| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19,401 |
17,152 |
$1.18M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,004 |
7,539 |
$648K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
5,240 |
4,703 |
$420K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,341 |
2,001 |
$363K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,308 |
1,928 |
$347K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
5,328 |
4,281 |
$312K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,966 |
4,434 |
$277K |
| 71046 |
Radiologic examination, chest; 2 views |
6,328 |
5,480 |
$154K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,430 |
4,037 |
$106K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,164 |
5,339 |
$91K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,334 |
1,580 |
$85K |
| 80053 |
Comprehensive metabolic panel |
14,454 |
10,715 |
$68K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,437 |
4,838 |
$65K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,127 |
2,557 |
$64K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
5,243 |
4,640 |
$57K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,121 |
10,916 |
$55K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
738 |
578 |
$51K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,421 |
3,480 |
$47K |
| 83880 |
|
2,710 |
2,071 |
$43K |
| 71045 |
Radiologic examination, chest; single view |
2,737 |
2,151 |
$37K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
332 |
260 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,955 |
3,183 |
$34K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,283 |
345 |
$28K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,337 |
1,671 |
$27K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
890 |
743 |
$25K |
| 84484 |
|
5,069 |
3,323 |
$25K |
| 83735 |
|
8,023 |
5,696 |
$24K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,004 |
2,437 |
$21K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
765 |
689 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,145 |
2,924 |
$20K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
4,888 |
4,182 |
$18K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
293 |
271 |
$15K |
| 73562 |
|
315 |
273 |
$13K |
| 81025 |
|
3,379 |
3,001 |
$13K |
| 87081 |
|
3,922 |
3,673 |
$12K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
307 |
249 |
$12K |
| 83605 |
|
2,343 |
1,587 |
$12K |
| 83690 |
|
3,596 |
2,929 |
$12K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,312 |
1,143 |
$11K |
| 87430 |
|
1,578 |
1,499 |
$11K |
| 74018 |
|
632 |
566 |
$11K |
| 96376 |
|
619 |
389 |
$11K |
| 81001 |
|
7,341 |
6,121 |
$10K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
331 |
295 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
42 |
25 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
61 |
54 |
$8K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
63 |
52 |
$7K |
| 73630 |
|
242 |
221 |
$7K |
| 72100 |
|
204 |
182 |
$7K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,505 |
1,016 |
$6K |
| 87077 |
|
1,521 |
1,278 |
$6K |
| G0378 |
Hospital observation service, per hour |
251 |
84 |
$6K |
| 87807 |
|
777 |
735 |
$5K |
| 87186 |
|
1,341 |
1,121 |
$5K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
4,642 |
3,534 |
$5K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
341 |
173 |
$5K |
| 85379 |
|
930 |
776 |
$4K |
| 85610 |
|
2,590 |
1,962 |
$4K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
264 |
83 |
$4K |
| 73610 |
|
142 |
131 |
$4K |
| 87040 |
|
881 |
499 |
$4K |
| 82550 |
|
1,823 |
1,423 |
$3K |
| 81003 |
|
3,248 |
2,783 |
$3K |
| 71250 |
|
14 |
14 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$3K |
| 73030 |
|
101 |
83 |
$3K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,845 |
1,408 |
$2K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
173 |
53 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,327 |
1,611 |
$2K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,547 |
1,943 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
7,782 |
5,348 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,263 |
2,782 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,440 |
2,770 |
$2K |
| APT15 |
|
180 |
158 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
148 |
138 |
$2K |
| 82553 |
|
258 |
186 |
$2K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
20 |
15 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
136 |
126 |
$2K |
| 85730 |
|
737 |
537 |
$2K |
| 86140 |
|
590 |
467 |
$1K |
| 87420 |
|
251 |
225 |
$1K |
| 73130 |
|
41 |
38 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
240 |
206 |
$1K |
| 84439 |
|
246 |
213 |
$1K |
| 82077 |
|
155 |
125 |
$1K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
12 |
12 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,447 |
1,117 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$964.67 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
22 |
13 |
$937.44 |
| 73110 |
|
27 |
26 |
$936.04 |
| 36000 |
|
29 |
23 |
$789.52 |
| 87400 |
|
88 |
82 |
$735.74 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
304 |
236 |
$703.28 |
| U0005 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
55 |
51 |
$695.00 |
| 85027 |
|
239 |
161 |
$565.05 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
706 |
511 |
$551.35 |
| 80061 |
Lipid panel |
167 |
128 |
$536.66 |
| 73502 |
|
14 |
12 |
$529.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
480 |
297 |
$475.66 |
| 84702 |
|
84 |
75 |
$466.64 |
| 86901 |
|
71 |
60 |
$384.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
858 |
596 |
$352.38 |
| 82803 |
|
18 |
14 |
$267.74 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
14 |
12 |
$240.92 |
| J2060 |
Injection, lorazepam, 2 mg |
237 |
188 |
$228.19 |
| 86850 |
|
45 |
37 |
$218.51 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
174 |
96 |
$205.38 |
| 82565 |
|
80 |
65 |
$193.47 |
| 80320 |
|
15 |
13 |
$189.35 |
| 87070 |
|
33 |
32 |
$161.13 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
56 |
49 |
$138.90 |
| 86900 |
|
72 |
60 |
$131.37 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
12 |
$88.39 |
| 84520 |
|
55 |
41 |
$84.08 |
| 36600 |
|
14 |
12 |
$80.66 |
| 85652 |
|
44 |
38 |
$71.20 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
67 |
53 |
$44.85 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
26 |
25 |
$43.42 |
| 87147 |
|
14 |
13 |
$32.44 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
19 |
13 |
$29.72 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
81 |
64 |
$28.02 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
21 |
12 |
$21.49 |
| 84100 |
|
38 |
24 |
$15.83 |
| J2704 |
Injection, propofol, 10 mg |
13 |
13 |
$13.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
33 |
28 |
$11.50 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
60 |
52 |
$8.53 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
40 |
26 |
$5.74 |
| A9270 |
Non-covered item or service |
3,298 |
2,206 |
$2.57 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
15 |
13 |
$0.24 |