2022 Provider Medi-Cal 42352
Radioisotope scan and function studies 2020 Inpatient Facility Medi-Cal 217
Microscopic examination (e.g., lab, toxicology) 2019 Outpatient Facility Medi-Cal 4032719
Pacemaker or cardioverter/defibrillator services 2018 Outpatient Facility Commercial 3243
GI (upper) endoscopy, biopsy 2021 Provider Commercial 189950
Spinal canal stimulator insertion and injection 2021 Pharmacy Commercial 2471
Observation care services 2020 Outpatient Facility Medicare 248262
Hernia repair - Other 2019 Outpatient Facility Medi-Cal 6178
Exploratory laparotomy 2021 Provider Medicare 2281
Nervous system procedures - Therapeutic (other) 2021 Outpatient Facility Medi-Cal 38256
Myelogram 2021 Provider Commercial 1002
DME and supplies 2023 Outpatient Facility Medi-Cal 2028035
Bone marrow biopsy 2021 Outpatient Facility Medi-Cal 2901
Ear procedures - Therapeutic 2020 Provider Medi-Cal 80431
Laboratory - Chemistry and hematology 2022 Provider Commercial 4629566
Physical/occupational/speech therapy - Diagnostic 2020 Outpatient Facility Commercial 113328
Ophthalmologic/otologic diagnosis and treatment 2019 Outpatient Facility Medi-Cal 875657
Respiratory intubation and mechanical ventilation 2022 Outpatient Facility Medi-Cal 7229
Knee - Arthroplasty 2023 Outpatient Facility Commercial 14054
Cardiovascular procedures - Diagnostic (other) 2020 Provider Medi-Cal 47356
Female organ procedures - Diagnostic (other) 2019 Provider Commercial 289848
Vascular bypass and shunt - Other (not heart) 2021 Provider Medicare 626
Hospital services 2019 Inpatient Facility Commercial 1455
Ungrouped Procedures 2023 Unclassified/other Commercial 1043
Behavioral health services 2022 Outpatient Facility Medi-Cal 21918
Ultrasound - Head and neck - Diagnostic 2021 Independent Labs Commercial 99
Cholecystectomy and common duct exploration 2022 Outpatient Facility Medicare 8340
Mammography 2022 Provider Commercial 2472005
Transportation - Patient, provider, equipment 2020 Provider Commercial 7383
Eye procedures - Glaucoma 2018 Unclassified/other Medi-Cal 33
Urinary system (nonoperative) measurements 2023 Pharmacy Commercial 44
Breast - Mastectomy 2019 Provider Medicare 4690
Catheterization (Swan-Ganz) for monitoring 2019 Provider Medi-Cal 3296
Arteriogram or venogram (not heart and head) 2023 Provider Medicare 175616
Wound care - Traction, splints, other 2019 Outpatient Facility Commercial 66996
Fetal monitoring 2021 Inpatient Facility Commercial 60
Alcohol and drug management, treatment, and rehab. 2021 Home Health Medi-Cal 2584
Lung and bronchus procedures - Diagnostic (other) 2019 Provider Commercial 352021
Nonoperative removal of foreign body 2023 Outpatient Facility Medicare 2210
Treatment, fracture, dislocation - Radius and ulna 2023 Provider Medi-Cal 27133
Other types of visits 2022 Outpatient Facility Commercial 8079
Nose, mouth, pharynx procedures - Therapeutic OR 2018 Inpatient Facility Medicare 100
Ancillary services 2020 Unclassified/other Commercial 4217
Breast - Biopsy, procedures - Diagnostic (other) 2020 Provider Commercial 43719
GI procedures - Diagnostic 2023 Independent Labs Commercial 2810
Electrographic cardiac monitoring 2022 Provider Medicare 1213283
Alcohol and drug management, treatment, and rehab. 2019 Home Health Medi-Cal 1868
Kidney transplant 2020 Provider Commercial 516
Other vascular catheterization (not heart) 2022 Inpatient Facility Medi-Cal 289
CT scan - Head 2022 Unclassified/other Medi-Cal 43
Respiratory therapy - Other 2019 Outpatient Facility Medicare 239835
Ungrouped Procedures 2018 Inpatient Facility Medicare 68714
Delivery - Other procedures to assist 2022 Provider Medi-Cal 2486
DME and supplies 2019 Provider Medicare 5206354
Muscles, tendons, joints - Injections, aspirations 2023 Provider Commercial 171161
Open-heart procedures - Extracorporeal circulation 2021 Provider Medi-Cal 119124
Urinary tract procedures - Therapeutic OR (other) 2022 Outpatient Facility Medicare 8213
Respiratory intubation and mechanical ventilation 2018 Outpatient Facility Medi-Cal 7313
Blood and blood product transfusion 2018 Inpatient Facility Medi-Cal 1274
Radioisotope scan - Other 2021 Pharmacy Commercial 1539
Prostatectomy (open ) 2020 Inpatient Facility Medicare 121
Ureteral catheterization 2018 Inpatient Facility Medicare 92
TURP (transurethral resection of prostate) 2021 Outpatient Facility Medicare 6770
Ear procedures - Therapeutic 2023 Provider Commercial 196534
Excision, lysis peritoneal adhesions 2018 Provider Medi-Cal 804
Consultation, evaluation, and preventive care 2018 Independent Labs Medi-Cal 136
Genitourinary incontinence procedures 2019 Outpatient Facility Medicare 3872
Hernia repair - Other 2020 Provider Medi-Cal 13813
Myelogram 2023 Outpatient Facility Medicare 1329
Visual aids and other optical supplies 2021 Outpatient Facility Medicare 75697
Medications (injections, infusions, other forms) 2022 Unclassified/other Medicare 1769
Cardiovascular procedures - Therapeutic (other) 2020 Provider Medi-Cal 55380
Skin and subcutaneous tissue - Incision, drainage 2022 Outpatient Facility Medicare 12079
Hip replacement (partial and total) 2019 Provider Medicare 36809
Urinary system (nonoperative) measurements 2020 Outpatient Facility Commercial 739420
Chemotherapy - Cancer 2022 Provider Medi-Cal 210402
Heart valve procedures 2022 Outpatient Facility Medicare 130
Ultrasound - Diagnostic (other) 2020 Unclassified/other Medi-Cal 213
Indwelling catheter 2021 Outpatient Facility Commercial 6821
Small bowel resection 2021 Outpatient Facility Commercial 68
Peritoneal dialysis 2022 Provider Medi-Cal 8588
Arteriogram or venogram (not heart and head) 2018 Provider Medi-Cal 36374
CPT codes not classified (F codes) 2018 Outpatient Facility Medi-Cal 79176
Skin and subcutaneous tissue - Diagnostic (other) 2020 Independent Labs Commercial 160
Observation care services 2018 Unclassified/other Medi-Cal 2814
Urinary tract procedures - Diagnostic (other) 2018 Outpatient Facility Commercial 2975
Myringotomy 2023 Provider Medicare 6580
Emergency department services 2021 Unclassified/other Medi-Cal 996
Wound care - Traction, splints, other 2018 Provider Commercial 710046
Skin lesion - Excision 2022 Unclassified/other Medi-Cal 601
GI (upper) procedures - Therapeutic 2022 Provider Medicare 1611
Thyroidectomy (partial or complete) 2022 Inpatient Facility Medicare 66
Ultrasound - Head and neck - Diagnostic 2020 Inpatient Facility Medicare 2201
Vessels of head/neck procedures - Other OR 2020 Inpatient Facility Commercial 55
Central nervous system (CNS) incision and excision 2022 Provider Commercial 5005
Ureteral catheterization 2023 Provider Commercial 9047
Blood and blood product transfusion 2020 Outpatient Facility Commercial 50795
Hemic/lymphatic system procedures - Therapeutic 2023 Provider Medi-Cal 13670
Bronchoscopy and biopsy - Diagnostic 2020 Provider Medi-Cal 14302
Musculoskeletal procedures - Diagnostic (other) 2021 Outpatient Facility Commercial 3101
CPT codes not classified (F codes) 2022 Provider Medi-Cal 10414048
Extracorporeal shock wave (other than urinary) 2023 Provider Medicare 114139
Bone marrow transplant 2021 Outpatient Facility Medicare 1926
HCPCS Level II codes not classified 2019 Independent Labs Medicare 930
ERCP (endoscopic retro. cannulation of pancreas) 2018 Outpatient Facility Medi-Cal 4336
Medications (injections, infusions, other forms) 2018 Home Health Commercial 7228
Colonoscopy and biopsy 2018 Inpatient Facility Medi-Cal 62
Epistaxis control 2019 Provider Medicare 19334
Hospital services 2023 Hospice Commercial 98
Treatment, fracture, dislocation - Hip and femur 2019 Outpatient Facility Medi-Cal 955
Critical care services 2021 Inpatient Facility Medicare 107
CT scan - Other 2023 Inpatient Facility Commercial 73
GI (lower) procedures - Therapeutic 2021 Provider Medicare 3946
Other types of lab tests 2019 Independent Labs Medicare 12657215
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2019 Inpatient Facility Medicare 8970
Intraoperative cholangiogram 2019 Outpatient Facility Medi-Cal 598
Pathology 2018 Outpatient Facility Medi-Cal 365352
Microscopic examination (e.g., lab, toxicology) 2019 Independent Labs Commercial 10703870
Debridement of wound, infection or burn 2023 Provider Commercial 61102
Radiology - Diagnostic (other) 2019 Inpatient Facility Medi-Cal 4613
Nose, mouth, pharynx procedures - Diagnostic 2019 Inpatient Facility Commercial 130
Nervous system procedures - Therapeutic OR (other) 2022 Provider Commercial 38148
Physical/occupational/speech therapy - Diagnostic 2019 Unclassified/other Commercial 73
Arteriogram or venogram (not heart and head) 2023 Inpatient Facility Medi-Cal 558
Gastrectomy (partial and total) 2022 Provider Medicare 587
Psychological and psychiatric evaluation, therapy 2023 Unclassified/other Medicare 4493
Peritoneal dialysis 2023 Outpatient Facility Medicare 5529793
CT scan - Head 2019 Outpatient Facility Medicare 511726
Lung and bronchus procedures - Diagnostic (other) 2023 Provider Commercial 280890
Knee - Arthroplasty 2018 Outpatient Facility Medi-Cal 962
Conversion of cardiac rhythm 2021 Provider Commercial 7690
Fetal monitoring 2023 Outpatient Facility Commercial 86313
Musculoskeletal procedures - Diagnostic (other) 2019 Provider Commercial 5077
Skin, breast procedures - Therapeutic OR (other) 2019 Outpatient Facility Medi-Cal 6831
Thyroidectomy (partial or complete) 2018 Outpatient Facility Medi-Cal 1154
Cesarean section 2022 Outpatient Facility Medi-Cal 1085
Electrocardiogram 2018 Outpatient Facility Medi-Cal 871831
Consultation, evaluation, and preventive care 2019 Provider Medi-Cal 329333
Varicose vein stripping - Lower limb 2018 Outpatient Facility Medi-Cal 654
Emergency department services 2020 Outpatient Facility Medi-Cal 1141536
Urinary tract - Endoscopy and endoscopic biopsy 2019 Outpatient Facility Medi-Cal 3772
Skin and subcutaneous tissue - Suture 2018 Outpatient Facility Medi-Cal 100088
Proctoscopy and anorectal biopsy 2019 Inpatient Facility Medicare 101
Blood and blood product transfusion 2019 Outpatient Facility Commercial 51373
Delivery - Forceps, vacuum, and breech 2022 Outpatient Facility Medi-Cal 2313
Radioisotope scan - Other 2022 Provider Commercial 20648
Transportation - Patient, provider, equipment 2021 Provider Medicare 426796
Genitourinary incontinence procedures 2020 Provider Commercial 4624
Hernia repair - Other 2022 Provider Medicare 22221
Other vascular catheterization (not heart) 2023 Provider Commercial 89622
Ancillary services 2021 Outpatient Facility Medi-Cal 5866164
DME and supplies 2020 Independent Labs Commercial 92554
Nervous system procedures - Therapeutic (other) 2019 Inpatient Facility Medicare 99
Psychological and psychiatric evaluation, therapy 2019 Unclassified/other Medicare 2864
Ureteral catheterization 2019 Provider Commercial 9476
TURP (transurethral resection of prostate) 2023 Outpatient Facility Medicare 8486
Extracorporeal lithotripsy, urinary 2022 Inpatient Facility Medicare 32
Vessels other than head/neck procedures - Other OR 2022 Pharmacy Medi-Cal 51
Arterial blood gases 2020 Provider Medi-Cal 104692
CPT codes not classified (F codes) 2019 Outpatient Facility Medi-Cal 665262
Office visits 2020 Provider Medi-Cal 23534286
Eye procedures - Corneal transplant 2023 Outpatient Facility Medicare 1704
Ileostomy and other enterostomy 2021 Provider Commercial 1601
Radiology - Therapeutic 2018 Provider Medicare 1032642
HIPPS home health services 2023 Unclassified/other Medi-Cal 83
Other types of visits 2023 Pharmacy Medi-Cal 157
Medications (injections, infusions, other forms) 2020 Inpatient Facility Commercial 132908
GI (upper) procedures - Therapeutic OR 2020 Outpatient Facility Medi-Cal 307
Laparoscopy 2018 Outpatient Facility Medicare 3153
Skin, breast procedures - Therapeutic (other) 2023 Outpatient Facility Commercial 18648
Transportation - Patient, provider, equipment 2019 Ambulance Commercial 583964
Physical/occupational/speech therapy - Exercises 2022 Inpatient Facility Medi-Cal 1080993
CPT codes not classified (F codes) 2018 Independent Labs Commercial 467
Office visits 2019 Independent Labs Medi-Cal 2800
Arterial blood gases 2019 Independent Labs Medicare 640
Eye procedures - Corneal transplant 2018 Outpatient Facility Commercial 672
Non-hospital-based care (home health, hospice) 2019 Inpatient Facility Medicare 429555
Esophageal dilatation 2018 Provider Medicare 27599
Prophylactic vaccinations and inoculations 2018 Inpatient Facility Medi-Cal 1492
Eye procedures - Therapeutic (other) 2018 Outpatient Facility Medi-Cal 8662
Nose, mouth, pharynx procedures - Diagnostic 2022 Inpatient Facility Medi-Cal 5379
Radioisotope scan - Other 2019 Provider Medi-Cal 1798
Laparoscopy 2021 Provider Medicare 7269
Ultrasound - Urinary tract - Diagnostic 2023 Outpatient Facility Medi-Cal 1200
Other vascular catheterization (not heart) 2018 Inpatient Facility Medi-Cal 232
Abdominal paracentesis 2020 Outpatient Facility Medicare 23310
X-ray - Lower GI 2022 Inpatient Facility Medicare 33
Ancillary services 2020 Provider Commercial 988331
CT scan - Head 2018 Independent Labs Medicare 95
Cystocele/rectocele repair, oblit. of vag. vault 2019 Inpatient Facility Medicare 130
Female organ procedures - Diagnostic (other) 2023 Outpatient Facility Medi-Cal 38698
Hysterectomy (abdominal and vaginal) 2019 Provider Medi-Cal 12531
Physical/occupational/speech therapy - Other 2018 Provider Medicare 144426
Delivery - Forceps, vacuum, and breech 2019 Provider Medicare 265
Heart procedures - Other OR 2021 Inpatient Facility Commercial 99
Bone procedures - Therapeutic OR (other) 2018 Provider Medicare 56692
Pathology 2020 Independent Labs Medi-Cal 1128859
D&C - Aspiration after delivery or abortion 2022 Outpatient Facility Medicare 35
Endocrine procedures - Therapeutic 2020 Inpatient Facility Medicare 38
Laboratory - Chemistry and hematology 2021 Unclassified/other Commercial 5549
Skin and subcutaneous tissue - Incision, drainage 2020 Inpatient Facility Medicare 61
Respiratory procedures - Therapeutic (other) 2022 Inpatient Facility Medi-Cal 2204
Intraoperative cholangiogram 2022 Provider Commercial 1547
Contrast arteriogram - Lower extremity arteries 2020 Outpatient Facility Medicare 1166
Urinary tract procedures - Therapeutic (other) 2023 Provider Medicare 67424
Cervix and uterus - Other excision 2018 Provider Medicare 1780
Prophylactic vaccinations and inoculations 2020 Pharmacy Medicare 538
Hernia repair - Inguinal and femoral 2018 Outpatient Facility Medicare 14270
Radiology - Diagnostic (other) 2023 Independent Labs Medicare 100
Nose, mouth, pharynx procedures - Therapeutic 2023 Provider Medicare 23340
Blood and blood product transfusion 2018 Independent Labs Medicare 713
Office visits 2022 Outpatient Facility Commercial 541091
Open-heart procedures - Extracorporeal circulation 2021 Pharmacy Medicare 392
CPT codes not classified (F codes) 2018 Independent Labs Medi-Cal 879
Muscles, tendons, joints - Injections, aspirations 2023 Outpatient Facility Medicare 26492
Ear procedures - Therapeutic 2023 Outpatient Facility Commercial 7237
Gastrostomy (temporary and permanent) 2023 Outpatient Facility Medi-Cal 6126
Skin and subcutaneous tissue - Incision, drainage 2021 Inpatient Facility Medicare 60
Male genital procedures - Therapeutic OR (other) 2021 Provider Commercial 9802
Esophageal varices - Injection or ligation 2023 Provider Medi-Cal 4692
Urinary system (nonoperative) measurements 2020 Inpatient Facility Medi-Cal 572
Fetal monitoring 2022 Outpatient Facility Commercial 90366
Visual aids and other optical supplies 2020 Outpatient Facility Medicare 61133
Arteriogram or venogram (not heart and head) 2019 Inpatient Facility Medicare 2706
Breast - Biopsy, procedures - Diagnostic (other) 2019 Outpatient Facility Commercial 22396
Cardiovascular procedures - Diagnostic (other) 2022 Provider Commercial 38021
Prostatectomy (open ) 2018 Provider Commercial 3177
Therapeutic procedures - Other 2023 Ambulance Commercial 53
Ancillary services 2020 Provider Medicare 429144
Radioisotope scan - Other 2021 Home Health Medicare 50
Ungrouped Procedures 2023 Unclassified/other Medicare 149
Hip replacement (partial and total) 2018 Provider Medicare 35356
Medications (injections, infusions, other forms) 2022 Unclassified/other Medi-Cal 3510
Peritoneal dialysis 2021 Provider Commercial 3717
GI procedures - Diagnostic 2022 Provider Medi-Cal 21359
Consultation, evaluation, and preventive care 2018 Independent Labs Commercial 811
Indwelling catheter 2021 Inpatient Facility Medi-Cal 178
Cardiovascular procedures - Therapeutic (other) 2019 Provider Commercial 68433
Delivery - Other procedures to assist 2023 Provider Commercial 2001
DME and supplies 2019 Provider Commercial 3492132
Respiratory intubation and mechanical ventilation 2018 Inpatient Facility Medicare 2471
Eye procedures - Corneal transplant 2019 Provider Commercial 751
Respiratory therapy - Other 2018 Provider Commercial 143744
Fallopian tubes - Ligation 2022 Outpatient Facility Commercial 730
Small bowel resection 2020 Provider Commercial 2042
Pregnancy (ectopic) - Removal 2023 Outpatient Facility Medi-Cal 907
Hernia repair - Other 2021 Provider Commercial 21590
Other types of visits 2022 Provider Medicare 788905
PTCA (percutaneous transluminal coronary angio.) 2018 Inpatient Facility Commercial 110
TURP (transurethral resection of prostate) 2022 Outpatient Facility Medi-Cal 587
Urethra - Procedures 2021 Provider Medi-Cal 6610
Skin and subcutaneous tissue - Diagnostic (other) 2018 Provider Medi-Cal 55320
Consultations 2018 Provider Medi-Cal 664858
Nasogastric tube 2023 Outpatient Facility Medi-Cal 242
Psychological and psychiatric evaluation, therapy 2023 Outpatient Facility Commercial 310956
Care management/coordination services 2022 Home Health Medi-Cal 511
Electrocardiogram 2021 Unclassified/other Medi-Cal 620
CT scan - Other 2021 Unclassified/other Medi-Cal 39
GI (upper) procedures - Therapeutic 2021 Outpatient Facility Commercial 383
GI procedures - Therapeutic 2021 Provider Medicare 16406
MRI (magnetic resonance imaging) 2022 Provider Medicare 1317610
Observation care services 2022 Outpatient Facility Medi-Cal 100205
Visual aids and other optical supplies 2023 Outpatient Facility Medi-Cal 110420
Arteriogram or venogram (not heart and head) 2020 Inpatient Facility Medicare 2408
Nervous system procedures - Therapeutic OR (other) 2021 Inpatient Facility Medicare 58
Ancillary services 2023 Hospice Medi-Cal 3866
Urinary tract procedures - Diagnostic (other) 2022 Provider Medi-Cal 3028
PTCA (percutaneous transluminal coronary angio.) 2020 Provider Medicare 34669
Skin graft 2020 Outpatient Facility Medi-Cal 8327
Physical/occupational/speech therapy - Diagnostic 2018 Independent Labs Medi-Cal 150
Anesthesia 2018 Inpatient Facility Commercial 155
Eye procedures - Diagnostic 2021 Outpatient Facility Commercial 469
Tonsillectomy and/or adenoidectomy 2020 Provider Medi-Cal 9566
Endocrine procedures - Diagnostic 2020 Outpatient Facility Medi-Cal 824
DME and supplies 2022 Inpatient Facility Commercial 5091
Hospital services 2022 Hospice Medi-Cal 394
Vascular bypass and shunt - Other (not heart) 2018 Provider Medicare 701
Breast - Lumpectomy, quadrantectomy 2019 Provider Commercial 14151
Respiratory intubation and mechanical ventilation 2019 Provider Medi-Cal 33562
Oral and dental services 2022 Outpatient Facility Medicare 1546
Division of joint capsule (ligament or cartilage) 2019 Outpatient Facility Medi-Cal 858
Other types of lab tests 2021 Independent Labs Medi-Cal 9634938
Office visits 2023 Outpatient Facility Commercial 547683
Breast - Biopsy, procedures - Diagnostic (other) 2018 Provider Medi-Cal 18065
Treatment, fracture, dislocation - Radius and ulna 2019 Provider Medicare 18375
Preventive visits 2021 Provider Commercial 5169076
Cholecystectomy and common duct exploration 2018 Outpatient Facility Medicare 8090
HCPCS Level II codes not classified 2021 Hospice Medi-Cal 179
Medications (injections, infusions, other forms) 2023 Pharmacy Commercial 13906
Critical care services 2019 Provider Medicare 1105089
Spinal canal stimulator insertion and injection 2018 Inpatient Facility Medicare 80
Radioisotope scan and function studies 2018 Inpatient Facility Commercial 51
Knee - Excision of semilunar cartilage 2019 Provider Medicare 16598
Telehealth 2022 Inpatient Facility Medicare 2763
Musculoskeletal procedures - Therapeutic (other) 2021 Pharmacy Commercial 222
Treatment, fracture, dislocation - Facial 2021 Provider Commercial 5976
Fallopian tubes - Other operations 2019 Outpatient Facility Medi-Cal 188
Nonoperative removal of foreign body 2020 Outpatient Facility Medi-Cal 8385
Ungrouped Procedures 2020 Home Health Medicare 5462
Delivery - Other procedures to assist 2020 Provider Commercial 1966
Chemotherapy - Cancer 2020 Provider Medicare 623082
Fallopian tubes - Ligation 2021 Outpatient Facility Medi-Cal 1348
Nose, mouth, pharynx procedures - Therapeutic 2022 Inpatient Facility Commercial 218
GI procedures - Diagnostic 2021 Independent Labs Medi-Cal 102
Respiratory procedures - Therapeutic OR (other) 2023 Outpatient Facility Medicare 4613
Treatment, fracture, dislocation - Other 2019 Outpatient Facility Medi-Cal 13217
Heart valve procedures 2021 Provider Medi-Cal 4200
Muscle and tendon procedures - Therapeutic (other) 2019 Provider Medi-Cal 33740
Female organ procedures - Therapeutic OR (other) 2018 Outpatient Facility Medicare 3212
Skin and subcutaneous tissue - Suture 2022 Outpatient Facility Medicare 70110
Electrographic cardiac monitoring 2021 Provider Medi-Cal 195899
Indwelling catheter 2020 Provider Medi-Cal 12336
Open-heart procedures - Extracorporeal circulation 2019 Provider Commercial 2245
Arthroscopy 2019 Provider Commercial 13207
Ungrouped Procedures 2021 Pharmacy Medicare 8287
Laminectomy, excision intervertebral disc 2023 Outpatient Facility Medi-Cal 1585
ERCP (endoscopic retro. cannulation of pancreas) 2023 Outpatient Facility Medi-Cal 6411
Visual aids and other optical supplies 2019 Provider Medicare 364248
Non-hospital-based care (home health, hospice) 2021 Unclassified/other Commercial 496
Male genital procedures - Therapeutic OR (other) 2021 Outpatient Facility Commercial 8378
Respiratory intubation and mechanical ventilation 2018 Ambulance Medi-Cal 42
Prophylactic vaccinations and inoculations 2023 Provider Commercial 14795038
Radioisotope scan - Pulmonary 2020 Provider Medicare 14964
Arterial blood gases 2023 Outpatient Facility Commercial 29267
Office visits 2022 Independent Labs Medi-Cal 4763
Ultrasound - Diagnostic (other) 2020 Independent Labs Medicare 126
Esophageal varices - Injection or ligation 2021 Inpatient Facility Medicare 37
Small bowel resection 2019 Provider Medi-Cal 2610
DME and supplies 2019 Pharmacy Commercial 275
D&C (dilatation and curettage) - Diagnostic 2021 Provider Commercial 2786
Hip replacement (partial and total) 2018 Provider Commercial 17382
Spinal tap - Diagnostic 2020 Provider Commercial 9786
CPT codes not classified (F codes) 2021 Unclassified/other Medi-Cal 1834
Hemorrhoid procedures 2023 Outpatient Facility Commercial 5065
Alcohol and drug management, treatment, and rehab. 2018 Inpatient Facility Commercial 17278
Eye procedures - Destruction of retinal lesion 2022 Outpatient Facility Medicare 810
Liver biopsy 2022 Outpatient Facility Medi-Cal 1610
Cardiac stress tests 2019 Provider Commercial 162330
Varicose vein stripping - Lower limb 2022 Outpatient Facility Medi-Cal 651
Emergency department services 2019 Outpatient Facility Commercial 2149520
Skilled nursing facility services (HIPPS) 2019 Provider Medi-Cal 1897
PTCA (percutaneous transluminal coronary angio.) 2019 Inpatient Facility Medicare 1183
Nervous system procedures - Diagnostic (other) 2022 Outpatient Facility Medicare 37207
Other types of lab tests 2020 Hospice Medi-Cal 1973
Oral and dental services 2018 Provider Commercial 3503
Wound care - Traction, splints, other 2021 Outpatient Facility Commercial 55953
Vascular bypass - Peripheral 2018 Provider Medi-Cal 990
EEG (electroencephalogram) 2018 Provider Medi-Cal 53818
Myelogram 2022 Outpatient Facility Medicare 1287
Medications (injections, infusions, other forms) 2018 Home Health Medi-Cal 2727
Coronary thrombolysis 2018 Provider Medicare 91
MRI (magnetic resonance imaging) 2020 Inpatient Facility Commercial 271
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2020 Provider Medicare 714259
Skin lesion - Excision 2023 Unclassified/other Medi-Cal 413
Central nervous system (CNS) incision and excision 2022 Provider Medicare 8145
Emergency department services 2022 Provider Medi-Cal 5611064
Thyroidectomy (partial or complete) 2022 Outpatient Facility Medi-Cal 1047
Nose, mouth, pharynx procedures - Diagnostic 2019 Provider Medicare 224793
CPT codes not classified (F codes) 2023 Provider Medicare 11643854
Hemic/lymphatic system procedures - Therapeutic 2018 Outpatient Facility Medicare 17223
Radiology - Diagnostic (other) 2020 Independent Labs Commercial 109
GI procedures - Therapeutic OR 2020 Outpatient Facility Medi-Cal 785
Treatment, fracture, dislocation - Radius and ulna 2018 Inpatient Facility Medicare 56
Anesthesia 2022 Outpatient Facility Medi-Cal 42690
HIPPS home health services 2021 Home Health Commercial 9459
Behavioral health services 2023 Provider Commercial 31085
Physical/occupational/speech therapy - Diagnostic 2020 Provider Commercial 778295
Psychological and psychiatric evaluation, therapy 2019 Hospice Medicare 671
Spinal canal stimulator insertion and injection 2021 Provider Commercial 340522
Musculoskeletal procedures - Diagnostic (other) 2023 Provider Medi-Cal 4841
Laboratory - Chemistry and hematology 2018 Pharmacy Medi-Cal 44
Treatment, fracture, dislocation - Facial 2018 Provider Medi-Cal 7514
Nervous system procedures - Therapeutic (other) 2022 Provider Medi-Cal 169332
Debridement of wound, infection or burn 2023 Provider Medicare 618950
Amputation - Lower extremity 2021 Outpatient Facility Medicare 2030
GI (upper) procedures - Therapeutic OR 2018 Outpatient Facility Medi-Cal 309
Gastrectomy (partial and total) 2023 Provider Medi-Cal 317
Urethra - Procedures 2018 Outpatient Facility Commercial 1737
Consultation, evaluation, and preventive care 2021 Unclassified/other Commercial 276
Extracranial ventricular shunt services 2018 Outpatient Facility Medi-Cal 83
Ultrasound - Heart (echocardiogram) - Diagnostic 2021 Outpatient Facility Commercial 110891
Urinary tract procedures - Diagnostic (other) 2019 Outpatient Facility Medi-Cal 2223
Vessels of head/neck procedures - Other OR 2022 Inpatient Facility Commercial 59
Bone marrow transplant 2022 Provider Medicare 2905
Hospital services 2023 Provider Commercial 2535423
Urethra - Procedures 2019 Outpatient Facility Medicare 2318
Radioisotope scan - Pulmonary 2021 Outpatient Facility Medi-Cal 1485
Eye procedures - Destruction of retinal lesion 2023 Provider Commercial 10496
Rehabilitation facility services 2023 Outpatient Facility Medicare 161
Conversion of cardiac rhythm 2018 Outpatient Facility Medicare 13023
Mammography 2023 Outpatient Facility Commercial 651329
Lung and bronchus procedures - Diagnostic (other) 2021 Provider Medi-Cal 226447
Female organ procedures - Diagnostic (other) 2019 Unclassified/other Medi-Cal 88
Skin and subcutaneous tissue - Suture 2022 Unclassified/other Medi-Cal 45
DME and supplies 2021 Pharmacy Commercial 96
CT scan - Abdomen 2018 Outpatient Facility Medicare 416870
TURP (transurethral resection of prostate) 2020 Provider Commercial 1854
Muscles, tendons, joints - Injections, aspirations 2022 Outpatient Facility Medicare 28008
Other types of visits 2021 Unclassified/other Commercial 107
Ultrasound - Head and neck - Diagnostic 2022 Provider Medicare 625181
GI (lower) procedures - Therapeutic OR 2023 Outpatient Facility Medi-Cal 3475
Microscopic examination (e.g., lab, toxicology) 2022 Provider Commercial 2633795
Pathology 2019 Independent Labs Medi-Cal 1311463
GI (lower) procedures - Therapeutic 2023 Outpatient Facility Medicare 2209
HCPCS Level II codes not classified 2019 Provider Medi-Cal 1185894
Bronchoscopy and biopsy - Diagnostic 2022 Outpatient Facility Commercial 5669
Telehealth 2020 Unclassified/other Commercial 16185
Psychological and psychiatric evaluation, therapy 2021 Provider Medi-Cal 9764796
Nasogastric tube 2019 Outpatient Facility Medi-Cal 263
Electrographic cardiac monitoring 2018 Independent Labs Medicare 16950
X-ray - Chest (routine) 2019 Provider Medi-Cal 2614892
Abdominal paracentesis 2018 Hospice Medicare 62
Colonoscopy and biopsy 2018 Unclassified/other Medi-Cal 446
Physical/occupational/speech therapy - Diagnostic 2023 Provider Medicare 948126
CT scan - Other 2018 Inpatient Facility Medi-Cal 309
Nose procedures - Plastic 2020 Outpatient Facility Medi-Cal 2887
Care management/coordination services 2020 Hospice Medi-Cal 911
Laboratory - Chemistry and hematology 2023 Pharmacy Commercial 97
Arthrocentesis 2018 Outpatient Facility Medicare 58274
Urinary system (nonoperative) measurements 2023 Provider Medi-Cal 2254243
Extracorporeal lithotripsy, urinary 2018 Provider Medicare 14022
Respiratory intubation and mechanical ventilation 2022 Provider Medicare 56474
GI (lower) procedures - Therapeutic 2023 Provider Medicare 4026
HCPCS Level II codes not classified 2019 Unclassified/other Medi-Cal 273
Skilled nursing facility services 2018 Unclassified/other Medi-Cal 495
Breast - Mastectomy 2020 Outpatient Facility Medi-Cal 1056
Alcohol and drug management, treatment, and rehab. 2022 Inpatient Facility Medicare 1781
Microscopic examination (e.g., lab, toxicology) 2019 Provider Medi-Cal 3846586
Bowel procedures - Diagnostic 2022 Provider Commercial 118
Indwelling catheter 2018 Provider Medi-Cal 13174
Eye procedures - Destruction of retinal lesion 2020 Provider Medicare 21778
Visual aids and other optical supplies 2018 Unclassified/other Medi-Cal 43
GI procedures - Diagnostic 2021 Outpatient Facility Medicare 13817
Chemotherapy - Cancer 2019 Provider Commercial 420551
Spinal tap - Diagnostic 2019 Outpatient Facility Medi-Cal 4247
Prophylactic vaccinations and inoculations 2023 Pharmacy Medicare 924
Care management/coordination services 2019 Home Health Medi-Cal 208
DME and supplies 2021 DME (Durable Medical Equipment) Medicare 5907575
CT scan - Head 2021 Unclassified/other Commercial 171
Fallopian tubes - Ligation 2019 Provider Medi-Cal 13443
Skin and subcutaneous tissue - Suture 2021 Inpatient Facility Medicare 43
Urinary system (nonoperative) measurements 2018 Unclassified/other Commercial 73
Radioisotope scan - Pulmonary 2019 Outpatient Facility Medicare 6830
Ungrouped Procedures 2020 Inpatient Facility Commercial 1505
Female organ procedures - Therapeutic OR (other) 2018 Outpatient Facility Commercial 10970
Ovary operations - Other 2023 Outpatient Facility Medi-Cal 119
HIPPS home health services 2018 Outpatient Facility Medicare 33
Non-hospital-based care (home health, hospice) 2021 Inpatient Facility Medi-Cal 192158
Abortion (termination of pregnancy) 2022 Provider Medi-Cal 71304
Electrographic cardiac monitoring 2021 Outpatient Facility Medicare 73484
Appendectomy 2023 Provider Commercial 15621
Male genital procedures - Therapeutic OR (other) 2019 Provider Medi-Cal 8574
Ungrouped Procedures 2021 Inpatient Facility Commercial 1622
Liver biopsy 2022 Inpatient Facility Medicare 45
Office visits 2021 Provider Medi-Cal 27138402
Nervous system procedures - Diagnostic (other) 2018 Inpatient Facility Medicare 752
Cardiac stress tests 2020 Outpatient Facility Commercial 16381
Respiratory procedures - Therapeutic OR (other) 2023 Outpatient Facility Commercial 3007
Treatment, fracture, dislocation - Lower extrem. 2023 Outpatient Facility Medicare 5424
Medications (injections, infusions, other forms) 2019 Outpatient Facility Medicare 16823472
Physical/occupational/speech therapy - Other 2023 Outpatient Facility Commercial 71388
Hemorrhoid procedures 2021 Provider Commercial 22412
D&C (dilatation and curettage) - Diagnostic 2021 Outpatient Facility Medi-Cal 642
Muscle and tendon procedures - Therapeutic (other) 2019 Outpatient Facility Medicare 24924
Delivery - Other procedures to assist 2019 Inpatient Facility Medi-Cal 762
Office visits 2023 Home Health Medi-Cal 29019
Arthroscopy 2019 Outpatient Facility Commercial 9936
HCPCS Level II codes not classified 2018 Independent Labs Commercial 60
Esophageal varices - Injection or ligation 2020 Provider Medi-Cal 3890
Heart valve procedures 2019 Provider Medi-Cal 4476
Male genital procedures - Therapeutic (other) 2022 Provider Medi-Cal 7425
Psychological and psychiatric evaluation, therapy 2020 Inpatient Facility Medi-Cal 12155
Conversion of cardiac rhythm 2022 Provider Medi-Cal 3587
Pathology 2023 Provider Medicare 2685689
Heart procedures - Other OR 2023 Inpatient Facility Medi-Cal 70
Ungrouped Procedures 2019 Outpatient Facility Commercial 61115
Vessels other than head/neck procedures - Other OR 2023 Outpatient Facility Commercial 5215
Ancillary services 2021 Provider Medicare 636986
Arterial blood gases 2021 Inpatient Facility Medi-Cal 470
Emergency department services 2020 Unclassified/other Medicare 67
Blood and blood product transfusion 2020 Independent Labs Medicare 443
Ear procedures - Therapeutic 2018 Outpatient Facility Medi-Cal 18004
Ophthalmologic/otologic diagnosis and treatment 2022 Outpatient Facility Medi-Cal 1763213
Hernia repair - Inguinal and femoral 2021 Provider Medicare 22002
Colorectal resection 2022 Inpatient Facility Commercial 68
Myringotomy 2019 Provider Commercial 12359
CT scan - Head 2020 Inpatient Facility Commercial 279
Preventive visits 2018 Independent Labs Commercial 66
Skilled nursing facility services 2021 Provider Commercial 504
Proctoscopy and anorectal biopsy 2020 Inpatient Facility Medicare 91
Telehealth 2018 Provider Commercial 1647060
Skin, breast procedures - Therapeutic OR (other) 2020 Outpatient Facility Medi-Cal 6589
Transportation - Patient, provider, equipment 2022 Independent Labs Commercial 6544
Urinary tract - Endoscopy and endoscopic biopsy 2020 Outpatient Facility Medicare 15386
Eye procedures - Diagnostic 2022 Outpatient Facility Medi-Cal 2432
Thyroidectomy (partial or complete) 2019 Outpatient Facility Commercial 3906
Cardiovascular procedures - Therapeutic (other) 2022 Provider Medicare 160775
Nervous system procedures - Therapeutic (other) 2020 Inpatient Facility Medi-Cal 42
Joint procedures - Therapeutic OR (other) 2020 Inpatient Facility Medi-Cal 55
GI (lower) procedures - Therapeutic 2018 Outpatient Facility Commercial 2648
CPT codes not classified (F codes) 2019 Unclassified/other Medi-Cal 1212
Hospital services 2018 Inpatient Facility Medicare 423
Radiology - Therapeutic 2020 Inpatient Facility Medi-Cal 43
Delivery - Forceps, vacuum, and breech 2023 Outpatient Facility Commercial 242
DME and supplies 2022 Pharmacy Medi-Cal 743
MRI (magnetic resonance imaging) 2018 Inpatient Facility Medicare 8870
Ureteral catheterization 2020 Provider Commercial 8880
Eye procedures - Therapeutic (other) 2022 Outpatient Facility Commercial 13144
Office visits 2021 Independent Labs Commercial 6139
Ovary operations - Other 2018 Provider Medicare 208
Extracorporeal lithotripsy, urinary 2023 Inpatient Facility Medicare 40
Ileostomy and other enterostomy 2022 Provider Medi-Cal 1961
Therapeutic procedures - Other 2020 Provider Medicare 2360879
Open-heart procedures - Extracorporeal circulation 2018 Provider Commercial 2190
Vessels of head/neck - Endarterectomy 2022 Provider Commercial 419
Knee - Excision of semilunar cartilage 2021 Provider Commercial 20988
Physical/occupational/speech therapy - Other 2019 Outpatient Facility Medicare 262066
Arthroplasty other than hip or knee 2019 Outpatient Facility Medi-Cal 1995
Hemodialysis 2022 Outpatient Facility Medicare 88015
Amputation - Lower extremity 2018 Outpatient Facility Commercial 626
Treatment, fracture, dislocation - Lower extrem. 2019 Provider Commercial 28054
Cardiac catheterization/arteriography - Diagnostic 2020 Outpatient Facility Medicare 57476
Nose procedures - Plastic 2023 Outpatient Facility Commercial 13658
Breast - Mastectomy 2023 Provider Medi-Cal 3041
Electrographic cardiac monitoring 2020 Independent Labs Commercial 1401
Other vascular catheterization (not heart) 2018 Provider Commercial 97579
Urinary tract procedures - Therapeutic OR (other) 2019 Outpatient Facility Medicare 6881
X-ray - Upper GI 2022 Provider Medi-Cal 44899
Mastoidectomy 2021 Outpatient Facility Commercial 731
Prophylactic vaccinations and inoculations 2018 Outpatient Facility Medicare 649022
Respiratory procedures - Diagnostic (other) 2021 Outpatient Facility Medi-Cal 842
Contrast aortogram 2019 Provider Medi-Cal 7760
Pacemaker or cardioverter/defibrillator services 2022 Inpatient Facility Medicare 435
Wound care - Traction, splints, other 2023 Provider Medi-Cal 262018
Urinary system (nonoperative) measurements 2018 Provider Commercial 2363010
GI procedures - Therapeutic OR 2023 Inpatient Facility Medicare 55
Eye procedures - Lens and cataract 2022 Provider Medicare 451751
Appendectomy 2019 Outpatient Facility Medi-Cal 4595
Hysterectomy (abdominal and vaginal) 2021 Provider Medi-Cal 11022
Intraocular procedures - Therapeutic 2023 Outpatient Facility Commercial 6592
Observation care services 2023 Provider Medicare 56464
CT scan - Chest 2019 Inpatient Facility Commercial 160
Non-hospital-based care (home health, hospice) 2019 Provider Medi-Cal 1725713
Tracheostomy (temporary and permanent) 2020 Provider Commercial 1405
Extracorporeal shock wave (other than urinary) 2020 Outpatient Facility Medicare 39747
Physical/occupational/speech therapy - Diagnostic 2022 Inpatient Facility Medi-Cal 30110
Other types of lab tests 2023 Provider Medi-Cal 3790819
Cystocele/rectocele repair, oblit. of vag. vault 2021 Inpatient Facility Medicare 53
Female organ procedures - Diagnostic (other) 2023 Unclassified/other Medi-Cal 71
Central nervous system (CNS) incision and excision 2019 Provider Commercial 4773
GI (upper) procedures - Therapeutic 2019 Outpatient Facility Medi-Cal 216
EEG (electroencephalogram) 2022 Provider Medicare 112515
Enteral and parenteral nutrition 2023 Provider Commercial 54189
Endocrine procedures - Therapeutic 2022 Outpatient Facility Commercial 3072
Spinal fusion 2018 Provider Medi-Cal 28963
Bone marrow transplant 2019 Outpatient Facility Commercial 1371
Nephrotomy and nephrostomy 2019 Provider Medicare 9988
Esophageal dilatation 2019 Inpatient Facility Medicare 57
Ancillary services 2020 Hospice Medicare 847
Laboratory - Chemistry and hematology 2021 Inpatient Facility Commercial 4669
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2021 Provider Commercial 680864
Hysterectomy (abdominal and vaginal) 2020 Inpatient Facility Medicare 148
Joint procedures - Therapeutic OR (other) 2019 Outpatient Facility Medi-Cal 6973
Male genital procedures - Diagnostic 2023 Independent Labs Medicare 4645
Arterial blood gases 2018 Provider Medicare 8667
CT scan - Chest 2023 Provider Commercial 313877
Skin, breast procedures - Therapeutic (other) 2022 Inpatient Facility Medicare 8894
Transportation - Patient, provider, equipment 2018 Outpatient Facility Medi-Cal 343473
Ultrasound - Urinary tract - Diagnostic 2023 Provider Medi-Cal 3730
Nose, mouth, pharynx procedures - Diagnostic 2022 Inpatient Facility Medicare 25757
Bone procedures - Therapeutic OR (other) 2018 Outpatient Facility Medi-Cal 6150
Hemodialysis 2021 Outpatient Facility Medi-Cal 28014
Prophylactic vaccinations and inoculations 2020 Outpatient Facility Commercial 251681
Respiratory procedures - Therapeutic (other) 2021 Provider Commercial 2613
Office visits 2018 Unclassified/other Medi-Cal 36188
Vessels of head/neck procedures - Other OR 2023 Outpatient Facility Commercial 198
Eye procedures - Repair of retinal tear/detachment 2021 Provider Medicare 14397
Musculoskeletal procedures - Therapeutic OR (other) 2020 Outpatient Facility Medi-Cal 830
Delivery - Forceps, vacuum, and breech 2019 Inpatient Facility Commercial 56
Radioisotope scan - Other 2018 Provider Medicare 7091
CABG (coronary artery bypass graft) 2020 Provider Medicare 22940
Organ transplantation - Other 2023 Provider Commercial 1177
Cystocele/rectocele repair, oblit. of vag. vault 2019 Outpatient Facility Medi-Cal 1069
Other types of lab tests 2023 Inpatient Facility Medi-Cal 49694
Cervix and uterus - Other excision 2018 Outpatient Facility Medi-Cal 4527
Female organ procedures - Diagnostic (other) 2023 Independent Labs Commercial 10643
Endocrine procedures - Therapeutic 2020 Outpatient Facility Medicare 2314
Prophylactic vaccinations and inoculations 2018 Home Health Medicare 5988
DME and supplies 2019 Hospice Medi-Cal 1914
Treatment, fracture, dislocation - Hip and femur 2021 Provider Medicare 31905
Urinary tract procedures - Therapeutic (other) 2021 Provider Medicare 67278
Arthrocentesis 2023 Unclassified/other Medi-Cal 67
Extraocular muscle procedures - Therapeutic 2023 Outpatient Facility Medi-Cal 3583
Liver biopsy 2020 Provider Medi-Cal 3839
Colorectal resection 2019 Outpatient Facility Medicare 399
Radiology - Diagnostic (other) 2022 Outpatient Facility Commercial 1283898
Nephrectomy (partial or complete) 2022 Outpatient Facility Medicare 642
Physical/occupational/speech therapy - Other 2018 Outpatient Facility Commercial 62664
X-ray - Upper GI 2019 Provider Commercial 32690
Skin and subcutaneous tissue - Incision, drainage 2019 Outpatient Facility Medicare 14423
Alcohol and drug management, treatment, and rehab. 2022 Inpatient Facility Commercial 43486
Spinal canal stimulator insertion and injection 2022 Independent Labs Medicare 466
Consultation, evaluation, and preventive care 2022 Unclassified/other Medi-Cal 165
Respiratory intubation and mechanical ventilation 2023 Inpatient Facility Medicare 4939
Wound care - Traction, splints, other 2021 Inpatient Facility Medi-Cal 49
Knee - Excision of semilunar cartilage 2019 Provider Commercial 24944
Urethra - Procedures 2020 Outpatient Facility Medicare 1999
Blood and blood product transfusion 2023 Outpatient Facility Medicare 165902
Eye procedures - Diagnostic 2018 Outpatient Facility Medi-Cal 438
Observation care services 2021 Outpatient Facility Medi-Cal 51255
Division of joint capsule (ligament or cartilage) 2018 Provider Medi-Cal 2187
Ophthalmologic/otologic diagnosis and treatment 2021 Inpatient Facility Medicare 329
Extracorporeal lithotripsy, urinary 2019 Provider Commercial 12672
Female organ procedures - Diagnostic (other) 2020 Outpatient Facility Medicare 14036
Male genital procedures - Therapeutic OR (other) 2022 Provider Medi-Cal 9038
GI (lower) procedures - Therapeutic OR 2019 Outpatient Facility Medi-Cal 2319
Bone excision (partial) 2020 Provider Medi-Cal 9956
Other types of lab tests 2020 Provider Medicare 2905569
GI procedures - Therapeutic OR 2021 Inpatient Facility Commercial 39
Skilled nursing facility services 2019 Outpatient Facility Medicare 188
Urinary tract - Endoscopy and endoscopic biopsy 2019 Inpatient Facility Medicare 36
CT scan - Abdomen 2019 Inpatient Facility Medi-Cal 2535
Psychological and psychiatric evaluation, therapy 2019 Outpatient Facility Medi-Cal 612788
Nervous system procedures - Diagnostic (other) 2023 Independent Labs Medi-Cal 99
DME and supplies 2021 Unclassified/other Commercial 625
Ultrasound - Head and neck - Diagnostic 2022 Provider Medi-Cal 224909
Microscopic examination (e.g., lab, toxicology) 2020 Outpatient Facility Medicare 3062860
PTCA (percutaneous transluminal coronary angio.) 2019 Inpatient Facility Commercial 128
Electrocardiogram 2021 Inpatient Facility Commercial 587
Vascular bypass - Peripheral 2020 Provider Medi-Cal 897
Breast - Mastectomy 2022 Inpatient Facility Medicare 67
Musculoskeletal procedures - Therapeutic (other) 2019 Provider Commercial 1937671
Transportation - Patient, provider, equipment 2021 Provider Commercial 8141
Treatment, fracture, dislocation - Radius and ulna 2018 Provider Medi-Cal 30115
Lung and bronchus procedures - Diagnostic (other) 2021 Provider Commercial 242878
Ancillary services 2023 Independent Labs Medi-Cal 72027
Care management/coordination services 2020 Outpatient Facility Medicare 187052
Circumcision 2018 Provider Medi-Cal 5666
GI (lower) procedures - Therapeutic OR 2022 Provider Medicare 8590
Emergency department services 2019 Inpatient Facility Medi-Cal 381
Physical/occupational/speech therapy - Diagnostic 2021 Home Health Medi-Cal 4721
Ophthalmologic/otologic diagnosis and treatment 2023 Home Health Medicare 286
Ear procedures - Therapeutic 2019 Provider Medi-Cal 105689
Alcohol and drug management, treatment, and rehab. 2021 Ambulance Medi-Cal 2518
Treatment, fracture, dislocation - Radius and ulna 2022 Provider Medi-Cal 28770
Myelogram 2021 Provider Medi-Cal 608
Mammography 2021 Provider Medi-Cal 627832
Vascular bypass and shunt - Other (not heart) 2021 Provider Medi-Cal 745
Fetal monitoring 2020 Inpatient Facility Medi-Cal 1730
Contrast arteriogram - Lower extremity arteries 2022 Inpatient Facility Medicare 41
Bone marrow biopsy 2020 Outpatient Facility Medi-Cal 2135
Hospital services 2019 Inpatient Facility Medi-Cal 1006
DME and supplies 2023 Outpatient Facility Commercial 1351886
Eye procedures - Glaucoma 2018 Outpatient Facility Commercial 4429
Wound care - Traction, splints, other 2019 Outpatient Facility Medi-Cal 139709
Respiratory therapy - Other 2022 Unclassified/other Medi-Cal 218
MRI (magnetic resonance imaging) 2019 Inpatient Facility Medicare 9454
Psychological and psychiatric evaluation, therapy 2018 Inpatient Facility Commercial 1073
Microscopic examination (e.g., lab, toxicology) 2019 Outpatient Facility Commercial 3272389
Skin graft 2022 Provider Medicare 155406
Ungrouped Procedures 2023 Outpatient Facility Medicare 1540354
EEG (electroencephalogram) 2018 Outpatient Facility Commercial 6591
Exploratory laparotomy 2021 Provider Medi-Cal 2161
Therapeutic procedures - Other 2022 Outpatient Facility Medi-Cal 2564279
Arteriogram or venogram (not heart and head) 2023 Provider Medi-Cal 90102
Behavioral health services 2021 Inpatient Facility Medicare 44
Hernia repair - Other 2019 Outpatient Facility Commercial 16369
Transportation - Patient, provider, equipment 2020 Independent Labs Medi-Cal 4768
Respiratory intubation and mechanical ventilation 2022 Outpatient Facility Medicare 17231
Colorectal resection 2023 Provider Commercial 9432
Muscles, tendons, joints - Injections, aspirations 2019 Provider Medicare 275350
Female organ procedures - Diagnostic (other) 2018 Provider Medicare 131211
TURP (transurethral resection of prostate) 2019 Provider Medicare 10497
Cholecystectomy and common duct exploration 2022 Outpatient Facility Medi-Cal 10342
Spinal canal stimulator insertion and injection 2021 Pharmacy Medi-Cal 151
Laboratory - Chemistry and hematology 2022 Inpatient Facility Medi-Cal 63690
Rehabilitation facility services 2023 Inpatient Facility Medi-Cal 264
Anesthesia 2021 Unclassified/other Commercial 127
Nervous system procedures - Therapeutic (other) 2021 Outpatient Facility Medicare 93898
GI procedures - Therapeutic OR 2019 Provider Medicare 14227
Other types of visits 2021 Outpatient Facility Medi-Cal 231715
Radioisotope scan and function studies 2020 Inpatient Facility Medicare 2277
Nonoperative removal of foreign body 2023 Outpatient Facility Medi-Cal 10131
PTCA (percutaneous transluminal coronary angio.) 2023 Inpatient Facility Medicare 386
Joint procedures - Therapeutic OR (other) 2023 Outpatient Facility Medi-Cal 7890
CT scan - Chest 2018 Outpatient Facility Medi-Cal 82282
Obstetrical procedures - Therapeutic (other) 2019 Provider Medicare 321
Vessels of head/neck - Endarterectomy 2020 Provider Medi-Cal 632
Mammography 2023 Provider Medicare 1985579
Intraocular procedures - Therapeutic 2019 Provider Medi-Cal 111322
Laboratory - Chemistry and hematology 2019 Independent Labs Medicare 37129097
Colonoscopy and biopsy 2020 Outpatient Facility Medicare 143940
Psychological and psychiatric evaluation, therapy 2022 Pharmacy Commercial 171609
Extracranial ventricular shunt services 2020 Provider Medi-Cal 4241
Hemodialysis 2022 Inpatient Facility Commercial 73
EEG (electroencephalogram) 2021 Outpatient Facility Commercial 8922
Ultrasound - Heart (echocardiogram) - Diagnostic 2022 Outpatient Facility Medicare 273831
Urinary obstruction - Excision, drainage, removal 2022 Provider Medi-Cal 7698
Ancillary services 2018 Independent Labs Commercial 200002
Appendectomy 2018 Provider Medicare 4478
Emergency department services 2023 Unclassified/other Commercial 1519
Nephrotomy and nephrostomy 2018 Outpatient Facility Commercial 1712
Treatment, fracture, dislocation - Facial 2021 Outpatient Facility Commercial 3612
Tracheoscopy and laryngoscopy with biopsy 2022 Provider Medicare 126521
Tympanoplasty 2021 Outpatient Facility Medicare 480
Skin lesion - Excision 2018 Unclassified/other Medi-Cal 202
Debridement of wound, infection or burn 2018 Provider Medi-Cal 139760
Bone marrow biopsy 2022 Outpatient Facility Medicare 9025
X-ray - Upper GI 2021 Inpatient Facility Medicare 1552
Oophorectomy (unilateral and bilateral) 2022 Outpatient Facility Commercial 7847
Gastric bypass and volume reduction 2019 Provider Medi-Cal 6749
Bunionectomy or repair of toe deformities 2018 Outpatient Facility Medi-Cal 2808
Pregnancy (ectopic) - Removal 2021 Outpatient Facility Commercial 1234
Skilled nursing facility services (HIPPS) 2022 Outpatient Facility Medi-Cal 747
Catheterization (Swan-Ganz) for monitoring 2021 Provider Medicare 9138
MRI (magnetic resonance imaging) 2021 Outpatient Facility Commercial 412737
Musculoskeletal procedures - Therapeutic OR (other) 2021 Inpatient Facility Medicare 146
Spinal fusion 2023 Outpatient Facility Medi-Cal 1059
AVF or vessel-to-vessel cannula for dialysis svcs. 2018 Inpatient Facility Medicare 185
Critical care services 2018 Ambulance Medi-Cal 213
Other types of lab tests 2023 Pharmacy Commercial 5327
Nose procedures - Plastic 2021 Outpatient Facility Commercial 13616
Therapeutic procedures - Other 2019 Unclassified/other Medi-Cal 1006
Oral and dental services 2020 Provider Medicare 2836
Enteral and parenteral nutrition 2021 Pharmacy Medi-Cal 55
Radioisotope scan and function studies 2022 Inpatient Facility Medi-Cal 252
Respiratory procedures - Therapeutic (other) 2020 Outpatient Facility Medi-Cal 3245
Microscopic examination (e.g., lab, toxicology) 2023 Outpatient Facility Medicare 3716473
Electrographic cardiac monitoring 2019 Outpatient Facility Medi-Cal 24331
Physical/occupational/speech therapy - Exercises 2018 Provider Medicare 12323422
Female organ procedures - Therapeutic OR (other) 2019 Provider Medi-Cal 13540
Kidney transplant 2019 Provider Medicare 2064
Non-hospital-based care (home health, hospice) 2022 Home Health Medicare 13043512
Electrographic cardiac monitoring 2021 Outpatient Facility Commercial 15090
Radioisotope scan - Pulmonary 2019 Outpatient Facility Commercial 2094
D&C (dilatation and curettage) - Diagnostic 2022 Outpatient Facility Medi-Cal 661
Pleura incision, thoracentesis, chest drainage 2018 Provider Commercial 11092
Radiology - Therapeutic 2022 Provider Commercial 482526
Hemorrhoid procedures 2023 Provider Medi-Cal 7164
Eye procedures - Destruction of retinal lesion 2022 Outpatient Facility Commercial 562
CPT codes not classified (F codes) 2021 Provider Commercial 3464851
Urinary system (nonoperative) measurements 2019 Provider Medicare 1288833
Varicose vein stripping - Lower limb 2022 Provider Medicare 2455
HIPPS home health services 2018 Home Health Medi-Cal 1661
Prophylactic vaccinations and inoculations 2023 Unclassified/other Commercial 297
HCPCS Level II codes not classified 2018 Hospice Medi-Cal 151
CT scan - Head 2022 Provider Medicare 1083016
Respiratory therapy - Other 2018 Inpatient Facility Commercial 154
DME and supplies 2021 Independent Labs Commercial 400215
Cardiac stress tests 2021 Inpatient Facility Medi-Cal 71
Male genital procedures - Therapeutic OR (other) 2020 Provider Commercial 8809
Arterial blood gases 2023 Provider Commercial 8588
Ovary operations - Other 2022 Provider Medi-Cal 4009
Ultrasound - Diagnostic (other) 2020 Unclassified/other Commercial 173
Arthroscopy 2021 Outpatient Facility Medi-Cal 2201
Skin and subcutaneous tissue - Suture 2020 Provider Medicare 228167
Ungrouped Procedures 2021 Outpatient Facility Medicare 2144391
Skin, breast procedures - Therapeutic OR (other) 2023 Outpatient Facility Medi-Cal 9528
Heart valve procedures 2020 Outpatient Facility Medicare 93
Peritoneal dialysis 2020 Provider Medicare 14594
Ancillary services 2022 Pharmacy Medicare 132
GI procedures - Diagnostic 2022 Independent Labs Medi-Cal 136
Muscle and tendon procedures - Therapeutic (other) 2020 Inpatient Facility Medicare 105
Liver biopsy 2021 Provider Medi-Cal 4349
Fallopian tubes - Ligation 2020 Provider Medi-Cal 10980
Delivery - Other procedures to assist 2022 Provider Commercial 2055
Ear procedures - Therapeutic 2022 Outpatient Facility Medi-Cal 35588
Open-heart procedures - Extracorporeal circulation 2021 Independent Labs Medicare 58
Ungrouped Procedures 2020 Pharmacy Commercial 693929
Abortion (termination of pregnancy) 2022 Provider Commercial 20180
Ultrasound - Head and neck - Diagnostic 2022 Outpatient Facility Commercial 61763
Urethra - Procedures 2020 Provider Commercial 6372
Lung and bronchus procedures - Diagnostic (other) 2020 Outpatient Facility Commercial 41807
Radioisotope scan and function studies 2021 Outpatient Facility Medicare 162112
Observation care services 2020 Unclassified/other Medi-Cal 194
Alcohol and drug management, treatment, and rehab. 2022 Provider Medicare 425788
Respiratory therapy - Other 2023 Outpatient Facility Medi-Cal 155689
GI (lower) procedures - Therapeutic OR 2022 Outpatient Facility Medi-Cal 2795
HIPPS home health services 2019 Unclassified/other Medi-Cal 316
Skin lesion - Excision 2018 Outpatient Facility Medicare 78252
Ear procedures - Therapeutic 2020 Provider Commercial 144497
Physical/occupational/speech therapy - Diagnostic 2020 Unclassified/other Commercial 131
Cholecystectomy and common duct exploration 2022 Inpatient Facility Medicare 106
Spinal canal stimulator insertion and injection 2021 Unclassified/other Commercial 66
GI procedures - Therapeutic OR 2020 Provider Commercial 7388
Behavioral health services 2021 Provider Medicare 68864
Colostomy (temporary and permanent) 2018 Provider Medicare 1145
Transportation - Patient, provider, equipment 2020 Independent Labs Commercial 1962
Nasogastric tube 2020 Provider Medi-Cal 605
Microscopic examination (e.g., lab, toxicology) 2020 Inpatient Facility Commercial 1554
EEG (electroencephalogram) 2019 Provider Commercial 39324
Consultation, evaluation, and preventive care 2023 Independent Labs Commercial 63
Physical/occupational/speech therapy - Other 2020 Inpatient Facility Medi-Cal 68039
Nervous system procedures - Diagnostic (other) 2021 Outpatient Facility Commercial 23838
Myelogram 2021 Outpatient Facility Medi-Cal 218
Respiratory intubation and mechanical ventilation 2023 Ambulance Medi-Cal 33
Fetal monitoring 2020 Provider Medicare 1195
Intraocular procedures - Therapeutic 2018 Outpatient Facility Commercial 6658
Mammography 2023 Outpatient Facility Medi-Cal 185306
Urinary system (nonoperative) measurements 2023 Outpatient Facility Medi-Cal 1814091
Bone marrow biopsy 2021 Inpatient Facility Medicare 73
Psychological and psychiatric evaluation, therapy 2018 Pharmacy Commercial 972
Care management/coordination services 2020 Inpatient Facility Medi-Cal 1328
Cardiovascular procedures - Diagnostic (other) 2021 Outpatient Facility Medi-Cal 11435
Contrast arteriogram - Lower extremity arteries 2023 Provider Medicare 4713
Muscles, tendons, joints - Injections, aspirations 2020 Provider Medi-Cal 74672
Vascular bypass and shunt - Other (not heart) 2022 Provider Medi-Cal 674
Exploratory laparotomy 2022 Provider Medicare 2138
Anesthesia 2022 Provider Commercial 1307393
Electrographic cardiac monitoring 2020 Independent Labs Medi-Cal 253
HCPCS Level II codes not classified 2021 Provider Commercial 658772
Vascular bypass - Peripheral 2020 Provider Medicare 2867
Nervous system procedures - Diagnostic (other) 2023 Inpatient Facility Medicare 949
GI procedures - Therapeutic OR 2021 Inpatient Facility Medicare 203
Conversion of cardiac rhythm 2019 Outpatient Facility Medicare 14916
CT scan - Abdomen 2019 Outpatient Facility Commercial 375570
Ophthalmologic/otologic diagnosis and treatment 2020 Provider Medi-Cal 5583873
Tonsillectomy and/or adenoidectomy 2018 Provider Commercial 13713
GI (upper) endoscopy, biopsy 2018 Inpatient Facility Medicare 1779
Hernia repair - Other 2018 Unclassified/other Medi-Cal 130
Alcohol and drug management, treatment, and rehab. 2022 Home Health Medi-Cal 2234
Microscopic examination (e.g., lab, toxicology) 2019 Inpatient Facility Medicare 220958
Therapeutic procedures - Other 2022 Unclassified/other Commercial 1134
Treatment, fracture, dislocation - Lower extrem. 2019 Outpatient Facility Medicare 4551
Cardiac catheterization/arteriography - Diagnostic 2021 Outpatient Facility Commercial 22997
Contrast aortogram 2019 Provider Commercial 3115
Vessels of head/neck procedures - Other OR 2018 Inpatient Facility Medicare 68
Amputation - Lower extremity 2018 Inpatient Facility Medicare 53
Mastoidectomy 2022 Outpatient Facility Commercial 657
EEG (electroencephalogram) 2022 Provider Medi-Cal 91324
CT scan - Chest 2019 Provider Medi-Cal 260810
Microscopic examination (e.g., lab, toxicology) 2021 Outpatient Facility Medicare 3324336
Endocrine procedures - Therapeutic 2023 Outpatient Facility Medi-Cal 1082
Cervix and uterus - Other excision 2023 Outpatient Facility Medi-Cal 5021
GI procedures - Therapeutic OR 2023 Provider Medicare 14779
Knee - Arthroplasty 2023 Outpatient Facility Medicare 32725
Cholecystectomy and common duct exploration 2023 Provider Medi-Cal 27641
Other types of lab tests 2020 Unclassified/other Commercial 2182
Treatment, fracture, dislocation - Radius and ulna 2019 Inpatient Facility Medicare 53
Skilled nursing facility services 2019 Provider Commercial 96
Ancillary services 2023 Inpatient Facility Commercial 218
GI (lower) procedures - Therapeutic OR 2018 Provider Medicare 9632
Musculoskeletal procedures - Therapeutic (other) 2019 Provider Medicare 1928884
Skin graft 2018 Outpatient Facility Commercial 9440
DME and supplies 2021 Unclassified/other Medicare 220
Extracorporeal lithotripsy, urinary 2019 Provider Medi-Cal 6590
PTCA (percutaneous transluminal coronary angio.) 2020 Inpatient Facility Commercial 116
HCPCS Level II codes not classified 2020 Inpatient Facility Medi-Cal 3212
Bone excision (partial) 2020 Inpatient Facility Medicare 58
Urinary tract - Endoscopy and endoscopic biopsy 2018 Provider Commercial 53653
Physical/occupational/speech therapy - Diagnostic 2021 Hospice Medicare 42
Appendectomy 2019 Outpatient Facility Medicare 1676
Hemodialysis 2022 Provider Commercial 6958
GI (upper) procedures - Therapeutic OR 2023 Outpatient Facility Commercial 699
Obstetric laceration - Repair 2018 Outpatient Facility Commercial 35
Eye procedures - Glaucoma 2020 Provider Medicare 62862
Arthroplasty other than hip or knee 2019 Outpatient Facility Commercial 11318
Open-heart procedures - Extracorporeal circulation 2018 Provider Medi-Cal 10816
Skin lesion - Excision 2021 Outpatient Facility Commercial 29450
Other vascular catheterization (not heart) 2018 Provider Medi-Cal 114910
Hysterectomy (abdominal and vaginal) 2021 Provider Commercial 24279
Circumcision 2021 Provider Medi-Cal 7318
Urinary tract procedures - Therapeutic OR (other) 2020 Provider Commercial 6304
Non-hospital-based care (home health, hospice) 2019 Provider Commercial 762007
Tracheostomy (temporary and permanent) 2020 Outpatient Facility Medicare 67
Cystocele/rectocele repair, oblit. of vag. vault 2020 Provider Medicare 5910
X-ray - Upper GI 2022 Provider Medicare 87699
Electrocardiogram 2021 Ambulance Medi-Cal 164143
Male genital procedures - Therapeutic OR (other) 2022 Provider Medicare 8515
Preventive visits 2020 Pharmacy Medi-Cal 220
Endocrine procedures - Diagnostic 2018 Provider Medicare 28747
Telehealth 2021 Outpatient Facility Commercial 117574
Radioisotope scan - Pulmonary 2022 Outpatient Facility Medi-Cal 1576
Eye procedures - Diagnostic 2018 Provider Medi-Cal 15058
Ultrasound - Head and neck - Diagnostic 2023 Provider Medicare 646425
Care management/coordination services 2020 Provider Medi-Cal 91293
Psychological and psychiatric evaluation, therapy 2019 Pharmacy Commercial 1042
Arthrocentesis 2019 Outpatient Facility Medi-Cal 22594
Blood and blood product transfusion 2023 Independent Labs Medicare 647
Wound care - Traction, splints, other 2022 Outpatient Facility Commercial 56600
Nonoperative removal of foreign body 2018 Outpatient Facility Commercial 4286
AVF or vessel-to-vessel cannula for dialysis svcs. 2021 Provider Medi-Cal 24975
Urinary obstruction - Excision, drainage, removal 2018 Provider Medi-Cal 7950
Prophylactic vaccinations and inoculations 2018 Pharmacy Commercial 400
Wound care - Traction, splints, other 2023 Provider Commercial 485983
Ultrasound - Heart (echocardiogram) - Diagnostic 2018 Unclassified/other Medi-Cal 122
Enteral and parenteral nutrition 2023 Provider Medi-Cal 38324
Physical/occupational/speech therapy - Diagnostic 2022 Provider Medicare 892857
Radiology - Diagnostic (other) 2018 Inpatient Facility Medi-Cal 1761
Musculoskeletal procedures - Therapeutic OR (other) 2022 Provider Medicare 14466
Knee - Excision of semilunar cartilage 2021 Outpatient Facility Medicare 5255
Female organ procedures - Therapeutic (other) 2019 Outpatient Facility Commercial 6639
Nose procedures - Plastic 2023 Outpatient Facility Medi-Cal 4280
Nephrotomy and nephrostomy 2021 Inpatient Facility Medicare 138
Heart valve procedures 2019 Inpatient Facility Commercial 50
Thyroidectomy (partial or complete) 2020 Outpatient Facility Commercial 3202
PTCA (percutaneous transluminal coronary angio.) 2021 Provider Commercial 10829
Debridement of wound, infection or burn 2021 Provider Medicare 601409
Critical care services 2020 Provider Commercial 392062
Knee - Arthroplasty 2020 Provider Medi-Cal 8245
Breast - Lumpectomy, quadrantectomy 2022 Provider Medicare 15163
Spinal canal stimulator insertion and injection 2019 Provider Commercial 101849
Microscopic examination (e.g., lab, toxicology) 2018 Independent Labs Medi-Cal 7497303
Fallopian tubes - Other operations 2021 Provider Medicare 69
Nose, mouth, pharynx procedures - Therapeutic OR 2023 Provider Commercial 47986
Hemodialysis 2018 Inpatient Facility Commercial 118
Radioisotope scan - Pulmonary 2023 Provider Medicare 14969
Telehealth 2019 Unclassified/other Medi-Cal 49
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2018 Provider Commercial 726929
Ureteral catheterization 2021 Outpatient Facility Commercial 6052
CT scan - Other 2021 Provider Medi-Cal 367798
Bone marrow transplant 2019 Outpatient Facility Medicare 1780
Rehabilitation facility services 2018 Inpatient Facility Medi-Cal 81
Urinary tract procedures - Therapeutic (other) 2018 Outpatient Facility Medicare 9529
Ultrasound - Head and neck - Diagnostic 2019 Independent Labs Commercial 50
Blood and blood product transfusion 2020 Outpatient Facility Medi-Cal 54131
Skin graft 2019 Provider Medicare 139067
Treatment, fracture, dislocation - Hip and femur 2018 Provider Medi-Cal 6972
Physical/occupational/speech therapy - Diagnostic 2018 Outpatient Facility Medicare 319330
Epistaxis control 2019 Outpatient Facility Medi-Cal 2467
Preventive visits 2018 Unclassified/other Commercial 476
Nonoperative removal of foreign body 2021 Outpatient Facility Medi-Cal 9392
MRI (magnetic resonance imaging) 2023 Inpatient Facility Medicare 9724
Cholecystectomy and common duct exploration 2019 Provider Medicare 22497
Organ transplantation - Other 2018 Outpatient Facility Medi-Cal 70
Arteriogram or venogram (not heart and head) 2022 Outpatient Facility Medi-Cal 25496
Vessels of head/neck procedures - Other OR 2019 Outpatient Facility Commercial 200
CPT codes not classified (F codes) 2022 Outpatient Facility Medi-Cal 4468994
GI (upper) procedures - Therapeutic 2020 Provider Medi-Cal 596
Nephrectomy (partial or complete) 2019 Outpatient Facility Commercial 367
Electrocardiogram 2019 Independent Labs Medicare 36
Division of joint capsule (ligament or cartilage) 2022 Provider Commercial 3630
GI procedures - Therapeutic 2022 Provider Commercial 8982
Respiratory intubation and mechanical ventilation 2020 Provider Medicare 69803
Mammography 2019 Outpatient Facility Commercial 581698
Other types of lab tests 2021 Provider Medicare 3127332
Skin graft 2021 Provider Commercial 33773
Skilled nursing facility services 2021 Unclassified/other Medi-Cal 1592
Colorectal resection 2021 Outpatient Facility Medi-Cal 120
Arterial blood gases 2021 Outpatient Facility Commercial 25572
Indwelling catheter 2018 Inpatient Facility Medicare 35
Vascular bypass and shunt - Other (not heart) 2019 Outpatient Facility Commercial 57
Cardiovascular procedures - Therapeutic (other) 2018 Provider Medi-Cal 57286
Eye procedures - Therapeutic (other) 2023 Provider Commercial 64260
Transportation - Patient, provider, equipment 2022 Independent Labs Medicare 17810
Extracorporeal lithotripsy, urinary 2022 Outpatient Facility Medi-Cal 4147
Hospital services 2018 Outpatient Facility Medi-Cal 145456
Musculoskeletal procedures - Diagnostic (other) 2019 Provider Medicare 10054
Myringotomy 2021 Outpatient Facility Commercial 2233
Radioisotope scan and function studies 2018 Unclassified/other Medi-Cal 1234
Cesarean section 2023 Provider Medicare 256
Amniocentesis - Diagnostic 2019 Outpatient Facility Medi-Cal 406
Skin, breast procedures - Therapeutic OR (other) 2021 Provider Medi-Cal 17399
Conversion of cardiac rhythm 2023 Inpatient Facility Medicare 118
Nervous system procedures - Therapeutic (other) 2019 Outpatient Facility Commercial 64466
Ungrouped Procedures 2023 Ambulance Medicare 2664
Delivery - Forceps, vacuum, and breech 2023 Provider Medi-Cal 94348
Blood and blood product transfusion 2019 Outpatient Facility Medi-Cal 49985
Other types of lab tests 2018 Inpatient Facility Medicare 387056
DME and supplies 2023 Ambulance Commercial 84
MRI (magnetic resonance imaging) 2018 Outpatient Facility Medi-Cal 145381
Ungrouped Procedures 2019 Independent Labs Commercial 1718
Psychological and psychiatric evaluation, therapy 2020 Outpatient Facility Medi-Cal 1368308
Preventive visits 2018 Inpatient Facility Medicare 89
Hernia repair - Inguinal and femoral 2022 Outpatient Facility Commercial 15863
Ovary operations - Other 2019 Outpatient Facility Medi-Cal 79
Joint procedures - Therapeutic OR (other) 2020 Outpatient Facility Commercial 23123
Ophthalmologic/otologic diagnosis and treatment 2021 Unclassified/other Medi-Cal 189
GI (lower) procedures - Therapeutic 2018 Outpatient Facility Medicare 1991
Office visits 2021 Independent Labs Medicare 1551
Radiology - Therapeutic 2021 Inpatient Facility Medicare 866
Telehealth 2018 Provider Medicare 705276
Eye procedures - Diagnostic 2022 Provider Commercial 10821
Therapeutic procedures - Other 2021 Outpatient Facility Commercial 1323090
Vessels other than head/neck procedures - Other OR 2023 Outpatient Facility Medicare 16517
Anesthesia 2019 Provider Medicare 2016763
CT scan - Head 2020 Inpatient Facility Medicare 16082
Emergency department services 2021 Inpatient Facility Medi-Cal 9265
ERCP (endoscopic retro. cannulation of pancreas) 2019 Provider Commercial 17215
Obstetrical procedures - Therapeutic (other) 2019 Outpatient Facility Medicare 47
Microscopic examination (e.g., lab, toxicology) 2022 Unclassified/other Medi-Cal 4420
Pacemaker or cardioverter/defibrillator services 2020 Provider Medicare 38834
Preventive visits 2020 Outpatient Facility Commercial 9454
Nervous system procedures - Therapeutic (other) 2023 Outpatient Facility Medi-Cal 45366
Vessels of head/neck - Endarterectomy 2018 Outpatient Facility Medicare 51
Nose, mouth, pharynx procedures - Diagnostic 2021 Provider Medi-Cal 98771
Psychological and psychiatric evaluation, therapy 2021 Unclassified/other Medi-Cal 189
Treatment, fracture, dislocation - Facial 2018 Outpatient Facility Medi-Cal 1794
Hospital services 2020 Provider Commercial 2279629
Ophthalmologic/otologic diagnosis and treatment 2023 Unclassified/other Medi-Cal 12537
Ultrasound - Heart (echocardiogram) - Diagnostic 2022 Provider Medicare 1562586
CT scan - Abdomen 2023 Outpatient Facility Medi-Cal 509023
Other types of lab tests 2020 Inpatient Facility Commercial 3859
Radioisotope scan and function studies 2022 Outpatient Facility Medicare 169535
Debridement of wound, infection or burn 2018 Outpatient Facility Medi-Cal 41228
Tympanoplasty 2019 Provider Medi-Cal 1624
Coronary thrombolysis 2022 Provider Medicare 39
X-ray - Chest (routine) 2021 Inpatient Facility Medicare 72799
Gastric bypass and volume reduction 2020 Outpatient Facility Medi-Cal 188
Colonoscopy and biopsy 2019 Outpatient Facility Commercial 309341
Bronchoscopy and biopsy - Diagnostic 2022 Outpatient Facility Medicare 18054
Urinary obstruction - Excision, drainage, removal 2023 Outpatient Facility Commercial 4998
Bone marrow biopsy 2021 Provider Medicare 18694
Endocrine procedures - Diagnostic 2018 Outpatient Facility Medi-Cal 704
Laboratory - Chemistry and hematology 2018 Outpatient Facility Commercial 19811066
Amputation - Lower extremity 2022 Outpatient Facility Commercial 702
Skilled nursing facility services (HIPPS) 2020 Provider Commercial 4661
Eye procedures - Lens and cataract 2019 Outpatient Facility Commercial 42276
Musculoskeletal procedures - Therapeutic (other) 2018 Outpatient Facility Medi-Cal 40964
Catheterization (Swan-Ganz) for monitoring 2022 Provider Medicare 9159
Physical/occupational/speech therapy - Exercises 2019 Home Health Commercial 615
Skin lesion - Excision 2019 Outpatient Facility Commercial 33806
Mastoidectomy 2018 Outpatient Facility Medi-Cal 519
CT scan - Other 2019 Unclassified/other Medi-Cal 40
Urinary tract procedures - Diagnostic (other) 2019 Provider Medicare 9536
HCPCS Level II codes not classified 2023 Independent Labs Medicare 243
Nasogastric tube 2019 Provider Medicare 1310
Enteral and parenteral nutrition 2020 Provider Medicare 193610
GI (upper) endoscopy, biopsy 2023 Provider Medicare 343912
Tracheoscopy and laryngoscopy with biopsy 2022 Outpatient Facility Medicare 12218
AVF or vessel-to-vessel cannula for dialysis svcs. 2018 Provider Commercial 6162
Telehealth 2021 Hospice Medi-Cal 319
Bone excision (partial) 2018 Provider Medi-Cal 10713
Skin and subcutaneous tissue - Diagnostic (other) 2018 Outpatient Facility Commercial 1942
Psychological and psychiatric evaluation, therapy 2023 Home Health Medi-Cal 41255
Endocrine procedures - Diagnostic 2021 Provider Commercial 30252
Breast - Lumpectomy, quadrantectomy 2021 Outpatient Facility Medi-Cal 3860
Respiratory intubation and mechanical ventilation 2021 Inpatient Facility Commercial 154
Urinary tract procedures - Diagnostic (other) 2022 Provider Medicare 5867
Division of joint capsule (ligament or cartilage) 2020 Provider Medi-Cal 2169
Mammography 2019 Provider Commercial 2358044
Treatment, fracture, dislocation - Facial 2023 Outpatient Facility Commercial 3254
Wound care - Traction, splints, other 2018 Outpatient Facility Medi-Cal 137278
Bone marrow transplant 2019 Provider Medicare 1344
Electrocardiogram 2018 Outpatient Facility Medicare 1208169
Spinal canal stimulator insertion and injection 2020 Outpatient Facility Commercial 46301
Musculoskeletal procedures - Therapeutic (other) 2021 Inpatient Facility Medicare 48
Treatment, fracture, dislocation - Radius and ulna 2020 Outpatient Facility Medi-Cal 11099
Ultrasound - Head and neck - Diagnostic 2019 Inpatient Facility Medicare 2994
Oral and dental services 2022 Provider Commercial 2196
Hospital services 2022 Provider Medicare 12311068
GI procedures - Therapeutic 2023 Inpatient Facility Medicare 79
Thyroidectomy (partial or complete) 2020 Provider Commercial 4266
PTCA (percutaneous transluminal coronary angio.) 2022 Inpatient Facility Medicare 708
Rehabilitation facility services 2019 Inpatient Facility Medi-Cal 114
Ureteral catheterization 2021 Provider Medi-Cal 7074
MRI (magnetic resonance imaging) 2023 Provider Commercial 1142486
Nonoperative removal of foreign body 2021 Provider Medi-Cal 17704
Critical care services 2020 Unclassified/other Medi-Cal 38
Knee - Arthroplasty 2019 Outpatient Facility Medi-Cal 1302
Epistaxis control 2019 Provider Commercial 10952
Observation care services 2018 Inpatient Facility Commercial 163
Debridement of wound, infection or burn 2022 Outpatient Facility Medi-Cal 45922
Physical/occupational/speech therapy - Diagnostic 2018 Provider Medi-Cal 1001171
GI (lower) procedures - Therapeutic OR 2020 Provider Medicare 8611
Preventive visits 2022 Outpatient Facility Medicare 50006
Central nervous system (CNS) incision and excision 2020 Outpatient Facility Medi-Cal 102
Consultation, evaluation, and preventive care 2019 Provider Medicare 599088
Hemic/lymphatic system procedures - Therapeutic 2022 Provider Commercial 28724
Nasogastric tube 2023 Outpatient Facility Medicare 225
Arteriogram or venogram (not heart and head) 2021 Outpatient Facility Commercial 24798
Telehealth 2022 Unclassified/other Commercial 2152
Vascular bypass - Peripheral 2023 Provider Medicare 2718
Fallopian tubes - Other operations 2022 Provider Commercial 2055
Hospital services 2018 Provider Medi-Cal 6051150
Muscles, tendons, joints - Injections, aspirations 2019 Unclassified/other Medi-Cal 72
Skin graft 2021 Provider Medicare 140830
Cardiovascular procedures - Diagnostic (other) 2021 Independent Labs Medicare 195
MRI (magnetic resonance imaging) 2019 Outpatient Facility Medi-Cal 166783
TURP (transurethral resection of prostate) 2019 Outpatient Facility Commercial 1647
Other types of visits 2021 Home Health Medicare 60
Female organ procedures - Diagnostic (other) 2018 Outpatient Facility Medi-Cal 11201
Cholecystectomy and common duct exploration 2021 Provider Medi-Cal 27280
Therapeutic procedures - Other 2021 Provider Commercial 1481566
Radioisotope scan and function studies 2019 Outpatient Facility Medi-Cal 37214
Tympanoplasty 2018 Outpatient Facility Commercial 1884
Rehabilitation facility services 2019 Unclassified/other Medi-Cal 53
Myelogram 2020 Provider Medicare 3040
Laboratory - Chemistry and hematology 2022 Provider Medi-Cal 13217500
Colorectal resection 2023 Provider Medicare 16299
DME and supplies 2023 DME (Durable Medical Equipment) Medicare 5776653
Exploratory laparotomy 2022 Outpatient Facility Medi-Cal 34
Medications (injections, infusions, other forms) 2022 Hospice Medicare 1897
Nonoperative removal of foreign body 2022 Outpatient Facility Medicare 1881
GI procedures - Therapeutic OR 2018 Outpatient Facility Medi-Cal 749
Conversion of cardiac rhythm 2023 Outpatient Facility Medi-Cal 2361
Radiology - Therapeutic 2021 Provider Medi-Cal 299834
Mammography 2020 Unclassified/other Commercial 99
Care management/coordination services 2023 Inpatient Facility Medicare 41
Psychological and psychiatric evaluation, therapy 2018 Inpatient Facility Medicare 839
Respiratory therapy - Other 2023 Inpatient Facility Medi-Cal 5611
Anesthesia 2020 Outpatient Facility Medicare 120546
Vascular bypass and shunt - Other (not heart) 2022 Outpatient Facility Commercial 84
Division of joint capsule (ligament or cartilage) 2023 Provider Medi-Cal 2579
Amniocentesis - Diagnostic 2020 Outpatient Facility Medi-Cal 299
Ungrouped Procedures 2023 Independent Labs Medicare 2790741
Arterial blood gases 2023 Independent Labs Medi-Cal 196
Hernia repair - Other 2018 Provider Medi-Cal 16695
Fetal monitoring 2020 Outpatient Facility Medi-Cal 174960
Skin, breast procedures - Therapeutic OR (other) 2022 Outpatient Facility Commercial 29842
Peritoneal dialysis 2020 Inpatient Facility Medi-Cal 71
Breast - Mastectomy 2018 Unclassified/other Medi-Cal 30
Nervous system procedures - Therapeutic (other) 2021 Provider Medi-Cal 176629
Behavioral health services 2021 Outpatient Facility Medicare 3144
Urinary system (nonoperative) measurements 2023 Inpatient Facility Medi-Cal 792
Eye procedures - Diagnostic 2023 Outpatient Facility Commercial 359
PTCA (percutaneous transluminal coronary angio.) 2023 Outpatient Facility Medicare 16467
GI (upper) endoscopy, biopsy 2021 Inpatient Facility Commercial 49
Embolectomy and endarterectomy of lower limbs 2022 Provider Medicare 4082
Urethra - Procedures 2023 Outpatient Facility Commercial 1756
Electrocardiogram 2018 Unclassified/other Medi-Cal 634
Bone excision (partial) 2019 Outpatient Facility Medicare 5687
Skin and subcutaneous tissue - Diagnostic (other) 2018 Provider Medicare 58528
Cholecystectomy and common duct exploration 2018 Provider Commercial 30866
CT scan - Abdomen 2020 Provider Medi-Cal 617249
Epistaxis control 2019 Outpatient Facility Medicare 7108
Endocrine procedures - Diagnostic 2021 Outpatient Facility Medi-Cal 1258
Treatment, fracture, dislocation - Facial 2022 Provider Medi-Cal 4188
Oral and dental services 2023 Provider Commercial 2164
Knee - Arthroplasty 2019 Inpatient Facility Medicare 1557
GI (upper) procedures - Therapeutic 2021 Outpatient Facility Medi-Cal 276
Vascular bypass and shunt - Other (not heart) 2018 Provider Medi-Cal 706
Anesthesia 2018 Inpatient Facility Medi-Cal 123
Musculoskeletal procedures - Therapeutic (other) 2021 Provider Commercial 1493754
Radioisotope scan and function studies 2018 Inpatient Facility Medi-Cal 99
HCPCS Level II codes not classified 2021 Hospice Medicare 100
Medications (injections, infusions, other forms) 2023 Outpatient Facility Medicare 12686995
Arteriogram or venogram (not heart and head) 2020 Outpatient Facility Commercial 14866
Psychological and psychiatric evaluation, therapy 2023 Outpatient Facility Medi-Cal 1846577
Bone excision (partial) 2022 Provider Medicare 33186
Preventive visits 2022 Outpatient Facility Medi-Cal 1801610
Other types of lab tests 2021 Pharmacy Commercial 29671
Division of joint capsule (ligament or cartilage) 2020 Outpatient Facility Medicare 984
PTCA (percutaneous transluminal coronary angio.) 2021 Provider Medicare 37675
MRI (magnetic resonance imaging) 2023 Outpatient Facility Commercial 430764
CT scan - Other 2021 Unclassified/other Commercial 59
Skin graft 2020 Outpatient Facility Commercial 8564
Care management/coordination services 2022 Home Health Commercial 357
Treatment, fracture, dislocation - Radius and ulna 2021 Inpatient Facility Medicare 38
Consultations 2018 Provider Commercial 668946
GI procedures - Therapeutic 2022 Inpatient Facility Commercial 79
Telehealth 2022 Provider Medicare 4428150
DME and supplies 2022 Independent Labs Medicare 38905
Ultrasound - Head and neck - Diagnostic 2019 Inpatient Facility Medi-Cal 217
Physical/occupational/speech therapy - Diagnostic 2018 Home Health Medicare 29846
Hospital services 2022 Hospice Medicare 8656
GI (lower) procedures - Therapeutic OR 2020 Provider Commercial 11615
Nose, mouth, pharynx procedures - Therapeutic OR 2023 Inpatient Facility Medi-Cal 86
Mammography 2018 Provider Medi-Cal 522499
Breast - Lumpectomy, quadrantectomy 2020 Provider Medicare 12723
Visual aids and other optical supplies 2023 Outpatient Facility Commercial 22065
Fallopian tubes - Other operations 2020 Provider Medi-Cal 1114
Ear procedures - Diagnostic 2023 Outpatient Facility Medicare 1203
Cardiovascular procedures - Diagnostic (other) 2019 Inpatient Facility Medi-Cal 56
Pleura incision, thoracentesis, chest drainage 2023 Provider Medi-Cal 20513
Hospital services 2018 Hospice Medi-Cal 295
Musculoskeletal procedures - Diagnostic (other) 2020 Inpatient Facility Medicare 56
Radiology - Therapeutic 2021 Outpatient Facility Medi-Cal 151367
Ungrouped Procedures 2023 Independent Labs Medi-Cal 1591387
Delivery - Other procedures to assist 2018 Unclassified/other Medi-Cal 56
Chemotherapy - Cancer 2019 Outpatient Facility Commercial 152344
Skin, breast procedures - Therapeutic OR (other) 2021 Provider Medicare 21309
Transportation - Patient, provider, equipment 2022 Provider Medi-Cal 402044
Other types of visits 2020 Outpatient Facility Medi-Cal 44328
DME and supplies 2023 DME (Durable Medical Equipment) Medi-Cal 2476843
Radioisotope scan and function studies 2018 Outpatient Facility Commercial 71453
Psychological and psychiatric evaluation, therapy 2020 Outpatient Facility Medicare 455447
GI (upper) endoscopy, biopsy 2019 Unclassified/other Medi-Cal 147
Medications (injections, infusions, other forms) 2021 Unclassified/other Commercial 2011
TURP (transurethral resection of prostate) 2018 Inpatient Facility Medicare 68
Colorectal resection 2021 Provider Commercial 9627
Amniocentesis - Diagnostic 2018 Outpatient Facility Commercial 332
Care management/coordination services 2023 Hospice Medi-Cal 1227
Vascular bypass and shunt - Other (not heart) 2019 Outpatient Facility Medicare 80
Hernia repair - Inguinal and femoral 2023 Outpatient Facility Medi-Cal 6913
Joint procedures - Therapeutic OR (other) 2021 Outpatient Facility Medicare 10347
Extracorporeal lithotripsy, urinary 2022 Outpatient Facility Medicare 11575
Myelogram 2019 Outpatient Facility Medi-Cal 272
Bone marrow biopsy 2018 Outpatient Facility Medi-Cal 2119
Eye procedures - Diagnostic 2021 Provider Commercial 13089
Emergency department services 2021 Inpatient Facility Medicare 445
Anesthesia 2020 Outpatient Facility Commercial 60369
Arterial blood gases 2022 Inpatient Facility Medicare 36911
Peritoneal dialysis 2019 Provider Medicare 13382
Indwelling catheter 2018 Outpatient Facility Commercial 7291
Urinary tract - Endoscopy and endoscopic biopsy 2023 Inpatient Facility Medicare 32
Ophthalmologic/otologic diagnosis and treatment 2022 Home Health Medicare 108
Mammography 2020 Provider Medicare 1249908
Blood and blood product transfusion 2019 Provider Medi-Cal 12042
Nervous system procedures - Therapeutic (other) 2019 Provider Commercial 246272
Fetal monitoring 2019 Outpatient Facility Medi-Cal 187922
Skin graft 2020 Provider Commercial 31833
Conversion of cardiac rhythm 2022 Outpatient Facility Commercial 7590
Skilled nursing facility services 2022 Inpatient Facility Commercial 7241
Heart valve procedures 2019 Outpatient Facility Commercial 73
Bone procedures - Therapeutic OR (other) 2023 Outpatient Facility Commercial 15590
Aortic resection - Replacement or anastomosis 2020 Provider Medi-Cal 1902
Electrocardiogram 2023 Provider Medi-Cal 2210265
Ultrasound - Heart (echocardiogram) - Diagnostic 2020 Outpatient Facility Medicare 213965
Colorectal resection 2018 Outpatient Facility Medicare 393
Urinary obstruction - Excision, drainage, removal 2019 Provider Medi-Cal 8014
Ultrasound - Diagnostic (other) 2019 Independent Labs Commercial 164
Prophylactic vaccinations and inoculations 2022 Inpatient Facility Medi-Cal 1416
Bunionectomy or repair of toe deformities 2023 Provider Medicare 15578
Organ transplantation - Other 2020 Provider Medi-Cal 959
Endocrine procedures - Diagnostic 2023 Outpatient Facility Commercial 944
Intravenous pyelogram 2022 Provider Medicare 406
Nose, mouth, pharynx procedures - Therapeutic 2019 Provider Medi-Cal 63555
Critical care services 2022 Outpatient Facility Commercial 26160
Skin and subcutaneous tissue - Diagnostic (other) 2023 Outpatient Facility Medicare 30971
Ancillary services 2019 Provider Medi-Cal 4008214
Oophorectomy (unilateral and bilateral) 2018 Provider Medicare 2534
Physical/occupational/speech therapy - Exercises 2023 Inpatient Facility Medicare 4275684
Female organ procedures - Diagnostic (other) 2021 Outpatient Facility Medi-Cal 28901
Respiratory procedures - Therapeutic OR (other) 2019 Provider Commercial 6679
Laboratory - Chemistry and hematology 2018 Inpatient Facility Medi-Cal 64643
Proctoscopy and anorectal biopsy 2021 Outpatient Facility Medicare 8432
Hemodialysis 2019 Provider Commercial 5754
Therapeutic procedures - Other 2018 Inpatient Facility Medicare 12587
Nephrectomy (partial or complete) 2021 Inpatient Facility Medicare 79
Arthroplasty other than hip or knee 2022 Provider Commercial 14059
Extraocular muscle procedures - Therapeutic 2020 Outpatient Facility Medicare 1614
Cesarean section 2018 Provider Medi-Cal 82291
Eye procedures - Glaucoma 2023 Outpatient Facility Medicare 10809
Obstetric laceration - Repair 2022 Provider Commercial 330
Esophageal varices - Injection or ligation 2018 Inpatient Facility Medicare 43
Urinary tract procedures - Therapeutic (other) 2020 Provider Medi-Cal 13476
Tracheoscopy and laryngoscopy with biopsy 2019 Outpatient Facility Medi-Cal 6244
Microscopic examination (e.g., lab, toxicology) 2022 Inpatient Facility Medicare 237897
DME and supplies 2018 Unclassified/other Commercial 189
Radioisotope scan - Bone 2022 Provider Commercial 13627
Liver biopsy 2018 Provider Commercial 5218
Musculoskeletal procedures - Therapeutic (other) 2023 Unclassified/other Medi-Cal 2324
Physical/occupational/speech therapy - Diagnostic 2023 Outpatient Facility Commercial 149526
Treatment, fracture, dislocation - Hip and femur 2020 Provider Commercial 3915
X-ray - Upper GI 2018 Provider Medi-Cal 27935
Ileostomy and other enterostomy 2019 Provider Medicare 4158
Cesarean section 2022 Outpatient Facility Commercial 79
Heart procedures - Other OR 2022 Inpatient Facility Medicare 60
Other vascular catheterization (not heart) 2022 Provider Commercial 90768
Extracorporeal lithotripsy, urinary 2020 Provider Commercial 12395
Radioisotope scan - Other 2021 Outpatient Facility Medicare 20588
Proctoscopy and anorectal biopsy 2019 Provider Commercial 50858
Ultrasound - Diagnostic (other) 2021 Unclassified/other Commercial 303
Breast - Biopsy, procedures - Diagnostic (other) 2020 Outpatient Facility Commercial 19911
Nose, mouth, pharynx procedures - Therapeutic OR 2018 Provider Medi-Cal 21842
Genitourinary incontinence procedures 2019 Outpatient Facility Commercial 4432
Skilled nursing facility services 2020 Inpatient Facility Medicare 451301
Consultation, evaluation, and preventive care 2018 Provider Commercial 1613747
Myringotomy 2019 Outpatient Facility Medicare 665
Visual aids and other optical supplies 2021 Outpatient Facility Commercial 21405
Therapeutic procedures - Other 2023 Outpatient Facility Medicare 2585727
Urinary tract procedures - Therapeutic OR (other) 2022 Provider Medicare 27187
Peritoneal dialysis 2023 Inpatient Facility Medicare 600
Emergency department services 2019 Provider Medicare 2773950
Electrocardiogram 2018 Ambulance Medi-Cal 137145
Ureteral catheterization 2019 Outpatient Facility Medi-Cal 2189
Other types of lab tests 2018 Independent Labs Medicare 11728805
CPT codes not classified (F codes) 2018 Provider Medi-Cal 4851098
Hernia repair - Other 2022 Provider Commercial 21628
Other types of visits 2023 Outpatient Facility Medicare 14005
Psychological and psychiatric evaluation, therapy 2019 Provider Medicare 2845393
Alcohol and drug management, treatment, and rehab. 2018 Unclassified/other Medi-Cal 4493
Cardiovascular procedures - Therapeutic (other) 2018 Outpatient Facility Medi-Cal 14685
Musculoskeletal procedures - Diagnostic (other) 2018 Outpatient Facility Medicare 4156
Blood and blood product transfusion 2018 Outpatient Facility Medicare 155453
Open-heart procedures - Extracorporeal circulation 2022 Inpatient Facility Medicare 377
Ancillary services 2021 Hospice Medi-Cal 11928
DME and supplies 2020 DME (Durable Medical Equipment) Commercial 1482909
Cardiovascular procedures - Therapeutic (other) 2021 Outpatient Facility Medicare 95007
Fetal monitoring 2023 Unclassified/other Medi-Cal 66
Hip replacement (partial and total) 2019 Provider Medi-Cal 5652
Office visits 2020 Home Health Medi-Cal 23480
Male genital procedures - Therapeutic (other) 2021 Outpatient Facility Medicare 3052
Delivery - Forceps, vacuum, and breech 2022 Inpatient Facility Commercial 75
Medications (injections, infusions, other forms) 2023 Outpatient Facility Commercial 6181212
Urinary tract - Endoscopy and endoscopic biopsy 2020 Outpatient Facility Commercial 4873
Arteriogram or venogram (not heart and head) 2020 Inpatient Facility Commercial 54
Skin and subcutaneous tissue - Incision, drainage 2022 Inpatient Facility Medicare 34
Eye procedures - Corneal transplant 2020 Provider Medi-Cal 738
Radiology - Diagnostic (other) 2023 Inpatient Facility Medi-Cal 5095
Skin and subcutaneous tissue - Diagnostic (other) 2022 Independent Labs Medicare 44
Nervous system procedures - Diagnostic (other) 2020 Independent Labs Commercial 1305
Skin, breast procedures - Therapeutic (other) 2023 Outpatient Facility Medicare 89149
Nose, mouth, pharynx procedures - Diagnostic 2023 Provider Medicare 250401
Medications (injections, infusions, other forms) 2020 Pharmacy Medicare 230218
Laparoscopy 2023 Outpatient Facility Commercial 4313
Colonoscopy and biopsy 2021 Outpatient Facility Medi-Cal 103011
Appendectomy 2021 Provider Commercial 16537
Intravenous pyelogram 2020 Outpatient Facility Medicare 153
X-ray - Chest (routine) 2022 Unclassified/other Medicare 122
Prophylactic vaccinations and inoculations 2021 Pharmacy Medi-Cal 185
Arterial blood gases 2019 Provider Medicare 9408
D&C - Aspiration after delivery or abortion 2018 Provider Commercial 9223
Female organ procedures - Therapeutic OR (other) 2021 Provider Medicare 7739
Bone procedures - Therapeutic OR (other) 2019 Provider Medicare 57164
Cardiac stress tests 2022 Provider Commercial 132253
Extracranial ventricular shunt services 2022 Outpatient Facility Medi-Cal 146
D&C - Aspiration after delivery or abortion 2021 Outpatient Facility Commercial 5764
Bunionectomy or repair of toe deformities 2021 Provider Medi-Cal 3877
Physical/occupational/speech therapy - Exercises 2020 Pharmacy Medicare 438
Tracheostomy (temporary and permanent) 2021 Inpatient Facility Medicare 47
Respiratory procedures - Therapeutic (other) 2023 Unclassified/other Medi-Cal 33
Skin and subcutaneous tissue - Diagnostic (other) 2020 Provider Medi-Cal 114541
Pathology 2021 Independent Labs Medi-Cal 1359357
Bunionectomy or repair of toe deformities 2018 Outpatient Facility Medicare 7434
Ancillary services 2018 Independent Labs Medicare 95228
Spinal tap - Diagnostic 2023 Outpatient Facility Commercial 3849
Vessels other than head/neck procedures - Other OR 2019 Provider Commercial 16220
Intraoperative cholangiogram 2023 Provider Medicare 1724
CT scan - Head 2018 Provider Medicare 944864
Laboratory - Chemistry and hematology 2022 Ambulance Commercial 236
Transportation - Patient, provider, equipment 2019 Inpatient Facility Medi-Cal 394877
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2022 Unclassified/other Commercial 63
Office visits 2019 Pharmacy Medicare 692
Abdominal paracentesis 2021 Provider Medi-Cal 36595
Arthroscopy 2022 Provider Commercial 12181
Hernia repair - Inguinal and femoral 2019 Outpatient Facility Medicare 15321
X-ray - Lower GI 2018 Outpatient Facility Commercial 1772
Ultrasound - Urinary tract - Diagnostic 2021 Inpatient Facility Medicare 54
Alcohol and drug management, treatment, and rehab. 2019 Inpatient Facility Commercial 18617
Gastrostomy (temporary and permanent) 2018 Outpatient Facility Medi-Cal 2285
Respiratory therapy - Other 2020 Unclassified/other Medi-Cal 360
Fetal monitoring 2018 Inpatient Facility Commercial 80
Pleura incision, thoracentesis, chest drainage 2022 Outpatient Facility Commercial 3318
Ancillary services 2018 Unclassified/other Commercial 1258
Esophageal dilatation 2021 Outpatient Facility Medi-Cal 3750
Laparoscopy 2019 Provider Commercial 7756
Heart procedures - Other OR 2021 Outpatient Facility Commercial 500
Ultrasound - Urinary tract - Diagnostic 2018 Inpatient Facility Medicare 85
Non-hospital-based care (home health, hospice) 2022 Pharmacy Medi-Cal 612
Ear procedures - Diagnostic 2020 Outpatient Facility Medi-Cal 386
Gastric bypass and volume reduction 2022 Outpatient Facility Commercial 3065
Contrast arteriogram - Lower extremity arteries 2021 Provider Medi-Cal 2071
Muscle and tendon procedures - Therapeutic (other) 2021 Provider Medi-Cal 51695
Delivery - Forceps, vacuum, and breech 2021 Inpatient Facility Medi-Cal 894
Other types of visits 2018 Outpatient Facility Medicare 16490
Radioisotope scan - Bone 2018 Provider Medicare 39584
Obstetrical procedures - Therapeutic (other) 2022 Provider Medicare 265
Nose, mouth, pharynx procedures - Therapeutic OR 2019 Outpatient Facility Medicare 10251
Contrast aortogram 2022 Inpatient Facility Medi-Cal 82
CT scan - Chest 2021 Outpatient Facility Medi-Cal 137180
Radiology - Diagnostic (other) 2020 Unclassified/other Commercial 279
Colonoscopy and biopsy 2022 Unclassified/other Medicare 57
Hearing devices and audiology supplies 2021 Outpatient Facility Medi-Cal 7898
Excision, lysis peritoneal adhesions 2022 Provider Medi-Cal 658
Nephrotomy and nephrostomy 2021 Outpatient Facility Medicare 7112
Medications (injections, infusions, other forms) 2019 Ambulance Commercial 7521
Treatment, fracture, dislocation - Other 2021 Provider Commercial 32894
Laminectomy, excision intervertebral disc 2020 Provider Medicare 54392
Urinary system (nonoperative) measurements 2021 Provider Medi-Cal 2051805
Open-heart procedures - Extracorporeal circulation 2023 Provider Medi-Cal 10577
Embolectomy and endarterectomy of lower limbs 2018 Provider Commercial 601
Hernia repair - Inguinal and femoral 2021 Provider Commercial 16061
Skin, breast procedures - Therapeutic (other) 2019 Inpatient Facility Medicare 9177
Eye procedures - Repair of retinal tear/detachment 2018 Provider Medi-Cal 7714
Non-hospital-based care (home health, hospice) 2023 Independent Labs Commercial 97
DME and supplies 2018 Home Health Commercial 17572
Cardiovascular procedures - Diagnostic (other) 2018 Outpatient Facility Medicare 38948
Lobectomy or pneumonectomy 2021 Outpatient Facility Medicare 47
ERCP (endoscopic retro. cannulation of pancreas) 2021 Outpatient Facility Medi-Cal 5784
GI procedures - Therapeutic 2019 Outpatient Facility Medicare 4050
Prostatectomy (open ) 2021 Provider Medi-Cal 685
Ungrouped Procedures 2022 Pharmacy Commercial 714943
Laboratory - Chemistry and hematology 2020 Ambulance Commercial 243
Ultrasound - Diagnostic (other) 2023 Inpatient Facility Commercial 99
Male genital procedures - Diagnostic 2020 Provider Medi-Cal 3971
Radioisotope scan - Bone 2020 Provider Medicare 33996
Muscle and tendon procedures - Therapeutic (other) 2023 Inpatient Facility Medicare 284
Vascular bypass - Peripheral 2019 Provider Medicare 3103
GI procedures - Therapeutic 2021 Provider Commercial 8811
Endocrine procedures - Diagnostic 2018 Outpatient Facility Medicare 1571
Extracorporeal lithotripsy, urinary 2019 Outpatient Facility Commercial 12877
Respiratory procedures - Diagnostic (other) 2018 Provider Medi-Cal 3152
Alcohol and drug management, treatment, and rehab. 2022 Pharmacy Medi-Cal 6493
HCPCS Level II codes not classified 2020 Unclassified/other Medi-Cal 1220
Radioisotope scan - Pulmonary 2021 Provider Medicare 15810
Lung and bronchus procedures - Diagnostic (other) 2021 Outpatient Facility Medi-Cal 65094
Microscopic examination (e.g., lab, toxicology) 2020 Provider Medi-Cal 2991962
Arthrocentesis 2020 Unclassified/other Medi-Cal 127
Musculoskeletal procedures - Therapeutic (other) 2019 Outpatient Facility Medicare 29296
Knee - Excision of semilunar cartilage 2019 Outpatient Facility Medi-Cal 5734
Skilled nursing facility services 2019 Inpatient Facility Medi-Cal 51487
Conversion of cardiac rhythm 2019 Inpatient Facility Medicare 210
CT scan - Abdomen 2018 Unclassified/other Medi-Cal 7545
HIPPS home health services 2021 Hospice Medicare 78
GI (lower) procedures - Therapeutic OR 2023 Provider Medicare 8702
Nervous system procedures - Diagnostic (other) 2023 Independent Labs Commercial 212
Care management/coordination services 2021 Outpatient Facility Medicare 186643
Spinal canal stimulator insertion and injection 2023 Independent Labs Medicare 49
Ultrasound - Head and neck - Diagnostic 2023 Outpatient Facility Commercial 63786
Preventive visits 2021 Outpatient Facility Medicare 43041
Bone excision (partial) 2021 Outpatient Facility Medicare 5967
Eye procedures - Diagnostic 2018 Outpatient Facility Commercial 399
Cholecystectomy and common duct exploration 2018 Inpatient Facility Medicare 223
Urethra - Procedures 2022 Outpatient Facility Medicare 2207
Telehealth 2022 Home Health Medicare 2016
Indwelling catheter 2022 Provider Commercial 15917
GI (lower) procedures - Therapeutic OR 2020 Outpatient Facility Commercial 6317
Transportation - Patient, provider, equipment 2021 Pharmacy Commercial 40
GI procedures - Diagnostic 2020 Outpatient Facility Medicare 10744
Nasogastric tube 2022 Provider Medi-Cal 534
Physical/occupational/speech therapy - Diagnostic 2021 Unclassified/other Medi-Cal 148
Urinary tract procedures - Diagnostic (other) 2022 Outpatient Facility Medi-Cal 1461
Psychological and psychiatric evaluation, therapy 2019 Outpatient Facility Commercial 175585
Skin and subcutaneous tissue - Suture 2023 Provider Medi-Cal 134664
Non-hospital-based care (home health, hospice) 2023 Provider Medi-Cal 3155981
Mammography 2018 Outpatient Facility Commercial 538919
Ancillary services 2023 Unclassified/other Commercial 10775
Consultation, evaluation, and preventive care 2022 Provider Medicare 883633
HIPPS home health services 2018 Home Health Commercial 5466
Ovary operations - Other 2020 Provider Medicare 164
Care management/coordination services 2019 Outpatient Facility Commercial 1089
Genitourinary incontinence procedures 2023 Inpatient Facility Medicare 44
Bowel procedures - Diagnostic 2021 Provider Commercial 118
Skin and subcutaneous tissue - Suture 2020 Provider Commercial 169539
Ungrouped Procedures 2021 Outpatient Facility Commercial 1296520
Nose, mouth, pharynx procedures - Therapeutic OR 2022 Inpatient Facility Medicare 72
Prostatectomy (open ) 2023 Provider Commercial 2819
Delivery - Other procedures to assist 2021 Inpatient Facility Medi-Cal 1402
Electrographic cardiac monitoring 2020 Outpatient Facility Commercial 13629
Ancillary services 2022 Unclassified/other Medi-Cal 19324
Fallopian tubes - Ligation 2020 Provider Commercial 5554
Esophageal varices - Injection or ligation 2020 Outpatient Facility Medi-Cal 1315
D&C (dilatation and curettage) - Diagnostic 2020 Provider Commercial 2576
Respiratory therapy - Other 2022 Inpatient Facility Medicare 11554
Hemorrhoid procedures 2023 Outpatient Facility Medi-Cal 2832
Office visits 2021 Pharmacy Medicare 3507
Small bowel resection 2018 Outpatient Facility Commercial 32
Treatment, fracture, dislocation - Other 2018 Provider Medi-Cal 44205
CPT codes not classified (F codes) 2021 Pharmacy Medicare 224
Radioisotope scan - Pulmonary 2019 Inpatient Facility Medicare 586
Arthroscopy 2018 Provider Medi-Cal 4907
Lung and bronchus procedures - Diagnostic (other) 2018 Provider Medicare 583642
Nervous system procedures - Diagnostic (other) 2018 Provider Medi-Cal 172653
Physical/occupational/speech therapy - Other 2023 Provider Commercial 189101
Urinary system (nonoperative) measurements 2019 Independent Labs Medi-Cal 379923
Eye procedures - Destruction of retinal lesion 2020 Provider Commercial 9723
Visual aids and other optical supplies 2018 Pharmacy Medi-Cal 496
DME and supplies 2021 Inpatient Facility Medicare 392515
Spinal tap - Diagnostic 2021 Inpatient Facility Medicare 139
CT scan - Head 2022 Inpatient Facility Commercial 265
Alcohol and drug management, treatment, and rehab. 2020 Outpatient Facility Medicare 6761
Cardiac stress tests 2019 Inpatient Facility Medi-Cal 103
Laminectomy, excision intervertebral disc 2023 Outpatient Facility Medicare 8813
Medications (injections, infusions, other forms) 2019 Pharmacy Medicare 199254
Indwelling catheter 2020 Inpatient Facility Medi-Cal 165
Radiology - Therapeutic 2023 Outpatient Facility Medicare 533037
Ophthalmologic/otologic diagnosis and treatment 2018 Provider Commercial 5169930
Arterial blood gases 2023 Outpatient Facility Medicare 83880
Office visits 2023 Pharmacy Commercial 116783
Ultrasound - Diagnostic (other) 2020 Inpatient Facility Commercial 148
Male genital procedures - Therapeutic OR (other) 2020 Outpatient Facility Medicare 5080
Electrographic cardiac monitoring 2019 Independent Labs Medicare 15635
GI (upper) procedures - Therapeutic 2020 Outpatient Facility Medi-Cal 206
Oral and dental services 2020 Outpatient Facility Commercial 3252
Nose procedures - Plastic 2022 Provider Medicare 4845
Respiratory procedures - Diagnostic (other) 2019 Provider Medi-Cal 3907
Debridement of wound, infection or burn 2020 Outpatient Facility Commercial 18344
Vessels of head/neck - Endarterectomy 2021 Provider Medicare 3608
GI procedures - Therapeutic OR 2023 Inpatient Facility Commercial 60
Nephrotomy and nephrostomy 2018 Provider Commercial 2721
Musculoskeletal procedures - Therapeutic OR (other) 2021 Outpatient Facility Medicare 3410
Endocrine procedures - Therapeutic 2021 Provider Medicare 5031
Ancillary services 2018 Home Health Commercial 9521
Cystocele/rectocele repair, oblit. of vag. vault 2020 Provider Medi-Cal 2008
Enteral and parenteral nutrition 2023 Home Health Medicare 165
Urinary tract procedures - Therapeutic OR (other) 2018 Outpatient Facility Medi-Cal 1376
Circumcision 2019 Outpatient Facility Medi-Cal 3225
Ultrasound - Heart (echocardiogram) - Diagnostic 2018 Provider Medi-Cal 758765
Microscopic examination (e.g., lab, toxicology) 2023 Provider Commercial 2335225
Hospital services 2021 Provider Medi-Cal 7046738
Appendectomy 2018 Outpatient Facility Medicare 1443
Radiology - Diagnostic (other) 2018 Independent Labs Medicare 258
Skin lesion - Excision 2020 Unclassified/other Medi-Cal 197
Female organ procedures - Diagnostic (other) 2023 Provider Medicare 112316
Treatment, fracture, dislocation - Facial 2020 Provider Commercial 5062
MRI (magnetic resonance imaging) 2022 Inpatient Facility Medicare 9255
Physical/occupational/speech therapy - Diagnostic 2022 Inpatient Facility Commercial 699
AVF or vessel-to-vessel cannula for dialysis svcs. 2020 Provider Commercial 5912
Physical/occupational/speech therapy - Other 2019 Outpatient Facility Commercial 64769
Obstetrical procedures - Therapeutic (other) 2021 Inpatient Facility Medi-Cal 595
EEG (electroencephalogram) 2020 Provider Medi-Cal 73113
Extracorporeal shock wave (other than urinary) 2018 Provider Medicare 56800
Spinal canal stimulator insertion and injection 2023 Provider Commercial 93841
Hearing devices and audiology supplies 2018 Inpatient Facility Medi-Cal 3021
Central nervous system (CNS) incision and excision 2019 Outpatient Facility Commercial 224
Wound care - Traction, splints, other 2023 Outpatient Facility Medicare 107888
Nervous system procedures - Therapeutic OR (other) 2019 Outpatient Facility Medi-Cal 4740
X-ray - Upper GI 2020 Provider Medi-Cal 38701
Cardiac catheterization/arteriography - Diagnostic 2021 Inpatient Facility Medicare 2203
Tracheostomy (temporary and permanent) 2018 Provider Medicare 4103
Contrast aortogram 2018 Provider Commercial 3420
Pregnancy (ectopic) - Removal 2020 Outpatient Facility Commercial 1156
Pacemaker or cardioverter/defibrillator services 2021 Provider Medicare 40940
Hemodialysis 2021 Provider Medi-Cal 43423
Intraoperative cholangiogram 2018 Provider Commercial 2050
GI (lower) procedures - Therapeutic 2020 Outpatient Facility Medi-Cal 993
Observation care services 2018 Outpatient Facility Medicare 285717
Respiratory intubation and mechanical ventilation 2021 Outpatient Facility Medicare 17041
Ultrasound - Head and neck - Diagnostic 2020 Outpatient Facility Medicare 90170
Knee - Arthroplasty 2021 Inpatient Facility Commercial 88
Ureteral catheterization 2022 Outpatient Facility Medi-Cal 2244
Preventive visits 2019 Ambulance Medi-Cal 118
Other types of lab tests 2019 Inpatient Facility Medicare 395734
Epistaxis control 2021 Provider Medicare 17346
EEG (electroencephalogram) 2023 Provider Medicare 158069
Nose, mouth, pharynx procedures - Diagnostic 2020 Inpatient Facility Medi-Cal 5888
Heart valve procedures 2023 Provider Medicare 22992
Electrocardiogram 2019 Provider Medicare 4286919
Microscopic examination (e.g., lab, toxicology) 2018 Inpatient Facility Medi-Cal 11292
Urinary tract procedures - Therapeutic (other) 2018 Provider Medicare 65830
Spinal canal stimulator insertion and injection 2020 Provider Medicare 307555
Thyroidectomy (partial or complete) 2021 Outpatient Facility Medicare 1723
X-ray - Chest (routine) 2019 Provider Medicare 3983158
AVF or vessel-to-vessel cannula for dialysis svcs. 2023 Outpatient Facility Commercial 3825
HCPCS Level II codes not classified 2019 Hospice Medicare 188
Coronary thrombolysis 2019 Outpatient Facility Medicare 78
Arteriogram or venogram (not heart and head) 2022 Provider Commercial 47363
Male genital procedures - Diagnostic 2018 Provider Medicare 40450
Debridement of wound, infection or burn 2023 Outpatient Facility Commercial 19270
GI (upper) procedures - Therapeutic 2023 Outpatient Facility Medicare 823
Hospital services 2023 Provider Medi-Cal 7408138
Breast - Lumpectomy, quadrantectomy 2023 Outpatient Facility Medicare 12134
CPT codes not classified (F codes) 2022 Unclassified/other Medi-Cal 5452
Organ transplantation - Other 2019 Provider Medi-Cal 1068
Bone marrow transplant 2020 Provider Medicare 1316
Blood and blood product transfusion 2021 Inpatient Facility Medicare 8650
Non-hospital-based care (home health, hospice) 2018 Ambulance Medi-Cal 496
Consultation, evaluation, and preventive care 2021 Outpatient Facility Commercial 8975
Telehealth 2020 Ambulance Medi-Cal 330
CT scan - Other 2023 Outpatient Facility Medi-Cal 201849
Fallopian tubes - Other operations 2023 Provider Medi-Cal 926
Treatment, fracture, dislocation - Hip and femur 2018 Provider Medicare 32104
Pathology 2018 Provider Medi-Cal 1132815
Medications (injections, infusions, other forms) 2018 Ambulance Medicare 2782
Laminectomy, excision intervertebral disc 2022 Outpatient Facility Medicare 8926
Nervous system procedures - Diagnostic (other) 2018 Independent Labs Medicare 2976
Ancillary services 2022 Outpatient Facility Medicare 124800
Male genital procedures - Diagnostic 2018 Outpatient Facility Commercial 2189
Intraoperative cholangiogram 2020 Outpatient Facility Medi-Cal 490
Urinary system (nonoperative) measurements 2022 Provider Medi-Cal 2172163
Breast - Lumpectomy, quadrantectomy 2018 Provider Medi-Cal 5590
D&C (dilatation and curettage) - Diagnostic 2019 Provider Commercial 3298
Hemorrhoid procedures 2022 Outpatient Facility Medi-Cal 2631
Preventive visits 2019 Provider Medicare 1482627
Spinal fusion 2021 Outpatient Facility Medicare 6465
Nervous system procedures - Therapeutic OR (other) 2023 Provider Commercial 38990
Respiratory procedures - Therapeutic (other) 2018 Outpatient Facility Medicare 6645
Office visits 2021 Inpatient Facility Medi-Cal 726
Varicose vein stripping - Lower limb 2020 Outpatient Facility Medi-Cal 357
Exploratory laparotomy 2019 Provider Medicare 2532
CT scan - Chest 2022 Provider Commercial 301673
Transportation - Patient, provider, equipment 2018 Hospice Medi-Cal 545
GI procedures - Therapeutic 2020 Outpatient Facility Commercial 1945
Ophthalmologic/otologic diagnosis and treatment 2018 Independent Labs Medicare 130
Chemotherapy - Cancer 2020 Outpatient Facility Commercial 158172
Epistaxis control 2021 Outpatient Facility Commercial 2401
Heart valve procedures 2023 Outpatient Facility Medi-Cal 40
Ultrasound - Head and neck - Diagnostic 2020 Outpatient Facility Commercial 63740
Skin and subcutaneous tissue - Diagnostic (other) 2020 Independent Labs Medi-Cal 50
Ureteral catheterization 2023 Provider Medi-Cal 7146
Organ transplantation - Other 2019 Outpatient Facility Medicare 131
Other types of lab tests 2019 Independent Labs Medi-Cal 8577620
Amputation - Lower extremity 2021 Outpatient Facility Commercial 754
Indwelling catheter 2019 Inpatient Facility Medicare 56
Ovary operations - Other 2019 Provider Medi-Cal 3915
Female organ procedures - Therapeutic (other) 2023 Provider Medicare 24434
Skin, breast procedures - Therapeutic (other) 2021 Unclassified/other Commercial 192
Ungrouped Procedures 2019 Pharmacy Commercial 672392
Office visits 2023 Independent Labs Medicare 29051
Physical/occupational/speech therapy - Other 2022 Unclassified/other Medi-Cal 80
Radiology - Diagnostic (other) 2022 Inpatient Facility Medi-Cal 5686
Muscle and tendon procedures - Therapeutic (other) 2018 Outpatient Facility Commercial 42496
Hip replacement (partial and total) 2023 Inpatient Facility Medicare 746
Arterial blood gases 2018 Independent Labs Medicare 641
Cardiac stress tests 2018 Inpatient Facility Medicare 2035
Genitourinary incontinence procedures 2022 Outpatient Facility Commercial 4876
Skin and subcutaneous tissue - Suture 2019 Provider Commercial 189172
Ungrouped Procedures 2021 Hospice Medi-Cal 173
Non-hospital-based care (home health, hospice) 2021 Outpatient Facility Medicare 170399
Transportation - Patient, provider, equipment 2023 Pharmacy Commercial 43
GI (lower) procedures - Therapeutic 2022 Outpatient Facility Commercial 2760
Extracranial ventricular shunt services 2018 Outpatient Facility Commercial 94
Observation care services 2019 Provider Medi-Cal 92758
Central nervous system (CNS) incision and excision 2022 Outpatient Facility Medicare 157
Colonoscopy and biopsy 2018 Inpatient Facility Commercial 48
Blood and blood product transfusion 2020 Unclassified/other Medi-Cal 185
Knee - Arthroplasty 2022 Outpatient Facility Commercial 13603
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2019 Inpatient Facility Medi-Cal 2060
Myringotomy 2023 Provider Medi-Cal 9773
Urinary tract procedures - Diagnostic (other) 2018 Inpatient Facility Medicare 234
Hospital services 2023 Outpatient Facility Medi-Cal 234166
Bronchoscopy and biopsy - Diagnostic 2020 Provider Medicare 29820
Vessels of head/neck procedures - Other OR 2019 Provider Medicare 6781
Electrocardiogram 2019 Outpatient Facility Medicare 1298121
Nose, mouth, pharynx procedures - Diagnostic 2019 Provider Commercial 178714
Delivery - Other procedures to assist 2020 Inpatient Facility Commercial 79
DME and supplies 2021 Hospice Medicare 5597
ERCP (endoscopic retro. cannulation of pancreas) 2022 Inpatient Facility Medi-Cal 155
Radioisotope scan - Pulmonary 2018 Outpatient Facility Commercial 2131
CPT codes not classified (F codes) 2021 Independent Labs Commercial 776
Nose, mouth, pharynx procedures - Therapeutic OR 2021 Outpatient Facility Commercial 30715
Treatment, fracture, dislocation - Lower extrem. 2023 Provider Medicare 22654
Heart valve procedures 2020 Inpatient Facility Medicare 179
Spinal tap - Diagnostic 2019 Provider Medicare 12803
ERCP (endoscopic retro. cannulation of pancreas) 2019 Inpatient Facility Medi-Cal 113
Thyroidectomy (partial or complete) 2022 Provider Medicare 2968
Consultation, evaluation, and preventive care 2021 Independent Labs Medi-Cal 98
Bone marrow transplant 2022 Provider Commercial 1886
Decompression peripheral nerve 2018 Provider Medi-Cal 8013
X-ray - Chest (routine) 2019 Outpatient Facility Medicare 1189706
Emergency department services 2021 Unclassified/other Commercial 1427
Coronary thrombolysis 2018 Provider Commercial 62
Microscopic examination (e.g., lab, toxicology) 2019 Hospice Medi-Cal 3108
CPT codes not classified (F codes) 2022 Provider Commercial 4561193
Physical/occupational/speech therapy - Diagnostic 2019 Unclassified/other Medi-Cal 470
Telehealth 2020 Provider Medi-Cal 1517208
Radioisotope scan - Bone 2018 Inpatient Facility Medicare 198
CT scan - Chest 2023 Outpatient Facility Medicare 374792
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2021 Outpatient Facility Medi-Cal 312227
Heart procedures - Other OR 2019 Outpatient Facility Medi-Cal 292
Medications (injections, infusions, other forms) 2022 Provider Medicare 5919662
Delivery - Forceps, vacuum, and breech 2018 Unclassified/other Medi-Cal 45
Skin and subcutaneous tissue - Incision, drainage 2018 Outpatient Facility Commercial 16906
Physical/occupational/speech therapy - Exercises 2021 Provider Medicare 14027484
Treatment, fracture, dislocation - Hip and femur 2022 Provider Medi-Cal 7582
Extraocular muscle procedures - Therapeutic 2022 Provider Medicare 12372
Abortion (termination of pregnancy) 2020 Provider Commercial 17065
Physical/occupational/speech therapy - Other 2018 Inpatient Facility Medicare 109350
Eye procedures - Repair of retinal tear/detachment 2022 Provider Medicare 14532
Epistaxis control 2023 Provider Medicare 15229
GI (upper) procedures - Therapeutic OR 2019 Outpatient Facility Medi-Cal 292
Endocrine procedures - Therapeutic 2019 Inpatient Facility Medicare 122
Female organ procedures - Diagnostic (other) 2022 Provider Medicare 112807
Cardiac stress tests 2020 Provider Commercial 111330
Bowel procedures - Diagnostic 2023 Provider Commercial 88
Pathology 2023 Inpatient Facility Medi-Cal 3795
Liver biopsy 2020 Outpatient Facility Medicare 3641
DME and supplies 2019 Inpatient Facility Commercial 6517
Other types of lab tests 2023 Independent Labs Medi-Cal 11113040
Central nervous system (CNS) incision and excision 2023 Provider Medi-Cal 5454
Ancillary services 2020 Hospice Medi-Cal 9409
Respiratory procedures - Therapeutic OR (other) 2021 Provider Medi-Cal 9367
Hysterectomy (abdominal and vaginal) 2018 Outpatient Facility Commercial 14336
Bone procedures - Therapeutic OR (other) 2018 Inpatient Facility Medicare 420
Gastrostomy (temporary and permanent) 2021 Outpatient Facility Commercial 1839
Organ transplantation - Other 2023 Outpatient Facility Commercial 145
X-ray - Upper GI 2019 Outpatient Facility Medi-Cal 10364
Radioisotope scan - Bone 2023 Provider Commercial 11991
Office visits 2018 Provider Medicare 33854608
Contrast arteriogram - Lower extremity arteries 2018 Outpatient Facility Medi-Cal 388
Ultrasound - Urinary tract - Diagnostic 2022 Provider Commercial 1617
Respiratory procedures - Therapeutic OR (other) 2023 Provider Commercial 7491
D&C (dilatation and curettage) - Diagnostic 2021 Provider Medi-Cal 2204
Treatment, fracture, dislocation - Other 2019 Outpatient Facility Medicare 9813
Heart valve procedures 2022 Inpatient Facility Commercial 105
Proctoscopy and anorectal biopsy 2023 Provider Medi-Cal 16767
Arthrocentesis 2022 Provider Medi-Cal 160568
Laboratory - Chemistry and hematology 2021 Outpatient Facility Medicare 28733406
Prophylactic vaccinations and inoculations 2023 Ambulance Commercial 34
Arterial blood gases 2018 Provider Commercial 8308
CABG (coronary artery bypass graft) 2021 Provider Medicare 25737
Musculoskeletal procedures - Therapeutic OR (other) 2019 Provider Medicare 12126
Abortion (termination of pregnancy) 2023 Outpatient Facility Medi-Cal 29232
Office visits 2023 Unclassified/other Medi-Cal 151482
Varicose vein stripping - Lower limb 2022 Outpatient Facility Medicare 799
Muscle and tendon procedures - Therapeutic (other) 2019 Provider Medicare 89539
Arteriogram or venogram (not heart and head) 2018 Outpatient Facility Commercial 12095
Peritoneal dialysis 2022 Outpatient Facility Commercial 477421
Nose, mouth, pharynx procedures - Therapeutic 2022 Inpatient Facility Medi-Cal 49933
Male genital procedures - Therapeutic OR (other) 2022 Outpatient Facility Medi-Cal 5014
Fetal monitoring 2021 Provider Medicare 1493
Spinal tap - Diagnostic 2022 Inpatient Facility Medicare 99
Chemotherapy - Cancer 2022 Outpatient Facility Medi-Cal 189188
Eye procedures - Destruction of retinal lesion 2021 Provider Medi-Cal 20177
Ultrasound - Diagnostic (other) 2020 Provider Medicare 1479383
Arthroscopy 2019 Provider Medi-Cal 4972
Office visits 2022 Home Health Medi-Cal 16366
Pregnancy (ectopic) - Removal 2023 Outpatient Facility Commercial 1150
Urinary system (nonoperative) measurements 2020 Independent Labs Medi-Cal 285285
Non-hospital-based care (home health, hospice) 2022 Independent Labs Commercial 261
Radioisotope scan - Pulmonary 2020 Inpatient Facility Medicare 430
DME and supplies 2019 Pharmacy Medicare 417
Prophylactic vaccinations and inoculations 2023 Provider Medicare 6585415
Electrographic cardiac monitoring 2021 Provider Medicare 1097901
Delivery - Other procedures to assist 2022 Outpatient Facility Commercial 1594
Ancillary services 2023 Independent Labs Commercial 119421
Esophageal varices - Injection or ligation 2021 Outpatient Facility Commercial 823
Gastrostomy (temporary and permanent) 2023 Outpatient Facility Commercial 1936
Visual aids and other optical supplies 2019 Outpatient Facility Medi-Cal 30473
Cardiovascular procedures - Therapeutic (other) 2020 Outpatient Facility Medicare 95103
Hernia repair - Other 2020 Outpatient Facility Commercial 13010
Ureteral catheterization 2018 Outpatient Facility Medicare 8085
Hernia repair - Other 2023 Provider Medi-Cal 2780
Skin and subcutaneous tissue - Suture 2021 Provider Commercial 176305
Open-heart procedures - Extracorporeal circulation 2019 Provider Medicare 3654
Ungrouped Procedures 2018 Independent Labs Medi-Cal 8219
Breast - Biopsy, procedures - Diagnostic (other) 2020 Provider Medicare 33493
Hip replacement (partial and total) 2020 Outpatient Facility Commercial 7327
Open-heart procedures - Extracorporeal circulation 2021 Outpatient Facility Medi-Cal 56288
Eye procedures - Corneal transplant 2021 Outpatient Facility Medicare 1799
Cardiovascular procedures - Diagnostic (other) 2022 Outpatient Facility Commercial 9800
Nose, mouth, pharynx procedures - Therapeutic 2023 Outpatient Facility Commercial 10516
Peritoneal dialysis 2022 Provider Medicare 14823
Lobectomy or pneumonectomy 2018 Provider Medi-Cal 1257
Office visits 2020 Independent Labs Commercial 3686
Delivery - Other procedures to assist 2023 Inpatient Facility Medi-Cal 1004
Cardiovascular procedures - Therapeutic (other) 2021 Inpatient Facility Medicare 1456
Urinary system (nonoperative) measurements 2019 Unclassified/other Medi-Cal 2387
Electrographic cardiac monitoring 2023 Independent Labs Medi-Cal 491
CPT codes not classified (F codes) 2019 Hospice Medicare 40
Small bowel resection 2022 Provider Medi-Cal 2661
Fetal monitoring 2021 Provider Medi-Cal 217215
Colostomy (temporary and permanent) 2023 Provider Commercial 502
Ureteral catheterization 2019 Inpatient Facility Medicare 92
DME and supplies 2020 Home Health Commercial 24610
Arteriogram or venogram (not heart and head) 2019 Inpatient Facility Commercial 60
Respiratory therapy - Other 2018 Outpatient Facility Medi-Cal 216298
Therapeutic procedures - Other 2023 Unclassified/other Commercial 886
Ileostomy and other enterostomy 2020 Provider Commercial 1546
Respiratory intubation and mechanical ventilation 2019 Inpatient Facility Medicare 2208
Kidney transplant 2021 Provider Commercial 537
Visual aids and other optical supplies 2021 Provider Medi-Cal 839233
Ultrasound - Diagnostic (other) 2021 Independent Labs Medicare 82
Ear procedures - Therapeutic 2022 Provider Commercial 186008
Male genital procedures - Therapeutic (other) 2020 Provider Medi-Cal 6641
Other types of visits 2022 Outpatient Facility Medi-Cal 282861
Heart valve procedures 2022 Provider Commercial 3962
Ancillary services 2021 Independent Labs Medicare 83559
Pregnancy (ectopic) - Removal 2022 Outpatient Facility Medi-Cal 805
Behavioral health services 2023 Provider Medi-Cal 163833
CT scan - Head 2023 Independent Labs Commercial 146
Prostatectomy (open ) 2018 Outpatient Facility Medi-Cal 75
Esophageal varices - Injection or ligation 2023 Outpatient Facility Commercial 935
Hernia repair - Other 2021 Inpatient Facility Medicare 165
Medications (injections, infusions, other forms) 2022 Pharmacy Medicare 401343
TURP (transurethral resection of prostate) 2021 Provider Medi-Cal 1444
Laboratory - Chemistry and hematology 2019 Unclassified/other Commercial 1670
DME and supplies 2018 DME (Durable Medical Equipment) Medi-Cal 1679488
Eye procedures - Therapeutic (other) 2020 Outpatient Facility Medi-Cal 6861
Respiratory procedures - Therapeutic (other) 2022 Provider Medicare 7173
Radiology - Therapeutic 2018 Provider Commercial 484195
Cardiac stress tests 2021 Provider Commercial 122650
Transportation - Patient, provider, equipment 2019 Provider Commercial 9588
Prophylactic vaccinations and inoculations 2021 Hospice Medicare 86
Intravenous pyelogram 2018 Provider Commercial 613
Ancillary services 2018 Provider Medi-Cal 3868326
Physical/occupational/speech therapy - Exercises 2019 Provider Medi-Cal 5242613
Skin, breast procedures - Therapeutic OR (other) 2019 Inpatient Facility Medicare 106
Skin and subcutaneous tissue - Diagnostic (other) 2021 Inpatient Facility Medicare 47
Pleura incision, thoracentesis, chest drainage 2020 Inpatient Facility Medicare 525
GI (upper) procedures - Therapeutic OR 2022 Outpatient Facility Medicare 512
Pathology 2021 Hospice Medi-Cal 609
Female organ procedures - Therapeutic OR (other) 2021 Provider Medi-Cal 13423
Colonoscopy and biopsy 2022 Inpatient Facility Medicare 532
Gastric bypass and volume reduction 2022 Inpatient Facility Commercial 53
Abdominal paracentesis 2021 Outpatient Facility Medicare 24824
Obstetrical procedures - Therapeutic (other) 2021 Provider Medi-Cal 401510
Decompression peripheral nerve 2019 Outpatient Facility Medicare 9401
Vessels other than head/neck procedures - Other OR 2019 Outpatient Facility Commercial 5297
Bone procedures - Therapeutic OR (other) 2020 Outpatient Facility Medicare 6418
Male genital procedures - Diagnostic 2019 Provider Medicare 42376
Hernia repair - Inguinal and femoral 2020 Outpatient Facility Commercial 13883
Ear procedures - Diagnostic 2020 Outpatient Facility Commercial 413
Arthroscopy 2022 Outpatient Facility Medi-Cal 2372
Medications (injections, infusions, other forms) 2020 Pharmacy Commercial 6266
Nose, mouth, pharynx procedures - Diagnostic 2023 Provider Commercial 188190
D&C - Aspiration after delivery or abortion 2018 Outpatient Facility Medicare 49
Radioisotope scan - Bone 2019 Provider Commercial 16197
Ungrouped Procedures 2022 Hospice Medicare 35
Other types of visits 2018 Unclassified/other Medi-Cal 82
Extracranial ventricular shunt services 2023 Outpatient Facility Commercial 122
Treatment, fracture, dislocation - Other 2021 Outpatient Facility Medi-Cal 12870
Arterial blood gases 2020 Outpatient Facility Commercial 23656
Spleen procedures 2018 Outpatient Facility Commercial 32
Nervous system procedures - Diagnostic (other) 2020 Outpatient Facility Commercial 19735
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2023 Outpatient Facility Medicare 229096
Esophageal dilatation 2021 Inpatient Facility Medicare 57
Bunionectomy or repair of toe deformities 2020 Outpatient Facility Medicare 5805
Visual aids and other optical supplies 2020 Outpatient Facility Medi-Cal 61448
Delivery - Forceps, vacuum, and breech 2021 Provider Medi-Cal 102784
Fallopian tubes - Other operations 2018 Provider Commercial 2153
Medications (injections, infusions, other forms) 2023 Ambulance Medicare 4102
Ungrouped Procedures 2018 Inpatient Facility Commercial 2328
Ileostomy and other enterostomy 2020 Provider Medicare 3720
Ear procedures - Therapeutic 2022 Unclassified/other Medi-Cal 230
CPT codes not classified (F codes) 2019 Independent Labs Medicare 2102
GI procedures - Diagnostic 2022 Provider Commercial 37464
TURP (transurethral resection of prostate) 2023 Outpatient Facility Commercial 2056
Respiratory intubation and mechanical ventilation 2018 Unclassified/other Medi-Cal 65
Urinary tract procedures - Therapeutic OR (other) 2021 Pharmacy Commercial 10826
Nose, mouth, pharynx procedures - Therapeutic 2022 Provider Medicare 24122
Ultrasound - Diagnostic (other) 2021 Provider Medi-Cal 2416427
Electrographic cardiac monitoring 2022 Outpatient Facility Medicare 79706
Proctoscopy and anorectal biopsy 2018 Outpatient Facility Medicare 8164
Alcohol and drug management, treatment, and rehab. 2018 Inpatient Facility Medicare 827
Other types of visits 2023 Outpatient Facility Commercial 7656
Other vascular catheterization (not heart) 2021 Provider Commercial 97521
Behavioral health services 2023 Provider Medicare 76273
Knee - Arthroplasty 2018 Inpatient Facility Commercial 213
Genitourinary incontinence procedures 2018 Outpatient Facility Commercial 4249
Open-heart procedures - Extracorporeal circulation 2021 Outpatient Facility Medicare 37259
Male genital procedures - Therapeutic (other) 2021 Outpatient Facility Medi-Cal 1605
CT scan - Head 2023 Provider Medicare 1114560
Eye procedures - Corneal transplant 2020 Provider Commercial 660
Liver biopsy 2023 Provider Medi-Cal 4592
Cardiovascular procedures - Therapeutic (other) 2021 Outpatient Facility Medi-Cal 15364
Fetal monitoring 2022 Provider Medi-Cal 220055
Breast - Biopsy, procedures - Diagnostic (other) 2019 Provider Medicare 38307
Therapeutic procedures - Other 2023 Unclassified/other Medicare 88
Small bowel resection 2021 Provider Medi-Cal 2835
Ureteral catheterization 2019 Outpatient Facility Commercial 6339
Colostomy (temporary and permanent) 2021 Provider Medi-Cal 840
Chemotherapy - Cancer 2023 Outpatient Facility Medi-Cal 209928
Ancillary services 2021 Home Health Commercial 12472
Urinary system (nonoperative) measurements 2020 Provider Commercial 1634293
Spinal canal stimulator insertion and injection 2022 Provider Commercial 119124
Skilled nursing facility services (HIPPS) 2023 Provider Commercial 3284
Ultrasound - Head and neck - Diagnostic 2023 Outpatient Facility Medicare 102014
Vascular bypass - Peripheral 2022 Provider Medi-Cal 729
Nasogastric tube 2023 Outpatient Facility Commercial 122
Physical/occupational/speech therapy - Diagnostic 2021 Outpatient Facility Medi-Cal 348906
Electrocardiogram 2021 Provider Medicare 3756345
Wound care - Traction, splints, other 2021 Provider Medicare 527647
CT scan - Abdomen 2019 Provider Medicare 955870
Tonsillectomy and/or adenoidectomy 2019 Outpatient Facility Medi-Cal 10517
GI (lower) procedures - Therapeutic OR 2020 Outpatient Facility Medi-Cal 2063
Non-hospital-based care (home health, hospice) 2023 Provider Medicare 6107902
Ancillary services 2023 Outpatient Facility Medicare 100095
HIPPS home health services 2021 Outpatient Facility Medicare 179
Lung and bronchus procedures - Diagnostic (other) 2022 Outpatient Facility Medi-Cal 72262
Telehealth 2022 Inpatient Facility Medi-Cal 277
Fallopian tubes - Other operations 2018 Provider Medicare 60
GI (upper) endoscopy, biopsy 2018 Inpatient Facility Commercial 73
Cholecystectomy and common duct exploration 2018 Outpatient Facility Commercial 20102
Other types of lab tests 2021 Independent Labs Commercial 16718502
GI procedures - Therapeutic 2020 Provider Medicare 14674
Skin and subcutaneous tissue - Suture 2023 Provider Medicare 269696
Urethra - Procedures 2021 Provider Commercial 6650
Care management/coordination services 2021 Hospice Medi-Cal 1066
Consultation, evaluation, and preventive care 2023 Provider Medi-Cal 837616
Treatment, fracture, dislocation - Facial 2022 Outpatient Facility Medicare 836
Oral and dental services 2022 Outpatient Facility Commercial 3923
Breast - Lumpectomy, quadrantectomy 2020 Provider Medi-Cal 4716
Musculoskeletal procedures - Therapeutic (other) 2020 Pharmacy Commercial 258
Male genital procedures - Therapeutic OR (other) 2023 Provider Medi-Cal 9377
Bone excision (partial) 2021 Provider Medi-Cal 10755
DME and supplies 2022 DME (Durable Medical Equipment) Medicare 6132866
Radioisotope scan - Pulmonary 2022 Outpatient Facility Commercial 1872
Nervous system procedures - Diagnostic (other) 2023 Provider Medicare 447456
Respiratory procedures - Diagnostic (other) 2018 Outpatient Facility Commercial 1376
Preventive visits 2021 Pharmacy Medicare 836
Endocrine procedures - Diagnostic 2018 Provider Medi-Cal 3211
PTCA (percutaneous transluminal coronary angio.) 2019 Provider Medicare 43795
Microscopic examination (e.g., lab, toxicology) 2020 Unclassified/other Commercial 577
Knee - Excision of semilunar cartilage 2020 Provider Commercial 19664
Urinary tract procedures - Diagnostic (other) 2022 Provider Commercial 3189
Psychological and psychiatric evaluation, therapy 2022 Unclassified/other Medi-Cal 7565
Treatment, fracture, dislocation - Radius and ulna 2019 Provider Commercial 26225
Male genital procedures - Therapeutic (other) 2022 Provider Commercial 34473
Heart procedures - Other OR 2023 Provider Commercial 4475
Transportation - Patient, provider, equipment 2022 Outpatient Facility Medi-Cal 345036
Nervous system procedures - Therapeutic (other) 2019 Provider Medi-Cal 166680
Delivery - Other procedures to assist 2018 Inpatient Facility Commercial 39
Myringotomy 2021 Provider Medi-Cal 4113
Skin, breast procedures - Therapeutic OR (other) 2020 Outpatient Facility Commercial 23272
Ophthalmologic/otologic diagnosis and treatment 2022 Inpatient Facility Medicare 155
Proctoscopy and anorectal biopsy 2020 Provider Commercial 39258
Hernia repair - Inguinal and femoral 2022 Provider Commercial 16260
Chemotherapy - Cancer 2018 Outpatient Facility Medi-Cal 152769
Joint procedures - Therapeutic OR (other) 2020 Provider Medi-Cal 16643
Alcohol and drug management, treatment, and rehab. 2023 Provider Commercial 898529
Eye procedures - Corneal transplant 2023 Outpatient Facility Commercial 633
Lung and bronchus procedures - Diagnostic (other) 2023 Outpatient Facility Medi-Cal 80439
Medications (injections, infusions, other forms) 2021 Pharmacy Commercial 8942
Ear procedures - Diagnostic 2023 Provider Medicare 20508
Extracorporeal lithotripsy, urinary 2022 Provider Medi-Cal 6716
Vessels other than head/neck procedures - Other OR 2022 Outpatient Facility Medicare 17551
Radioisotope scan - Other 2022 Outpatient Facility Medicare 4677
Office visits 2020 Pharmacy Medicare 1678
Preventive visits 2018 Outpatient Facility Medicare 33341
HIPPS home health services 2023 Outpatient Facility Medicare 121
Other vascular catheterization (not heart) 2023 Outpatient Facility Commercial 22104
Arterial blood gases 2021 Provider Medi-Cal 109937
Skilled nursing facility services 2022 Inpatient Facility Medi-Cal 29856
Emergency department services 2020 Outpatient Facility Commercial 1782595
Care management/coordination services 2022 Hospice Medicare 2738
DME and supplies 2022 Outpatient Facility Medicare 4497315
Colorectal resection 2021 Provider Medicare 16773
Ungrouped Procedures 2019 Inpatient Facility Commercial 1547
CT scan - Head 2020 Provider Medi-Cal 524286
Conversion of cardiac rhythm 2021 Outpatient Facility Medi-Cal 1689
Telehealth 2019 Outpatient Facility Medi-Cal 12248
Vascular bypass and shunt - Other (not heart) 2019 Provider Medi-Cal 751
Thyroidectomy (partial or complete) 2018 Unclassified/other Medi-Cal 35
Eye procedures - Therapeutic (other) 2021 Provider Medi-Cal 63924
Skin and subcutaneous tissue - Suture 2018 Inpatient Facility Medicare 37
Ancillary services 2021 Provider Commercial 1352483
Urinary tract - Endoscopy and endoscopic biopsy 2022 Outpatient Facility Medicare 18046
Radiology - Therapeutic 2019 Provider Medicare 1071778
Musculoskeletal procedures - Diagnostic (other) 2020 Outpatient Facility Medicare 3968
Other types of lab tests 2018 Pharmacy Medicare 55
Psychological and psychiatric evaluation, therapy 2020 Pharmacy Medi-Cal 205
Appendectomy 2019 Inpatient Facility Commercial 35
Skin lesion - Excision 2020 Provider Medi-Cal 383589
Treatment, fracture, dislocation - Facial 2020 Outpatient Facility Medicare 735
X-ray - Upper GI 2020 Provider Commercial 34257
Therapeutic procedures - Other 2019 Outpatient Facility Medicare 2254229
Intraocular procedures - Therapeutic 2020 Outpatient Facility Commercial 6175
Urinary tract procedures - Diagnostic (other) 2020 Provider Commercial 2753
Radiology - Diagnostic (other) 2018 Independent Labs Commercial 429
Cystocele/rectocele repair, oblit. of vag. vault 2020 Outpatient Facility Medi-Cal 846
Tracheoscopy and laryngoscopy with biopsy 2023 Outpatient Facility Medi-Cal 6366
Nervous system procedures - Therapeutic OR (other) 2019 Provider Medicare 145870
Bronchoscopy and biopsy - Diagnostic 2023 Outpatient Facility Medi-Cal 4832
EEG (electroencephalogram) 2020 Outpatient Facility Medicare 8770
Oophorectomy (unilateral and bilateral) 2021 Outpatient Facility Medi-Cal 2788
Mastoidectomy 2018 Outpatient Facility Commercial 796
Psychological and psychiatric evaluation, therapy 2022 Pharmacy Medicare 298
Obstetrical procedures - Therapeutic (other) 2019 Unclassified/other Medi-Cal 117
MRI (magnetic resonance imaging) 2022 Inpatient Facility Commercial 250
AVF or vessel-to-vessel cannula for dialysis svcs. 2019 Outpatient Facility Commercial 4623
Extracranial ventricular shunt services 2021 Outpatient Facility Commercial 137
Spinal fusion 2023 Provider Medi-Cal 30861
Other types of lab tests 2023 Pharmacy Medicare 411
Hospital services 2021 Outpatient Facility Medicare 243
Circumcision 2018 Unclassified/other Medi-Cal 87
Respiratory procedures - Therapeutic (other) 2020 Provider Medi-Cal 3665
Debridement of wound, infection or burn 2019 Inpatient Facility Medicare 119
Ultrasound - Heart (echocardiogram) - Diagnostic 2023 Outpatient Facility Commercial 119245
Wound care - Traction, splints, other 2023 Inpatient Facility Medicare 606
Catheterization (Swan-Ganz) for monitoring 2022 Provider Commercial 3044
HCPCS Level II codes not classified 2023 Unclassified/other Medi-Cal 11946
CT scan - Chest 2018 Provider Commercial 249701
Hemodialysis 2022 Inpatient Facility Medicare 14077
Ancillary services 2018 Ambulance Commercial 85
Electrographic cardiac monitoring 2019 Provider Commercial 172280
Microscopic examination (e.g., lab, toxicology) 2023 Inpatient Facility Commercial 452
Tympanoplasty 2021 Provider Medi-Cal 1554
Endocrine procedures - Therapeutic 2021 Provider Commercial 5174
Eye procedures - Lens and cataract 2019 Provider Medi-Cal 56299
Vessels of head/neck - Endarterectomy 2023 Outpatient Facility Medicare 38
Enteral and parenteral nutrition 2022 Provider Medicare 177579
Nose procedures - Plastic 2022 Provider Commercial 14809
Musculoskeletal procedures - Therapeutic OR (other) 2022 Outpatient Facility Commercial 2299
Contrast aortogram 2019 Outpatient Facility Commercial 1239
Laboratory - Chemistry and hematology 2019 Ambulance Medicare 325
Prostatectomy (open ) 2019 Provider Medi-Cal 730
Breast - Biopsy, procedures - Diagnostic (other) 2018 Unclassified/other Medi-Cal 41
Myringotomy 2018 Outpatient Facility Medicare 641
Ancillary services 2020 Provider Medi-Cal 4074562
Cardiovascular procedures - Therapeutic (other) 2020 Provider Commercial 60149
Heart valve procedures 2022 Inpatient Facility Medicare 97
Genitourinary incontinence procedures 2018 Outpatient Facility Medicare 3833
Skin and subcutaneous tissue - Incision, drainage 2021 Outpatient Facility Commercial 15297
Urinary tract procedures - Therapeutic OR (other) 2022 Inpatient Facility Medicare 193
Proctoscopy and anorectal biopsy 2018 Provider Medi-Cal 14030
Office visits 2022 Inpatient Facility Medicare 345
Arteriogram or venogram (not heart and head) 2019 Outpatient Facility Commercial 14423
Hip replacement (partial and total) 2018 Unclassified/other Medi-Cal 32
Other vascular catheterization (not heart) 2021 Provider Medicare 277610
Electrographic cardiac monitoring 2022 Provider Medi-Cal 203510
Indwelling catheter 2021 Inpatient Facility Medicare 77
Hernia repair - Other 2021 Outpatient Facility Medicare 10188
Nose, mouth, pharynx procedures - Therapeutic 2023 Provider Medi-Cal 149147
Lobectomy or pneumonectomy 2018 Outpatient Facility Medicare 48
Urinary system (nonoperative) measurements 2020 Provider Medi-Cal 1846465
Chemotherapy - Cancer 2023 Outpatient Facility Medicare 434769
Esophageal varices - Injection or ligation 2023 Provider Medicare 3589
Alcohol and drug management, treatment, and rehab. 2018 Outpatient Facility Medi-Cal 108378
Blood and blood product transfusion 2018 Independent Labs Medi-Cal 1446
Laboratory - Chemistry and hematology 2023 Unclassified/other Commercial 4962
Radioisotope scan - Other 2020 Provider Medicare 12706
DME and supplies 2019 Provider Medi-Cal 5818358
Muscles, tendons, joints - Injections, aspirations 2023 Outpatient Facility Medi-Cal 17856
Visual aids and other optical supplies 2020 Pharmacy Medi-Cal 486
Fetal monitoring 2023 Inpatient Facility Medi-Cal 1517
Fallopian tubes - Ligation 2023 Provider Medi-Cal 8340
Male genital procedures - Therapeutic (other) 2020 Outpatient Facility Medi-Cal 1328
Delivery - Other procedures to assist 2023 Provider Medi-Cal 2247
Respiratory intubation and mechanical ventilation 2018 Outpatient Facility Commercial 5565
Small bowel resection 2020 Provider Medi-Cal 2808
CT scan - Head 2023 Unclassified/other Commercial 144
Respiratory therapy - Other 2019 Outpatient Facility Medi-Cal 240426
Medications (injections, infusions, other forms) 2023 Hospice Medicare 1753
Ungrouped Procedures 2018 Pharmacy Medicare 6842
Therapeutic procedures - Other 2023 Ambulance Medi-Cal 204
Ureteral catheterization 2018 Provider Medi-Cal 6955
Peritoneal dialysis 2022 Outpatient Facility Medi-Cal 2399354
Cardiovascular procedures - Diagnostic (other) 2023 Outpatient Facility Medicare 37767
Consultation, evaluation, and preventive care 2018 Home Health Medi-Cal 1335
Eye procedures - Corneal transplant 2019 Provider Medi-Cal 875
Behavioral health services 2022 Outpatient Facility Medicare 3637
Muscles, tendons, joints - Injections, aspirations 2021 Outpatient Facility Commercial 7529
Spinal canal stimulator insertion and injection 2021 Independent Labs Medi-Cal 239
Fetal monitoring 2021 Outpatient Facility Commercial 83237
Bone marrow biopsy 2019 Provider Medi-Cal 8050
Anesthesia 2021 Outpatient Facility Commercial 69189
Microscopic examination (e.g., lab, toxicology) 2019 Outpatient Facility Medicare 3627250
Catheterization (Swan-Ganz) for monitoring 2018 Provider Commercial 3091
Radioisotope scan and function studies 2020 Outpatient Facility Commercial 67314
Ultrasound - Head and neck - Diagnostic 2021 Inpatient Facility Medi-Cal 301
GI (upper) endoscopy, biopsy 2021 Provider Medi-Cal 142175
Vascular bypass and shunt - Other (not heart) 2023 Outpatient Facility Medicare 84
Nervous system procedures - Diagnostic (other) 2021 Provider Commercial 297169
Rehabilitation facility services 2021 Inpatient Facility Medicare 21266
Pacemaker or cardioverter/defibrillator services 2018 Outpatient Facility Medi-Cal 2006
Ear procedures - Therapeutic 2020 Unclassified/other Medi-Cal 116
Mammography 2022 Inpatient Facility Medicare 42
Respiratory intubation and mechanical ventilation 2022 Ambulance Commercial 55
Ophthalmologic/otologic diagnosis and treatment 2019 Pharmacy Medi-Cal 670
Myelogram 2022 Outpatient Facility Commercial 597
Physical/occupational/speech therapy - Diagnostic 2020 Home Health Commercial 6829
Wound care - Traction, splints, other 2019 Provider Commercial 666933
Laboratory - Chemistry and hematology 2023 Independent Labs Commercial 41172504
Ungrouped Procedures 2023 Pharmacy Medi-Cal 11999
Alcohol and drug management, treatment, and rehab. 2021 Inpatient Facility Commercial 33010
Cardiovascular procedures - Diagnostic (other) 2021 Provider Medicare 266496
Other types of visits 2021 Provider Medi-Cal 367506
GI procedures - Therapeutic OR 2019 Inpatient Facility Medicare 135
Urinary system (nonoperative) measurements 2023 Provider Commercial 1842859
Cholecystectomy and common duct exploration 2022 Provider Medi-Cal 26345
Eye procedures - Glaucoma 2018 Outpatient Facility Medicare 9273
EEG (electroencephalogram) 2018 Outpatient Facility Medicare 9524
Skin graft 2023 Inpatient Facility Medicare 128
DME and supplies 2023 Independent Labs Medi-Cal 5802
Nonoperative removal of foreign body 2023 Provider Medi-Cal 17414
Psychological and psychiatric evaluation, therapy 2018 Provider Commercial 7145662
Respiratory therapy - Other 2023 Provider Medicare 71546
Hernia repair - Other 2019 Provider Commercial 23538
TURP (transurethral resection of prostate) 2020 Outpatient Facility Medi-Cal 493
Exploratory laparotomy 2023 Provider Commercial 1371
Arthrocentesis 2018 Outpatient Facility Commercial 15055
Contrast arteriogram - Lower extremity arteries 2022 Outpatient Facility Commercial 356
Joint procedures - Therapeutic OR (other) 2023 Provider Medi-Cal 18043
Emergency department services 2018 Inpatient Facility Commercial 222
Nose, mouth, pharynx procedures - Therapeutic OR 2018 Unclassified/other Medi-Cal 125
Fetal monitoring 2023 Outpatient Facility Medi-Cal 176238
Ureteral catheterization 2019 Provider Medi-Cal 7091
Urinary tract - Endoscopy and endoscopic biopsy 2019 Outpatient Facility Medicare 17000
Cesarean section 2021 Inpatient Facility Commercial 44
Extracorporeal lithotripsy, urinary 2020 Provider Medicare 14007
Hernia repair - Other 2021 Provider Medi-Cal 15216
Lung and bronchus procedures - Diagnostic (other) 2023 Outpatient Facility Medicare 164819
Electrocardiogram 2018 Outpatient Facility Commercial 550252
Psychological and psychiatric evaluation, therapy 2019 Unclassified/other Medi-Cal 5459
Medications (injections, infusions, other forms) 2023 Independent Labs Commercial 472
Emergency department services 2020 Outpatient Facility Medicare 1763009
Musculoskeletal procedures - Diagnostic (other) 2018 Provider Medi-Cal 4124
Peritoneal dialysis 2023 Outpatient Facility Medi-Cal 2597032
CT scan - Head 2019 Provider Commercial 418047
Arteriogram or venogram (not heart and head) 2019 Outpatient Facility Medicare 40332
Other vascular catheterization (not heart) 2023 Outpatient Facility Medicare 43024
Other types of lab tests 2018 Inpatient Facility Medi-Cal 17092
Small bowel resection 2022 Provider Commercial 2173
Transportation - Patient, provider, equipment 2021 Provider Medi-Cal 333512
Alcohol and drug management, treatment, and rehab. 2023 Inpatient Facility Commercial 56388
Urinary tract procedures - Therapeutic OR (other) 2023 Outpatient Facility Commercial 3076
Myringotomy 2018 Provider Medi-Cal 11185
Radioisotope scan - Other 2022 Independent Labs Medi-Cal 522
Therapeutic procedures - Other 2023 Provider Medi-Cal 1091266
Ancillary services 2021 Independent Labs Commercial 204335
Male genital procedures - Therapeutic (other) 2021 Provider Medi-Cal 7583
Eye procedures - Therapeutic (other) 2020 Provider Medicare 218743
Genitourinary incontinence procedures 2020 Outpatient Facility Medicare 3011
Vessels other than head/neck procedures - Other OR 2022 Inpatient Facility Medi-Cal 92
Hip replacement (partial and total) 2020 Provider Medi-Cal 4835
Knee - Arthroplasty 2018 Outpatient Facility Commercial 6701
Skilled nursing facility services 2020 Outpatient Facility Commercial 146
Cardiovascular procedures - Therapeutic (other) 2021 Provider Medi-Cal 64917
Ungrouped Procedures 2019 Home Health Medi-Cal 309458
Heart procedures - Other OR 2022 Outpatient Facility Commercial 549
DME and supplies 2020 DME (Durable Medical Equipment) Medicare 5752974
CPT codes not classified (F codes) 2019 Outpatient Facility Medicare 10697
Respiratory intubation and mechanical ventilation 2019 Ambulance Medi-Cal 31
Cardiovascular procedures - Therapeutic (other) 2018 Provider Commercial 67027
Ileostomy and other enterostomy 2020 Outpatient Facility Medicare 555
Consultation, evaluation, and preventive care 2018 Provider Medicare 495855
Office visits 2020 Outpatient Facility Commercial 440568
Proctoscopy and anorectal biopsy 2018 Provider Medicare 42220
Ophthalmologic/otologic diagnosis and treatment 2021 Provider Medicare 7551767
Skin and subcutaneous tissue - Incision, drainage 2023 Outpatient Facility Medicare 12150
Musculoskeletal procedures - Diagnostic (other) 2023 Provider Commercial 5392
Amputation - Lower extremity 2021 Outpatient Facility Medi-Cal 530
Hemic/lymphatic system procedures - Therapeutic 2018 Provider Commercial 25728
Telehealth 2020 Provider Medicare 4645320
Transportation - Patient, provider, equipment 2023 Provider Medicare 449763
Hospital services 2023 Pharmacy Medi-Cal 133
Thyroidectomy (partial or complete) 2022 Outpatient Facility Commercial 3710
Spinal fusion 2020 Provider Medi-Cal 29600
Blood and blood product transfusion 2021 Provider Medi-Cal 13020
X-ray - Chest (routine) 2019 Provider Commercial 1970430
Colonoscopy and biopsy 2019 Inpatient Facility Commercial 56
Coronary thrombolysis 2018 Provider Medi-Cal 71
Vessels of head/neck procedures - Other OR 2021 Provider Medicare 7594
Other types of lab tests 2019 Provider Commercial 2722927
GI (lower) procedures - Therapeutic 2022 Outpatient Facility Medicare 2074
Observation care services 2019 Inpatient Facility Medicare 167
Radiology - Diagnostic (other) 2019 Unclassified/other Medi-Cal 368
Nose, mouth, pharynx procedures - Diagnostic 2020 Inpatient Facility Commercial 127
Consultation, evaluation, and preventive care 2022 Ambulance Medicare 47
Nervous system procedures - Therapeutic (other) 2022 Provider Commercial 271693
Pathology 2018 Provider Commercial 2233838
CPT codes not classified (F codes) 2023 Outpatient Facility Commercial 1634
HCPCS Level II codes not classified 2019 Provider Medicare 7699868
Preventive visits 2019 Unclassified/other Medi-Cal 1822
ERCP (endoscopic retro. cannulation of pancreas) 2019 Inpatient Facility Medicare 799
Epistaxis control 2021 Outpatient Facility Medicare 6114
Extracorporeal shock wave (other than urinary) 2023 Outpatient Facility Medi-Cal 13685
Nasogastric tube 2019 Outpatient Facility Medicare 306
Ophthalmologic/otologic diagnosis and treatment 2023 Provider Medi-Cal 7050566
Ureteral catheterization 2023 Inpatient Facility Medicare 81
AVF or vessel-to-vessel cannula for dialysis svcs. 2023 Provider Medicare 63885
Knee - Arthroplasty 2022 Outpatient Facility Medi-Cal 3072
Male genital procedures - Diagnostic 2018 Provider Commercial 20729
Physical/occupational/speech therapy - Diagnostic 2019 Outpatient Facility Medi-Cal 318308
Debridement of wound, infection or burn 2023 Provider Medi-Cal 235590
GI (upper) procedures - Therapeutic 2023 Outpatient Facility Medi-Cal 346
Gastrectomy (partial and total) 2023 Provider Commercial 176
Emergency department services 2022 Inpatient Facility Commercial 529
CT scan - Other 2018 Inpatient Facility Medicare 4375
Intraoperative cholangiogram 2019 Outpatient Facility Medicare 783
Skin lesion - Excision 2023 Unclassified/other Commercial 58
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2020 Inpatient Facility Commercial 127
Bronchoscopy and biopsy - Diagnostic 2021 Outpatient Facility Commercial 5544
Electrocardiogram 2020 Independent Labs Commercial 44
Mastoidectomy 2023 Provider Commercial 749
Respiratory procedures - Diagnostic (other) 2023 Provider Medicare 16738
Laboratory - Chemistry and hematology 2021 Unclassified/other Medicare 640
Skin and subcutaneous tissue - Incision, drainage 2020 Outpatient Facility Commercial 13689
Radiology - Diagnostic (other) 2023 Inpatient Facility Medicare 27477
Radioisotope scan - Other 2020 Inpatient Facility Medicare 166
Bone procedures - Therapeutic OR (other) 2020 Inpatient Facility Commercial 156
Cardiac stress tests 2021 Provider Medi-Cal 103609
Hysterectomy (abdominal and vaginal) 2021 Inpatient Facility Medicare 110
Prophylactic vaccinations and inoculations 2021 Independent Labs Medi-Cal 146
D&C - Aspiration after delivery or abortion 2022 Provider Medi-Cal 5573
Extracranial ventricular shunt services 2022 Outpatient Facility Commercial 161
CT scan - Head 2018 Unclassified/other Medi-Cal 6205
Esophageal dilatation 2021 Outpatient Facility Commercial 7250
Eye procedures - Therapeutic (other) 2018 Outpatient Facility Medicare 19346
Skin, breast procedures - Therapeutic (other) 2023 Provider Commercial 667077
Heart procedures - Other OR 2020 Outpatient Facility Medi-Cal 277
Ungrouped Procedures 2021 Unclassified/other Commercial 1956
Pathology 2021 Independent Labs Medicare 1666753
Treatment, fracture, dislocation - Other 2019 Provider Medi-Cal 43660
Respiratory procedures - Therapeutic (other) 2023 Outpatient Facility Commercial 3751
GI (upper) procedures - Therapeutic OR 2022 Provider Commercial 2113
Cervix and uterus - Other excision 2020 Outpatient Facility Medicare 673
Ultrasound - Urinary tract - Diagnostic 2018 Outpatient Facility Commercial 637
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2022 Unclassified/other Medi-Cal 43
Laparoscopy 2023 Outpatient Facility Medi-Cal 2750
Arterial blood gases 2020 Independent Labs Medi-Cal 96
Arthroscopy 2022 Outpatient Facility Medicare 656
Nervous system procedures - Diagnostic (other) 2019 Outpatient Facility Commercial 26438
Bunionectomy or repair of toe deformities 2018 Provider Commercial 12628
Laparoscopy 2019 Provider Medi-Cal 6168
Delivery - Forceps, vacuum, and breech 2021 Inpatient Facility Commercial 63
Other types of visits 2018 Outpatient Facility Medi-Cal 15270
Ear procedures - Diagnostic 2020 Outpatient Facility Medicare 1029
Office visits 2019 Pharmacy Medi-Cal 327
Colonoscopy and biopsy 2020 Provider Commercial 337125
Male genital procedures - Therapeutic (other) 2019 Outpatient Facility Commercial 2545
Ancillary services 2020 Outpatient Facility Medi-Cal 4393529
Spinal tap - Diagnostic 2023 Outpatient Facility Medi-Cal 3135
Physical/occupational/speech therapy - Exercises 2022 Provider Medicare 16196585
Cardiac stress tests 2019 Outpatient Facility Commercial 22087
Ungrouped Procedures 2020 Home Health Medi-Cal 163890
CT scan - Chest 2022 Outpatient Facility Commercial 163878
Appendectomy 2023 Provider Medi-Cal 14976
Varicose vein stripping - Lower limb 2021 Provider Medicare 2253
Chemotherapy - Cancer 2019 Provider Medi-Cal 179840
Muscle and tendon procedures - Therapeutic (other) 2019 Provider Commercial 62263
Urinary system (nonoperative) measurements 2022 Outpatient Facility Commercial 862037
Spinal tap - Diagnostic 2019 Outpatient Facility Medicare 3525
Bowel procedures - Diagnostic 2022 Provider Medi-Cal 108
DME and supplies 2021 Home Health Commercial 25595
HIPPS home health services 2018 Inpatient Facility Medicare 195
Hemorrhoid procedures 2021 Outpatient Facility Medicare 2302
Ungrouped Procedures 2021 Home Health Commercial 2055
Nose, mouth, pharynx procedures - Therapeutic OR 2022 Provider Commercial 45665
D&C (dilatation and curettage) - Diagnostic 2021 Outpatient Facility Medicare 449
Eye procedures - Repair of retinal tear/detachment 2021 Outpatient Facility Medi-Cal 3431
Skin, breast procedures - Therapeutic (other) 2021 Outpatient Facility Medicare 115527
Office visits 2021 Provider Medicare 32857450
Male genital procedures - Therapeutic OR (other) 2018 Provider Medicare 8609
Laminectomy, excision intervertebral disc 2022 Inpatient Facility Medicare 519
Ultrasound - Diagnostic (other) 2023 Unclassified/other Commercial 144
Treatment, fracture, dislocation - Lower extrem. 2023 Outpatient Facility Medi-Cal 8785
ERCP (endoscopic retro. cannulation of pancreas) 2023 Outpatient Facility Commercial 6917
Eye procedures - Destruction of retinal lesion 2021 Outpatient Facility Commercial 609
Visual aids and other optical supplies 2018 Provider Medicare 279147
Nephrotomy and nephrostomy 2023 Provider Commercial 4291
Radiology - Diagnostic (other) 2022 Independent Labs Medi-Cal 52
Skin and subcutaneous tissue - Suture 2021 Outpatient Facility Commercial 80736
Indwelling catheter 2018 Provider Medicare 72794
CPT codes not classified (F codes) 2020 Unclassified/other Medi-Cal 1105
Electrographic cardiac monitoring 2020 Provider Medicare 966636
Psychological and psychiatric evaluation, therapy 2018 Ambulance Medi-Cal 915
Ancillary services 2022 Inpatient Facility Medicare 1294
Lung and bronchus procedures - Diagnostic (other) 2019 Outpatient Facility Commercial 53796
Arthroscopy 2019 Outpatient Facility Medi-Cal 2475
Physical/occupational/speech therapy - Other 2022 Provider Medi-Cal 508348
Radioisotope scan - Pulmonary 2019 Provider Commercial 4113
Care management/coordination services 2018 Outpatient Facility Commercial 1216
Ophthalmologic/otologic diagnosis and treatment 2019 Inpatient Facility Medi-Cal 125
Delivery - Other procedures to assist 2019 Outpatient Facility Commercial 1447
Office visits 2022 Unclassified/other Medicare 589
Female organ procedures - Therapeutic (other) 2023 Outpatient Facility Medicare 3620
Esophageal varices - Injection or ligation 2020 Provider Commercial 1645
Varicose vein stripping - Lower limb 2023 Provider Medicare 2353
Skilled nursing facility services 2018 Outpatient Facility Medicare 407
Care management/coordination services 2020 Home Health Medicare 608
Observation care services 2020 Hospice Medicare 292
Ultrasound - Head and neck - Diagnostic 2021 Provider Medicare 594786
GI (lower) procedures - Therapeutic OR 2018 Provider Commercial 12129
EEG (electroencephalogram) 2019 Outpatient Facility Medicare 9733
Radioisotope scan and function studies 2021 Inpatient Facility Medicare 2236
Arthrocentesis 2019 Outpatient Facility Commercial 14688
Nervous system procedures - Diagnostic (other) 2022 Outpatient Facility Medi-Cal 39344
Myelogram 2023 Outpatient Facility Medi-Cal 297
GI procedures - Therapeutic OR 2020 Inpatient Facility Medi-Cal 31
Tympanoplasty 2019 Outpatient Facility Medi-Cal 1055
GI (lower) procedures - Therapeutic OR 2021 Provider Medi-Cal 9685
Anesthesia 2022 Inpatient Facility Medicare 1544
Cholecystectomy and common duct exploration 2023 Outpatient Facility Medicare 8255
Consultation, evaluation, and preventive care 2022 Outpatient Facility Commercial 8040
Therapeutic procedures - Other 2022 Outpatient Facility Medicare 2399775
Muscles, tendons, joints - Injections, aspirations 2022 Outpatient Facility Medi-Cal 16028
Alcohol and drug management, treatment, and rehab. 2021 Provider Commercial 591114
Physical/occupational/speech therapy - Diagnostic 2020 Outpatient Facility Medi-Cal 287903
Wound care - Traction, splints, other 2020 Outpatient Facility Commercial 51649
Electrocardiogram 2020 Outpatient Facility Commercial 527221
Urinary tract - Endoscopy and endoscopic biopsy 2018 Outpatient Facility Commercial 5770
TURP (transurethral resection of prostate) 2021 Outpatient Facility Medi-Cal 539
CT scan - Abdomen 2018 Outpatient Facility Medi-Cal 283792
Eye procedures - Glaucoma 2019 Outpatient Facility Medi-Cal 4091
Behavioral health services 2023 Outpatient Facility Medi-Cal 22852
Female organ procedures - Diagnostic (other) 2019 Independent Labs Commercial 29686
Ophthalmologic/otologic diagnosis and treatment 2020 Inpatient Facility Medicare 531
Microscopic examination (e.g., lab, toxicology) 2020 Independent Labs Commercial 8228376
Extracorporeal lithotripsy, urinary 2018 Provider Medi-Cal 6660
Transportation - Patient, provider, equipment 2020 Unclassified/other Commercial 168
HCPCS Level II codes not classified 2020 Independent Labs Medi-Cal 69
DME and supplies 2021 Outpatient Facility Medicare 4458201
Nose procedures - Plastic 2018 Provider Medicare 4388
Contrast arteriogram - Lower extremity arteries 2023 Outpatient Facility Medi-Cal 494
HIPPS home health services 2019 Home Health Medicare 887767
Skin lesion - Excision 2018 Inpatient Facility Medicare 58
Other types of visits 2022 Hospice Commercial 75
Psychological and psychiatric evaluation, therapy 2019 Home Health Medi-Cal 11922
AVF or vessel-to-vessel cannula for dialysis svcs. 2023 Inpatient Facility Medicare 90
Telehealth 2020 Outpatient Facility Commercial 110338
HCPCS Level II codes not classified 2019 Inpatient Facility Medicare 31772
Spinal canal stimulator insertion and injection 2020 Provider Commercial 88030
Nasogastric tube 2018 Outpatient Facility Commercial 133
Wound care - Traction, splints, other 2018 Provider Medi-Cal 256472
Heart valve procedures 2023 Provider Commercial 4262
Other types of lab tests 2019 Inpatient Facility Medi-Cal 44749
Respiratory intubation and mechanical ventilation 2021 Outpatient Facility Commercial 4871
Hospital services 2023 Hospice Medicare 8598
Breast - Mastectomy 2018 Outpatient Facility Commercial 3852
Musculoskeletal procedures - Diagnostic (other) 2022 Outpatient Facility Medicare 4852
Radiology - Diagnostic (other) 2019 Outpatient Facility Commercial 1294335
Mastoidectomy 2022 Provider Commercial 714
Preventive visits 2019 Outpatient Facility Medi-Cal 950684
Microscopic examination (e.g., lab, toxicology) 2019 Independent Labs Medi-Cal 7862624
Blood and blood product transfusion 2021 Inpatient Facility Commercial 1966
Skilled nursing facility services (HIPPS) 2018 Provider Medi-Cal 1219
Arteriogram or venogram (not heart and head) 2023 Inpatient Facility Medicare 3707
Debridement of wound, infection or burn 2022 Provider Medicare 616459
Epistaxis control 2020 Outpatient Facility Medi-Cal 2132
Colonoscopy and biopsy 2018 Outpatient Facility Commercial 298088
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2019 Outpatient Facility Commercial 274714
Pathology 2018 Independent Labs Medicare 1511602
Psychological and psychiatric evaluation, therapy 2021 Inpatient Facility Medicare 643
Consultation, evaluation, and preventive care 2021 Independent Labs Medicare 838
Nose, mouth, pharynx procedures - Diagnostic 2019 Inpatient Facility Medicare 29917
Endocrine procedures - Diagnostic 2022 Outpatient Facility Medi-Cal 1807
Knee - Arthroplasty 2021 Outpatient Facility Medicare 24596
Treatment, fracture, dislocation - Hip and femur 2019 Provider Commercial 4234
Ureteral catheterization 2022 Outpatient Facility Commercial 5685
Central nervous system (CNS) incision and excision 2021 Provider Medi-Cal 5802
CT scan - Other 2023 Inpatient Facility Medicare 6006
Urinary tract procedures - Diagnostic (other) 2018 Outpatient Facility Medicare 8626
ERCP (endoscopic retro. cannulation of pancreas) 2018 Provider Commercial 16754
Gastrectomy (partial and total) 2020 Provider Medicare 570
Skin lesion - Excision 2023 Inpatient Facility Medicare 36
MRI (magnetic resonance imaging) 2023 Unclassified/other Commercial 97
Nervous system procedures - Therapeutic OR (other) 2023 Provider Medi-Cal 38154
Electrocardiogram 2019 Provider Medi-Cal 2045157
Vessels of head/neck procedures - Other OR 2021 Inpatient Facility Medicare 154
Therapeutic procedures - Other 2023 Provider Commercial 1607581
Eye procedures - Corneal transplant 2020 Provider Medicare 3296
Nose, mouth, pharynx procedures - Therapeutic OR 2018 Provider Commercial 47748
Ileostomy and other enterostomy 2020 Outpatient Facility Commercial 152
Urinary system (nonoperative) measurements 2020 Provider Medicare 967746
Arteriogram or venogram (not heart and head) 2020 Inpatient Facility Medi-Cal 326
Peritoneal dialysis 2022 Outpatient Facility Medicare 5954244
Blood and blood product transfusion 2018 Provider Commercial 10455
Open-heart procedures - Extracorporeal circulation 2022 Outpatient Facility Commercial 2769
Office visits 2019 Unclassified/other Medicare 168
Consultation, evaluation, and preventive care 2018 Provider Medi-Cal 202541
Delivery - Forceps, vacuum, and breech 2022 Inpatient Facility Medi-Cal 981
Lobectomy or pneumonectomy 2018 Outpatient Facility Commercial 65
Chemotherapy - Cancer 2023 Provider Commercial 405258
TURP (transurethral resection of prostate) 2023 Outpatient Facility Medi-Cal 688
Visual aids and other optical supplies 2021 Outpatient Facility Medi-Cal 74958
Fetal monitoring 2023 Inpatient Facility Commercial 54
Knee - Arthroplasty 2018 Inpatient Facility Medicare 1160
Hip replacement (partial and total) 2019 Provider Commercial 17131
Alcohol and drug management, treatment, and rehab. 2018 Outpatient Facility Commercial 45781
Respiratory intubation and mechanical ventilation 2019 Ambulance Commercial 81
Fallopian tubes - Ligation 2023 Provider Commercial 4422
Ultrasound - Diagnostic (other) 2021 Unclassified/other Medi-Cal 113
Small bowel resection 2022 Outpatient Facility Commercial 43
Extracorporeal lithotripsy, urinary 2020 Outpatient Facility Medicare 9349
Heart valve procedures 2022 Outpatient Facility Commercial 79
Ungrouped Procedures 2018 Provider Commercial 2547974
Ureteral catheterization 2018 Provider Commercial 9603
Medications (injections, infusions, other forms) 2023 Hospice Commercial 212
Proctoscopy and anorectal biopsy 2018 Provider Commercial 51749
Myringotomy 2018 Outpatient Facility Medi-Cal 6309
Other types of visits 2023 Outpatient Facility Medi-Cal 261571
DME and supplies 2020 Ambulance Medicare 35
Electrocardiogram 2018 Ambulance Commercial 4925
CPT codes not classified (F codes) 2018 Provider Medicare 7625553
Hernia repair - Other 2022 Outpatient Facility Medicare 10876
Breast - Biopsy, procedures - Diagnostic (other) 2020 Outpatient Facility Medi-Cal 5299
Other vascular catheterization (not heart) 2021 Provider Medi-Cal 130010
Genitourinary incontinence procedures 2018 Outpatient Facility Medi-Cal 1337
Urinary tract procedures - Therapeutic OR (other) 2022 Outpatient Facility Commercial 3784
Debridement of wound, infection or burn 2022 Provider Commercial 60410
Musculoskeletal procedures - Therapeutic (other) 2022 Inpatient Facility Medicare 33
Arteriogram or venogram (not heart and head) 2022 Outpatient Facility Commercial 26838
GI (upper) procedures - Therapeutic 2020 Outpatient Facility Medicare 648
Cholecystectomy and common duct exploration 2020 Provider Commercial 27239
Preventive visits 2018 Provider Medi-Cal 4858205
Respiratory intubation and mechanical ventilation 2021 Inpatient Facility Medicare 5891
Other types of lab tests 2021 Inpatient Facility Medi-Cal 47418
AVF or vessel-to-vessel cannula for dialysis svcs. 2022 Provider Commercial 5409
Endocrine procedures - Diagnostic 2020 Provider Medi-Cal 4378
MRI (magnetic resonance imaging) 2023 Inpatient Facility Medi-Cal 1978
Nonoperative removal of foreign body 2021 Outpatient Facility Commercial 4304
Myringotomy 2022 Provider Commercial 8697
Radiology - Diagnostic (other) 2018 Provider Medicare 5762077
Hospital services 2022 Outpatient Facility Commercial 881
Vessels of head/neck procedures - Other OR 2018 Provider Medicare 6434
Telehealth 2019 Unclassified/other Commercial 6060
Critical care services 2020 Outpatient Facility Medi-Cal 11124
Central nervous system (CNS) incision and excision 2020 Outpatient Facility Medicare 204
Treatment, fracture, dislocation - Hip and femur 2018 Outpatient Facility Medi-Cal 1511
Breast - Lumpectomy, quadrantectomy 2022 Provider Medi-Cal 5292
Physical/occupational/speech therapy - Diagnostic 2018 Unclassified/other Medi-Cal 1953
Epistaxis control 2018 Provider Medi-Cal 6895
CT scan - Abdomen 2020 Outpatient Facility Medi-Cal 331739
Ultrasound - Head and neck - Diagnostic 2018 Provider Medi-Cal 196751
Hemic/lymphatic system procedures - Therapeutic 2023 Inpatient Facility Commercial 67
Thyroidectomy (partial or complete) 2020 Provider Medicare 2675
Electrocardiogram 2018 Provider Medicare 4143797
HCPCS Level II codes not classified 2018 Unclassified/other Medicare 91
PTCA (percutaneous transluminal coronary angio.) 2021 Outpatient Facility Medi-Cal 1611
Oral and dental services 2022 Provider Medi-Cal 2364
Bone marrow transplant 2020 Outpatient Facility Medi-Cal 1217
Spinal canal stimulator insertion and injection 2020 Outpatient Facility Medicare 56481
GI procedures - Therapeutic OR 2018 Inpatient Facility Medi-Cal 42
Ureteral catheterization 2021 Provider Medicare 17219
Observation care services 2018 Inpatient Facility Medicare 103
Visual aids and other optical supplies 2023 Provider Medi-Cal 998778
Knee - Arthroplasty 2020 Outpatient Facility Medicare 17485
Division of joint capsule (ligament or cartilage) 2022 Outpatient Facility Commercial 2351
Rehabilitation facility services 2019 Inpatient Facility Medicare 21728
Consultation, evaluation, and preventive care 2020 Independent Labs Commercial 710
Skin lesion - Excision 2022 Inpatient Facility Medicare 55
Urinary tract procedures - Therapeutic (other) 2018 Outpatient Facility Commercial 2028
Nervous system procedures - Therapeutic OR (other) 2021 Outpatient Facility Medicare 21362
GI (lower) procedures - Therapeutic 2019 Provider Medicare 4458
Bone excision (partial) 2019 Inpatient Facility Medicare 63
Fallopian tubes - Other operations 2023 Outpatient Facility Commercial 610
Colorectal resection 2022 Provider Medi-Cal 6464
Myelogram 2019 Provider Medi-Cal 748
TURP (transurethral resection of prostate) 2018 Outpatient Facility Commercial 1572
Anesthesia 2019 Outpatient Facility Medi-Cal 38422
Pleura incision, thoracentesis, chest drainage 2023 Provider Medicare 54457
Nervous system procedures - Therapeutic (other) 2020 Provider Commercial 233416
Extracorporeal lithotripsy, urinary 2023 Provider Medi-Cal 7281
Fetal monitoring 2019 Outpatient Facility Medicare 940
Laboratory - Chemistry and hematology 2022 Outpatient Facility Medi-Cal 16491954
Transportation - Patient, provider, equipment 2023 Inpatient Facility Medicare 116
Ear procedures - Therapeutic 2019 Unclassified/other Medi-Cal 119
Fallopian tubes - Ligation 2018 Outpatient Facility Medi-Cal 2226
Amniocentesis - Diagnostic 2018 Provider Commercial 1785
Psychological and psychiatric evaluation, therapy 2020 Unclassified/other Medi-Cal 5485
Mammography 2020 Inpatient Facility Medicare 45
Care management/coordination services 2022 Provider Medicare 693109
Skilled nursing facility services 2023 Outpatient Facility Commercial 33
DME and supplies 2022 Unclassified/other Medi-Cal 1109
Hospital services 2018 Inpatient Facility Medi-Cal 502
Radiology - Therapeutic 2020 Provider Commercial 470235
PTCA (percutaneous transluminal coronary angio.) 2022 Provider Commercial 10435
Skin, breast procedures - Therapeutic OR (other) 2021 Outpatient Facility Medi-Cal 8707
Medications (injections, infusions, other forms) 2021 Unclassified/other Medicare 670
Skin graft 2020 Provider Medicare 142254
Chemotherapy - Cancer 2019 Outpatient Facility Medi-Cal 159569
Emergency department services 2021 Outpatient Facility Medi-Cal 1380270
Peritoneal dialysis 2019 Inpatient Facility Medicare 416
MRI (magnetic resonance imaging) 2018 Provider Medicare 1123164
Bone marrow biopsy 2018 Provider Commercial 8640
Radioisotope scan and function studies 2018 Outpatient Facility Medicare 147005
Ileostomy and other enterostomy 2023 Provider Medi-Cal 2163
Ungrouped Procedures 2023 Home Health Commercial 609
Treatment, fracture, dislocation - Radius and ulna 2022 Provider Medicare 18819
Conversion of cardiac rhythm 2022 Outpatient Facility Medicare 20138
Other types of visits 2020 Provider Medi-Cal 311508
Ophthalmologic/otologic diagnosis and treatment 2023 Independent Labs Medi-Cal 74
Vessels other than head/neck procedures - Other OR 2023 Inpatient Facility Medi-Cal 66
CT scan - Head 2021 Provider Medi-Cal 616899
Muscles, tendons, joints - Injections, aspirations 2019 Outpatient Facility Commercial 7594
GI (upper) endoscopy, biopsy 2020 Inpatient Facility Medicare 1811
Therapeutic procedures - Other 2021 Ambulance Commercial 171
Urinary tract - Endoscopy and endoscopic biopsy 2023 Outpatient Facility Medicare 18484
Cardiovascular procedures - Diagnostic (other) 2020 Outpatient Facility Commercial 14038
Office visits 2021 Home Health Medi-Cal 29888
Joint procedures - Therapeutic OR (other) 2022 Provider Commercial 35919
Vascular bypass and shunt - Other (not heart) 2020 Provider Medicare 577
Ungrouped Procedures 2022 Inpatient Facility Commercial 1495
Behavioral health services 2018 Provider Medi-Cal 60726
Treatment, fracture, dislocation - Other 2021 Provider Medicare 30526
Office visits 2018 Ambulance Medi-Cal 222
Eye procedures - Lens and cataract 2023 Provider Medi-Cal 66965
Hip replacement (partial and total) 2021 Provider Medi-Cal 5205
Decompression peripheral nerve 2020 Inpatient Facility Medicare 50
Breast - Biopsy, procedures - Diagnostic (other) 2022 Provider Medicare 42230
Alcohol and drug management, treatment, and rehab. 2019 Inpatient Facility Medicare 577
Ultrasound - Urinary tract - Diagnostic 2020 Outpatient Facility Commercial 602
Laparoscopy 2020 Provider Medicare 7145
Laboratory - Chemistry and hematology 2020 Hospice Medi-Cal 728
Urinary system (nonoperative) measurements 2020 Unclassified/other Commercial 148
DME and supplies 2018 Home Health Medicare 61065
Cardiac stress tests 2023 Provider Medicare 349994
Male genital procedures - Diagnostic 2020 Independent Labs Medicare 4418
Appendectomy 2021 Inpatient Facility Commercial 35
Ultrasound - Diagnostic (other) 2022 Inpatient Facility Commercial 164
Radioisotope scan - Bone 2021 Outpatient Facility Commercial 10887
Skin and subcutaneous tissue - Diagnostic (other) 2022 Outpatient Facility Commercial 13157
Other types of visits 2019 Home Health Medicare 104
Excision, lysis peritoneal adhesions 2023 Provider Commercial 515
Colonoscopy and biopsy 2022 Outpatient Facility Medi-Cal 118045
Contrast aortogram 2020 Outpatient Facility Commercial 954
CT scan - Chest 2020 Outpatient Facility Commercial 138884
Physical/occupational/speech therapy - Exercises 2020 Provider Medi-Cal 4565983
Skin, breast procedures - Therapeutic (other) 2019 Outpatient Facility Medi-Cal 59931
Ear procedures - Diagnostic 2023 Outpatient Facility Commercial 558
Non-hospital-based care (home health, hospice) 2022 Provider Medicare 5444439
Radiology - Diagnostic (other) 2021 Home Health Commercial 367
Extraocular muscle procedures - Therapeutic 2019 Provider Medicare 13881
Therapeutic procedures - Other 2022 Outpatient Facility Commercial 1595735
GI procedures - Therapeutic 2018 Provider Medicare 14926
Lobectomy or pneumonectomy 2021 Provider Medi-Cal 1294
Medications (injections, infusions, other forms) 2020 Provider Commercial 3213517
Nervous system procedures - Diagnostic (other) 2020 Provider Medi-Cal 180992
Spleen procedures 2018 Provider Medicare 452
Gastrostomy (temporary and permanent) 2018 Provider Commercial 3306
Open-heart procedures - Extracorporeal circulation 2022 Unclassified/other Medi-Cal 38
Bunionectomy or repair of toe deformities 2021 Outpatient Facility Commercial 10393
Embolectomy and endarterectomy of lower limbs 2018 Provider Medicare 4800
Myelogram 2020 Outpatient Facility Medicare 1515
Cardiovascular procedures - Diagnostic (other) 2019 Provider Medicare 282583
Embolectomy and endarterectomy of lower limbs 2022 Provider Medi-Cal 996
Colorectal resection 2022 Outpatient Facility Medicare 497
Care management/coordination services 2023 Provider Medi-Cal 199117
Mammography 2021 Provider Medicare 1636102
Female organ procedures - Diagnostic (other) 2018 Unclassified/other Medi-Cal 188
Hernia repair - Other 2018 Outpatient Facility Medicare 9891
Rehabilitation facility services 2023 Inpatient Facility Commercial 857
MRI (magnetic resonance imaging) 2019 Outpatient Facility Commercial 417719
Bone marrow biopsy 2020 Outpatient Facility Medicare 7521
Ungrouped Procedures 2023 Outpatient Facility Medi-Cal 9096952
TURP (transurethral resection of prostate) 2020 Inpatient Facility Medicare 50
Vessels other than head/neck procedures - Other OR 2023 Provider Medi-Cal 33614
Eye procedures - Diagnostic 2023 Provider Medicare 40106
Radiology - Therapeutic 2022 Outpatient Facility Medi-Cal 143622
Other types of visits 2021 Outpatient Facility Medicare 12951
Cholecystectomy and common duct exploration 2021 Provider Commercial 28351
Urinary system (nonoperative) measurements 2023 Independent Labs Medicare 234435
Skin, breast procedures - Therapeutic OR (other) 2022 Provider Medicare 21938
Peritoneal dialysis 2020 Provider Commercial 2869
EEG (electroencephalogram) 2018 Outpatient Facility Medi-Cal 14599
GI (upper) endoscopy, biopsy 2020 Provider Medicare 284289
Amniocentesis - Diagnostic 2019 Provider Commercial 1803
Contrast arteriogram - Lower extremity arteries 2021 Provider Medicare 4916
Anesthesia 2021 Inpatient Facility Medicare 1493
Treatment, fracture, dislocation - Radius and ulna 2022 Provider Commercial 24745
Transportation - Patient, provider, equipment 2020 Independent Labs Medicare 135996
GI procedures - Therapeutic OR 2018 Provider Medicare 13893
Ophthalmologic/otologic diagnosis and treatment 2023 Home Health Medi-Cal 55
Muscles, tendons, joints - Injections, aspirations 2018 Provider Medicare 266265
Ear procedures - Therapeutic 2019 Provider Medicare 311904
Laboratory - Chemistry and hematology 2022 Inpatient Facility Medicare 1732964
Breast - Mastectomy 2018 Provider Medicare 4805
Vascular bypass and shunt - Other (not heart) 2020 Provider Medi-Cal 766
Nervous system procedures - Therapeutic (other) 2020 Outpatient Facility Medi-Cal 32745
Fetal monitoring 2020 Outpatient Facility Commercial 74017
Behavioral health services 2021 Outpatient Facility Commercial 341
PTCA (percutaneous transluminal coronary angio.) 2023 Outpatient Facility Commercial 4572
Joint procedures - Therapeutic OR (other) 2023 Outpatient Facility Medicare 10004
HCPCS Level II codes not classified 2019 Ambulance Medicare 40
Breast - Lumpectomy, quadrantectomy 2023 Outpatient Facility Commercial 13045
Cholecystectomy and common duct exploration 2020 Provider Medicare 19136
CPT codes not classified (F codes) 2022 Provider Medicare 9888081
Microscopic examination (e.g., lab, toxicology) 2018 Provider Commercial 2264581
Epistaxis control 2019 Outpatient Facility Commercial 2644
Preventive visits 2018 Unclassified/other Medi-Cal 3610
Bone marrow transplant 2019 Outpatient Facility Medi-Cal 1210
Telehealth 2019 Unclassified/other Medicare 105
GI (upper) procedures - Therapeutic 2022 Outpatient Facility Commercial 398
Spinal canal stimulator insertion and injection 2019 Provider Medi-Cal 81129
Hemodialysis 2018 Inpatient Facility Medi-Cal 260
Radiology - Diagnostic (other) 2018 Unclassified/other Medi-Cal 20454
Central nervous system (CNS) incision and excision 2020 Provider Medicare 7897
Visual aids and other optical supplies 2023 Unclassified/other Medi-Cal 577
Consultation, evaluation, and preventive care 2020 Provider Medicare 629147
Debridement of wound, infection or burn 2021 Provider Medi-Cal 190534
Organ transplantation - Other 2018 Outpatient Facility Medicare 103
GI (lower) procedures - Therapeutic 2021 Outpatient Facility Commercial 2860
CT scan - Other 2022 Outpatient Facility Commercial 128677
Fallopian tubes - Other operations 2021 Provider Medi-Cal 1205
Skin and subcutaneous tissue - Diagnostic (other) 2020 Outpatient Facility Commercial 10505
Nervous system procedures - Therapeutic OR (other) 2022 Provider Medicare 143561
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2018 Provider Medi-Cal 650706
Hospital services 2022 Outpatient Facility Medicare 303
Division of joint capsule (ligament or cartilage) 2022 Outpatient Facility Medicare 1480
AVF or vessel-to-vessel cannula for dialysis svcs. 2022 Inpatient Facility Medi-Cal 37
Radioisotope scan - Bone 2018 Outpatient Facility Medi-Cal 3846
Skin lesion - Excision 2022 Outpatient Facility Commercial 30274
Urinary tract procedures - Therapeutic (other) 2019 Provider Commercial 16283
Rehabilitation facility services 2018 Inpatient Facility Commercial 370
GI procedures - Therapeutic 2023 Provider Commercial 9013
Respiratory intubation and mechanical ventilation 2020 Unclassified/other Medi-Cal 403
Vessels of head/neck procedures - Other OR 2020 Inpatient Facility Medicare 106
Musculoskeletal procedures - Diagnostic (other) 2021 Outpatient Facility Medi-Cal 1171
Critical care services 2020 Outpatient Facility Medicare 42038
Arteriogram or venogram (not heart and head) 2022 Outpatient Facility Medicare 56082
Knee - Arthroplasty 2020 Provider Commercial 17963
Myringotomy 2022 Provider Medicare 5107
Treatment, fracture, dislocation - Hip and femur 2018 Provider Commercial 4192
Ultrasound - Head and neck - Diagnostic 2019 Provider Commercial 297750
Blood and blood product transfusion 2020 Outpatient Facility Medicare 161885
Physical/occupational/speech therapy - Diagnostic 2019 Home Health Commercial 6337
Mastoidectomy 2020 Outpatient Facility Commercial 709
Radioisotope scan and function studies 2023 Provider Medicare 485683
Enteral and parenteral nutrition 2023 Provider Medicare 173939
Urinary system (nonoperative) measurements 2018 Inpatient Facility Medi-Cal 575
Cardiac catheterization/arteriography - Diagnostic 2020 Provider Medicare 102943
Hospital services 2021 Outpatient Facility Medi-Cal 180711
GI procedures - Therapeutic OR 2022 Outpatient Facility Medicare 3399
Hemodialysis 2022 Provider Medi-Cal 42418
Pacemaker or cardioverter/defibrillator services 2022 Outpatient Facility Medicare 21308
Tympanoplasty 2023 Provider Medicare 1762
Urinary tract procedures - Therapeutic OR (other) 2019 Provider Medi-Cal 5173
Hearing devices and audiology supplies 2019 Provider Medicare 17994
Endocrine procedures - Therapeutic 2022 Provider Commercial 5051
Non-hospital-based care (home health, hospice) 2019 Unclassified/other Medi-Cal 158
Amniocentesis - Diagnostic 2023 Outpatient Facility Commercial 340
Extracorporeal shock wave (other than urinary) 2019 Provider Commercial 30145
Eye procedures - Lens and cataract 2023 Outpatient Facility Medi-Cal 36887
Prophylactic vaccinations and inoculations 2019 Home Health Medicare 1848
Spinal canal stimulator insertion and injection 2023 Inpatient Facility Medicare 80
X-ray - Upper GI 2022 Inpatient Facility Medi-Cal 204
Observation care services 2023 Outpatient Facility Commercial 135784
Treatment, fracture, dislocation - Lower extrem. 2019 Provider Medicare 21940
Respiratory procedures - Diagnostic (other) 2019 Outpatient Facility Commercial 1213
EEG (electroencephalogram) 2023 Independent Labs Medicare 119
Vessels of head/neck procedures - Other OR 2018 Outpatient Facility Medi-Cal 133
Appendectomy 2020 Provider Commercial 16450
CT scan - Chest 2019 Provider Medicare 679191
Central nervous system (CNS) incision and excision 2018 Provider Medicare 7692
Other vascular catheterization (not heart) 2019 Outpatient Facility Medicare 45140
AVF or vessel-to-vessel cannula for dialysis svcs. 2020 Inpatient Facility Medicare 149
Bronchoscopy and biopsy - Diagnostic 2018 Outpatient Facility Commercial 5548
Female organ procedures - Therapeutic (other) 2019 Outpatient Facility Medicare 3161
Skin lesion - Excision 2020 Outpatient Facility Medicare 71309
Ultrasound - Heart (echocardiogram) - Diagnostic 2018 Outpatient Facility Commercial 105319
Circumcision 2020 Provider Medicare 886
Arthroplasty other than hip or knee 2019 Outpatient Facility Medicare 7965
Nephrotomy and nephrostomy 2020 Outpatient Facility Medi-Cal 1693
Bone marrow transplant 2018 Outpatient Facility Medicare 1749
Laminectomy, excision intervertebral disc 2018 Outpatient Facility Medicare 7274
Physical/occupational/speech therapy - Diagnostic 2022 Home Health Medi-Cal 6404
Knee - Excision of semilunar cartilage 2021 Provider Medicare 12652
GI (upper) procedures - Therapeutic 2019 Provider Commercial 1654
Electrocardiogram 2022 Inpatient Facility Medi-Cal 14422
Microscopic examination (e.g., lab, toxicology) 2021 Independent Labs Medicare 6932850
Arteriogram or venogram (not heart and head) 2021 Outpatient Facility Medi-Cal 22903
Debridement of wound, infection or burn 2021 Outpatient Facility Medicare 127682
Epistaxis control 2018 Provider Medicare 20073
Mammography 2019 Provider Medicare 1592234
Spinal canal stimulator insertion and injection 2019 Outpatient Facility Medicare 64549
Ureteral catheterization 2022 Inpatient Facility Commercial 52
MRI (magnetic resonance imaging) 2023 Inpatient Facility Commercial 237
CT scan - Abdomen 2020 Outpatient Facility Commercial 354965
Knee - Arthroplasty 2020 Outpatient Facility Medi-Cal 1583
Other types of lab tests 2021 Inpatient Facility Medicare 407232
GI (upper) procedures - Therapeutic 2020 Provider Commercial 1266
Urinary tract procedures - Therapeutic (other) 2018 Outpatient Facility Medi-Cal 2588
Observation care services 2018 Outpatient Facility Commercial 144141
Bone excision (partial) 2018 Unclassified/other Medi-Cal 41
Vascular bypass and shunt - Other (not heart) 2018 Outpatient Facility Medi-Cal 37
Nephrectomy (partial or complete) 2018 Provider Medicare 6336
Ultrasound - Head and neck - Diagnostic 2018 Provider Medicare 622492
CT scan - Other 2021 Outpatient Facility Medicare 245892
GI procedures - Therapeutic 2023 Outpatient Facility Commercial 2293
Skin graft 2019 Provider Commercial 33020
GI (lower) procedures - Therapeutic 2020 Inpatient Facility Medicare 41
Nervous system procedures - Therapeutic OR (other) 2020 Outpatient Facility Medicare 16442
Electrocardiogram 2018 Provider Medi-Cal 1916410
Treatment, fracture, dislocation - Hip and femur 2018 Outpatient Facility Medicare 2521
Respiratory intubation and mechanical ventilation 2020 Provider Medi-Cal 40661
Oral and dental services 2022 Provider Medicare 1982
Central nervous system (CNS) incision and excision 2020 Provider Commercial 4741
Breast - Lumpectomy, quadrantectomy 2022 Provider Commercial 13609
Bone marrow transplant 2020 Outpatient Facility Medicare 1835
Anesthesia 2019 Inpatient Facility Medicare 1260
Physical/occupational/speech therapy - Diagnostic 2018 Unclassified/other Commercial 110
Endocrine procedures - Diagnostic 2020 Provider Medicare 34436
HCPCS Level II codes not classified 2018 Outpatient Facility Medi-Cal 71419
PTCA (percutaneous transluminal coronary angio.) 2021 Outpatient Facility Medicare 17145
Radioisotope scan - Pulmonary 2023 Provider Medi-Cal 5698
Hemic/lymphatic system procedures - Therapeutic 2022 Inpatient Facility Medicare 190
Fallopian tubes - Other operations 2022 Provider Medicare 64
Treatment, fracture, dislocation - Radius and ulna 2020 Outpatient Facility Medicare 7274
Oral and dental services 2019 Outpatient Facility Commercial 4120
GI procedures - Therapeutic OR 2022 Inpatient Facility Medi-Cal 67
Extracranial ventricular shunt services 2021 Outpatient Facility Medicare 394
Pregnancy (ectopic) - Removal 2018 Outpatient Facility Medi-Cal 728
Spinal tap - Diagnostic 2018 Inpatient Facility Medicare 56
Physical/occupational/speech therapy - Exercises 2019 Outpatient Facility Commercial 1095691
Respiratory procedures - Therapeutic (other) 2020 Unclassified/other Medi-Cal 114
ERCP (endoscopic retro. cannulation of pancreas) 2020 Outpatient Facility Medicare 14205
AVF or vessel-to-vessel cannula for dialysis svcs. 2019 Provider Commercial 6296
Nephrectomy (partial or complete) 2023 Provider Commercial 3222
Obstetrical procedures - Therapeutic (other) 2020 Inpatient Facility Medi-Cal 530
Mastoidectomy 2019 Provider Commercial 807
Skilled nursing facility services (HIPPS) 2021 Provider Medi-Cal 2667
HCPCS Level II codes not classified 2023 Pharmacy Medi-Cal 165
Urinary tract procedures - Diagnostic (other) 2020 Provider Medicare 6279
Therapeutic procedures - Other 2019 Ambulance Medi-Cal 175
Urinary system (nonoperative) measurements 2018 Independent Labs Medi-Cal 453378
Central nervous system (CNS) incision and excision 2018 Outpatient Facility Medi-Cal 96
Hemic/lymphatic system procedures - Therapeutic 2019 Provider Medicare 36733
CT scan - Chest 2018 Inpatient Facility Medi-Cal 572
Nervous system procedures - Therapeutic OR (other) 2018 Outpatient Facility Commercial 11815
Skin lesion - Excision 2020 Inpatient Facility Medicare 39
Intraocular procedures - Therapeutic 2020 Outpatient Facility Medi-Cal 6259
Debridement of wound, infection or burn 2019 Outpatient Facility Commercial 19437
Vessels of head/neck - Endarterectomy 2019 Provider Medi-Cal 607
Enteral and parenteral nutrition 2022 Home Health Commercial 2111
Consultations 2023 Provider Medi-Cal 509932
CT scan - Other 2020 Provider Medi-Cal 316579
Ultrasound - Heart (echocardiogram) - Diagnostic 2023 Provider Commercial 723087
Tracheoscopy and laryngoscopy with biopsy 2023 Provider Commercial 76395
Amputation - Lower extremity 2023 Outpatient Facility Medi-Cal 565
MRI (magnetic resonance imaging) 2021 Provider Commercial 1037474
Laboratory - Chemistry and hematology 2018 Provider Medi-Cal 13901013
X-ray - Chest (routine) 2021 Provider Medicare 3354204
Bone marrow biopsy 2022 Provider Medicare 19325
Musculoskeletal procedures - Therapeutic OR (other) 2020 Provider Commercial 3646
Eye procedures - Lens and cataract 2020 Outpatient Facility Medi-Cal 22392
Colonoscopy and biopsy 2020 Inpatient Facility Medicare 657
Microscopic examination (e.g., lab, toxicology) 2023 Inpatient Facility Medicare 226516
Nose procedures - Plastic 2021 Provider Medi-Cal 6011
Psychological and psychiatric evaluation, therapy 2022 Inpatient Facility Medicare 1143
GI (upper) procedures - Therapeutic 2018 Provider Medicare 1872
Electrographic cardiac monitoring 2018 Outpatient Facility Medicare 59640
Radioisotope scan and function studies 2023 Outpatient Facility Medi-Cal 46544
Aortic resection - Replacement or anastomosis 2023 Provider Medi-Cal 2124
Respiratory procedures - Therapeutic (other) 2023 Outpatient Facility Medi-Cal 4641
Radiology - Diagnostic (other) 2023 Independent Labs Commercial 128
D&C - Aspiration after delivery or abortion 2021 Provider Medicare 50
Ultrasound - Urinary tract - Diagnostic 2018 Outpatient Facility Medicare 1911
Eye procedures - Therapeutic (other) 2018 Provider Medi-Cal 53026
Large intestine lesion - Local excision 2019 Provider Medi-Cal 92
X-ray - Chest (routine) 2022 Outpatient Facility Medi-Cal 1074160
CT scan - Head 2018 Outpatient Facility Commercial 242863
Treatment, fracture, dislocation - Hip and femur 2023 Outpatient Facility Medicare 2052
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2022 Outpatient Facility Medicare 223905
Nervous system procedures - Diagnostic (other) 2019 Outpatient Facility Medicare 37454
Female organ procedures - Therapeutic OR (other) 2020 Inpatient Facility Medicare 52
Male genital procedures - Therapeutic (other) 2019 Outpatient Facility Medicare 2558
Skin, breast procedures - Therapeutic (other) 2022 Unclassified/other Medi-Cal 414
Laparoscopy 2019 Inpatient Facility Medicare 87
Bone procedures - Therapeutic OR (other) 2020 Outpatient Facility Commercial 13802
Prophylactic vaccinations and inoculations 2021 Inpatient Facility Medicare 65893
Cardiac stress tests 2022 Inpatient Facility Medi-Cal 52
Hysterectomy (abdominal and vaginal) 2021 Outpatient Facility Medicare 4699
Bunionectomy or repair of toe deformities 2018 Provider Medi-Cal 4249
Pleura incision, thoracentesis, chest drainage 2018 Provider Medicare 47400
Colonoscopy and biopsy 2020 Unclassified/other Medi-Cal 196
Ear procedures - Diagnostic 2020 Provider Commercial 4579
Intravenous pyelogram 2018 Outpatient Facility Medi-Cal 54
Physical/occupational/speech therapy - Exercises 2019 Unclassified/other Medi-Cal 1627
Laboratory - Chemistry and hematology 2021 Provider Medi-Cal 12866566
Gastric bypass and volume reduction 2022 Outpatient Facility Medicare 227
Contrast arteriogram - Lower extremity arteries 2019 Provider Medicare 5024
GI (upper) procedures - Therapeutic OR 2023 Inpatient Facility Medicare 61
Esophageal dilatation 2020 Outpatient Facility Medi-Cal 2920
Vessels other than head/neck procedures - Other OR 2018 Outpatient Facility Commercial 5375
D&C (dilatation and curettage) - Diagnostic 2023 Provider Commercial 2482
Medications (injections, infusions, other forms) 2020 Home Health Commercial 5427
Skin and subcutaneous tissue - Diagnostic (other) 2021 Independent Labs Commercial 278
Nose, mouth, pharynx procedures - Diagnostic 2023 Outpatient Facility Commercial 16753
Cervix and uterus - Other excision 2021 Provider Medicare 1664
Pathology 2021 Inpatient Facility Medi-Cal 3831
Ungrouped Procedures 2021 Unclassified/other Medicare 169
Non-hospital-based care (home health, hospice) 2019 Hospice Medi-Cal 74342
Radioisotope scan - Bone 2019 Inpatient Facility Medicare 235
Urinary tract procedures - Therapeutic (other) 2022 Outpatient Facility Commercial 1823
Hysterectomy (abdominal and vaginal) 2020 Outpatient Facility Medi-Cal 2548
Contrast arteriogram - Lower extremity arteries 2018 Provider Medicare 4902
Office visits 2019 Inpatient Facility Medicare 344
Respiratory procedures - Therapeutic (other) 2022 Outpatient Facility Medicare 6793
Proctoscopy and anorectal biopsy 2023 Outpatient Facility Commercial 7837
Radiology - Diagnostic (other) 2022 Outpatient Facility Medicare 1598025
Esophageal dilatation 2019 Outpatient Facility Medicare 10597
Skin and subcutaneous tissue - Incision, drainage 2020 Provider Commercial 94256
Medications (injections, infusions, other forms) 2019 Unclassified/other Commercial 544
Eye procedures - Corneal transplant 2018 Provider Medi-Cal 773
Non-hospital-based care (home health, hospice) 2018 Unclassified/other Medi-Cal 1068
Cystocele/rectocele repair, oblit. of vag. vault 2019 Provider Commercial 4971
Eye procedures - Repair of retinal tear/detachment 2022 Outpatient Facility Medicare 4497
Heart procedures - Other OR 2019 Provider Medi-Cal 5869
X-ray - Upper GI 2019 Provider Medicare 77097
Ungrouped Procedures 2018 Ambulance Commercial 3831
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2021 Inpatient Facility Medicare 7942
DME and supplies 2019 Independent Labs Commercial 1296
Arterial blood gases 2018 Inpatient Facility Medicare 32790
Intraoperative cholangiogram 2023 Inpatient Facility Medicare 34
Endocrine procedures - Therapeutic 2020 Provider Commercial 4960
Prophylactic vaccinations and inoculations 2020 Unclassified/other Medi-Cal 7953
GI (upper) procedures - Therapeutic OR 2020 Provider Medi-Cal 2209
Pathology 2020 Inpatient Facility Medi-Cal 3654
Transportation - Patient, provider, equipment 2019 Hospice Medi-Cal 13373
Other types of lab tests 2023 Ambulance Medicare 79
Colorectal resection 2020 Provider Commercial 8985
Organ transplantation - Other 2022 Outpatient Facility Medicare 138
Radioisotope scan - Other 2020 Outpatient Facility Medi-Cal 382
Skin, breast procedures - Therapeutic (other) 2022 Outpatient Facility Commercial 19643
Cervix and uterus - Other excision 2019 Provider Commercial 21406
Bone procedures - Therapeutic OR (other) 2019 Outpatient Facility Medi-Cal 5909
Delivery - Forceps, vacuum, and breech 2018 Outpatient Facility Medi-Cal 637
Abdominal paracentesis 2020 Provider Medicare 41698
Laparoscopy 2022 Outpatient Facility Medicare 3245
Ancillary services 2020 Independent Labs Commercial 197210
Nervous system procedures - Diagnostic (other) 2019 Independent Labs Commercial 3776
Hemodialysis 2020 Provider Medicare 82250
Male genital procedures - Diagnostic 2023 Outpatient Facility Medi-Cal 1047
X-ray - Lower GI 2022 Outpatient Facility Medicare 1520
Vessels of head/neck procedures - Other OR 2023 Outpatient Facility Medicare 542
Nose, mouth, pharynx procedures - Diagnostic 2022 Outpatient Facility Medi-Cal 15905
Treatment, fracture, dislocation - Hip and femur 2022 Outpatient Facility Commercial 774
Arthroplasty other than hip or knee 2018 Inpatient Facility Medicare 95
Bone procedures - Therapeutic OR (other) 2018 Outpatient Facility Commercial 14822
CT scan - Head 2018 Inpatient Facility Medi-Cal 775
Laparoscopy 2022 Outpatient Facility Commercial 4383
Arthrocentesis 2023 Provider Medicare 897776
Medications (injections, infusions, other forms) 2020 Ambulance Medicare 8265
Transportation - Patient, provider, equipment 2018 Outpatient Facility Medicare 54259
Extraocular muscle procedures - Therapeutic 2023 Outpatient Facility Commercial 3699
Cervix and uterus - Other excision 2019 Outpatient Facility Medi-Cal 4556
Radiology - Diagnostic (other) 2022 Outpatient Facility Medi-Cal 1533898
Gastrostomy (temporary and permanent) 2022 Outpatient Facility Medi-Cal 5168
Skin, breast procedures - Therapeutic (other) 2022 Inpatient Facility Medi-Cal 1812
Hysterectomy (abdominal and vaginal) 2020 Outpatient Facility Commercial 12897
Vessels other than head/neck procedures - Other OR 2018 Inpatient Facility Medi-Cal 44
Arterial blood gases 2018 Provider Medi-Cal 76206
Contrast arteriogram - Lower extremity arteries 2019 Provider Medi-Cal 1758
Urinary tract procedures - Therapeutic (other) 2023 Outpatient Facility Commercial 1729
Respiratory procedures - Therapeutic (other) 2022 Outpatient Facility Commercial 3366
Female organ procedures - Diagnostic (other) 2023 Provider Commercial 266162
Nose, mouth, pharynx procedures - Diagnostic 2022 Outpatient Facility Commercial 15534
Esophageal dilatation 2019 Outpatient Facility Commercial 7231
GI (upper) procedures - Therapeutic OR 2021 Provider Commercial 2225
Proctoscopy and anorectal biopsy 2023 Provider Medicare 40949
Organ transplantation - Other 2023 Outpatient Facility Medicare 186
Office visits 2018 Unclassified/other Commercial 1456
Hemodialysis 2021 Outpatient Facility Medicare 83622
Prophylactic vaccinations and inoculations 2020 Provider Medi-Cal 7526953
Radioisotope scan - Other 2019 Inpatient Facility Medicare 164
Laboratory - Chemistry and hematology 2021 Inpatient Facility Medi-Cal 62958
X-ray - Upper GI 2019 Provider Medi-Cal 30906
Joint procedures - Therapeutic OR (other) 2019 Outpatient Facility Commercial 26369
Cystocele/rectocele repair, oblit. of vag. vault 2019 Outpatient Facility Medicare 4427
X-ray - Lower GI 2022 Outpatient Facility Medi-Cal 1100
Treatment, fracture, dislocation - Hip and femur 2022 Inpatient Facility Commercial 41
Male genital procedures - Therapeutic (other) 2018 Outpatient Facility Commercial 2427
Skin and subcutaneous tissue - Incision, drainage 2019 Outpatient Facility Medi-Cal 47512
Nervous system procedures - Diagnostic (other) 2018 Unclassified/other Medi-Cal 42
Colorectal resection 2020 Outpatient Facility Medicare 333
Physical/occupational/speech therapy - Exercises 2022 Outpatient Facility Commercial 1071011
Abdominal paracentesis 2019 Provider Medicare 41584
Eye procedures - Repair of retinal tear/detachment 2023 Outpatient Facility Medi-Cal 3946
Non-hospital-based care (home health, hospice) 2019 Hospice Commercial 79339
Cardiac catheterization/arteriography - Diagnostic 2020 Outpatient Facility Commercial 19324
Ungrouped Procedures 2018 DME (Durable Medical Equipment) Medicare 3020
Physical/occupational/speech therapy - Other 2019 Inpatient Facility Commercial 164
Heart procedures - Other OR 2019 Outpatient Facility Medicare 356
Radiology - Diagnostic (other) 2022 Provider Medi-Cal 3624045
Cervix and uterus - Other excision 2018 Unclassified/other Medi-Cal 47
Gastrostomy (temporary and permanent) 2022 Inpatient Facility Medicare 361
Pathology 2020 Independent Labs Commercial 2174215
Skin, breast procedures - Therapeutic (other) 2022 Provider Commercial 672120
Cystocele/rectocele repair, oblit. of vag. vault 2018 Inpatient Facility Medicare 124
Urinary tract procedures - Therapeutic OR (other) 2018 Inpatient Facility Medicare 49
Arthrocentesis 2023 Provider Medi-Cal 196296
Eye procedures - Corneal transplant 2018 Outpatient Facility Medi-Cal 499
Cardiac catheterization/arteriography - Diagnostic 2019 Outpatient Facility Commercial 23448
Ancillary services 2020 Inpatient Facility Medi-Cal 29546
Laboratory - Chemistry and hematology 2021 Unclassified/other Medi-Cal 2036
Bone procedures - Therapeutic OR (other) 2018 Unclassified/other Medi-Cal 94
Hysterectomy (abdominal and vaginal) 2019 Inpatient Facility Commercial 43
Physical/occupational/speech therapy - Other 2019 Home Health Commercial 492
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2022 Inpatient Facility Medi-Cal 2852
Female organ procedures - Diagnostic (other) 2023 Outpatient Facility Commercial 29431
Prophylactic vaccinations and inoculations 2018 Inpatient Facility Commercial 3644
CPT codes not classified (F codes) 2018 Home Health Medicare 501
Abdominal paracentesis 2019 Provider Commercial 15061
Prophylactic vaccinations and inoculations 2020 Inpatient Facility Medi-Cal 1566
Skin and subcutaneous tissue - Incision, drainage 2019 Inpatient Facility Medicare 66
X-ray - Upper GI 2020 Outpatient Facility Commercial 16914
Vessels of head/neck procedures - Other OR 2023 Provider Medicare 9143
Nervous system procedures - Diagnostic (other) 2019 Inpatient Facility Medi-Cal 222
Non-hospital-based care (home health, hospice) 2019 Home Health Medicare 12895063
Male genital procedures - Therapeutic (other) 2018 Provider Medicare 9177
X-ray - Lower GI 2021 Outpatient Facility Commercial 1134
Heart procedures - Other OR 2020 Inpatient Facility Medicare 140
Eye procedures - Therapeutic (other) 2018 Outpatient Facility Commercial 13545
Endocrine procedures - Therapeutic 2020 Outpatient Facility Commercial 2863
Joint procedures - Therapeutic OR (other) 2019 Inpatient Facility Medicare 117
GI (upper) procedures - Therapeutic OR 2020 Outpatient Facility Medicare 447
Nose, mouth, pharynx procedures - Therapeutic 2021 Outpatient Facility Medi-Cal 36543
Radioisotope scan - Other 2018 Provider Medi-Cal 1814
Physical/occupational/speech therapy - Exercises 2022 Inpatient Facility Commercial 4451
Treatment, fracture, dislocation - Hip and femur 2023 Provider Medicare 33253
Laparoscopy 2022 Inpatient Facility Medicare 59
Laparoscopy 2018 Provider Commercial 7630
Respiratory procedures - Therapeutic (other) 2021 Outpatient Facility Commercial 2948
Delivery - Forceps, vacuum, and breech 2019 Provider Medi-Cal 109973
Other vascular catheterization (not heart) 2018 Inpatient Facility Medicare 1546
CT scan - Head 2018 Inpatient Facility Commercial 307
Ultrasound - Urinary tract - Diagnostic 2023 Outpatient Facility Medicare 2246
Radioisotope scan - Other 2023 Outpatient Facility Medi-Cal 1029
Embolectomy and endarterectomy of lower limbs 2021 Provider Commercial 468
GI procedures - Diagnostic 2020 Provider Medi-Cal 14915
Skin and subcutaneous tissue - Suture 2019 Inpatient Facility Medicare 76
Skin, breast procedures - Therapeutic (other) 2021 Outpatient Facility Commercial 21344
Breast - Lumpectomy, quadrantectomy 2018 Unclassified/other Medi-Cal 134
Ultrasound - Head and neck - Diagnostic 2018 Independent Labs Medicare 53
DME and supplies 2021 DME (Durable Medical Equipment) Medi-Cal 1944583
Office visits 2021 Inpatient Facility Medicare 154
Eye procedures - Destruction of retinal lesion 2019 Provider Commercial 10957
Office visits 2023 Inpatient Facility Medi-Cal 3274
ERCP (endoscopic retro. cannulation of pancreas) 2023 Inpatient Facility Medi-Cal 122
Respiratory therapy - Other 2022 Outpatient Facility Medi-Cal 131362
Nephrotomy and nephrostomy 2023 Outpatient Facility Medi-Cal 2425
Eye procedures - Repair of retinal tear/detachment 2020 Provider Medi-Cal 7633
Lung and bronchus procedures - Diagnostic (other) 2018 Outpatient Facility Commercial 48378
Delivery - Other procedures to assist 2020 Inpatient Facility Medi-Cal 1260
Contrast aortogram 2023 Provider Commercial 3705
Muscle and tendon procedures - Therapeutic (other) 2018 Provider Commercial 63590
Treatment, fracture, dislocation - Lower extrem. 2023 Inpatient Facility Medicare 43
Alcohol and drug management, treatment, and rehab. 2020 Inpatient Facility Commercial 25699
Arterial blood gases 2018 Inpatient Facility Commercial 109
Arthroscopy 2018 Unclassified/other Medi-Cal 72
Esophageal varices - Injection or ligation 2020 Outpatient Facility Medicare 1449
Medications (injections, infusions, other forms) 2019 Outpatient Facility Medi-Cal 7746095
Ungrouped Procedures 2020 Ambulance Commercial 5401
Ophthalmologic/otologic diagnosis and treatment 2018 Provider Medicare 7538479
Care management/coordination services 2018 Hospice Medi-Cal 82
Male genital procedures - Therapeutic OR (other) 2018 Provider Commercial 9180
Indwelling catheter 2018 Outpatient Facility Medicare 41662
CT scan - Chest 2023 Inpatient Facility Commercial 208
Ovary operations - Other 2020 Outpatient Facility Commercial 583
Spinal tap - Diagnostic 2020 Outpatient Facility Commercial 4160
Genitourinary incontinence procedures 2022 Outpatient Facility Medicare 4331
Urinary system (nonoperative) measurements 2022 Provider Medicare 1177246
CPT codes not classified (F codes) 2020 Unclassified/other Commercial 1558
Ungrouped Procedures 2021 DME (Durable Medical Equipment) Medi-Cal 47
Prostatectomy (open ) 2023 Provider Medi-Cal 704
Hearing devices and audiology supplies 2023 Provider Commercial 11505
Physical/occupational/speech therapy - Other 2023 Inpatient Facility Medi-Cal 49038
Laminectomy, excision intervertebral disc 2022 Provider Medi-Cal 12360
Radiology - Diagnostic (other) 2021 Unclassified/other Medi-Cal 103
Female organ procedures - Therapeutic OR (other) 2018 Inpatient Facility Medicare 108
Non-hospital-based care (home health, hospice) 2021 Inpatient Facility Commercial 675
Emergency department services 2023 Inpatient Facility Commercial 471
Therapeutic procedures - Other 2018 Unclassified/other Commercial 161
Microscopic examination (e.g., lab, toxicology) 2023 Outpatient Facility Commercial 2898713
HCPCS Level II codes not classified 2023 Provider Medi-Cal 4950144
Eye procedures - Lens and cataract 2018 Provider Commercial 54151
Joint procedures - Therapeutic OR (other) 2018 Outpatient Facility Commercial 26916
Therapeutic procedures - Other 2019 Inpatient Facility Medi-Cal 334
Gastric bypass and volume reduction 2020 Provider Commercial 8305
AVF or vessel-to-vessel cannula for dialysis svcs. 2018 Provider Medicare 78175
Consultations 2022 Unclassified/other Commercial 119
Ungrouped Procedures 2021 DME (Durable Medical Equipment) Medicare 483
Esophageal varices - Injection or ligation 2019 Outpatient Facility Commercial 919
Consultations 2022 Outpatient Facility Commercial 3599
Ileostomy and other enterostomy 2019 Outpatient Facility Medi-Cal 206
Arthrocentesis 2021 Provider Medi-Cal 162322
Nervous system procedures - Therapeutic (other) 2023 Outpatient Facility Medicare 93884
Enteral and parenteral nutrition 2019 Provider Medicare 180135
Debridement of wound, infection or burn 2018 Provider Commercial 60703
Colonoscopy and biopsy 2020 Outpatient Facility Commercial 231254
Urinary obstruction - Excision, drainage, removal 2022 Outpatient Facility Medicare 13812
Pathology 2019 Outpatient Facility Commercial 855176
Amputation - Lower extremity 2023 Outpatient Facility Medicare 1979
Hospital services 2020 Inpatient Facility Medicare 75
CPT codes not classified (F codes) 2020 Unclassified/other Medicare 199
Physical/occupational/speech therapy - Other 2022 Provider Commercial 185571
Ultrasound - Diagnostic (other) 2019 Provider Commercial 2840912
Aortic resection - Replacement or anastomosis 2022 Provider Medi-Cal 1968
Office visits 2018 Outpatient Facility Commercial 573634
Proctoscopy and anorectal biopsy 2022 Outpatient Facility Medicare 9047
Urinary obstruction - Excision, drainage, removal 2020 Provider Medicare 30624
Oophorectomy (unilateral and bilateral) 2019 Provider Medi-Cal 4807
Nose, mouth, pharynx procedures - Therapeutic 2020 Provider Commercial 44070
DME and supplies 2019 Home Health Medi-Cal 56662
Ungrouped Procedures 2020 Home Health Commercial 489
ERCP (endoscopic retro. cannulation of pancreas) 2023 Inpatient Facility Medicare 392
Cardiac stress tests 2019 Outpatient Facility Medi-Cal 22505
Radioisotope scan - Pulmonary 2018 Provider Medi-Cal 7185
Spinal fusion 2023 Outpatient Facility Commercial 4348
Nephrectomy (partial or complete) 2023 Provider Medicare 7160
Hemic/lymphatic system procedures - Therapeutic 2019 Outpatient Facility Commercial 17664
Bone marrow biopsy 2022 Outpatient Facility Commercial 4240
Laboratory - Chemistry and hematology 2018 Unclassified/other Medi-Cal 500570
X-ray - Chest (routine) 2020 Provider Medi-Cal 2311443
MRI (magnetic resonance imaging) 2020 Provider Commercial 890735
Radioisotope scan and function studies 2021 Provider Medicare 446009
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2020 Provider Commercial 572835
Nose, mouth, pharynx procedures - Diagnostic 2021 Inpatient Facility Medicare 26543
Intraoperative cholangiogram 2022 Outpatient Facility Commercial 732
Respiratory procedures - Therapeutic (other) 2020 Inpatient Facility Medicare 1677
Skilled nursing facility services (HIPPS) 2020 Provider Medicare 17086
CT scan - Other 2019 Outpatient Facility Medicare 242306
Oral and dental services 2018 Outpatient Facility Medi-Cal 17875
Musculoskeletal procedures - Therapeutic (other) 2018 Pharmacy Commercial 216
Cesarean section 2019 Provider Medi-Cal 80310
GI procedures - Diagnostic 2019 Provider Medi-Cal 17217
Other types of lab tests 2022 Unclassified/other Medi-Cal 8066
Female organ procedures - Diagnostic (other) 2022 Independent Labs Medicare 8701
Bowel procedures - Diagnostic 2018 Provider Medicare 243
Organ transplantation - Other 2021 Provider Medicare 3109
Tracheoscopy and laryngoscopy with biopsy 2020 Outpatient Facility Medicare 9142
Colorectal resection 2019 Outpatient Facility Commercial 437
Physical/occupational/speech therapy - Exercises 2023 Provider Medicare 17956565
Critical care services 2023 Inpatient Facility Medi-Cal 151
Non-hospital-based care (home health, hospice) 2018 Hospice Medicare 8236745
CABG (coronary artery bypass graft) 2019 Provider Medicare 28595
Respiratory procedures - Therapeutic OR (other) 2020 Provider Medi-Cal 8178
Ultrasound - Urinary tract - Diagnostic 2021 Provider Medi-Cal 3184
Male genital procedures - Diagnostic 2023 Independent Labs Commercial 538
Extraocular muscle procedures - Therapeutic 2021 Provider Medi-Cal 12486
Hip replacement (partial and total) 2023 Outpatient Facility Medicare 17115
Breast - Lumpectomy, quadrantectomy 2019 Outpatient Facility Medi-Cal 3701
Appendectomy 2022 Provider Medi-Cal 14794
Ultrasound - Diagnostic (other) 2023 Unclassified/other Medi-Cal 336
Radiology - Diagnostic (other) 2021 Pharmacy Medicare 343
Respiratory therapy - Other 2022 Provider Commercial 59260
Skin and subcutaneous tissue - Suture 2020 Outpatient Facility Commercial 78069
Lung and bronchus procedures - Diagnostic (other) 2019 Inpatient Facility Medicare 1252
Psychological and psychiatric evaluation, therapy 2021 Unclassified/other Medicare 2749
Bronchoscopy and biopsy - Diagnostic 2022 Provider Medicare 38113
Pleura incision, thoracentesis, chest drainage 2023 Provider Commercial 11748
Skin lesion - Excision 2018 Provider Medicare 3276451
Coronary thrombolysis 2021 Provider Medicare 45
Treatment, fracture, dislocation - Facial 2019 Provider Medi-Cal 7200
Tracheoscopy and laryngoscopy with biopsy 2022 Provider Medi-Cal 36255
ERCP (endoscopic retro. cannulation of pancreas) 2020 Provider Medi-Cal 21006
Obstetrical procedures - Therapeutic (other) 2019 Provider Commercial 61111
Oophorectomy (unilateral and bilateral) 2020 Provider Medi-Cal 4248
Other types of lab tests 2020 Home Health Medicare 123
Vessels of head/neck - Endarterectomy 2018 Provider Commercial 582
Extracranial ventricular shunt services 2020 Provider Commercial 2568
Blood and blood product transfusion 2022 Independent Labs Medicare 573
CT scan - Abdomen 2023 Inpatient Facility Medicare 14942
Liver biopsy 2019 Outpatient Facility Medicare 4195
X-ray - Lower GI 2018 Unclassified/other Medi-Cal 37
Endocrine procedures - Therapeutic 2018 Outpatient Facility Commercial 3526
Pathology 2022 Unclassified/other Medi-Cal 631
Prophylactic vaccinations and inoculations 2022 Pharmacy Medi-Cal 291
Laboratory - Chemistry and hematology 2021 Independent Labs Medi-Cal 20598165
HCPCS Level II codes not classified 2023 Ambulance Medicare 41
Treatment, fracture, dislocation - Hip and femur 2021 Provider Commercial 3865
Decompression peripheral nerve 2023 Provider Medicare 30324
Musculoskeletal procedures - Therapeutic OR (other) 2019 Inpatient Facility Medicare 404
Nose, mouth, pharynx procedures - Therapeutic OR 2021 Provider Commercial 43488
Female organ procedures - Therapeutic (other) 2023 Outpatient Facility Medi-Cal 35327
Medications (injections, infusions, other forms) 2019 Independent Labs Commercial 59
GI procedures - Diagnostic 2020 Provider Medicare 25541
Ophthalmologic/otologic diagnosis and treatment 2018 Unclassified/other Medi-Cal 1990
Transportation - Patient, provider, equipment 2018 Independent Labs Medicare 113022
Genitourinary incontinence procedures 2023 Provider Commercial 6823
Care management/coordination services 2018 Outpatient Facility Medi-Cal 6430
Ancillary services 2022 Hospice Medi-Cal 11995
Male genital procedures - Therapeutic OR (other) 2018 Unclassified/other Medi-Cal 89
Exploratory laparotomy 2020 Provider Medi-Cal 2180
DME and supplies 2020 Unclassified/other Commercial 270
Muscle and tendon procedures - Therapeutic (other) 2018 Provider Medi-Cal 33839
Nephrotomy and nephrostomy 2023 Provider Medi-Cal 8128
Ovary operations - Other 2021 Provider Medi-Cal 3679
Non-hospital-based care (home health, hospice) 2021 Home Health Medi-Cal 1787406
Laminectomy, excision intervertebral disc 2022 Inpatient Facility Commercial 41
Eye procedures - Repair of retinal tear/detachment 2021 Outpatient Facility Commercial 4821
Varicose vein stripping - Lower limb 2020 Provider Medi-Cal 1157
D&C (dilatation and curettage) - Diagnostic 2020 Outpatient Facility Medi-Cal 645
Treatment, fracture, dislocation - Lower extrem. 2022 Outpatient Facility Medicare 5490
Urinary system (nonoperative) measurements 2022 Inpatient Facility Medicare 10176
Laboratory - Chemistry and hematology 2020 Unclassified/other Medi-Cal 15498
Office visits 2021 Outpatient Facility Commercial 520687
Electrographic cardiac monitoring 2020 Provider Medi-Cal 170587
CT scan - Chest 2022 Inpatient Facility Medicare 10317
Hemorrhoid procedures 2020 Outpatient Facility Medicare 1698
Psychological and psychiatric evaluation, therapy 2018 Home Health Medi-Cal 13263
Office visits 2022 Pharmacy Medi-Cal 1566
Hearing devices and audiology supplies 2023 Provider Medicare 23113
Skin, breast procedures - Therapeutic (other) 2020 Provider Medi-Cal 468134
Abortion (termination of pregnancy) 2018 Outpatient Facility Medicare 34
Treatment, fracture, dislocation - Hip and femur 2020 Inpatient Facility Medicare 189
Nose, mouth, pharynx procedures - Therapeutic 2020 Inpatient Facility Medi-Cal 59105
Obstetric laceration - Repair 2023 Outpatient Facility Medi-Cal 42
Urinary tract procedures - Therapeutic (other) 2020 Inpatient Facility Medicare 38
Other types of lab tests 2022 Pharmacy Commercial 38647
Cesarean section 2018 Provider Medicare 540
Electrocardiogram 2023 Provider Medicare 4130729
Bone procedures - Therapeutic OR (other) 2023 Outpatient Facility Medicare 8336
Respiratory procedures - Diagnostic (other) 2022 Provider Medicare 13154
Prophylactic vaccinations and inoculations 2022 Provider Medi-Cal 7818912
Laboratory - Chemistry and hematology 2018 Home Health Commercial 289
Pathology 2022 Unclassified/other Medicare 69
Hemodialysis 2019 Inpatient Facility Medi-Cal 1719
Ileostomy and other enterostomy 2019 Provider Commercial 1652
Female organ procedures - Diagnostic (other) 2021 Provider Medi-Cal 95177
Non-hospital-based care (home health, hospice) 2021 Home Health Commercial 481439
Ultrasound - Diagnostic (other) 2019 Inpatient Facility Commercial 136
Spinal fusion 2020 Inpatient Facility Medicare 663
Proctoscopy and anorectal biopsy 2021 Provider Medi-Cal 14923
Nephrectomy (partial or complete) 2020 Outpatient Facility Medi-Cal 64
HCPCS Level II codes not classified 2022 Inpatient Facility Medi-Cal 2762
Physical/occupational/speech therapy - Diagnostic 2023 Outpatient Facility Medi-Cal 424438
Endocrine procedures - Therapeutic 2018 Outpatient Facility Medicare 2637
Tracheoscopy and laryngoscopy with biopsy 2018 Provider Commercial 83488
X-ray - Lower GI 2019 Outpatient Facility Commercial 1503
Ultrasound - Urinary tract - Diagnostic 2021 Provider Medicare 6728
Gastrostomy (temporary and permanent) 2019 Outpatient Facility Commercial 1771
Physical/occupational/speech therapy - Exercises 2023 Outpatient Facility Medi-Cal 5245234
CT scan - Other 2023 Unclassified/other Medi-Cal 79
Organ transplantation - Other 2020 Provider Medicare 2943
Arthrocentesis 2021 Provider Medicare 828549
Extraocular muscle procedures - Therapeutic 2020 Provider Medicare 13277
Liver biopsy 2018 Provider Medicare 7237
Eye procedures - Glaucoma 2022 Provider Medi-Cal 13110
Colonoscopy and biopsy 2023 Provider Medicare 641588
X-ray - Lower GI 2022 Provider Medi-Cal 2563
Respiratory procedures - Therapeutic OR (other) 2020 Provider Medicare 13575
GI procedures - Diagnostic 2020 Independent Labs Commercial 1525
Vessels other than head/neck procedures - Other OR 2021 Outpatient Facility Commercial 317610
CT scan - Abdomen 2022 Provider Medi-Cal 762489
Microscopic examination (e.g., lab, toxicology) 2022 Independent Labs Commercial 10599119
Urinary obstruction - Excision, drainage, removal 2020 Inpatient Facility Medicare 115
Bunionectomy or repair of toe deformities 2023 Outpatient Facility Commercial 9240
Amputation - Lower extremity 2019 Provider Medi-Cal 6692
Anesthesia 2018 Provider Commercial 1261941
PTCA (percutaneous transluminal coronary angio.) 2021 Provider Medi-Cal 9878
Physical/occupational/speech therapy - Diagnostic 2018 Outpatient Facility Medi-Cal 262687
Skin and subcutaneous tissue - Diagnostic (other) 2019 Outpatient Facility Medi-Cal 9041
Urinary tract procedures - Therapeutic (other) 2018 Provider Commercial 16282
Bone excision (partial) 2022 Provider Commercial 15308
Skin graft 2020 Inpatient Facility Medicare 99
Bone excision (partial) 2019 Outpatient Facility Medi-Cal 3099
CPT codes not classified (F codes) 2022 Outpatient Facility Medicare 108594
Spinal canal stimulator insertion and injection 2018 Provider Medi-Cal 88675
Endocrine procedures - Diagnostic 2020 Unclassified/other Commercial 63
Arteriogram or venogram (not heart and head) 2021 Provider Commercial 43506
Debridement of wound, infection or burn 2020 Provider Medi-Cal 167319
GI (upper) procedures - Therapeutic 2020 Provider Medicare 1578
Nephrectomy (partial or complete) 2019 Inpatient Facility Medicare 57
Hemic/lymphatic system procedures - Therapeutic 2023 Outpatient Facility Commercial 22838
Oral and dental services 2023 Outpatient Facility Commercial 3839
CT scan - Other 2021 Provider Medicare 700517
GI procedures - Therapeutic 2022 Provider Medi-Cal 8919
Nonoperative removal of foreign body 2020 Outpatient Facility Commercial 3884
Other types of lab tests 2021 Provider Medi-Cal 3890012
Nose, mouth, pharynx procedures - Therapeutic OR 2022 Provider Medicare 37630
Hospital services 2022 Hospice Commercial 116
Infertility services 2018 Provider Commercial 74
Eye procedures - Diagnostic 2020 Provider Medi-Cal 10249
Consultation, evaluation, and preventive care 2020 Independent Labs Medicare 774
Musculoskeletal procedures - Therapeutic (other) 2022 Outpatient Facility Commercial 3511
Nervous system procedures - Therapeutic OR (other) 2021 Provider Medi-Cal 34547
Psychological and psychiatric evaluation, therapy 2023 Provider Commercial 14525165
Vessels of head/neck procedures - Other OR 2019 Outpatient Facility Medi-Cal 134
Visual aids and other optical supplies 2023 Independent Labs Medi-Cal 1603222
GI (lower) procedures - Therapeutic 2020 Outpatient Facility Commercial 2289
Respiratory intubation and mechanical ventilation 2020 Inpatient Facility Medicare 2840
Preventive visits 2022 Provider Commercial 5186983
Ultrasound - Head and neck - Diagnostic 2018 Unclassified/other Medi-Cal 971
Central nervous system (CNS) incision and excision 2019 Provider Medi-Cal 5358
Mammography 2019 Inpatient Facility Medicare 43
Radioisotope scan and function studies 2018 Home Health Medicare 67
Microscopic examination (e.g., lab, toxicology) 2018 Independent Labs Medicare 5795874
Ureteral catheterization 2021 Outpatient Facility Medi-Cal 2235
Critical care services 2019 Provider Medi-Cal 920036
Telehealth 2023 Home Health Medi-Cal 202
HCPCS Level II codes not classified 2018 Pharmacy Medicare 243
Knee - Arthroplasty 2019 Provider Medi-Cal 10283
Cholecystectomy and common duct exploration 2020 Inpatient Facility Commercial 39
Other types of lab tests 2019 Unclassified/other Commercial 1814
Ureteral catheterization 2023 Outpatient Facility Commercial 5556
Electrocardiogram 2020 Independent Labs Medicare 42
Nose, mouth, pharynx procedures - Diagnostic 2020 Unclassified/other Medi-Cal 36
Psychological and psychiatric evaluation, therapy 2021 Outpatient Facility Commercial 248889
Extracorporeal shock wave (other than urinary) 2023 Provider Commercial 47279
Pathology 2019 Independent Labs Medicare 1660916
Ultrasound - Heart (echocardiogram) - Diagnostic 2021 Outpatient Facility Medicare 261287
MRI (magnetic resonance imaging) 2020 Inpatient Facility Medicare 7906
Observation care services 2019 Outpatient Facility Commercial 147707
Transportation - Patient, provider, equipment 2023 Outpatient Facility Commercial 2995
Hemic/lymphatic system procedures - Therapeutic 2018 Provider Medi-Cal 10883
Bone marrow transplant 2021 Provider Medicare 2632
Microscopic examination (e.g., lab, toxicology) 2018 Provider Medicare 926253
Amputation - Lower extremity 2020 Provider Commercial 2974
Hospital services 2020 Hospice Commercial 141
Urinary tract - Endoscopy and endoscopic biopsy 2023 Provider Commercial 48292
Blood and blood product transfusion 2021 Unclassified/other Medi-Cal 101
Thyroidectomy (partial or complete) 2022 Outpatient Facility Medicare 1908
Knee - Arthroplasty 2021 Provider Medicare 56836
CPT codes not classified (F codes) 2023 Pharmacy Commercial 279
Spinal fusion 2021 Inpatient Facility Commercial 226
Musculoskeletal procedures - Diagnostic (other) 2022 Provider Medi-Cal 4096
ERCP (endoscopic retro. cannulation of pancreas) 2018 Provider Medicare 38601
Vessels of head/neck procedures - Other OR 2021 Outpatient Facility Commercial 216
GI (lower) procedures - Therapeutic 2021 Outpatient Facility Medi-Cal 1238
Preventive visits 2019 Pharmacy Commercial 56
Bronchoscopy and biopsy - Diagnostic 2020 Outpatient Facility Medi-Cal 3010
Intraoperative cholangiogram 2019 Provider Commercial 1738
Gastrectomy (partial and total) 2021 Provider Medi-Cal 327
Skilled nursing facility services (HIPPS) 2018 Provider Medicare 7128
GI (upper) procedures - Therapeutic OR 2018 Outpatient Facility Medicare 338
Epistaxis control 2023 Outpatient Facility Commercial 2239
Coronary thrombolysis 2020 Provider Medi-Cal 87
Myringotomy 2023 Outpatient Facility Medi-Cal 5699
CT scan - Other 2018 Outpatient Facility Medi-Cal 103548
Physical/occupational/speech therapy - Diagnostic 2019 Provider Commercial 1022464
Respiratory procedures - Therapeutic (other) 2018 Inpatient Facility Medicare 1566
Ophthalmologic/otologic diagnosis and treatment 2023 Provider Medicare 8118289
Decompression peripheral nerve 2018 Outpatient Facility Medi-Cal 4467
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2020 Outpatient Facility Commercial 249115
Telehealth 2020 Outpatient Facility Medicare 474159
Gastric bypass and volume reduction 2021 Provider Medi-Cal 7489
Spinal canal stimulator insertion and injection 2022 Provider Medi-Cal 80250
Physical/occupational/speech therapy - Other 2018 Provider Medi-Cal 501096
D&C - Aspiration after delivery or abortion 2022 Outpatient Facility Medi-Cal 3761
HIPPS home health services 2021 Unclassified/other Medi-Cal 46
Respiratory intubation and mechanical ventilation 2023 Unclassified/other Medi-Cal 94
Colonoscopy and biopsy 2021 Inpatient Facility Commercial 46
Esophageal dilatation 2018 Provider Commercial 9955
Nose, mouth, pharynx procedures - Diagnostic 2022 Inpatient Facility Commercial 124
Cystocele/rectocele repair, oblit. of vag. vault 2018 Provider Medi-Cal 2884
Eye procedures - Diagnostic 2018 Outpatient Facility Medicare 563
GI procedures - Therapeutic 2020 Provider Medi-Cal 8246
Male genital procedures - Therapeutic OR (other) 2022 Provider Commercial 10140
Electrocardiogram 2021 Inpatient Facility Medi-Cal 11774
Pathology 2020 Hospice Medi-Cal 430
Arthrocentesis 2023 Provider Commercial 336101
Male genital procedures - Therapeutic (other) 2019 Provider Medicare 10738
Ancillary services 2020 Pharmacy Medi-Cal 464
Heart procedures - Other OR 2020 Provider Medi-Cal 5782
Eye procedures - Corneal transplant 2018 Provider Medicare 4147
Abdominal paracentesis 2021 Inpatient Facility Medicare 398
Non-hospital-based care (home health, hospice) 2019 Home Health Commercial 384940
Non-hospital-based care (home health, hospice) 2023 Unclassified/other Commercial 421
Ultrasound - Head and neck - Diagnostic 2022 Provider Commercial 289526
Arthrocentesis 2021 Outpatient Facility Commercial 13497
Transportation - Patient, provider, equipment 2021 Pharmacy Medi-Cal 1811
Nasogastric tube 2022 Provider Medicare 1123
Other types of lab tests 2020 Provider Medi-Cal 3199659
GI (lower) procedures - Therapeutic OR 2019 Outpatient Facility Medicare 1518
Wound care - Traction, splints, other 2022 Inpatient Facility Medicare 986
Division of joint capsule (ligament or cartilage) 2018 Provider Medicare 7166
Knee - Excision of semilunar cartilage 2019 Outpatient Facility Medicare 5358
Observation care services 2021 Outpatient Facility Commercial 141243
Hemic/lymphatic system procedures - Therapeutic 2021 Outpatient Facility Medi-Cal 5590
Alcohol and drug management, treatment, and rehab. 2022 Provider Medi-Cal 21710881
CT scan - Abdomen 2019 Inpatient Facility Medicare 13206
Vascular bypass - Peripheral 2022 Provider Medicare 2680
Musculoskeletal procedures - Therapeutic (other) 2020 Outpatient Facility Medicare 22363
Telehealth 2022 Hospice Medicare 444
Skin graft 2018 Inpatient Facility Medicare 112
Conversion of cardiac rhythm 2019 Outpatient Facility Medi-Cal 1591
Lung and bronchus procedures - Diagnostic (other) 2021 Outpatient Facility Medicare 140509
DME and supplies 2022 DME (Durable Medical Equipment) Medi-Cal 1936775
GI (lower) procedures - Therapeutic OR 2022 Provider Medi-Cal 8764
Consultation, evaluation, and preventive care 2023 Provider Commercial 1538250
Radioisotope scan - Pulmonary 2022 Inpatient Facility Medicare 503
Other types of lab tests 2023 Hospice Medi-Cal 775
Arterial blood gases 2018 Outpatient Facility Medi-Cal 51017
Ungrouped Procedures 2018 Ambulance Medicare 138
Cardiac catheterization/arteriography - Diagnostic 2019 Provider Medicare 126611
CT scan - Head 2018 Independent Labs Commercial 175
Vessels of head/neck procedures - Other OR 2023 Provider Commercial 2850
Ungrouped Procedures 2022 Ambulance Commercial 6983
Office visits 2019 Outpatient Facility Commercial 594535
GI (upper) procedures - Therapeutic OR 2021 Inpatient Facility Medicare 65
Nervous system procedures - Diagnostic (other) 2019 Provider Commercial 309625
Contrast arteriogram - Lower extremity arteries 2019 Outpatient Facility Commercial 451
Cervix and uterus - Other excision 2021 Outpatient Facility Commercial 10608
Female organ procedures - Diagnostic (other) 2023 Inpatient Facility Medi-Cal 76
X-ray - Lower GI 2021 Provider Medi-Cal 2830
Radioisotope scan - Other 2020 Provider Commercial 1486
Medications (injections, infusions, other forms) 2020 Ambulance Commercial 5398
Cholecystectomy and common duct exploration 2018 Outpatient Facility Medi-Cal 10474
Breast - Mastectomy 2022 Outpatient Facility Commercial 5559
Ancillary services 2023 Pharmacy Commercial 161
PTCA (percutaneous transluminal coronary angio.) 2018 Provider Medicare 42838
Female organ procedures - Diagnostic (other) 2020 Outpatient Facility Medi-Cal 25242
Treatment, fracture, dislocation - Radius and ulna 2018 Provider Medicare 17928
Indwelling catheter 2022 Inpatient Facility Medi-Cal 243
Tonsillectomy and/or adenoidectomy 2019 Outpatient Facility Medicare 226
Nervous system procedures - Diagnostic (other) 2023 Provider Medi-Cal 228415
HCPCS Level II codes not classified 2021 Home Health Medi-Cal 76549
Preventive visits 2021 Pharmacy Medi-Cal 1033
Emergency department services 2019 Inpatient Facility Medicare 713
Hysterectomy (abdominal and vaginal) 2019 Outpatient Facility Medicare 4370
Prophylactic vaccinations and inoculations 2020 Pharmacy Commercial 30839
Skin and subcutaneous tissue - Incision, drainage 2020 Provider Medicare 81606
Proctoscopy and anorectal biopsy 2023 Outpatient Facility Medi-Cal 5852
Hemodialysis 2021 Inpatient Facility Medi-Cal 2363
Organ transplantation - Other 2022 Provider Medi-Cal 1276
Delivery - Forceps, vacuum, and breech 2018 Provider Medi-Cal 108665
Respiratory procedures - Therapeutic (other) 2021 Provider Medicare 5994
Transportation - Patient, provider, equipment 2019 Independent Labs Commercial 932
Treatment, fracture, dislocation - Hip and femur 2023 Provider Commercial 3970
Physical/occupational/speech therapy - Exercises 2023 Home Health Commercial 447
GI procedures - Therapeutic OR 2021 Outpatient Facility Medi-Cal 870
Knee - Excision of semilunar cartilage 2023 Outpatient Facility Medi-Cal 5808
Ultrasound - Diagnostic (other) 2018 Provider Commercial 2813730
Vessels other than head/neck procedures - Other OR 2021 Home Health Medi-Cal 734
Esophageal varices - Injection or ligation 2018 Outpatient Facility Medicare 1662
Gastrectomy (partial and total) 2019 Provider Commercial 286
Respiratory procedures - Diagnostic (other) 2021 Provider Medi-Cal 3328
Obstetric laceration - Repair 2021 Outpatient Facility Medi-Cal 35
Knee - Arthroplasty 2022 Provider Medicare 64383
Cholecystectomy and common duct exploration 2023 Inpatient Facility Medicare 124
Nephrectomy (partial or complete) 2019 Outpatient Facility Medi-Cal 54
Spinal fusion 2019 Inpatient Facility Medicare 641
Other types of lab tests 2022 Independent Labs Medicare 14316141
Aortic resection - Replacement or anastomosis 2018 Provider Medicare 3345
Physical/occupational/speech therapy - Diagnostic 2023 Home Health Medi-Cal 8319
Urinary obstruction - Excision, drainage, removal 2019 Outpatient Facility Commercial 5388
Consultations 2020 Provider Commercial 438213
Electrocardiogram 2023 Inpatient Facility Medicare 50331
Skilled nursing facility services 2018 Inpatient Facility Commercial 10277
Intraocular procedures - Therapeutic 2019 Outpatient Facility Medi-Cal 6412
Respiratory intubation and mechanical ventilation 2023 Provider Commercial 28511
Consultation, evaluation, and preventive care 2022 Independent Labs Commercial 699
Bone procedures - Therapeutic OR (other) 2022 Provider Commercial 34650
GI procedures - Diagnostic 2019 Independent Labs Medicare 695
Ultrasound - Heart (echocardiogram) - Diagnostic 2020 Provider Medi-Cal 738814
Non-hospital-based care (home health, hospice) 2020 Outpatient Facility Medi-Cal 80947
Cervix and uterus - Other excision 2023 Provider Medicare 1810
Treatment, fracture, dislocation - Lower extrem. 2021 Inpatient Facility Medicare 69
Amputation - Lower extremity 2018 Provider Medi-Cal 6061
Urinary tract procedures - Therapeutic OR (other) 2021 Home Health Medi-Cal 686
X-ray - Upper GI 2023 Inpatient Facility Medicare 1918
Other vascular catheterization (not heart) 2021 Outpatient Facility Medi-Cal 19144
Endocrine procedures - Diagnostic 2023 Outpatient Facility Medicare 2476
Bronchoscopy and biopsy - Diagnostic 2019 Outpatient Facility Medi-Cal 3355
Abdominal paracentesis 2023 Outpatient Facility Medicare 25114
Eye procedures - Glaucoma 2021 Outpatient Facility Medicare 13616
Cardiac catheterization/arteriography - Diagnostic 2023 Outpatient Facility Medi-Cal 15208
Telehealth 2023 Outpatient Facility Medicare 271396
Wound care - Traction, splints, other 2021 Outpatient Facility Medicare 114995
Conversion of cardiac rhythm 2018 Provider Medi-Cal 2985
Bone excision (partial) 2020 Outpatient Facility Commercial 8420
Other types of visits 2022 Home Health Medi-Cal 149
Tonsillectomy and/or adenoidectomy 2018 Provider Medicare 369
Transportation - Patient, provider, equipment 2020 Outpatient Facility Medicare 53068
Extracorporeal lithotripsy, urinary 2018 Inpatient Facility Medicare 32
Tympanoplasty 2018 Provider Commercial 2471
DME and supplies 2018 Independent Labs Medicare 501
Preventive visits 2023 Outpatient Facility Medi-Cal 1976740
Musculoskeletal procedures - Therapeutic (other) 2023 Outpatient Facility Medi-Cal 400958
Arthroplasty other than hip or knee 2022 Provider Medi-Cal 4392
Large intestine lesion - Local excision 2023 Provider Medicare 169
Prophylactic vaccinations and inoculations 2020 Hospice Medicare 126
CT scan - Abdomen 2022 Inpatient Facility Commercial 320
Pathology 2022 Outpatient Facility Medi-Cal 427864
Microscopic examination (e.g., lab, toxicology) 2021 Provider Commercial 2051838
HCPCS Level II codes not classified 2021 Unclassified/other Medi-Cal 712
Extracorporeal shock wave (other than urinary) 2022 Outpatient Facility Medi-Cal 11446
Circumcision 2022 Outpatient Facility Medi-Cal 3343
Female organ procedures - Therapeutic (other) 2021 Provider Medicare 23435
Physical/occupational/speech therapy - Other 2021 Provider Medi-Cal 483752
X-ray - Chest (routine) 2019 Inpatient Facility Medi-Cal 10866
Ultrasound - Head and neck - Diagnostic 2023 Inpatient Facility Medicare 2087
HIPPS home health services 2021 Home Health Medicare 1610307
Muscles, tendons, joints - Injections, aspirations 2021 Provider Medi-Cal 86406
Behavioral health services 2022 Provider Medicare 73315
Nose procedures - Plastic 2020 Provider Commercial 12310
Arthrocentesis 2018 Provider Medicare 866759
Physical/occupational/speech therapy - Diagnostic 2021 Inpatient Facility Commercial 753
Nervous system procedures - Diagnostic (other) 2022 Independent Labs Medi-Cal 41
Myelogram 2022 Provider Commercial 895
Microscopic examination (e.g., lab, toxicology) 2019 Provider Medicare 932162
Varicose vein stripping - Lower limb 2023 Outpatient Facility Medicare 861
Ancillary services 2023 Inpatient Facility Medicare 1080
Radioisotope scan - Pulmonary 2021 Provider Medi-Cal 6064
TURP (transurethral resection of prostate) 2020 Provider Medicare 8777
Urethra - Procedures 2019 Provider Medi-Cal 6073
Breast - Mastectomy 2019 Outpatient Facility Medicare 2791
Pacemaker or cardioverter/defibrillator services 2019 Provider Medi-Cal 7038
Care management/coordination services 2021 Home Health Commercial 486
Alcohol and drug management, treatment, and rehab. 2022 Outpatient Facility Medicare 12057
Lung and bronchus procedures - Diagnostic (other) 2021 Inpatient Facility Medi-Cal 98
Skin and subcutaneous tissue - Suture 2023 Outpatient Facility Medi-Cal 98724
GI (lower) procedures - Therapeutic OR 2023 Provider Commercial 12683
Ophthalmologic/otologic diagnosis and treatment 2019 Unclassified/other Commercial 231
HCPCS Level II codes not classified 2020 Home Health Medi-Cal 62700
Urinary system (nonoperative) measurements 2023 Unclassified/other Commercial 236
DME and supplies 2022 Ambulance Commercial 50
Psychological and psychiatric evaluation, therapy 2018 Unclassified/other Commercial 9548
Emergency department services 2018 Unclassified/other Medi-Cal 58490
Spinal canal stimulator insertion and injection 2022 Outpatient Facility Medicare 76487
Spinal fusion 2022 Outpatient Facility Commercial 4025
Open-heart procedures - Extracorporeal circulation 2023 Outpatient Facility Medicare 64
Bone marrow transplant 2023 Provider Medi-Cal 1253
Hospital services 2019 Provider Medicare 12131427
Prophylactic vaccinations and inoculations 2019 Inpatient Facility Commercial 2954
Respiratory therapy - Other 2021 Inpatient Facility Medi-Cal 3025
Ungrouped Procedures 2019 Outpatient Facility Medi-Cal 7785960
Laboratory - Chemistry and hematology 2018 Outpatient Facility Medicare 28875091
MRI (magnetic resonance imaging) 2019 Unclassified/other Medi-Cal 58
Skilled nursing facility services (HIPPS) 2019 Outpatient Facility Medicare 151
Physical/occupational/speech therapy - Exercises 2018 Provider Medi-Cal 4466907
CT scan - Chest 2021 Provider Medicare 725595
Non-hospital-based care (home health, hospice) 2023 Inpatient Facility Medicare 617464
Skin, breast procedures - Therapeutic (other) 2021 Hospice Medicare 47
Physical/occupational/speech therapy - Other 2022 Inpatient Facility Commercial 119
Ultrasound - Heart (echocardiogram) - Diagnostic 2019 Outpatient Facility Commercial 109805
Radiology - Diagnostic (other) 2018 Outpatient Facility Medicare 1450202
Ungrouped Procedures 2021 Home Health Medi-Cal 170251
Laminectomy, excision intervertebral disc 2020 Outpatient Facility Medicare 7297
Heart procedures - Other OR 2018 Inpatient Facility Medicare 110
Nervous system procedures - Diagnostic (other) 2018 Independent Labs Commercial 4830
Behavioral health services 2019 Outpatient Facility Commercial 569
Excision, lysis peritoneal adhesions 2023 Provider Medicare 1147
Radioisotope scan - Other 2023 Provider Medicare 27386
Medications (injections, infusions, other forms) 2019 Ambulance Medicare 9450
Urinary system (nonoperative) measurements 2018 Outpatient Facility Commercial 897521
Central nervous system (CNS) incision and excision 2019 Inpatient Facility Medicare 58
GI (upper) procedures - Therapeutic OR 2023 Provider Commercial 2035
Arthroplasty other than hip or knee 2020 Provider Medicare 25057
Intraoperative cholangiogram 2021 Outpatient Facility Medi-Cal 568
Bronchoscopy and biopsy - Diagnostic 2021 Provider Medi-Cal 16453
Skin, breast procedures - Therapeutic (other) 2018 Outpatient Facility Medi-Cal 32360
Tonsillectomy and/or adenoidectomy 2018 Outpatient Facility Commercial 13680
Telehealth 2021 Hospice Medicare 429
CPT codes not classified (F codes) 2023 Provider Commercial 7189939
Amputation - Lower extremity 2022 Outpatient Facility Medicare 1905
Nervous system procedures - Therapeutic (other) 2022 Outpatient Facility Medi-Cal 38661
Other types of visits 2019 Provider Medicare 655812
Cardiac catheterization/arteriography - Diagnostic 2023 Provider Medi-Cal 44904
Alcohol and drug management, treatment, and rehab. 2020 Outpatient Facility Medi-Cal 149451
Muscle and tendon procedures - Therapeutic (other) 2023 Outpatient Facility Medicare 39487
Care management/coordination services 2018 Provider Commercial 15792
Cystocele/rectocele repair, oblit. of vag. vault 2023 Provider Medicare 8097
Genitourinary incontinence procedures 2022 Provider Medicare 7337
Female organ procedures - Therapeutic (other) 2022 Provider Commercial 177448
Ovary operations - Other 2020 Provider Commercial 2791
Urinary system (nonoperative) measurements 2022 Independent Labs Commercial 222344
Eye procedures - Destruction of retinal lesion 2019 Outpatient Facility Commercial 574
Skin and subcutaneous tissue - Suture 2019 Outpatient Facility Medicare 71629
Contrast aortogram 2022 Outpatient Facility Commercial 1346
DME and supplies 2020 Unclassified/other Medi-Cal 2393
Nose, mouth, pharynx procedures - Therapeutic OR 2020 Inpatient Facility Medicare 61
Male genital procedures - Therapeutic OR (other) 2019 Inpatient Facility Medicare 46
Other vascular catheterization (not heart) 2019 Provider Medicare 279103
Circumcision 2019 Provider Medicare 1166
Knee - Excision of semilunar cartilage 2020 Provider Medicare 12898
Treatment, fracture, dislocation - Lower extrem. 2019 Inpatient Facility Medicare 62
Nose, mouth, pharynx procedures - Diagnostic 2018 Outpatient Facility Medicare 42402
Microscopic examination (e.g., lab, toxicology) 2020 Unclassified/other Medicare 68
Extracorporeal shock wave (other than urinary) 2019 Provider Medi-Cal 14716
Nephrotomy and nephrostomy 2019 Outpatient Facility Medicare 5835
Spleen procedures 2021 Provider Commercial 337
Varicose vein stripping - Lower limb 2018 Provider Commercial 3789
CPT codes not classified (F codes) 2020 Pharmacy Medi-Cal 120
Radiology - Diagnostic (other) 2021 Provider Medi-Cal 3716174
Laboratory - Chemistry and hematology 2021 Ambulance Commercial 327
Ancillary services 2022 Independent Labs Commercial 152334
Prostatectomy (open ) 2022 Outpatient Facility Medi-Cal 162
Embolectomy and endarterectomy of lower limbs 2022 Provider Commercial 468
Transportation - Patient, provider, equipment 2018 Home Health Medi-Cal 1981
GI procedures - Therapeutic 2020 Inpatient Facility Commercial 46
Preventive visits 2020 Outpatient Facility Medicare 33184
Electrocardiogram 2020 Ambulance Medi-Cal 148273
Abdominal paracentesis 2019 Outpatient Facility Medi-Cal 13730
Ultrasound - Heart (echocardiogram) - Diagnostic 2021 Provider Medicare 1478373
X-ray - Chest (routine) 2020 Inpatient Facility Commercial 507
Microscopic examination (e.g., lab, toxicology) 2023 Hospice Medi-Cal 4318
Blood and blood product transfusion 2021 Outpatient Facility Medi-Cal 60701
Catheterization (Swan-Ganz) for monitoring 2021 Provider Commercial 3027
Gastric bypass and volume reduction 2019 Outpatient Facility Medicare 140
GI (upper) endoscopy, biopsy 2022 Outpatient Facility Commercial 128765
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2019 Provider Medicare 856237
Coronary thrombolysis 2020 Outpatient Facility Medicare 63
Musculoskeletal procedures - Diagnostic (other) 2023 Outpatient Facility Medicare 5056
Hemic/lymphatic system procedures - Therapeutic 2018 Outpatient Facility Commercial 16450
CT scan - Other 2018 Provider Medi-Cal 256323
Treatment, fracture, dislocation - Facial 2018 Provider Commercial 6519
Cystocele/rectocele repair, oblit. of vag. vault 2022 Outpatient Facility Medicare 4703
Bone marrow transplant 2018 Provider Commercial 2288
Cardiac catheterization/arteriography - Diagnostic 2021 Provider Medi-Cal 40128
Appendectomy 2020 Provider Medi-Cal 15570
CT scan - Chest 2020 Inpatient Facility Commercial 214
Mastoidectomy 2020 Outpatient Facility Medicare 272
Hemodialysis 2023 Provider Medicare 69568
Hysterectomy (abdominal and vaginal) 2023 Inpatient Facility Medicare 154
Pacemaker or cardioverter/defibrillator services 2023 Provider Commercial 4817
Urinary tract procedures - Therapeutic OR (other) 2019 Outpatient Facility Commercial 2682
Oophorectomy (unilateral and bilateral) 2023 Provider Commercial 9972
Laminectomy, excision intervertebral disc 2018 Provider Medi-Cal 13388
Observation care services 2023 Outpatient Facility Medicare 259511
Physical/occupational/speech therapy - Other 2020 Outpatient Facility Medi-Cal 132452
Spinal fusion 2018 Outpatient Facility Medi-Cal 378
Electrocardiogram 2022 Outpatient Facility Commercial 589880
Consultation, evaluation, and preventive care 2021 Provider Medicare 804194
Vessels of head/neck procedures - Other OR 2021 Provider Medi-Cal 3011
Urinary tract procedures - Diagnostic (other) 2020 Outpatient Facility Commercial 2437
Radiology - Diagnostic (other) 2020 Inpatient Facility Medicare 25692
HCPCS Level II codes not classified 2023 Inpatient Facility Medicare 6799
Psychological and psychiatric evaluation, therapy 2021 Pharmacy Medi-Cal 242
Respiratory procedures - Therapeutic (other) 2019 Outpatient Facility Medicare 6732
Colonoscopy and biopsy 2019 Outpatient Facility Medi-Cal 100782
Nasogastric tube 2020 Outpatient Facility Medi-Cal 267
Pathology 2019 Hospice Medi-Cal 440
EEG (electroencephalogram) 2022 Outpatient Facility Medi-Cal 18142
Respiratory procedures - Diagnostic (other) 2020 Provider Medi-Cal 3129
Musculoskeletal procedures - Therapeutic OR (other) 2023 Outpatient Facility Medi-Cal 1238
Skin lesion - Excision 2021 Provider Commercial 1128724
Esophageal dilatation 2022 Outpatient Facility Commercial 7251
Therapeutic procedures - Other 2020 Outpatient Facility Medicare 1938487
Intraocular procedures - Therapeutic 2022 Outpatient Facility Medicare 30937
Tracheostomy (temporary and permanent) 2019 Provider Medicare 4014
Breast - Mastectomy 2023 Outpatient Facility Medi-Cal 1446
Amniocentesis - Diagnostic 2023 Outpatient Facility Medi-Cal 343
X-ray - Upper GI 2022 Outpatient Facility Commercial 17732
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2018 Inpatient Facility Commercial 102
DME and supplies 2022 Provider Commercial 4290237
Skin and subcutaneous tissue - Suture 2018 Provider Commercial 190520
Thyroidectomy (partial or complete) 2019 Outpatient Facility Medicare 1838
Skin, breast procedures - Therapeutic OR (other) 2020 Provider Medi-Cal 15435
Ileostomy and other enterostomy 2022 Provider Medicare 3435
Other types of lab tests 2018 Home Health Commercial 130
Emergency department services 2020 Provider Medi-Cal 4733299
Peritoneal dialysis 2018 Provider Commercial 3076
Care management/coordination services 2022 Outpatient Facility Medicare 207964
Urinary tract - Endoscopy and endoscopic biopsy 2020 Provider Medi-Cal 21029
Vessels other than head/neck procedures - Other OR 2022 Provider Medicare 106469
Knee - Arthroplasty 2018 Provider Commercial 20329
Other vascular catheterization (not heart) 2023 Provider Medi-Cal 129805
Extracorporeal lithotripsy, urinary 2021 Outpatient Facility Commercial 12836
Ancillary services 2021 Unclassified/other Commercial 17477
Radiology - Therapeutic 2020 Inpatient Facility Medicare 810
Electrocardiogram 2018 Independent Labs Commercial 73
Ungrouped Procedures 2018 Provider Medicare 2386932
Cesarean section 2022 Provider Medi-Cal 69772
Musculoskeletal procedures - Diagnostic (other) 2018 Provider Medicare 9728
Other types of visits 2023 Provider Commercial 147211
Ureteral catheterization 2020 Provider Medicare 16509
GI (upper) endoscopy, biopsy 2019 Provider Medicare 345837
Nervous system procedures - Therapeutic (other) 2018 Outpatient Facility Medi-Cal 32346
Consultation, evaluation, and preventive care 2019 Independent Labs Medi-Cal 74
TURP (transurethral resection of prostate) 2023 Provider Medi-Cal 1725
Hospital services 2018 Hospice Commercial 210
Office visits 2020 Unclassified/other Commercial 31141
Lung and bronchus procedures - Diagnostic (other) 2023 Provider Medicare 583672
Eye procedures - Corneal transplant 2023 Provider Medi-Cal 893
Skilled nursing facility services 2020 Unclassified/other Medi-Cal 1190
Myringotomy 2020 Outpatient Facility Commercial 3789
Psychological and psychiatric evaluation, therapy 2020 Ambulance Medi-Cal 111
Blood and blood product transfusion 2019 Independent Labs Medi-Cal 3995
CT scan - Head 2019 Provider Medicare 1005775
Ophthalmologic/otologic diagnosis and treatment 2021 Outpatient Facility Medicare 204898
Hernia repair - Other 2023 Inpatient Facility Medicare 116
Alcohol and drug management, treatment, and rehab. 2023 Unclassified/other Commercial 30518
Medications (injections, infusions, other forms) 2021 Home Health Commercial 5366
Urinary tract procedures - Therapeutic OR (other) 2023 Outpatient Facility Medicare 8465
Arterial blood gases 2020 Provider Medicare 8508
Radioisotope scan - Other 2022 Provider Medi-Cal 16211
CPT codes not classified (F codes) 2020 Home Health Medicare 430
Heart valve procedures 2018 Outpatient Facility Commercial 75
Ophthalmologic/otologic diagnosis and treatment 2021 Pharmacy Medicare 59
Other types of lab tests 2018 Independent Labs Medi-Cal 8387842
Medications (injections, infusions, other forms) 2021 Hospice Medicare 2216
Skin, breast procedures - Therapeutic OR (other) 2021 Inpatient Facility Medicare 61
Radiology - Therapeutic 2020 Outpatient Facility Medicare 464803
Consultation, evaluation, and preventive care 2019 Outpatient Facility Commercial 7440
Skilled nursing facility services 2020 Inpatient Facility Commercial 5953
Thyroidectomy (partial or complete) 2019 Provider Medi-Cal 2591
Lung and bronchus procedures - Diagnostic (other) 2023 Inpatient Facility Medicare 32754
Preventive visits 2018 Outpatient Facility Commercial 4414
Emergency department services 2020 Inpatient Facility Medi-Cal 748
Urinary tract - Endoscopy and endoscopic biopsy 2020 Provider Medicare 114615
HIPPS home health services 2023 Home Health Medicare 1540477
Arterial blood gases 2021 Outpatient Facility Medicare 70944
Ureteral catheterization 2021 Inpatient Facility Commercial 47
Ancillary services 2022 Home Health Commercial 10477
Ileostomy and other enterostomy 2023 Outpatient Facility Medicare 453
Vessels other than head/neck procedures - Other OR 2022 Outpatient Facility Commercial 7392
Blood and blood product transfusion 2019 Independent Labs Medicare 314
Delivery - Forceps, vacuum, and breech 2023 Provider Medicare 174
Male genital procedures - Therapeutic (other) 2023 Outpatient Facility Medicare 2985
Conversion of cardiac rhythm 2021 Inpatient Facility Medicare 163
Joint procedures - Therapeutic OR (other) 2020 Outpatient Facility Medicare 8587
Psychological and psychiatric evaluation, therapy 2019 Provider Commercial 8695900
Extracorporeal lithotripsy, urinary 2021 Provider Commercial 13233
Cardiovascular procedures - Therapeutic (other) 2018 Inpatient Facility Medicare 871
Radioisotope scan - Other 2022 Outpatient Facility Medi-Cal 11906
CPT codes not classified (F codes) 2020 Independent Labs Medicare 1981
Hernia repair - Inguinal and femoral 2022 Outpatient Facility Medicare 17179
Telehealth 2019 Home Health Medi-Cal 102
Proctoscopy and anorectal biopsy 2020 Outpatient Facility Medi-Cal 3880
Alcohol and drug management, treatment, and rehab. 2023 Home Health Medi-Cal 2163
Office visits 2020 Pharmacy Commercial 494
Transportation - Patient, provider, equipment 2022 Outpatient Facility Commercial 2816
Cardiovascular procedures - Therapeutic (other) 2023 Outpatient Facility Medi-Cal 18163
Skin and subcutaneous tissue - Incision, drainage 2023 Provider Medicare 87456
DME and supplies 2022 Provider Medi-Cal 6988897
Eye procedures - Corneal transplant 2022 Provider Medicare 3555
Nervous system procedures - Therapeutic (other) 2018 Provider Commercial 243925
Ungrouped Procedures 2019 Ambulance Commercial 5494
CT scan - Head 2020 Outpatient Facility Medi-Cal 291375
Eye procedures - Therapeutic (other) 2022 Provider Commercial 63429
Joint procedures - Therapeutic OR (other) 2022 Outpatient Facility Medicare 11055
Therapeutic procedures - Other 2022 Ambulance Commercial 91
Eye procedures - Diagnostic 2022 Provider Medicare 42836
Amniocentesis - Diagnostic 2019 Provider Medi-Cal 792
Extracorporeal lithotripsy, urinary 2023 Provider Commercial 12760
Cholecystectomy and common duct exploration 2021 Outpatient Facility Medicare 8256
CT scan - Head 2021 Provider Commercial 408072
Transportation - Patient, provider, equipment 2023 Independent Labs Commercial 2681
Nonoperative removal of foreign body 2022 Outpatient Facility Commercial 4082
DME and supplies 2023 Hospice Medicare 11748
Skin, breast procedures - Therapeutic OR (other) 2023 Inpatient Facility Medicare 62
Myelogram 2020 Provider Commercial 944
Skin graft 2021 Provider Medi-Cal 46002
Vessels other than head/neck procedures - Other OR 2023 Provider Commercial 17412
Care management/coordination services 2023 Provider Medicare 854665
GI (upper) endoscopy, biopsy 2020 Provider Medi-Cal 119557
Nervous system procedures - Therapeutic (other) 2020 Outpatient Facility Medicare 74454
Ophthalmologic/otologic diagnosis and treatment 2022 Provider Commercial 4956311
Division of joint capsule (ligament or cartilage) 2023 Outpatient Facility Medi-Cal 838
Peritoneal dialysis 2020 Provider Medi-Cal 31683
TURP (transurethral resection of prostate) 2018 Provider Medicare 9459
PTCA (percutaneous transluminal coronary angio.) 2022 Outpatient Facility Commercial 4639
Urinary system (nonoperative) measurements 2023 Independent Labs Medi-Cal 282769
Medications (injections, infusions, other forms) 2022 Home Health Medi-Cal 161
Other types of visits 2021 Home Health Commercial 83
Colorectal resection 2022 Provider Commercial 9432
Anesthesia 2020 Unclassified/other Commercial 57
Hernia repair - Other 2018 Outpatient Facility Medi-Cal 7051
GI procedures - Therapeutic OR 2019 Inpatient Facility Medi-Cal 34
Other types of lab tests 2018 Unclassified/other Commercial 1333
Muscles, tendons, joints - Injections, aspirations 2018 Provider Medi-Cal 87262
Radiology - Therapeutic 2022 Outpatient Facility Medicare 510191
Radioisotope scan and function studies 2019 Inpatient Facility Medicare 2801
Fallopian tubes - Ligation 2019 Outpatient Facility Medi-Cal 1923
MRI (magnetic resonance imaging) 2018 Provider Medi-Cal 577543
Vascular bypass and shunt - Other (not heart) 2020 Provider Commercial 347
Psychological and psychiatric evaluation, therapy 2020 Unclassified/other Commercial 29616
Cardiovascular procedures - Diagnostic (other) 2020 Inpatient Facility Medi-Cal 73
Behavioral health services 2020 Outpatient Facility Commercial 381
Skilled nursing facility services 2023 Inpatient Facility Medicare 477234
Hospital services 2018 Provider Commercial 2343417
Arterial blood gases 2022 Provider Medicare 7475
X-ray - Chest (routine) 2023 Inpatient Facility Medicare 69531
Respiratory therapy - Other 2019 Provider Medi-Cal 120376
Cardiac stress tests 2022 Outpatient Facility Medi-Cal 19608
Ancillary services 2019 Home Health Medi-Cal 654537
Muscle and tendon procedures - Therapeutic (other) 2022 Independent Labs Medicare 138
Ultrasound - Urinary tract - Diagnostic 2018 Provider Commercial 1485
Hernia repair - Inguinal and femoral 2020 Inpatient Facility Medicare 72
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2023 Inpatient Facility Medicare 8666
Male genital procedures - Diagnostic 2020 Outpatient Facility Commercial 2301
Laparoscopy 2020 Outpatient Facility Commercial 4350
Nose, mouth, pharynx procedures - Therapeutic 2018 Inpatient Facility Medicare 168684
Treatment, fracture, dislocation - Other 2022 Inpatient Facility Commercial 111
Intravenous pyelogram 2021 Outpatient Facility Commercial 74
Tracheostomy (temporary and permanent) 2021 Provider Commercial 1780
Female organ procedures - Therapeutic OR (other) 2021 Outpatient Facility Medicare 3523
Skin, breast procedures - Therapeutic (other) 2019 Outpatient Facility Medicare 157385
Excision, lysis peritoneal adhesions 2018 Provider Medicare 1888
GI procedures - Diagnostic 2023 Independent Labs Medicare 2088
D&C - Aspiration after delivery or abortion 2019 Outpatient Facility Commercial 6104
Ear procedures - Diagnostic 2020 Provider Medi-Cal 2171
Pleura incision, thoracentesis, chest drainage 2020 Inpatient Facility Medi-Cal 78
Ungrouped Procedures 2022 Inpatient Facility Medicare 91827
Extraocular muscle procedures - Therapeutic 2019 Outpatient Facility Commercial 3549
CT scan - Head 2019 Inpatient Facility Commercial 263
Decompression peripheral nerve 2019 Outpatient Facility Medi-Cal 4542
Spinal tap - Diagnostic 2023 Provider Medicare 12039
Eye procedures - Repair of retinal tear/detachment 2018 Outpatient Facility Commercial 4916
Bunionectomy or repair of toe deformities 2021 Outpatient Facility Medi-Cal 2474
Alcohol and drug management, treatment, and rehab. 2019 Outpatient Facility Commercial 37159
Breast - Biopsy, procedures - Diagnostic (other) 2021 Provider Medicare 39575
Hearing devices and audiology supplies 2021 Provider Medicare 22378
Skin and subcutaneous tissue - Diagnostic (other) 2022 Provider Commercial 487016
Laboratory - Chemistry and hematology 2020 Independent Labs Medi-Cal 16796124
Electrographic cardiac monitoring 2023 Provider Medicare 1367724
DME and supplies 2018 Hospice Medicare 1852
Non-hospital-based care (home health, hospice) 2022 Unclassified/other Commercial 651
Prostatectomy (open ) 2020 Outpatient Facility Medi-Cal 124
Contrast aortogram 2020 Provider Commercial 2668
Obstetrical procedures - Therapeutic (other) 2023 Outpatient Facility Commercial 1987
Arterial blood gases 2020 Inpatient Facility Medi-Cal 693
Other types of visits 2018 Provider Medicare 563960
Radiology - Diagnostic (other) 2021 Home Health Medicare 320
Radioisotope scan - Bone 2021 Outpatient Facility Medicare 24623
Large intestine lesion - Local excision 2022 Provider Medi-Cal 71
Arthrocentesis 2023 Outpatient Facility Medicare 63542
Laboratory - Chemistry and hematology 2021 Provider Medicare 7707793
Heart procedures - Other OR 2020 Inpatient Facility Commercial 74
CT scan - Chest 2023 Outpatient Facility Commercial 166278
Skin, breast procedures - Therapeutic (other) 2023 Inpatient Facility Medicare 12153
GI (upper) procedures - Therapeutic OR 2020 Outpatient Facility Commercial 584
Laparoscopy 2022 Provider Medi-Cal 6171
D&C - Aspiration after delivery or abortion 2022 Outpatient Facility Commercial 5548
CABG (coronary artery bypass graft) 2023 Provider Medicare 24561
Eye procedures - Repair of retinal tear/detachment 2023 Provider Medicare 14822
Cardiac catheterization/arteriography - Diagnostic 2019 Inpatient Facility Commercial 105
Proctoscopy and anorectal biopsy 2023 Outpatient Facility Medicare 9707
Organ transplantation - Other 2022 Provider Medicare 3146
Other types of lab tests 2023 Independent Labs Commercial 16015132
Intraoperative cholangiogram 2023 Outpatient Facility Medi-Cal 406
Colorectal resection 2020 Provider Medicare 16046
Prophylactic vaccinations and inoculations 2020 Inpatient Facility Commercial 2592
Nose, mouth, pharynx procedures - Diagnostic 2021 Unclassified/other Medi-Cal 34
Cervix and uterus - Other excision 2019 Provider Medicare 1946
Gastrostomy (temporary and permanent) 2022 Provider Medicare 31697
Male genital procedures - Therapeutic (other) 2018 Provider Commercial 31016
Radiology - Diagnostic (other) 2023 Independent Labs Medi-Cal 65
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2021 Outpatient Facility Commercial 264649
Transportation - Patient, provider, equipment 2019 Independent Labs Medi-Cal 6172
Delivery - Forceps, vacuum, and breech 2018 Provider Commercial 53797
Eye procedures - Corneal transplant 2019 Outpatient Facility Commercial 751
Ancillary services 2020 Pharmacy Commercial 114
Office visits 2019 Outpatient Facility Medi-Cal 22747885
Abdominal paracentesis 2020 Outpatient Facility Commercial 7762
Bone procedures - Therapeutic OR (other) 2019 Outpatient Facility Medicare 6816
Musculoskeletal procedures - Therapeutic OR (other) 2019 Provider Medi-Cal 2961
Nervous system procedures - Diagnostic (other) 2019 Independent Labs Medi-Cal 5368
Hemodialysis 2021 Inpatient Facility Medicare 14042
Cystocele/rectocele repair, oblit. of vag. vault 2018 Provider Medicare 8146
Respiratory procedures - Therapeutic (other) 2021 Inpatient Facility Medicare 2135
Physical/occupational/speech therapy - Other 2018 Inpatient Facility Commercial 273
Urinary tract procedures - Therapeutic (other) 2023 Provider Commercial 14718
Vessels of head/neck procedures - Other OR 2022 Provider Commercial 2744
Arterial blood gases 2018 Outpatient Facility Commercial 22393
Esophageal dilatation 2018 Provider Medi-Cal 6068
Physical/occupational/speech therapy - Exercises 2022 Outpatient Facility Medicare 2599318
Pathology 2019 Unclassified/other Medi-Cal 230
Treatment, fracture, dislocation - Hip and femur 2023 Provider Medi-Cal 8740
Nose, mouth, pharynx procedures - Therapeutic OR 2020 Outpatient Facility Medicare 8202
Appendectomy 2022 Provider Commercial 15852
Ancillary services 2019 Independent Labs Commercial 198942
Decompression peripheral nerve 2021 Provider Medi-Cal 8306
Female organ procedures - Therapeutic OR (other) 2023 Provider Medicare 8614
Obstetrical procedures - Therapeutic (other) 2023 Provider Medi-Cal 421221
Skin, breast procedures - Therapeutic (other) 2019 Provider Medicare 2988618
Laminectomy, excision intervertebral disc 2020 Provider Medi-Cal 12142
Radiology - Diagnostic (other) 2021 Independent Labs Medicare 971
DME and supplies 2020 Inpatient Facility Medicare 425999
Gastrostomy (temporary and permanent) 2018 Outpatient Facility Commercial 1086
Muscles, tendons, joints - Injections, aspirations 2018 Outpatient Facility Commercial 7223
Radioisotope scan - Bone 2021 Provider Medicare 35620
Respiratory therapy - Other 2020 Provider Medicare 52105
Nephrotomy and nephrostomy 2021 Provider Commercial 4292
Pleura incision, thoracentesis, chest drainage 2022 Inpatient Facility Medicare 564
Tracheostomy (temporary and permanent) 2022 Outpatient Facility Medicare 58
Prostatectomy (open ) 2021 Provider Medicare 5061
Breast - Biopsy, procedures - Diagnostic (other) 2022 Provider Commercial 55166
Spleen procedures 2022 Provider Commercial 335
Eye procedures - Repair of retinal tear/detachment 2018 Provider Commercial 12667
Skin and subcutaneous tissue - Diagnostic (other) 2022 Unclassified/other Medi-Cal 45
Ultrasound - Urinary tract - Diagnostic 2021 Inpatient Facility Medi-Cal 47
Laboratory - Chemistry and hematology 2020 Inpatient Facility Commercial 7063
D&C (dilatation and curettage) - Diagnostic 2018 Provider Medi-Cal 2536
ERCP (endoscopic retro. cannulation of pancreas) 2021 Outpatient Facility Medicare 14553
Other types of visits 2020 Home Health Medicare 94
Bunionectomy or repair of toe deformities 2021 Provider Medicare 14644
Treatment, fracture, dislocation - Other 2022 Outpatient Facility Medicare 10093
Physical/occupational/speech therapy - Exercises 2020 Provider Commercial 11161336
Medications (injections, infusions, other forms) 2018 Unclassified/other Medicare 155
Urinary system (nonoperative) measurements 2021 Provider Medicare 1113311
Hemorrhoid procedures 2019 Provider Medicare 20637
Ungrouped Procedures 2022 Outpatient Facility Medicare 2286205
Behavioral health services 2019 Provider Commercial 27261
Exploratory laparotomy 2018 Provider Commercial 1723
CT scan - Chest 2021 Outpatient Facility Medicare 320382
Extraocular muscle procedures - Therapeutic 2019 Provider Medi-Cal 10279
Lobectomy or pneumonectomy 2021 Provider Commercial 1750
Ultrasound - Diagnostic (other) 2023 Inpatient Facility Medi-Cal 2744
Embolectomy and endarterectomy of lower limbs 2018 Provider Medi-Cal 1193
Hip replacement (partial and total) 2021 Provider Commercial 16693
Tympanoplasty 2021 Outpatient Facility Commercial 1712
Hysterectomy (abdominal and vaginal) 2018 Inpatient Facility Medicare 163
Cystocele/rectocele repair, oblit. of vag. vault 2019 Provider Medicare 8158
Oral and dental services 2020 Provider Commercial 2424
Critical care services 2023 Outpatient Facility Commercial 28753
Abortion (termination of pregnancy) 2020 Provider Medi-Cal 60244
Amniocentesis - Diagnostic 2022 Outpatient Facility Medi-Cal 312
Debridement of wound, infection or burn 2020 Outpatient Facility Medicare 120249
Nose procedures - Plastic 2022 Outpatient Facility Commercial 13748
GI (upper) procedures - Therapeutic 2018 Outpatient Facility Medi-Cal 241
Extraocular muscle procedures - Therapeutic 2021 Provider Commercial 6134
Liver biopsy 2019 Provider Commercial 5090
X-ray - Upper GI 2019 Outpatient Facility Medicare 32267
Central nervous system (CNS) incision and excision 2023 Provider Medicare 7953
Urinary system (nonoperative) measurements 2018 Inpatient Facility Commercial 179
Treatment, fracture, dislocation - Lower extrem. 2018 Provider Commercial 28010
Endocrine procedures - Therapeutic 2020 Provider Medicare 4452
Extracorporeal shock wave (other than urinary) 2019 Outpatient Facility Medicare 37372
Psychological and psychiatric evaluation, therapy 2022 Outpatient Facility Commercial 274122
Hospital services 2021 Inpatient Facility Medi-Cal 4431
Urinary tract procedures - Therapeutic OR (other) 2018 Provider Commercial 6256
Eye procedures - Lens and cataract 2021 Provider Commercial 48107
Vessels of head/neck procedures - Other OR 2022 Provider Medicare 8355
Gastrostomy (temporary and permanent) 2021 Inpatient Facility Medicare 437
Cardiac catheterization/arteriography - Diagnostic 2018 Outpatient Facility Medicare 63927
Ancillary services 2020 Home Health Medicare 37081
X-ray - Lower GI 2019 Provider Medicare 4595
DME and supplies 2019 Home Health Medicare 66195
Urinary tract procedures - Therapeutic (other) 2022 Provider Medi-Cal 13609
Prophylactic vaccinations and inoculations 2023 Home Health Medicare 896
Electrographic cardiac monitoring 2019 Inpatient Facility Medicare 267
Wound care - Traction, splints, other 2022 Provider Medi-Cal 246494
Nervous system procedures - Therapeutic OR (other) 2019 Outpatient Facility Medicare 16784
Therapeutic procedures - Other 2020 Inpatient Facility Medicare 15078
Spinal canal stimulator insertion and injection 2023 Provider Medicare 329985
Tracheostomy (temporary and permanent) 2019 Outpatient Facility Medicare 53
Hearing devices and audiology supplies 2019 Provider Commercial 12550
Radioisotope scan and function studies 2023 Provider Commercial 146737
EEG (electroencephalogram) 2022 Inpatient Facility Medi-Cal 760
Physical/occupational/speech therapy - Exercises 2019 Outpatient Facility Medicare 2726662
Intraocular procedures - Therapeutic 2021 Provider Medi-Cal 142600
Microscopic examination (e.g., lab, toxicology) 2023 Provider Medicare 1076071
Appendectomy 2018 Provider Medi-Cal 16672
Obstetrical procedures - Therapeutic (other) 2021 Outpatient Facility Medi-Cal 22252
CT scan - Chest 2018 Inpatient Facility Medicare 8304
Other types of lab tests 2023 Outpatient Facility Commercial 4926027
Skin graft 2023 Outpatient Facility Medi-Cal 8278
GI (upper) endoscopy, biopsy 2021 Unclassified/other Commercial 40
Ungrouped Procedures 2023 Inpatient Facility Medi-Cal 12339
Proctoscopy and anorectal biopsy 2022 Provider Commercial 45548
Arthrocentesis 2021 Provider Commercial 332435
Therapeutic procedures - Other 2018 Provider Medicare 2630942
Male genital procedures - Diagnostic 2023 Provider Medi-Cal 5459
Female organ procedures - Diagnostic (other) 2022 Provider Medi-Cal 94084
Nephrectomy (partial or complete) 2023 Outpatient Facility Commercial 774
Tracheoscopy and laryngoscopy with biopsy 2020 Provider Commercial 60694
Laboratory - Chemistry and hematology 2021 Independent Labs Medicare 37674064
Respiratory procedures - Therapeutic OR (other) 2021 Provider Commercial 7250
Endocrine procedures - Therapeutic 2018 Outpatient Facility Medi-Cal 1117
Joint procedures - Therapeutic OR (other) 2018 Inpatient Facility Medicare 94
Non-hospital-based care (home health, hospice) 2018 Outpatient Facility Medicare 136928
Physical/occupational/speech therapy - Other 2018 Inpatient Facility Medi-Cal 27734
Heart procedures - Other OR 2019 Outpatient Facility Commercial 538
Bowel procedures - Diagnostic 2018 Provider Medi-Cal 108
Hemodialysis 2020 Outpatient Facility Medicare 91332
Contrast aortogram 2018 Provider Medi-Cal 6940
X-ray - Upper GI 2021 Provider Medicare 82586
Skilled nursing facility services (HIPPS) 2022 Outpatient Facility Commercial 269
Pacemaker or cardioverter/defibrillator services 2021 Inpatient Facility Medicare 585
Skin lesion - Excision 2020 Outpatient Facility Commercial 25142
Respiratory procedures - Diagnostic (other) 2019 Provider Medicare 22163
Enteral and parenteral nutrition 2022 Provider Commercial 50950
Oophorectomy (unilateral and bilateral) 2023 Outpatient Facility Commercial 7933
Bone marrow transplant 2018 Inpatient Facility Commercial 105
CT scan - Other 2020 Inpatient Facility Medi-Cal 935
Hemodialysis 2021 Unclassified/other Medi-Cal 86
AVF or vessel-to-vessel cannula for dialysis svcs. 2020 Provider Medicare 73801
Breast - Mastectomy 2022 Provider Medicare 4516
Pregnancy (ectopic) - Removal 2020 Provider Commercial 1379
Female organ procedures - Diagnostic (other) 2018 Outpatient Facility Medicare 18423
Cholecystectomy and common duct exploration 2021 Inpatient Facility Medicare 227
Colostomy (temporary and permanent) 2018 Provider Medi-Cal 635
Transportation - Patient, provider, equipment 2020 Home Health Medi-Cal 4889
Ultrasound - Head and neck - Diagnostic 2021 Outpatient Facility Commercial 63880
Medications (injections, infusions, other forms) 2022 Ambulance Commercial 6569
EEG (electroencephalogram) 2018 Inpatient Facility Medi-Cal 82
Psychological and psychiatric evaluation, therapy 2018 Outpatient Facility Medi-Cal 127344
Fetal monitoring 2019 Provider Medicare 1347
Other types of visits 2021 Hospice Medi-Cal 30136
Lung and bronchus procedures - Diagnostic (other) 2020 Inpatient Facility Medicare 1112
Laboratory - Chemistry and hematology 2022 Unclassified/other Commercial 6073
Radioisotope scan - Bone 2023 Provider Medi-Cal 7454
Skin and subcutaneous tissue - Incision, drainage 2018 Outpatient Facility Medi-Cal 46985
Ultrasound - Diagnostic (other) 2019 Outpatient Facility Medicare 373309
Organ transplantation - Other 2022 Outpatient Facility Commercial 136
Pathology 2022 Unclassified/other Commercial 279
Colorectal resection 2020 Outpatient Facility Commercial 357
Office visits 2018 Outpatient Facility Medi-Cal 17929894
Treatment, fracture, dislocation - Hip and femur 2021 Provider Medi-Cal 8077
Contrast arteriogram - Lower extremity arteries 2018 Outpatient Facility Medicare 1344
Urinary obstruction - Excision, drainage, removal 2020 Provider Medi-Cal 7891
Other types of lab tests 2022 Unclassified/other Commercial 7067
CABG (coronary artery bypass graft) 2020 Provider Commercial 7686
Oophorectomy (unilateral and bilateral) 2019 Provider Medicare 2685
Musculoskeletal procedures - Therapeutic OR (other) 2020 Inpatient Facility Medicare 189
Ear procedures - Therapeutic 2021 Outpatient Facility Medi-Cal 30473
Mammography 2021 Outpatient Facility Commercial 664435
Respiratory therapy - Other 2023 Inpatient Facility Medicare 19934
Care management/coordination services 2023 Outpatient Facility Medi-Cal 27000
Tympanoplasty 2018 Outpatient Facility Medi-Cal 1068
Hospital services 2019 Outpatient Facility Commercial 833
Skin, breast procedures - Therapeutic OR (other) 2022 Provider Commercial 38047
Radioisotope scan and function studies 2020 Outpatient Facility Medi-Cal 34876
Pacemaker or cardioverter/defibrillator services 2018 Provider Commercial 5572
Behavioral health services 2022 Provider Medi-Cal 150292
Radiology - Therapeutic 2022 Inpatient Facility Medicare 705
Alcohol and drug management, treatment, and rehab. 2021 Outpatient Facility Commercial 48079
Bone marrow biopsy 2019 Provider Medicare 18953
Cardiovascular procedures - Diagnostic (other) 2021 Outpatient Facility Commercial 14381
Vascular bypass and shunt - Other (not heart) 2022 Outpatient Facility Medicare 81
Hernia repair - Inguinal and femoral 2023 Provider Medi-Cal 10428
Emergency department services 2018 Inpatient Facility Medicare 426
Anesthesia 2020 Provider Medi-Cal 916334
GI procedures - Therapeutic OR 2018 Provider Commercial 7279
TURP (transurethral resection of prostate) 2019 Provider Commercial 2073
Muscles, tendons, joints - Injections, aspirations 2020 Outpatient Facility Medicare 20245
Ophthalmologic/otologic diagnosis and treatment 2019 Provider Commercial 5303121
Eye procedures - Glaucoma 2019 Provider Commercial 13127
Nervous system procedures - Therapeutic (other) 2022 Inpatient Facility Medicare 139
Arterial blood gases 2022 Outpatient Facility Medi-Cal 61807
Breast - Mastectomy 2018 Outpatient Facility Medicare 2800
Joint procedures - Therapeutic OR (other) 2022 Provider Medicare 38134
Office visits 2020 Unclassified/other Medi-Cal 65011
GI (upper) endoscopy, biopsy 2019 Outpatient Facility Commercial 124749
Medications (injections, infusions, other forms) 2021 Outpatient Facility Medicare 15680948
Myringotomy 2021 Outpatient Facility Medicare 403
Eye procedures - Diagnostic 2021 Provider Medi-Cal 11359
Pleura incision, thoracentesis, chest drainage 2022 Provider Medi-Cal 17632
Skin, breast procedures - Therapeutic OR (other) 2022 Inpatient Facility Medicare 80
Blood and blood product transfusion 2019 Provider Commercial 10391
Colorectal resection 2021 Outpatient Facility Medicare 441
Indwelling catheter 2018 Outpatient Facility Medi-Cal 16013
Arterial blood gases 2022 Inpatient Facility Medi-Cal 453
CT scan - Head 2021 Independent Labs Medicare 193
Alcohol and drug management, treatment, and rehab. 2023 Outpatient Facility Medi-Cal 258643
Musculoskeletal procedures - Diagnostic (other) 2019 Inpatient Facility Medicare 36
Peritoneal dialysis 2018 Provider Medicare 15231
Ungrouped Procedures 2019 Independent Labs Medi-Cal 783
Vessels other than head/neck procedures - Other OR 2023 Inpatient Facility Commercial 124
Fetal monitoring 2018 Outpatient Facility Medicare 1253
Radiology - Therapeutic 2021 Outpatient Facility Medicare 485898
Delivery - Other procedures to assist 2018 Provider Medi-Cal 956
Other types of lab tests 2018 Outpatient Facility Medicare 6477996
Other types of visits 2020 Outpatient Facility Medicare 10976
MRI (magnetic resonance imaging) 2018 Independent Labs Commercial 86
Psychological and psychiatric evaluation, therapy 2020 Hospice Medicare 367
Chemotherapy - Cancer 2018 Outpatient Facility Commercial 146575
Conversion of cardiac rhythm 2022 Inpatient Facility Medicare 113
Ear procedures - Diagnostic 2023 Provider Commercial 5382
DME and supplies 2023 DME (Durable Medical Equipment) Commercial 1538858
Joint procedures - Therapeutic OR (other) 2021 Outpatient Facility Medi-Cal 6459
Urinary tract - Endoscopy and endoscopic biopsy 2021 Provider Medicare 127409
Transportation - Patient, provider, equipment 2022 Provider Medicare 471865
Extracorporeal lithotripsy, urinary 2022 Provider Commercial 12881
Hospital services 2018 Hospice Medicare 9284
Bone marrow biopsy 2018 Outpatient Facility Medicare 6607
Male genital procedures - Therapeutic OR (other) 2018 Outpatient Facility Medi-Cal 5195
Ophthalmologic/otologic diagnosis and treatment 2022 Inpatient Facility Medi-Cal 225
Ungrouped Procedures 2023 DME (Durable Medical Equipment) Medi-Cal 77443
Skilled nursing facility services 2021 Independent Labs Commercial 2695
Therapeutic procedures - Other 2021 Outpatient Facility Medi-Cal 2422134
Nervous system procedures - Therapeutic (other) 2019 Outpatient Facility Medicare 79138
Ovary operations - Other 2018 Outpatient Facility Medi-Cal 105
Spleen procedures 2023 Provider Medicare 339
Cardiovascular procedures - Therapeutic (other) 2019 Inpatient Facility Medicare 1004
Heart valve procedures 2018 Outpatient Facility Medicare 81
GI (upper) endoscopy, biopsy 2023 Inpatient Facility Medicare 602
CT scan - Abdomen 2023 Provider Medi-Cal 869163
Aortic resection - Replacement or anastomosis 2023 Provider Medicare 4666
MRI (magnetic resonance imaging) 2021 Inpatient Facility Commercial 199
Oral and dental services 2019 Outpatient Facility Medi-Cal 16871
Laboratory - Chemistry and hematology 2019 Hospice Medi-Cal 2343
Nose procedures - Plastic 2020 Provider Medi-Cal 4698
Catheterization (Swan-Ganz) for monitoring 2023 Provider Commercial 3348
Electrographic cardiac monitoring 2018 Provider Medi-Cal 144728
Nervous system procedures - Therapeutic OR (other) 2018 Outpatient Facility Medicare 15412
Consultations 2023 Provider Medicare 20998
Tracheoscopy and laryngoscopy with biopsy 2023 Provider Medi-Cal 44102
Spinal tap - Diagnostic 2018 Outpatient Facility Commercial 5963
Hearing devices and audiology supplies 2018 Outpatient Facility Medi-Cal 8771
GI procedures - Therapeutic OR 2022 Outpatient Facility Medi-Cal 809
Intraocular procedures - Therapeutic 2020 Provider Medi-Cal 126185
Hospital services 2020 Provider Medicare 11531990
Other types of lab tests 2020 Inpatient Facility Medicare 414094
X-ray - Upper GI 2021 Inpatient Facility Medi-Cal 149
Extracranial ventricular shunt services 2021 Provider Commercial 2770
Vessels of head/neck - Endarterectomy 2020 Provider Commercial 397
Nephrotomy and nephrostomy 2018 Provider Medicare 8964
Pacemaker or cardioverter/defibrillator services 2020 Outpatient Facility Commercial 2856
Ancillary services 2018 Home Health Medicare 37244
Obstetrical procedures - Therapeutic (other) 2020 Provider Commercial 60768
Circumcision 2019 Outpatient Facility Medicare 779
Bone marrow biopsy 2023 Independent Labs Medicare 141
Hemic/lymphatic system procedures - Therapeutic 2020 Outpatient Facility Commercial 17680
Skin lesion - Excision 2019 Outpatient Facility Medicare 87312
Mastoidectomy 2018 Provider Commercial 819
Urinary tract procedures - Diagnostic (other) 2021 Outpatient Facility Medi-Cal 1453
Coronary thrombolysis 2023 Provider Medi-Cal 115
Therapeutic procedures - Other 2019 Provider Medicare 2711062
Urinary obstruction - Excision, drainage, removal 2023 Outpatient Facility Medi-Cal 2739
Debridement of wound, infection or burn 2019 Provider Commercial 59883
AVF or vessel-to-vessel cannula for dialysis svcs. 2019 Provider Medi-Cal 25603
Eye procedures - Lens and cataract 2020 Provider Commercial 42784
Ultrasound - Heart (echocardiogram) - Diagnostic 2022 Outpatient Facility Medi-Cal 158316
Emergency department services 2023 Provider Medi-Cal 5740329
Tympanoplasty 2020 Outpatient Facility Commercial 1525
EEG (electroencephalogram) 2021 Inpatient Facility Medi-Cal 488
Radioisotope scan and function studies 2022 Provider Commercial 144407
Musculoskeletal procedures - Therapeutic OR (other) 2020 Provider Medi-Cal 3183
X-ray - Chest (routine) 2021 Outpatient Facility Commercial 652945
Bronchoscopy and biopsy - Diagnostic 2023 Provider Medicare 41615
Respiratory procedures - Therapeutic (other) 2021 Inpatient Facility Commercial 42
Oophorectomy (unilateral and bilateral) 2021 Provider Medi-Cal 4865
Physical/occupational/speech therapy - Exercises 2019 Home Health Medicare 5774
Pregnancy (ectopic) - Removal 2018 Provider Medi-Cal 1463
Physical/occupational/speech therapy - Exercises 2023 Pharmacy Medicare 84
X-ray - Upper GI 2019 Inpatient Facility Medicare 1540
Extraocular muscle procedures - Therapeutic 2023 Provider Medi-Cal 10111
Ultrasound - Diagnostic (other) 2019 Outpatient Facility Medi-Cal 737948
X-ray - Lower GI 2019 Provider Medi-Cal 3036
Oophorectomy (unilateral and bilateral) 2019 Outpatient Facility Medicare 1319
Ultrasound - Urinary tract - Diagnostic 2022 Outpatient Facility Medi-Cal 1056
Ancillary services 2020 Home Health Medi-Cal 753926
Skin and subcutaneous tissue - Incision, drainage 2018 Unclassified/other Medi-Cal 59
Cardiac catheterization/arteriography - Diagnostic 2018 Outpatient Facility Commercial 22617
Liver biopsy 2021 Outpatient Facility Medicare 4082
Vessels other than head/neck procedures - Other OR 2021 Pharmacy Commercial 13844
Radioisotope scan - Other 2018 Outpatient Facility Medi-Cal 276
Office visits 2018 Provider Commercial 35292194
Musculoskeletal procedures - Therapeutic OR (other) 2018 Provider Commercial 3157
CABG (coronary artery bypass graft) 2021 Provider Medi-Cal 8157
Heart procedures - Other OR 2019 Inpatient Facility Medicare 108
Urinary tract procedures - Therapeutic (other) 2022 Provider Commercial 15397
Bowel procedures - Diagnostic 2020 Provider Medi-Cal 111
Prophylactic vaccinations and inoculations 2022 Unclassified/other Medi-Cal 24880
Male genital procedures - Diagnostic 2023 Provider Commercial 17810
DME and supplies 2019 Home Health Commercial 20199
Therapeutic procedures - Other 2018 Provider Commercial 1760691
Gastrostomy (temporary and permanent) 2021 Provider Medi-Cal 17394
Female organ procedures - Diagnostic (other) 2022 Independent Labs Commercial 9038
Hospital services 2023 Unclassified/other Medi-Cal 52
Critical care services 2022 Provider Medicare 1296702
CT scan - Abdomen 2022 Unclassified/other Medicare 55
Respiratory procedures - Therapeutic OR (other) 2021 Outpatient Facility Medicare 3508
Endocrine procedures - Therapeutic 2018 Unclassified/other Medi-Cal 37
Pathology 2023 Independent Labs Medicare 1604416
Consultations 2021 Unclassified/other Commercial 191
Abortion (termination of pregnancy) 2021 Provider Commercial 18178
Joint procedures - Therapeutic OR (other) 2018 Provider Medicare 41562
Other types of lab tests 2022 Provider Medi-Cal 4228419
Cervix and uterus - Other excision 2018 Provider Medi-Cal 9261
Nose, mouth, pharynx procedures - Therapeutic 2020 Outpatient Facility Medi-Cal 37369
Eye procedures - Repair of retinal tear/detachment 2022 Provider Medi-Cal 8607
Nephrectomy (partial or complete) 2022 Provider Medicare 6540
Physical/occupational/speech therapy - Exercises 2022 Independent Labs Commercial 790
Colorectal resection 2020 Inpatient Facility Medicare 64
Esophageal varices - Injection or ligation 2018 Provider Medicare 3948
GI (upper) procedures - Therapeutic OR 2019 Inpatient Facility Medicare 55
GI procedures - Diagnostic 2018 Outpatient Facility Medicare 11267
Female organ procedures - Therapeutic (other) 2020 Unclassified/other Medi-Cal 42
Knee - Excision of semilunar cartilage 2022 Outpatient Facility Medi-Cal 5505
Ultrasound - Heart (echocardiogram) - Diagnostic 2019 Unclassified/other Medi-Cal 50
Cystocele/rectocele repair, oblit. of vag. vault 2023 Outpatient Facility Medicare 5151
Treatment, fracture, dislocation - Lower extrem. 2020 Inpatient Facility Medicare 52
Microscopic examination (e.g., lab, toxicology) 2021 Inpatient Facility Medi-Cal 5823
Urinary tract procedures - Therapeutic OR (other) 2020 Inpatient Facility Medicare 35
Extracorporeal shock wave (other than urinary) 2021 Outpatient Facility Commercial 24787
Intraocular procedures - Therapeutic 2023 Provider Commercial 104034
Cardiac catheterization/arteriography - Diagnostic 2022 Outpatient Facility Medicare 68653
Arthroplasty other than hip or knee 2021 Provider Medicare 26904
Ultrasound - Diagnostic (other) 2018 Inpatient Facility Commercial 178
Preventive visits 2022 Provider Medi-Cal 3762768
CT scan - Abdomen 2021 Outpatient Facility Medicare 487175
Nose, mouth, pharynx procedures - Therapeutic OR 2022 Inpatient Facility Medi-Cal 45
Nose, mouth, pharynx procedures - Therapeutic 2019 Outpatient Facility Commercial 9519
Eye procedures - Glaucoma 2020 Outpatient Facility Medi-Cal 3437
EEG (electroencephalogram) 2023 Inpatient Facility Medi-Cal 720
Urinary obstruction - Excision, drainage, removal 2018 Outpatient Facility Medi-Cal 2487
Pathology 2022 Independent Labs Commercial 2337048
GI procedures - Therapeutic OR 2023 Outpatient Facility Medicare 3411
Laminectomy, excision intervertebral disc 2019 Provider Medi-Cal 13692
Bronchoscopy and biopsy - Diagnostic 2018 Outpatient Facility Medi-Cal 3473
Anesthesia 2023 Provider Medi-Cal 1081411
Enteral and parenteral nutrition 2019 Home Health Medi-Cal 1601
Electrocardiogram 2022 Unclassified/other Commercial 718
Consultations 2019 Provider Commercial 629801
Hemorrhoid procedures 2018 Provider Medicare 21532
Obstetric laceration - Repair 2019 Outpatient Facility Commercial 45
Other vascular catheterization (not heart) 2020 Outpatient Facility Medicare 42590
Esophageal dilatation 2023 Outpatient Facility Medi-Cal 5207
Ultrasound - Diagnostic (other) 2020 Independent Labs Commercial 121
Ovary operations - Other 2023 Provider Commercial 3678
Vessels other than head/neck procedures - Other OR 2020 Outpatient Facility Medi-Cal 3663
Physical/occupational/speech therapy - Diagnostic 2022 Provider Commercial 1149321
Prophylactic vaccinations and inoculations 2019 Pharmacy Medi-Cal 174
Circumcision 2021 Outpatient Facility Medi-Cal 3616
Non-hospital-based care (home health, hospice) 2020 Hospice Medi-Cal 86288
AVF or vessel-to-vessel cannula for dialysis svcs. 2021 Outpatient Facility Medi-Cal 7760
Tonsillectomy and/or adenoidectomy 2023 Outpatient Facility Medi-Cal 10929
Bone procedures - Therapeutic OR (other) 2021 Provider Medi-Cal 25825
Nephrotomy and nephrostomy 2020 Outpatient Facility Medicare 6589
Telehealth 2023 Hospice Medi-Cal 360
Mastoidectomy 2021 Provider Commercial 785
Chemotherapy - Cancer 2019 Provider Medicare 627498
GI procedures - Diagnostic 2021 Independent Labs Commercial 2441
Arthroscopy 2019 Outpatient Facility Medicare 655
Open-heart procedures - Extracorporeal circulation 2019 Outpatient Facility Medicare 55
Office visits 2023 Outpatient Facility Medi-Cal 35377120
Care management/coordination services 2019 Provider Medicare 552825
Laminectomy, excision intervertebral disc 2023 Outpatient Facility Commercial 6864
Ungrouped Procedures 2021 Provider Commercial 3009987
Spinal tap - Diagnostic 2020 Provider Medi-Cal 12612
Fallopian tubes - Ligation 2021 Provider Commercial 4986
Indwelling catheter 2020 Provider Commercial 15191
Eye procedures - Destruction of retinal lesion 2022 Provider Commercial 10546
Abortion (termination of pregnancy) 2022 Provider Medicare 66
Hemorrhoid procedures 2021 Provider Medi-Cal 7110
ERCP (endoscopic retro. cannulation of pancreas) 2023 Outpatient Facility Medicare 14795
Skin, breast procedures - Therapeutic OR (other) 2023 Provider Medicare 20896
Varicose vein stripping - Lower limb 2021 Outpatient Facility Commercial 1519
Skin and subcutaneous tissue - Suture 2021 Outpatient Facility Medicare 66219
CPT codes not classified (F codes) 2021 Unclassified/other Medicare 334
Cardiac stress tests 2019 Outpatient Facility Medicare 63875
Male genital procedures - Therapeutic OR (other) 2021 Inpatient Facility Medicare 50
Radiology - Therapeutic 2023 Outpatient Facility Commercial 212716
Ungrouped Procedures 2020 Hospice Medi-Cal 429
Female organ procedures - Therapeutic OR (other) 2018 Provider Commercial 23626
Radioisotope scan - Pulmonary 2019 Provider Medi-Cal 7034
Delivery - Other procedures to assist 2020 Provider Medi-Cal 2237
DME and supplies 2021 Inpatient Facility Medi-Cal 94893
Physical/occupational/speech therapy - Other 2023 Outpatient Facility Medi-Cal 176690
Liver biopsy 2022 Outpatient Facility Medicare 4322
Urinary system (nonoperative) measurements 2019 Independent Labs Commercial 342638
Electrographic cardiac monitoring 2021 Provider Commercial 188372
Visual aids and other optical supplies 2019 Independent Labs Medi-Cal 1034091
CT scan - Head 2022 Independent Labs Commercial 154
HIPPS home health services 2018 Unclassified/other Medi-Cal 74
Non-hospital-based care (home health, hospice) 2021 Outpatient Facility Commercial 31034
HCPCS Level II codes not classified 2021 Independent Labs Commercial 54
Treatment, fracture, dislocation - Facial 2021 Provider Medi-Cal 6942
Tonsillectomy and/or adenoidectomy 2022 Outpatient Facility Medicare 180
Visual aids and other optical supplies 2023 Outpatient Facility Medicare 83173
Urinary tract procedures - Diagnostic (other) 2023 Inpatient Facility Medicare 136
Endocrine procedures - Diagnostic 2021 Outpatient Facility Medicare 1828
Debridement of wound, infection or burn 2021 Outpatient Facility Medi-Cal 46479
Hemic/lymphatic system procedures - Therapeutic 2021 Provider Medi-Cal 11914
Arteriogram or venogram (not heart and head) 2020 Outpatient Facility Medicare 38540
Breast - Lumpectomy, quadrantectomy 2021 Outpatient Facility Commercial 13637
PTCA (percutaneous transluminal coronary angio.) 2022 Inpatient Facility Commercial 191
Radioisotope scan and function studies 2018 Inpatient Facility Medicare 2818
Other types of lab tests 2021 Inpatient Facility Commercial 2827
GI (upper) procedures - Therapeutic 2021 Outpatient Facility Medicare 597
Ureteral catheterization 2021 Provider Commercial 9050
GI procedures - Therapeutic 2023 Inpatient Facility Commercial 56
Skin graft 2020 Outpatient Facility Medicare 25551
Blood and blood product transfusion 2023 Unclassified/other Medi-Cal 145
Psychological and psychiatric evaluation, therapy 2023 Independent Labs Medi-Cal 48
CT scan - Abdomen 2020 Inpatient Facility Medicare 11904
Musculoskeletal procedures - Therapeutic (other) 2020 Provider Medicare 1539714
Nose, mouth, pharynx procedures - Therapeutic OR 2023 Inpatient Facility Medicare 97
Nervous system procedures - Therapeutic OR (other) 2020 Outpatient Facility Commercial 11574
Hospital services 2022 Inpatient Facility Medi-Cal 7049
Oral and dental services 2021 Outpatient Facility Medicare 1506
Nonoperative removal of foreign body 2020 Provider Commercial 14216
Division of joint capsule (ligament or cartilage) 2019 Provider Commercial 3846
Critical care services 2020 Inpatient Facility Medicare 77
Eye procedures - Diagnostic 2021 Outpatient Facility Medi-Cal 2356
Cholecystectomy and common duct exploration 2018 Provider Medi-Cal 27823
Treatment, fracture, dislocation - Radius and ulna 2020 Outpatient Facility Commercial 13932
Skin and subcutaneous tissue - Diagnostic (other) 2018 Independent Labs Commercial 44
Ultrasound - Head and neck - Diagnostic 2019 Outpatient Facility Commercial 65301
GI (lower) procedures - Therapeutic OR 2021 Inpatient Facility Medi-Cal 35
Physical/occupational/speech therapy - Diagnostic 2018 Provider Medicare 776654
Nasogastric tube 2023 Provider Commercial 375
Mammography 2019 Provider Medi-Cal 567867
Anesthesia 2019 Inpatient Facility Medi-Cal 220
Consultations 2018 Independent Labs Commercial 168
Medications (injections, infusions, other forms) 2023 Pharmacy Medi-Cal 2810
Central nervous system (CNS) incision and excision 2020 Outpatient Facility Commercial 294
CT scan - Other 2022 Inpatient Facility Commercial 62
Vascular bypass and shunt - Other (not heart) 2018 Outpatient Facility Commercial 54
Urinary tract procedures - Therapeutic (other) 2021 Outpatient Facility Medicare 10224
GI procedures - Diagnostic 2019 Outpatient Facility Medicare 13148
Urinary obstruction - Excision, drainage, removal 2021 Provider Medi-Cal 8235
Electrocardiogram 2023 Outpatient Facility Medi-Cal 1196171
Eye procedures - Lens and cataract 2018 Outpatient Facility Medi-Cal 33519
Female organ procedures - Diagnostic (other) 2021 Outpatient Facility Commercial 28197
Oophorectomy (unilateral and bilateral) 2018 Outpatient Facility Medicare 1228
Nephrectomy (partial or complete) 2021 Provider Medicare 6732
Physical/occupational/speech therapy - Exercises 2023 Inpatient Facility Medi-Cal 1116582
Other types of lab tests 2022 Outpatient Facility Medi-Cal 4523305
Ancillary services 2019 Pharmacy Medi-Cal 106
Vessels other than head/neck procedures - Other OR 2021 Independent Labs Medicare 38
Arthrocentesis 2021 Outpatient Facility Medicare 60374
Ultrasound - Urinary tract - Diagnostic 2021 Outpatient Facility Medicare 2120
Gastrostomy (temporary and permanent) 2020 Provider Medicare 31865
Musculoskeletal procedures - Therapeutic (other) 2023 Provider Medi-Cal 371265
Proctoscopy and anorectal biopsy 2021 Outpatient Facility Commercial 7142
CT scan - Other 2023 Provider Medicare 862385
CT scan - Abdomen 2022 Outpatient Facility Medicare 521210
Male genital procedures - Diagnostic 2022 Provider Medi-Cal 4783
Cesarean section 2020 Provider Medicare 463
Skin and subcutaneous tissue - Incision, drainage 2018 Inpatient Facility Medicare 43
Intravenous pyelogram 2023 Provider Medi-Cal 273
Pathology 2022 Provider Medicare 2554827
Ultrasound - Diagnostic (other) 2018 Unclassified/other Medi-Cal 12619
Respiratory procedures - Therapeutic OR (other) 2020 Outpatient Facility Medi-Cal 1194
CABG (coronary artery bypass graft) 2019 Provider Medi-Cal 9124
Critical care services 2022 Inpatient Facility Medicare 104
Extraocular muscle procedures - Therapeutic 2022 Provider Commercial 5470
Ileostomy and other enterostomy 2018 Provider Medicare 4219
Laboratory - Chemistry and hematology 2021 Hospice Medi-Cal 472
DME and supplies 2018 Provider Medicare 4803638
Abortion (termination of pregnancy) 2020 Outpatient Facility Commercial 1986
Physical/occupational/speech therapy - Exercises 2021 Provider Medi-Cal 5843976
Non-hospital-based care (home health, hospice) 2020 Provider Medicare 4406796
Endocrine procedures - Diagnostic 2023 Provider Medicare 73671
Hemodialysis 2018 Provider Commercial 6750
Tracheoscopy and laryngoscopy with biopsy 2020 Outpatient Facility Commercial 3436
X-ray - Upper GI 2018 Outpatient Facility Medi-Cal 9463
Radioisotope scan - Bone 2023 Outpatient Facility Medicare 19453
Prophylactic vaccinations and inoculations 2022 Pharmacy Commercial 4386
Organ transplantation - Other 2020 Provider Commercial 1031
Liver biopsy 2020 Outpatient Facility Medi-Cal 1345
Consultations 2020 Unclassified/other Commercial 240
Therapeutic procedures - Other 2018 Inpatient Facility Commercial 484
Hemodialysis 2020 Unclassified/other Medi-Cal 154
Radiology - Diagnostic (other) 2022 Pharmacy Commercial 61
Cystocele/rectocele repair, oblit. of vag. vault 2019 Provider Medi-Cal 2849
Cervix and uterus - Other excision 2020 Provider Medi-Cal 8205
GI (upper) procedures - Therapeutic OR 2021 Provider Medicare 3343
Gastric bypass and volume reduction 2021 Outpatient Facility Medicare 199
Laparoscopy 2018 Inpatient Facility Medicare 69
Eye procedures - Repair of retinal tear/detachment 2023 Provider Commercial 13282
Hysterectomy (abdominal and vaginal) 2020 Outpatient Facility Medicare 3968
Transportation - Patient, provider, equipment 2019 Home Health Medi-Cal 2535
Arterial blood gases 2018 Inpatient Facility Medi-Cal 677
Medications (injections, infusions, other forms) 2019 Unclassified/other Medi-Cal 3765
Male genital procedures - Therapeutic (other) 2018 Outpatient Facility Medicare 2282
Colorectal resection 2020 Provider Medi-Cal 6724
Ungrouped Procedures 2018 Home Health Medicare 8865
CT scan - Chest 2023 Provider Medicare 853891
Radioisotope scan - Other 2020 Outpatient Facility Commercial 1092
Prophylactic vaccinations and inoculations 2018 Hospice Medicare 110
Delivery - Forceps, vacuum, and breech 2019 Outpatient Facility Commercial 217
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2021 Provider Medicare 842110
Skin and subcutaneous tissue - Incision, drainage 2020 Outpatient Facility Medicare 11600
Vessels of head/neck procedures - Other OR 2023 Outpatient Facility Medi-Cal 127
Physical/occupational/speech therapy - Other 2018 Provider Commercial 184339
Physical/occupational/speech therapy - Exercises 2022 Unclassified/other Medicare 750
Heart procedures - Other OR 2019 Provider Commercial 4514
Cardiac catheterization/arteriography - Diagnostic 2020 Outpatient Facility Medi-Cal 11146
Intraoperative cholangiogram 2023 Outpatient Facility Commercial 681
Nose, mouth, pharynx procedures - Diagnostic 2022 Outpatient Facility Medicare 49561
Abdominal paracentesis 2021 Inpatient Facility Medi-Cal 116
CABG (coronary artery bypass graft) 2023 Provider Medi-Cal 8583
DME and supplies 2019 Hospice Medicare 2494
Urinary tract procedures - Therapeutic (other) 2023 Outpatient Facility Medi-Cal 3440
Prophylactic vaccinations and inoculations 2020 Unclassified/other Commercial 1126
Laparoscopy 2023 Provider Commercial 7793
X-ray - Lower GI 2022 Provider Commercial 2110
Contrast arteriogram - Lower extremity arteries 2019 Inpatient Facility Medicare 82
Respiratory procedures - Therapeutic (other) 2022 Provider Commercial 2886
Arthroplasty other than hip or knee 2019 Inpatient Facility Medicare 88
Extracranial ventricular shunt services 2022 Outpatient Facility Medicare 335
Ear procedures - Diagnostic 2019 Outpatient Facility Medi-Cal 471
Non-hospital-based care (home health, hospice) 2018 Provider Medicare 4451920
Ancillary services 2020 Independent Labs Medi-Cal 78439
Female organ procedures - Diagnostic (other) 2023 Independent Labs Medi-Cal 1713
Pathology 2020 Provider Medicare 2192658
Treatment, fracture, dislocation - Radius and ulna 2020 Provider Medi-Cal 25396
Skin and subcutaneous tissue - Diagnostic (other) 2018 Provider Commercial 138965
Tonsillectomy and/or adenoidectomy 2020 Outpatient Facility Medicare 170
Care management/coordination services 2021 Provider Medi-Cal 102793
MRI (magnetic resonance imaging) 2022 Provider Commercial 1083010
CT scan - Other 2021 Inpatient Facility Commercial 73
Mammography 2018 Outpatient Facility Medicare 517473
Medications (injections, infusions, other forms) 2023 Provider Medicare 6195862
Hemic/lymphatic system procedures - Therapeutic 2022 Outpatient Facility Medi-Cal 5788
PTCA (percutaneous transluminal coronary angio.) 2020 Provider Medi-Cal 9053
HIPPS home health services 2022 Outpatient Facility Medi-Cal 321
DME and supplies 2022 Independent Labs Commercial 308101
Consultations 2018 Outpatient Facility Medicare 341
Cholecystectomy and common duct exploration 2019 Inpatient Facility Commercial 49
Urinary tract procedures - Diagnostic (other) 2023 Provider Commercial 3450
Nervous system procedures - Therapeutic OR (other) 2020 Provider Medicare 123391
HCPCS Level II codes not classified 2021 Inpatient Facility Medicare 4008
GI procedures - Therapeutic 2021 Provider Medi-Cal 9237
Other types of lab tests 2021 Outpatient Facility Commercial 5317346
Nephrectomy (partial or complete) 2018 Outpatient Facility Commercial 318
GI (upper) endoscopy, biopsy 2018 Provider Medi-Cal 131045
GI (lower) procedures - Therapeutic OR 2021 Outpatient Facility Medi-Cal 2659
Eye procedures - Diagnostic 2019 Provider Commercial 13302
Psychological and psychiatric evaluation, therapy 2023 Inpatient Facility Medi-Cal 11209
Division of joint capsule (ligament or cartilage) 2020 Outpatient Facility Commercial 2070
Ultrasound - Head and neck - Diagnostic 2018 Outpatient Facility Commercial 63112
Indwelling catheter 2022 Provider Medicare 69524
Physical/occupational/speech therapy - Diagnostic 2018 Home Health Medi-Cal 2250
Small bowel resection 2023 Provider Medi-Cal 2658
Respiratory intubation and mechanical ventilation 2019 Provider Commercial 49294
Musculoskeletal procedures - Therapeutic (other) 2021 Outpatient Facility Medicare 26441
Breast - Lumpectomy, quadrantectomy 2021 Provider Medi-Cal 5344
Bone excision (partial) 2018 Outpatient Facility Medicare 5440
Visual aids and other optical supplies 2022 Independent Labs Medi-Cal 1444053
Radioisotope scan - Pulmonary 2023 Inpatient Facility Medicare 423
Critical care services 2018 Unclassified/other Medi-Cal 634
Nonoperative removal of foreign body 2018 Provider Medi-Cal 17011
Urethra - Procedures 2022 Provider Medi-Cal 6649
CT scan - Abdomen 2020 Outpatient Facility Medicare 417822
Observation care services 2022 Outpatient Facility Commercial 144875
Vascular bypass and shunt - Other (not heart) 2018 Provider Commercial 324
Skin graft 2018 Provider Medicare 142685
Telehealth 2022 Provider Commercial 6115437
Preventive visits 2022 Independent Labs Medi-Cal 273
Fallopian tubes - Other operations 2020 Provider Commercial 1974
Endocrine procedures - Diagnostic 2019 Provider Medicare 37433
Skin, breast procedures - Therapeutic OR (other) 2023 Provider Commercial 38932
Ancillary services 2022 Provider Commercial 1258111
Ultrasound - Diagnostic (other) 2019 Unclassified/other Commercial 200
Gastrostomy (temporary and permanent) 2023 Provider Commercial 4539
Hemorrhoid procedures 2022 Provider Commercial 23001
Varicose vein stripping - Lower limb 2023 Outpatient Facility Commercial 1660
Urinary system (nonoperative) measurements 2019 Inpatient Facility Medicare 11261
Non-hospital-based care (home health, hospice) 2021 Provider Medi-Cal 2186046
Cardiac stress tests 2021 Outpatient Facility Commercial 18791
Muscle and tendon procedures - Therapeutic (other) 2020 Outpatient Facility Commercial 37336
Ungrouped Procedures 2021 Pharmacy Medi-Cal 14204
Male genital procedures - Therapeutic OR (other) 2020 Provider Medi-Cal 8013
Treatment, fracture, dislocation - Other 2018 Outpatient Facility Commercial 15358
GI procedures - Diagnostic 2022 Outpatient Facility Commercial 12644
Prostatectomy (open ) 2018 Inpatient Facility Commercial 34
Indwelling catheter 2019 Outpatient Facility Medicare 42452
Medications (injections, infusions, other forms) 2022 Inpatient Facility Commercial 109425
Ear procedures - Diagnostic 2018 Outpatient Facility Commercial 543
Breast - Biopsy, procedures - Diagnostic (other) 2018 Outpatient Facility Medicare 18769
CPT codes not classified (F codes) 2021 Outpatient Facility Commercial 1495
Chemotherapy - Cancer 2020 Provider Medi-Cal 186804
Radioisotope scan - Pulmonary 2020 Outpatient Facility Medicare 4912
Radiology - Therapeutic 2022 Provider Medicare 1059472
Female organ procedures - Therapeutic OR (other) 2019 Outpatient Facility Commercial 11270
Hip replacement (partial and total) 2018 Outpatient Facility Medi-Cal 284
Delivery - Other procedures to assist 2020 Outpatient Facility Medi-Cal 775
Respiratory therapy - Other 2018 Inpatient Facility Medi-Cal 784
Skin and subcutaneous tissue - Suture 2022 Outpatient Facility Commercial 79727
Arthroscopy 2020 Outpatient Facility Medi-Cal 1749
Alcohol and drug management, treatment, and rehab. 2018 Home Health Medi-Cal 1685
Nose, mouth, pharynx procedures - Therapeutic 2022 Outpatient Facility Medi-Cal 39020
Care management/coordination services 2019 Provider Commercial 17865
D&C (dilatation and curettage) - Diagnostic 2022 Outpatient Facility Medicare 420
Electrographic cardiac monitoring 2022 Independent Labs Medicare 7660
Physical/occupational/speech therapy - Other 2023 Unclassified/other Medi-Cal 84
Ungrouped Procedures 2020 Pharmacy Medi-Cal 12364
Peritoneal dialysis 2021 Inpatient Facility Medi-Cal 169
Heart valve procedures 2020 Provider Medi-Cal 4183
Esophageal varices - Injection or ligation 2021 Provider Commercial 1873
PTCA (percutaneous transluminal coronary angio.) 2018 Outpatient Facility Medi-Cal 1814
CT scan - Abdomen 2018 Outpatient Facility Commercial 348891
Microscopic examination (e.g., lab, toxicology) 2020 Inpatient Facility Medicare 201298
Varicose vein stripping - Lower limb 2023 Provider Medi-Cal 1742
Bone excision (partial) 2021 Outpatient Facility Medi-Cal 2986
HIPPS home health services 2021 Outpatient Facility Medi-Cal 166
Observation care services 2021 Unclassified/other Commercial 109
Conversion of cardiac rhythm 2019 Outpatient Facility Commercial 6881
DME and supplies 2022 Hospice Medicare 9926
Urethra - Procedures 2021 Outpatient Facility Medicare 2261
Consultation, evaluation, and preventive care 2022 Unclassified/other Commercial 348
Emergency department services 2019 Ambulance Medi-Cal 361
Non-hospital-based care (home health, hospice) 2023 Provider Commercial 950823
Preventive visits 2021 Pharmacy Commercial 28147
Knee - Excision of semilunar cartilage 2019 Outpatient Facility Commercial 23105
Ophthalmologic/otologic diagnosis and treatment 2020 Pharmacy Medi-Cal 714
Circumcision 2018 Outpatient Facility Medicare 776
Transportation - Patient, provider, equipment 2021 Outpatient Facility Medicare 64003
Lung and bronchus procedures - Diagnostic (other) 2021 Outpatient Facility Commercial 53529
Indwelling catheter 2022 Provider Medi-Cal 13301
Breast - Mastectomy 2021 Provider Medi-Cal 3011
Male genital procedures - Therapeutic OR (other) 2023 Outpatient Facility Medi-Cal 5112
Respiratory procedures - Diagnostic (other) 2018 Provider Medicare 23125
Extracorporeal lithotripsy, urinary 2019 Outpatient Facility Medi-Cal 3929
Eye procedures - Destruction of retinal lesion 2023 Provider Medicare 20934
Physical/occupational/speech therapy - Diagnostic 2021 Outpatient Facility Commercial 134118
Wound care - Traction, splints, other 2021 Provider Medi-Cal 251880
Electrocardiogram 2020 Unclassified/other Commercial 180
Telehealth 2022 Hospice Medi-Cal 417
Spinal canal stimulator insertion and injection 2023 Independent Labs Medi-Cal 58
Care management/coordination services 2021 Home Health Medi-Cal 563
Division of joint capsule (ligament or cartilage) 2018 Provider Commercial 4082
Ultrasound - Head and neck - Diagnostic 2022 Outpatient Facility Medicare 98881
Psychological and psychiatric evaluation, therapy 2019 Ambulance Medi-Cal 153
Nervous system procedures - Diagnostic (other) 2022 Provider Medicare 424516
Treatment, fracture, dislocation - Other 2023 Provider Commercial 31530
Tonsillectomy and/or adenoidectomy 2020 Outpatient Facility Medi-Cal 6730
GI procedures - Therapeutic OR 2021 Provider Commercial 7915
Arthrocentesis 2020 Provider Medicare 719644
Blood and blood product transfusion 2022 Provider Medi-Cal 6940
Skilled nursing facility services 2018 Inpatient Facility Medicare 714088
Nasogastric tube 2021 Outpatient Facility Medicare 283
Muscles, tendons, joints - Injections, aspirations 2021 Provider Medicare 259237
Skin and subcutaneous tissue - Suture 2019 Outpatient Facility Commercial 85147
Respiratory therapy - Other 2021 Provider Medi-Cal 24940
Skin, breast procedures - Therapeutic (other) 2020 Hospice Medicare 76
Prostatectomy (open ) 2023 Inpatient Facility Medicare 112
Ungrouped Procedures 2019 Provider Commercial 1543775
Cardiovascular procedures - Therapeutic (other) 2023 Provider Medi-Cal 74617
DME and supplies 2020 Outpatient Facility Medi-Cal 1495499
Physical/occupational/speech therapy - Other 2022 Home Health Commercial 867
Arthroscopy 2018 Outpatient Facility Medi-Cal 2476
CT scan - Chest 2021 Provider Medi-Cal 335742
Ultrasound - Diagnostic (other) 2023 Inpatient Facility Medicare 13395
Genitourinary incontinence procedures 2022 Provider Commercial 6060
Nephrotomy and nephrostomy 2022 Provider Medi-Cal 6944
Ophthalmologic/otologic diagnosis and treatment 2018 Outpatient Facility Medi-Cal 300021
Ovary operations - Other 2020 Outpatient Facility Medi-Cal 66
Laminectomy, excision intervertebral disc 2021 Inpatient Facility Medicare 572
Decompression peripheral nerve 2022 Outpatient Facility Commercial 10653
Transportation - Patient, provider, equipment 2018 Ambulance Medi-Cal 10823242
GI procedures - Therapeutic 2020 Provider Commercial 7628
ERCP (endoscopic retro. cannulation of pancreas) 2022 Outpatient Facility Medi-Cal 5833
Hearing devices and audiology supplies 2022 Provider Medicare 21377
Lung and bronchus procedures - Diagnostic (other) 2018 Outpatient Facility Medi-Cal 72280
Non-hospital-based care (home health, hospice) 2023 Inpatient Facility Commercial 600
Ungrouped Procedures 2020 Unclassified/other Commercial 278
Urinary system (nonoperative) measurements 2021 Unclassified/other Medi-Cal 345
Radiology - Diagnostic (other) 2021 Inpatient Facility Medi-Cal 4982
Radioisotope scan - Other 2023 Provider Medi-Cal 3689
Ancillary services 2019 Independent Labs Medi-Cal 61496
Male genital procedures - Diagnostic 2021 Provider Medi-Cal 4402
Appendectomy 2022 Inpatient Facility Commercial 56
CPT codes not classified (F codes) 2020 Outpatient Facility Medicare 14768
Hemorrhoid procedures 2019 Outpatient Facility Commercial 4954
Nose, mouth, pharynx procedures - Therapeutic OR 2020 Provider Medicare 33269
Embolectomy and endarterectomy of lower limbs 2022 Outpatient Facility Medi-Cal 45
Spinal tap - Diagnostic 2018 Outpatient Facility Medicare 3607
Varicose vein stripping - Lower limb 2019 Outpatient Facility Medicare 1046
Eye procedures - Destruction of retinal lesion 2019 Provider Medicare 25753
Eye procedures - Repair of retinal tear/detachment 2019 Provider Medicare 15515
Cardiac stress tests 2018 Outpatient Facility Medicare 61561
Hip replacement (partial and total) 2022 Provider Commercial 17249
Muscles, tendons, joints - Injections, aspirations 2018 Outpatient Facility Medicare 21706
Female organ procedures - Therapeutic (other) 2022 Outpatient Facility Medi-Cal 35288
Transportation - Patient, provider, equipment 2023 Home Health Medi-Cal 4616
Mammography 2021 Provider Commercial 2286794
CT scan - Head 2021 Outpatient Facility Medi-Cal 353043
Therapeutic procedures - Other 2022 Inpatient Facility Medicare 10835
Division of joint capsule (ligament or cartilage) 2023 Outpatient Facility Commercial 2121
Peritoneal dialysis 2020 Outpatient Facility Medicare 6595132
Behavioral health services 2020 Provider Medicare 63733
Ophthalmologic/otologic diagnosis and treatment 2023 Home Health Commercial 87
Cardiovascular procedures - Diagnostic (other) 2019 Provider Medi-Cal 49910
Ungrouped Procedures 2023 Inpatient Facility Medicare 49716
Embolectomy and endarterectomy of lower limbs 2023 Provider Medicare 3714
Skilled nursing facility services 2023 Inpatient Facility Medi-Cal 35281
Exploratory laparotomy 2021 Provider Commercial 1365
Wound care - Traction, splints, other 2019 Provider Medicare 549972
Care management/coordination services 2023 Outpatient Facility Medicare 211401
Fetal monitoring 2019 Outpatient Facility Commercial 76594
Treatment, fracture, dislocation - Radius and ulna 2022 Outpatient Facility Medi-Cal 12938
Anesthesia 2021 Provider Medi-Cal 1014669
Hernia repair - Other 2018 Inpatient Facility Medicare 200
Nose procedures - Plastic 2018 Outpatient Facility Medi-Cal 3375
PTCA (percutaneous transluminal coronary angio.) 2023 Provider Medicare 35669
Laboratory - Chemistry and hematology 2022 Independent Labs Medicare 39653796
MRI (magnetic resonance imaging) 2019 Provider Medi-Cal 641392
Spinal canal stimulator insertion and injection 2021 Outpatient Facility Medi-Cal 80829
Ear procedures - Therapeutic 2019 Provider Commercial 158030
Medications (injections, infusions, other forms) 2021 Provider Medi-Cal 2317633
Arterial blood gases 2022 Provider Medi-Cal 98585
Respiratory intubation and mechanical ventilation 2022 Inpatient Facility Medicare 6491
Other types of visits 2020 Unclassified/other Medi-Cal 346
Hospital services 2019 Outpatient Facility Medicare 259
Eye procedures - Glaucoma 2018 Provider Medi-Cal 13022
Bone marrow biopsy 2020 Inpatient Facility Medicare 52
Female organ procedures - Diagnostic (other) 2018 Provider Medi-Cal 94758
Urinary tract - Endoscopy and endoscopic biopsy 2022 Provider Medicare 128463
Colorectal resection 2023 Outpatient Facility Medi-Cal 139
DME and supplies 2023 Inpatient Facility Medicare 468280
GI (upper) endoscopy, biopsy 2021 Outpatient Facility Medicare 114853
Rehabilitation facility services 2022 Outpatient Facility Medicare 34
Nervous system procedures - Therapeutic (other) 2021 Outpatient Facility Commercial 71354
TURP (transurethral resection of prostate) 2018 Provider Medi-Cal 1443
Contrast arteriogram - Lower extremity arteries 2022 Provider Medicare 4800
Joint procedures - Therapeutic OR (other) 2022 Inpatient Facility Medicare 65
Psychological and psychiatric evaluation, therapy 2020 Provider Medi-Cal 8631281
D&C - Aspiration after delivery or abortion 2020 Provider Medicare 60
Gastric bypass and volume reduction 2023 Outpatient Facility Commercial 3397
Ungrouped Procedures 2022 Independent Labs Medi-Cal 6065270
Skin and subcutaneous tissue - Diagnostic (other) 2022 Independent Labs Medi-Cal 57
Radiology - Diagnostic (other) 2020 Provider Medicare 4665812
Tracheostomy (temporary and permanent) 2021 Outpatient Facility Medi-Cal 52
Other types of visits 2019 Outpatient Facility Medicare 16669
Female organ procedures - Therapeutic OR (other) 2023 Inpatient Facility Medicare 59
Skin, breast procedures - Therapeutic (other) 2019 Inpatient Facility Medi-Cal 1719
DME and supplies 2018 Home Health Medi-Cal 37763
Decompression peripheral nerve 2020 Provider Medi-Cal 7519
Treatment, fracture, dislocation - Other 2021 Outpatient Facility Medicare 9934
Bunionectomy or repair of toe deformities 2020 Provider Medi-Cal 3460
Cardiac stress tests 2023 Provider Commercial 148487
Laboratory - Chemistry and hematology 2019 Unclassified/other Medicare 163
Physical/occupational/speech therapy - Exercises 2020 Inpatient Facility Commercial 5554
Ancillary services 2018 Unclassified/other Medi-Cal 2251
Hearing devices and audiology supplies 2021 Outpatient Facility Medicare 790
X-ray - Lower GI 2018 Outpatient Facility Medi-Cal 1464
Ear procedures - Diagnostic 2022 Provider Commercial 5206
Hernia repair - Inguinal and femoral 2021 Outpatient Facility Medicare 15401
Obstetrical procedures - Therapeutic (other) 2022 Unclassified/other Medi-Cal 100
Extraocular muscle procedures - Therapeutic 2018 Provider Commercial 6251
Breast - Biopsy, procedures - Diagnostic (other) 2021 Outpatient Facility Medicare 21074
Nose, mouth, pharynx procedures - Therapeutic OR 2019 Provider Commercial 47708
Electrographic cardiac monitoring 2023 Outpatient Facility Medi-Cal 24759
Excision, lysis peritoneal adhesions 2022 Provider Commercial 543
Non-hospital-based care (home health, hospice) 2023 Independent Labs Medi-Cal 137
Intravenous pyelogram 2020 Outpatient Facility Commercial 98
Appendectomy 2021 Provider Medi-Cal 16030
Contrast aortogram 2021 Provider Medicare 26427
Alcohol and drug management, treatment, and rehab. 2019 Independent Labs Medicare 40
Pleura incision, thoracentesis, chest drainage 2021 Outpatient Facility Commercial 3411
Spleen procedures 2020 Provider Commercial 343
Nervous system procedures - Diagnostic (other) 2020 Outpatient Facility Medicare 28462
Behavioral health services 2018 Provider Commercial 23952
Ultrasound - Diagnostic (other) 2022 Provider Commercial 2935172
CT scan - Chest 2020 Provider Medi-Cal 282834
Muscle and tendon procedures - Therapeutic (other) 2023 Inpatient Facility Medi-Cal 52
Radioisotope scan - Bone 2020 Provider Medi-Cal 8619
Pacemaker or cardioverter/defibrillator services 2020 Outpatient Facility Medi-Cal 1842
HCPCS Level II codes not classified 2023 Provider Medicare 5261704
Psychological and psychiatric evaluation, therapy 2022 Outpatient Facility Medicare 515813
Mammography 2023 Provider Medi-Cal 840589
DME and supplies 2023 Unclassified/other Medi-Cal 718
Nose, mouth, pharynx procedures - Diagnostic 2021 Outpatient Facility Medi-Cal 14686
Treatment, fracture, dislocation - Facial 2020 Outpatient Facility Commercial 2921
Spinal fusion 2022 Outpatient Facility Medicare 4025
Bone marrow biopsy 2021 Outpatient Facility Medicare 8536
Hemic/lymphatic system procedures - Therapeutic 2020 Outpatient Facility Medi-Cal 4609
Hospital services 2020 Outpatient Facility Commercial 940
Therapeutic procedures - Other 2019 Outpatient Facility Commercial 1344348
Vessels of head/neck - Endarterectomy 2020 Provider Medicare 3719
Colonoscopy and biopsy 2020 Outpatient Facility Medi-Cal 78419
CT scan - Chest 2018 Outpatient Facility Medicare 253454
Intraoperative cholangiogram 2021 Outpatient Facility Medicare 613
Obstetrical procedures - Therapeutic (other) 2019 Inpatient Facility Commercial 36
CT scan - Other 2019 Provider Commercial 270510
Radioisotope scan and function studies 2022 Inpatient Facility Medicare 2133
Skin lesion - Excision 2018 Unclassified/other Commercial 67
Nervous system procedures - Therapeutic OR (other) 2018 Provider Medi-Cal 31224
AVF or vessel-to-vessel cannula for dialysis svcs. 2018 Outpatient Facility Commercial 4462
Amputation - Lower extremity 2023 Provider Medicare 13565
Laboratory - Chemistry and hematology 2019 Ambulance Commercial 262
Tracheoscopy and laryngoscopy with biopsy 2021 Provider Commercial 74490
Skilled nursing facility services (HIPPS) 2022 Outpatient Facility Medicare 210
Emergency department services 2023 Provider Medicare 2651006
Gastric bypass and volume reduction 2019 Provider Medicare 2822
Musculoskeletal procedures - Therapeutic OR (other) 2020 Provider Medicare 11533
Nephrotomy and nephrostomy 2018 Outpatient Facility Medi-Cal 1563
Oophorectomy (unilateral and bilateral) 2020 Provider Medicare 2211
Genitourinary incontinence procedures 2018 Provider Medicare 7404
Hip replacement (partial and total) 2019 Outpatient Facility Medi-Cal 331
Male genital procedures - Therapeutic (other) 2020 Provider Medicare 9822
Alcohol and drug management, treatment, and rehab. 2018 Provider Commercial 1237955
Ureteral catheterization 2019 Inpatient Facility Commercial 36
Non-hospital-based care (home health, hospice) 2022 Hospice Medi-Cal 116467
Other vascular catheterization (not heart) 2022 Inpatient Facility Medicare 2000
Arthroscopy 2020 Provider Commercial 9745
Colostomy (temporary and permanent) 2020 Provider Medicare 1138
Lobectomy or pneumonectomy 2018 Provider Medicare 4760
Fetal monitoring 2021 Provider Commercial 216154
Nose, mouth, pharynx procedures - Therapeutic 2022 Provider Commercial 58703
Small bowel resection 2021 Outpatient Facility Medicare 32
Delivery - Other procedures to assist 2021 Provider Medi-Cal 2370
Esophageal varices - Injection or ligation 2022 Outpatient Facility Commercial 906
Cholecystectomy and common duct exploration 2019 Provider Commercial 30510
Breast - Biopsy, procedures - Diagnostic (other) 2019 Provider Medi-Cal 18827
Electrographic cardiac monitoring 2023 Independent Labs Medicare 8161
Prostatectomy (open ) 2018 Outpatient Facility Commercial 817
CT scan - Head 2023 Independent Labs Medicare 113
Indwelling catheter 2021 Outpatient Facility Medicare 38787
Medications (injections, infusions, other forms) 2022 Provider Commercial 3330829
Chemotherapy - Cancer 2022 Inpatient Facility Medicare 223
Muscle and tendon procedures - Therapeutic (other) 2020 Outpatient Facility Medicare 21202
Skin and subcutaneous tissue - Incision, drainage 2021 Provider Medi-Cal 85045
Urinary tract procedures - Therapeutic OR (other) 2021 Outpatient Facility Medi-Cal 413379
Radioisotope scan - Other 2021 Inpatient Facility Medicare 697
DME and supplies 2019 Unclassified/other Commercial 204
Ear procedures - Therapeutic 2022 Provider Medi-Cal 103697
Respiratory intubation and mechanical ventilation 2018 Provider Commercial 53723
GI procedures - Diagnostic 2022 Outpatient Facility Medi-Cal 9144
Therapeutic procedures - Other 2023 Inpatient Facility Medi-Cal 141
Psychological and psychiatric evaluation, therapy 2023 Pharmacy Commercial 265003
Oral and dental services 2023 Provider Medicare 2752
Cardiovascular procedures - Therapeutic (other) 2021 Inpatient Facility Medi-Cal 36
Urinary system (nonoperative) measurements 2020 Independent Labs Commercial 234964
Ungrouped Procedures 2018 Independent Labs Commercial 18809
Pregnancy (ectopic) - Removal 2022 Provider Commercial 1465
Heart valve procedures 2022 Provider Medi-Cal 4010
Peritoneal dialysis 2022 Unclassified/other Medicare 660
Respiratory therapy - Other 2018 Outpatient Facility Commercial 60168
Cardiovascular procedures - Diagnostic (other) 2022 Inpatient Facility Medicare 605
Fallopian tubes - Other operations 2018 Outpatient Facility Medi-Cal 238
GI procedures - Therapeutic OR 2018 Inpatient Facility Commercial 32
Skin and subcutaneous tissue - Diagnostic (other) 2019 Independent Labs Commercial 143
Urinary tract procedures - Therapeutic (other) 2018 Inpatient Facility Medicare 47
Musculoskeletal procedures - Therapeutic (other) 2021 Provider Medi-Cal 275176
Telehealth 2019 Provider Medi-Cal 251589
CPT codes not classified (F codes) 2022 Independent Labs Commercial 884
Breast - Lumpectomy, quadrantectomy 2022 Outpatient Facility Medicare 11867
Intraoperative cholangiogram 2018 Provider Medicare 2330
Physical/occupational/speech therapy - Diagnostic 2019 Inpatient Facility Commercial 848
Bone marrow transplant 2021 Outpatient Facility Commercial 1792
Pathology 2018 Outpatient Facility Commercial 846434
Nervous system procedures - Therapeutic OR (other) 2021 Outpatient Facility Commercial 12922
Arteriogram or venogram (not heart and head) 2022 Inpatient Facility Medi-Cal 504
Ureteral catheterization 2022 Provider Commercial 8847
Observation care services 2018 Provider Medicare 532092
CT scan - Other 2022 Provider Medi-Cal 380472
Central nervous system (CNS) incision and excision 2021 Outpatient Facility Commercial 228
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2018 Outpatient Facility Commercial 277993
Nephrectomy (partial or complete) 2018 Provider Commercial 2950
GI (upper) procedures - Therapeutic 2022 Provider Medi-Cal 521
Epistaxis control 2020 Provider Medicare 15310
Medications (injections, infusions, other forms) 2023 Unclassified/other Medicare 559
GI (lower) procedures - Therapeutic 2019 Provider Medi-Cal 3028
HCPCS Level II codes not classified 2018 Outpatient Facility Commercial 60842
Male genital procedures - Diagnostic 2018 Independent Labs Medicare 4803
Treatment, fracture, dislocation - Hip and femur 2018 Outpatient Facility Commercial 750
Thyroidectomy (partial or complete) 2021 Provider Commercial 4649
Nose, mouth, pharynx procedures - Diagnostic 2019 Outpatient Facility Medicare 47535
Other types of lab tests 2021 Pharmacy Medi-Cal 2158
Endocrine procedures - Diagnostic 2022 Provider Medi-Cal 10526
Fallopian tubes - Other operations 2023 Provider Medicare 50
Skin lesion - Excision 2022 Provider Medicare 3456492
Knee - Arthroplasty 2020 Outpatient Facility Commercial 9361
Radiology - Diagnostic (other) 2019 Inpatient Facility Commercial 330
Hemic/lymphatic system procedures - Therapeutic 2023 Outpatient Facility Medicare 24614
Vessels of head/neck procedures - Other OR 2018 Provider Commercial 2433
Electrocardiogram 2019 Ambulance Medicare 3355
Division of joint capsule (ligament or cartilage) 2021 Provider Medicare 5912
Mastoidectomy 2023 Outpatient Facility Commercial 683
Critical care services 2021 Provider Medicare 1272778
Ultrasound - Head and neck - Diagnostic 2020 Inpatient Facility Medi-Cal 270
Blood and blood product transfusion 2020 Inpatient Facility Commercial 2233
Preventive visits 2018 Provider Commercial 5287548
Urinary obstruction - Excision, drainage, removal 2022 Provider Medicare 31991
Microscopic examination (e.g., lab, toxicology) 2023 Outpatient Facility Medi-Cal 4750150
Respiratory procedures - Therapeutic (other) 2019 Provider Medi-Cal 3047
Urinary tract procedures - Diagnostic (other) 2021 Outpatient Facility Medicare 6478
Catheterization (Swan-Ganz) for monitoring 2022 Outpatient Facility Medicare 56
Ultrasound - Heart (echocardiogram) - Diagnostic 2022 Pharmacy Medi-Cal 84
Eye procedures - Lens and cataract 2020 Provider Medi-Cal 42026
GI (upper) endoscopy, biopsy 2023 Outpatient Facility Medi-Cal 93702
Physical/occupational/speech therapy - Exercises 2018 Unclassified/other Commercial 7829
Coronary thrombolysis 2022 Outpatient Facility Medicare 51
Oral and dental services 2019 Provider Medi-Cal 4887
Enteral and parenteral nutrition 2020 Home Health Commercial 1733
Other types of lab tests 2023 Outpatient Facility Medicare 7090890
Contrast aortogram 2018 Inpatient Facility Medicare 284
X-ray - Chest (routine) 2020 Provider Medicare 3299527
Vessels other than head/neck procedures - Other OR 2023 Inpatient Facility Medicare 262
Ileostomy and other enterostomy 2023 Provider Commercial 1567
Treatment, fracture, dislocation - Radius and ulna 2021 Provider Commercial 25485
Chemotherapy - Cancer 2019 Outpatient Facility Medicare 373334
CT scan - Head 2021 Inpatient Facility Medi-Cal 3110
Arterial blood gases 2022 Outpatient Facility Commercial 27351
Skin graft 2021 Inpatient Facility Medicare 65
Joint procedures - Therapeutic OR (other) 2021 Provider Commercial 36350
Hernia repair - Inguinal and femoral 2023 Provider Commercial 16300
Eye procedures - Therapeutic (other) 2022 Provider Medicare 279100
Bone excision (partial) 2023 Provider Commercial 15215
Fetal monitoring 2018 Provider Medicare 1653
Hospital services 2018 Inpatient Facility Commercial 1912
Ear procedures - Therapeutic 2018 Unclassified/other Medi-Cal 111
Colorectal resection 2022 Provider Medicare 16205
Other types of visits 2020 Provider Commercial 125219
TURP (transurethral resection of prostate) 2018 Outpatient Facility Medi-Cal 534
Office visits 2020 Unclassified/other Medicare 454
Nervous system procedures - Therapeutic (other) 2020 Provider Medi-Cal 159440
Ophthalmologic/otologic diagnosis and treatment 2022 Provider Medicare 7846614
MRI (magnetic resonance imaging) 2018 Inpatient Facility Commercial 325
Therapeutic procedures - Other 2021 Ambulance Medi-Cal 167
Heart valve procedures 2018 Provider Commercial 4424
Radioisotope scan and function studies 2018 Provider Commercial 147913
Anesthesia 2019 Outpatient Facility Medicare 137591
Myelogram 2019 Provider Commercial 1227
Peritoneal dialysis 2018 Outpatient Facility Commercial 457823
DME and supplies 2022 Unclassified/other Commercial 408
Radiology - Therapeutic 2020 Provider Medi-Cal 309115
Muscles, tendons, joints - Injections, aspirations 2018 Unclassified/other Medi-Cal 33
Pleura incision, thoracentesis, chest drainage 2023 Inpatient Facility Medicare 299
Conversion of cardiac rhythm 2022 Outpatient Facility Medi-Cal 1992
Cardiovascular procedures - Diagnostic (other) 2019 Outpatient Facility Medi-Cal 9272
Skin, breast procedures - Therapeutic OR (other) 2021 Outpatient Facility Commercial 28940
Male genital procedures - Therapeutic (other) 2023 Provider Medi-Cal 7931
Amniocentesis - Diagnostic 2018 Outpatient Facility Medi-Cal 402
Other types of lab tests 2018 Unclassified/other Medicare 144
Extracorporeal lithotripsy, urinary 2023 Provider Medicare 16674
GI (upper) endoscopy, biopsy 2019 Outpatient Facility Medicare 112863
Emergency department services 2020 Unclassified/other Commercial 271
Vascular bypass and shunt - Other (not heart) 2021 Outpatient Facility Commercial 91
Behavioral health services 2018 Outpatient Facility Medicare 4643
CT scan - Chest 2020 Provider Medicare 623727
Urinary system (nonoperative) measurements 2021 Inpatient Facility Commercial 64
Hernia repair - Inguinal and femoral 2020 Outpatient Facility Medicare 12748
Medications (injections, infusions, other forms) 2021 Ambulance Medi-Cal 337
Gastric bypass and volume reduction 2023 Outpatient Facility Medi-Cal 709
Female organ procedures - Therapeutic OR (other) 2022 Provider Medicare 8243
Physical/occupational/speech therapy - Exercises 2020 Inpatient Facility Medi-Cal 1201405
Skin and subcutaneous tissue - Diagnostic (other) 2021 Outpatient Facility Medi-Cal 10381
Arterial blood gases 2020 Outpatient Facility Medi-Cal 54147
Bunionectomy or repair of toe deformities 2020 Provider Commercial 10463
D&C - Aspiration after delivery or abortion 2019 Provider Medi-Cal 6375
Ultrasound - Urinary tract - Diagnostic 2020 Inpatient Facility Medicare 71
Cardiac stress tests 2023 Outpatient Facility Medicare 66535
Radioisotope scan - Bone 2019 Provider Medi-Cal 9647
Large intestine lesion - Local excision 2021 Provider Commercial 282
Radiology - Diagnostic (other) 2023 Provider Medicare 6508870
Prostatectomy (open ) 2020 Provider Medicare 4924
DME and supplies 2018 Ambulance Commercial 65
Transportation - Patient, provider, equipment 2019 Provider Medi-Cal 512169
Ancillary services 2018 Outpatient Facility Medicare 142829
Hearing devices and audiology supplies 2020 Outpatient Facility Medi-Cal 7236
Abdominal paracentesis 2022 Provider Commercial 18483
Intravenous pyelogram 2019 Outpatient Facility Commercial 137
Pleura incision, thoracentesis, chest drainage 2021 Outpatient Facility Medi-Cal 2058
Ungrouped Procedures 2022 Independent Labs Medicare 7646216
Decompression peripheral nerve 2020 Provider Medicare 23895
Muscle and tendon procedures - Therapeutic (other) 2022 Outpatient Facility Medicare 36487
Ear procedures - Diagnostic 2022 Provider Medi-Cal 1958
Electrographic cardiac monitoring 2023 Outpatient Facility Medicare 77891
Respiratory therapy - Other 2020 Inpatient Facility Medi-Cal 2053
Ultrasound - Diagnostic (other) 2022 Outpatient Facility Medicare 387543
Nervous system procedures - Diagnostic (other) 2020 Provider Commercial 249349
Skin, breast procedures - Therapeutic OR (other) 2018 Outpatient Facility Commercial 23195
Excision, lysis peritoneal adhesions 2020 Provider Commercial 623
Open-heart procedures - Extracorporeal circulation 2022 Provider Medicare 25611
X-ray - Chest (routine) 2023 Provider Commercial 1788110
Male genital procedures - Diagnostic 2020 Independent Labs Commercial 121
Eye procedures - Lens and cataract 2023 Outpatient Facility Medicare 137834
Laparoscopy 2021 Provider Medi-Cal 6336
Nose, mouth, pharynx procedures - Therapeutic 2018 Provider Commercial 40842
GI procedures - Therapeutic 2018 Provider Commercial 8237
Extraocular muscle procedures - Therapeutic 2018 Provider Medi-Cal 8603
Non-hospital-based care (home health, hospice) 2023 Ambulance Medi-Cal 140
Radiology - Diagnostic (other) 2022 Provider Medicare 6163284
Proctoscopy and anorectal biopsy 2023 Provider Commercial 46339
Laboratory - Chemistry and hematology 2021 Pharmacy Commercial 2572
DME and supplies 2019 Inpatient Facility Medi-Cal 107539
Epistaxis control 2023 Provider Medi-Cal 6260
Heart procedures - Other OR 2020 Outpatient Facility Commercial 461
Cystocele/rectocele repair, oblit. of vag. vault 2018 Outpatient Facility Commercial 3098
Endocrine procedures - Therapeutic 2019 Outpatient Facility Commercial 3476
Other types of lab tests 2023 Independent Labs Medicare 14087921
Pathology 2023 Inpatient Facility Commercial 382
CT scan - Chest 2023 Outpatient Facility Medi-Cal 159964
Non-hospital-based care (home health, hospice) 2019 Home Health Medi-Cal 1477145
Skin and subcutaneous tissue - Incision, drainage 2019 Outpatient Facility Commercial 16715
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2021 Outpatient Facility Medicare 217243
Transportation - Patient, provider, equipment 2018 Outpatient Facility Commercial 2933
Joint procedures - Therapeutic OR (other) 2018 Unclassified/other Medi-Cal 121
Gastrostomy (temporary and permanent) 2022 Outpatient Facility Commercial 1884
Arthrocentesis 2022 Provider Commercial 331681
Colorectal resection 2021 Inpatient Facility Medicare 107
Liver biopsy 2020 Provider Commercial 4524
Cardiac catheterization/arteriography - Diagnostic 2019 Inpatient Facility Medicare 2514
Hysterectomy (abdominal and vaginal) 2018 Unclassified/other Medi-Cal 143
Organ transplantation - Other 2023 Outpatient Facility Medi-Cal 117
Treatment, fracture, dislocation - Hip and femur 2022 Provider Commercial 4182
X-ray - Lower GI 2021 Inpatient Facility Medicare 38
CABG (coronary artery bypass graft) 2022 Provider Commercial 8490
Prophylactic vaccinations and inoculations 2020 Inpatient Facility Medicare 91754
X-ray - Upper GI 2020 Outpatient Facility Medi-Cal 12510
Physical/occupational/speech therapy - Exercises 2021 Unclassified/other Commercial 6640
Skin, breast procedures - Therapeutic (other) 2022 Provider Medi-Cal 461104
Hemodialysis 2021 Outpatient Facility Commercial 21091
Arterial blood gases 2018 Outpatient Facility Medicare 66241
Respiratory procedures - Therapeutic (other) 2021 Outpatient Facility Medi-Cal 3331
Ultrasound - Urinary tract - Diagnostic 2022 Outpatient Facility Medicare 2155
Abdominal paracentesis 2019 Provider Medi-Cal 30634
Vessels other than head/neck procedures - Other OR 2018 Inpatient Facility Commercial 62
Ancillary services 2020 Inpatient Facility Medicare 1223
Nose, mouth, pharynx procedures - Therapeutic 2021 Outpatient Facility Commercial 10024
Bone procedures - Therapeutic OR (other) 2018 Inpatient Facility Commercial 172
Radioisotope scan - Other 2018 Provider Commercial 1236
Medications (injections, infusions, other forms) 2020 Ambulance Medi-Cal 232
Delivery - Forceps, vacuum, and breech 2018 Provider Medicare 248
Nervous system procedures - Diagnostic (other) 2019 Inpatient Facility Medicare 776
Contrast arteriogram - Lower extremity arteries 2019 Outpatient Facility Medicare 1481
Heart procedures - Other OR 2018 Outpatient Facility Commercial 445
Laminectomy, excision intervertebral disc 2021 Outpatient Facility Medi-Cal 1455
Ultrasound - Diagnostic (other) 2023 Outpatient Facility Medicare 397981
Treatment, fracture, dislocation - Lower extrem. 2023 Provider Commercial 27970
Medications (injections, infusions, other forms) 2019 Home Health Commercial 5450
Respiratory therapy - Other 2021 Inpatient Facility Medicare 10878
Embolectomy and endarterectomy of lower limbs 2022 Outpatient Facility Medicare 159
Office visits 2022 Provider Commercial 35221662
Decompression peripheral nerve 2022 Outpatient Facility Medicare 10456
Muscle and tendon procedures - Therapeutic (other) 2023 Outpatient Facility Medi-Cal 80093
Genitourinary incontinence procedures 2022 Provider Medi-Cal 2894
Hip replacement (partial and total) 2023 Provider Medi-Cal 6399
Exploratory laparotomy 2019 Provider Medi-Cal 2198
Ungrouped Procedures 2021 Home Health Medicare 21831
Eye procedures - Destruction of retinal lesion 2020 Outpatient Facility Commercial 516
D&C (dilatation and curettage) - Diagnostic 2019 Outpatient Facility Commercial 1205
Transportation - Patient, provider, equipment 2018 Inpatient Facility Medicare 889
Indwelling catheter 2018 Unclassified/other Medi-Cal 42
Physical/occupational/speech therapy - Other 2022 Inpatient Facility Medi-Cal 64574
GI procedures - Therapeutic 2019 Provider Medicare 15814
DME and supplies 2021 Home Health Medicare 52570
Varicose vein stripping - Lower limb 2018 Provider Medi-Cal 1744
Radiology - Diagnostic (other) 2022 Independent Labs Medicare 214
Cardiac catheterization/arteriography - Diagnostic 2023 Provider Medicare 129728
Spinal tap - Diagnostic 2018 Provider Commercial 12046
Appendectomy 2023 Inpatient Facility Medicare 116
Ophthalmologic/otologic diagnosis and treatment 2018 Home Health Medicare 58
Care management/coordination services 2018 Outpatient Facility Medicare 80420
CPT codes not classified (F codes) 2021 Home Health Medi-Cal 985
Ovary operations - Other 2020 Provider Medi-Cal 3556
Male genital procedures - Therapeutic OR (other) 2019 Outpatient Facility Commercial 8267
Breast - Lumpectomy, quadrantectomy 2019 Outpatient Facility Medicare 11364
ERCP (endoscopic retro. cannulation of pancreas) 2021 Provider Medicare 39581
Nephrotomy and nephrostomy 2023 Provider Medicare 15264
Urinary system (nonoperative) measurements 2022 Independent Labs Medi-Cal 293449
Eye procedures - Repair of retinal tear/detachment 2021 Outpatient Facility Medicare 4445
Female organ procedures - Therapeutic (other) 2022 Outpatient Facility Medicare 3505
Arthroplasty other than hip or knee 2023 Outpatient Facility Medi-Cal 2515
Skin, breast procedures - Therapeutic (other) 2021 Provider Commercial 682106
CT scan - Chest 2021 Unclassified/other Commercial 79
Office visits 2021 Pharmacy Commercial 432
Non-hospital-based care (home health, hospice) 2023 Inpatient Facility Medi-Cal 162345
Contrast aortogram 2022 Outpatient Facility Medi-Cal 1888
Alcohol and drug management, treatment, and rehab. 2020 Outpatient Facility Commercial 42168
Lung and bronchus procedures - Diagnostic (other) 2018 Provider Medi-Cal 269895
Medications (injections, infusions, other forms) 2018 Provider Medicare 6007735
Cardiovascular procedures - Diagnostic (other) 2018 Independent Labs Commercial 98
Lobectomy or pneumonectomy 2023 Provider Medi-Cal 1265
Contrast aortogram 2021 Outpatient Facility Medi-Cal 1891
Nose, mouth, pharynx procedures - Therapeutic OR 2019 Inpatient Facility Medicare 56
Radiology - Diagnostic (other) 2021 Inpatient Facility Medicare 30008
Ancillary services 2019 Inpatient Facility Medi-Cal 25183
Other types of visits 2019 Hospice Medi-Cal 19916
Eye procedures - Repair of retinal tear/detachment 2020 Outpatient Facility Medi-Cal 2993
Hip replacement (partial and total) 2022 Inpatient Facility Commercial 74
Skin and subcutaneous tissue - Diagnostic (other) 2023 Outpatient Facility Commercial 13537
CT scan - Chest 2021 Inpatient Facility Medicare 9465
Urinary system (nonoperative) measurements 2021 Outpatient Facility Medi-Cal 1700623
Radioisotope scan - Bone 2022 Outpatient Facility Medi-Cal 4026
D&C - Aspiration after delivery or abortion 2020 Outpatient Facility Commercial 5471
Non-hospital-based care (home health, hospice) 2023 Hospice Commercial 85186
Muscle and tendon procedures - Therapeutic (other) 2022 Provider Medicare 105070
Alcohol and drug management, treatment, and rehab. 2019 Unclassified/other Commercial 5710
Nephrotomy and nephrostomy 2023 Inpatient Facility Medicare 89
Pleura incision, thoracentesis, chest drainage 2021 Provider Medi-Cal 19008
Male genital procedures - Diagnostic 2021 Provider Medicare 40392
Hernia repair - Inguinal and femoral 2021 Inpatient Facility Medicare 76
Ungrouped Procedures 2020 Unclassified/other Medi-Cal 11926
Respiratory therapy - Other 2020 Outpatient Facility Medicare 124650
GI procedures - Therapeutic 2019 Inpatient Facility Medicare 150
Physical/occupational/speech therapy - Exercises 2021 Inpatient Facility Medi-Cal 1154031
Female organ procedures - Therapeutic OR (other) 2023 Outpatient Facility Medicare 4178
Care management/coordination services 2018 Home Health Commercial 367
Skin, breast procedures - Therapeutic (other) 2020 Outpatient Facility Commercial 18072
Prostatectomy (open ) 2021 Outpatient Facility Commercial 1493
Decompression peripheral nerve 2020 Outpatient Facility Commercial 9657
Genitourinary incontinence procedures 2021 Provider Medi-Cal 2650
Breast - Biopsy, procedures - Diagnostic (other) 2023 Outpatient Facility Medi-Cal 8152
Spleen procedures 2019 Provider Commercial 425
DME and supplies 2020 Pharmacy Medi-Cal 2155
Hearing devices and audiology supplies 2023 Outpatient Facility Commercial 924
Ultrasound - Urinary tract - Diagnostic 2020 Provider Commercial 1423
Laboratory - Chemistry and hematology 2020 Outpatient Facility Medicare 26432811
ERCP (endoscopic retro. cannulation of pancreas) 2021 Inpatient Facility Medi-Cal 149
Embolectomy and endarterectomy of lower limbs 2020 Provider Medi-Cal 1130
X-ray - Chest (routine) 2023 Provider Medicare 3609814
Ancillary services 2022 Independent Labs Medicare 78958
Eye procedures - Diagnostic 2018 Provider Commercial 13516
Eye procedures - Repair of retinal tear/detachment 2020 Provider Commercial 11648
Open-heart procedures - Extracorporeal circulation 2023 Pharmacy Medicare 1233
Intraocular procedures - Therapeutic 2018 Unclassified/other Medi-Cal 50
GI (lower) procedures - Therapeutic OR 2023 Outpatient Facility Commercial 7423
Prostatectomy (open ) 2022 Provider Commercial 3029
Office visits 2022 Unclassified/other Commercial 46782
CPT codes not classified (F codes) 2020 Provider Medi-Cal 4337864
Male genital procedures - Diagnostic 2022 Independent Labs Medicare 4468
Respiratory intubation and mechanical ventilation 2023 Outpatient Facility Medi-Cal 8170
Knee - Arthroplasty 2023 Provider Commercial 21676
Preventive visits 2020 Pharmacy Medicare 165
Emergency department services 2019 Outpatient Facility Medi-Cal 1554630
Hemorrhoid procedures 2020 Provider Medicare 17086
Skin, breast procedures - Therapeutic (other) 2021 Inpatient Facility Medi-Cal 1436
Muscle and tendon procedures - Therapeutic (other) 2023 Provider Medi-Cal 125246
Exploratory laparotomy 2018 Outpatient Facility Commercial 51
Spinal tap - Diagnostic 2018 Provider Medicare 12599
Skin and subcutaneous tissue - Suture 2018 Provider Medi-Cal 139597
Lobectomy or pneumonectomy 2022 Provider Commercial 1740
Decompression peripheral nerve 2022 Provider Medi-Cal 7433
Varicose vein stripping - Lower limb 2018 Provider Medicare 3229
Respiratory therapy - Other 2021 Outpatient Facility Commercial 32152
Medications (injections, infusions, other forms) 2019 Inpatient Facility Medicare 767548
CT scan - Chest 2022 Inpatient Facility Commercial 210
D&C (dilatation and curettage) - Diagnostic 2018 Outpatient Facility Medicare 553
Laminectomy, excision intervertebral disc 2021 Provider Medi-Cal 13610
Contrast aortogram 2023 Outpatient Facility Medi-Cal 2304
Tracheostomy (temporary and permanent) 2023 Outpatient Facility Medicare 48
Radioisotope scan - Other 2023 Outpatient Facility Commercial 1520
Ultrasound - Urinary tract - Diagnostic 2020 Provider Medi-Cal 2778
Laboratory - Chemistry and hematology 2021 Ambulance Medicare 509
Hip replacement (partial and total) 2022 Outpatient Facility Commercial 11026
GI procedures - Therapeutic 2019 Outpatient Facility Commercial 2069
Heart procedures - Other OR 2018 Outpatient Facility Medicare 285
Non-hospital-based care (home health, hospice) 2021 Hospice Medicare 8867990
Alcohol and drug management, treatment, and rehab. 2020 Ambulance Medi-Cal 1464
Consultation, evaluation, and preventive care 2023 Independent Labs Medicare 365
Telehealth 2021 Outpatient Facility Medi-Cal 678881
HCPCS Level II codes not classified 2020 Independent Labs Medicare 342
PTCA (percutaneous transluminal coronary angio.) 2019 Outpatient Facility Commercial 5668
CT scan - Abdomen 2018 Provider Commercial 589123
Urinary system (nonoperative) measurements 2023 Provider Medicare 1226375
Nervous system procedures - Diagnostic (other) 2023 Outpatient Facility Commercial 28114
Female organ procedures - Diagnostic (other) 2020 Independent Labs Commercial 15551
ERCP (endoscopic retro. cannulation of pancreas) 2021 Inpatient Facility Medicare 793
Female organ procedures - Therapeutic (other) 2022 Provider Medicare 23812
Treatment, fracture, dislocation - Lower extrem. 2022 Provider Medi-Cal 34658
Appendectomy 2023 Outpatient Facility Commercial 10739
Nose, mouth, pharynx procedures - Therapeutic OR 2020 Outpatient Facility Medi-Cal 8254
Office visits 2018 Independent Labs Commercial 3333
Embolectomy and endarterectomy of lower limbs 2019 Provider Medi-Cal 1077
Breast - Biopsy, procedures - Diagnostic (other) 2023 Outpatient Facility Medicare 24166
DME and supplies 2021 Ambulance Commercial 47
Radiology - Diagnostic (other) 2021 Unclassified/other Commercial 640
Physical/occupational/speech therapy - Other 2022 Outpatient Facility Commercial 66103
Mammography 2023 Inpatient Facility Medicare 45
Tonsillectomy and/or adenoidectomy 2018 Provider Medi-Cal 13579
Physical/occupational/speech therapy - Diagnostic 2020 Provider Medi-Cal 636657
GI (lower) procedures - Therapeutic 2023 Provider Medi-Cal 2854
HIPPS home health services 2022 Home Health Commercial 19217
Urethra - Procedures 2019 Provider Commercial 6992
Observation care services 2020 Provider Medicare 495734
Extracorporeal lithotripsy, urinary 2019 Provider Medicare 14831
EEG (electroencephalogram) 2019 Provider Medi-Cal 54544
Ophthalmologic/otologic diagnosis and treatment 2020 Provider Medicare 6334796
Transportation - Patient, provider, equipment 2020 Unclassified/other Medi-Cal 36
Skilled nursing facility services 2018 Provider Commercial 88
Conversion of cardiac rhythm 2019 Provider Commercial 7846
Myelogram 2022 Outpatient Facility Medi-Cal 229
DME and supplies 2021 Unclassified/other Medi-Cal 277
Bone excision (partial) 2019 Provider Medicare 32605
Laboratory - Chemistry and hematology 2023 Outpatient Facility Medicare 29806409
Ultrasound - Head and neck - Diagnostic 2023 Inpatient Facility Medi-Cal 266
Spinal canal stimulator insertion and injection 2022 Outpatient Facility Commercial 51037
Arthrocentesis 2019 Outpatient Facility Medicare 61701
Electrocardiogram 2021 Ambulance Commercial 3767
Lung and bronchus procedures - Diagnostic (other) 2021 Provider Medicare 473932
Ancillary services 2023 Inpatient Facility Medi-Cal 139096
GI procedures - Therapeutic OR 2020 Outpatient Facility Commercial 1693
Psychological and psychiatric evaluation, therapy 2019 Home Health Medicare 127
Breast - Mastectomy 2020 Outpatient Facility Commercial 4507
Non-hospital-based care (home health, hospice) 2023 Unclassified/other Medi-Cal 263
Alcohol and drug management, treatment, and rehab. 2022 Outpatient Facility Commercial 60444
Blood and blood product transfusion 2023 Inpatient Facility Commercial 1409
Wound care - Traction, splints, other 2022 Outpatient Facility Medi-Cal 120475
ERCP (endoscopic retro. cannulation of pancreas) 2018 Inpatient Facility Medicare 635
AVF or vessel-to-vessel cannula for dialysis svcs. 2023 Outpatient Facility Medicare 25710
Knee - Arthroplasty 2021 Inpatient Facility Medicare 1102
Psychological and psychiatric evaluation, therapy 2023 Unclassified/other Medi-Cal 13498
Male genital procedures - Diagnostic 2019 Independent Labs Commercial 76
Gastrectomy (partial and total) 2022 Provider Commercial 210
Electrocardiogram 2019 Outpatient Facility Commercial 591129
Bone marrow transplant 2022 Outpatient Facility Medi-Cal 1101
Organ transplantation - Other 2018 Provider Medicare 2702
Extracorporeal shock wave (other than urinary) 2023 Provider Medi-Cal 35543
Spinal canal stimulator insertion and injection 2021 Home Health Medicare 117
Skin lesion - Excision 2023 Provider Commercial 1195596
Consultation, evaluation, and preventive care 2020 Outpatient Facility Medicare 24421
Preventive visits 2019 Inpatient Facility Medicare 39
Cholecystectomy and common duct exploration 2020 Outpatient Facility Medi-Cal 8402
Medications (injections, infusions, other forms) 2018 Ambulance Medi-Cal 3653
Pathology 2018 Unclassified/other Medi-Cal 5022
Breast - Lumpectomy, quadrantectomy 2023 Provider Medi-Cal 5765
Intraoperative cholangiogram 2019 Provider Medicare 2052
Respiratory intubation and mechanical ventilation 2021 Provider Medi-Cal 41192
CPT codes not classified (F codes) 2022 Pharmacy Medicare 301
Epistaxis control 2022 Outpatient Facility Commercial 2429
Hospital services 2023 Inpatient Facility Medicare 105
Ureteral catheterization 2023 Outpatient Facility Medicare 8317
CT scan - Other 2023 Provider Commercial 310281
Treatment, fracture, dislocation - Hip and femur 2019 Inpatient Facility Medicare 166
Skin and subcutaneous tissue - Diagnostic (other) 2019 Provider Medi-Cal 134212
Radiology - Diagnostic (other) 2019 Provider Commercial 5464468
Observation care services 2019 Outpatient Facility Medi-Cal 101493
Emergency department services 2022 Outpatient Facility Commercial 2245630
Other types of lab tests 2019 Independent Labs Commercial 15063575
Myringotomy 2022 Outpatient Facility Medi-Cal 3029
Central nervous system (CNS) incision and excision 2022 Outpatient Facility Medi-Cal 107
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2019 Inpatient Facility Commercial 118
HCPCS Level II codes not classified 2018 Provider Medicare 9495454
Ultrasound - Head and neck - Diagnostic 2020 Provider Medicare 517326
Blood and blood product transfusion 2020 Provider Medi-Cal 15093
GI (lower) procedures - Therapeutic 2020 Provider Commercial 4118
Microscopic examination (e.g., lab, toxicology) 2018 Inpatient Facility Medicare 211547
Musculoskeletal procedures - Diagnostic (other) 2021 Inpatient Facility Medicare 73
Telehealth 2020 Inpatient Facility Medi-Cal 3199
GI (upper) procedures - Therapeutic 2023 Provider Medicare 1847
Wound care - Traction, splints, other 2019 Inpatient Facility Medicare 934
Nephrotomy and nephrostomy 2021 Provider Medicare 13213
Non-hospital-based care (home health, hospice) 2023 Home Health Medi-Cal 1979289
Obstetrical procedures - Therapeutic (other) 2023 Unclassified/other Medi-Cal 157
Laminectomy, excision intervertebral disc 2020 Outpatient Facility Medi-Cal 1160
Ancillary services 2019 Home Health Commercial 9881
Ear procedures - Diagnostic 2022 Provider Medicare 18985
Prostatectomy (open ) 2022 Inpatient Facility Medicare 85
Treatment, fracture, dislocation - Other 2021 Provider Medi-Cal 42536
Male genital procedures - Diagnostic 2022 Independent Labs Commercial 525
Treatment, fracture, dislocation - Lower extrem. 2022 Provider Commercial 28720
Colonoscopy and biopsy 2023 Inpatient Facility Medicare 212
Bunionectomy or repair of toe deformities 2020 Provider Medicare 14007
Laparoscopy 2021 Inpatient Facility Medicare 118
Pleura incision, thoracentesis, chest drainage 2021 Outpatient Facility Medicare 12420
X-ray - Lower GI 2018 Provider Commercial 3118
Spleen procedures 2019 Outpatient Facility Commercial 31
Appendectomy 2021 Inpatient Facility Medicare 122
Eye procedures - Lens and cataract 2023 Provider Commercial 50216
Cardiovascular procedures - Diagnostic (other) 2018 Inpatient Facility Medicare 763
Lobectomy or pneumonectomy 2023 Provider Medicare 4494
Pleura incision, thoracentesis, chest drainage 2021 Provider Commercial 12041
CPT codes not classified (F codes) 2020 Pharmacy Medicare 93
Muscle and tendon procedures - Therapeutic (other) 2023 Outpatient Facility Commercial 48712
Respiratory therapy - Other 2021 Inpatient Facility Commercial 83
Radioisotope scan - Bone 2022 Inpatient Facility Medicare 153
Open-heart procedures - Extracorporeal circulation 2023 Outpatient Facility Medi-Cal 744
Genitourinary incontinence procedures 2021 Provider Commercial 5218
Skin and subcutaneous tissue - Diagnostic (other) 2023 Independent Labs Commercial 54
Other types of visits 2019 Hospice Commercial 686
Cardiovascular procedures - Diagnostic (other) 2018 Provider Commercial 44076
Extraocular muscle procedures - Therapeutic 2020 Outpatient Facility Commercial 2622
Female organ procedures - Therapeutic OR (other) 2023 Outpatient Facility Commercial 12151
Alcohol and drug management, treatment, and rehab. 2019 Provider Medicare 124462
Radiology - Diagnostic (other) 2020 Unclassified/other Medi-Cal 491
Tracheostomy (temporary and permanent) 2022 Provider Medicare 4067
D&C - Aspiration after delivery or abortion 2021 Outpatient Facility Medi-Cal 3824
Lobectomy or pneumonectomy 2021 Provider Medicare 4543
Skin, breast procedures - Therapeutic (other) 2019 Outpatient Facility Commercial 25236
Radiology - Diagnostic (other) 2021 Provider Commercial 6170235
Ancillary services 2022 Hospice Medicare 1524
Transportation - Patient, provider, equipment 2018 Ambulance Medicare 3042776
ERCP (endoscopic retro. cannulation of pancreas) 2021 Inpatient Facility Commercial 38
Urinary system (nonoperative) measurements 2021 Outpatient Facility Medicare 613986
Hip replacement (partial and total) 2022 Provider Medicare 39444
Open-heart procedures - Extracorporeal circulation 2023 Pharmacy Commercial 1385
Prostatectomy (open ) 2021 Outpatient Facility Medi-Cal 142
Urinary system (nonoperative) measurements 2021 Outpatient Facility Commercial 855700
Laboratory - Chemistry and hematology 2020 Ambulance Medicare 362
Medications (injections, infusions, other forms) 2018 Provider Commercial 3746447
Hernia repair - Inguinal and femoral 2020 Provider Medi-Cal 8874
CT scan - Chest 2020 Inpatient Facility Medicare 8872
Behavioral health services 2018 Provider Medicare 63569
Contrast aortogram 2021 Inpatient Facility Medicare 315
Nose, mouth, pharynx procedures - Therapeutic OR 2019 Provider Medicare 37416
Excision, lysis peritoneal adhesions 2022 Provider Medicare 1288
Hearing devices and audiology supplies 2021 Provider Medi-Cal 57101
Medications (injections, infusions, other forms) 2018 Provider Medi-Cal 2358576
Nephrotomy and nephrostomy 2022 Provider Medicare 13938
Behavioral health services 2019 Inpatient Facility Medicare 72
CT scan - Chest 2021 Inpatient Facility Medi-Cal 2288
Excision, lysis peritoneal adhesions 2023 Provider Medi-Cal 673
Skin, breast procedures - Therapeutic (other) 2020 Unclassified/other Medi-Cal 240
Hearing devices and audiology supplies 2023 Outpatient Facility Medi-Cal 8148
Ultrasound - Urinary tract - Diagnostic 2020 Outpatient Facility Medicare 1845
Nose, mouth, pharynx procedures - Therapeutic OR 2020 Outpatient Facility Commercial 27571
Office visits 2018 Inpatient Facility Medicare 252
Spleen procedures 2021 Outpatient Facility Commercial 34
Physical/occupational/speech therapy - Exercises 2021 Inpatient Facility Medicare 3310429
Genitourinary incontinence procedures 2021 Provider Medicare 6569
DME and supplies 2020 Unclassified/other Medicare 222
Ungrouped Procedures 2021 Ambulance Commercial 5561
Eye procedures - Destruction of retinal lesion 2018 Provider Medicare 24349
D&C (dilatation and curettage) - Diagnostic 2018 Outpatient Facility Commercial 1255
Decompression peripheral nerve 2021 Outpatient Facility Medi-Cal 4532
Other types of visits 2019 Unclassified/other Medi-Cal 514
Laboratory - Chemistry and hematology 2020 Unclassified/other Medicare 462
Breast - Lumpectomy, quadrantectomy 2018 Outpatient Facility Medicare 10701
Ultrasound - Diagnostic (other) 2022 Unclassified/other Commercial 196
Hemorrhoid procedures 2019 Outpatient Facility Medicare 2128
Respiratory therapy - Other 2020 Outpatient Facility Medi-Cal 116821
Alcohol and drug management, treatment, and rehab. 2019 Unclassified/other Medi-Cal 2306
Appendectomy 2022 Inpatient Facility Medicare 105
GI procedures - Therapeutic 2019 Inpatient Facility Commercial 50
Embolectomy and endarterectomy of lower limbs 2020 Provider Medicare 4318
Bone procedures - Therapeutic OR (other) 2022 Outpatient Facility Medi-Cal 6761
Hemodialysis 2018 Provider Medicare 91653
Prophylactic vaccinations and inoculations 2020 Home Health Medicare 2270
Gastrectomy (partial and total) 2018 Provider Medicare 691
Aortic resection - Replacement or anastomosis 2018 Provider Medi-Cal 1596
Urinary obstruction - Excision, drainage, removal 2018 Unclassified/other Medi-Cal 41
Hysterectomy (abdominal and vaginal) 2023 Provider Medicare 10173
Other types of lab tests 2022 Independent Labs Commercial 18208680
Arthroplasty other than hip or knee 2021 Outpatient Facility Medicare 11636
Laboratory - Chemistry and hematology 2018 Ambulance Medi-Cal 367
Circumcision 2023 Outpatient Facility Medi-Cal 3816
DME and supplies 2018 Outpatient Facility Medicare 3927192
HCPCS Level II codes not classified 2022 Pharmacy Medicare 405
Tracheoscopy and laryngoscopy with biopsy 2018 Outpatient Facility Commercial 4518
Extracorporeal shock wave (other than urinary) 2022 Outpatient Facility Commercial 29343
CT scan - Abdomen 2021 Unclassified/other Medi-Cal 92
X-ray - Chest (routine) 2018 Unclassified/other Medi-Cal 11207
Enteral and parenteral nutrition 2018 Provider Medi-Cal 93680
Large intestine lesion - Local excision 2022 Provider Medicare 228
Spinal fusion 2019 Provider Medicare 110195
Esophageal dilatation 2022 Provider Medicare 27649
Amputation - Lower extremity 2020 Outpatient Facility Medi-Cal 441
X-ray - Lower GI 2023 Provider Medi-Cal 2554
Physical/occupational/speech therapy - Diagnostic 2022 Unclassified/other Medi-Cal 2052
Cardiac catheterization/arteriography - Diagnostic 2022 Outpatient Facility Commercial 23306
Obstetric laceration - Repair 2021 Outpatient Facility Commercial 58
Microscopic examination (e.g., lab, toxicology) 2022 Hospice Medi-Cal 4593
Treatment, fracture, dislocation - Lower extrem. 2021 Provider Medi-Cal 35313
Urinary tract procedures - Therapeutic OR (other) 2021 Outpatient Facility Commercial 306669
Telehealth 2023 Provider Medicare 4237934
Cystocele/rectocele repair, oblit. of vag. vault 2023 Outpatient Facility Medi-Cal 1627
Respiratory procedures - Diagnostic (other) 2022 Provider Medi-Cal 3898
Female organ procedures - Therapeutic (other) 2021 Provider Medi-Cal 114635
Cervix and uterus - Other excision 2023 Provider Commercial 19002
Intravenous pyelogram 2021 Outpatient Facility Medicare 158
Pathology 2021 Unclassified/other Medi-Cal 116
Consultations 2021 Outpatient Facility Medi-Cal 30613
Preventive visits 2023 Provider Medicare 1747027
Other vascular catheterization (not heart) 2021 Inpatient Facility Medicare 2332
Vessels other than head/neck procedures - Other OR 2020 Provider Medicare 90680
Nephrectomy (partial or complete) 2020 Inpatient Facility Medicare 61
GI procedures - Diagnostic 2018 Outpatient Facility Commercial 9748
Physical/occupational/speech therapy - Other 2021 Provider Commercial 172288
Ultrasound - Diagnostic (other) 2018 Outpatient Facility Medicare 352059
Nose, mouth, pharynx procedures - Therapeutic 2019 Inpatient Facility Medi-Cal 55602
Eye procedures - Glaucoma 2022 Outpatient Facility Medicare 10979
Electrocardiogram 2023 Inpatient Facility Commercial 529
Non-hospital-based care (home health, hospice) 2020 Unclassified/other Medi-Cal 254
Consultation, evaluation, and preventive care 2023 Unclassified/other Medi-Cal 43
Hemic/lymphatic system procedures - Therapeutic 2021 Provider Medicare 38765
PTCA (percutaneous transluminal coronary angio.) 2021 Inpatient Facility Medicare 997
Mammography 2018 Unclassified/other Commercial 61
Hospital services 2022 Inpatient Facility Commercial 210
Division of joint capsule (ligament or cartilage) 2019 Outpatient Facility Medicare 1269
Breast - Lumpectomy, quadrantectomy 2019 Provider Medicare 14845
Bone excision (partial) 2018 Provider Commercial 17683
CT scan - Abdomen 2019 Outpatient Facility Medicare 465567
GI procedures - Therapeutic 2022 Outpatient Facility Commercial 2271
Nervous system procedures - Therapeutic OR (other) 2020 Outpatient Facility Medi-Cal 4342
Knee - Excision of semilunar cartilage 2020 Outpatient Facility Commercial 18131
MRI (magnetic resonance imaging) 2023 Independent Labs Commercial 113
Critical care services 2020 Outpatient Facility Commercial 21017
Arteriogram or venogram (not heart and head) 2020 Outpatient Facility Medi-Cal 15973
Anesthesia 2019 Inpatient Facility Commercial 115
Visual aids and other optical supplies 2022 Outpatient Facility Medicare 85081
Telehealth 2022 Outpatient Facility Commercial 99139
Endocrine procedures - Diagnostic 2020 Provider Commercial 25384
Urinary tract procedures - Diagnostic (other) 2022 Inpatient Facility Medicare 155
Debridement of wound, infection or burn 2021 Outpatient Facility Commercial 19747
Oral and dental services 2021 Outpatient Facility Medi-Cal 16131
Other types of lab tests 2020 Unclassified/other Medi-Cal 7477
Telehealth 2022 Outpatient Facility Medi-Cal 607947
Treatment, fracture, dislocation - Facial 2021 Provider Medicare 3791
Physical/occupational/speech therapy - Diagnostic 2018 Inpatient Facility Medi-Cal 31565
GI (upper) endoscopy, biopsy 2019 Inpatient Facility Commercial 54
Eye procedures - Diagnostic 2021 Outpatient Facility Medicare 663
CT scan - Other 2021 Outpatient Facility Medi-Cal 158070
Nose, mouth, pharynx procedures - Therapeutic OR 2023 Outpatient Facility Commercial 33249
Electrocardiogram 2021 Outpatient Facility Medi-Cal 1019262
Care management/coordination services 2022 Home Health Medicare 316
Preventive visits 2021 Provider Medicare 1538634
HCPCS Level II codes not classified 2021 Independent Labs Medi-Cal 50
Breast - Lumpectomy, quadrantectomy 2019 Provider Medi-Cal 5551
Vascular bypass - Peripheral 2023 Provider Commercial 423
Urinary tract procedures - Diagnostic (other) 2021 Provider Commercial 3076
GI (upper) endoscopy, biopsy 2018 Provider Medicare 330818
Indwelling catheter 2023 Outpatient Facility Commercial 6003
Bone excision (partial) 2021 Provider Medicare 36384
Ancillary services 2023 Pharmacy Medicare 132
GI (lower) procedures - Therapeutic OR 2019 Provider Medi-Cal 9074
Observation care services 2022 Outpatient Facility Medicare 258905
Critical care services 2020 Ambulance Medi-Cal 68
Skilled nursing facility services (HIPPS) 2023 Provider Medi-Cal 4571
MRI (magnetic resonance imaging) 2022 Provider Medi-Cal 688031
Urethra - Procedures 2023 Outpatient Facility Medicare 2283
Spinal canal stimulator insertion and injection 2019 Outpatient Facility Commercial 54923
Infertility services 2021 Provider Commercial 277
Tonsillectomy and/or adenoidectomy 2022 Outpatient Facility Medi-Cal 6253
GI (lower) procedures - Therapeutic OR 2020 Inpatient Facility Medicare 47
Respiratory intubation and mechanical ventilation 2020 Outpatient Facility Medicare 17310
Fallopian tubes - Other operations 2021 Outpatient Facility Medi-Cal 201
Blood and blood product transfusion 2023 Provider Medicare 19859
Visual aids and other optical supplies 2023 Provider Commercial 42106
Nonoperative removal of foreign body 2020 Provider Medi-Cal 15538
Microscopic examination (e.g., lab, toxicology) 2020 Pharmacy Medicare 80
Bone excision (partial) 2023 Outpatient Facility Commercial 8241
Tonsillectomy and/or adenoidectomy 2020 Provider Medicare 291
HCPCS Level II codes not classified 2020 Provider Medi-Cal 1941233
Male genital procedures - Therapeutic OR (other) 2023 Provider Medicare 8602
Psychological and psychiatric evaluation, therapy 2023 Ambulance Medi-Cal 96
Eye procedures - Diagnostic 2020 Provider Medicare 30960
Nervous system procedures - Therapeutic (other) 2018 Outpatient Facility Commercial 59244
Ultrasound - Head and neck - Diagnostic 2018 Outpatient Facility Medicare 99130
Knee - Excision of semilunar cartilage 2019 Provider Medi-Cal 8795
Endocrine procedures - Diagnostic 2020 Outpatient Facility Commercial 803
Urethra - Procedures 2021 Provider Medicare 25401
Physical/occupational/speech therapy - Diagnostic 2021 Outpatient Facility Medicare 354114
Hemic/lymphatic system procedures - Therapeutic 2022 Outpatient Facility Medicare 23587
Consultation, evaluation, and preventive care 2023 Provider Medicare 883384
PTCA (percutaneous transluminal coronary angio.) 2021 Inpatient Facility Commercial 154
Nasogastric tube 2021 Provider Medicare 1396
GI procedures - Therapeutic 2021 Inpatient Facility Medicare 202
Oral and dental services 2022 Outpatient Facility Medi-Cal 17635
Care management/coordination services 2021 Hospice Medicare 2439
Division of joint capsule (ligament or cartilage) 2019 Outpatient Facility Commercial 2405
Other types of lab tests 2021 Independent Labs Medicare 13078892
Musculoskeletal procedures - Therapeutic (other) 2020 Provider Medi-Cal 188700
Treatment, fracture, dislocation - Facial 2021 Outpatient Facility Medicare 812
Treatment, fracture, dislocation - Radius and ulna 2020 Inpatient Facility Medicare 45
Preventive visits 2021 Provider Medi-Cal 3766300
Electrocardiogram 2021 Unclassified/other Commercial 516
Microscopic examination (e.g., lab, toxicology) 2020 Pharmacy Medi-Cal 186
CT scan - Abdomen 2020 Inpatient Facility Medi-Cal 2857
Fallopian tubes - Other operations 2019 Provider Commercial 2032
Nonoperative removal of foreign body 2020 Outpatient Facility Medicare 1667
Cervix and uterus - Other excision 2022 Outpatient Facility Commercial 11161
Hearing devices and audiology supplies 2020 Provider Commercial 9406
Muscle and tendon procedures - Therapeutic (other) 2021 Outpatient Facility Medi-Cal 29598
Bone procedures - Therapeutic OR (other) 2021 Outpatient Facility Medi-Cal 6697
Arterial blood gases 2019 Outpatient Facility Medicare 73043
Nervous system procedures - Diagnostic (other) 2020 Unclassified/other Medi-Cal 286
Physical/occupational/speech therapy - Exercises 2019 Unclassified/other Medicare 535
Abdominal paracentesis 2023 Inpatient Facility Medi-Cal 129
Colonoscopy and biopsy 2022 Provider Medi-Cal 166530
Obstetrical procedures - Therapeutic (other) 2022 Outpatient Facility Medi-Cal 30693
Treatment, fracture, dislocation - Other 2021 Inpatient Facility Commercial 108
Vessels other than head/neck procedures - Other OR 2019 Inpatient Facility Medicare 513
Contrast arteriogram - Lower extremity arteries 2021 Outpatient Facility Commercial 415
Prophylactic vaccinations and inoculations 2021 Outpatient Facility Commercial 222500
Ancillary services 2018 Provider Commercial 730046
Other types of visits 2018 Hospice Medi-Cal 7411
Eye procedures - Therapeutic (other) 2019 Provider Medicare 281401
Intravenous pyelogram 2019 Provider Medi-Cal 251
Medications (injections, infusions, other forms) 2020 Outpatient Facility Medicare 15855209
Transportation - Patient, provider, equipment 2020 Ambulance Commercial 518696
Ultrasound - Heart (echocardiogram) - Diagnostic 2023 Provider Medicare 1664565
Gastric bypass and volume reduction 2023 Provider Medi-Cal 10191
Skin, breast procedures - Therapeutic OR (other) 2018 Provider Medi-Cal 14248
Esophageal dilatation 2020 Provider Commercial 8728
Non-hospital-based care (home health, hospice) 2022 Outpatient Facility Commercial 33853
Hernia repair - Inguinal and femoral 2019 Inpatient Facility Medicare 80
DME and supplies 2018 DME (Durable Medical Equipment) Commercial 1333581
Arthroscopy 2021 Provider Medicare 2364
Extraocular muscle procedures - Therapeutic 2018 Outpatient Facility Commercial 3649
Skin and subcutaneous tissue - Diagnostic (other) 2021 Unclassified/other Commercial 59
Ear procedures - Diagnostic 2019 Provider Commercial 5943
Delivery - Forceps, vacuum, and breech 2020 Outpatient Facility Medi-Cal 2859
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2022 Provider Commercial 732942
GI (upper) procedures - Therapeutic OR 2022 Outpatient Facility Commercial 702
Radiology - Therapeutic 2018 Outpatient Facility Medi-Cal 152610
Respiratory procedures - Therapeutic (other) 2023 Provider Medi-Cal 4403
Nose, mouth, pharynx procedures - Diagnostic 2023 Outpatient Facility Medi-Cal 21990
Large intestine lesion - Local excision 2019 Provider Medicare 418
D&C (dilatation and curettage) - Diagnostic 2023 Provider Medicare 864
Radioisotope scan - Bone 2020 Outpatient Facility Medi-Cal 4363
Pathology 2020 Unclassified/other Commercial 192
X-ray - Chest (routine) 2022 Provider Commercial 1789308
Laminectomy, excision intervertebral disc 2020 Outpatient Facility Commercial 6459
Eye procedures - Repair of retinal tear/detachment 2018 Provider Medicare 14417
Hearing devices and audiology supplies 2021 Provider Commercial 10781
Open-heart procedures - Extracorporeal circulation 2023 Provider Medicare 4751
CT scan - Chest 2021 Inpatient Facility Commercial 205
Other types of visits 2019 Provider Medi-Cal 398906
Spleen procedures 2020 Provider Medi-Cal 417
Medications (injections, infusions, other forms) 2018 Pharmacy Medicare 326709
Embolectomy and endarterectomy of lower limbs 2020 Provider Commercial 528
Tracheostomy (temporary and permanent) 2022 Provider Medi-Cal 3335
Nephrotomy and nephrostomy 2021 Provider Medi-Cal 6578
Skin and subcutaneous tissue - Diagnostic (other) 2023 Independent Labs Medi-Cal 346
Cardiovascular procedures - Diagnostic (other) 2018 Provider Medi-Cal 42869
Alcohol and drug management, treatment, and rehab. 2019 Provider Medi-Cal 24089854
Hernia repair - Inguinal and femoral 2020 Provider Medicare 19508
Ultrasound - Diagnostic (other) 2022 Provider Medi-Cal 2420983
Male genital procedures - Diagnostic 2021 Independent Labs Commercial 318
Lobectomy or pneumonectomy 2023 Outpatient Facility Commercial 49
Ungrouped Procedures 2022 Pharmacy Medicare 10158
ERCP (endoscopic retro. cannulation of pancreas) 2021 Provider Commercial 16095
Urinary system (nonoperative) measurements 2021 Inpatient Facility Medicare 9370
Ultrasound - Urinary tract - Diagnostic 2021 Outpatient Facility Commercial 652
Eye procedures - Destruction of retinal lesion 2018 Provider Medi-Cal 22274
Non-hospital-based care (home health, hospice) 2023 Home Health Medicare 13006107
Female organ procedures - Therapeutic OR (other) 2023 Outpatient Facility Medi-Cal 7912
X-ray - Lower GI 2018 Outpatient Facility Medicare 2645
Prostatectomy (open ) 2022 Outpatient Facility Commercial 1718
Office visits 2018 Inpatient Facility Commercial 142
Behavioral health services 2019 Provider Medicare 66223
GI procedures - Therapeutic 2019 Provider Commercial 8365
Laboratory - Chemistry and hematology 2020 Outpatient Facility Commercial 16967292
Radioisotope scan - Bone 2022 Outpatient Facility Commercial 10132
Breast - Lumpectomy, quadrantectomy 2018 Outpatient Facility Commercial 13486
Treatment, fracture, dislocation - Other 2022 Provider Medi-Cal 43453
Genitourinary incontinence procedures 2021 Outpatient Facility Medicare 3817
Nose, mouth, pharynx procedures - Therapeutic OR 2019 Provider Medi-Cal 22090
Bunionectomy or repair of toe deformities 2022 Outpatient Facility Medi-Cal 2434
Contrast aortogram 2021 Outpatient Facility Commercial 997
Decompression peripheral nerve 2021 Inpatient Facility Medicare 48
Ancillary services 2019 Ambulance Commercial 59
Colonoscopy and biopsy 2023 Outpatient Facility Commercial 383101
Exploratory laparotomy 2018 Provider Medicare 2576
Physical/occupational/speech therapy - Exercises 2021 Independent Labs Commercial 747
Emergency department services 2021 Provider Commercial 2110667
Urinary tract - Endoscopy and endoscopic biopsy 2021 Outpatient Facility Medi-Cal 3806
Peritoneal dialysis 2018 Outpatient Facility Medicare 6211512
Ear procedures - Therapeutic 2018 Outpatient Facility Commercial 6522
Ophthalmologic/otologic diagnosis and treatment 2022 Outpatient Facility Medicare 216767
Cardiovascular procedures - Diagnostic (other) 2019 Outpatient Facility Medicare 43858
Conversion of cardiac rhythm 2022 Provider Commercial 8079
Alcohol and drug management, treatment, and rehab. 2020 Unclassified/other Commercial 14189
Hernia repair - Inguinal and femoral 2021 Provider Medi-Cal 9814
Medications (injections, infusions, other forms) 2021 Inpatient Facility Medicare 757336
Heart procedures - Other OR 2023 Provider Medicare 13866
DME and supplies 2022 Pharmacy Commercial 46
Male genital procedures - Therapeutic OR (other) 2018 Inpatient Facility Medicare 48
Skilled nursing facility services 2022 Unclassified/other Medi-Cal 834
PTCA (percutaneous transluminal coronary angio.) 2022 Provider Medicare 37369
Amniocentesis - Diagnostic 2019 Outpatient Facility Commercial 283
Ultrasound - Diagnostic (other) 2023 Outpatient Facility Medi-Cal 890500
Laminectomy, excision intervertebral disc 2021 Outpatient Facility Medicare 8786
Skin, breast procedures - Therapeutic OR (other) 2020 Outpatient Facility Medicare 7449
Colorectal resection 2022 Outpatient Facility Commercial 478
Vessels other than head/neck procedures - Other OR 2023 Outpatient Facility Medi-Cal 5434
Other types of lab tests 2019 Home Health Medicare 115
Psychological and psychiatric evaluation, therapy 2020 Pharmacy Medicare 550
Musculoskeletal procedures - Diagnostic (other) 2020 Provider Commercial 4814
Skin graft 2021 Outpatient Facility Commercial 9800
Arterial blood gases 2021 Inpatient Facility Medicare 37700
Blood and blood product transfusion 2020 Independent Labs Medi-Cal 2677
Joint procedures - Therapeutic OR (other) 2019 Provider Medicare 41677
Ungrouped Procedures 2022 Unclassified/other Medicare 332
Ileostomy and other enterostomy 2022 Provider Commercial 1482
Radioisotope scan and function studies 2018 Provider Medicare 427461
Care management/coordination services 2022 Outpatient Facility Commercial 844
Transportation - Patient, provider, equipment 2022 Independent Labs Medi-Cal 6135
GI (upper) endoscopy, biopsy 2020 Outpatient Facility Medi-Cal 63304
Eye procedures - Repair of retinal tear/detachment 2021 Provider Commercial 12960
Non-hospital-based care (home health, hospice) 2021 Hospice Commercial 80948
Care management/coordination services 2019 Hospice Medi-Cal 464
Hemorrhoid procedures 2020 Provider Commercial 17688
Office visits 2021 Hospice Medicare 80
Cesarean section 2023 Provider Medi-Cal 65050
Extracorporeal lithotripsy, urinary 2022 Provider Medicare 16203
Ancillary services 2021 Provider Medi-Cal 4253175
Myringotomy 2020 Provider Medi-Cal 6797
Fetal monitoring 2018 Outpatient Facility Commercial 75330
Delivery - Forceps, vacuum, and breech 2023 Outpatient Facility Medi-Cal 2113
Hospital services 2018 Outpatient Facility Commercial 567
Eye procedures - Diagnostic 2022 Outpatient Facility Commercial 416
Pleura incision, thoracentesis, chest drainage 2022 Outpatient Facility Medi-Cal 2215
CPT codes not classified (F codes) 2020 Home Health Medi-Cal 1669
Thyroidectomy (partial or complete) 2019 Outpatient Facility Medi-Cal 1078
Vascular bypass and shunt - Other (not heart) 2020 Outpatient Facility Commercial 60
Treatment, fracture, dislocation - Radius and ulna 2022 Outpatient Facility Commercial 15187
Ophthalmologic/otologic diagnosis and treatment 2018 Independent Labs Medi-Cal 156
Microscopic examination (e.g., lab, toxicology) 2023 Unclassified/other Medi-Cal 3937
Office visits 2021 Outpatient Facility Medicare 4619109
Medications (injections, infusions, other forms) 2019 Independent Labs Medi-Cal 39
Treatment, fracture, dislocation - Lower extrem. 2023 Provider Medi-Cal 34371
Male genital procedures - Therapeutic OR (other) 2020 Inpatient Facility Medicare 50
D&C (dilatation and curettage) - Diagnostic 2019 Outpatient Facility Medi-Cal 806
Exploratory laparotomy 2019 Provider Commercial 1548
Prostatectomy (open ) 2023 Outpatient Facility Medi-Cal 158
Contrast aortogram 2023 Inpatient Facility Medicare 370
Genitourinary incontinence procedures 2023 Provider Medicare 8039
Lung and bronchus procedures - Diagnostic (other) 2018 Provider Commercial 354516
Skin, breast procedures - Therapeutic (other) 2021 Provider Medi-Cal 524785
Arthroplasty other than hip or knee 2023 Outpatient Facility Medicare 13856
DME and supplies 2021 Home Health Medi-Cal 62539
Cardiac stress tests 2018 Provider Commercial 155398
Respiratory therapy - Other 2022 Inpatient Facility Commercial 82
Nose, mouth, pharynx procedures - Therapeutic OR 2021 Inpatient Facility Medi-Cal 97
Female organ procedures - Therapeutic (other) 2023 Provider Commercial 168832
Nervous system procedures - Diagnostic (other) 2018 Outpatient Facility Medi-Cal 27712
Radiology - Diagnostic (other) 2022 Inpatient Facility Commercial 277
Skin and subcutaneous tissue - Suture 2020 Outpatient Facility Medicare 61065
Office visits 2022 Provider Medi-Cal 28398572
Transportation - Patient, provider, equipment 2018 Inpatient Facility Medi-Cal 41193
Spinal tap - Diagnostic 2018 Provider Medi-Cal 15498
Appendectomy 2023 Inpatient Facility Commercial 49
Urinary system (nonoperative) measurements 2022 Outpatient Facility Medicare 638795
Physical/occupational/speech therapy - Other 2022 Provider Medicare 229222
Ancillary services 2022 Outpatient Facility Commercial 99781
Heart valve procedures 2019 Provider Medicare 22018
Radioisotope scan - Pulmonary 2018 Provider Medicare 21039
Varicose vein stripping - Lower limb 2019 Provider Medi-Cal 1797
Eye procedures - Destruction of retinal lesion 2020 Outpatient Facility Medi-Cal 1145
Pacemaker or cardioverter/defibrillator services 2019 Inpatient Facility Medicare 594
Respiratory intubation and mechanical ventilation 2023 Inpatient Facility Medi-Cal 4592
Ultrasound - Head and neck - Diagnostic 2021 Provider Commercial 279499
Cholecystectomy and common duct exploration 2023 Outpatient Facility Commercial 19129
DME and supplies 2021 Provider Medi-Cal 6988828
Female organ procedures - Diagnostic (other) 2020 Outpatient Facility Commercial 23996
Nose procedures - Plastic 2018 Outpatient Facility Medicare 2037
Respiratory therapy - Other 2023 Provider Medi-Cal 70826
Radioisotope scan and function studies 2021 Inpatient Facility Medi-Cal 234
GI (lower) procedures - Therapeutic OR 2021 Provider Commercial 12435
Exploratory laparotomy 2023 Outpatient Facility Commercial 40
Colostomy (temporary and permanent) 2019 Provider Commercial 494
Vascular bypass and shunt - Other (not heart) 2023 Outpatient Facility Commercial 81
Physical/occupational/speech therapy - Diagnostic 2021 Home Health Commercial 9360
GI (lower) procedures - Therapeutic OR 2018 Outpatient Facility Commercial 6410
Intraocular procedures - Therapeutic 2018 Provider Commercial 75261
Nervous system procedures - Diagnostic (other) 2021 Outpatient Facility Medi-Cal 39686
Cardiovascular procedures - Diagnostic (other) 2021 Outpatient Facility Medicare 44373
Electrocardiogram 2020 Inpatient Facility Medicare 48396
Wound care - Traction, splints, other 2020 Inpatient Facility Medi-Cal 88
Laboratory - Chemistry and hematology 2023 Ambulance Commercial 130
Psychological and psychiatric evaluation, therapy 2018 Pharmacy Medicare 419
Care management/coordination services 2020 Outpatient Facility Commercial 886
Therapeutic procedures - Other 2022 Unclassified/other Medi-Cal 1524
Breast - Mastectomy 2020 Provider Medicare 4384
Ophthalmologic/otologic diagnosis and treatment 2019 Unclassified/other Medi-Cal 2206
Spinal canal stimulator insertion and injection 2022 Independent Labs Medi-Cal 316
Urethra - Procedures 2020 Outpatient Facility Medi-Cal 828
Mammography 2023 Provider Commercial 2717775
Myelogram 2022 Provider Medi-Cal 511
Skin graft 2023 Provider Medicare 180171
EEG (electroencephalogram) 2019 Outpatient Facility Commercial 6731
Tympanoplasty 2018 Provider Medicare 1856
Urinary tract - Endoscopy and endoscopic biopsy 2018 Inpatient Facility Medicare 38
Emergency department services 2018 Provider Commercial 2177123
Knee - Excision of semilunar cartilage 2018 Outpatient Facility Medi-Cal 6330
Muscles, tendons, joints - Injections, aspirations 2020 Unclassified/other Medi-Cal 46
Lung and bronchus procedures - Diagnostic (other) 2020 Outpatient Facility Medicare 109014
Alcohol and drug management, treatment, and rehab. 2021 Pharmacy Medi-Cal 1821
Microscopic examination (e.g., lab, toxicology) 2020 Hospice Medi-Cal 4255
Nervous system procedures - Diagnostic (other) 2018 Provider Commercial 293142
Office visits 2023 Independent Labs Medi-Cal 15087
Lung and bronchus procedures - Diagnostic (other) 2018 Unclassified/other Medi-Cal 70
Nose, mouth, pharynx procedures - Therapeutic OR 2021 Outpatient Facility Medi-Cal 10027
Delivery - Other procedures to assist 2019 Provider Medi-Cal 1849
Arterial blood gases 2018 Independent Labs Medi-Cal 91
Ancillary services 2022 Pharmacy Commercial 167
Non-hospital-based care (home health, hospice) 2021 Pharmacy Medi-Cal 258
Medications (injections, infusions, other forms) 2019 Provider Commercial 3946745
DME and supplies 2021 Hospice Medi-Cal 372
Male genital procedures - Therapeutic OR (other) 2020 Outpatient Facility Medi-Cal 4142
D&C (dilatation and curettage) - Diagnostic 2019 Outpatient Facility Medicare 544
Ungrouped Procedures 2019 Unclassified/other Medi-Cal 1359
Respiratory therapy - Other 2022 Inpatient Facility Medi-Cal 4085
Muscle and tendon procedures - Therapeutic (other) 2018 Outpatient Facility Medi-Cal 13064
Fallopian tubes - Ligation 2020 Outpatient Facility Medi-Cal 1241
Skin and subcutaneous tissue - Suture 2019 Provider Medi-Cal 137573
CT scan - Head 2022 Independent Labs Medicare 174
Exploratory laparotomy 2020 Outpatient Facility Commercial 46
Cardiac stress tests 2018 Provider Medicare 360676
ERCP (endoscopic retro. cannulation of pancreas) 2022 Provider Medicare 39525
GI procedures - Diagnostic 2020 Outpatient Facility Medi-Cal 5883
Skin, breast procedures - Therapeutic (other) 2021 Provider Medicare 2631658
Alcohol and drug management, treatment, and rehab. 2020 Pharmacy Medi-Cal 607
Electrographic cardiac monitoring 2020 Outpatient Facility Medi-Cal 23403
Radioisotope scan - Pulmonary 2018 Inpatient Facility Medicare 648
Ophthalmologic/otologic diagnosis and treatment 2018 Provider Medi-Cal 7136171
Radiology - Diagnostic (other) 2022 Inpatient Facility Medicare 27044
Indwelling catheter 2019 Inpatient Facility Medi-Cal 155
Ovary operations - Other 2021 Outpatient Facility Commercial 799
Urinary system (nonoperative) measurements 2019 Independent Labs Medicare 301735
Ungrouped Procedures 2021 Outpatient Facility Medi-Cal 8352233
Female organ procedures - Therapeutic OR (other) 2018 Provider Medi-Cal 12658
Hip replacement (partial and total) 2023 Inpatient Facility Commercial 64
Care management/coordination services 2019 Hospice Medicare 5046
Prostatectomy (open ) 2023 Outpatient Facility Medicare 2204
Genitourinary incontinence procedures 2023 Outpatient Facility Commercial 5541
Hemorrhoid procedures 2022 Outpatient Facility Commercial 5246
Varicose vein stripping - Lower limb 2020 Outpatient Facility Commercial 1169
Physical/occupational/speech therapy - Other 2023 Outpatient Facility Medicare 255617
Laminectomy, excision intervertebral disc 2023 Provider Commercial 22258
Breast - Lumpectomy, quadrantectomy 2018 Provider Commercial 14180
Office visits 2021 Inpatient Facility Commercial 113
Heart valve procedures 2020 Outpatient Facility Commercial 87
Spinal tap - Diagnostic 2020 Inpatient Facility Medicare 109
Physical/occupational/speech therapy - Exercises 2019 Provider Commercial 16390850
Heart procedures - Other OR 2022 Inpatient Facility Commercial 105
Hernia repair - Inguinal and femoral 2019 Outpatient Facility Medi-Cal 6018
Pleura incision, thoracentesis, chest drainage 2020 Outpatient Facility Commercial 3075
Ear procedures - Diagnostic 2019 Provider Medicare 24491
Non-hospital-based care (home health, hospice) 2022 Outpatient Facility Medicare 180753
Colonoscopy and biopsy 2021 Unclassified/other Medi-Cal 158
Esophageal dilatation 2020 Inpatient Facility Medicare 61
Male genital procedures - Diagnostic 2019 Provider Medi-Cal 4547
X-ray - Chest (routine) 2022 Inpatient Facility Medicare 72268
Delivery - Forceps, vacuum, and breech 2020 Provider Medicare 221
Intraoperative cholangiogram 2023 Provider Commercial 1545
CT scan - Head 2019 Inpatient Facility Medicare 18018
Nervous system procedures - Diagnostic (other) 2020 Outpatient Facility Medi-Cal 33888
Vessels other than head/neck procedures - Other OR 2019 Outpatient Facility Medi-Cal 3913
Hysterectomy (abdominal and vaginal) 2020 Provider Medi-Cal 10586
Bone procedures - Therapeutic OR (other) 2019 Provider Medi-Cal 25721
Skin and subcutaneous tissue - Diagnostic (other) 2020 Provider Commercial 406627
Treatment, fracture, dislocation - Other 2020 Outpatient Facility Medicare 8971
Cardiac stress tests 2021 Outpatient Facility Medicare 53534
Radioisotope scan - Bone 2018 Provider Commercial 16504
GI (upper) procedures - Therapeutic OR 2022 Outpatient Facility Medi-Cal 399
Gastric bypass and volume reduction 2021 Provider Medicare 2228
Respiratory procedures - Therapeutic (other) 2023 Inpatient Facility Medi-Cal 1890
Medications (injections, infusions, other forms) 2020 Pharmacy Medi-Cal 701
Contrast arteriogram - Lower extremity arteries 2021 Outpatient Facility Medicare 1147
Female organ procedures - Therapeutic OR (other) 2021 Provider Commercial 21818
Eye procedures - Therapeutic (other) 2020 Outpatient Facility Medicare 14751
D&C - Aspiration after delivery or abortion 2023 Provider Medi-Cal 5589
Prophylactic vaccinations and inoculations 2021 Independent Labs Commercial 60
Arterial blood gases 2019 Provider Medi-Cal 89400
Nose, mouth, pharynx procedures - Diagnostic 2022 Provider Medicare 242821
Ancillary services 2018 Outpatient Facility Medi-Cal 3439841
Transportation - Patient, provider, equipment 2019 Inpatient Facility Commercial 41
Pathology 2021 Independent Labs Commercial 2459705
Ungrouped Procedures 2022 Independent Labs Commercial 17333396
Spinal tap - Diagnostic 2023 Inpatient Facility Medicare 54
Ultrasound - Heart (echocardiogram) - Diagnostic 2023 Unclassified/other Medi-Cal 162
Laparoscopy 2020 Outpatient Facility Medicare 3379
Office visits 2019 Outpatient Facility Medicare 6122039
Abdominal paracentesis 2021 Outpatient Facility Medi-Cal 16146
Cervix and uterus - Other excision 2021 Outpatient Facility Medi-Cal 4438
Large intestine lesion - Local excision 2018 Provider Commercial 252
Hospital services 2021 Inpatient Facility Medicare 56
Vessels of head/neck - Endarterectomy 2022 Outpatient Facility Medicare 53
Extracorporeal shock wave (other than urinary) 2020 Provider Commercial 31100
Physical/occupational/speech therapy - Diagnostic 2022 Inpatient Facility Medicare 129702
Urinary tract procedures - Therapeutic OR (other) 2019 Provider Commercial 6680
Debridement of wound, infection or burn 2020 Provider Commercial 56705
Bone marrow transplant 2018 Outpatient Facility Commercial 1642
Nervous system procedures - Therapeutic OR (other) 2019 Provider Commercial 39740
CT scan - Chest 2018 Unclassified/other Medi-Cal 1431
Central nervous system (CNS) incision and excision 2019 Outpatient Facility Medicare 185
Tympanoplasty 2022 Outpatient Facility Medicare 548
GI (upper) procedures - Therapeutic 2019 Outpatient Facility Medicare 813
Endocrine procedures - Therapeutic 2022 Outpatient Facility Medi-Cal 914
EEG (electroencephalogram) 2021 Provider Medicare 99108
Cardiac catheterization/arteriography - Diagnostic 2020 Provider Commercial 32604
Pacemaker or cardioverter/defibrillator services 2022 Outpatient Facility Commercial 2916
Skin lesion - Excision 2020 Outpatient Facility Medi-Cal 50660
Microscopic examination (e.g., lab, toxicology) 2021 Independent Labs Medi-Cal 7692105
Radioisotope scan and function studies 2023 Outpatient Facility Medicare 179017
GI procedures - Therapeutic OR 2023 Inpatient Facility Medi-Cal 204
Hemodialysis 2021 Provider Medicare 75420
Wound care - Traction, splints, other 2022 Provider Medicare 540291
AVF or vessel-to-vessel cannula for dialysis svcs. 2020 Provider Medi-Cal 24847
Eye procedures - Lens and cataract 2022 Provider Medi-Cal 49804
Respiratory procedures - Diagnostic (other) 2020 Outpatient Facility Commercial 430
Musculoskeletal procedures - Therapeutic OR (other) 2021 Provider Medi-Cal 3698
Spinal canal stimulator insertion and injection 2023 Provider Medi-Cal 77114
Tracheostomy (temporary and permanent) 2019 Outpatient Facility Medi-Cal 46
Enteral and parenteral nutrition 2022 Home Health Medicare 186
Breast - Mastectomy 2023 Provider Medicare 4582
Other types of lab tests 2023 Provider Medicare 2945988
Obstetrical procedures - Therapeutic (other) 2021 Outpatient Facility Commercial 1840
Amniocentesis - Diagnostic 2022 Provider Commercial 2164
Appendectomy 2018 Provider Commercial 17365
Hearing devices and audiology supplies 2019 Outpatient Facility Medicare 858
Nephrotomy and nephrostomy 2020 Inpatient Facility Medicare 92
Circumcision 2020 Provider Commercial 27991
Mastoidectomy 2020 Provider Medicare 439
Treatment, fracture, dislocation - Lower extrem. 2018 Provider Medi-Cal 31203
Ultrasound - Heart (echocardiogram) - Diagnostic 2018 Inpatient Facility Medicare 21568
Physical/occupational/speech therapy - Other 2019 Outpatient Facility Medi-Cal 288556
Urinary system (nonoperative) measurements 2018 Provider Medi-Cal 2319458
Female organ procedures - Therapeutic (other) 2018 Outpatient Facility Commercial 6111
Intraocular procedures - Therapeutic 2021 Provider Medicare 536272
Nose procedures - Plastic 2021 Provider Medicare 4331
Thyroidectomy (partial or complete) 2023 Inpatient Facility Medicare 58
Microscopic examination (e.g., lab, toxicology) 2022 Pharmacy Medi-Cal 645
Central nervous system (CNS) incision and excision 2023 Outpatient Facility Medicare 144
Bone marrow transplant 2022 Provider Medi-Cal 1034
Hospital services 2023 Outpatient Facility Medicare 2584
Urethra - Procedures 2018 Provider Medicare 24956
Transportation - Patient, provider, equipment 2023 Provider Commercial 9017
Respiratory procedures - Therapeutic (other) 2018 Provider Commercial 3141
Skilled nursing facility services (HIPPS) 2018 Provider Commercial 4913
Nervous system procedures - Therapeutic OR (other) 2023 Outpatient Facility Medicare 22389
Spinal fusion 2021 Outpatient Facility Medi-Cal 718
Medications (injections, infusions, other forms) 2018 Independent Labs Medi-Cal 67
Preventive visits 2019 Unclassified/other Commercial 590
Epistaxis control 2021 Outpatient Facility Medi-Cal 2466
Emergency department services 2022 Outpatient Facility Medicare 2142679
Nasogastric tube 2018 Provider Medicare 1247
Observation care services 2019 Provider Commercial 221014
Intraoperative cholangiogram 2020 Outpatient Facility Commercial 880
Urinary tract procedures - Diagnostic (other) 2019 Inpatient Facility Medicare 251
Blood and blood product transfusion 2021 Independent Labs Medi-Cal 2550
Abdominal paracentesis 2018 Provider Medi-Cal 28095
Gastric bypass and volume reduction 2018 Outpatient Facility Medicare 170
Ultrasound - Heart (echocardiogram) - Diagnostic 2021 Inpatient Facility Commercial 197
Colonoscopy and biopsy 2018 Provider Medi-Cal 158015
Male genital procedures - Diagnostic 2018 Outpatient Facility Medi-Cal 752
Psychological and psychiatric evaluation, therapy 2021 Inpatient Facility Medi-Cal 11843
HCPCS Level II codes not classified 2019 Pharmacy Medicare 138
Physical/occupational/speech therapy - Exercises 2018 Inpatient Facility Commercial 6768
X-ray - Chest (routine) 2019 Outpatient Facility Medi-Cal 1099435
Radiology - Diagnostic (other) 2019 Provider Medicare 6075534
GI (upper) procedures - Therapeutic OR 2018 Outpatient Facility Commercial 567
CT scan - Other 2018 Inpatient Facility Commercial 108
Electrocardiogram 2019 Outpatient Facility Medi-Cal 959643
Musculoskeletal procedures - Diagnostic (other) 2022 Outpatient Facility Commercial 3153
Vessels of head/neck procedures - Other OR 2020 Provider Medi-Cal 2747
GI (lower) procedures - Therapeutic 2023 Outpatient Facility Commercial 2772
Skin lesion - Excision 2023 Provider Medicare 3665993
Heart valve procedures 2023 Outpatient Facility Commercial 94
Organ transplantation - Other 2019 Outpatient Facility Medi-Cal 73
Consultation, evaluation, and preventive care 2021 Independent Labs Commercial 774
Nose, mouth, pharynx procedures - Diagnostic 2019 Provider Medi-Cal 82490
CPT codes not classified (F codes) 2023 Independent Labs Medicare 3339
Radioisotope scan - Other 2022 Pharmacy Commercial 391
Skilled nursing facility services 2022 Inpatient Facility Medicare 527438
Ovary operations - Other 2018 Provider Commercial 2837
CT scan - Head 2021 Inpatient Facility Commercial 296
Colorectal resection 2021 Provider Medi-Cal 7003
MRI (magnetic resonance imaging) 2018 Inpatient Facility Medi-Cal 653
Treatment, fracture, dislocation - Radius and ulna 2021 Provider Medi-Cal 30399
Vascular bypass and shunt - Other (not heart) 2019 Provider Medicare 636
Bone excision (partial) 2023 Provider Medi-Cal 11214
Eye procedures - Therapeutic (other) 2023 Outpatient Facility Commercial 13433
Other types of lab tests 2019 Home Health Commercial 83
Myringotomy 2021 Provider Medicare 4357
Fetal monitoring 2018 Provider Medi-Cal 215565
Peritoneal dialysis 2018 Inpatient Facility Medicare 146
Transportation - Patient, provider, equipment 2022 Unclassified/other Commercial 121
Cervix and uterus - Other excision 2023 Outpatient Facility Medicare 969
Ancillary services 2021 Pharmacy Medicare 93
Eye procedures - Diagnostic 2021 Provider Medicare 41914
Heart procedures - Other OR 2023 Provider Medi-Cal 6529
Chemotherapy - Cancer 2018 Outpatient Facility Medicare 334827
Radiology - Therapeutic 2019 Provider Medi-Cal 323930
Vessels other than head/neck procedures - Other OR 2022 Pharmacy Commercial 135
Male genital procedures - Therapeutic (other) 2023 Provider Commercial 35519
Urinary tract - Endoscopy and endoscopic biopsy 2022 Outpatient Facility Medi-Cal 3789
Ungrouped Procedures 2022 Unclassified/other Medi-Cal 8658
HIPPS home health services 2023 Outpatient Facility Medi-Cal 52
Musculoskeletal procedures - Diagnostic (other) 2020 Outpatient Facility Medi-Cal 1096
Alcohol and drug management, treatment, and rehab. 2023 Pharmacy Medi-Cal 426
Medications (injections, infusions, other forms) 2021 Pharmacy Medi-Cal 953
Skin and subcutaneous tissue - Suture 2018 Outpatient Facility Commercial 88142
Nervous system procedures - Therapeutic (other) 2019 Provider Medicare 559718
Delivery - Other procedures to assist 2019 Inpatient Facility Commercial 67
Electrocardiogram 2022 Ambulance Medicare 653
Gastrectomy (partial and total) 2018 Provider Commercial 282
Appendectomy 2020 Outpatient Facility Medi-Cal 4344
Hemodialysis 2023 Outpatient Facility Medicare 91361
Physical/occupational/speech therapy - Other 2020 Inpatient Facility Commercial 216
Preventive visits 2023 Independent Labs Commercial 284
Pleura incision, thoracentesis, chest drainage 2023 Inpatient Facility Medi-Cal 87
Joint procedures - Therapeutic OR (other) 2021 Provider Medi-Cal 17885
Behavioral health services 2020 Outpatient Facility Medicare 3895
Ear procedures - Therapeutic 2018 Provider Medicare 294301
Ophthalmologic/otologic diagnosis and treatment 2022 Provider Medi-Cal 6808172
Cardiovascular procedures - Diagnostic (other) 2019 Outpatient Facility Commercial 14709
Care management/coordination services 2022 Inpatient Facility Medicare 59
GI (upper) endoscopy, biopsy 2019 Outpatient Facility Medi-Cal 71773
Emergency department services 2020 Unclassified/other Medi-Cal 3379
Psychological and psychiatric evaluation, therapy 2020 Pharmacy Commercial 808
Female organ procedures - Therapeutic (other) 2019 Outpatient Facility Medi-Cal 21306
Prophylactic vaccinations and inoculations 2018 Unclassified/other Medi-Cal 3523
Cystocele/rectocele repair, oblit. of vag. vault 2021 Provider Medicare 6870
Knee - Excision of semilunar cartilage 2022 Provider Medi-Cal 8069
Vessels of head/neck - Endarterectomy 2023 Provider Medicare 3317
Endocrine procedures - Therapeutic 2023 Outpatient Facility Commercial 2996
AVF or vessel-to-vessel cannula for dialysis svcs. 2021 Provider Medicare 69460
Cardiac catheterization/arteriography - Diagnostic 2021 Outpatient Facility Medi-Cal 13300
Microscopic examination (e.g., lab, toxicology) 2021 Pharmacy Commercial 6254
X-ray - Upper GI 2023 Provider Medi-Cal 47668
Mastoidectomy 2022 Outpatient Facility Medi-Cal 417
Circumcision 2021 Provider Medicare 1118
EEG (electroencephalogram) 2023 Outpatient Facility Medi-Cal 18850
Nose, mouth, pharynx procedures - Diagnostic 2018 Inpatient Facility Medicare 26956
Other vascular catheterization (not heart) 2019 Outpatient Facility Medi-Cal 20527
Obstetric laceration - Repair 2020 Provider Commercial 320
Pacemaker or cardioverter/defibrillator services 2023 Outpatient Facility Commercial 3050
Esophageal dilatation 2021 Provider Commercial 9716
Amputation - Lower extremity 2019 Outpatient Facility Commercial 726
Bone procedures - Therapeutic OR (other) 2022 Inpatient Facility Medicare 335
Eye procedures - Glaucoma 2020 Provider Medi-Cal 11402
Physical/occupational/speech therapy - Diagnostic 2022 Unclassified/other Commercial 144
Laminectomy, excision intervertebral disc 2018 Outpatient Facility Medi-Cal 1196
Telehealth 2023 Inpatient Facility Medi-Cal 1588
HCPCS Level II codes not classified 2021 Provider Medi-Cal 2928081
Tonsillectomy and/or adenoidectomy 2023 Provider Medicare 313
Tympanoplasty 2023 Provider Commercial 2005
Intraoperative cholangiogram 2018 Outpatient Facility Medi-Cal 709
Musculoskeletal procedures - Therapeutic OR (other) 2022 Provider Medi-Cal 3296
Bronchoscopy and biopsy - Diagnostic 2018 Provider Medicare 33007
Urinary obstruction - Excision, drainage, removal 2018 Provider Commercial 11765
Treatment, fracture, dislocation - Lower extrem. 2020 Provider Commercial 26360
Arthroplasty other than hip or knee 2020 Outpatient Facility Commercial 10222
Extracorporeal shock wave (other than urinary) 2021 Provider Medi-Cal 20993
Therapeutic procedures - Other 2022 Inpatient Facility Commercial 128
Lung and bronchus procedures - Diagnostic (other) 2020 Unclassified/other Medi-Cal 41
Urinary system (nonoperative) measurements 2023 Inpatient Facility Medicare 10271
Electrocardiogram 2020 Outpatient Facility Medicare 1032162
Rehabilitation facility services 2022 Inpatient Facility Medi-Cal 193
Psychological and psychiatric evaluation, therapy 2018 Provider Medicare 2524790
Cardiovascular procedures - Diagnostic (other) 2022 Inpatient Facility Medi-Cal 117
Breast - Mastectomy 2019 Outpatient Facility Commercial 4301
Spinal canal stimulator insertion and injection 2021 Outpatient Facility Commercial 63365
Colostomy (temporary and permanent) 2020 Provider Commercial 465
Vascular bypass and shunt - Other (not heart) 2023 Provider Medi-Cal 794
Laboratory - Chemistry and hematology 2023 Independent Labs Medi-Cal 23668269
Observation care services 2020 Inpatient Facility Medicare 138
Microscopic examination (e.g., lab, toxicology) 2019 Inpatient Facility Commercial 1505
Tympanoplasty 2019 Outpatient Facility Medicare 515
Contrast arteriogram - Lower extremity arteries 2023 Provider Commercial 1081
Nose procedures - Plastic 2019 Outpatient Facility Commercial 13110
Cholecystectomy and common duct exploration 2022 Inpatient Facility Commercial 55
Alcohol and drug management, treatment, and rehab. 2021 Provider Medicare 383682
Anesthesia 2021 Outpatient Facility Medicare 137287
Ungrouped Procedures 2023 Provider Commercial 3444329
Bone marrow biopsy 2020 Provider Medi-Cal 7705
GI (lower) procedures - Therapeutic OR 2022 Outpatient Facility Commercial 7357
Ophthalmologic/otologic diagnosis and treatment 2020 Outpatient Facility Medi-Cal 1179630
Knee - Arthroplasty 2022 Provider Medi-Cal 9927
Catheterization (Swan-Ganz) for monitoring 2018 Provider Medi-Cal 3289
GI procedures - Therapeutic OR 2019 Outpatient Facility Medicare 3210
DME and supplies 2023 Inpatient Facility Medi-Cal 90018
Muscles, tendons, joints - Injections, aspirations 2021 Outpatient Facility Medicare 25980
Fetal monitoring 2020 Provider Commercial 193649
Mammography 2022 Outpatient Facility Commercial 632708
Physical/occupational/speech therapy - Diagnostic 2020 Home Health Medicare 38575
Skin lesion - Excision 2018 Outpatient Facility Medi-Cal 28673
Respiratory therapy - Other 2023 Unclassified/other Medi-Cal 334
Ultrasound - Head and neck - Diagnostic 2022 Inpatient Facility Medi-Cal 362
Nervous system procedures - Diagnostic (other) 2021 Provider Medicare 395359
HIPPS home health services 2019 Outpatient Facility Medicare 124
Respiratory intubation and mechanical ventilation 2022 Inpatient Facility Commercial 167
Female organ procedures - Diagnostic (other) 2019 Independent Labs Medicare 16122
Radioisotope scan and function studies 2021 Outpatient Facility Commercial 71801
Transportation - Patient, provider, equipment 2020 Outpatient Facility Medi-Cal 210219
Pacemaker or cardioverter/defibrillator services 2019 Provider Commercial 5543
Arteriogram or venogram (not heart and head) 2023 Outpatient Facility Medi-Cal 34618
Emergency department services 2018 Unclassified/other Commercial 187
Wound care - Traction, splints, other 2020 Provider Commercial 487946
Intraocular procedures - Therapeutic 2020 Provider Commercial 84138
Psychological and psychiatric evaluation, therapy 2022 Outpatient Facility Medi-Cal 1656973
Oral and dental services 2020 Outpatient Facility Medicare 1196
Extracorporeal shock wave (other than urinary) 2019 Outpatient Facility Medi-Cal 6349
Central nervous system (CNS) incision and excision 2018 Provider Commercial 4835
X-ray - Upper GI 2020 Provider Medicare 70244
Debridement of wound, infection or burn 2019 Outpatient Facility Medicare 131606
GI (upper) procedures - Therapeutic 2018 Outpatient Facility Commercial 501
EEG (electroencephalogram) 2021 Inpatient Facility Medicare 2581
Mastoidectomy 2019 Provider Medi-Cal 713
Skilled nursing facility services (HIPPS) 2021 Provider Medicare 24220
Urinary system (nonoperative) measurements 2018 Independent Labs Medicare 302591
Tympanoplasty 2021 Outpatient Facility Medi-Cal 992
Urinary tract procedures - Therapeutic OR (other) 2018 Provider Medi-Cal 4898
Skin lesion - Excision 2019 Provider Commercial 1282648
Microscopic examination (e.g., lab, toxicology) 2023 Provider Medi-Cal 4223077
Electrographic cardiac monitoring 2019 Outpatient Facility Commercial 14930
CT scan - Other 2020 Inpatient Facility Medicare 4452
Endocrine procedures - Therapeutic 2021 Outpatient Facility Commercial 3087
Radioisotope scan and function studies 2022 Provider Medi-Cal 129473
Hospital services 2020 Provider Medi-Cal 6578042
Nephrotomy and nephrostomy 2019 Inpatient Facility Medicare 126
Eye procedures - Lens and cataract 2021 Provider Medi-Cal 52001
Laboratory - Chemistry and hematology 2019 Outpatient Facility Medi-Cal 15396621
Oophorectomy (unilateral and bilateral) 2021 Provider Medicare 2423
GI procedures - Therapeutic OR 2022 Outpatient Facility Commercial 1860
Ancillary services 2018 Hospice Medi-Cal 11024
AVF or vessel-to-vessel cannula for dialysis svcs. 2019 Provider Medicare 81286
Hearing devices and audiology supplies 2018 Outpatient Facility Medicare 933
Breast - Mastectomy 2022 Provider Medi-Cal 2750
Pregnancy (ectopic) - Removal 2020 Provider Medi-Cal 1392
Physical/occupational/speech therapy - Exercises 2019 Pharmacy Commercial 1132
Tracheoscopy and laryngoscopy with biopsy 2023 Provider Medicare 141040
CT scan - Chest 2018 Outpatient Facility Commercial 125947
Coronary thrombolysis 2023 Provider Commercial 37
Therapeutic procedures - Other 2019 Provider Medi-Cal 927855
MRI (magnetic resonance imaging) 2021 Provider Medicare 1221889
Other types of lab tests 2023 Outpatient Facility Medi-Cal 4698700
Pacemaker or cardioverter/defibrillator services 2021 Outpatient Facility Commercial 2866
X-ray - Chest (routine) 2021 Outpatient Facility Medi-Cal 972077
Ultrasound - Heart (echocardiogram) - Diagnostic 2023 Inpatient Facility Commercial 177
Prophylactic vaccinations and inoculations 2023 Independent Labs Commercial 83
Tracheoscopy and laryngoscopy with biopsy 2019 Provider Medi-Cal 35968
Ancillary services 2019 Outpatient Facility Commercial 90732
Abortion (termination of pregnancy) 2019 Outpatient Facility Medi-Cal 20095
Intravenous pyelogram 2023 Outpatient Facility Commercial 49
X-ray - Lower GI 2020 Outpatient Facility Medi-Cal 1122
Ultrasound - Urinary tract - Diagnostic 2022 Inpatient Facility Medi-Cal 55
Electrocardiogram 2023 Unclassified/other Commercial 577
HCPCS Level II codes not classified 2022 Provider Medicare 5544582
Laboratory - Chemistry and hematology 2018 Ambulance Medicare 476
Esophageal varices - Injection or ligation 2019 Outpatient Facility Medicare 1800
Endocrine procedures - Therapeutic 2018 Provider Commercial 5918
Hemodialysis 2019 Provider Medi-Cal 44499
Organ transplantation - Other 2021 Outpatient Facility Commercial 149
Liver biopsy 2018 Provider Medi-Cal 4380
Respiratory procedures - Therapeutic OR (other) 2021 Provider Medicare 14502
Colorectal resection 2018 Provider Commercial 10173
Non-hospital-based care (home health, hospice) 2018 Independent Labs Medicare 1085
Arthrocentesis 2022 Inpatient Facility Medicare 43
Extraocular muscle procedures - Therapeutic 2020 Provider Medi-Cal 13564
Physical/occupational/speech therapy - Diagnostic 2023 Outpatient Facility Medicare 399219
Vessels other than head/neck procedures - Other OR 2021 Provider Commercial 1557859
Urinary obstruction - Excision, drainage, removal 2020 Outpatient Facility Commercial 5037
Obstetric laceration - Repair 2023 Outpatient Facility Commercial 42
Consultations 2022 Outpatient Facility Medicare 383
Skin and subcutaneous tissue - Diagnostic (other) 2023 Provider Medi-Cal 157978
Preventive visits 2023 Unclassified/other Commercial 316
Musculoskeletal procedures - Therapeutic OR (other) 2019 Outpatient Facility Commercial 1623
DME and supplies 2018 Pharmacy Medi-Cal 2708
Radioisotope scan - Bone 2022 Provider Medicare 32314
Treatment, fracture, dislocation - Hip and femur 2019 Provider Medicare 32827
Nose, mouth, pharynx procedures - Therapeutic 2020 Provider Medicare 18258
Eye procedures - Glaucoma 2022 Provider Commercial 12648
X-ray - Upper GI 2018 Inpatient Facility Medi-Cal 39
Urinary tract procedures - Therapeutic (other) 2019 Provider Medicare 69277
Critical care services 2023 Outpatient Facility Medi-Cal 18136
Other types of lab tests 2022 Pharmacy Medi-Cal 6288
Ultrasound - Diagnostic (other) 2019 Inpatient Facility Medi-Cal 1954
Aortic resection - Replacement or anastomosis 2021 Provider Commercial 1768
Cesarean section 2019 Inpatient Facility Commercial 61
Proctoscopy and anorectal biopsy 2021 Provider Commercial 46638
Hysterectomy (abdominal and vaginal) 2018 Outpatient Facility Medicare 4127
CT scan - Abdomen 2022 Provider Medicare 1061716
Telehealth 2023 Unclassified/other Medi-Cal 2001
Skilled nursing facility services 2023 Provider Commercial 48
Mammography 2019 Unclassified/other Commercial 127
Ophthalmologic/otologic diagnosis and treatment 2023 Inpatient Facility Medi-Cal 300
Fetal monitoring 2019 Provider Commercial 217132
Bone marrow biopsy 2018 Provider Medi-Cal 7754
Skin, breast procedures - Therapeutic OR (other) 2022 Outpatient Facility Medi-Cal 8346
Cardiovascular procedures - Diagnostic (other) 2020 Inpatient Facility Medicare 648
Arterial blood gases 2023 Independent Labs Medicare 352
Hernia repair - Other 2018 Provider Commercial 23915
DME and supplies 2023 Home Health Commercial 24072
Behavioral health services 2021 Outpatient Facility Medi-Cal 27522
Urinary tract - Endoscopy and endoscopic biopsy 2023 Outpatient Facility Medi-Cal 4520
Anesthesia 2020 Outpatient Facility Medi-Cal 33803
Radiology - Therapeutic 2021 Provider Commercial 465876
Rehabilitation facility services 2020 Inpatient Facility Commercial 634
PTCA (percutaneous transluminal coronary angio.) 2022 Outpatient Facility Medicare 16447
CT scan - Head 2021 Provider Medicare 989625
Conversion of cardiac rhythm 2023 Outpatient Facility Medicare 23185
Nonoperative removal of foreign body 2022 Provider Commercial 14227
GI (upper) endoscopy, biopsy 2020 Outpatient Facility Commercial 103896
Transportation - Patient, provider, equipment 2023 Independent Labs Medicare 13828
Other types of visits 2021 Hospice Commercial 97
Therapeutic procedures - Other 2021 Outpatient Facility Medicare 2139987
Nervous system procedures - Therapeutic (other) 2021 Provider Commercial 266295
Colorectal resection 2023 Provider Medi-Cal 7117
Radioisotope scan and function studies 2019 Outpatient Facility Commercial 70173
Skin graft 2022 Inpatient Facility Medicare 100
Laboratory - Chemistry and hematology 2022 Outpatient Facility Commercial 19236530
Hospital services 2018 Provider Medicare 11748116
Division of joint capsule (ligament or cartilage) 2023 Provider Commercial 3579
Pregnancy (ectopic) - Removal 2018 Outpatient Facility Commercial 1122
Care management/coordination services 2022 Unclassified/other Medi-Cal 33
Psychological and psychiatric evaluation, therapy 2020 Unclassified/other Medicare 1953
Vessels other than head/neck procedures - Other OR 2023 Provider Medicare 91666
Exploratory laparotomy 2022 Outpatient Facility Commercial 50
TURP (transurethral resection of prostate) 2019 Outpatient Facility Medi-Cal 502
Fallopian tubes - Ligation 2018 Outpatient Facility Commercial 1395
Eye procedures - Diagnostic 2023 Outpatient Facility Medi-Cal 3247
Muscles, tendons, joints - Injections, aspirations 2020 Outpatient Facility Commercial 6017
Medications (injections, infusions, other forms) 2021 Unclassified/other Medi-Cal 5339
Joint procedures - Therapeutic OR (other) 2022 Provider Medi-Cal 16154
Eye procedures - Destruction of retinal lesion 2018 Outpatient Facility Commercial 555
Prostatectomy (open ) 2021 Outpatient Facility Medicare 1965
Skin and subcutaneous tissue - Diagnostic (other) 2022 Provider Medi-Cal 139848
Breast - Biopsy, procedures - Diagnostic (other) 2023 Provider Commercial 61110
Spinal tap - Diagnostic 2019 Inpatient Facility Medicare 85
Muscle and tendon procedures - Therapeutic (other) 2023 Independent Labs Commercial 560
Genitourinary incontinence procedures 2021 Inpatient Facility Medicare 37
Respiratory therapy - Other 2020 Provider Commercial 56292
Laboratory - Chemistry and hematology 2021 Ambulance Medi-Cal 72
GI procedures - Therapeutic 2019 Outpatient Facility Medi-Cal 1349
Embolectomy and endarterectomy of lower limbs 2019 Provider Commercial 581
D&C - Aspiration after delivery or abortion 2020 Provider Commercial 8749
Laminectomy, excision intervertebral disc 2021 Provider Commercial 23944
ERCP (endoscopic retro. cannulation of pancreas) 2021 Outpatient Facility Commercial 7170
Urinary system (nonoperative) measurements 2022 Independent Labs Medicare 237700
Non-hospital-based care (home health, hospice) 2023 Outpatient Facility Medi-Cal 173167
Radioisotope scan - Bone 2021 Provider Commercial 14651
Hemorrhoid procedures 2019 Provider Commercial 21016
Open-heart procedures - Extracorporeal circulation 2023 Provider Commercial 4072
CT scan - Chest 2021 Unclassified/other Medi-Cal 92
Tracheostomy (temporary and permanent) 2021 Provider Medicare 4602
Care management/coordination services 2018 Hospice Commercial 2232
Ultrasound - Diagnostic (other) 2023 Provider Commercial 2980168
Alcohol and drug management, treatment, and rehab. 2019 Outpatient Facility Medicare 7868
Eye procedures - Repair of retinal tear/detachment 2020 Outpatient Facility Medicare 3951
Decompression peripheral nerve 2022 Provider Commercial 14658
Behavioral health services 2019 Outpatient Facility Medi-Cal 25707
Lobectomy or pneumonectomy 2022 Outpatient Facility Medicare 37
Office visits 2022 Provider Medicare 34422117
CPT codes not classified (F codes) 2020 Provider Commercial 2561213
Ultrasound - Urinary tract - Diagnostic 2020 Provider Medicare 6107
Radiology - Diagnostic (other) 2021 Outpatient Facility Medicare 1652335
Medications (injections, infusions, other forms) 2019 Home Health Medi-Cal 2325
Physical/occupational/speech therapy - Exercises 2020 Unclassified/other Medicare 517
Ungrouped Procedures 2021 Ambulance Medicare 2375
Contrast aortogram 2022 Outpatient Facility Medicare 7584
Hip replacement (partial and total) 2021 Outpatient Facility Medi-Cal 1017
X-ray - Lower GI 2018 Inpatient Facility Medicare 68
Skin, breast procedures - Therapeutic (other) 2020 Outpatient Facility Medi-Cal 80158
Cardiovascular procedures - Diagnostic (other) 2018 Outpatient Facility Commercial 13798
Female organ procedures - Therapeutic (other) 2022 Provider Medi-Cal 105150
Treatment, fracture, dislocation - Lower extrem. 2022 Provider Medicare 22019
Male genital procedures - Diagnostic 2022 Independent Labs Medi-Cal 273
Physical/occupational/speech therapy - Other 2022 Inpatient Facility Medicare 170254
GI procedures - Therapeutic OR 2018 Provider Medi-Cal 6914
Medications (injections, infusions, other forms) 2021 Provider Medicare 6022740
GI (upper) endoscopy, biopsy 2021 Outpatient Facility Medi-Cal 79182
Radioisotope scan and function studies 2019 Provider Medicare 442723
Amniocentesis - Diagnostic 2021 Outpatient Facility Commercial 301
Pacemaker or cardioverter/defibrillator services 2018 Inpatient Facility Medicare 566
Other types of visits 2020 Outpatient Facility Commercial 6102
Arterial blood gases 2022 Independent Labs Medi-Cal 173
Hernia repair - Inguinal and femoral 2023 Outpatient Facility Commercial 15676
Cardiovascular procedures - Diagnostic (other) 2019 Provider Commercial 43974
Hospital services 2019 Hospice Medi-Cal 332
DME and supplies 2023 Hospice Medi-Cal 143
Vascular bypass and shunt - Other (not heart) 2020 Outpatient Facility Medi-Cal 46
Embolectomy and endarterectomy of lower limbs 2023 Provider Medi-Cal 1074
Peritoneal dialysis 2020 Outpatient Facility Medi-Cal 2413603
Delivery - Other procedures to assist 2018 Outpatient Facility Medi-Cal 1065
Spleen procedures 2023 Provider Medi-Cal 399
Ungrouped Procedures 2023 Outpatient Facility Commercial 864311
Visual aids and other optical supplies 2018 Outpatient Facility Medicare 82986
Coronary thrombolysis 2018 Outpatient Facility Medicare 89
Female organ procedures - Diagnostic (other) 2018 Provider Commercial 289174
Behavioral health services 2020 Inpatient Facility Medicare 45
Skin graft 2022 Outpatient Facility Medicare 26282
MRI (magnetic resonance imaging) 2019 Provider Medicare 1205813
Mammography 2021 Outpatient Facility Medicare 629394
Ear procedures - Therapeutic 2019 Outpatient Facility Medicare 19435
Skilled nursing facility services 2023 Inpatient Facility Commercial 7598
CT scan - Head 2021 Outpatient Facility Commercial 260665
Rehabilitation facility services 2020 Unclassified/other Medi-Cal 32
Nervous system procedures - Therapeutic (other) 2020 Inpatient Facility Medicare 91
Urinary tract - Endoscopy and endoscopic biopsy 2022 Provider Medi-Cal 22937
Therapeutic procedures - Other 2021 Unclassified/other Commercial 917
Treatment, fracture, dislocation - Radius and ulna 2022 Outpatient Facility Medicare 8730
Nonoperative removal of foreign body 2023 Outpatient Facility Commercial 4343
Fetal monitoring 2019 Inpatient Facility Medi-Cal 976
Extracorporeal lithotripsy, urinary 2023 Outpatient Facility Commercial 12213
Chemotherapy - Cancer 2019 Inpatient Facility Medicare 245
Care management/coordination services 2023 Provider Commercial 23985
Laboratory - Chemistry and hematology 2022 Inpatient Facility Commercial 3249
Myelogram 2018 Provider Medicare 4458
Psychological and psychiatric evaluation, therapy 2020 Provider Medicare 2825596
Physical/occupational/speech therapy - Diagnostic 2023 Home Health Commercial 8217
Consultations 2020 Outpatient Facility Medicare 325
Non-hospital-based care (home health, hospice) 2020 Outpatient Facility Medicare 141854
Arthroplasty other than hip or knee 2021 Provider Medi-Cal 5142
Circumcision 2022 Outpatient Facility Medicare 773
Physical/occupational/speech therapy - Other 2021 Provider Medicare 183409
Cesarean section 2018 Inpatient Facility Commercial 205
Cardiac catheterization/arteriography - Diagnostic 2023 Outpatient Facility Commercial 24562
Gastrectomy (partial and total) 2019 Provider Medi-Cal 299
GI procedures - Diagnostic 2019 Inpatient Facility Medicare 38
Bronchoscopy and biopsy - Diagnostic 2018 Outpatient Facility Medicare 13743
Enteral and parenteral nutrition 2019 Home Health Commercial 1957
Nose, mouth, pharynx procedures - Therapeutic 2019 Inpatient Facility Medicare 193421
Urinary tract procedures - Therapeutic OR (other) 2021 Home Health Commercial 742
Female organ procedures - Therapeutic (other) 2022 Outpatient Facility Commercial 7880
Treatment, fracture, dislocation - Lower extrem. 2020 Outpatient Facility Commercial 11667
Laminectomy, excision intervertebral disc 2019 Provider Medicare 61704
Amputation - Lower extremity 2018 Provider Commercial 2761
Respiratory procedures - Diagnostic (other) 2021 Provider Medicare 10816
Preventive visits 2022 Provider Medicare 1647099
Bone procedures - Therapeutic OR (other) 2021 Provider Commercial 35322
Telehealth 2023 Hospice Medicare 520
Hemorrhoid procedures 2018 Unclassified/other Medi-Cal 35
Knee - Excision of semilunar cartilage 2022 Outpatient Facility Commercial 21025
X-ray - Upper GI 2023 Outpatient Facility Commercial 17553
Microscopic examination (e.g., lab, toxicology) 2021 Pharmacy Medicare 480
Spinal fusion 2019 Outpatient Facility Commercial 2828
HCPCS Level II codes not classified 2022 Ambulance Commercial 63
Pathology 2022 Hospice Medi-Cal 635
Nephrectomy (partial or complete) 2019 Outpatient Facility Medicare 401
Vessels other than head/neck procedures - Other OR 2021 Home Health Medicare 182
Other vascular catheterization (not heart) 2020 Provider Commercial 88650
Prophylactic vaccinations and inoculations 2019 Pharmacy Medicare 272
Prophylactic vaccinations and inoculations 2022 Inpatient Facility Medicare 65954
Intraocular procedures - Therapeutic 2023 Provider Medi-Cal 174909
Abdominal paracentesis 2023 Outpatient Facility Medi-Cal 18956
Esophageal dilatation 2023 Outpatient Facility Medicare 11851
Musculoskeletal procedures - Therapeutic (other) 2023 Outpatient Facility Commercial 3593
Ileostomy and other enterostomy 2018 Outpatient Facility Medi-Cal 195
Urinary obstruction - Excision, drainage, removal 2018 Outpatient Facility Commercial 5679
Respiratory procedures - Therapeutic OR (other) 2019 Provider Medicare 15190
Ultrasound - Diagnostic (other) 2018 Independent Labs Medicare 229
Anesthesia 2023 Provider Commercial 1355574
X-ray - Chest (routine) 2019 Inpatient Facility Medicare 83556
Oophorectomy (unilateral and bilateral) 2020 Outpatient Facility Medicare 1074
Urinary tract procedures - Diagnostic (other) 2020 Inpatient Facility Medicare 205
Spinal fusion 2023 Provider Medicare 108382
Therapeutic procedures - Other 2019 Ambulance Commercial 244
Extracranial ventricular shunt services 2021 Outpatient Facility Medi-Cal 96
Pregnancy (ectopic) - Removal 2018 Provider Commercial 1415
CT scan - Other 2020 Inpatient Facility Commercial 73
Amputation - Lower extremity 2023 Outpatient Facility Commercial 685
MRI (magnetic resonance imaging) 2021 Provider Medi-Cal 676250
ERCP (endoscopic retro. cannulation of pancreas) 2020 Outpatient Facility Medi-Cal 5191
Vascular bypass and shunt - Other (not heart) 2023 Provider Medicare 552
Skin lesion - Excision 2019 Outpatient Facility Medi-Cal 45531
Nasogastric tube 2020 Outpatient Facility Commercial 103
Gastric bypass and volume reduction 2020 Outpatient Facility Medicare 112
Electrographic cardiac monitoring 2018 Outpatient Facility Medi-Cal 23517
Bone marrow biopsy 2022 Provider Medi-Cal 8189
Tracheoscopy and laryngoscopy with biopsy 2023 Outpatient Facility Medicare 13210
Hospital services 2021 Inpatient Facility Commercial 233
GI (upper) endoscopy, biopsy 2023 Provider Medi-Cal 159797
Eye procedures - Lens and cataract 2018 Unclassified/other Medi-Cal 701
Intraocular procedures - Therapeutic 2020 Outpatient Facility Medicare 26167
CT scan - Abdomen 2023 Outpatient Facility Medicare 544534
Other types of lab tests 2020 Independent Labs Medicare 11186889
Obstetrical procedures - Therapeutic (other) 2020 Outpatient Facility Commercial 1619
Physical/occupational/speech therapy - Exercises 2018 Unclassified/other Medicare 575
Ultrasound - Heart (echocardiogram) - Diagnostic 2022 Unclassified/other Medi-Cal 85
Endocrine procedures - Diagnostic 2018 Outpatient Facility Commercial 1121
Musculoskeletal procedures - Therapeutic (other) 2018 Outpatient Facility Commercial 3841
Urinary obstruction - Excision, drainage, removal 2023 Inpatient Facility Medicare 58
Laboratory - Chemistry and hematology 2018 Provider Medicare 8049563
Consultations 2023 Provider Commercial 241448
X-ray - Chest (routine) 2021 Unclassified/other Commercial 277
Radioisotope scan and function studies 2022 Outpatient Facility Medi-Cal 39436
Nose procedures - Plastic 2021 Provider Commercial 14980
Debridement of wound, infection or burn 2019 Outpatient Facility Medi-Cal 42407
Oral and dental services 2018 Unclassified/other Medi-Cal 51
Respiratory procedures - Therapeutic (other) 2020 Provider Medicare 5099
Hemic/lymphatic system procedures - Therapeutic 2020 Inpatient Facility Medicare 239
Pacemaker or cardioverter/defibrillator services 2020 Provider Medi-Cal 6343
Bronchoscopy and biopsy - Diagnostic 2022 Provider Commercial 11056
Psychological and psychiatric evaluation, therapy 2021 Unclassified/other Commercial 47785
Treatment, fracture, dislocation - Facial 2019 Outpatient Facility Medicare 916
Critical care services 2018 Outpatient Facility Medicare 38548
Skilled nursing facility services (HIPPS) 2020 Outpatient Facility Medicare 65
Enteral and parenteral nutrition 2022 Home Health Medi-Cal 189
Aortic resection - Replacement or anastomosis 2023 Provider Commercial 1974
Spinal tap - Diagnostic 2022 Outpatient Facility Commercial 4063
Urinary tract procedures - Therapeutic OR (other) 2021 Provider Commercial 1538537
Prostatectomy (open ) 2018 Provider Medi-Cal 764
Electrographic cardiac monitoring 2022 Independent Labs Medi-Cal 215
Office visits 2022 Hospice Medicare 65
Treatment, fracture, dislocation - Other 2018 Provider Medicare 31871
Cardiovascular procedures - Therapeutic (other) 2019 Provider Medi-Cal 61607
Ancillary services 2023 Home Health Commercial 9607
Muscle and tendon procedures - Therapeutic (other) 2020 Provider Medicare 77678
Liver biopsy 2022 Provider Medicare 7667
Bowel procedures - Diagnostic 2023 Provider Medicare 199
CT scan - Head 2023 Inpatient Facility Medicare 18927
Visual aids and other optical supplies 2019 Pharmacy Medi-Cal 485
Open-heart procedures - Extracorporeal circulation 2021 Provider Commercial 305320
Fallopian tubes - Ligation 2022 Outpatient Facility Medi-Cal 1338
Skin and subcutaneous tissue - Suture 2021 Provider Medicare 250378
Kidney transplant 2022 Provider Commercial 545
Chemotherapy - Cancer 2022 Outpatient Facility Medicare 419518
Indwelling catheter 2020 Outpatient Facility Commercial 6295
Medications (injections, infusions, other forms) 2022 Unclassified/other Commercial 3150
Peritoneal dialysis 2021 Outpatient Facility Medicare 6250022
Radioisotope scan - Pulmonary 2020 Outpatient Facility Medi-Cal 1435
Ultrasound - Diagnostic (other) 2021 Inpatient Facility Medicare 12606
Respiratory therapy - Other 2018 Provider Medi-Cal 118232
Ungrouped Procedures 2023 Unclassified/other Medi-Cal 8072
Ear procedures - Therapeutic 2023 Outpatient Facility Medi-Cal 41239
Other types of visits 2018 Home Health Commercial 96
Nose, mouth, pharynx procedures - Therapeutic 2023 Inpatient Facility Commercial 178
Radiology - Therapeutic 2023 Provider Commercial 457066
Gastrostomy (temporary and permanent) 2023 Outpatient Facility Medicare 9531
Ungrouped Procedures 2018 Inpatient Facility Medi-Cal 57975
Male genital procedures - Therapeutic OR (other) 2021 Provider Medi-Cal 9277
Heart valve procedures 2021 Outpatient Facility Medi-Cal 73
Cardiovascular procedures - Diagnostic (other) 2022 Outpatient Facility Medicare 35292
Urinary system (nonoperative) measurements 2020 Inpatient Facility Commercial 104
GI procedures - Diagnostic 2022 Provider Medicare 35408
Arteriogram or venogram (not heart and head) 2018 Outpatient Facility Medicare 33725
CPT codes not classified (F codes) 2018 Independent Labs Medicare 2035
Abortion (termination of pregnancy) 2023 Provider Medicare 60
Fetal monitoring 2022 Inpatient Facility Medi-Cal 1891
Hip replacement (partial and total) 2018 Inpatient Facility Commercial 162
Hernia repair - Other 2020 Outpatient Facility Medicare 8226
PTCA (percutaneous transluminal coronary angio.) 2018 Inpatient Facility Medicare 1093
Pregnancy (ectopic) - Removal 2023 Provider Commercial 1379
Esophageal varices - Injection or ligation 2022 Provider Medi-Cal 4173
Small bowel resection 2018 Provider Commercial 2108
Non-hospital-based care (home health, hospice) 2022 Independent Labs Medicare 5942
Abdominal paracentesis 2021 Provider Medicare 44798
Respiratory procedures - Therapeutic (other) 2023 Outpatient Facility Medicare 8291
Delivery - Forceps, vacuum, and breech 2019 Inpatient Facility Medi-Cal 497
Ear procedures - Diagnostic 2019 Outpatient Facility Medicare 1362
Urinary tract procedures - Therapeutic (other) 2023 Outpatient Facility Medicare 10753
Nose, mouth, pharynx procedures - Diagnostic 2023 Inpatient Facility Medicare 29917
Cervix and uterus - Other excision 2020 Provider Commercial 17379
Male genital procedures - Therapeutic (other) 2018 Outpatient Facility Medi-Cal 1235
Laparoscopy 2023 Outpatient Facility Medicare 3116
Skin, breast procedures - Therapeutic (other) 2023 Inpatient Facility Medi-Cal 1683
Esophageal dilatation 2020 Outpatient Facility Medicare 8612
Ungrouped Procedures 2018 Home Health Medi-Cal 506409
CABG (coronary artery bypass graft) 2023 Provider Commercial 8876
Bone procedures - Therapeutic OR (other) 2020 Inpatient Facility Medicare 546
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2021 Unclassified/other Commercial 112
Office visits 2019 Provider Commercial 35592651
Non-hospital-based care (home health, hospice) 2019 Hospice Medicare 8828659
Hemorrhoid procedures 2023 Provider Medicare 22166
Laparoscopy 2018 Outpatient Facility Commercial 4692
Ancillary services 2020 Outpatient Facility Medicare 125764
D&C (dilatation and curettage) - Diagnostic 2023 Provider Medi-Cal 2118
Physical/occupational/speech therapy - Other 2018 Outpatient Facility Medicare 239658
Skin and subcutaneous tissue - Diagnostic (other) 2021 Independent Labs Medi-Cal 60
Treatment, fracture, dislocation - Hip and femur 2023 Outpatient Facility Medi-Cal 2357
Arterial blood gases 2018 Unclassified/other Medi-Cal 70
Arthroplasty other than hip or knee 2018 Unclassified/other Medi-Cal 37
Female organ procedures - Diagnostic (other) 2023 Independent Labs Medicare 7722
Intravenous pyelogram 2018 Outpatient Facility Commercial 238
Organ transplantation - Other 2023 Provider Medi-Cal 1721
CT scan - Chest 2023 Unclassified/other Medi-Cal 92
Gastric bypass and volume reduction 2021 Outpatient Facility Medi-Cal 557
Radiology - Diagnostic (other) 2022 Unclassified/other Medicare 131
Eye procedures - Repair of retinal tear/detachment 2023 Outpatient Facility Medicare 4444
Hysterectomy (abdominal and vaginal) 2021 Outpatient Facility Medi-Cal 3346
Laboratory - Chemistry and hematology 2021 Provider Commercial 5834708
X-ray - Chest (routine) 2022 Outpatient Facility Medicare 1084476
Physical/occupational/speech therapy - Exercises 2022 Unclassified/other Medi-Cal 12307
Contrast arteriogram - Lower extremity arteries 2020 Inpatient Facility Medicare 67
Transportation - Patient, provider, equipment 2019 Outpatient Facility Commercial 2806
D&C - Aspiration after delivery or abortion 2021 Provider Medi-Cal 6063
Extracranial ventricular shunt services 2022 Provider Commercial 2786
Heart procedures - Other OR 2020 Provider Commercial 4041
Radioisotope scan - Bone 2019 Outpatient Facility Commercial 11189
Prophylactic vaccinations and inoculations 2021 Pharmacy Medicare 1649
Nose, mouth, pharynx procedures - Therapeutic 2018 Provider Medi-Cal 46763
Gastric bypass and volume reduction 2023 Provider Commercial 11285
DME and supplies 2018 Ambulance Medi-Cal 63
Arterial blood gases 2020 Independent Labs Medicare 577
Medications (injections, infusions, other forms) 2020 Inpatient Facility Medicare 789176
Tracheostomy (temporary and permanent) 2021 Outpatient Facility Medicare 61
Bunionectomy or repair of toe deformities 2019 Provider Medicare 18868
Ultrasound - Urinary tract - Diagnostic 2019 Outpatient Facility Medi-Cal 877
Ancillary services 2018 Pharmacy Medi-Cal 53
Colonoscopy and biopsy 2021 Provider Medi-Cal 157128
Female organ procedures - Therapeutic OR (other) 2021 Outpatient Facility Commercial 11316
Intravenous pyelogram 2020 Provider Medi-Cal 282
Treatment, fracture, dislocation - Other 2020 Provider Medicare 30084
Large intestine lesion - Local excision 2021 Provider Medi-Cal 78
Radiology - Diagnostic (other) 2023 Unclassified/other Medi-Cal 498
Hernia repair - Inguinal and femoral 2019 Provider Medi-Cal 10632
Nervous system procedures - Diagnostic (other) 2020 Independent Labs Medicare 1818
Pathology 2021 Provider Medi-Cal 1029637
Spinal tap - Diagnostic 2023 Provider Commercial 9740
Skin, breast procedures - Therapeutic OR (other) 2018 Outpatient Facility Medicare 7782
Excision, lysis peritoneal adhesions 2020 Provider Medicare 1546
Breast - Biopsy, procedures - Diagnostic (other) 2021 Provider Commercial 51559
Laparoscopy 2019 Provider Medicare 7366
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2023 Inpatient Facility Medi-Cal 2620
Decompression peripheral nerve 2018 Provider Medicare 26202
Ear procedures - Diagnostic 2021 Provider Medicare 17992
Laboratory - Chemistry and hematology 2019 Provider Commercial 5172515
GI procedures - Diagnostic 2023 Provider Medi-Cal 23201
Male genital procedures - Diagnostic 2019 Outpatient Facility Commercial 2348
Abdominal paracentesis 2022 Provider Medi-Cal 36362
Heart procedures - Other OR 2021 Provider Commercial 4377
Ungrouped Procedures 2022 Home Health Medi-Cal 405350
Other types of visits 2018 Pharmacy Medi-Cal 41
Pleura incision, thoracentesis, chest drainage 2019 Provider Medi-Cal 17248
Behavioral health services 2018 Inpatient Facility Medi-Cal 154
Extraocular muscle procedures - Therapeutic 2018 Provider Medicare 15153
D&C - Aspiration after delivery or abortion 2019 Provider Medicare 61
Vessels other than head/neck procedures - Other OR 2018 Unclassified/other Medi-Cal 83
Physical/occupational/speech therapy - Exercises 2020 Outpatient Facility Commercial 900591
CT scan - Head 2019 Independent Labs Commercial 216
Cardiac stress tests 2023 Inpatient Facility Medi-Cal 42
Non-hospital-based care (home health, hospice) 2022 Inpatient Facility Medicare 462468
Obstetrical procedures - Therapeutic (other) 2023 Inpatient Facility Commercial 50
Respiratory procedures - Therapeutic OR (other) 2018 Outpatient Facility Commercial 2147
Female organ procedures - Therapeutic OR (other) 2022 Inpatient Facility Medicare 48
Cervix and uterus - Other excision 2021 Provider Commercial 18843
Obstetrical procedures - Therapeutic (other) 2021 Provider Medicare 293
X-ray - Chest (routine) 2022 Unclassified/other Medi-Cal 285
Hernia repair - Inguinal and femoral 2019 Provider Commercial 17362
Non-hospital-based care (home health, hospice) 2022 Provider Commercial 900508
Abdominal paracentesis 2021 Provider Commercial 17986
Pleura incision, thoracentesis, chest drainage 2020 Outpatient Facility Medi-Cal 1994
Bunionectomy or repair of toe deformities 2019 Outpatient Facility Medicare 7927
Physical/occupational/speech therapy - Exercises 2019 Provider Medicare 13602085
Decompression peripheral nerve 2019 Provider Medi-Cal 8447
Other types of visits 2019 Home Health Medi-Cal 124
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2023 Provider Commercial 763966
CT scan - Head 2019 Outpatient Facility Commercial 260970
Laparoscopy 2020 Provider Medi-Cal 6201
Treatment, fracture, dislocation - Other 2020 Provider Commercial 30511
Male genital procedures - Diagnostic 2019 Independent Labs Medicare 5047
Colonoscopy and biopsy 2021 Outpatient Facility Medicare 196818
Heart procedures - Other OR 2021 Outpatient Facility Medi-Cal 329
Eye procedures - Therapeutic (other) 2019 Outpatient Facility Medicare 20746
Arthroscopy 2023 Provider Medi-Cal 4634
GI procedures - Diagnostic 2023 Provider Commercial 37661
Respiratory procedures - Therapeutic OR (other) 2018 Inpatient Facility Medi-Cal 32
Skin and subcutaneous tissue - Diagnostic (other) 2020 Provider Medicare 593051
Ungrouped Procedures 2022 Home Health Commercial 2236
Gastric bypass and volume reduction 2022 Outpatient Facility Medi-Cal 683
Large intestine lesion - Local excision 2018 Provider Medi-Cal 89
Ultrasound - Urinary tract - Diagnostic 2019 Inpatient Facility Medicare 82
Pathology 2021 Outpatient Facility Medicare 956003
Intraoperative cholangiogram 2023 Provider Medi-Cal 1902
Transportation - Patient, provider, equipment 2019 Inpatient Facility Medicare 640
Ancillary services 2018 Independent Labs Medi-Cal 68420
Vessels other than head/neck procedures - Other OR 2019 Outpatient Facility Medicare 17919
Ear procedures - Diagnostic 2021 Provider Commercial 5378
Laboratory - Chemistry and hematology 2019 Pharmacy Medi-Cal 66
Nose, mouth, pharynx procedures - Diagnostic 2023 Unclassified/other Medi-Cal 30
Bone procedures - Therapeutic OR (other) 2020 Provider Medi-Cal 24392
Prophylactic vaccinations and inoculations 2021 Pharmacy Commercial 4565
Cardiac stress tests 2022 Provider Medi-Cal 102262
Spleen procedures 2018 Provider Medi-Cal 468
Extracranial ventricular shunt services 2023 Outpatient Facility Medicare 390
Nervous system procedures - Diagnostic (other) 2020 Independent Labs Medi-Cal 3058
Radioisotope scan - Bone 2018 Unclassified/other Medi-Cal 227
Treatment, fracture, dislocation - Lower extrem. 2022 Inpatient Facility Medicare 70
Appendectomy 2023 Outpatient Facility Medi-Cal 5671
Eye procedures - Destruction of retinal lesion 2018 Outpatient Facility Medi-Cal 1251
Skin and subcutaneous tissue - Suture 2018 Unclassified/other Medi-Cal 104
Physical/occupational/speech therapy - Other 2023 Inpatient Facility Commercial 153
Alcohol and drug management, treatment, and rehab. 2020 Inpatient Facility Medi-Cal 21818
Office visits 2018 Independent Labs Medicare 627
Tracheostomy (temporary and permanent) 2023 Provider Medicare 3658
Varicose vein stripping - Lower limb 2020 Outpatient Facility Medicare 580
Care management/coordination services 2018 Hospice Medicare 2062
Male genital procedures - Therapeutic OR (other) 2018 Provider Medi-Cal 8107
Embolectomy and endarterectomy of lower limbs 2021 Provider Medi-Cal 1139
DME and supplies 2020 Provider Medi-Cal 6230352
Nephrotomy and nephrostomy 2023 Outpatient Facility Medicare 7491
Genitourinary incontinence procedures 2022 Outpatient Facility Medi-Cal 1642
Breast - Biopsy, procedures - Diagnostic (other) 2023 Provider Medi-Cal 22550
Female organ procedures - Therapeutic (other) 2023 Unclassified/other Medi-Cal 122
Arthroplasty other than hip or knee 2023 Provider Medi-Cal 5235
Prostatectomy (open ) 2023 Provider Medicare 4412
D&C (dilatation and curettage) - Diagnostic 2019 Provider Medi-Cal 2190
Ungrouped Procedures 2021 DME (Durable Medical Equipment) Commercial 113
Muscle and tendon procedures - Therapeutic (other) 2018 Outpatient Facility Medicare 23174
Hip replacement (partial and total) 2022 Outpatient Facility Medi-Cal 1367
Cardiac stress tests 2019 Inpatient Facility Medicare 1978
Hemorrhoid procedures 2021 Outpatient Facility Commercial 5314
Ovary operations - Other 2019 Provider Medicare 190
CPT codes not classified (F codes) 2020 Outpatient Facility Commercial 1372
Contrast aortogram 2023 Provider Medi-Cal 10686
Medications (injections, infusions, other forms) 2019 Outpatient Facility Commercial 6053317
Decompression peripheral nerve 2022 Provider Medicare 26163
ERCP (endoscopic retro. cannulation of pancreas) 2022 Inpatient Facility Medicare 518
Hearing devices and audiology supplies 2023 Provider Medi-Cal 63258
Ancillary services 2022 Home Health Medi-Cal 1024186
Ophthalmologic/otologic diagnosis and treatment 2018 Inpatient Facility Medicare 165
GI procedures - Diagnostic 2020 Provider Commercial 27142
Ultrasound - Diagnostic (other) 2023 Provider Medicare 1845103
Urinary system (nonoperative) measurements 2022 Unclassified/other Commercial 305
Radioisotope scan - Other 2023 Outpatient Facility Medicare 3987
Respiratory therapy - Other 2022 Outpatient Facility Commercial 46717
Non-hospital-based care (home health, hospice) 2021 Independent Labs Medicare 773
Male genital procedures - Diagnostic 2022 Outpatient Facility Commercial 2724
Physical/occupational/speech therapy - Exercises 2023 Unclassified/other Medi-Cal 12170
Urinary tract procedures - Therapeutic (other) 2020 Provider Medicare 63220
Aortic resection - Replacement or anastomosis 2021 Outpatient Facility Medicare 33
Hysterectomy (abdominal and vaginal) 2018 Outpatient Facility Medi-Cal 2813
GI (upper) procedures - Therapeutic OR 2019 Provider Commercial 2477
Skin and subcutaneous tissue - Diagnostic (other) 2023 Provider Commercial 509143
Pathology 2023 Outpatient Facility Commercial 798721
Non-hospital-based care (home health, hospice) 2018 Inpatient Facility Commercial 791
Female organ procedures - Diagnostic (other) 2022 Outpatient Facility Commercial 27170
Arthrocentesis 2022 Unclassified/other Medi-Cal 106
Liver biopsy 2019 Provider Medi-Cal 4356
HCPCS Level II codes not classified 2022 Provider Medi-Cal 3804481
Respiratory procedures - Therapeutic OR (other) 2022 Inpatient Facility Medicare 77
Preventive visits 2023 Unclassified/other Medi-Cal 13786
Endocrine procedures - Therapeutic 2019 Outpatient Facility Medicare 2875
Extraocular muscle procedures - Therapeutic 2022 Outpatient Facility Commercial 3528
Physical/occupational/speech therapy - Exercises 2021 Outpatient Facility Medicare 2496243
Nephrectomy (partial or complete) 2021 Outpatient Facility Medicare 531
Cardiac catheterization/arteriography - Diagnostic 2018 Provider Medi-Cal 41690
Abortion (termination of pregnancy) 2019 Provider Commercial 17626
DME and supplies 2018 Pharmacy Commercial 213
Urinary obstruction - Excision, drainage, removal 2021 Outpatient Facility Commercial 5026
Esophageal varices - Injection or ligation 2019 Outpatient Facility Medi-Cal 1528
Ultrasound - Diagnostic (other) 2019 Provider Medicare 1689626
X-ray - Lower GI 2020 Outpatient Facility Commercial 1235
Hemodialysis 2019 Provider Medicare 92130
Eye procedures - Glaucoma 2023 Provider Medi-Cal 16130
Ancillary services 2019 Outpatient Facility Medi-Cal 3846078
Radioisotope scan - Bone 2023 Inpatient Facility Medicare 111
Consultations 2022 Provider Commercial 264987
Prophylactic vaccinations and inoculations 2023 Independent Labs Medi-Cal 162
Cesarean section 2020 Inpatient Facility Commercial 35
Telehealth 2023 Unclassified/other Commercial 1978
Ultrasound - Urinary tract - Diagnostic 2022 Provider Medicare 7142
Gastrostomy (temporary and permanent) 2020 Outpatient Facility Medi-Cal 5085
Other types of lab tests 2022 Unclassified/other Medicare 743
Tracheoscopy and laryngoscopy with biopsy 2019 Provider Commercial 85153
Musculoskeletal procedures - Therapeutic OR (other) 2019 Outpatient Facility Medi-Cal 968
Nose, mouth, pharynx procedures - Therapeutic 2020 Provider Medi-Cal 75043
Vessels other than head/neck procedures - Other OR 2021 Provider Medi-Cal 263364
X-ray - Lower GI 2023 Provider Medicare 3099
CT scan - Abdomen 2023 Outpatient Facility Commercial 408643
CABG (coronary artery bypass graft) 2018 Provider Medi-Cal 9050
Colorectal resection 2018 Provider Medi-Cal 6603
Arthroplasty other than hip or knee 2021 Outpatient Facility Medi-Cal 2336
Electrocardiogram 2022 Provider Commercial 1950830
Hemorrhoid procedures 2018 Outpatient Facility Medicare 2080
Vessels other than head/neck procedures - Other OR 2020 Provider Medi-Cal 25560
Bone procedures - Therapeutic OR (other) 2023 Inpatient Facility Medicare 336
Respiratory procedures - Therapeutic OR (other) 2019 Outpatient Facility Medicare 2702
Preventive visits 2023 Provider Medi-Cal 3808618
Nephrectomy (partial or complete) 2020 Provider Medicare 6333
Respiratory procedures - Diagnostic (other) 2023 Provider Medi-Cal 5272
Bronchoscopy and biopsy - Diagnostic 2019 Provider Medi-Cal 15757
Cardiac catheterization/arteriography - Diagnostic 2023 Inpatient Facility Commercial 113
Abortion (termination of pregnancy) 2018 Provider Medicare 112
Musculoskeletal procedures - Therapeutic (other) 2022 Provider Medi-Cal 280062
Tracheoscopy and laryngoscopy with biopsy 2018 Provider Medicare 113277
Obstetric laceration - Repair 2022 Outpatient Facility Commercial 41
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2023 Unclassified/other Medi-Cal 141
Enteral and parenteral nutrition 2018 Home Health Medi-Cal 1049
Prophylactic vaccinations and inoculations 2022 Independent Labs Medi-Cal 164
Knee - Excision of semilunar cartilage 2023 Provider Medicare 12702
Treatment, fracture, dislocation - Lower extrem. 2021 Outpatient Facility Medicare 5235
Laminectomy, excision intervertebral disc 2019 Outpatient Facility Medi-Cal 1181
Consultations 2020 Outpatient Facility Commercial 3799
Microscopic examination (e.g., lab, toxicology) 2022 Inpatient Facility Commercial 471
Physical/occupational/speech therapy - Other 2021 Outpatient Facility Medi-Cal 140304
Intravenous pyelogram 2022 Outpatient Facility Medicare 165
Other vascular catheterization (not heart) 2020 Inpatient Facility Medicare 2003
Cystocele/rectocele repair, oblit. of vag. vault 2023 Inpatient Facility Medicare 52
Anesthesia 2023 Inpatient Facility Medicare 1506
Amputation - Lower extremity 2020 Outpatient Facility Commercial 697
Gastrostomy (temporary and permanent) 2019 Provider Medi-Cal 15822
Colorectal resection 2018 Outpatient Facility Commercial 396
HCPCS Level II codes not classified 2022 Outpatient Facility Medicare 278831
Spinal fusion 2020 Outpatient Facility Medicare 3284
Telehealth 2023 Provider Commercial 5305204
Hysterectomy (abdominal and vaginal) 2023 Provider Medi-Cal 11702
Esophageal dilatation 2022 Provider Commercial 9281
Liver biopsy 2018 Outpatient Facility Medi-Cal 1585
Female organ procedures - Therapeutic (other) 2021 Outpatient Facility Medi-Cal 34721
Non-hospital-based care (home health, hospice) 2020 Inpatient Facility Medi-Cal 193103
Nose, mouth, pharynx procedures - Therapeutic 2018 Provider Medicare 15977
X-ray - Lower GI 2023 Provider Commercial 1982
Prophylactic vaccinations and inoculations 2019 Outpatient Facility Medi-Cal 2818990
Eye procedures - Glaucoma 2021 Provider Medicare 78073
X-ray - Chest (routine) 2018 Unclassified/other Commercial 64
Extracorporeal shock wave (other than urinary) 2022 Provider Medicare 103037
Contrast arteriogram - Lower extremity arteries 2022 Outpatient Facility Medicare 1201
Cardiovascular procedures - Diagnostic (other) 2020 Outpatient Facility Medi-Cal 8827
Ear procedures - Therapeutic 2020 Outpatient Facility Commercial 5506
Division of joint capsule (ligament or cartilage) 2022 Provider Medi-Cal 2280
Pleura incision, thoracentesis, chest drainage 2023 Outpatient Facility Commercial 3123
Other types of visits 2020 Provider Medicare 684560
Therapeutic procedures - Other 2021 Provider Medi-Cal 887260
Muscles, tendons, joints - Injections, aspirations 2019 Outpatient Facility Medicare 24161
Heart valve procedures 2018 Provider Medicare 20608
Fetal monitoring 2018 Unclassified/other Medi-Cal 375
Psychological and psychiatric evaluation, therapy 2021 Home Health Medi-Cal 19220
Behavioral health services 2021 Provider Commercial 31230
Care management/coordination services 2023 Home Health Commercial 372
Transportation - Patient, provider, equipment 2023 Ambulance Commercial 546673
Nonoperative removal of foreign body 2023 Provider Medicare 18759
Ungrouped Procedures 2023 Home Health Medi-Cal 432646
Myelogram 2018 Provider Medi-Cal 744
Exploratory laparotomy 2022 Provider Commercial 1460
Treatment, fracture, dislocation - Radius and ulna 2023 Inpatient Facility Medicare 40
Peritoneal dialysis 2019 Outpatient Facility Medi-Cal 1782114
Radioisotope scan and function studies 2019 Outpatient Facility Medicare 154872
Skilled nursing facility services 2023 Unclassified/other Medi-Cal 1461
Colorectal resection 2023 Outpatient Facility Commercial 493
Amniocentesis - Diagnostic 2020 Provider Medi-Cal 828
Joint procedures - Therapeutic OR (other) 2021 Provider Medicare 36811
Rehabilitation facility services 2020 Inpatient Facility Medi-Cal 94
GI (upper) endoscopy, biopsy 2021 Inpatient Facility Medicare 2057
Chemotherapy - Cancer 2018 Provider Commercial 413983
Embolectomy and endarterectomy of lower limbs 2023 Provider Commercial 482
PTCA (percutaneous transluminal coronary angio.) 2023 Provider Commercial 10169
Medications (injections, infusions, other forms) 2021 Provider Commercial 3385587
Ophthalmologic/otologic diagnosis and treatment 2023 Outpatient Facility Commercial 78096
Skin graft 2022 Outpatient Facility Medi-Cal 8476
Visual aids and other optical supplies 2018 Outpatient Facility Commercial 25418
Laboratory - Chemistry and hematology 2022 Outpatient Facility Medicare 29565055
CT scan - Head 2021 Inpatient Facility Medicare 17199
Fallopian tubes - Ligation 2018 Outpatient Facility Medicare 40
TURP (transurethral resection of prostate) 2018 Outpatient Facility Medicare 5901
Mammography 2020 Outpatient Facility Commercial 628371
Eye procedures - Glaucoma 2018 Provider Commercial 12645
MRI (magnetic resonance imaging) 2019 Provider Commercial 1057217
Hernia repair - Inguinal and femoral 2022 Provider Medi-Cal 9505
Bone marrow biopsy 2019 Independent Labs Medicare 54
Respiratory therapy - Other 2020 Outpatient Facility Commercial 32133
Urinary system (nonoperative) measurements 2020 Unclassified/other Medi-Cal 2805
Colonoscopy and biopsy 2022 Outpatient Facility Medicare 216352
Hernia repair - Inguinal and femoral 2019 Provider Medicare 23369
Breast - Biopsy, procedures - Diagnostic (other) 2021 Provider Medi-Cal 19165
Ungrouped Procedures 2022 Inpatient Facility Medi-Cal 14497
Pleura incision, thoracentesis, chest drainage 2020 Provider Commercial 11146
Non-hospital-based care (home health, hospice) 2022 Provider Medi-Cal 1883701
Intravenous pyelogram 2020 Provider Commercial 216
Other types of visits 2018 Provider Commercial 113993
Medications (injections, infusions, other forms) 2020 Provider Medi-Cal 2085462
Nervous system procedures - Diagnostic (other) 2020 Provider Medicare 350156
Spinal tap - Diagnostic 2023 Outpatient Facility Medicare 3318
Excision, lysis peritoneal adhesions 2020 Provider Medi-Cal 844
Muscle and tendon procedures - Therapeutic (other) 2022 Provider Commercial 132028
Skin, breast procedures - Therapeutic OR (other) 2018 Provider Commercial 34379
Ear procedures - Diagnostic 2021 Provider Medi-Cal 3575
Skin and subcutaneous tissue - Diagnostic (other) 2022 Outpatient Facility Medi-Cal 10901
Gastrostomy (temporary and permanent) 2018 Outpatient Facility Medicare 5383
Prostatectomy (open ) 2021 Inpatient Facility Medicare 118
Radioisotope scan - Bone 2021 Inpatient Facility Medicare 146
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2023 Inpatient Facility Commercial 88
Male genital procedures - Diagnostic 2020 Independent Labs Medi-Cal 201
Laparoscopy 2020 Inpatient Facility Medicare 112
Alcohol and drug management, treatment, and rehab. 2019 Inpatient Facility Medi-Cal 21738
Radiology - Therapeutic 2018 Inpatient Facility Medicare 1049
Decompression peripheral nerve 2018 Unclassified/other Medi-Cal 118
Ultrasound - Urinary tract - Diagnostic 2020 Outpatient Facility Medi-Cal 792
X-ray - Chest (routine) 2023 Provider Medi-Cal 2591144
Laboratory - Chemistry and hematology 2019 Provider Medi-Cal 13490998
Arterial blood gases 2020 Inpatient Facility Commercial 45
Bunionectomy or repair of toe deformities 2019 Provider Medi-Cal 3957
Female organ procedures - Therapeutic OR (other) 2022 Outpatient Facility Commercial 11816
Physical/occupational/speech therapy - Exercises 2020 Provider Medicare 10143614
Hearing devices and audiology supplies 2020 Outpatient Facility Medicare 580
Cardiac stress tests 2023 Provider Medi-Cal 120218
GI procedures - Therapeutic 2018 Provider Medi-Cal 7532
Pathology 2021 Provider Medicare 2497258
Arthroscopy 2023 Provider Medicare 2279
Contrast aortogram 2020 Outpatient Facility Medi-Cal 1614
Embolectomy and endarterectomy of lower limbs 2019 Outpatient Facility Medi-Cal 36
Respiratory procedures - Therapeutic OR (other) 2018 Inpatient Facility Medicare 70
Male genital procedures - Diagnostic 2019 Outpatient Facility Medi-Cal 736
Extracranial ventricular shunt services 2023 Provider Medi-Cal 4280
Abdominal paracentesis 2022 Provider Medicare 45140
Pleura incision, thoracentesis, chest drainage 2019 Provider Commercial 10695
Vessels other than head/neck procedures - Other OR 2019 Inpatient Facility Commercial 72
Intravenous pyelogram 2019 Outpatient Facility Medicare 194
Physical/occupational/speech therapy - Exercises 2020 Inpatient Facility Medicare 3469569
Heart procedures - Other OR 2021 Outpatient Facility Medicare 398
Bone procedures - Therapeutic OR (other) 2021 Inpatient Facility Medicare 736
Arthroscopy 2022 Provider Medicare 2400
Cardiac stress tests 2022 Provider Medicare 330348
Ungrouped Procedures 2022 Home Health Medicare 28690
Spinal tap - Diagnostic 2022 Provider Commercial 9828
GI procedures - Diagnostic 2023 Provider Medicare 37034
Female organ procedures - Therapeutic OR (other) 2021 Inpatient Facility Medicare 40
Non-hospital-based care (home health, hospice) 2022 Inpatient Facility Medi-Cal 172106
D&C - Aspiration after delivery or abortion 2022 Provider Medicare 49
Laboratory - Chemistry and hematology 2022 Ambulance Medicare 435
Colonoscopy and biopsy 2021 Provider Commercial 432755
Medications (injections, infusions, other forms) 2020 Outpatient Facility Commercial 5379836
Electrographic cardiac monitoring 2023 Provider Commercial 254494
Skin, breast procedures - Therapeutic (other) 2023 Provider Medi-Cal 537060
Ultrasound - Urinary tract - Diagnostic 2019 Outpatient Facility Commercial 615
Nervous system procedures - Diagnostic (other) 2020 Inpatient Facility Medi-Cal 102
Muscle and tendon procedures - Therapeutic (other) 2022 Independent Labs Commercial 488
Other types of visits 2018 Home Health Medicare 107
CT scan - Head 2019 Independent Labs Medicare 144
Prophylactic vaccinations and inoculations 2021 Provider Commercial 15248270
Skin and subcutaneous tissue - Diagnostic (other) 2021 Provider Medi-Cal 129642
Radioisotope scan - Bone 2020 Inpatient Facility Medicare 161
Obstetrical procedures - Therapeutic (other) 2022 Inpatient Facility Commercial 40
Large intestine lesion - Local excision 2021 Provider Medicare 343
Eye procedures - Therapeutic (other) 2019 Provider Medi-Cal 58346
Radiology - Diagnostic (other) 2023 Outpatient Facility Commercial 1248606
Contrast arteriogram - Lower extremity arteries 2020 Provider Medicare 4530
D&C - Aspiration after delivery or abortion 2018 Provider Medi-Cal 6793
Treatment, fracture, dislocation - Other 2019 Provider Medicare 32595
Gastric bypass and volume reduction 2023 Outpatient Facility Medicare 232
Urinary tract procedures - Therapeutic OR (other) 2021 Inpatient Facility Medicare 935
Abdominal paracentesis 2023 Inpatient Facility Medicare 191
Gastrectomy (partial and total) 2018 Provider Medi-Cal 338
Preventive visits 2023 Independent Labs Medi-Cal 675
Pathology 2021 Unclassified/other Medicare 39
Spinal fusion 2019 Inpatient Facility Commercial 180
Intraocular procedures - Therapeutic 2023 Outpatient Facility Medi-Cal 9559
Obstetric laceration - Repair 2018 Provider Commercial 328
Respiratory procedures - Therapeutic OR (other) 2018 Provider Medi-Cal 7706
Prophylactic vaccinations and inoculations 2021 Unclassified/other Commercial 945
HCPCS Level II codes not classified 2022 Independent Labs Medicare 284
Physical/occupational/speech therapy - Other 2021 Outpatient Facility Medicare 211357
Tonsillectomy and/or adenoidectomy 2022 Provider Medicare 301
Nose, mouth, pharynx procedures - Diagnostic 2018 Outpatient Facility Medi-Cal 14200
Bronchoscopy and biopsy - Diagnostic 2020 Inpatient Facility Medicare 204
Telehealth 2023 Inpatient Facility Medicare 3601
Hemorrhoid procedures 2018 Provider Medi-Cal 6348
EEG (electroencephalogram) 2023 Provider Medi-Cal 105716
Other types of lab tests 2022 Independent Labs Medi-Cal 10867853
Enteral and parenteral nutrition 2018 Provider Medicare 168843
Esophageal dilatation 2022 Inpatient Facility Medicare 45
Physical/occupational/speech therapy - Diagnostic 2022 Unclassified/other Medicare 40
Extracorporeal shock wave (other than urinary) 2021 Provider Medicare 90527
GI procedures - Diagnostic 2018 Inpatient Facility Medicare 46
Ultrasound - Diagnostic (other) 2018 Outpatient Facility Medi-Cal 625280
X-ray - Chest (routine) 2018 Outpatient Facility Medi-Cal 957383
Urinary obstruction - Excision, drainage, removal 2018 Provider Medicare 30807
Cervix and uterus - Other excision 2023 Provider Medi-Cal 8779
Respiratory procedures - Diagnostic (other) 2021 Outpatient Facility Medicare 729
Anesthesia 2023 Outpatient Facility Medicare 148104
Ultrasound - Heart (echocardiogram) - Diagnostic 2019 Provider Medicare 1474428
Female organ procedures - Therapeutic (other) 2021 Provider Commercial 189424
Cardiac catheterization/arteriography - Diagnostic 2022 Outpatient Facility Medi-Cal 13166
Amputation - Lower extremity 2019 Outpatient Facility Medi-Cal 419
Eye procedures - Glaucoma 2022 Outpatient Facility Medi-Cal 4108
Vessels other than head/neck procedures - Other OR 2021 Home Health Commercial 770
CT scan - Abdomen 2021 Unclassified/other Commercial 101
Arthroplasty other than hip or knee 2021 Provider Commercial 14777
Large intestine lesion - Local excision 2023 Provider Commercial 160
Circumcision 2023 Outpatient Facility Medicare 895
Microscopic examination (e.g., lab, toxicology) 2021 Unclassified/other Medicare 86
Nephrectomy (partial or complete) 2020 Outpatient Facility Commercial 453
Non-hospital-based care (home health, hospice) 2020 Outpatient Facility Commercial 24826
Microscopic examination (e.g., lab, toxicology) 2023 Pharmacy Medi-Cal 82
Extracorporeal shock wave (other than urinary) 2018 Provider Medi-Cal 10890
Hemodialysis 2023 Inpatient Facility Medi-Cal 2951
Central nervous system (CNS) incision and excision 2018 Inpatient Facility Commercial 96
EEG (electroencephalogram) 2021 Outpatient Facility Medi-Cal 17780
Wound care - Traction, splints, other 2023 Unclassified/other Medi-Cal 74
Cystocele/rectocele repair, oblit. of vag. vault 2021 Outpatient Facility Medicare 4117
Hysterectomy (abdominal and vaginal) 2022 Inpatient Facility Medicare 103
X-ray - Upper GI 2021 Outpatient Facility Medi-Cal 15369
Bone marrow biopsy 2023 Provider Medi-Cal 9163
Cardiac catheterization/arteriography - Diagnostic 2021 Inpatient Facility Medi-Cal 156
Physical/occupational/speech therapy - Other 2019 Provider Medicare 159356
GI procedures - Therapeutic OR 2021 Provider Medicare 15563
Debridement of wound, infection or burn 2019 Provider Medicare 547338
Pacemaker or cardioverter/defibrillator services 2022 Provider Medi-Cal 6272
Laboratory - Chemistry and hematology 2019 Inpatient Facility Medi-Cal 78293
Eye procedures - Lens and cataract 2021 Outpatient Facility Commercial 39661
Tracheostomy (temporary and permanent) 2018 Provider Commercial 1142
Spinal canal stimulator insertion and injection 2023 Outpatient Facility Medicare 65748
Intraocular procedures - Therapeutic 2021 Outpatient Facility Medi-Cal 7699
Non-hospital-based care (home health, hospice) 2019 Unclassified/other Medicare 119
Respiratory procedures - Diagnostic (other) 2019 Outpatient Facility Medicare 1101
Breast - Mastectomy 2022 Outpatient Facility Medi-Cal 1339
Other vascular catheterization (not heart) 2019 Inpatient Facility Medi-Cal 188
Epistaxis control 2018 Outpatient Facility Medi-Cal 2320
Prophylactic vaccinations and inoculations 2018 Provider Medi-Cal 9406927
Other types of lab tests 2023 Unclassified/other Medicare 300
Electrographic cardiac monitoring 2020 Inpatient Facility Medicare 290
Female organ procedures - Therapeutic (other) 2018 Outpatient Facility Medicare 2865
Contrast aortogram 2020 Inpatient Facility Medicare 273
Mastoidectomy 2019 Outpatient Facility Commercial 829
Appendectomy 2019 Provider Medicare 4758
Urinary system (nonoperative) measurements 2018 Independent Labs Commercial 356068
Ultrasound - Heart (echocardiogram) - Diagnostic 2018 Outpatient Facility Medicare 233696
Amniocentesis - Diagnostic 2021 Outpatient Facility Medi-Cal 302
Hearing devices and audiology supplies 2019 Outpatient Facility Commercial 958
Oophorectomy (unilateral and bilateral) 2022 Provider Commercial 9967
Nose procedures - Plastic 2023 Provider Medi-Cal 6113
CT scan - Chest 2019 Outpatient Facility Medi-Cal 103993
Therapeutic procedures - Other 2020 Ambulance Medi-Cal 150
Obstetrical procedures - Therapeutic (other) 2020 Provider Medicare 339
Tympanoplasty 2022 Provider Medicare 1757
Treatment, fracture, dislocation - Lower extrem. 2018 Outpatient Facility Commercial 11374
AVF or vessel-to-vessel cannula for dialysis svcs. 2020 Outpatient Facility Medi-Cal 7243
Large intestine lesion - Local excision 2022 Provider Commercial 215
Skin, breast procedures - Therapeutic OR (other) 2018 Provider Medicare 18418
Ear procedures - Diagnostic 2020 Provider Medicare 17596
Decompression peripheral nerve 2019 Outpatient Facility Commercial 11047
Physical/occupational/speech therapy - Exercises 2020 Outpatient Facility Medi-Cal 2883727
Contrast arteriogram - Lower extremity arteries 2021 Outpatient Facility Medi-Cal 441
Vessels other than head/neck procedures - Other OR 2019 Inpatient Facility Medi-Cal 57
Radiology - Therapeutic 2018 Outpatient Facility Commercial 200078
CT scan - Head 2019 Inpatient Facility Medi-Cal 2126
Skin and subcutaneous tissue - Diagnostic (other) 2021 Provider Medicare 693007
GI procedures - Diagnostic 2023 Outpatient Facility Commercial 13747
Male genital procedures - Diagnostic 2020 Outpatient Facility Medi-Cal 628
Laparoscopy 2020 Outpatient Facility Medi-Cal 2406
Respiratory procedures - Therapeutic (other) 2023 Provider Commercial 3234
Ultrasound - Urinary tract - Diagnostic 2018 Provider Medi-Cal 2745
Bunionectomy or repair of toe deformities 2021 Outpatient Facility Medicare 6756
Nose, mouth, pharynx procedures - Diagnostic 2023 Outpatient Facility Medicare 53105
Intravenous pyelogram 2019 Provider Commercial 302
Transportation - Patient, provider, equipment 2020 Ambulance Medi-Cal 13530026
Extraocular muscle procedures - Therapeutic 2018 Unclassified/other Medi-Cal 41
Colonoscopy and biopsy 2022 Provider Commercial 475145
Female organ procedures - Therapeutic OR (other) 2021 Outpatient Facility Medi-Cal 7013
Hearing devices and audiology supplies 2020 Provider Medi-Cal 50078
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2023 Outpatient Facility Commercial 281533
Hernia repair - Inguinal and femoral 2018 Unclassified/other Medi-Cal 102
DME and supplies 2018 Ambulance Medicare 51
Ancillary services 2018 Pharmacy Medicare 142
Spinal tap - Diagnostic 2023 Provider Medi-Cal 12751
Arthroscopy 2023 Outpatient Facility Commercial 9789
Ungrouped Procedures 2022 Outpatient Facility Commercial 1467977
Pathology 2021 Inpatient Facility Medicare 21019
Muscle and tendon procedures - Therapeutic (other) 2021 Outpatient Facility Commercial 45649
Electrographic cardiac monitoring 2023 Provider Medi-Cal 257289
Nervous system procedures - Diagnostic (other) 2021 Independent Labs Commercial 371
Eye procedures - Lens and cataract 2023 Provider Medicare 463820
Prophylactic vaccinations and inoculations 2021 Outpatient Facility Medi-Cal 3956330
Cardiac stress tests 2022 Outpatient Facility Commercial 21241
Laboratory - Chemistry and hematology 2020 Independent Labs Commercial 30038321
Medications (injections, infusions, other forms) 2020 Outpatient Facility Medi-Cal 7092820
Other types of visits 2018 Provider Medi-Cal 363225
Pleura incision, thoracentesis, chest drainage 2019 Provider Medicare 49474
X-ray - Chest (routine) 2022 Provider Medi-Cal 2420663
D&C - Aspiration after delivery or abortion 2018 Outpatient Facility Commercial 6034
Radioisotope scan - Bone 2020 Outpatient Facility Medicare 22979
Extracorporeal shock wave (other than urinary) 2018 Provider Commercial 23212
Nephrotomy and nephrostomy 2018 Outpatient Facility Medicare 5098
Nose procedures - Plastic 2022 Outpatient Facility Medicare 2375
Radiology - Diagnostic (other) 2018 Independent Labs Medi-Cal 98
Ultrasound - Heart (echocardiogram) - Diagnostic 2018 Provider Commercial 647000
Vessels of head/neck - Endarterectomy 2022 Provider Medicare 3334
Tympanoplasty 2023 Outpatient Facility Commercial 1541
Wound care - Traction, splints, other 2023 Outpatient Facility Commercial 52780
Breast - Mastectomy 2022 Outpatient Facility Medicare 3089
AVF or vessel-to-vessel cannula for dialysis svcs. 2019 Outpatient Facility Medi-Cal 7783
Spinal fusion 2023 Provider Commercial 41350
Circumcision 2018 Provider Medicare 1270
GI (upper) procedures - Therapeutic 2019 Provider Medicare 1705
Cystocele/rectocele repair, oblit. of vag. vault 2020 Outpatient Facility Medicare 3396
Laminectomy, excision intervertebral disc 2018 Inpatient Facility Commercial 35
Contrast aortogram 2019 Inpatient Facility Medicare 355
GI procedures - Therapeutic OR 2022 Inpatient Facility Commercial 51
CT scan - Chest 2019 Outpatient Facility Commercial 137333
Therapeutic procedures - Other 2019 Outpatient Facility Medi-Cal 2406146
Microscopic examination (e.g., lab, toxicology) 2023 Pharmacy Commercial 292
Endocrine procedures - Therapeutic 2022 Provider Medi-Cal 2322
Cardiac catheterization/arteriography - Diagnostic 2021 Inpatient Facility Commercial 115
Hospital services 2021 Pharmacy Medicare 119
Physical/occupational/speech therapy - Exercises 2019 Inpatient Facility Medicare 3107906
Tracheoscopy and laryngoscopy with biopsy 2023 Outpatient Facility Commercial 4916
Mastoidectomy 2019 Outpatient Facility Medi-Cal 524
Enteral and parenteral nutrition 2023 Home Health Commercial 2124
Musculoskeletal procedures - Therapeutic OR (other) 2022 Outpatient Facility Medi-Cal 974
Nervous system procedures - Therapeutic OR (other) 2020 Inpatient Facility Medicare 58
Debridement of wound, infection or burn 2018 Provider Medicare 518258
Urinary obstruction - Excision, drainage, removal 2023 Provider Medicare 32136
EEG (electroencephalogram) 2020 Provider Commercial 47330
Oophorectomy (unilateral and bilateral) 2021 Outpatient Facility Medicare 1346
Respiratory procedures - Therapeutic (other) 2020 Provider Commercial 2273
Pacemaker or cardioverter/defibrillator services 2022 Provider Commercial 4484
Skin lesion - Excision 2020 Provider Medicare 2832760
Physical/occupational/speech therapy - Other 2019 Provider Medi-Cal 516138
Central nervous system (CNS) incision and excision 2018 Outpatient Facility Commercial 123
Female organ procedures - Therapeutic (other) 2018 Provider Commercial 176417
Eye procedures - Lens and cataract 2020 Provider Medicare 358961
X-ray - Upper GI 2020 Outpatient Facility Medicare 27433
Urinary tract procedures - Therapeutic OR (other) 2018 Outpatient Facility Commercial 2449
Arthroplasty other than hip or knee 2019 Provider Medi-Cal 5557
Eye procedures - Diagnostic 2019 Provider Medi-Cal 13747
Critical care services 2019 Ambulance Medi-Cal 127
DME and supplies 2022 Home Health Medi-Cal 21518
Lung and bronchus procedures - Diagnostic (other) 2022 Provider Medi-Cal 243550
Ultrasound - Head and neck - Diagnostic 2023 Provider Medi-Cal 260070
Indwelling catheter 2022 Inpatient Facility Medicare 57
Musculoskeletal procedures - Therapeutic (other) 2019 Provider Medi-Cal 256641
Alcohol and drug management, treatment, and rehab. 2022 Unclassified/other Commercial 53753
Microscopic examination (e.g., lab, toxicology) 2020 Independent Labs Medicare 6172525
GI procedures - Therapeutic OR 2021 Inpatient Facility Medi-Cal 59
Blood and blood product transfusion 2023 Provider Medi-Cal 8192
Ophthalmologic/otologic diagnosis and treatment 2021 Outpatient Facility Medi-Cal 1506740
Delivery - Other procedures to assist 2023 Unclassified/other Medi-Cal 48
HIPPS home health services 2022 Provider Commercial 60
PTCA (percutaneous transluminal coronary angio.) 2020 Inpatient Facility Medicare 907
GI (lower) procedures - Therapeutic OR 2018 Provider Medi-Cal 8615
Tonsillectomy and/or adenoidectomy 2019 Provider Commercial 13354
Telehealth 2021 Unclassified/other Medi-Cal 810
Bone excision (partial) 2020 Provider Medicare 32403
Electrocardiogram 2021 Outpatient Facility Commercial 583698
Endocrine procedures - Diagnostic 2019 Outpatient Facility Commercial 1074
Hemic/lymphatic system procedures - Therapeutic 2021 Provider Commercial 28693
Treatment, fracture, dislocation - Radius and ulna 2018 Unclassified/other Medi-Cal 44
Urinary tract - Endoscopy and endoscopic biopsy 2018 Outpatient Facility Medicare 16080
Respiratory procedures - Diagnostic (other) 2018 Outpatient Facility Medi-Cal 1554
Physical/occupational/speech therapy - Diagnostic 2021 Home Health Medicare 52734
Arthrocentesis 2020 Outpatient Facility Medicare 49621
Cholecystectomy and common duct exploration 2023 Provider Medicare 20470
Nasogastric tube 2020 Provider Medicare 1075
Nonoperative removal of foreign body 2019 Outpatient Facility Commercial 4301
Observation care services 2021 Provider Commercial 220363
Vascular bypass - Peripheral 2021 Provider Commercial 440
Knee - Excision of semilunar cartilage 2018 Provider Medi-Cal 9320
Transportation - Patient, provider, equipment 2021 Outpatient Facility Commercial 2535
Breast - Mastectomy 2021 Outpatient Facility Medi-Cal 1362
Urethra - Procedures 2020 Provider Medi-Cal 6153
GI (upper) endoscopy, biopsy 2018 Inpatient Facility Medi-Cal 88
Preventive visits 2021 Independent Labs Medi-Cal 370
Female organ procedures - Diagnostic (other) 2020 Provider Commercial 234674
Spinal canal stimulator insertion and injection 2022 Provider Medicare 370009
Lung and bronchus procedures - Diagnostic (other) 2019 Outpatient Facility Medicare 153469
Ancillary services 2022 Provider Medicare 458196
Office visits 2023 Independent Labs Commercial 17715
D&C (dilatation and curettage) - Diagnostic 2020 Outpatient Facility Medicare 356
ERCP (endoscopic retro. cannulation of pancreas) 2022 Provider Medi-Cal 21884
Treatment, fracture, dislocation - Other 2018 Outpatient Facility Medicare 9598
CPT codes not classified (F codes) 2021 Pharmacy Medi-Cal 106
Peritoneal dialysis 2021 Inpatient Facility Medicare 638
Arthroscopy 2018 Provider Commercial 13417
Fallopian tubes - Ligation 2019 Provider Medicare 119
Ovary operations - Other 2021 Provider Medicare 178
Radiology - Therapeutic 2023 Outpatient Facility Medi-Cal 155728
Office visits 2021 Unclassified/other Commercial 40277
Ophthalmologic/otologic diagnosis and treatment 2018 Pharmacy Medi-Cal 718
Spinal tap - Diagnostic 2019 Provider Medi-Cal 15161
GI procedures - Diagnostic 2020 Outpatient Facility Commercial 8889
Arterial blood gases 2018 Independent Labs Commercial 53
Heart valve procedures 2020 Provider Medicare 20027
Ungrouped Procedures 2019 Unclassified/other Commercial 86
Ungrouped Procedures 2021 Inpatient Facility Medicare 59478
Visual aids and other optical supplies 2019 Outpatient Facility Commercial 25067
Care management/coordination services 2019 Provider Medi-Cal 76809
Chemotherapy - Cancer 2020 Inpatient Facility Medicare 363
Prophylactic vaccinations and inoculations 2023 Inpatient Facility Medicare 55772
Laminectomy, excision intervertebral disc 2022 Outpatient Facility Commercial 6727
Indwelling catheter 2019 Provider Medicare 74751
Respiratory procedures - Therapeutic OR (other) 2022 Outpatient Facility Medicare 3971
Abortion (termination of pregnancy) 2023 Outpatient Facility Commercial 2095
Ultrasound - GI tract - Diagnostic 2018 Provider Commercial 57
Medications (injections, infusions, other forms) 2019 Pharmacy Medi-Cal 555
Eye procedures - Destruction of retinal lesion 2021 Outpatient Facility Medi-Cal 1493
Skin and subcutaneous tissue - Suture 2021 Outpatient Facility Medi-Cal 96849
Electrographic cardiac monitoring 2021 Independent Labs Medi-Cal 245
Urinary system (nonoperative) measurements 2018 Unclassified/other Medi-Cal 20065
Hemorrhoid procedures 2021 Provider Medicare 20829
CT scan - Chest 2022 Outpatient Facility Medi-Cal 136231
Radioisotope scan - Pulmonary 2019 Provider Medicare 20026
Esophageal varices - Injection or ligation 2020 Inpatient Facility Medicare 36
Varicose vein stripping - Lower limb 2020 Provider Medicare 2025
Delivery - Other procedures to assist 2019 Provider Commercial 1871
Skin, breast procedures - Therapeutic OR (other) 2023 Provider Medi-Cal 17688
Nose, mouth, pharynx procedures - Therapeutic OR 2021 Provider Medicare 36595
HCPCS Level II codes not classified 2018 Independent Labs Medicare 2255
Muscle and tendon procedures - Therapeutic (other) 2018 Unclassified/other Medi-Cal 230
DME and supplies 2021 Inpatient Facility Commercial 5929
Non-hospital-based care (home health, hospice) 2021 Outpatient Facility Medi-Cal 113056
HIPPS home health services 2018 Provider Medicare 79
Debridement of wound, infection or burn 2020 Outpatient Facility Medi-Cal 43752
Physical/occupational/speech therapy - Diagnostic 2022 Hospice Medicare 123
Physical/occupational/speech therapy - Other 2019 Inpatient Facility Medicare 142835
Prophylactic vaccinations and inoculations 2018 Outpatient Facility Medi-Cal 888856
Urinary tract procedures - Therapeutic OR (other) 2018 Outpatient Facility Medicare 5917
Wound care - Traction, splints, other 2023 Outpatient Facility Medi-Cal 122198
Microscopic examination (e.g., lab, toxicology) 2023 Pharmacy Medicare 34
AVF or vessel-to-vessel cannula for dialysis svcs. 2020 Outpatient Facility Medicare 28879
Appendectomy 2019 Inpatient Facility Medicare 153
GI procedures - Therapeutic OR 2022 Provider Medicare 15250
Hearing devices and audiology supplies 2018 Outpatient Facility Commercial 931
CT scan - Chest 2018 Provider Medicare 609141
GI (upper) procedures - Therapeutic 2020 Outpatient Facility Commercial 366
Musculoskeletal procedures - Therapeutic OR (other) 2021 Provider Commercial 3997
Extracorporeal shock wave (other than urinary) 2020 Outpatient Facility Commercial 17515
Treatment, fracture, dislocation - Lower extrem. 2018 Outpatient Facility Medicare 4324
Breast - Mastectomy 2022 Provider Commercial 7298
Hospital services 2021 Provider Commercial 2511696
Laboratory - Chemistry and hematology 2019 Outpatient Facility Commercial 19542846
Therapeutic procedures - Other 2020 Inpatient Facility Medi-Cal 336
Observation care services 2023 Provider Commercial 44235
Electrographic cardiac monitoring 2019 Provider Medicare 840064
Arthroplasty other than hip or knee 2020 Inpatient Facility Medicare 86
Ultrasound - Heart (echocardiogram) - Diagnostic 2018 Provider Medicare 1400537
Endocrine procedures - Therapeutic 2022 Provider Medicare 5223
Circumcision 2019 Outpatient Facility Commercial 3568
Urinary system (nonoperative) measurements 2018 Outpatient Facility Medicare 643230
Intraocular procedures - Therapeutic 2022 Provider Medicare 556017
Pacemaker or cardioverter/defibrillator services 2022 Provider Medicare 40064
Other vascular catheterization (not heart) 2018 Outpatient Facility Medicare 43156
Vessels of head/neck - Endarterectomy 2021 Provider Medi-Cal 553
Oophorectomy (unilateral and bilateral) 2022 Provider Medi-Cal 5148
Radiology - Diagnostic (other) 2018 Inpatient Facility Commercial 379
Mastoidectomy 2020 Provider Medi-Cal 661
Nervous system procedures - Therapeutic OR (other) 2019 Outpatient Facility Commercial 12053
Eye procedures - Lens and cataract 2021 Outpatient Facility Medi-Cal 29895
Contrast aortogram 2018 Outpatient Facility Medicare 8119
Skin lesion - Excision 2021 Inpatient Facility Medicare 48
Other types of lab tests 2023 Provider Commercial 2685719
Central nervous system (CNS) incision and excision 2019 Outpatient Facility Medi-Cal 214
Tympanoplasty 2022 Outpatient Facility Commercial 1687
Bone marrow transplant 2019 Inpatient Facility Commercial 49
EEG (electroencephalogram) 2021 Provider Commercial 53337
Female organ procedures - Diagnostic (other) 2023 Provider Medi-Cal 99431
Epistaxis control 2018 Outpatient Facility Medicare 7135
Nephrotomy and nephrostomy 2018 Provider Medi-Cal 5296
Intraoperative cholangiogram 2021 Outpatient Facility Commercial 872
Medications (injections, infusions, other forms) 2018 Inpatient Facility Commercial 154625
Extracranial ventricular shunt services 2019 Outpatient Facility Medi-Cal 100
Epistaxis control 2022 Outpatient Facility Medicare 5745
Nasogastric tube 2019 Outpatient Facility Commercial 135
CT scan - Head 2023 Unclassified/other Medi-Cal 209
Abdominal paracentesis 2018 Provider Commercial 14312
Other types of lab tests 2019 Pharmacy Commercial 41
Amputation - Lower extremity 2022 Outpatient Facility Medi-Cal 479
Musculoskeletal procedures - Diagnostic (other) 2022 Outpatient Facility Medi-Cal 1228
Bronchoscopy and biopsy - Diagnostic 2021 Provider Medicare 33793
Urinary tract procedures - Diagnostic (other) 2019 Outpatient Facility Commercial 2916
Laboratory - Chemistry and hematology 2018 Pharmacy Commercial 129
GI (upper) procedures - Therapeutic OR 2018 Inpatient Facility Medicare 54
MRI (magnetic resonance imaging) 2019 Unclassified/other Commercial 125
ERCP (endoscopic retro. cannulation of pancreas) 2019 Provider Medicare 40815
Vessels of head/neck procedures - Other OR 2020 Provider Medicare 6518
Obstetrical procedures - Therapeutic (other) 2018 Provider Medicare 352
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2019 Unclassified/other Medi-Cal 86
Bone marrow transplant 2023 Provider Medicare 2052
Treatment, fracture, dislocation - Facial 2018 Outpatient Facility Medicare 813
Colonoscopy and biopsy 2018 Provider Medicare 574836
Hemic/lymphatic system procedures - Therapeutic 2018 Outpatient Facility Medi-Cal 4655
HCPCS Level II codes not classified 2019 Provider Commercial 455220
Central nervous system (CNS) incision and excision 2023 Provider Commercial 4681
Blood and blood product transfusion 2021 Outpatient Facility Medicare 165177
Ultrasound - Heart (echocardiogram) - Diagnostic 2021 Inpatient Facility Medi-Cal 3249
Skilled nursing facility services (HIPPS) 2018 Outpatient Facility Medicare 149
DME and supplies 2023 Unclassified/other Commercial 486
Gastric bypass and volume reduction 2018 Provider Commercial 11630
Coronary thrombolysis 2019 Provider Medicare 78
Thyroidectomy (partial or complete) 2023 Provider Medicare 2935
Ophthalmologic/otologic diagnosis and treatment 2023 Pharmacy Medi-Cal 177
Microscopic examination (e.g., lab, toxicology) 2022 Pharmacy Medicare 224
Psychological and psychiatric evaluation, therapy 2021 Inpatient Facility Commercial 1121
Electrocardiogram 2020 Ambulance Commercial 3351
Emergency department services 2022 Outpatient Facility Medi-Cal 1776520
Nose, mouth, pharynx procedures - Diagnostic 2020 Outpatient Facility Medicare 37483
Preventive visits 2020 Outpatient Facility Medi-Cal 1495117
Radiology - Diagnostic (other) 2019 Unclassified/other Commercial 278
Physical/occupational/speech therapy - Exercises 2018 Inpatient Facility Medi-Cal 817403
GI (lower) procedures - Therapeutic 2023 Outpatient Facility Medi-Cal 1370
Skin lesion - Excision 2023 Provider Medi-Cal 414134
Telehealth 2021 Inpatient Facility Medi-Cal 1028
Pathology 2019 Independent Labs Commercial 2877146
Treatment, fracture, dislocation - Facial 2019 Provider Commercial 6380
Hospital services 2019 Provider Medi-Cal 6416126
Microscopic examination (e.g., lab, toxicology) 2022 Unclassified/other Medicare 312
CPT codes not classified (F codes) 2023 Provider Medi-Cal 15144186
HCPCS Level II codes not classified 2023 Inpatient Facility Medi-Cal 5137
Medications (injections, infusions, other forms) 2018 Pharmacy Medi-Cal 617
Urinary obstruction - Excision, drainage, removal 2022 Provider Commercial 10787
Laboratory - Chemistry and hematology 2018 Unclassified/other Commercial 1243
Emergency department services 2022 Unclassified/other Medicare 370
Nervous system procedures - Therapeutic (other) 2022 Outpatient Facility Medicare 100006
Pathology 2019 Outpatient Facility Medi-Cal 384143
Enteral and parenteral nutrition 2019 Provider Medi-Cal 93761
Intraoperative cholangiogram 2022 Outpatient Facility Medi-Cal 471
Obstetrical procedures - Therapeutic (other) 2019 Provider Medi-Cal 613179
Blood and blood product transfusion 2022 Inpatient Facility Commercial 1801
EEG (electroencephalogram) 2022 Inpatient Facility Medicare 2776
Eye procedures - Lens and cataract 2019 Outpatient Facility Medi-Cal 30244
Oophorectomy (unilateral and bilateral) 2020 Provider Commercial 8241
Bronchoscopy and biopsy - Diagnostic 2022 Provider Medi-Cal 16466
Other types of lab tests 2020 Home Health Medi-Cal 128
Musculoskeletal procedures - Diagnostic (other) 2023 Outpatient Facility Medi-Cal 1477
Spinal fusion 2022 Outpatient Facility Medi-Cal 823
Tracheoscopy and laryngoscopy with biopsy 2022 Provider Commercial 74995
Oral and dental services 2018 Outpatient Facility Medicare 1668
Pleura incision, thoracentesis, chest drainage 2023 Outpatient Facility Medicare 12378
Bone marrow biopsy 2022 Inpatient Facility Medicare 43
Colonoscopy and biopsy 2019 Outpatient Facility Medicare 192797
Ultrasound - Heart (echocardiogram) - Diagnostic 2021 Provider Medi-Cal 844438
Therapeutic procedures - Other 2019 Inpatient Facility Commercial 272
Respiratory procedures - Therapeutic (other) 2019 Outpatient Facility Medi-Cal 4368
Skilled nursing facility services (HIPPS) 2019 Provider Commercial 5641
Extracranial ventricular shunt services 2020 Outpatient Facility Medicare 311
AVF or vessel-to-vessel cannula for dialysis svcs. 2020 Outpatient Facility Commercial 4262
Amniocentesis - Diagnostic 2022 Provider Medi-Cal 901
Skin, breast procedures - Therapeutic (other) 2018 Outpatient Facility Commercial 30468
Electrographic cardiac monitoring 2018 Independent Labs Medi-Cal 321
Coronary thrombolysis 2021 Provider Medi-Cal 129
Psychological and psychiatric evaluation, therapy 2021 Pharmacy Medicare 664
Gastric bypass and volume reduction 2019 Provider Commercial 11347
Physical/occupational/speech therapy - Exercises 2018 Provider Commercial 16592816
ERCP (endoscopic retro. cannulation of pancreas) 2020 Provider Commercial 15731
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2020 Outpatient Facility Medicare 198877
Consultation, evaluation, and preventive care 2021 Provider Medi-Cal 820674
MRI (magnetic resonance imaging) 2020 Outpatient Facility Medicare 355036
Abdominal paracentesis 2019 Outpatient Facility Medicare 23606
Catheterization (Swan-Ganz) for monitoring 2021 Provider Medi-Cal 3187
Radiology - Diagnostic (other) 2020 Inpatient Facility Medi-Cal 4648
Contrast aortogram 2019 Provider Medicare 28343
Central nervous system (CNS) incision and excision 2018 Provider Medi-Cal 5625
MRI (magnetic resonance imaging) 2022 Independent Labs Commercial 64
Laboratory - Chemistry and hematology 2019 Pharmacy Commercial 130
Vessels of head/neck procedures - Other OR 2018 Outpatient Facility Commercial 271
Respiratory procedures - Diagnostic (other) 2019 Outpatient Facility Medi-Cal 1333
Tympanoplasty 2022 Provider Medi-Cal 1403
Hearing devices and audiology supplies 2019 Provider Medi-Cal 61262
Radioisotope scan and function studies 2023 Provider Medi-Cal 149537
Non-hospital-based care (home health, hospice) 2019 Provider Medicare 4731635
Treatment, fracture, dislocation - Lower extrem. 2018 Provider Medicare 21362
X-ray - Upper GI 2022 Inpatient Facility Medicare 1749
Appendectomy 2019 Provider Commercial 17387
Breast - Mastectomy 2023 Inpatient Facility Medicare 44
Cystocele/rectocele repair, oblit. of vag. vault 2020 Outpatient Facility Commercial 2449
Hospital services 2021 Outpatient Facility Commercial 900
Bone marrow biopsy 2023 Outpatient Facility Medi-Cal 3543
Cardiac catheterization/arteriography - Diagnostic 2020 Provider Medi-Cal 35427
Other types of lab tests 2023 Unclassified/other Medi-Cal 6336
Circumcision 2020 Provider Medi-Cal 6443
Pacemaker or cardioverter/defibrillator services 2021 Outpatient Facility Medicare 20757
Hemodialysis 2022 Provider Medicare 73810
Spinal canal stimulator insertion and injection 2023 Outpatient Facility Commercial 49366
Physical/occupational/speech therapy - Other 2020 Inpatient Facility Medicare 177214
GI procedures - Therapeutic OR 2022 Provider Commercial 8315
Female organ procedures - Therapeutic (other) 2019 Provider Commercial 184148
Wound care - Traction, splints, other 2022 Unclassified/other Medi-Cal 137
Skin lesion - Excision 2020 Provider Commercial 985025
Electrographic cardiac monitoring 2020 Inpatient Facility Medi-Cal 31
Intraocular procedures - Therapeutic 2021 Outpatient Facility Commercial 6531
Mastoidectomy 2018 Provider Medi-Cal 675
Urinary tract procedures - Therapeutic OR (other) 2019 Provider Medicare 18323
Nephrotomy and nephrostomy 2020 Outpatient Facility Commercial 2192
Musculoskeletal procedures - Therapeutic OR (other) 2023 Inpatient Facility Medicare 32
Prophylactic vaccinations and inoculations 2018 Pharmacy Medi-Cal 148
Other vascular catheterization (not heart) 2018 Unclassified/other Medi-Cal 161
Extracorporeal shock wave (other than urinary) 2018 Outpatient Facility Medicare 28681
Oophorectomy (unilateral and bilateral) 2023 Outpatient Facility Medicare 1397
Tracheostomy (temporary and permanent) 2018 Outpatient Facility Medicare 73
Debridement of wound, infection or burn 2019 Provider Medi-Cal 162119
Urinary obstruction - Excision, drainage, removal 2023 Provider Commercial 11065
Microscopic examination (e.g., lab, toxicology) 2021 Inpatient Facility Commercial 800
Therapeutic procedures - Other 2020 Outpatient Facility Commercial 1150805
Vessels other than head/neck procedures - Other OR 2018 Provider Commercial 15624
Pleura incision, thoracentesis, chest drainage 2019 Outpatient Facility Medi-Cal 2160
Skin and subcutaneous tissue - Diagnostic (other) 2020 Outpatient Facility Medicare 22700
Heart procedures - Other OR 2021 Provider Medicare 11861
Hernia repair - Inguinal and femoral 2019 Outpatient Facility Commercial 16281
Delivery - Forceps, vacuum, and breech 2020 Provider Medi-Cal 106246
Radioisotope scan - Bone 2018 Provider Medi-Cal 9469
X-ray - Chest (routine) 2022 Inpatient Facility Medi-Cal 15473
Arterial blood gases 2019 Provider Commercial 8855
Hysterectomy (abdominal and vaginal) 2020 Provider Medicare 8608
Bunionectomy or repair of toe deformities 2019 Outpatient Facility Commercial 11773
Intraoperative cholangiogram 2023 Outpatient Facility Medicare 402
Nervous system procedures - Diagnostic (other) 2019 Unclassified/other Medi-Cal 370
Gastric bypass and volume reduction 2021 Inpatient Facility Commercial 46
Treatment, fracture, dislocation - Other 2020 Outpatient Facility Medi-Cal 11400
Contrast arteriogram - Lower extremity arteries 2021 Provider Commercial 1034
Laboratory - Chemistry and hematology 2022 Independent Labs Medi-Cal 21443574
GI (upper) procedures - Therapeutic OR 2021 Outpatient Facility Medi-Cal 368
Ancillary services 2018 Outpatient Facility Commercial 98031
Male genital procedures - Therapeutic (other) 2020 Outpatient Facility Commercial 2374
Bone procedures - Therapeutic OR (other) 2019 Provider Commercial 36102
Laparoscopy 2019 Outpatient Facility Medi-Cal 2490
Cardiac catheterization/arteriography - Diagnostic 2020 Inpatient Facility Medi-Cal 126
Physical/occupational/speech therapy - Exercises 2022 Provider Medi-Cal 6274440
Eye procedures - Therapeutic (other) 2019 Outpatient Facility Commercial 13648
CT scan - Head 2018 Provider Medi-Cal 477067
Non-hospital-based care (home health, hospice) 2022 Outpatient Facility Medi-Cal 131323
D&C (dilatation and curettage) - Diagnostic 2023 Outpatient Facility Commercial 889
Pathology 2020 Outpatient Facility Medicare 813149
Spinal tap - Diagnostic 2022 Provider Medicare 12047
Ungrouped Procedures 2022 DME (Durable Medical Equipment) Commercial 1807425
Skin and subcutaneous tissue - Diagnostic (other) 2020 Independent Labs Medicare 199
Ureteral catheterization 2022 Inpatient Facility Medicare 73
Musculoskeletal procedures - Diagnostic (other) 2021 Outpatient Facility Medicare 4664
Preventive visits 2019 Outpatient Facility Medicare 41149
CPT codes not classified (F codes) 2022 Unclassified/other Commercial 851
HCPCS Level II codes not classified 2019 Home Health Medi-Cal 51219
Breast - Mastectomy 2018 Inpatient Facility Medicare 103
Bone marrow transplant 2020 Provider Commercial 1940
Mastoidectomy 2022 Outpatient Facility Medicare 351
Fallopian tubes - Other operations 2023 Outpatient Facility Medi-Cal 153
Vessels of head/neck procedures - Other OR 2020 Outpatient Facility Commercial 182
Pathology 2018 Independent Labs Medi-Cal 1260499
Knee - Arthroplasty 2021 Provider Commercial 18920
Observation care services 2018 Outpatient Facility Medi-Cal 113033
Other types of lab tests 2019 Inpatient Facility Commercial 4160
Nervous system procedures - Therapeutic OR (other) 2022 Provider Medi-Cal 33590
Central nervous system (CNS) incision and excision 2020 Provider Medi-Cal 5355
Ultrasound - Head and neck - Diagnostic 2019 Outpatient Facility Medicare 102765
AVF or vessel-to-vessel cannula for dialysis svcs. 2022 Inpatient Facility Medicare 163
Critical care services 2021 Outpatient Facility Medi-Cal 13972
Nose, mouth, pharynx procedures - Diagnostic 2019 Inpatient Facility Medi-Cal 6275
Treatment, fracture, dislocation - Hip and femur 2019 Provider Medi-Cal 7176
GI (upper) procedures - Therapeutic 2021 Provider Medicare 1625
Radiology - Diagnostic (other) 2018 Unclassified/other Commercial 169
Skin lesion - Excision 2022 Outpatient Facility Medi-Cal 58473
CT scan - Other 2022 Outpatient Facility Medi-Cal 169244
Endocrine procedures - Diagnostic 2022 Outpatient Facility Commercial 769
Electrocardiogram 2019 Provider Commercial 2065469
MRI (magnetic resonance imaging) 2023 Unclassified/other Medi-Cal 91
Blood and blood product transfusion 2021 Independent Labs Medicare 480
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2019 Outpatient Facility Medi-Cal 286071
Telehealth 2020 Outpatient Facility Medi-Cal 755467
Thyroidectomy (partial or complete) 2021 Outpatient Facility Commercial 3592
Urinary tract procedures - Therapeutic (other) 2019 Provider Medi-Cal 13299
Radioisotope scan - Bone 2018 Outpatient Facility Commercial 11231
Myringotomy 2023 Outpatient Facility Commercial 9760
Consultation, evaluation, and preventive care 2020 Provider Medi-Cal 711505
Epistaxis control 2020 Outpatient Facility Medicare 5721
GI procedures - Therapeutic 2023 Outpatient Facility Medicare 4268
Hospital services 2022 Outpatient Facility Medi-Cal 196050
ERCP (endoscopic retro. cannulation of pancreas) 2018 Outpatient Facility Medicare 14001
Organ transplantation - Other 2019 Provider Commercial 1072
Intraoperative cholangiogram 2018 Outpatient Facility Medicare 795
Physical/occupational/speech therapy - Diagnostic 2019 Home Health Medi-Cal 1745
Pacemaker or cardioverter/defibrillator services 2023 Provider Medi-Cal 7360
Urinary tract procedures - Therapeutic OR (other) 2019 Inpatient Facility Medicare 43
X-ray - Chest (routine) 2018 Independent Labs Medi-Cal 152
Oophorectomy (unilateral and bilateral) 2022 Outpatient Facility Medicare 1383
Hysterectomy (abdominal and vaginal) 2022 Outpatient Facility Commercial 15717
Amniocentesis - Diagnostic 2021 Provider Commercial 2063
X-ray - Upper GI 2021 Outpatient Facility Medicare 34057
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2018 Inpatient Facility Medi-Cal 589
Obstetrical procedures - Therapeutic (other) 2020 Unclassified/other Medi-Cal 301
Microscopic examination (e.g., lab, toxicology) 2020 Unclassified/other Medi-Cal 4561
Cardiac catheterization/arteriography - Diagnostic 2021 Provider Medicare 119313
Circumcision 2020 Outpatient Facility Commercial 2785
Debridement of wound, infection or burn 2020 Inpatient Facility Medicare 153
GI procedures - Therapeutic OR 2022 Provider Medi-Cal 8461
Skin lesion - Excision 2021 Provider Medi-Cal 371567
Radiology - Therapeutic 2019 Outpatient Facility Medicare 500027
Urinary system (nonoperative) measurements 2018 Outpatient Facility Medi-Cal 1297519
Vessels of head/neck procedures - Other OR 2018 Outpatient Facility Medicare 604
Physical/occupational/speech therapy - Diagnostic 2022 Home Health Medicare 57728
CT scan - Chest 2020 Inpatient Facility Medi-Cal 1847
Laminectomy, excision intervertebral disc 2018 Provider Medicare 59618
Ultrasound - Heart (echocardiogram) - Diagnostic 2019 Inpatient Facility Medicare 22768
Therapeutic procedures - Other 2020 Ambulance Commercial 190
Physical/occupational/speech therapy - Other 2020 Outpatient Facility Commercial 43138
EEG (electroencephalogram) 2021 Outpatient Facility Medicare 10740
Laboratory - Chemistry and hematology 2019 Inpatient Facility Commercial 7903
GI (upper) procedures - Therapeutic OR 2023 Provider Medi-Cal 2324
Radiology - Diagnostic (other) 2018 Outpatient Facility Medi-Cal 1287233
Eye procedures - Lens and cataract 2022 Outpatient Facility Medi-Cal 30812
Bone marrow biopsy 2023 Provider Commercial 8750
Female organ procedures - Therapeutic (other) 2019 Provider Medi-Cal 96783
Musculoskeletal procedures - Therapeutic OR (other) 2023 Outpatient Facility Commercial 2881
Cesarean section 2023 Inpatient Facility Commercial 59
Ileostomy and other enterostomy 2022 Outpatient Facility Commercial 158
Intraocular procedures - Therapeutic 2021 Outpatient Facility Medicare 30326
Epistaxis control 2018 Outpatient Facility Commercial 2584
Non-hospital-based care (home health, hospice) 2020 Ambulance Medi-Cal 147
Hearing devices and audiology supplies 2018 Provider Medicare 16285
Cystocele/rectocele repair, oblit. of vag. vault 2021 Outpatient Facility Medi-Cal 1143
Respiratory procedures - Diagnostic (other) 2019 Provider Commercial 27638
Endocrine procedures - Therapeutic 2023 Provider Medi-Cal 2606
Hemodialysis 2023 Inpatient Facility Medicare 13281
Nose procedures - Plastic 2023 Provider Commercial 14763
Appendectomy 2020 Inpatient Facility Commercial 48
Mastoidectomy 2020 Outpatient Facility Medi-Cal 392
Prophylactic vaccinations and inoculations 2018 Provider Commercial 16860262
Breast - Mastectomy 2023 Outpatient Facility Medicare 3170
Nephrotomy and nephrostomy 2019 Provider Commercial 3039
Spinal canal stimulator insertion and injection 2023 Outpatient Facility Medi-Cal 24575
Central nervous system (CNS) incision and excision 2019 Inpatient Facility Commercial 79
Contrast aortogram 2020 Inpatient Facility Medi-Cal 51
Other vascular catheterization (not heart) 2019 Inpatient Facility Commercial 186
Treatment, fracture, dislocation - Lower extrem. 2018 Inpatient Facility Medicare 71
Male genital procedures - Therapeutic (other) 2022 Outpatient Facility Medi-Cal 1647
Ear procedures - Therapeutic 2023 Provider Medicare 370436
Proctoscopy and anorectal biopsy 2019 Outpatient Facility Medicare 8609
Other vascular catheterization (not heart) 2022 Outpatient Facility Commercial 22433
Urinary tract - Endoscopy and endoscopic biopsy 2019 Provider Medicare 131807
Extracorporeal lithotripsy, urinary 2020 Outpatient Facility Medi-Cal 3751
Eye procedures - Therapeutic (other) 2021 Provider Commercial 61821
Thyroidectomy (partial or complete) 2018 Provider Medicare 3254
Ancillary services 2021 Pharmacy Medi-Cal 1008
Genitourinary incontinence procedures 2019 Inpatient Facility Medicare 76
Hernia repair - Other 2023 Outpatient Facility Medicare 1205
Other types of visits 2023 Provider Medicare 841018
Hip replacement (partial and total) 2020 Outpatient Facility Medi-Cal 622
Arterial blood gases 2021 Independent Labs Medi-Cal 165
Peritoneal dialysis 2023 Provider Medicare 13700
Ureteral catheterization 2020 Inpatient Facility Medicare 105
Myringotomy 2020 Outpatient Facility Medi-Cal 3263
Ungrouped Procedures 2018 Pharmacy Medi-Cal 14139
Cardiovascular procedures - Therapeutic (other) 2022 Outpatient Facility Medi-Cal 16357
Delivery - Forceps, vacuum, and breech 2022 Provider Medi-Cal 99913
Skin and subcutaneous tissue - Incision, drainage 2022 Unclassified/other Medi-Cal 143
Skin, breast procedures - Therapeutic OR (other) 2019 Provider Medicare 20486
Muscles, tendons, joints - Injections, aspirations 2023 Unclassified/other Medi-Cal 62
DME and supplies 2020 Inpatient Facility Medi-Cal 121161
Consultation, evaluation, and preventive care 2018 Outpatient Facility Medicare 24325
CT scan - Head 2019 Unclassified/other Medi-Cal 149
Fetal monitoring 2023 Provider Medi-Cal 225807
Nose, mouth, pharynx procedures - Therapeutic OR 2018 Outpatient Facility Medicare 9593
Vessels other than head/neck procedures - Other OR 2021 Unclassified/other Commercial 233
Laboratory - Chemistry and hematology 2023 Provider Medicare 5923687
CPT codes not classified (F codes) 2019 Provider Medi-Cal 6204714
Transportation - Patient, provider, equipment 2022 Ambulance Commercial 561708
Eye procedures - Corneal transplant 2021 Provider Commercial 746
Office visits 2020 Independent Labs Medicare 930
Conversion of cardiac rhythm 2020 Outpatient Facility Commercial 6028
Cardiovascular procedures - Diagnostic (other) 2023 Outpatient Facility Commercial 10701
Lobectomy or pneumonectomy 2019 Provider Commercial 2032
Radioisotope scan - Other 2021 Provider Medicare 414472
Heart procedures - Other OR 2023 Outpatient Facility Medicare 411
Urinary tract procedures - Therapeutic OR (other) 2022 Provider Commercial 24152
Telehealth 2018 Outpatient Facility Commercial 1113
Knee - Arthroplasty 2018 Provider Medi-Cal 9860
Emergency department services 2019 Provider Commercial 2254482
Transportation - Patient, provider, equipment 2019 Independent Labs Medicare 119196
Radiology - Diagnostic (other) 2023 Provider Medi-Cal 4015039
Female organ procedures - Therapeutic OR (other) 2020 Provider Commercial 20471
D&C - Aspiration after delivery or abortion 2023 Provider Commercial 8047
Skin, breast procedures - Therapeutic OR (other) 2018 Inpatient Facility Medicare 80
Ear procedures - Diagnostic 2018 Provider Medi-Cal 985
Nose, mouth, pharynx procedures - Diagnostic 2023 Inpatient Facility Commercial 78
Other types of visits 2018 Outpatient Facility Commercial 8613
Office visits 2019 Pharmacy Commercial 396
Esophageal dilatation 2019 Provider Medicare 29405
Arthroplasty other than hip or knee 2018 Provider Medi-Cal 5629
Nephrectomy (partial or complete) 2018 Inpatient Facility Medicare 39
Spinal canal stimulator insertion and injection 2018 Provider Medicare 380003
Hemic/lymphatic system procedures - Therapeutic 2023 Inpatient Facility Medicare 250
Urinary tract procedures - Diagnostic (other) 2023 Outpatient Facility Medicare 5815
Consultation, evaluation, and preventive care 2020 Independent Labs Medi-Cal 75
Eye procedures - Diagnostic 2020 Provider Commercial 10687
Nervous system procedures - Therapeutic OR (other) 2021 Provider Medicare 142249
CT scan - Abdomen 2020 Provider Commercial 541078
Treatment, fracture, dislocation - Facial 2023 Provider Commercial 4948
Oral and dental services 2023 Outpatient Facility Medi-Cal 22621
Tonsillectomy and/or adenoidectomy 2021 Provider Medi-Cal 7650
Hospital services 2021 Unclassified/other Commercial 206
Skin and subcutaneous tissue - Diagnostic (other) 2018 Outpatient Facility Medicare 1601
Psychological and psychiatric evaluation, therapy 2023 Inpatient Facility Medicare 1745
Nonoperative removal of foreign body 2019 Provider Medicare 19371
Fallopian tubes - Other operations 2020 Outpatient Facility Medi-Cal 162
Preventive visits 2022 Pharmacy Medicare 450
Respiratory intubation and mechanical ventilation 2020 Inpatient Facility Medi-Cal 4349
Cholecystectomy and common duct exploration 2019 Inpatient Facility Medicare 179
Care management/coordination services 2021 Provider Medicare 642457
Bone excision (partial) 2019 Outpatient Facility Commercial 9685
Critical care services 2019 Provider Commercial 365764
Arteriogram or venogram (not heart and head) 2021 Provider Medi-Cal 68674
Bone excision (partial) 2022 Provider Medi-Cal 10008
Breast - Lumpectomy, quadrantectomy 2021 Provider Medicare 14769
Treatment, fracture, dislocation - Radius and ulna 2020 Provider Commercial 24308
Electrocardiogram 2018 Unclassified/other Commercial 76
HCPCS Level II codes not classified 2018 Provider Commercial 458565
Nose, mouth, pharynx procedures - Therapeutic OR 2022 Provider Medi-Cal 20876
Medications (injections, infusions, other forms) 2023 Provider Medi-Cal 2591419
Division of joint capsule (ligament or cartilage) 2021 Outpatient Facility Medi-Cal 830
Ultrasound - Head and neck - Diagnostic 2018 Inpatient Facility Medicare 3070
Urethra - Procedures 2022 Provider Medicare 23851
Debridement of wound, infection or burn 2020 Provider Medicare 539056
Visual aids and other optical supplies 2022 Unclassified/other Medi-Cal 777
Mammography 2018 Provider Commercial 2108652
CT scan - Other 2021 Inpatient Facility Medi-Cal 1046
Telehealth 2023 Ambulance Medi-Cal 629
Other types of lab tests 2021 Outpatient Facility Medi-Cal 4382878
Indwelling catheter 2023 Provider Medicare 69314
Knee - Arthroplasty 2019 Provider Medicare 61528
Skin lesion - Excision 2022 Unclassified/other Commercial 76
Electrocardiogram 2019 Independent Labs Commercial 76
AVF or vessel-to-vessel cannula for dialysis svcs. 2023 Provider Medi-Cal 27523
Blood and blood product transfusion 2020 Inpatient Facility Medicare 10867
Telehealth 2020 Inpatient Facility Medicare 18811
Mastoidectomy 2023 Outpatient Facility Medi-Cal 378
GI (lower) procedures - Therapeutic 2020 Provider Medicare 3691
Nose, mouth, pharynx procedures - Diagnostic 2018 Provider Medicare 205502
Microscopic examination (e.g., lab, toxicology) 2018 Outpatient Facility Medi-Cal 3644254
Central nervous system (CNS) incision and excision 2021 Outpatient Facility Medicare 157
Respiratory intubation and mechanical ventilation 2021 Unclassified/other Medi-Cal 382
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2018 Outpatient Facility Medi-Cal 257763
Observation care services 2019 Hospice Medicare 352
Psychological and psychiatric evaluation, therapy 2023 Pharmacy Medicare 554
MRI (magnetic resonance imaging) 2023 Provider Medicare 1395123
HCPCS Level II codes not classified 2019 Inpatient Facility Commercial 336
Consultation, evaluation, and preventive care 2020 Provider Commercial 1103258
Endocrine procedures - Diagnostic 2021 Provider Medi-Cal 7006
Pathology 2018 Hospice Medi-Cal 499
Ureteral catheterization 2022 Provider Medi-Cal 6666
Arteriogram or venogram (not heart and head) 2023 Inpatient Facility Commercial 42
Hemic/lymphatic system procedures - Therapeutic 2023 Provider Medicare 39803
GI (upper) procedures - Therapeutic 2021 Provider Commercial 1212
ERCP (endoscopic retro. cannulation of pancreas) 2018 Outpatient Facility Commercial 6980
Preventive visits 2019 Outpatient Facility Commercial 7531
Physical/occupational/speech therapy - Diagnostic 2019 Inpatient Facility Medicare 150034
CT scan - Other 2022 Inpatient Facility Medicare 5389
Urinary tract procedures - Therapeutic (other) 2019 Outpatient Facility Medi-Cal 2369
Spinal canal stimulator insertion and injection 2021 Independent Labs Commercial 1192
Nervous system procedures - Therapeutic OR (other) 2022 Outpatient Facility Medicare 23328
CPT codes not classified (F codes) 2022 Independent Labs Medicare 3539
Female organ procedures - Diagnostic (other) 2018 Independent Labs Medicare 17725
Epistaxis control 2020 Outpatient Facility Commercial 2130
Radiology - Diagnostic (other) 2019 Inpatient Facility Medicare 27127
Debridement of wound, infection or burn 2023 Outpatient Facility Medicare 127033
Bone marrow transplant 2021 Provider Commercial 2047
Hospital services 2023 Hospice Medi-Cal 379
Intraoperative cholangiogram 2019 Outpatient Facility Commercial 1023
Treatment, fracture, dislocation - Hip and femur 2019 Outpatient Facility Medicare 2419
Wound care - Traction, splints, other 2018 Outpatient Facility Medicare 134894
Thyroidectomy (partial or complete) 2021 Provider Medicare 2838
Critical care services 2021 Outpatient Facility Commercial 23809
Skin and subcutaneous tissue - Diagnostic (other) 2019 Independent Labs Medicare 146
Kidney transplant 2023 Provider Medicare 2273
Prostatectomy (open ) 2019 Outpatient Facility Medicare 1587
Arteriogram or venogram (not heart and head) 2019 Provider Medicare 127638
CPT codes not classified (F codes) 2019 Independent Labs Medi-Cal 3506
Male genital procedures - Therapeutic (other) 2021 Outpatient Facility Commercial 2741
Small bowel resection 2023 Provider Commercial 2069
DME and supplies 2020 Home Health Medi-Cal 71886
CT scan - Head 2023 Provider Medi-Cal 733421
Ungrouped Procedures 2018 Independent Labs Medicare 11768
Fetal monitoring 2022 Provider Medicare 1175
Nose, mouth, pharynx procedures - Therapeutic 2023 Provider Commercial 82596
Behavioral health services 2023 Unclassified/other Medi-Cal 53
GI procedures - Diagnostic 2022 Outpatient Facility Medicare 14635
Office visits 2019 Unclassified/other Commercial 2279
Urinary tract procedures - Therapeutic OR (other) 2022 Independent Labs Medi-Cal 112
Therapeutic procedures - Other 2023 Unclassified/other Medi-Cal 1065
Cesarean section 2021 Provider Medi-Cal 72689
Alcohol and drug management, treatment, and rehab. 2018 Provider Medi-Cal 22154898
Delivery - Forceps, vacuum, and breech 2021 Provider Medicare 218
Other vascular catheterization (not heart) 2021 Outpatient Facility Medicare 44949
Fallopian tubes - Other operations 2018 Provider Medi-Cal 1173
Medications (injections, infusions, other forms) 2023 Inpatient Facility Medicare 234572
Colostomy (temporary and permanent) 2023 Provider Medi-Cal 832
Skin and subcutaneous tissue - Incision, drainage 2021 Provider Medicare 88719
Ancillary services 2021 Inpatient Facility Commercial 450
Electrographic cardiac monitoring 2022 Provider Commercial 207590
Esophageal varices - Injection or ligation 2023 Provider Commercial 2083
Respiratory intubation and mechanical ventilation 2019 Outpatient Facility Medi-Cal 7944
Myringotomy 2019 Outpatient Facility Medi-Cal 5984
Heart procedures - Other OR 2022 Provider Medi-Cal 5873
Hip replacement (partial and total) 2019 Outpatient Facility Medicare 2231
Other types of visits 2023 Hospice Medicare 549
Ultrasound - Diagnostic (other) 2021 Provider Medicare 1703758
TURP (transurethral resection of prostate) 2023 Inpatient Facility Medicare 76
Visual aids and other optical supplies 2020 Unclassified/other Medi-Cal 267
Proctoscopy and anorectal biopsy 2018 Outpatient Facility Medi-Cal 4690
Muscles, tendons, joints - Injections, aspirations 2023 Outpatient Facility Commercial 8111
Ear procedures - Therapeutic 2022 Provider Medicare 342847
Open-heart procedures - Extracorporeal circulation 2021 Pharmacy Commercial 835
Ileostomy and other enterostomy 2021 Outpatient Facility Commercial 164
Eye procedures - Corneal transplant 2020 Outpatient Facility Medicare 1670
Radioisotope scan - Other 2021 Outpatient Facility Commercial 17403
Respiratory therapy - Other 2019 Inpatient Facility Medicare 10650
Liver biopsy 2023 Provider Medicare 7647
Hernia repair - Other 2022 Outpatient Facility Medi-Cal 6447
Gastrostomy (temporary and permanent) 2019 Provider Medicare 32215
Bone procedures - Therapeutic OR (other) 2023 Provider Medicare 51601
Respiratory procedures - Therapeutic OR (other) 2019 Outpatient Facility Medi-Cal 1125
Musculoskeletal procedures - Therapeutic (other) 2022 Provider Medicare 1757854
Cesarean section 2019 Provider Commercial 56784
Ultrasound - Heart (echocardiogram) - Diagnostic 2020 Outpatient Facility Commercial 94147
Extraocular muscle procedures - Therapeutic 2021 Outpatient Facility Medicare 2339
Respiratory procedures - Diagnostic (other) 2023 Provider Commercial 20276
Hysterectomy (abdominal and vaginal) 2023 Provider Commercial 25053
Bunionectomy or repair of toe deformities 2023 Provider Commercial 9429
Consultations 2020 Independent Labs Commercial 70
Anesthesia 2023 Unclassified/other Commercial 68
Endocrine procedures - Diagnostic 2022 Provider Medicare 63291
Urinary obstruction - Excision, drainage, removal 2020 Provider Commercial 11025
Arthroplasty other than hip or knee 2022 Outpatient Facility Medi-Cal 2170
CT scan - Abdomen 2021 Provider Medicare 988134
Microscopic examination (e.g., lab, toxicology) 2022 Inpatient Facility Medi-Cal 6273
X-ray - Chest (routine) 2018 Provider Medicare 3896918
Female organ procedures - Therapeutic (other) 2021 Outpatient Facility Medicare 3374
Nose, mouth, pharynx procedures - Therapeutic 2018 Unclassified/other Medi-Cal 47
Other types of lab tests 2022 Hospice Medi-Cal 505
Liver biopsy 2019 Outpatient Facility Medi-Cal 1517
Physical/occupational/speech therapy - Other 2021 Outpatient Facility Commercial 58033
Electrocardiogram 2023 Ambulance Medi-Cal 164330
Esophageal dilatation 2023 Provider Medicare 28789
Cardiac catheterization/arteriography - Diagnostic 2023 Inpatient Facility Medi-Cal 153
Other vascular catheterization (not heart) 2021 Inpatient Facility Commercial 228
Prophylactic vaccinations and inoculations 2022 Independent Labs Commercial 186
Urinary tract procedures - Therapeutic (other) 2020 Outpatient Facility Medicare 9063
Physical/occupational/speech therapy - Diagnostic 2023 Provider Medi-Cal 916149
Spinal fusion 2020 Provider Commercial 41045
Treatment, fracture, dislocation - Hip and femur 2020 Outpatient Facility Medi-Cal 1172
Laboratory - Chemistry and hematology 2018 Independent Labs Medi-Cal 20322438
GI procedures - Diagnostic 2019 Independent Labs Commercial 1302
Ultrasound - Diagnostic (other) 2018 Inpatient Facility Medicare 12581
Obstetrical procedures - Therapeutic (other) 2018 Inpatient Facility Commercial 39
Colorectal resection 2018 Inpatient Facility Medicare 68
X-ray - Lower GI 2023 Outpatient Facility Medicare 1469
Prophylactic vaccinations and inoculations 2019 Provider Medicare 7058895
Abortion (termination of pregnancy) 2019 Home Health Medi-Cal 38
Pathology 2022 Inpatient Facility Medi-Cal 4504
Eye procedures - Glaucoma 2023 Outpatient Facility Commercial 4081
Hemodialysis 2020 Inpatient Facility Medicare 14448
Female organ procedures - Diagnostic (other) 2022 Outpatient Facility Medicare 14829
Cardiac catheterization/arteriography - Diagnostic 2019 Provider Commercial 40444
Ancillary services 2019 Unclassified/other Medi-Cal 3465
Transportation - Patient, provider, equipment 2018 Provider Medi-Cal 872460
Organ transplantation - Other 2022 Provider Commercial 1142
Skin and subcutaneous tissue - Incision, drainage 2019 Provider Medi-Cal 84704
Treatment, fracture, dislocation - Lower extrem. 2020 Provider Medicare 19910
Cervix and uterus - Other excision 2019 Outpatient Facility Medicare 924
Ultrasound - Urinary tract - Diagnostic 2023 Provider Medicare 7322
Heart procedures - Other OR 2018 Provider Medi-Cal 5664
X-ray - Upper GI 2019 Inpatient Facility Medi-Cal 137
Urinary tract procedures - Therapeutic (other) 2022 Outpatient Facility Medi-Cal 3124
Contrast aortogram 2023 Provider Medicare 28416
Abdominal paracentesis 2020 Inpatient Facility Medi-Cal 60
Proctoscopy and anorectal biopsy 2022 Provider Medicare 41102
Other vascular catheterization (not heart) 2020 Outpatient Facility Medi-Cal 18709
Cervix and uterus - Other excision 2022 Provider Commercial 18723
Colorectal resection 2019 Provider Medicare 17706
CT scan - Chest 2023 Inpatient Facility Medi-Cal 2481
Office visits 2019 Inpatient Facility Medi-Cal 597
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2021 Inpatient Facility Medi-Cal 2342
Vessels of head/neck procedures - Other OR 2022 Outpatient Facility Medicare 508
Physical/occupational/speech therapy - Exercises 2022 Outpatient Facility Medi-Cal 4801094
Male genital procedures - Diagnostic 2023 Outpatient Facility Commercial 3080
X-ray - Lower GI 2021 Outpatient Facility Medicare 1770
Other types of lab tests 2023 Ambulance Commercial 33
Laboratory - Chemistry and hematology 2021 Inpatient Facility Medicare 1659451
GI (upper) procedures - Therapeutic OR 2020 Provider Medicare 3201
Radioisotope scan - Other 2019 Outpatient Facility Commercial 622
Eye procedures - Repair of retinal tear/detachment 2022 Outpatient Facility Medi-Cal 3468
Eye procedures - Corneal transplant 2018 Provider Commercial 713
Nephrectomy (partial or complete) 2022 Provider Commercial 2927
Delivery - Forceps, vacuum, and breech 2018 Outpatient Facility Commercial 172
Eye procedures - Glaucoma 2021 Outpatient Facility Medi-Cal 4595
Prophylactic vaccinations and inoculations 2019 Pharmacy Commercial 21014
HCPCS Level II codes not classified 2021 Unclassified/other Commercial 583
Microscopic examination (e.g., lab, toxicology) 2021 Pharmacy Medi-Cal 1323
Cardiac catheterization/arteriography - Diagnostic 2021 Provider Commercial 38010
Bronchoscopy and biopsy - Diagnostic 2019 Inpatient Facility Medicare 278
AVF or vessel-to-vessel cannula for dialysis svcs. 2021 Inpatient Facility Medicare 148
Electrocardiogram 2022 Provider Medi-Cal 2092369
Mastoidectomy 2021 Outpatient Facility Medi-Cal 491
Arthroplasty other than hip or knee 2020 Outpatient Facility Medicare 7093
Therapeutic procedures - Other 2020 Unclassified/other Medi-Cal 758
CT scan - Abdomen 2021 Outpatient Facility Commercial 399531
Nose, mouth, pharynx procedures - Therapeutic 2021 Provider Medi-Cal 93767
Laparoscopy 2022 Provider Commercial 7900
Non-hospital-based care (home health, hospice) 2018 Inpatient Facility Medi-Cal 91607
Esophageal dilatation 2019 Outpatient Facility Medi-Cal 3230
Bone procedures - Therapeutic OR (other) 2019 Outpatient Facility Commercial 15157
Endocrine procedures - Therapeutic 2020 Provider Medi-Cal 2580
Pathology 2020 Inpatient Facility Commercial 685
CABG (coronary artery bypass graft) 2021 Inpatient Facility Medicare 64
Treatment, fracture, dislocation - Hip and femur 2022 Outpatient Facility Medi-Cal 984
Arthroplasty other than hip or knee 2018 Outpatient Facility Commercial 11261
Knee - Excision of semilunar cartilage 2022 Provider Medicare 12345
Ultrasound - Diagnostic (other) 2018 Independent Labs Medi-Cal 46
Tracheostomy (temporary and permanent) 2019 Provider Medi-Cal 2833
Respiratory procedures - Diagnostic (other) 2020 Outpatient Facility Medicare 586
Vessels other than head/neck procedures - Other OR 2020 Inpatient Facility Medicare 706
Non-hospital-based care (home health, hospice) 2020 Hospice Commercial 78535
Laminectomy, excision intervertebral disc 2019 Provider Commercial 25160
Radiology - Diagnostic (other) 2018 Inpatient Facility Medicare 26456
Intraocular procedures - Therapeutic 2022 Outpatient Facility Medi-Cal 7938
Skin lesion - Excision 2021 Outpatient Facility Medicare 85574
Hemodialysis 2023 Provider Commercial 5944
Urinary tract procedures - Therapeutic OR (other) 2020 Provider Medicare 16808
Pacemaker or cardioverter/defibrillator services 2023 Outpatient Facility Medi-Cal 2401
GI procedures - Therapeutic OR 2023 Outpatient Facility Commercial 1859
Ultrasound - Heart (echocardiogram) - Diagnostic 2019 Inpatient Facility Medi-Cal 2469
Bone procedures - Therapeutic OR (other) 2021 Outpatient Facility Medicare 8674
Amputation - Lower extremity 2018 Outpatient Facility Medicare 1753
Nephrotomy and nephrostomy 2021 Outpatient Facility Medi-Cal 2022
Physical/occupational/speech therapy - Other 2020 Unclassified/other Medi-Cal 525
Endocrine procedures - Therapeutic 2023 Provider Commercial 4985
Spinal fusion 2018 Inpatient Facility Commercial 168
Female organ procedures - Therapeutic (other) 2020 Provider Medi-Cal 100216
Urethra - Procedures 2023 Provider Medicare 21563
Extracorporeal shock wave (other than urinary) 2020 Provider Medi-Cal 16238
Myelogram 2018 Outpatient Facility Commercial 992
Physical/occupational/speech therapy - Diagnostic 2022 Outpatient Facility Commercial 145640
GI (upper) procedures - Therapeutic OR 2023 Outpatient Facility Medicare 620
Enteral and parenteral nutrition 2021 Provider Medi-Cal 93667
Oophorectomy (unilateral and bilateral) 2020 Outpatient Facility Commercial 5802
Debridement of wound, infection or burn 2018 Inpatient Facility Commercial 45
Pacemaker or cardioverter/defibrillator services 2020 Outpatient Facility Medicare 19135
Intraoperative cholangiogram 2021 Provider Medi-Cal 2155
Tracheoscopy and laryngoscopy with biopsy 2021 Provider Medicare 112357
Spinal fusion 2022 Provider Medicare 112130
Contrast aortogram 2018 Outpatient Facility Medi-Cal 1676
ERCP (endoscopic retro. cannulation of pancreas) 2020 Inpatient Facility Medicare 690
MRI (magnetic resonance imaging) 2021 Outpatient Facility Medi-Cal 185109
Nose procedures - Plastic 2021 Outpatient Facility Medi-Cal 4267
Emergency department services 2023 Unclassified/other Medicare 156
Respiratory procedures - Therapeutic (other) 2020 Inpatient Facility Commercial 36
X-ray - Chest (routine) 2021 Provider Medi-Cal 2408641
Appendectomy 2018 Outpatient Facility Commercial 10813
Hemic/lymphatic system procedures - Therapeutic 2020 Provider Commercial 25635
Radioisotope scan and function studies 2023 Inpatient Facility Medicare 2122
HCPCS Level II codes not classified 2023 Outpatient Facility Medi-Cal 1276031
Gastric bypass and volume reduction 2020 Outpatient Facility Commercial 1016
AVF or vessel-to-vessel cannula for dialysis svcs. 2018 Outpatient Facility Medicare 31904
CT scan - Chest 2018 Inpatient Facility Commercial 243
Nervous system procedures - Therapeutic OR (other) 2018 Provider Medicare 132808
Hospital services 2021 Hospice Medicare 7782
Obstetrical procedures - Therapeutic (other) 2019 Inpatient Facility Medi-Cal 310
Nephrectomy (partial or complete) 2023 Outpatient Facility Medi-Cal 165
Treatment, fracture, dislocation - Facial 2019 Outpatient Facility Commercial 4147
Amputation - Lower extremity 2022 Provider Medi-Cal 7411
Ultrasound - Heart (echocardiogram) - Diagnostic 2022 Provider Commercial 687262
Electrographic cardiac monitoring 2019 Independent Labs Medi-Cal 347
Musculoskeletal procedures - Therapeutic OR (other) 2021 Outpatient Facility Medi-Cal 1171
Skin lesion - Excision 2019 Unclassified/other Medi-Cal 218
Extracranial ventricular shunt services 2019 Provider Medi-Cal 4068
Medications (injections, infusions, other forms) 2018 Outpatient Facility Commercial 5727521
Colonoscopy and biopsy 2019 Unclassified/other Commercial 33
Other types of lab tests 2020 Outpatient Facility Medi-Cal 3579026
Pregnancy (ectopic) - Removal 2019 Provider Medi-Cal 1501
Urinary obstruction - Excision, drainage, removal 2022 Inpatient Facility Medicare 65
Vessels of head/neck - Endarterectomy 2021 Outpatient Facility Medicare 37
Eye procedures - Lens and cataract 2018 Provider Medicare 476431
Skilled nursing facility services (HIPPS) 2022 Provider Medi-Cal 2370
Critical care services 2018 Outpatient Facility Commercial 19297
Tympanoplasty 2020 Provider Medi-Cal 1328
CT scan - Other 2020 Outpatient Facility Medicare 218094
Medications (injections, infusions, other forms) 2023 Independent Labs Medi-Cal 84
Psychological and psychiatric evaluation, therapy 2019 Pharmacy Medicare 614
Open-heart procedures - Extracorporeal circulation 2022 Independent Labs Commercial 295
TURP (transurethral resection of prostate) 2022 Provider Medi-Cal 1392
Skilled nursing facility services 2019 Unclassified/other Medi-Cal 2137
Blood and blood product transfusion 2018 Inpatient Facility Medicare 8098
Thyroidectomy (partial or complete) 2018 Provider Commercial 5427
Cardiovascular procedures - Diagnostic (other) 2023 Provider Medicare 309399
Ancillary services 2021 Pharmacy Commercial 207
Urinary tract procedures - Therapeutic OR (other) 2022 Pharmacy Commercial 96
Other types of visits 2023 Hospice Commercial 139
Extracorporeal lithotripsy, urinary 2020 Outpatient Facility Commercial 12010
Cardiovascular procedures - Therapeutic (other) 2023 Inpatient Facility Medicare 807
CPT codes not classified (F codes) 2019 Provider Commercial 3341448
DME and supplies 2020 Inpatient Facility Commercial 5918
Ultrasound - Diagnostic (other) 2021 Provider Commercial 2827882
Heart procedures - Other OR 2023 Outpatient Facility Medi-Cal 342
Proctoscopy and anorectal biopsy 2019 Outpatient Facility Commercial 7738
Hip replacement (partial and total) 2021 Inpatient Facility Medicare 1068
Muscles, tendons, joints - Injections, aspirations 2023 Provider Medicare 279252
Lobectomy or pneumonectomy 2020 Provider Medi-Cal 1251
Genitourinary incontinence procedures 2020 Provider Medi-Cal 2195
Cesarean section 2021 Outpatient Facility Medi-Cal 1238
Pathology 2023 Unclassified/other Commercial 167
Consultation, evaluation, and preventive care 2018 Outpatient Facility Commercial 6667
Hernia repair - Other 2022 Inpatient Facility Medicare 179
Radiology - Therapeutic 2019 Outpatient Facility Medi-Cal 158825
Conversion of cardiac rhythm 2020 Provider Medi-Cal 3187
Fetal monitoring 2023 Outpatient Facility Medicare 719
Eye procedures - Therapeutic (other) 2021 Outpatient Facility Medi-Cal 7992
Urinary tract - Endoscopy and endoscopic biopsy 2019 Provider Medi-Cal 23735
Skin and subcutaneous tissue - Incision, drainage 2023 Provider Medi-Cal 77615
Male genital procedures - Therapeutic (other) 2023 Outpatient Facility Commercial 2943
Nose, mouth, pharynx procedures - Therapeutic OR 2018 Outpatient Facility Commercial 33977
Ileostomy and other enterostomy 2021 Provider Medicare 3702
Myringotomy 2018 Unclassified/other Medi-Cal 126
Delivery - Forceps, vacuum, and breech 2021 Provider Commercial 55892
Skin, breast procedures - Therapeutic OR (other) 2019 Provider Commercial 34466
Kidney transplant 2023 Provider Commercial 634
Alcohol and drug management, treatment, and rehab. 2023 Outpatient Facility Commercial 68961
Arteriogram or venogram (not heart and head) 2019 Provider Commercial 29107
Radioisotope scan - Other 2022 Independent Labs Medicare 334
Respiratory procedures - Therapeutic OR (other) 2020 Outpatient Facility Medicare 2754
Bunionectomy or repair of toe deformities 2023 Provider Medi-Cal 4035
Endocrine procedures - Diagnostic 2022 Unclassified/other Medi-Cal 67
Vessels other than head/neck procedures - Other OR 2021 Inpatient Facility Commercial 91
Laboratory - Chemistry and hematology 2018 Independent Labs Medicare 34459426
Ileostomy and other enterostomy 2018 Provider Medi-Cal 2091
Radioisotope scan - Bone 2023 Outpatient Facility Medi-Cal 3903
GI procedures - Diagnostic 2018 Provider Medicare 26811
Ancillary services 2019 Pharmacy Medicare 115
Hemodialysis 2018 Outpatient Facility Medicare 73301
Ultrasound - Heart (echocardiogram) - Diagnostic 2020 Outpatient Facility Medi-Cal 137351
Bowel procedures - Diagnostic 2018 Provider Commercial 183
Consultations 2021 Independent Labs Commercial 92
Therapeutic procedures - Other 2018 Ambulance Medi-Cal 293
Aortic resection - Replacement or anastomosis 2018 Outpatient Facility Medicare 43
Prophylactic vaccinations and inoculations 2022 Outpatient Facility Medicare 524385
Abortion (termination of pregnancy) 2020 Outpatient Facility Medi-Cal 29543
Skin and subcutaneous tissue - Diagnostic (other) 2023 Unclassified/other Medi-Cal 49
Non-hospital-based care (home health, hospice) 2020 Unclassified/other Commercial 410
Obstetric laceration - Repair 2023 Provider Medi-Cal 276
Critical care services 2022 Inpatient Facility Medi-Cal 42
Prophylactic vaccinations and inoculations 2019 Unclassified/other Commercial 1110
Other vascular catheterization (not heart) 2021 Inpatient Facility Medi-Cal 236
Treatment, fracture, dislocation - Hip and femur 2020 Outpatient Facility Medicare 2175
X-ray - Lower GI 2018 Provider Medi-Cal 2806
Eye procedures - Glaucoma 2023 Outpatient Facility Medi-Cal 4686
Gastrostomy (temporary and permanent) 2020 Provider Medi-Cal 16339
Colorectal resection 2019 Inpatient Facility Medicare 50
Electrocardiogram 2023 Ambulance Commercial 4508
DME and supplies 2018 Provider Medi-Cal 5825870
HCPCS Level II codes not classified 2023 Ambulance Commercial 75
Ultrasound - Diagnostic (other) 2018 Outpatient Facility Commercial 719954
Intravenous pyelogram 2023 Provider Medicare 331
X-ray - Upper GI 2018 Outpatient Facility Medicare 30676
Pathology 2022 Inpatient Facility Commercial 414
Oophorectomy (unilateral and bilateral) 2018 Provider Commercial 9855
Nose, mouth, pharynx procedures - Therapeutic 2019 Provider Commercial 43208
Musculoskeletal procedures - Therapeutic (other) 2023 Provider Medicare 1803492
Tracheoscopy and laryngoscopy with biopsy 2020 Outpatient Facility Medi-Cal 4802
Nephrectomy (partial or complete) 2022 Inpatient Facility Medicare 41
Laboratory - Chemistry and hematology 2019 Outpatient Facility Medicare 29992852
Preventive visits 2022 Pharmacy Medi-Cal 589
Nasogastric tube 2023 Provider Medi-Cal 540
Skin graft 2018 Provider Medi-Cal 44319
Physical/occupational/speech therapy - Diagnostic 2018 Outpatient Facility Commercial 121555
Bone excision (partial) 2018 Inpatient Facility Medicare 66
Urethra - Procedures 2023 Provider Commercial 6225
CT scan - Abdomen 2019 Provider Commercial 613759
Nose procedures - Plastic 2022 Outpatient Facility Medi-Cal 4241
Electrographic cardiac monitoring 2020 Independent Labs Medicare 7824
Nephrotomy and nephrostomy 2019 Outpatient Facility Medi-Cal 1810
Tracheostomy (temporary and permanent) 2018 Outpatient Facility Medi-Cal 36
Extracorporeal shock wave (other than urinary) 2018 Outpatient Facility Medi-Cal 4270
Contrast aortogram 2019 Inpatient Facility Medi-Cal 37
GI (lower) procedures - Therapeutic OR 2021 Outpatient Facility Commercial 7399
GI procedures - Therapeutic 2022 Outpatient Facility Medicare 4123
Division of joint capsule (ligament or cartilage) 2021 Outpatient Facility Commercial 2379
Other types of lab tests 2021 Home Health Medicare 103
Respiratory intubation and mechanical ventilation 2020 Inpatient Facility Commercial 167
Cholecystectomy and common duct exploration 2018 Provider Medicare 22226
GI (upper) endoscopy, biopsy 2018 Provider Commercial 187722
Ultrasound - Head and neck - Diagnostic 2018 Inpatient Facility Medi-Cal 110
CT scan - Chest 2019 Inpatient Facility Medicare 9302
EEG (electroencephalogram) 2022 Outpatient Facility Commercial 9248
Catheterization (Swan-Ganz) for monitoring 2023 Provider Medicare 9210
Bone marrow biopsy 2023 Outpatient Facility Medicare 9953
Cystocele/rectocele repair, oblit. of vag. vault 2020 Inpatient Facility Medicare 51
Skin lesion - Excision 2019 Provider Medi-Cal 385509
Ultrasound - Heart (echocardiogram) - Diagnostic 2023 Inpatient Facility Medicare 19983
GI (upper) procedures - Therapeutic 2018 Outpatient Facility Medicare 766
Oral and dental services 2021 Provider Commercial 2342
Treatment, fracture, dislocation - Radius and ulna 2019 Outpatient Facility Medicare 7325
Endocrine procedures - Diagnostic 2019 Provider Medi-Cal 4434
Critical care services 2019 Outpatient Facility Medi-Cal 11266
Urinary tract procedures - Diagnostic (other) 2023 Outpatient Facility Commercial 2666
Knee - Arthroplasty 2019 Provider Commercial 20563
Anesthesia 2018 Outpatient Facility Medi-Cal 40013
Electrocardiogram 2021 Provider Commercial 1813167
Treatment, fracture, dislocation - Facial 2023 Outpatient Facility Medicare 768
Medications (injections, infusions, other forms) 2023 Provider Commercial 3647756
HIPPS home health services 2022 Hospice Medicare 386
Psychological and psychiatric evaluation, therapy 2022 Provider Medi-Cal 9749970
MRI (magnetic resonance imaging) 2022 Outpatient Facility Medicare 447531
Bone excision (partial) 2023 Outpatient Facility Medicare 5488
PTCA (percutaneous transluminal coronary angio.) 2020 Outpatient Facility Medicare 15518
Telehealth 2022 Unclassified/other Medi-Cal 2803
Physical/occupational/speech therapy - Exercises 2019 Inpatient Facility Medi-Cal 997702
Enteral and parenteral nutrition 2022 Provider Medi-Cal 38618
Treatment, fracture, dislocation - Lower extrem. 2018 Unclassified/other Medi-Cal 50
Oophorectomy (unilateral and bilateral) 2023 Outpatient Facility Medi-Cal 3920
Hospital services 2020 Unclassified/other Commercial 189
Endocrine procedures - Therapeutic 2021 Outpatient Facility Medi-Cal 1023
Urinary tract procedures - Therapeutic OR (other) 2018 Unclassified/other Medi-Cal 50
Other types of lab tests 2023 Unclassified/other Commercial 3880
MRI (magnetic resonance imaging) 2021 Unclassified/other Commercial 200
CT scan - Other 2020 Outpatient Facility Commercial 108828
Obstetrical procedures - Therapeutic (other) 2020 Provider Medi-Cal 440346
Appendectomy 2019 Provider Medi-Cal 16654
Breast - Mastectomy 2023 Outpatient Facility Commercial 5225
Tympanoplasty 2022 Provider Commercial 2123
Hearing devices and audiology supplies 2018 Provider Medi-Cal 59445
Mastoidectomy 2018 Provider Medicare 592
Consultation, evaluation, and preventive care 2023 Outpatient Facility Medicare 35595
Nose, mouth, pharynx procedures - Therapeutic OR 2023 Outpatient Facility Medi-Cal 11697
Skilled nursing facility services (HIPPS) 2023 Outpatient Facility Medi-Cal 792
Eye procedures - Diagnostic 2020 Outpatient Facility Medicare 465
Infertility services 2023 Provider Commercial 845
Spinal canal stimulator insertion and injection 2018 Provider Commercial 110515
CT scan - Other 2020 Unclassified/other Medi-Cal 85
Mammography 2019 Inpatient Facility Medi-Cal 319
Musculoskeletal procedures - Therapeutic (other) 2020 Outpatient Facility Medi-Cal 254274
HCPCS Level II codes not classified 2021 Inpatient Facility Medi-Cal 2879
Radioisotope scan - Pulmonary 2022 Provider Medi-Cal 6000
Breast - Lumpectomy, quadrantectomy 2021 Provider Commercial 14154
Fallopian tubes - Other operations 2021 Provider Commercial 2080
Tonsillectomy and/or adenoidectomy 2022 Provider Medi-Cal 8035
Other vascular catheterization (not heart) 2018 Provider Medicare 273868
Urinary obstruction - Excision, drainage, removal 2023 Provider Medi-Cal 9124
Radioisotope scan and function studies 2022 Provider Medicare 470558
Pacemaker or cardioverter/defibrillator services 2021 Outpatient Facility Medi-Cal 1959
Eye procedures - Lens and cataract 2021 Provider Medicare 435798
Intraocular procedures - Therapeutic 2020 Provider Medicare 478124
Prophylactic vaccinations and inoculations 2018 Pharmacy Medicare 275
Musculoskeletal procedures - Therapeutic OR (other) 2021 Provider Medicare 12820
Therapeutic procedures - Other 2020 Outpatient Facility Medi-Cal 2082774
Circumcision 2019 Provider Commercial 27627
Therapeutic procedures - Other 2022 Independent Labs Medicare 36
Genitourinary incontinence procedures 2020 Inpatient Facility Medicare 47
Lung and bronchus procedures - Diagnostic (other) 2019 Outpatient Facility Medi-Cal 73839
Spinal canal stimulator insertion and injection 2021 Inpatient Facility Medicare 1374
Vascular bypass and shunt - Other (not heart) 2023 Provider Commercial 401
Male genital procedures - Therapeutic OR (other) 2020 Outpatient Facility Commercial 7482
Electrographic cardiac monitoring 2021 Independent Labs Commercial 1307
Myringotomy 2020 Outpatient Facility Medicare 378
Ungrouped Procedures 2018 Unclassified/other Medi-Cal 2758
Laboratory - Chemistry and hematology 2022 Unclassified/other Medi-Cal 14424
Pacemaker or cardioverter/defibrillator services 2018 Provider Medi-Cal 7112
Skin lesion - Excision 2018 Outpatient Facility Commercial 34113
Ultrasound - Head and neck - Diagnostic 2021 Inpatient Facility Medicare 2408
CPT codes not classified (F codes) 2021 Outpatient Facility Medicare 54895
Genitourinary incontinence procedures 2023 Provider Medi-Cal 3878
Treatment, fracture, dislocation - Other 2018 Provider Commercial 35798
ERCP (endoscopic retro. cannulation of pancreas) 2022 Provider Commercial 16551
Radioisotope scan and function studies 2021 Outpatient Facility Medi-Cal 38651
Alcohol and drug management, treatment, and rehab. 2021 Unclassified/other Commercial 46877
Colostomy (temporary and permanent) 2020 Outpatient Facility Medicare 31
Nervous system procedures - Diagnostic (other) 2022 Independent Labs Commercial 305
Ophthalmologic/otologic diagnosis and treatment 2019 Provider Medi-Cal 6963483
Nose procedures - Plastic 2018 Unclassified/other Medi-Cal 45
Exploratory laparotomy 2023 Provider Medicare 1972
Hernia repair - Other 2018 Provider Medicare 24254
Ureteral catheterization 2021 Inpatient Facility Medicare 109
Ileostomy and other enterostomy 2022 Outpatient Facility Medi-Cal 195
CT scan - Head 2020 Outpatient Facility Medicare 419350
Delivery - Forceps, vacuum, and breech 2022 Provider Medicare 195
Office visits 2023 Hospice Medicare 48
Indwelling catheter 2019 Provider Medi-Cal 13950
Muscle and tendon procedures - Therapeutic (other) 2018 Inpatient Facility Medicare 113
Ungrouped Procedures 2019 Provider Medicare 1661519
GI procedures - Diagnostic 2020 Inpatient Facility Medicare 56
Ungrouped Procedures 2021 Inpatient Facility Medi-Cal 4979
Delivery - Other procedures to assist 2019 Outpatient Facility Medi-Cal 725
Hemorrhoid procedures 2020 Provider Medi-Cal 5398
Other types of visits 2021 Hospice Medicare 966
Anesthesia 2021 Provider Commercial 1240299
Fetal monitoring 2019 Provider Medi-Cal 222253
Cardiovascular procedures - Diagnostic (other) 2021 Inpatient Facility Medicare 696
Rehabilitation facility services 2022 Inpatient Facility Commercial 856
TURP (transurethral resection of prostate) 2019 Outpatient Facility Medicare 6402
Emergency department services 2018 Inpatient Facility Medi-Cal 113
Muscles, tendons, joints - Injections, aspirations 2021 Outpatient Facility Medi-Cal 14519
Joint procedures - Therapeutic OR (other) 2023 Inpatient Facility Medicare 67
Division of joint capsule (ligament or cartilage) 2023 Provider Medicare 6002
Lung and bronchus procedures - Diagnostic (other) 2020 Inpatient Facility Medi-Cal 108
Contrast arteriogram - Lower extremity arteries 2023 Outpatient Facility Medicare 1202
Bone marrow biopsy 2020 Independent Labs Medicare 152
DME and supplies 2023 Inpatient Facility Commercial 5621
GI procedures - Therapeutic OR 2019 Outpatient Facility Medi-Cal 751
Cholecystectomy and common duct exploration 2021 Provider Medicare 21030
Consultation, evaluation, and preventive care 2018 Outpatient Facility Medi-Cal 6556
Lung and bronchus procedures - Diagnostic (other) 2023 Inpatient Facility Medi-Cal 4380
Medications (injections, infusions, other forms) 2021 Hospice Commercial 207
Radiology - Therapeutic 2019 Provider Commercial 475199
Ophthalmologic/otologic diagnosis and treatment 2021 Pharmacy Medi-Cal 408
Other vascular catheterization (not heart) 2023 Inpatient Facility Medicare 986
Peritoneal dialysis 2018 Hospice Medi-Cal 423
Hip replacement (partial and total) 2020 Outpatient Facility Medicare 8663
Arthroscopy 2018 Outpatient Facility Medicare 666
CT scan - Chest 2022 Outpatient Facility Medicare 342616
Nose, mouth, pharynx procedures - Therapeutic OR 2021 Inpatient Facility Medicare 72
Office visits 2021 Unclassified/other Medi-Cal 3449
Contrast aortogram 2023 Outpatient Facility Commercial 1420
Bowel procedures - Diagnostic 2022 Provider Medicare 210
Cardiac stress tests 2018 Provider Medi-Cal 124553
Non-hospital-based care (home health, hospice) 2021 Hospice Medi-Cal 114710
Ovary operations - Other 2022 Outpatient Facility Commercial 831
Ultrasound - GI tract - Diagnostic 2018 Provider Medicare 111
Medications (injections, infusions, other forms) 2019 Inpatient Facility Commercial 147420
Spinal tap - Diagnostic 2019 Provider Commercial 11809
Appendectomy 2023 Provider Medicare 4495
Esophageal varices - Injection or ligation 2019 Provider Medicare 4053
Nervous system procedures - Diagnostic (other) 2018 Outpatient Facility Medicare 33267
Heart valve procedures 2020 Inpatient Facility Commercial 56
Breast - Mastectomy 2018 Outpatient Facility Medi-Cal 1049
Skilled nursing facility services 2018 Home Health Medicare 427
Eye procedures - Glaucoma 2019 Provider Medi-Cal 14198
Myelogram 2021 Outpatient Facility Commercial 686
HIPPS home health services 2019 Inpatient Facility Medicare 354
Respiratory intubation and mechanical ventilation 2022 Inpatient Facility Medi-Cal 5933
Transportation - Patient, provider, equipment 2020 Ambulance Medicare 3133985
Mammography 2021 Outpatient Facility Medi-Cal 154568
Arteriogram or venogram (not heart and head) 2023 Outpatient Facility Medicare 64811
Wound care - Traction, splints, other 2020 Outpatient Facility Medicare 117020
GI (lower) procedures - Therapeutic 2018 Provider Medi-Cal 2578
Skin, breast procedures - Therapeutic OR (other) 2020 Inpatient Facility Medicare 91
Nose, mouth, pharynx procedures - Therapeutic OR 2018 Outpatient Facility Medi-Cal 10464
Urinary tract procedures - Therapeutic OR (other) 2022 Provider Medi-Cal 24188
Office visits 2020 Independent Labs Medi-Cal 3074
Radioisotope scan - Other 2021 Provider Medi-Cal 10796
Male genital procedures - Therapeutic (other) 2023 Outpatient Facility Medi-Cal 1734
Skin and subcutaneous tissue - Incision, drainage 2022 Provider Medicare 87511
Musculoskeletal procedures - Diagnostic (other) 2018 Outpatient Facility Commercial 3011
Emergency department services 2020 Inpatient Facility Commercial 234
Urinary tract - Endoscopy and endoscopic biopsy 2021 Inpatient Facility Medicare 40
Cesarean section 2022 Provider Medicare 361
Other types of lab tests 2018 Independent Labs Commercial 13744428
Eye procedures - Therapeutic (other) 2022 Provider Medi-Cal 71907
Alcohol and drug management, treatment, and rehab. 2023 Ambulance Medi-Cal 1478
Hernia repair - Other 2023 Outpatient Facility Medi-Cal 329
Cardiovascular procedures - Therapeutic (other) 2018 Outpatient Facility Commercial 45265
Electrocardiogram 2018 Inpatient Facility Commercial 984
Skilled nursing facility services 2020 Independent Labs Commercial 395
Proctoscopy and anorectal biopsy 2020 Outpatient Facility Medicare 6987
Telehealth 2018 Home Health Medi-Cal 143
Cardiovascular procedures - Therapeutic (other) 2023 Outpatient Facility Commercial 44981
Vessels other than head/neck procedures - Other OR 2021 Provider Medicare 1194271
Conversion of cardiac rhythm 2020 Inpatient Facility Medicare 150
Other types of visits 2023 Unclassified/other Commercial 101
Joint procedures - Therapeutic OR (other) 2020 Outpatient Facility Medi-Cal 6004
Psychological and psychiatric evaluation, therapy 2019 Provider Medi-Cal 7174743
Varicose vein stripping - Lower limb 2019 Provider Medicare 3160
Fallopian tubes - Ligation 2020 Outpatient Facility Commercial 798
Care management/coordination services 2019 Hospice Commercial 4326
Eye procedures - Destruction of retinal lesion 2021 Outpatient Facility Medicare 834
Ophthalmologic/otologic diagnosis and treatment 2018 Outpatient Facility Medicare 191221
Ancillary services 2022 Outpatient Facility Medi-Cal 5771734
Laminectomy, excision intervertebral disc 2022 Outpatient Facility Medi-Cal 1453
Urinary system (nonoperative) measurements 2022 Outpatient Facility Medi-Cal 1739813
Alcohol and drug management, treatment, and rehab. 2020 Unclassified/other Medi-Cal 842
Urethra - Procedures 2018 Outpatient Facility Medicare 2274
Nervous system procedures - Therapeutic (other) 2022 Provider Medicare 567102
Radiology - Diagnostic (other) 2020 Provider Commercial 3852512
Transportation - Patient, provider, equipment 2023 Unclassified/other Commercial 102
HCPCS Level II codes not classified 2019 Outpatient Facility Medi-Cal 224831
Central nervous system (CNS) incision and excision 2023 Outpatient Facility Commercial 205
MRI (magnetic resonance imaging) 2020 Unclassified/other Medi-Cal 59
Microscopic examination (e.g., lab, toxicology) 2022 Outpatient Facility Medi-Cal 4331338
Thyroidectomy (partial or complete) 2023 Provider Commercial 4718
Obstetrical procedures - Therapeutic (other) 2018 Outpatient Facility Medicare 94
Emergency department services 2023 Outpatient Facility Medi-Cal 2126141
Skin, breast procedures - Therapeutic (other) 2018 Provider Medicare 2882359
Vessels of head/neck procedures - Other OR 2022 Inpatient Facility Medicare 59
Bronchoscopy and biopsy - Diagnostic 2021 Outpatient Facility Medi-Cal 3725
Laboratory - Chemistry and hematology 2018 Inpatient Facility Medicare 1639369
Other types of lab tests 2020 Independent Labs Medi-Cal 7457201
Urinary tract procedures - Diagnostic (other) 2018 Provider Medi-Cal 3045
CT scan - Other 2019 Inpatient Facility Commercial 75
Abdominal paracentesis 2018 Outpatient Facility Commercial 7393
Medications (injections, infusions, other forms) 2018 Hospice Medi-Cal 2219
Electrographic cardiac monitoring 2018 Outpatient Facility Commercial 14679
Pathology 2019 Provider Commercial 2208886
Nose, mouth, pharynx procedures - Diagnostic 2021 Provider Commercial 160388
Telehealth 2020 Unclassified/other Medicare 308
Preventive visits 2020 Independent Labs Medi-Cal 71
ERCP (endoscopic retro. cannulation of pancreas) 2019 Outpatient Facility Medi-Cal 4834
Ultrasound - Heart (echocardiogram) - Diagnostic 2022 Inpatient Facility Commercial 194
Colonoscopy and biopsy 2018 Outpatient Facility Medicare 176276
Extracranial ventricular shunt services 2018 Provider Medi-Cal 3969
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2021 Inpatient Facility Commercial 95
CPT codes not classified (F codes) 2023 Unclassified/other Medi-Cal 121136
Nasogastric tube 2018 Outpatient Facility Medicare 363
Enteral and parenteral nutrition 2020 Provider Medi-Cal 96779
Blood and blood product transfusion 2022 Outpatient Facility Medi-Cal 60326
Oral and dental services 2018 Provider Medi-Cal 5790
Gastrectomy (partial and total) 2023 Provider Medicare 544
Coronary thrombolysis 2022 Provider Medi-Cal 88
X-ray - Chest (routine) 2020 Outpatient Facility Medi-Cal 932365
Intraoperative cholangiogram 2020 Provider Medi-Cal 2062
GI (upper) endoscopy, biopsy 2022 Provider Medi-Cal 138260
Bone marrow transplant 2023 Outpatient Facility Medi-Cal 1000
Hemic/lymphatic system procedures - Therapeutic 2019 Provider Medi-Cal 11802
Physical/occupational/speech therapy - Diagnostic 2023 Unclassified/other Medi-Cal 2649
Esophageal varices - Injection or ligation 2022 Outpatient Facility Medi-Cal 1588
Genitourinary incontinence procedures 2018 Inpatient Facility Medicare 92
Other types of visits 2022 Provider Medi-Cal 374288
CT scan - Head 2023 Inpatient Facility Medi-Cal 3463
Visual aids and other optical supplies 2020 Outpatient Facility Commercial 18964
Eye procedures - Corneal transplant 2019 Outpatient Facility Medi-Cal 497
Open-heart procedures - Extracorporeal circulation 2020 Provider Medicare 3663
Kidney transplant 2021 Provider Medicare 2199
Cardiovascular procedures - Diagnostic (other) 2022 Outpatient Facility Medi-Cal 9195
TURP (transurethral resection of prostate) 2022 Inpatient Facility Medicare 74
Prostatectomy (open ) 2018 Outpatient Facility Medicare 1223
Therapeutic procedures - Other 2023 Outpatient Facility Commercial 1700178
Cardiovascular procedures - Therapeutic (other) 2021 Outpatient Facility Commercial 42415
Respiratory therapy - Other 2018 Outpatient Facility Medicare 228960
GI procedures - Diagnostic 2021 Provider Medicare 33741
Nose, mouth, pharynx procedures - Therapeutic 2022 Unclassified/other Medi-Cal 167
Colostomy (temporary and permanent) 2021 Provider Commercial 516
Urinary tract procedures - Therapeutic OR (other) 2021 Pharmacy Medi-Cal 1276
Ungrouped Procedures 2020 Outpatient Facility Medicare 1258361
Radioisotope scan - Other 2020 Provider Medi-Cal 2211
Office visits 2022 Inpatient Facility Medi-Cal 4050
Peritoneal dialysis 2023 Inpatient Facility Medi-Cal 80
Alcohol and drug management, treatment, and rehab. 2018 Inpatient Facility Medi-Cal 20296
Myringotomy 2018 Outpatient Facility Commercial 7929
Ovary operations - Other 2023 Provider Medicare 138
Respiratory intubation and mechanical ventilation 2018 Provider Medicare 69990
Liver biopsy 2022 Provider Medi-Cal 4045
Arthroscopy 2020 Provider Medicare 2431
Delivery - Other procedures to assist 2023 Outpatient Facility Medi-Cal 484
Muscle and tendon procedures - Therapeutic (other) 2020 Provider Medi-Cal 31814
Ultrasound - Diagnostic (other) 2021 Inpatient Facility Commercial 136
Chemotherapy - Cancer 2023 Outpatient Facility Commercial 174818
DME and supplies 2020 Ambulance Commercial 39
Hernia repair - Other 2021 Outpatient Facility Medi-Cal 6347
Indwelling catheter 2021 Provider Medicare 70346
Fallopian tubes - Ligation 2023 Outpatient Facility Commercial 500
Hip replacement (partial and total) 2018 Provider Medi-Cal 5164
Ancillary services 2021 Home Health Medi-Cal 961733
Small bowel resection 2021 Provider Medicare 4731
Medications (injections, infusions, other forms) 2023 Home Health Commercial 3296
Ear procedures - Therapeutic 2021 Provider Medi-Cal 95353
Urinary system (nonoperative) measurements 2020 Outpatient Facility Medicare 532993
Skin and subcutaneous tissue - Incision, drainage 2020 Unclassified/other Medi-Cal 65
Heart valve procedures 2022 Provider Medicare 22099
Endocrine procedures - Therapeutic 2023 Outpatient Facility Medicare 2910
Extracorporeal shock wave (other than urinary) 2020 Provider Medicare 71802
Physical/occupational/speech therapy - Diagnostic 2022 Outpatient Facility Medi-Cal 407078
Tonsillectomy and/or adenoidectomy 2018 Outpatient Facility Medicare 207
Female organ procedures - Therapeutic (other) 2020 Provider Commercial 169143
Eye procedures - Glaucoma 2021 Outpatient Facility Commercial 4572
GI (upper) procedures - Therapeutic OR 2023 Outpatient Facility Medi-Cal 457
Spinal fusion 2018 Provider Medicare 103157
Myelogram 2023 Outpatient Facility Commercial 564
Blood and blood product transfusion 2023 Independent Labs Commercial 69
Other types of lab tests 2018 Outpatient Facility Commercial 4834138
CT scan - Abdomen 2021 Inpatient Facility Medicare 12841
Electrocardiogram 2022 Provider Medicare 4067512
Bronchoscopy and biopsy - Diagnostic 2018 Unclassified/other Medi-Cal 49
Hemorrhoid procedures 2018 Provider Commercial 21059
Knee - Excision of semilunar cartilage 2023 Outpatient Facility Commercial 20412
Esophageal dilatation 2021 Provider Medicare 27217
Nose, mouth, pharynx procedures - Diagnostic 2018 Outpatient Facility Commercial 13388
Cervix and uterus - Other excision 2022 Outpatient Facility Medicare 880
GI (lower) procedures - Therapeutic OR 2018 Outpatient Facility Medicare 1485
EEG (electroencephalogram) 2020 Outpatient Facility Medi-Cal 14812
Telehealth 2021 Provider Medicare 4363131
Conversion of cardiac rhythm 2018 Outpatient Facility Medi-Cal 1519
Treatment, fracture, dislocation - Lower extrem. 2020 Provider Medi-Cal 30325
Ultrasound - Heart (echocardiogram) - Diagnostic 2019 Inpatient Facility Commercial 200
Respiratory procedures - Therapeutic OR (other) 2018 Provider Commercial 6573
Respiratory procedures - Diagnostic (other) 2021 Provider Commercial 10843
Physical/occupational/speech therapy - Other 2021 Home Health Commercial 602
Amputation - Lower extremity 2019 Outpatient Facility Medicare 1908
EEG (electroencephalogram) 2023 Provider Commercial 57723
Urinary tract procedures - Therapeutic OR (other) 2020 Provider Medi-Cal 4997
Abdominal paracentesis 2023 Outpatient Facility Commercial 9168
HCPCS Level II codes not classified 2022 Independent Labs Medi-Cal 53
Cystocele/rectocele repair, oblit. of vag. vault 2022 Outpatient Facility Commercial 3079
Arthroplasty other than hip or knee 2020 Provider Commercial 15100
Obstetric laceration - Repair 2018 Provider Medi-Cal 255
Tonsillectomy and/or adenoidectomy 2023 Outpatient Facility Commercial 14767
Hysterectomy (abdominal and vaginal) 2022 Provider Medicare 9680
Non-hospital-based care (home health, hospice) 2020 Inpatient Facility Medicare 502057
Proctoscopy and anorectal biopsy 2020 Outpatient Facility Commercial 6395
Hernia repair - Other 2023 Outpatient Facility Commercial 1157
Urinary tract - Endoscopy and endoscopic biopsy 2018 Outpatient Facility Medi-Cal 3833
Breast - Mastectomy 2021 Inpatient Facility Medicare 73
Lung and bronchus procedures - Diagnostic (other) 2020 Provider Medicare 392203
Ultrasound - Head and neck - Diagnostic 2022 Independent Labs Commercial 60
Female organ procedures - Diagnostic (other) 2019 Provider Medi-Cal 96124
GI procedures - Therapeutic OR 2020 Inpatient Facility Medicare 148
Anesthesia 2022 Outpatient Facility Commercial 72228
Intraocular procedures - Therapeutic 2018 Provider Medi-Cal 113380
Ultrasound - Diagnostic (other) 2018 Independent Labs Commercial 245
Urinary obstruction - Excision, drainage, removal 2018 Inpatient Facility Medicare 99
Anesthesia 2023 Outpatient Facility Medi-Cal 49818
Pacemaker or cardioverter/defibrillator services 2023 Outpatient Facility Medicare 20858
Musculoskeletal procedures - Therapeutic (other) 2022 Unclassified/other Medi-Cal 1061
Intraocular procedures - Therapeutic 2023 Outpatient Facility Medicare 31115
Preventive visits 2023 Outpatient Facility Commercial 11701
Consultations 2020 Outpatient Facility Medi-Cal 26423
Telehealth 2023 Outpatient Facility Commercial 64467
Prophylactic vaccinations and inoculations 2021 Unclassified/other Medi-Cal 705
X-ray - Upper GI 2023 Provider Medicare 90075
X-ray - Chest (routine) 2018 Outpatient Facility Commercial 644605
Medications (injections, infusions, other forms) 2021 Home Health Medi-Cal 2011
Ovary operations - Other 2019 Outpatient Facility Commercial 613
Urinary tract procedures - Therapeutic OR (other) 2023 Provider Commercial 7892
DME and supplies 2022 Pharmacy Medicare 365
Care management/coordination services 2020 Hospice Commercial 3385
Laboratory - Chemistry and hematology 2023 Outpatient Facility Commercial 18712603
Physical/occupational/speech therapy - Diagnostic 2020 Outpatient Facility Medicare 285664
Transportation - Patient, provider, equipment 2021 Independent Labs Commercial 9689
Urethra - Procedures 2019 Outpatient Facility Medi-Cal 916
Nose procedures - Plastic 2019 Provider Medicare 4875
Mammography 2022 Provider Medicare 1801945
Microscopic examination (e.g., lab, toxicology) 2020 Independent Labs Medi-Cal 6562345
Bone excision (partial) 2019 Provider Commercial 16941
Knee - Excision of semilunar cartilage 2018 Outpatient Facility Medicare 5522
Ophthalmologic/otologic diagnosis and treatment 2020 Provider Commercial 3960033
Observation care services 2020 Provider Medi-Cal 80206
Wound care - Traction, splints, other 2020 Outpatient Facility Medi-Cal 108768
Pacemaker or cardioverter/defibrillator services 2019 Outpatient Facility Commercial 3363
Vascular bypass - Peripheral 2018 Provider Commercial 624
Electrocardiogram 2020 Unclassified/other Medi-Cal 1683
Male genital procedures - Therapeutic OR (other) 2018 Outpatient Facility Commercial 7839
Nervous system procedures - Therapeutic (other) 2018 Outpatient Facility Medicare 67828
Preventive visits 2018 Independent Labs Medi-Cal 358
Ophthalmologic/otologic diagnosis and treatment 2021 Unclassified/other Commercial 345
Peritoneal dialysis 2018 Provider Medi-Cal 26748
GI (lower) procedures - Therapeutic 2018 Provider Commercial 5078
Radioisotope scan - Other 2022 Provider Medicare 33195
Myringotomy 2019 Provider Medicare 6455
HIPPS home health services 2019 Home Health Medi-Cal 5552
HCPCS Level II codes not classified 2020 Independent Labs Commercial 65
Emergency department services 2018 Provider Medi-Cal 6206349
Nervous system procedures - Diagnostic (other) 2022 Outpatient Facility Commercial 25897
Preventive visits 2020 Unclassified/other Medi-Cal 2091
Treatment, fracture, dislocation - Other 2023 Provider Medi-Cal 42711
Cholecystectomy and common duct exploration 2023 Provider Commercial 27740
Eye procedures - Destruction of retinal lesion 2023 Outpatient Facility Medi-Cal 1546
Alcohol and drug management, treatment, and rehab. 2021 Provider Medi-Cal 21977906
Consultation, evaluation, and preventive care 2022 Outpatient Facility Medi-Cal 142485
GI (lower) procedures - Therapeutic OR 2021 Provider Medicare 8695
Telehealth 2018 Provider Medi-Cal 208732
Alcohol and drug management, treatment, and rehab. 2023 Provider Medicare 421471
Emergency department services 2021 Inpatient Facility Commercial 583
Ear procedures - Diagnostic 2023 Outpatient Facility Medi-Cal 616
Indwelling catheter 2018 Inpatient Facility Medi-Cal 53
MRI (magnetic resonance imaging) 2018 Outpatient Facility Medicare 379101
GI (upper) endoscopy, biopsy 2019 Provider Medi-Cal 136125
Eye procedures - Therapeutic (other) 2023 Provider Medi-Cal 89190
Blood and blood product transfusion 2019 Outpatient Facility Medicare 168888
Ancillary services 2021 Unclassified/other Medi-Cal 13593
CT scan - Head 2020 Outpatient Facility Commercial 219721
Transportation - Patient, provider, equipment 2022 Inpatient Facility Medicare 125
Ungrouped Procedures 2023 DME (Durable Medical Equipment) Commercial 1394206
Urinary tract - Endoscopy and endoscopic biopsy 2020 Provider Commercial 45258
Skin and subcutaneous tissue - Suture 2018 Outpatient Facility Medicare 69620
Skin, breast procedures - Therapeutic OR (other) 2020 Provider Commercial 33898
Cesarean section 2022 Provider Commercial 55365
Care management/coordination services 2022 Provider Commercial 19261
Delivery - Forceps, vacuum, and breech 2023 Provider Commercial 50438
Radiology - Therapeutic 2020 Outpatient Facility Commercial 197551
Vessels other than head/neck procedures - Other OR 2022 Provider Medi-Cal 48287
Cardiovascular procedures - Therapeutic (other) 2018 Provider Medicare 174565
Ungrouped Procedures 2019 Home Health Medicare 2779
Joint procedures - Therapeutic OR (other) 2020 Inpatient Facility Medicare 101
Eye procedures - Diagnostic 2022 Outpatient Facility Medicare 652
Heart valve procedures 2018 Inpatient Facility Medicare 156
Bone marrow biopsy 2018 Outpatient Facility Commercial 3546
Varicose vein stripping - Lower limb 2022 Provider Commercial 2879
Office visits 2022 Inpatient Facility Commercial 144
Ear procedures - Therapeutic 2021 Provider Medicare 320460
Ancillary services 2023 Hospice Medicare 1995
Chemotherapy - Cancer 2022 Outpatient Facility Commercial 175794
Non-hospital-based care (home health, hospice) 2022 Independent Labs Medi-Cal 73
GI procedures - Diagnostic 2022 Independent Labs Commercial 2502
Medications (injections, infusions, other forms) 2022 Provider Medi-Cal 2338439
Male genital procedures - Therapeutic OR (other) 2022 Outpatient Facility Medicare 6395
Delivery - Other procedures to assist 2023 Outpatient Facility Commercial 1833
Pregnancy (ectopic) - Removal 2022 Provider Medi-Cal 1494
Arteriogram or venogram (not heart and head) 2019 Inpatient Facility Medi-Cal 287
CPT codes not classified (F codes) 2018 Provider Commercial 2880983
Breast - Biopsy, procedures - Diagnostic (other) 2018 Provider Medicare 36471
Ovary operations - Other 2023 Provider Medi-Cal 3743
Eye procedures - Corneal transplant 2019 Outpatient Facility Medicare 1966
Electrographic cardiac monitoring 2022 Independent Labs Commercial 1613
Kidney transplant 2021 Provider Medi-Cal 817
Ultrasound - Diagnostic (other) 2021 Inpatient Facility Medi-Cal 2494
Other types of visits 2022 Provider Commercial 136498
Indwelling catheter 2021 Provider Medi-Cal 13924
Liver biopsy 2022 Provider Commercial 4835
Hernia repair - Other 2020 Outpatient Facility Medi-Cal 4971
CT scan - Head 2023 Inpatient Facility Commercial 237
Open-heart procedures - Extracorporeal circulation 2021 Independent Labs Commercial 792
Urinary system (nonoperative) measurements 2020 Independent Labs Medicare 234559
Cardiac stress tests 2020 Provider Medi-Cal 90137
Abortion (termination of pregnancy) 2023 Provider Commercial 22409
DME and supplies 2019 Unclassified/other Medicare 81
Gastrostomy (temporary and permanent) 2023 Inpatient Facility Medicare 112
Therapeutic procedures - Other 2023 Outpatient Facility Medi-Cal 2898703
Cardiovascular procedures - Therapeutic (other) 2020 Outpatient Facility Medi-Cal 14682
TURP (transurethral resection of prostate) 2022 Outpatient Facility Commercial 2076
Peritoneal dialysis 2022 Inpatient Facility Medicare 658
Respiratory procedures - Therapeutic OR (other) 2023 Provider Medi-Cal 10311
Esophageal varices - Injection or ligation 2022 Outpatient Facility Medicare 1515
Heart valve procedures 2021 Provider Medicare 21310
Muscle and tendon procedures - Therapeutic (other) 2020 Independent Labs Commercial 101
Ungrouped Procedures 2020 Outpatient Facility Medi-Cal 7321104
Fallopian tubes - Ligation 2023 Outpatient Facility Medi-Cal 1019
Arthroscopy 2021 Outpatient Facility Commercial 8486
Fetal monitoring 2022 Inpatient Facility Commercial 68
Behavioral health services 2022 Provider Commercial 29683
Bone marrow biopsy 2019 Provider Commercial 8743
Vascular bypass and shunt - Other (not heart) 2022 Outpatient Facility Medi-Cal 51
Peritoneal dialysis 2020 Inpatient Facility Medicare 452
Other types of visits 2021 Provider Commercial 137874
GI procedures - Therapeutic OR 2018 Outpatient Facility Commercial 1652
Breast - Mastectomy 2019 Inpatient Facility Medicare 148
MRI (magnetic resonance imaging) 2019 Outpatient Facility Medicare 409744
Wound care - Traction, splints, other 2019 Outpatient Facility Medicare 137885
Respiratory intubation and mechanical ventilation 2022 Ambulance Medi-Cal 42
Laboratory - Chemistry and hematology 2022 Provider Medicare 6339518
Myelogram 2020 Provider Medi-Cal 643
Medications (injections, infusions, other forms) 2022 Hospice Commercial 146
EEG (electroencephalogram) 2018 Provider Commercial 38591
Amniocentesis - Diagnostic 2020 Outpatient Facility Commercial 275
Spinal canal stimulator insertion and injection 2021 Independent Labs Medicare 112
Hospital services 2019 Inpatient Facility Medicare 258
Respiratory therapy - Other 2023 Inpatient Facility Commercial 87
Ungrouped Procedures 2023 Inpatient Facility Commercial 3730
Colostomy (temporary and permanent) 2019 Provider Medicare 1185
TURP (transurethral resection of prostate) 2020 Outpatient Facility Commercial 1512
Hernia repair - Other 2019 Outpatient Facility Medicare 10405
Nervous system procedures - Diagnostic (other) 2021 Provider Medi-Cal 205932
DME and supplies 2023 Independent Labs Medicare 8224
Exploratory laparotomy 2023 Provider Medi-Cal 1976
Female organ procedures - Diagnostic (other) 2018 Outpatient Facility Commercial 30590
Cardiovascular procedures - Diagnostic (other) 2021 Inpatient Facility Medi-Cal 86
Eye procedures - Glaucoma 2018 Outpatient Facility Medi-Cal 3718
Nonoperative removal of foreign body 2023 Provider Commercial 14169
PTCA (percutaneous transluminal coronary angio.) 2023 Outpatient Facility Medi-Cal 1599
Psychological and psychiatric evaluation, therapy 2018 Inpatient Facility Medi-Cal 8891
Therapeutic procedures - Other 2022 Ambulance Medi-Cal 178
Ear procedures - Therapeutic 2021 Outpatient Facility Commercial 6830
Rehabilitation facility services 2021 Outpatient Facility Commercial 33
Transportation - Patient, provider, equipment 2020 Inpatient Facility Medi-Cal 167289
Ophthalmologic/otologic diagnosis and treatment 2019 Outpatient Facility Medicare 206466
Treatment, fracture, dislocation - Radius and ulna 2023 Provider Medicare 19678
Arthrocentesis 2018 Outpatient Facility Medi-Cal 15064
Urinary system (nonoperative) measurements 2023 Inpatient Facility Commercial 55
GI (upper) endoscopy, biopsy 2020 Unclassified/other Medi-Cal 169
Embolectomy and endarterectomy of lower limbs 2023 Outpatient Facility Medi-Cal 32
Contrast arteriogram - Lower extremity arteries 2022 Outpatient Facility Medi-Cal 431
Joint procedures - Therapeutic OR (other) 2023 Provider Commercial 35778
Myelogram 2021 Provider Medicare 2679
Extracorporeal lithotripsy, urinary 2018 Provider Commercial 12419
Rehabilitation facility services 2023 Inpatient Facility Medicare 22217
Spinal canal stimulator insertion and injection 2021 Pharmacy Medicare 809
Other types of visits 2022 Hospice Medi-Cal 24740
Physical/occupational/speech therapy - Diagnostic 2020 Home Health Medi-Cal 2045
Respiratory intubation and mechanical ventilation 2022 Provider Commercial 27273
Observation care services 2019 Provider Medicare 583012
Nose procedures - Plastic 2018 Provider Medi-Cal 4945
Breast - Mastectomy 2020 Inpatient Facility Medicare 86
Urinary system (nonoperative) measurements 2023 Pharmacy Medi-Cal 142
Laboratory - Chemistry and hematology 2023 Hospice Medi-Cal 659
Behavioral health services 2023 Outpatient Facility Medicare 3601
Lung and bronchus procedures - Diagnostic (other) 2019 Provider Medicare 619250
Female organ procedures - Diagnostic (other) 2019 Independent Labs Medi-Cal 2910
Eye procedures - Glaucoma 2019 Outpatient Facility Medicare 11207
Alcohol and drug management, treatment, and rehab. 2021 Inpatient Facility Medi-Cal 21684
Catheterization (Swan-Ganz) for monitoring 2018 Outpatient Facility Medicare 39
Mammography 2021 Unclassified/other Commercial 252
Transportation - Patient, provider, equipment 2020 Provider Medicare 497243
TURP (transurethral resection of prostate) 2021 Outpatient Facility Commercial 1835
DME and supplies 2021 Outpatient Facility Medi-Cal 1715725
GI procedures - Therapeutic OR 2019 Outpatient Facility Commercial 1729
EEG (electroencephalogram) 2019 Outpatient Facility Medi-Cal 14760
Ophthalmologic/otologic diagnosis and treatment 2020 Inpatient Facility Medi-Cal 177
Bone marrow biopsy 2020 Provider Commercial 7949
Anesthesia 2021 Outpatient Facility Medi-Cal 42614
GI (upper) endoscopy, biopsy 2021 Provider Medicare 336492
Knee - Arthroplasty 2023 Outpatient Facility Medi-Cal 4424
Pacemaker or cardioverter/defibrillator services 2018 Outpatient Facility Medicare 19764
Fetal monitoring 2021 Outpatient Facility Medi-Cal 176214
Therapeutic procedures - Other 2022 Provider Commercial 1525487
Electrocardiogram 2020 Outpatient Facility Medi-Cal 865978
Microscopic examination (e.g., lab, toxicology) 2019 Provider Commercial 2123598
Contrast arteriogram - Lower extremity arteries 2023 Outpatient Facility Commercial 415
Ungrouped Procedures 2023 Pharmacy Commercial 660751
Arthrocentesis 2019 Inpatient Facility Medicare 40
Cholecystectomy and common duct exploration 2022 Provider Commercial 27539
Tympanoplasty 2019 Outpatient Facility Commercial 1930
Vascular bypass and shunt - Other (not heart) 2023 Outpatient Facility Medi-Cal 77
Cardiovascular procedures - Diagnostic (other) 2021 Provider Medi-Cal 50082
GI (lower) procedures - Therapeutic 2020 Provider Medi-Cal 2410
Hemorrhoid procedures 2019 Outpatient Facility Medi-Cal 2192
Breast - Lumpectomy, quadrantectomy 2023 Provider Commercial 13803
Nose, mouth, pharynx procedures - Diagnostic 2020 Outpatient Facility Commercial 11383
Exploratory laparotomy 2019 Outpatient Facility Commercial 47
Ancillary services 2019 Independent Labs Medicare 90466
Skin, breast procedures - Therapeutic (other) 2018 Inpatient Facility Medicare 11002
Decompression peripheral nerve 2018 Provider Commercial 14662
Skilled nursing facility services (HIPPS) 2018 Outpatient Facility Commercial 88
Hospital services 2023 Unclassified/other Commercial 226
Nephrotomy and nephrostomy 2022 Provider Commercial 4016
Spleen procedures 2020 Provider Medicare 386
Behavioral health services 2019 Provider Medi-Cal 112418
D&C (dilatation and curettage) - Diagnostic 2018 Provider Medicare 1182
Blood and blood product transfusion 2020 Provider Medicare 22063
Electrocardiogram 2019 Inpatient Facility Medicare 57290
Epistaxis control 2022 Outpatient Facility Medi-Cal 2537
Bone marrow transplant 2022 Outpatient Facility Medicare 1971
Coronary thrombolysis 2019 Provider Commercial 68
Abdominal paracentesis 2018 Outpatient Facility Medi-Cal 11944
Heart valve procedures 2023 Inpatient Facility Medicare 34
Arteriogram or venogram (not heart and head) 2022 Provider Medicare 161461
Physical/occupational/speech therapy - Exercises 2021 Inpatient Facility Commercial 5080
Treatment, fracture, dislocation - Other 2022 Provider Commercial 34018
Alcohol and drug management, treatment, and rehab. 2020 Inpatient Facility Medicare 788
Transportation - Patient, provider, equipment 2018 Ambulance Commercial 579844
Ophthalmologic/otologic diagnosis and treatment 2018 Home Health Medi-Cal 599
Hearing devices and audiology supplies 2022 Provider Medi-Cal 56564
Respiratory therapy - Other 2021 Provider Medicare 38094
Appendectomy 2021 Provider Medicare 4831
Medications (injections, infusions, other forms) 2018 Ambulance Commercial 9626
Spinal fusion 2021 Outpatient Facility Commercial 4096
Pathology 2018 Unclassified/other Commercial 208
Vessels of head/neck procedures - Other OR 2020 Provider Commercial 2415
Emergency department services 2022 Inpatient Facility Medicare 396
Consultation, evaluation, and preventive care 2021 Hospice Medicare 811
Telehealth 2020 Hospice Medicare 407
Myringotomy 2023 Provider Commercial 13108
Intraoperative cholangiogram 2020 Inpatient Facility Medicare 52
HCPCS Level II codes not classified 2019 Independent Labs Medi-Cal 47
Observation care services 2019 Outpatient Facility Medicare 313562
Treatment, fracture, dislocation - Hip and femur 2019 Outpatient Facility Commercial 725
Respiratory procedures - Therapeutic (other) 2018 Outpatient Facility Commercial 2856
Musculoskeletal procedures - Diagnostic (other) 2021 Provider Medicare 10876
Knee - Arthroplasty 2021 Outpatient Facility Commercial 11857
Preventive visits 2019 Independent Labs Medi-Cal 114
Laboratory - Chemistry and hematology 2020 Inpatient Facility Medicare 1631444
Male genital procedures - Diagnostic 2020 Provider Medicare 36584
Contrast aortogram 2022 Inpatient Facility Medicare 279
Eye procedures - Destruction of retinal lesion 2018 Provider Commercial 10728
Varicose vein stripping - Lower limb 2019 Provider Commercial 3446
Cardiovascular procedures - Therapeutic (other) 2023 Provider Medicare 166959
Urinary system (nonoperative) measurements 2021 Unclassified/other Commercial 355
Bunionectomy or repair of toe deformities 2022 Outpatient Facility Commercial 10357
Nose, mouth, pharynx procedures - Therapeutic OR 2020 Provider Medi-Cal 18239
Ungrouped Procedures 2022 Pharmacy Medi-Cal 17012
Decompression peripheral nerve 2021 Outpatient Facility Commercial 10893
Other types of visits 2019 Provider Commercial 128561
CT scan - Chest 2020 Unclassified/other Medi-Cal 178
Laminectomy, excision intervertebral disc 2020 Inpatient Facility Medicare 578
Radioisotope scan - Other 2023 Provider Commercial 2040
DME and supplies 2020 Outpatient Facility Medicare 4453064
Thyroidectomy (partial or complete) 2022 Provider Commercial 4768
Circumcision 2023 Provider Medicare 1223
CT scan - Other 2018 Outpatient Facility Medicare 211502
Radiology - Diagnostic (other) 2020 Independent Labs Medicare 315
Nervous system procedures - Therapeutic OR (other) 2023 Outpatient Facility Medi-Cal 7470
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2018 Unclassified/other Medi-Cal 5410
Gastric bypass and volume reduction 2018 Outpatient Facility Commercial 677
Organ transplantation - Other 2019 Outpatient Facility Commercial 107
X-ray - Chest (routine) 2019 Unclassified/other Medi-Cal 320
Psychological and psychiatric evaluation, therapy 2021 Hospice Medicare 314
Skin and subcutaneous tissue - Suture 2019 Outpatient Facility Medi-Cal 96821
ERCP (endoscopic retro. cannulation of pancreas) 2021 Provider Medi-Cal 22101
Skin, breast procedures - Therapeutic (other) 2020 Inpatient Facility Medi-Cal 1472
Embolectomy and endarterectomy of lower limbs 2020 Outpatient Facility Medicare 167
Prostatectomy (open ) 2023 Outpatient Facility Commercial 1718
Medications (injections, infusions, other forms) 2019 Ambulance Medi-Cal 551
GI procedures - Therapeutic 2019 Provider Medi-Cal 8102
Non-hospital-based care (home health, hospice) 2023 Independent Labs Medicare 5288
Office visits 2018 Inpatient Facility Medi-Cal 383
Breast - Lumpectomy, quadrantectomy 2018 Outpatient Facility Medi-Cal 4074
Radiology - Diagnostic (other) 2021 Inpatient Facility Commercial 305
Ultrasound - Diagnostic (other) 2022 Provider Medicare 1825931
Lobectomy or pneumonectomy 2023 Provider Commercial 1836
Muscles, tendons, joints - Injections, aspirations 2018 Outpatient Facility Medi-Cal 6664
Hip replacement (partial and total) 2022 Provider Medi-Cal 5073
Ultrasound - Urinary tract - Diagnostic 2023 Inpatient Facility Medi-Cal 57
HCPCS Level II codes not classified 2022 Unclassified/other Commercial 327
Nephrectomy (partial or complete) 2021 Provider Commercial 2860
Gastrostomy (temporary and permanent) 2021 Provider Commercial 4713
CT scan - Abdomen 2022 Unclassified/other Commercial 84
Aortic resection - Replacement or anastomosis 2021 Provider Medi-Cal 1972
Colorectal resection 2019 Inpatient Facility Commercial 40
Cervix and uterus - Other excision 2018 Outpatient Facility Medicare 841
Therapeutic procedures - Other 2018 Outpatient Facility Medicare 2134792
X-ray - Lower GI 2020 Outpatient Facility Medicare 1696
Esophageal dilatation 2018 Outpatient Facility Medicare 9384
Vessels other than head/neck procedures - Other OR 2021 Outpatient Facility Medicare 159486
Abortion (termination of pregnancy) 2021 Outpatient Facility Commercial 2053
Urinary tract procedures - Therapeutic (other) 2021 Outpatient Facility Commercial 1946
Oophorectomy (unilateral and bilateral) 2019 Outpatient Facility Commercial 7075
Joint procedures - Therapeutic OR (other) 2019 Outpatient Facility Medicare 9930
Prophylactic vaccinations and inoculations 2023 Inpatient Facility Commercial 1384
Physical/occupational/speech therapy - Exercises 2023 Outpatient Facility Medicare 2695165
DME and supplies 2019 DME (Durable Medical Equipment) Medi-Cal 1704936
GI (upper) procedures - Therapeutic OR 2019 Provider Medicare 3822
Other types of lab tests 2022 Provider Commercial 4244054
Physical/occupational/speech therapy - Exercises 2022 Home Health Commercial 568
Arthrocentesis 2023 Outpatient Facility Commercial 13790
Organ transplantation - Other 2021 Outpatient Facility Medicare 128
Office visits 2018 Unclassified/other Medicare 88
Extraocular muscle procedures - Therapeutic 2023 Provider Commercial 5690
Musculoskeletal procedures - Therapeutic OR (other) 2018 Outpatient Facility Medi-Cal 869
Male genital procedures - Diagnostic 2022 Provider Commercial 19513
Decompression peripheral nerve 2023 Outpatient Facility Medicare 10322
Proctoscopy and anorectal biopsy 2021 Provider Medicare 40014
Bone procedures - Therapeutic OR (other) 2018 Outpatient Facility Medicare 6258
Non-hospital-based care (home health, hospice) 2018 Home Health Medicare 12166433
Eye procedures - Lens and cataract 2018 Inpatient Facility Medi-Cal 49
Consultations 2021 Provider Medi-Cal 564886
Treatment, fracture, dislocation - Hip and femur 2021 Outpatient Facility Medi-Cal 887
X-ray - Upper GI 2018 Inpatient Facility Medicare 1404
Endocrine procedures - Therapeutic 2019 Provider Medi-Cal 2845
Cardiac catheterization/arteriography - Diagnostic 2018 Unclassified/other Medi-Cal 256
CABG (coronary artery bypass graft) 2018 Provider Medicare 29135
Pathology 2023 Outpatient Facility Medi-Cal 492950
Laboratory - Chemistry and hematology 2021 Home Health Medicare 326
Liver biopsy 2021 Outpatient Facility Commercial 3093
Ultrasound - Diagnostic (other) 2019 Inpatient Facility Medicare 13060
Respiratory procedures - Therapeutic OR (other) 2022 Outpatient Facility Medi-Cal 1566
Critical care services 2021 Outpatient Facility Medicare 47627
Nervous system procedures - Therapeutic OR (other) 2023 Inpatient Facility Medicare 56
AVF or vessel-to-vessel cannula for dialysis svcs. 2022 Outpatient Facility Commercial 3935
Epistaxis control 2020 Provider Medi-Cal 5989
Skin lesion - Excision 2023 Outpatient Facility Commercial 30740
Rehabilitation facility services 2019 Inpatient Facility Commercial 542
Consultation, evaluation, and preventive care 2020 Unclassified/other Commercial 463
Debridement of wound, infection or burn 2022 Inpatient Facility Medicare 40
Urinary tract procedures - Therapeutic (other) 2018 Provider Medi-Cal 13213
Cholecystectomy and common duct exploration 2020 Inpatient Facility Medicare 209
Respiratory intubation and mechanical ventilation 2021 Ambulance Medi-Cal 32
Nose, mouth, pharynx procedures - Diagnostic 2019 Outpatient Facility Medi-Cal 15905
Hospital services 2023 Inpatient Facility Commercial 386
Musculoskeletal procedures - Diagnostic (other) 2021 Provider Medi-Cal 4113
Microscopic examination (e.g., lab, toxicology) 2018 Inpatient Facility Commercial 3066
Skin and subcutaneous tissue - Diagnostic (other) 2020 Outpatient Facility Medi-Cal 8954
Myringotomy 2022 Outpatient Facility Commercial 5611
Telehealth 2019 Outpatient Facility Medicare 12057
Radioisotope scan - Bone 2018 Outpatient Facility Medicare 26035
Mastoidectomy 2022 Provider Medi-Cal 602
Spinal canal stimulator insertion and injection 2020 Inpatient Facility Medicare 67
GI procedures - Therapeutic 2023 Provider Medi-Cal 9881
Ultrasound - Head and neck - Diagnostic 2020 Provider Commercial 234823
GI (lower) procedures - Therapeutic 2020 Outpatient Facility Medicare 1774
Male genital procedures - Diagnostic 2018 Provider Medi-Cal 4794
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2019 Outpatient Facility Medicare 229078
Thyroidectomy (partial or complete) 2020 Outpatient Facility Medi-Cal 971
Emergency department services 2022 Inpatient Facility Medi-Cal 11032
GI (upper) procedures - Therapeutic 2023 Provider Commercial 917
Physical/occupational/speech therapy - Diagnostic 2019 Home Health Medicare 38580
Radiology - Diagnostic (other) 2019 Outpatient Facility Medi-Cal 1425253
Other types of lab tests 2019 Outpatient Facility Commercial 5011344
Division of joint capsule (ligament or cartilage) 2021 Provider Commercial 3592
Breast - Lumpectomy, quadrantectomy 2023 Outpatient Facility Medi-Cal 4297
Vessels of head/neck procedures - Other OR 2020 Outpatient Facility Medi-Cal 109
Preventive visits 2018 Pharmacy Medicare 59
Central nervous system (CNS) incision and excision 2021 Inpatient Facility Commercial 99
CPT codes not classified (F codes) 2023 Home Health Medicare 926
Ureteral catheterization 2022 Outpatient Facility Medicare 8350
Hemodialysis 2018 Inpatient Facility Medicare 12871
CT scan - Other 2023 Outpatient Facility Commercial 134390
Fallopian tubes - Other operations 2023 Provider Commercial 1846
Pathology 2018 Provider Medicare 2479936
Joint procedures - Therapeutic OR (other) 2018 Provider Commercial 42932
GI procedures - Diagnostic 2020 Independent Labs Medi-Cal 78
Physical/occupational/speech therapy - Exercises 2021 Pharmacy Commercial 831
Gastrostomy (temporary and permanent) 2020 Provider Commercial 4350
Pathology 2023 Independent Labs Commercial 2237169
Microscopic examination (e.g., lab, toxicology) 2022 Independent Labs Medicare 7250729
Urinary tract procedures - Therapeutic (other) 2020 Outpatient Facility Commercial 1805
Ovary operations - Other 2021 Outpatient Facility Medi-Cal 103
Vessels other than head/neck procedures - Other OR 2021 Independent Labs Commercial 1088
Abortion (termination of pregnancy) 2019 Provider Medicare 118
Cardiac catheterization/arteriography - Diagnostic 2018 Inpatient Facility Medicare 2318
Critical care services 2023 Outpatient Facility Medicare 61705
Female organ procedures - Diagnostic (other) 2021 Independent Labs Medicare 10356
Ancillary services 2019 Pharmacy Commercial 73
Extraocular muscle procedures - Therapeutic 2022 Outpatient Facility Medi-Cal 2996
Esophageal varices - Injection or ligation 2019 Provider Commercial 2039
Oophorectomy (unilateral and bilateral) 2018 Outpatient Facility Medi-Cal 2117
Endocrine procedures - Therapeutic 2018 Provider Medi-Cal 2946
DME and supplies 2018 Pharmacy Medicare 386
Non-hospital-based care (home health, hospice) 2020 Provider Medi-Cal 1751884
Arthrocentesis 2022 Outpatient Facility Medi-Cal 32259
Bunionectomy or repair of toe deformities 2023 Outpatient Facility Medi-Cal 2861
HCPCS Level II codes not classified 2022 Outpatient Facility Medi-Cal 1022899
Therapeutic procedures - Other 2018 Ambulance Commercial 401
Hemodialysis 2019 Inpatient Facility Medicare 13883
Organ transplantation - Other 2020 Outpatient Facility Commercial 141
Bowel procedures - Diagnostic 2019 Provider Medicare 242
Ultrasound - Diagnostic (other) 2018 Unclassified/other Commercial 113
Ultrasound - Urinary tract - Diagnostic 2022 Outpatient Facility Commercial 663
Cesarean section 2020 Provider Medi-Cal 76484
Other types of lab tests 2022 Inpatient Facility Medi-Cal 52244
CT scan - Abdomen 2022 Inpatient Facility Medicare 14016
Non-hospital-based care (home health, hospice) 2022 Home Health Medi-Cal 1928034
Treatment, fracture, dislocation - Other 2018 Inpatient Facility Medicare 161
Musculoskeletal procedures - Therapeutic (other) 2023 Provider Commercial 1385668
Nose, mouth, pharynx procedures - Therapeutic 2021 Inpatient Facility Commercial 253
Proctoscopy and anorectal biopsy 2020 Provider Medicare 34274
Physical/occupational/speech therapy - Exercises 2023 Home Health Medicare 6964
Urinary obstruction - Excision, drainage, removal 2021 Outpatient Facility Medicare 13429
Nephrectomy (partial or complete) 2020 Provider Commercial 2707
Office visits 2018 Pharmacy Medi-Cal 426
Tracheoscopy and laryngoscopy with biopsy 2021 Outpatient Facility Commercial 4309
Electrocardiogram 2023 Outpatient Facility Commercial 601086
Liver biopsy 2020 Outpatient Facility Commercial 2893
Treatment, fracture, dislocation - Hip and femur 2020 Outpatient Facility Commercial 696
Laboratory - Chemistry and hematology 2018 Hospice Medi-Cal 3050
Aortic resection - Replacement or anastomosis 2019 Provider Medi-Cal 1809
ERCP (endoscopic retro. cannulation of pancreas) 2023 Provider Medicare 40371
Skin, breast procedures - Therapeutic OR (other) 2023 Outpatient Facility Commercial 30032
Varicose vein stripping - Lower limb 2022 Provider Medi-Cal 1453
Ultrasound - Diagnostic (other) 2020 Inpatient Facility Medi-Cal 2226
Arterial blood gases 2023 Provider Medi-Cal 106518
HIPPS home health services 2018 Home Health Medicare 835400
Chemotherapy - Cancer 2021 Outpatient Facility Medicare 397542
Care management/coordination services 2019 Outpatient Facility Medi-Cal 11532
Male genital procedures - Therapeutic OR (other) 2019 Provider Commercial 9316
Spinal tap - Diagnostic 2021 Outpatient Facility Medi-Cal 3233
Electrographic cardiac monitoring 2020 Provider Commercial 169412
Office visits 2023 Pharmacy Medi-Cal 1964
Physical/occupational/speech therapy - Other 2023 Provider Medicare 242040
Heart valve procedures 2020 Outpatient Facility Medi-Cal 50
Indwelling catheter 2019 Outpatient Facility Medi-Cal 14943
Skin and subcutaneous tissue - Suture 2020 Unclassified/other Medi-Cal 43
Urinary system (nonoperative) measurements 2019 Provider Medi-Cal 2349161
Prophylactic vaccinations and inoculations 2023 Unclassified/other Medi-Cal 18294
Muscle and tendon procedures - Therapeutic (other) 2020 Inpatient Facility Medi-Cal 39
Laminectomy, excision intervertebral disc 2023 Provider Medi-Cal 13246
Hemorrhoid procedures 2023 Provider Commercial 23310
DME and supplies 2021 Independent Labs Medi-Cal 46795
Ancillary services 2022 Pharmacy Medi-Cal 1114
Bowel procedures - Diagnostic 2021 Provider Medicare 258
Nose, mouth, pharynx procedures - Therapeutic 2022 Outpatient Facility Commercial 10608
Open-heart procedures - Extracorporeal circulation 2020 Outpatient Facility Medi-Cal 48
D&C (dilatation and curettage) - Diagnostic 2022 Outpatient Facility Commercial 1003
CT scan - Head 2022 Inpatient Facility Medicare 18545
Radiology - Therapeutic 2022 Provider Medi-Cal 295223
Medications (injections, infusions, other forms) 2022 Outpatient Facility Medicare 15028869
GI procedures - Diagnostic 2021 Outpatient Facility Commercial 11566
Esophageal varices - Injection or ligation 2021 Outpatient Facility Medicare 1625
Respiratory procedures - Therapeutic OR (other) 2023 Provider Medicare 16561
Visual aids and other optical supplies 2018 Provider Medi-Cal 561290
Radioisotope scan - Pulmonary 2019 Outpatient Facility Medi-Cal 1779
Delivery - Other procedures to assist 2021 Outpatient Facility Medi-Cal 748
Abortion (termination of pregnancy) 2022 Outpatient Facility Medi-Cal 28657
CPT codes not classified (F codes) 2021 Independent Labs Medi-Cal 141101
Microscopic examination (e.g., lab, toxicology) 2020 Inpatient Facility Medi-Cal 7079
Physical/occupational/speech therapy - Diagnostic 2021 Provider Medicare 785636
Alcohol and drug management, treatment, and rehab. 2022 Unclassified/other Medicare 456
Ancillary services 2023 Provider Medi-Cal 4980252
Endocrine procedures - Diagnostic 2019 Outpatient Facility Medi-Cal 878
Ophthalmologic/otologic diagnosis and treatment 2020 Unclassified/other Medi-Cal 2595
GI procedures - Therapeutic 2021 Outpatient Facility Medi-Cal 1543
PTCA (percutaneous transluminal coronary angio.) 2020 Outpatient Facility Commercial 4578
GI (lower) procedures - Therapeutic OR 2019 Inpatient Facility Medicare 55
Lung and bronchus procedures - Diagnostic (other) 2022 Provider Medicare 531131
Conversion of cardiac rhythm 2019 Provider Medi-Cal 3380
Breast - Mastectomy 2021 Outpatient Facility Medicare 3010
Fallopian tubes - Other operations 2019 Provider Medi-Cal 1131
Care management/coordination services 2021 Outpatient Facility Medi-Cal 26108
Radioisotope scan - Pulmonary 2022 Outpatient Facility Medicare 5323
Psychological and psychiatric evaluation, therapy 2019 Inpatient Facility Medi-Cal 10021
Musculoskeletal procedures - Therapeutic (other) 2019 Outpatient Facility Commercial 3698
GI (upper) endoscopy, biopsy 2018 Outpatient Facility Medi-Cal 72506
DME and supplies 2022 Home Health Medicare 65769
Eye procedures - Diagnostic 2020 Outpatient Facility Commercial 326
Electrocardiogram 2021 Independent Labs Medi-Cal 84
Urethra - Procedures 2022 Outpatient Facility Commercial 1887
Transportation - Patient, provider, equipment 2021 Outpatient Facility Medi-Cal 187884
Respiratory procedures - Diagnostic (other) 2018 Outpatient Facility Medicare 1305
Urinary tract - Endoscopy and endoscopic biopsy 2018 Provider Medi-Cal 23871
Arthrocentesis 2019 Provider Medi-Cal 152728
Skin graft 2018 Outpatient Facility Medi-Cal 8654
HIPPS home health services 2022 Home Health Medi-Cal 26824
Tonsillectomy and/or adenoidectomy 2019 Provider Medicare 386
Spinal canal stimulator insertion and injection 2022 Unclassified/other Medi-Cal 37
Wound care - Traction, splints, other 2022 Provider Commercial 504059
Knee - Excision of semilunar cartilage 2018 Unclassified/other Medi-Cal 83
Other types of lab tests 2020 Pharmacy Commercial 6827
Treatment, fracture, dislocation - Radius and ulna 2018 Outpatient Facility Medi-Cal 13082
Mammography 2018 Inpatient Facility Medicare 43
Observation care services 2022 Provider Medi-Cal 113558
HCPCS Level II codes not classified 2020 Outpatient Facility Commercial 14953
Nasogastric tube 2021 Outpatient Facility Medi-Cal 190
Bone excision (partial) 2022 Outpatient Facility Commercial 8470
Consultation, evaluation, and preventive care 2022 Provider Medi-Cal 881501
Ultrasound - Heart (echocardiogram) - Diagnostic 2018 Inpatient Facility Commercial 238
Skilled nursing facility services 2019 Inpatient Facility Commercial 9064
Nonoperative removal of foreign body 2018 Outpatient Facility Medi-Cal 8244
CT scan - Abdomen 2018 Provider Medi-Cal 533088
Myelogram 2020 Outpatient Facility Medi-Cal 224
GI (upper) endoscopy, biopsy 2022 Inpatient Facility Commercial 75
Exploratory laparotomy 2021 Outpatient Facility Commercial 44
Rehabilitation facility services 2022 Inpatient Facility Medicare 21356
Treatment, fracture, dislocation - Radius and ulna 2023 Outpatient Facility Medi-Cal 12546
Urinary system (nonoperative) measurements 2023 Independent Labs Commercial 209000
Pacemaker or cardioverter/defibrillator services 2018 Provider Medicare 41976
Respiratory therapy - Other 2022 Provider Medi-Cal 50184
Nervous system procedures - Therapeutic (other) 2021 Inpatient Facility Medicare 171
Catheterization (Swan-Ganz) for monitoring 2019 Outpatient Facility Medicare 49
Arterial blood gases 2022 Provider Commercial 8085
Transportation - Patient, provider, equipment 2023 Ambulance Medicare 3280294
Laboratory - Chemistry and hematology 2022 Pharmacy Medi-Cal 59
Ultrasound - Head and neck - Diagnostic 2021 Outpatient Facility Medicare 97965
Eye procedures - Glaucoma 2018 Provider Medicare 66964
Respiratory intubation and mechanical ventilation 2022 Outpatient Facility Commercial 4798
Psychological and psychiatric evaluation, therapy 2018 Home Health Medicare 99
Radioisotope scan and function studies 2020 Provider Commercial 131029
Vascular bypass and shunt - Other (not heart) 2021 Provider Commercial 392
Skin graft 2023 Provider Commercial 34654
Wound care - Traction, splints, other 2020 Home Health Medicare 277
Bone marrow biopsy 2020 Outpatient Facility Commercial 3707
Hospital services 2019 Provider Commercial 2346186
GI procedures - Therapeutic OR 2019 Provider Commercial 7292
Fetal monitoring 2020 Inpatient Facility Commercial 61
Emergency department services 2018 Outpatient Facility Commercial 2046757
Therapeutic procedures - Other 2022 Inpatient Facility Medi-Cal 159
Cholecystectomy and common duct exploration 2021 Outpatient Facility Commercial 20144
Colorectal resection 2023 Outpatient Facility Medicare 503
Physical/occupational/speech therapy - Diagnostic 2020 Inpatient Facility Medicare 140693
Medications (injections, infusions, other forms) 2022 Home Health Commercial 3262
Cardiovascular procedures - Diagnostic (other) 2020 Provider Commercial 35985
Anesthesia 2021 Provider Medicare 1979159
Hernia repair - Other 2018 Outpatient Facility Commercial 16220
Spinal canal stimulator insertion and injection 2021 Outpatient Facility Medicare 86579
Alcohol and drug management, treatment, and rehab. 2021 Outpatient Facility Medi-Cal 158504
Mammography 2022 Outpatient Facility Medicare 643905
Ungrouped Procedures 2023 Provider Medi-Cal 23166142
Division of joint capsule (ligament or cartilage) 2022 Provider Medicare 6242
Behavioral health services 2020 Unclassified/other Medi-Cal 54
Nose procedures - Plastic 2018 Outpatient Facility Commercial 12847
Muscles, tendons, joints - Injections, aspirations 2019 Provider Medi-Cal 81961
TURP (transurethral resection of prostate) 2018 Provider Commercial 1990
Breast - Mastectomy 2018 Provider Commercial 6846
Contrast arteriogram - Lower extremity arteries 2022 Provider Medi-Cal 2071
Joint procedures - Therapeutic OR (other) 2022 Outpatient Facility Commercial 23986
Prophylactic vaccinations and inoculations 2019 Outpatient Facility Commercial 293063
Electrocardiogram 2022 Outpatient Facility Medi-Cal 1068713
Other vascular catheterization (not heart) 2020 Inpatient Facility Commercial 234
Tracheoscopy and laryngoscopy with biopsy 2018 Provider Medi-Cal 34194
Arthroplasty other than hip or knee 2022 Inpatient Facility Medicare 336
GI procedures - Diagnostic 2018 Provider Commercial 26910
Urinary obstruction - Excision, drainage, removal 2019 Outpatient Facility Medicare 13068
Abortion (termination of pregnancy) 2018 Provider Commercial 16464
Pathology 2022 Independent Labs Medicare 1512245
Cardiac catheterization/arteriography - Diagnostic 2022 Provider Medicare 126923
Extracorporeal shock wave (other than urinary) 2022 Provider Commercial 40142
Anesthesia 2022 Unclassified/other Commercial 108
Physical/occupational/speech therapy - Other 2020 Outpatient Facility Medicare 157498
Eye procedures - Glaucoma 2020 Outpatient Facility Medicare 9588
Microscopic examination (e.g., lab, toxicology) 2021 Outpatient Facility Commercial 2884324
Bone procedures - Therapeutic OR (other) 2022 Provider Medi-Cal 24363
X-ray - Upper GI 2023 Outpatient Facility Medicare 36363
Laminectomy, excision intervertebral disc 2019 Outpatient Facility Commercial 6753
Esophageal dilatation 2023 Provider Commercial 9968
Spinal fusion 2020 Outpatient Facility Medi-Cal 581
Non-hospital-based care (home health, hospice) 2020 Inpatient Facility Commercial 755
Amputation - Lower extremity 2018 Provider Medicare 12780
Preventive visits 2022 Unclassified/other Medi-Cal 13500
Consultations 2019 Provider Medicare 59128
HCPCS Level II codes not classified 2022 Home Health Medi-Cal 101755
Bronchoscopy and biopsy - Diagnostic 2018 Provider Commercial 10962
Cystocele/rectocele repair, oblit. of vag. vault 2023 Provider Medi-Cal 3143
Female organ procedures - Therapeutic (other) 2020 Outpatient Facility Commercial 6276
Telehealth 2023 Independent Labs Medi-Cal 70
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2023 Provider Medi-Cal 854163
EEG (electroencephalogram) 2023 Inpatient Facility Medicare 2734
Obstetric laceration - Repair 2021 Provider Commercial 300
Hemorrhoid procedures 2018 Outpatient Facility Medi-Cal 2415
Physical/occupational/speech therapy - Diagnostic 2023 Inpatient Facility Commercial 545
Knee - Excision of semilunar cartilage 2022 Provider Commercial 21486
Respiratory procedures - Diagnostic (other) 2023 Outpatient Facility Medicare 869
X-ray - Chest (routine) 2019 Outpatient Facility Commercial 686485
Treatment, fracture, dislocation - Lower extrem. 2020 Outpatient Facility Medi-Cal 6914
Ultrasound - Heart (echocardiogram) - Diagnostic 2020 Inpatient Facility Medicare 19503
CT scan - Abdomen 2021 Inpatient Facility Commercial 308
Respiratory procedures - Therapeutic OR (other) 2020 Outpatient Facility Commercial 2200
Urinary tract procedures - Therapeutic OR (other) 2020 Outpatient Facility Medi-Cal 1262
Ileostomy and other enterostomy 2018 Outpatient Facility Medicare 591
Nose, mouth, pharynx procedures - Therapeutic 2019 Outpatient Facility Medi-Cal 24279
Intravenous pyelogram 2021 Provider Medicare 342
Chemotherapy - Cancer 2022 Provider Medicare 641137
Cardiovascular procedures - Diagnostic (other) 2023 Inpatient Facility Medicare 614
Proctoscopy and anorectal biopsy 2018 Inpatient Facility Medicare 69
Skin and subcutaneous tissue - Incision, drainage 2022 Provider Medi-Cal 73325
Consultation, evaluation, and preventive care 2018 Independent Labs Medicare 534
Lobectomy or pneumonectomy 2020 Provider Commercial 1928
Prostatectomy (open ) 2019 Outpatient Facility Commercial 952
Urinary tract procedures - Therapeutic OR (other) 2021 Unclassified/other Commercial 212
Arteriogram or venogram (not heart and head) 2019 Provider Medi-Cal 47593
Eye procedures - Corneal transplant 2022 Provider Commercial 725
Extracorporeal lithotripsy, urinary 2020 Inpatient Facility Medicare 34
Ureteral catheterization 2020 Inpatient Facility Commercial 48
Ear procedures - Therapeutic 2023 Provider Medi-Cal 122287
Cardiovascular procedures - Therapeutic (other) 2021 Provider Medicare 163105
Laboratory - Chemistry and hematology 2023 Pharmacy Medi-Cal 185
DME and supplies 2020 Independent Labs Medicare 7235
Conversion of cardiac rhythm 2020 Provider Medicare 18598
Heart procedures - Other OR 2022 Outpatient Facility Medicare 413
Radioisotope scan - Other 2021 Pharmacy Medicare 740
Medications (injections, infusions, other forms) 2023 Ambulance Commercial 6769
Delivery - Forceps, vacuum, and breech 2021 Outpatient Facility Medi-Cal 2686
Open-heart procedures - Extracorporeal circulation 2021 Unclassified/other Commercial 75
Hip replacement (partial and total) 2021 Inpatient Facility Commercial 61
Peritoneal dialysis 2023 Provider Commercial 3154
Office visits 2020 Outpatient Facility Medi-Cal 28762621
Alcohol and drug management, treatment, and rehab. 2019 Hospice Medi-Cal 86
Other types of visits 2023 Hospice Medi-Cal 27013
TURP (transurethral resection of prostate) 2022 Provider Medicare 10715
Blood and blood product transfusion 2018 Outpatient Facility Commercial 50157
Eye procedures - Therapeutic (other) 2021 Outpatient Facility Commercial 12555
Muscles, tendons, joints - Injections, aspirations 2022 Provider Medi-Cal 87390
CPT codes not classified (F codes) 2019 Pharmacy Medicare 95
Myelogram 2023 Provider Medicare 2475
CT scan - Head 2023 Outpatient Facility Medicare 571140
Ultrasound - Diagnostic (other) 2021 Outpatient Facility Medicare 381114
Fetal monitoring 2022 Provider Commercial 232387
Thyroidectomy (partial or complete) 2018 Provider Medi-Cal 2512
Male genital procedures - Therapeutic (other) 2021 Provider Medicare 10007
Ungrouped Procedures 2018 Outpatient Facility Medicare 131723
Skin, breast procedures - Therapeutic OR (other) 2019 Provider Medi-Cal 15174
Other vascular catheterization (not heart) 2023 Inpatient Facility Medi-Cal 283
Ileostomy and other enterostomy 2021 Provider Medi-Cal 2050
Respiratory therapy - Other 2019 Inpatient Facility Medi-Cal 2978
Vessels other than head/neck procedures - Other OR 2022 Inpatient Facility Medicare 755
Kidney transplant 2023 Provider Medi-Cal 927
Radiology - Therapeutic 2019 Outpatient Facility Commercial 195697
Genitourinary incontinence procedures 2019 Provider Medicare 7018
Laminectomy, excision intervertebral disc 2021 Outpatient Facility Commercial 7069
Appendectomy 2022 Provider Medicare 4695
Ungrouped Procedures 2019 Provider Medi-Cal 21153511
Non-hospital-based care (home health, hospice) 2021 Home Health Medicare 12800423
Respiratory therapy - Other 2022 Outpatient Facility Medicare 138199
Hemorrhoid procedures 2020 Outpatient Facility Medi-Cal 1778
Radiology - Diagnostic (other) 2021 Pharmacy Medi-Cal 202
Exploratory laparotomy 2020 Provider Medicare 2224
Skin and subcutaneous tissue - Suture 2020 Outpatient Facility Medi-Cal 88558
Ungrouped Procedures 2020 Provider Medicare 843751
Eye procedures - Repair of retinal tear/detachment 2020 Outpatient Facility Commercial 4505
Eye procedures - Destruction of retinal lesion 2019 Provider Medi-Cal 22225
Hip replacement (partial and total) 2023 Provider Commercial 18112
Varicose vein stripping - Lower limb 2020 Provider Commercial 2230
Breast - Lumpectomy, quadrantectomy 2019 Outpatient Facility Commercial 13483
DME and supplies 2020 Provider Medicare 5388916
CT scan - Chest 2021 Provider Commercial 296329
Muscle and tendon procedures - Therapeutic (other) 2018 Provider Medicare 87738
Decompression peripheral nerve 2022 Outpatient Facility Medi-Cal 4346
Transportation - Patient, provider, equipment 2018 Inpatient Facility Commercial 63
Embolectomy and endarterectomy of lower limbs 2021 Provider Medicare 4113
Lung and bronchus procedures - Diagnostic (other) 2018 Outpatient Facility Medicare 140047
Arthroscopy 2018 Outpatient Facility Commercial 9877
Office visits 2022 Pharmacy Medicare 2783
Nose, mouth, pharynx procedures - Therapeutic OR 2021 Provider Medi-Cal 20779
Alcohol and drug management, treatment, and rehab. 2020 Provider Medicare 311893
Radioisotope scan - Pulmonary 2018 Provider Commercial 4271
D&C (dilatation and curettage) - Diagnostic 2020 Outpatient Facility Commercial 889
Laboratory - Chemistry and hematology 2020 Unclassified/other Commercial 1848
Ultrasound - Diagnostic (other) 2023 Outpatient Facility Commercial 778599
Treatment, fracture, dislocation - Lower extrem. 2022 Outpatient Facility Medi-Cal 8762
ERCP (endoscopic retro. cannulation of pancreas) 2022 Outpatient Facility Medicare 14003
Office visits 2021 Outpatient Facility Medi-Cal 31257333
Spinal tap - Diagnostic 2018 Outpatient Facility Medi-Cal 4472
Ancillary services 2022 Home Health Medicare 48389
Cardiac stress tests 2018 Outpatient Facility Medi-Cal 24479
Contrast aortogram 2023 Inpatient Facility Medi-Cal 117
Heart procedures - Other OR 2018 Inpatient Facility Commercial 43
Skin, breast procedures - Therapeutic (other) 2020 Provider Medicare 2240859
Preventive visits 2021 Outpatient Facility Medi-Cal 1673022
Critical care services 2019 Outpatient Facility Commercial 22045
GI (upper) endoscopy, biopsy 2018 Outpatient Facility Commercial 120815
Eye procedures - Diagnostic 2020 Outpatient Facility Medi-Cal 1642
Telehealth 2021 Unclassified/other Medicare 266
Spinal canal stimulator insertion and injection 2018 Outpatient Facility Medi-Cal 24334
Visual aids and other optical supplies 2022 Provider Medi-Cal 900581
Urinary tract - Endoscopy and endoscopic biopsy 2018 Provider Medicare 130181
Electrocardiogram 2021 Ambulance Medicare 1382
Nervous system procedures - Diagnostic (other) 2023 Outpatient Facility Medicare 38148
HCPCS Level II codes not classified 2020 Unclassified/other Commercial 433
Musculoskeletal procedures - Therapeutic (other) 2020 Inpatient Facility Medicare 61
Knee - Excision of semilunar cartilage 2018 Provider Medicare 17547
Observation care services 2022 Provider Commercial 233521
Treatment, fracture, dislocation - Radius and ulna 2018 Outpatient Facility Commercial 13994
Blood and blood product transfusion 2023 Inpatient Facility Medicare 2246
Nonoperative removal of foreign body 2019 Outpatient Facility Medicare 2249
Urethra - Procedures 2022 Outpatient Facility Medi-Cal 833
Other types of lab tests 2020 Pharmacy Medi-Cal 667
Breast - Mastectomy 2021 Provider Commercial 7539
Nasogastric tube 2022 Outpatient Facility Medi-Cal 202
Endocrine procedures - Diagnostic 2019 Outpatient Facility Medicare 1928
HIPPS home health services 2023 Home Health Commercial 17022
DME and supplies 2022 Inpatient Facility Medicare 453912
Radioisotope scan - Pulmonary 2023 Outpatient Facility Medicare 4936
Respiratory intubation and mechanical ventilation 2019 Provider Medicare 71627
Tonsillectomy and/or adenoidectomy 2021 Outpatient Facility Commercial 7597
Fallopian tubes - Other operations 2019 Provider Medicare 77
Anesthesia 2018 Inpatient Facility Medicare 988
Vascular bypass - Peripheral 2021 Provider Medicare 2720
Consultation, evaluation, and preventive care 2023 Outpatient Facility Commercial 7917
Ultrasound - Heart (echocardiogram) - Diagnostic 2018 Inpatient Facility Medi-Cal 845
Physical/occupational/speech therapy - Diagnostic 2021 Provider Medi-Cal 785446
PTCA (percutaneous transluminal coronary angio.) 2020 Outpatient Facility Medi-Cal 1303
Bone excision (partial) 2022 Inpatient Facility Medicare 52
Skin graft 2019 Outpatient Facility Medi-Cal 7750
Arthrocentesis 2020 Provider Medi-Cal 141320
GI (lower) procedures - Therapeutic OR 2018 Unclassified/other Medi-Cal 32
Hemic/lymphatic system procedures - Therapeutic 2021 Inpatient Facility Commercial 43
Ophthalmologic/otologic diagnosis and treatment 2020 Unclassified/other Commercial 184
Indwelling catheter 2023 Outpatient Facility Medi-Cal 15432
Division of joint capsule (ligament or cartilage) 2018 Outpatient Facility Medicare 1089
CT scan - Abdomen 2018 Provider Medicare 887631
Cholecystectomy and common duct exploration 2018 Inpatient Facility Commercial 105
Ancillary services 2022 Unclassified/other Commercial 18376
Chemotherapy - Cancer 2021 Outpatient Facility Commercial 162447
Electrographic cardiac monitoring 2021 Independent Labs Medicare 7110
Delivery - Other procedures to assist 2021 Inpatient Facility Commercial 79
D&C (dilatation and curettage) - Diagnostic 2020 Provider Medi-Cal 1784
Office visits 2021 Pharmacy Medi-Cal 1036
Skin and subcutaneous tissue - Suture 2020 Provider Medi-Cal 126759
Urinary system (nonoperative) measurements 2019 Provider Commercial 2350091
HCPCS Level II codes not classified 2018 Home Health Medi-Cal 60967
Radioisotope scan - Pulmonary 2018 Unclassified/other Medi-Cal 58
Ungrouped Procedures 2021 Provider Medi-Cal 20464903
Ungrouped Procedures 2020 Independent Labs Medi-Cal 1982949
Care management/coordination services 2020 Home Health Medi-Cal 130
Pleura incision, thoracentesis, chest drainage 2018 Outpatient Facility Medicare 10936
Prophylactic vaccinations and inoculations 2023 Outpatient Facility Commercial 208101
Esophageal varices - Injection or ligation 2020 Outpatient Facility Commercial 768
Medications (injections, infusions, other forms) 2022 Outpatient Facility Medi-Cal 8108487
Varicose vein stripping - Lower limb 2021 Outpatient Facility Medi-Cal 519
Fallopian tubes - Ligation 2021 Provider Medi-Cal 9673
Visual aids and other optical supplies 2018 Provider Commercial 45217
Spinal tap - Diagnostic 2020 Provider Medicare 11126
Hemorrhoid procedures 2023 Outpatient Facility Medicare 2459
GI procedures - Diagnostic 2021 Inpatient Facility Medicare 46
DME and supplies 2021 Outpatient Facility Commercial 1284557
Peritoneal dialysis 2021 Outpatient Facility Medi-Cal 2406811
Hip replacement (partial and total) 2023 Provider Medicare 42026
Nose, mouth, pharynx procedures - Therapeutic OR 2022 Outpatient Facility Commercial 32288
Bowel procedures - Diagnostic 2020 Provider Medicare 196
Male genital procedures - Therapeutic OR (other) 2021 Outpatient Facility Medicare 6141
Muscle and tendon procedures - Therapeutic (other) 2019 Inpatient Facility Medi-Cal 42
Eye procedures - Destruction of retinal lesion 2020 Outpatient Facility Medicare 749
Abortion (termination of pregnancy) 2022 Outpatient Facility Commercial 2059
Cardiac stress tests 2019 Provider Medi-Cal 116161
Female organ procedures - Therapeutic OR (other) 2019 Provider Commercial 23454
Ovary operations - Other 2022 Provider Commercial 3218
Respiratory procedures - Therapeutic OR (other) 2022 Provider Medi-Cal 9240
Arterial blood gases 2023 Outpatient Facility Medi-Cal 74073
Office visits 2023 Outpatient Facility Medicare 5367793
CT scan - Head 2022 Provider Medi-Cal 639241
Non-hospital-based care (home health, hospice) 2021 Unclassified/other Medicare 122
Heart valve procedures 2021 Inpatient Facility Medicare 253
Nephrotomy and nephrostomy 2020 Provider Medicare 12058
EEG (electroencephalogram) 2022 Provider Commercial 55879
Microscopic examination (e.g., lab, toxicology) 2021 Outpatient Facility Medi-Cal 3709006
Cardiac catheterization/arteriography - Diagnostic 2022 Provider Medi-Cal 38448
Bronchoscopy and biopsy - Diagnostic 2018 Provider Medi-Cal 14488
Consultations 2018 Unclassified/other Commercial 38
Cesarean section 2018 Inpatient Facility Medi-Cal 139
Enteral and parenteral nutrition 2019 Provider Commercial 43219
Nose, mouth, pharynx procedures - Diagnostic 2018 Provider Commercial 173837
Prophylactic vaccinations and inoculations 2019 Inpatient Facility Medicare 96762
Musculoskeletal procedures - Therapeutic OR (other) 2023 Provider Commercial 5551
Circumcision 2021 Outpatient Facility Medicare 736
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2023 Provider Medicare 946836
Female organ procedures - Therapeutic (other) 2019 Provider Medicare 25152
Urinary tract procedures - Therapeutic OR (other) 2020 Outpatient Facility Medicare 5887
Intraoperative cholangiogram 2018 Inpatient Facility Medicare 60
Prophylactic vaccinations and inoculations 2022 Home Health Medicare 1343
Laminectomy, excision intervertebral disc 2019 Inpatient Facility Medicare 707
HCPCS Level II codes not classified 2021 Pharmacy Medicare 152
Liver biopsy 2018 Inpatient Facility Medicare 34
Cystocele/rectocele repair, oblit. of vag. vault 2022 Provider Medi-Cal 2578
Physical/occupational/speech therapy - Diagnostic 2023 Home Health Medicare 57135
Open-heart procedures - Extracorporeal circulation 2018 Outpatient Facility Medicare 35
X-ray - Chest (routine) 2018 Provider Medi-Cal 2375537
Tonsillectomy and/or adenoidectomy 2023 Outpatient Facility Medicare 200
Ultrasound - Heart (echocardiogram) - Diagnostic 2020 Inpatient Facility Medi-Cal 2694
GI procedures - Diagnostic 2018 Provider Medi-Cal 14704
CT scan - Abdomen 2020 Unclassified/other Medi-Cal 237
Pathology 2022 Independent Labs Medi-Cal 1344661
X-ray - Upper GI 2022 Provider Commercial 39366
Hysterectomy (abdominal and vaginal) 2023 Outpatient Facility Medicare 5405
Abdominal paracentesis 2023 Provider Medi-Cal 40447
Gastrectomy (partial and total) 2019 Provider Medicare 643
Electrocardiogram 2022 Outpatient Facility Medicare 1221981
Eye procedures - Glaucoma 2020 Provider Commercial 11258
Respiratory procedures - Diagnostic (other) 2022 Outpatient Facility Commercial 580
Therapeutic procedures - Other 2020 Provider Commercial 1411707
Respiratory procedures - Therapeutic OR (other) 2019 Inpatient Facility Medicare 70
Extracorporeal shock wave (other than urinary) 2022 Outpatient Facility Medicare 53927
Arthroplasty other than hip or knee 2022 Outpatient Facility Commercial 10851
Physical/occupational/speech therapy - Other 2020 Provider Commercial 157890
Urinary obstruction - Excision, drainage, removal 2019 Outpatient Facility Medi-Cal 2308
Spinal fusion 2019 Outpatient Facility Medi-Cal 506
Amniocentesis - Diagnostic 2023 Provider Commercial 1896
Female organ procedures - Diagnostic (other) 2020 Independent Labs Medi-Cal 1726
Breast - Mastectomy 2019 Provider Commercial 6880
Skin lesion - Excision 2018 Provider Commercial 1273990
Urethra - Procedures 2019 Provider Medicare 25767
Respiratory therapy - Other 2023 Outpatient Facility Medicare 156446
Ultrasound - Head and neck - Diagnostic 2022 Inpatient Facility Medicare 2344
GI procedures - Therapeutic OR 2020 Outpatient Facility Medicare 3323
Observation care services 2021 Hospice Medicare 194
Care management/coordination services 2020 Hospice Medicare 4556
Nervous system procedures - Diagnostic (other) 2021 Inpatient Facility Medicare 1054
Tonsillectomy and/or adenoidectomy 2018 Unclassified/other Medi-Cal 286
Muscles, tendons, joints - Injections, aspirations 2020 Provider Commercial 149918
Extracorporeal lithotripsy, urinary 2018 Outpatient Facility Commercial 12480
Urinary system (nonoperative) measurements 2023 Outpatient Facility Commercial 859900
Electrocardiogram 2020 Inpatient Facility Commercial 639
Fetal monitoring 2020 Provider Medi-Cal 205248
Hernia repair - Other 2019 Inpatient Facility Medicare 266
Anesthesia 2022 Provider Medi-Cal 976685
Behavioral health services 2022 Unclassified/other Medi-Cal 82
Psychological and psychiatric evaluation, therapy 2018 Outpatient Facility Medicare 677262
GI (lower) procedures - Therapeutic OR 2022 Outpatient Facility Medicare 1599
Tympanoplasty 2018 Outpatient Facility Medicare 526
Ophthalmologic/otologic diagnosis and treatment 2019 Provider Medicare 7974759
Radioisotope scan and function studies 2021 Provider Commercial 141472
Conversion of cardiac rhythm 2018 Provider Medicare 17481
Intraocular procedures - Therapeutic 2019 Outpatient Facility Commercial 6673
Cholecystectomy and common duct exploration 2022 Outpatient Facility Commercial 19677
Transportation - Patient, provider, equipment 2020 Pharmacy Medi-Cal 12973
Pacemaker or cardioverter/defibrillator services 2019 Provider Medicare 42144
Nose procedures - Plastic 2020 Outpatient Facility Medicare 1729
Other types of visits 2022 Home Health Commercial 67
Knee - Arthroplasty 2023 Inpatient Facility Commercial 60
Physical/occupational/speech therapy - Diagnostic 2020 Provider Medicare 567637
Eye procedures - Destruction of retinal lesion 2023 Provider Medi-Cal 21751
Arthrocentesis 2018 Provider Medi-Cal 162008
TURP (transurethral resection of prostate) 2020 Provider Medi-Cal 1234
Bone excision (partial) 2020 Outpatient Facility Medi-Cal 2549
Lung and bronchus procedures - Diagnostic (other) 2021 Inpatient Facility Medicare 1017
Myelogram 2021 Outpatient Facility Medicare 1573
Laboratory - Chemistry and hematology 2022 Unclassified/other Medicare 1943
EEG (electroencephalogram) 2019 Inpatient Facility Medi-Cal 262
Alcohol and drug management, treatment, and rehab. 2021 Unclassified/other Medi-Cal 61
Emergency department services 2018 Unclassified/other Medicare 48
Microscopic examination (e.g., lab, toxicology) 2019 Inpatient Facility Medi-Cal 9852
Medications (injections, infusions, other forms) 2019 Hospice Medicare 3502
Ophthalmologic/otologic diagnosis and treatment 2018 Outpatient Facility Commercial 65885
Skin, breast procedures - Therapeutic (other) 2020 Provider Commercial 589771
Nephrotomy and nephrostomy 2022 Outpatient Facility Medicare 7122
Male genital procedures - Diagnostic 2021 Provider Commercial 19668
CPT codes not classified (F codes) 2020 Outpatient Facility Medi-Cal 1017635
Physical/occupational/speech therapy - Other 2022 Outpatient Facility Medi-Cal 163781
Ungrouped Procedures 2021 Independent Labs Medi-Cal 6026149
Cardiovascular procedures - Therapeutic (other) 2023 Outpatient Facility Medicare 102447
Hemorrhoid procedures 2021 Outpatient Facility Medi-Cal 2360
Hearing devices and audiology supplies 2022 Provider Commercial 10605
Varicose vein stripping - Lower limb 2019 Outpatient Facility Commercial 2082
Treatment, fracture, dislocation - Lower extrem. 2022 Outpatient Facility Commercial 13682
ERCP (endoscopic retro. cannulation of pancreas) 2022 Outpatient Facility Commercial 7050
Eye procedures - Destruction of retinal lesion 2018 Outpatient Facility Medicare 856
Decompression peripheral nerve 2023 Outpatient Facility Commercial 10682
Appendectomy 2023 Outpatient Facility Medicare 1815
Ungrouped Procedures 2020 Provider Medi-Cal 20233480
GI procedures - Therapeutic 2020 Outpatient Facility Medi-Cal 1380
Laminectomy, excision intervertebral disc 2021 Provider Medicare 59423
Spinal tap - Diagnostic 2019 Outpatient Facility Commercial 5714
Arthroplasty other than hip or knee 2023 Provider Medicare 30016
Eye procedures - Repair of retinal tear/detachment 2019 Provider Medi-Cal 8152
Contrast aortogram 2022 Provider Medicare 27527
Office visits 2022 Unclassified/other Medi-Cal 142653
Embolectomy and endarterectomy of lower limbs 2019 Provider Medicare 4582
Radiology - Diagnostic (other) 2021 Pharmacy Commercial 2139
Ultrasound - Diagnostic (other) 2023 Provider Medi-Cal 2538938
Prostatectomy (open ) 2022 Provider Medicare 5070
Hip replacement (partial and total) 2022 Outpatient Facility Medicare 15731
Office visits 2018 Independent Labs Medi-Cal 2979
DME and supplies 2020 Provider Commercial 3761962
Care management/coordination services 2019 Home Health Commercial 566
Treatment, fracture, dislocation - Other 2018 Inpatient Facility Commercial 57
Physical/occupational/speech therapy - Exercises 2021 Home Health Commercial 405
Tracheostomy (temporary and permanent) 2023 Provider Medi-Cal 3052
Exploratory laparotomy 2020 Provider Commercial 1437
Lobectomy or pneumonectomy 2022 Provider Medi-Cal 1004
D&C (dilatation and curettage) - Diagnostic 2019 Provider Medicare 1137
Ungrouped Procedures 2019 Pharmacy Medi-Cal 15402
Nose, mouth, pharynx procedures - Therapeutic OR 2021 Outpatient Facility Medicare 9929
Breast - Biopsy, procedures - Diagnostic (other) 2023 Provider Medicare 45347
Respiratory therapy - Other 2021 Provider Commercial 26341
Laboratory - Chemistry and hematology 2020 Provider Medicare 6088233
Female organ procedures - Therapeutic (other) 2023 Outpatient Facility Commercial 8102
D&C (dilatation and curettage) - Diagnostic 2021 Outpatient Facility Commercial 934
ERCP (endoscopic retro. cannulation of pancreas) 2023 Provider Medi-Cal 24696
Male genital procedures - Therapeutic OR (other) 2019 Outpatient Facility Medicare 6330
Nose, mouth, pharynx procedures - Therapeutic OR 2022 Outpatient Facility Medi-Cal 10402
Physical/occupational/speech therapy - Other 2023 Provider Medi-Cal 564750
Hip replacement (partial and total) 2023 Outpatient Facility Medi-Cal 1798
Delivery - Other procedures to assist 2021 Outpatient Facility Commercial 1299
Female organ procedures - Therapeutic OR (other) 2018 Unclassified/other Medi-Cal 106
Transportation - Patient, provider, equipment 2018 Independent Labs Medi-Cal 5484
Laminectomy, excision intervertebral disc 2023 Provider Medicare 54674
Radioisotope scan - Pulmonary 2018 Outpatient Facility Medi-Cal 1834
Arthroscopy 2020 Outpatient Facility Commercial 7293
Lung and bronchus procedures - Diagnostic (other) 2019 Inpatient Facility Medi-Cal 173
Open-heart procedures - Extracorporeal circulation 2020 Outpatient Facility Commercial 78
Skin and subcutaneous tissue - Suture 2019 Provider Medicare 254572
Ovary operations - Other 2021 Provider Commercial 3085
Spinal tap - Diagnostic 2021 Outpatient Facility Commercial 4386
CPT codes not classified (F codes) 2021 Independent Labs Medicare 3205
Varicose vein stripping - Lower limb 2021 Provider Commercial 2690
Medications (injections, infusions, other forms) 2019 Provider Medi-Cal 2164608
Fallopian tubes - Ligation 2019 Outpatient Facility Medicare 37
Eye procedures - Destruction of retinal lesion 2020 Provider Medi-Cal 19453
Indwelling catheter 2019 Outpatient Facility Commercial 7239
Ungrouped Procedures 2020 Independent Labs Medicare 1897922
Office visits 2021 Provider Commercial 34064146
Ultrasound - Diagnostic (other) 2020 Inpatient Facility Medicare 11883
Cardiac stress tests 2020 Inpatient Facility Medi-Cal 54
Muscle and tendon procedures - Therapeutic (other) 2019 Outpatient Facility Medi-Cal 12920
Ancillary services 2022 Inpatient Facility Commercial 175
Prophylactic vaccinations and inoculations 2023 Outpatient Facility Medicare 482930
CT scan - Head 2022 Inpatient Facility Medi-Cal 3469
GI procedures - Diagnostic 2021 Outpatient Facility Medi-Cal 8366
Respiratory procedures - Therapeutic OR (other) 2022 Provider Medicare 15197
Bowel procedures - Diagnostic 2021 Provider Medi-Cal 137
Chemotherapy - Cancer 2020 Outpatient Facility Medicare 383412
Genitourinary incontinence procedures 2023 Outpatient Facility Medicare 5097
Heart valve procedures 2019 Provider Commercial 4392
Office visits 2023 Pharmacy Medicare 788
Alcohol and drug management, treatment, and rehab. 2020 Provider Commercial 607570
Electrographic cardiac monitoring 2020 Outpatient Facility Medicare 64942
Respiratory intubation and mechanical ventilation 2021 Provider Medicare 65761
Microscopic examination (e.g., lab, toxicology) 2018 Outpatient Facility Commercial 3143381
Spinal canal stimulator insertion and injection 2021 Home Health Medi-Cal 37
Other types of lab tests 2021 Pharmacy Medicare 915
CT scan - Other 2023 Outpatient Facility Medicare 294294
Debridement of wound, infection or burn 2023 Outpatient Facility Medi-Cal 50538
Vessels of head/neck procedures - Other OR 2019 Provider Medi-Cal 2681
Cholecystectomy and common duct exploration 2020 Outpatient Facility Medicare 6910
Intraoperative cholangiogram 2019 Inpatient Facility Medicare 58
Gastrectomy (partial and total) 2022 Provider Medi-Cal 315
Hospital services 2023 Outpatient Facility Commercial 7466
Pathology 2018 Inpatient Facility Medicare 21065
Ultrasound - Head and neck - Diagnostic 2020 Provider Medi-Cal 189746
Observation care services 2018 Provider Medi-Cal 82339
Arteriogram or venogram (not heart and head) 2022 Inpatient Facility Commercial 50
Radiology - Diagnostic (other) 2019 Provider Medi-Cal 3583045
Nervous system procedures - Therapeutic OR (other) 2022 Outpatient Facility Medi-Cal 6508
Consultation, evaluation, and preventive care 2020 Outpatient Facility Medi-Cal 212971
Ultrasound - Abdomen/retroperitoneum - Diagnostic 2018 Inpatient Facility Medicare 8686
Division of joint capsule (ligament or cartilage) 2021 Provider Medi-Cal 2351
Skin and subcutaneous tissue - Diagnostic (other) 2019 Provider Medicare 697268
Central nervous system (CNS) incision and excision 2022 Outpatient Facility Commercial 259
Male genital procedures - Diagnostic 2018 Independent Labs Medi-Cal 184
Endocrine procedures - Diagnostic 2022 Provider Commercial 35694
Oral and dental services 2023 Provider Medi-Cal 3350
HCPCS Level II codes not classified 2018 Unclassified/other Medi-Cal 198
AVF or vessel-to-vessel cannula for dialysis svcs. 2023 Provider Commercial 5318
Critical care services 2021 Provider Medi-Cal 1342653
Myringotomy 2022 Outpatient Facility Medicare 582
Electrocardiogram 2019 Ambulance Medi-Cal 143900
Urinary tract procedures - Therapeutic (other) 2019 Outpatient Facility Commercial 1870
GI (upper) procedures - Therapeutic 2023 Provider Medi-Cal 708
Bone marrow transplant 2021 Outpatient Facility Medi-Cal 1375
Skin lesion - Excision 2023 Outpatient Facility Medicare 94847
Musculoskeletal procedures - Diagnostic (other) 2020 Provider Medicare 9122
Psychological and psychiatric evaluation, therapy 2023 Unclassified/other Commercial 47112
Treatment, fracture, dislocation - Hip and femur 2018 Inpatient Facility Medicare 217
Physical/occupational/speech therapy - Diagnostic 2019 Provider Medicare 836940
Hemic/lymphatic system procedures - Therapeutic 2023 Provider Commercial 29525
Thyroidectomy (partial or complete) 2021 Provider Medi-Cal 2142
Female organ procedures - Diagnostic (other) 2018 Independent Labs Commercial 37847
Blood and blood product transfusion 2020 Inpatient Facility Medi-Cal 5566
Wound care - Traction, splints, other 2019 Home Health Medicare 592
Ultrasound - Heart (echocardiogram) - Diagnostic 2023 Inpatient Facility Medi-Cal 3920
CT scan - Chest 2019 Inpatient Facility Medi-Cal 1569
Contrast aortogram 2018 Provider Medicare 27762
Bunionectomy or repair of toe deformities 2018 Outpatient Facility Commercial 12611
Hearing devices and audiology supplies 2018 Provider Commercial 13764
Nervous system procedures - Therapeutic OR (other) 2019 Provider Medi-Cal 31977
Oophorectomy (unilateral and bilateral) 2022 Outpatient Facility Medi-Cal 3325
Radioisotope scan and function studies 2023 Inpatient Facility Medi-Cal 240
AVF or vessel-to-vessel cannula for dialysis svcs. 2019 Inpatient Facility Medicare 203
Spinal fusion 2023 Outpatient Facility Medicare 4601
Hemodialysis 2022 Inpatient Facility Medi-Cal 2692
Treatment, fracture, dislocation - Facial 2021 Outpatient Facility Medi-Cal 1664
Laboratory - Chemistry and hematology 2019 Independent Labs Medi-Cal 19493548
Ancillary services 2018 Hospice Medicare 284
Enteral and parenteral nutrition 2021 Provider Commercial 47318
Critical care services 2018 Inpatient Facility Medicare 62
Nephrotomy and nephrostomy 2019 Outpatient Facility Commercial 2005
Vessels of head/neck - Endarterectomy 2022 Provider Medi-Cal 431
Intraocular procedures - Therapeutic 2019 Provider Medicare 498764
Hospital services 2021 Hospice Commercial 98
Skin lesion - Excision 2019 Provider Medicare 3464618
GI (upper) procedures - Therapeutic 2018 Provider Commercial 2195
Oral and dental services 2020 Provider Medi-Cal 3741
Appendectomy 2018 Unclassified/other Medi-Cal 207
CT scan - Other 2020 Outpatient Facility Medi-Cal 129015
Catheterization (Swan-Ganz) for monitoring 2023 Provider Medi-Cal 3468
Tympanoplasty 2021 Provider Commercial 2162
MRI (magnetic resonance imaging) 2021 Inpatient Facility Medicare 8623
GI procedures - Therapeutic OR 2021 Provider Medi-Cal 8666
Physical/occupational/speech therapy - Exercises 2019 Inpatient Facility Commercial 4678
Microscopic examination (e.g., lab, toxicology) 2023 Unclassified/other Commercial 814
Nose procedures - Plastic 2020 Provider Medicare 3890
Respiratory procedures - Therapeutic (other) 2020 Outpatient Facility Medicare 5368
Pregnancy (ectopic) - Removal 2021 Outpatient Facility Medi-Cal 783
Eye procedures - Lens and cataract 2022 Outpatient Facility Commercial 40758
Urinary tract procedures - Therapeutic OR (other) 2018 Provider Medicare 16476
Therapeutic procedures - Other 2019 Unclassified/other Commercial 159
Bone marrow biopsy 2022 Outpatient Facility Medi-Cal 3014
Musculoskeletal procedures - Therapeutic OR (other) 2022 Inpatient Facility Medicare 59
Female organ procedures - Therapeutic (other) 2018 Outpatient Facility Medi-Cal 12581
X-ray - Upper GI 2021 Outpatient Facility Commercial 19384
Physical/occupational/speech therapy - Other 2019 Provider Commercial 202136
Circumcision 2019 Provider Medi-Cal 6602
X-ray - Chest (routine) 2021 Outpatient Facility Medicare 990281