What does that code on your medical bill mean?
Every line on a medical bill has a 5-digit code. Look up any of the 55 most common CPT and HCPCS codes below — plain English, typical prices, and the billing errors to watch for.
Cardiology
Drugs
- J1170Hydromorphone (Dilaudid) injection, up to 4mg
An IV/IM opioid pain medication commonly given in ERs.
- J1885Ketorolac (Toradol) injection, 15mg
A non-narcotic pain medication given as a shot or IV. Common in ERs for moderate to severe pain.
- J2270Morphine sulfate injection, up to 10mg
A standard IV/IM morphine dose for acute pain.
- J3301Triamcinolone (Kenalog) injection, 10mg
A steroid injection commonly used for joint pain or allergic reactions.
- J7030IV saline solution, 1000 mL
A liter of standard IV fluid — salt water used for hydration or medication delivery.
Emergency
- 31500Emergency intubation (breathing tube placement)
Placing a breathing tube during a respiratory emergency.
- 92950Cardiopulmonary resuscitation (CPR)
CPR performed on a patient in cardiac arrest.
- 99283Emergency department visit, moderate severity
An ER visit for a problem that's serious but not life-threatening — think a bad cut needing stitches, moderate abdominal pain, or a minor fracture.
- 99284Emergency department visit, high severity
An ER visit involving significant workup — labs, imaging, IV medications, and detailed physician evaluation for a potentially serious issue.
- 99285Emergency department visit, highest severity
The top-tier ER code — reserved for life- or limb-threatening emergencies requiring extensive testing, multiple specialists, or immediate intervention.
- 99291Critical care, first 30–74 minutes
Reserved for patients with life-threatening illness or injury where a physician provides direct, continuous care for at least 30 minutes.
Hospital
- 99223Initial hospital inpatient care, high complexity
The admitting physician's first day evaluation when you're admitted to the hospital for a serious condition.
- 99232Subsequent hospital care, moderate complexity
A follow-up visit by your admitting physician on each day of your hospital stay after admission.
- 99238Hospital discharge day management, 30 min or less
The physician's final visit on your discharge day, including discharge instructions and paperwork.
Imaging
- 70450CT scan of the head or brain, without contrast
A CT scan of your head without dye. Used to check for bleeding, stroke, or trauma. Fast and common in ERs.
- 71046Chest X-ray, 2 views
A standard chest X-ray taken from two angles (front and side). One of the most common imaging tests in medicine.
- 72148MRI of the lumbar spine, without contrast
An MRI of your lower back — commonly ordered for back pain or sciatica.
- 73630X-ray of the foot, 3+ views
Standard foot X-ray taken from multiple angles, usually to check for a fracture.
- 73721MRI of the knee, without contrast
An MRI of your knee — typically for ligament tears or persistent pain.
- 74177CT scan of the abdomen and pelvis, with contrast
A CT scan of both abdomen and pelvis with IV dye — very common in ER for abdominal pain.
- 76700Abdominal ultrasound, complete
A full ultrasound of the abdomen — liver, gallbladder, pancreas, kidneys, spleen.
- 76805OB ultrasound, complete (after 14 weeks)
A complete pregnancy ultrasound after the first trimester.
Labs
- 36415Routine blood draw (venipuncture)
The act of drawing your blood for testing. This is a small, standard charge separate from the tests themselves.
- 36416Finger/heel/ear stick capillary blood collection
A small pinprick blood draw, typically for glucose or hematocrit checks.
- 80053Comprehensive metabolic panel (blood test)
A standard blood panel covering 14 tests — kidney and liver function, glucose, and electrolytes. Extremely common annual bloodwork.
- 80061Lipid panel (cholesterol test)
A blood test measuring total cholesterol, HDL, LDL, and triglycerides.
- 81003Urinalysis, automated, without microscopy
A standard automated urine dipstick test.
- 83036Hemoglobin A1C (diabetes monitoring)
A blood test measuring average blood sugar over the past 3 months. Standard for diabetes monitoring.
- 84443TSH (thyroid stimulating hormone) test
Standard thyroid function screening blood test.
- 85025Complete blood count (CBC) with differential
Measures red cells, white cells, and platelets. Used to screen for infection, anemia, and many other conditions.
- 87086Urine culture, quantitative
Grows bacteria from a urine sample to confirm a UTI.
Office visits
- 99203Office visit, new patient, low complexity (30 min)
A first-time visit with a doctor you haven't seen before (or not in the last 3 years) for a straightforward issue.
- 99204Office visit, new patient, moderate complexity (45 min)
A first-time visit involving moderate decision-making — new diagnosis workup, multiple issues, or prescription management.
- 99213Office visit, established patient, low complexity (15 min)
A routine follow-up appointment with a doctor you've seen before. Covers a short, straightforward visit — think refilling a prescription, checking on a stable condition, or a quick concern.
- 99214Office visit, established patient, moderate complexity (25 min)
A longer follow-up visit involving moderate decision-making — new symptoms, medication changes, or managing 2+ chronic conditions. Requires clear documentation.
- 99215Office visit, established patient, high complexity (40 min)
The highest-level established-patient office visit — reserved for complex problems like new serious diagnoses or high-risk medication changes.
Preventive
- 77067Screening mammogram, bilateral
A routine screening mammogram for breast cancer.
- 90471Vaccine administration (first shot)
The fee for administering a vaccine — separate from the cost of the vaccine itself.
- 90715Tdap vaccine (tetanus, diphtheria, pertussis)
Adult booster vaccine for tetanus and whooping cough.
- 99396Preventive visit, established patient, age 40–64
Your annual physical/wellness exam if you're between 40 and 64 and have been seen at the practice before.
- 99406Smoking cessation counseling, 3–10 minutes
A brief counseling session about quitting smoking, often added on to a regular visit.
- G0439Medicare annual wellness visit, subsequent
The yearly Medicare wellness visit after the initial one.
Procedures
- 10060Incision and drainage of abscess, simple
Draining a small abscess or boil.
- 12001Simple wound repair (stitches), up to 2.5 cm
Suturing a small, superficial cut. Common in ER and urgent care visits.
- 17110Destruction of benign lesions, up to 14
Removing warts or other benign skin lesions (freezing, burning, etc.).
- 20610Joint injection (large joint — knee, shoulder, hip)
An injection of medication (often a steroid) into a large joint to reduce pain and inflammation.
- 29881Knee arthroscopy with meniscectomy
Minimally invasive knee surgery to trim a torn meniscus.
- 43239Upper endoscopy (EGD) with biopsy
A scope inserted through your mouth to look at the esophagus, stomach, and upper small intestine, with tissue samples taken.
- 45378Colonoscopy, diagnostic
A diagnostic colonoscopy — done because of symptoms or a positive screening test. Different from a routine screening colonoscopy.
- 45380Colonoscopy with biopsy
A colonoscopy where a tissue sample was taken for lab analysis.
- 96372Therapeutic injection, subcutaneous or intramuscular
The service of administering an injection (separate from the drug itself).
Supplies
Therapy
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