| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
40,669 |
35,915 |
$21.15M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
23,462 |
20,265 |
$14.06M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,731 |
5,205 |
$5.98M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
14,578 |
13,405 |
$5.10M |
| G0378 |
Hospital observation service, per hour |
3,249 |
2,605 |
$3.39M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,688 |
3,278 |
$2.77M |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,180 |
2,034 |
$2.03M |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
5,515 |
5,126 |
$1.40M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
7,085 |
5,926 |
$886K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
17,433 |
11,542 |
$625K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
430 |
386 |
$549K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
3,291 |
1,789 |
$281K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
11,365 |
7,465 |
$256K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
9,238 |
7,167 |
$256K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,442 |
5,798 |
$205K |
| 59025 |
Fetal non-stress test |
669 |
565 |
$159K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
851 |
781 |
$146K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
2,291 |
1,315 |
$103K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
16,013 |
13,075 |
$96K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
3,407 |
2,397 |
$89K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
864 |
790 |
$85K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
620 |
475 |
$80K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
532 |
224 |
$73K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
5,173 |
3,951 |
$56K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
19,097 |
16,098 |
$46K |
| 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 |
2,623 |
2,263 |
$33K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
6,463 |
5,596 |
$30K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
11,038 |
7,918 |
$29K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
955 |
895 |
$26K |
| 73610 |
|
1,469 |
1,271 |
$26K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
888 |
814 |
$24K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
16,684 |
12,089 |
$23K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
754 |
736 |
$18K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
2,074 |
1,870 |
$16K |
| 86900 |
|
3,046 |
2,621 |
$15K |
| 80053 |
Comprehensive metabolic panel |
14,791 |
12,549 |
$15K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
57 |
56 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,179 |
2,762 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
1,962 |
1,791 |
$12K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,782 |
1,525 |
$10K |
| 70486 |
|
268 |
251 |
$9K |
| 73130 |
|
927 |
856 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,692 |
1,599 |
$8K |
| 36430 |
|
53 |
39 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,859 |
2,544 |
$7K |
| 12001 |
|
544 |
524 |
$7K |
| 73030 |
|
933 |
827 |
$6K |
| 12011 |
|
180 |
174 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
34,956 |
28,120 |
$5K |
| 96367 |
|
1,913 |
1,504 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
13,369 |
11,681 |
$5K |
| 73110 |
|
562 |
488 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
7,171 |
6,483 |
$5K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
68 |
58 |
$4K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
83 |
81 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
6,501 |
5,907 |
$4K |
| 10061 |
|
30 |
27 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
17,256 |
14,034 |
$3K |
| 12002 |
|
170 |
156 |
$3K |
| 99152 |
|
539 |
472 |
$3K |
| 83880 |
|
3,807 |
3,310 |
$3K |
| 73630 |
|
1,286 |
1,181 |
$3K |
| 91320 |
|
13 |
13 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
44 |
$3K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
16 |
12 |
$3K |
| 96160 |
|
2,492 |
2,261 |
$3K |
| 93971 |
|
270 |
245 |
$2K |
| 73080 |
|
174 |
150 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
278 |
257 |
$2K |
| 80320 |
|
548 |
488 |
$2K |
| 85027 |
|
4,395 |
3,290 |
$2K |
| 73562 |
|
732 |
664 |
$2K |
| 84703 |
|
9,261 |
8,359 |
$2K |
| 97161 |
|
110 |
86 |
$2K |
| 73590 |
|
89 |
79 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
629 |
586 |
$2K |
| 20610 |
|
14 |
13 |
$2K |
| 87186 |
|
3,155 |
2,772 |
$2K |
| 84484 |
|
10,720 |
7,499 |
$2K |
| 83690 |
|
10,880 |
9,368 |
$1K |
| 70496 |
|
37 |
37 |
$1K |
| 72100 |
|
208 |
200 |
$1K |
| 76830 |
Ultrasound, transvaginal |
143 |
131 |
$1K |
| 73564 |
|
33 |
31 |
$1K |
| 80076 |
|
8,056 |
7,008 |
$1K |
| 81001 |
|
16,504 |
14,588 |
$1K |
| 76801 |
|
525 |
471 |
$1K |
| 82803 |
|
3,037 |
2,558 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
72 |
61 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
50 |
36 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
31,787 |
16,128 |
$1K |
| 80047 |
|
9,762 |
8,144 |
$1K |
| 0001A |
|
63 |
61 |
$1K |
| 70498 |
|
51 |
51 |
$1K |
| 73090 |
|
64 |
51 |
$982.90 |
| 96523 |
|
61 |
38 |
$938.99 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
24 |
24 |
$858.00 |
| 83605 |
|
4,951 |
3,635 |
$832.00 |
| 87040 |
|
5,327 |
3,012 |
$787.76 |
| 90715 |
|
1,006 |
937 |
$762.55 |
| 73502 |
|
137 |
120 |
$751.94 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,269 |
1,724 |
$686.34 |
| 85610 |
|
6,789 |
5,717 |
$675.76 |
| 85730 |
|
4,895 |
4,210 |
$623.77 |
| 0450 |
Emergency room services |
14 |
13 |
$587.34 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
3,548 |
2,934 |
$562.86 |
| 84702 |
|
1,443 |
1,301 |
$541.51 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
14,551 |
11,313 |
$513.97 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
11,864 |
9,014 |
$472.26 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
6,731 |
4,883 |
$417.74 |
| 97165 |
|
16 |
12 |
$408.82 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
6,674 |
4,994 |
$385.70 |
| 96376 |
|
4,326 |
2,759 |
$383.10 |
| 81003 |
|
7,177 |
6,532 |
$374.25 |
| 29125 |
|
68 |
62 |
$369.08 |
| J3490 |
Unclassified drugs |
8,082 |
5,007 |
$364.28 |
| 85379 |
|
1,419 |
1,326 |
$358.86 |
| 87077 |
|
3,075 |
2,698 |
$338.77 |
| 83735 |
|
4,881 |
2,968 |
$338.32 |
| 87070 |
|
864 |
769 |
$336.98 |
| 82962 |
|
2,657 |
1,348 |
$325.06 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
19 |
$320.93 |
| 99153 |
Mod sedat endo service >5yrs |
116 |
103 |
$312.90 |
| 73140 |
|
41 |
37 |
$273.55 |
| P9016 |
Red blood cells, leukocytes reduced, each unit |
34 |
25 |
$268.74 |
| 73070 |
|
13 |
12 |
$254.41 |
| 86920 |
|
56 |
36 |
$239.50 |
| 36415 |
Collection of venous blood by venipuncture |
15,672 |
11,991 |
$226.54 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
5,418 |
4,176 |
$222.19 |
| 73100 |
|
22 |
16 |
$220.18 |
| 82330 |
|
1,000 |
847 |
$214.06 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
8,619 |
6,987 |
$204.24 |
| 86850 |
|
2,549 |
2,176 |
$201.22 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
263 |
244 |
$196.22 |
| 86140 |
|
2,511 |
2,113 |
$176.30 |
| 86901 |
|
3,054 |
2,621 |
$161.53 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
27 |
27 |
$153.55 |
| J2060 |
Injection, lorazepam, 2 mg |
4,031 |
3,239 |
$147.27 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
3,218 |
2,694 |
$147.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,838 |
1,670 |
$147.11 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
12 |
$141.54 |
| 85014 |
|
2,720 |
2,333 |
$138.83 |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
388 |
305 |
$137.17 |
| 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 |
1,545 |
1,317 |
$136.95 |
| 80069 |
|
25 |
22 |
$136.66 |
| 74018 |
|
71 |
71 |
$133.10 |
| 82947 |
|
3,670 |
1,862 |
$132.37 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
2,421 |
1,337 |
$115.32 |
| J2704 |
Injection, propofol, 10 mg |
5,740 |
4,415 |
$113.65 |
| 84145 |
|
457 |
411 |
$98.79 |
| 85018 |
|
2,583 |
2,214 |
$90.36 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
3,938 |
2,439 |
$73.35 |
| 84100 |
|
999 |
691 |
$73.27 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,992 |
1,710 |
$63.34 |
| C1751 |
Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) |
10,800 |
7,861 |
$61.78 |
| 82550 |
|
24 |
24 |
$55.89 |
| J3480 |
Injection, potassium chloride, per 2 meq |
367 |
201 |
$47.82 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
684 |
390 |
$40.52 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
3,088 |
2,509 |
$38.20 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
260 |
169 |
$36.80 |
| 84460 |
|
638 |
583 |
$32.83 |
| 87088 |
|
451 |
417 |
$32.82 |
| 84450 |
|
651 |
592 |
$32.32 |
| A9270 |
Non-covered item or service |
789 |
266 |
$30.76 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
4,924 |
4,069 |
$29.03 |
| 82247 |
|
439 |
396 |
$27.40 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
3,894 |
3,324 |
$27.05 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
493 |
322 |
$26.93 |
| 96368 |
|
451 |
360 |
$22.78 |
| 97116 |
|
22 |
14 |
$21.80 |
| 96161 |
|
531 |
515 |
$21.70 |
| C1769 |
Guide wire |
393 |
348 |
$21.35 |
| 82565 |
|
870 |
559 |
$19.62 |
| 84075 |
|
361 |
330 |
$19.40 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
22 |
14 |
$19.19 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
3,422 |
2,268 |
$18.28 |
| 80051 |
|
414 |
345 |
$18.27 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
973 |
749 |
$17.71 |
| 84439 |
|
51 |
41 |
$16.97 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
648 |
537 |
$16.26 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
460 |
278 |
$16.11 |
| J1790 |
Injection, droperidol, up to 5 mg |
93 |
78 |
$14.33 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
389 |
336 |
$11.22 |
| J1815 |
Injection, insulin, per 5 units |
325 |
164 |
$7.86 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,991 |
1,015 |
$5.81 |
| 87081 |
|
62 |
62 |
$5.68 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
192 |
118 |
$5.49 |
| J3360 |
Injection, diazepam, up to 5 mg |
562 |
246 |
$5.30 |
| 84520 |
|
430 |
362 |
$4.44 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
478 |
352 |
$3.40 |
| C1757 |
Catheter, thrombectomy/embolectomy |
2,190 |
1,709 |
$2.82 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
3,612 |
830 |
$1.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
544 |
431 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
191 |
161 |
$0.00 |
| 90480 |
|
13 |
13 |
$0.00 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
58 |
53 |
$0.00 |
| 88304 |
|
234 |
218 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
251 |
235 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
15 |
13 |
$0.00 |
| J1940 |
Injection, furosemide, up to 20 mg |
351 |
251 |
$0.00 |
| C1889 |
Implantable/insertable device, not otherwise classified |
314 |
279 |
$0.00 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
571 |
459 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
138 |
119 |
$0.00 |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
148 |
75 |
$0.00 |
| 3074F |
|
16 |
13 |
$0.00 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
93 |
42 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
69 |
63 |
$0.00 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
208 |
82 |
$0.00 |
| 80329 |
|
75 |
39 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
20 |
14 |
$0.00 |
| 71101 |
|
27 |
25 |
$0.00 |
| 90656 |
|
16 |
16 |
$0.00 |
| 86141 |
|
24 |
21 |
$0.00 |
| 90686 |
|
52 |
47 |
$0.00 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
27 |
12 |
$0.00 |
| 94762 |
|
17 |
12 |
$0.00 |
| 85651 |
|
14 |
12 |
$0.00 |
| 99151 |
|
15 |
13 |
$0.00 |
| A4565 |
Slings |
14 |
13 |
$0.00 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
228 |
197 |
$0.00 |
| 82570 |
|
164 |
127 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
34 |
26 |
$0.00 |
| 10060 |
|
91 |
86 |
$0.00 |
| 90749 |
|
87 |
82 |
$0.00 |
| C1758 |
Catheter, ureteral |
25 |
25 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
316 |
216 |
$0.00 |
| J2004 |
Injection, lidocaine hcl with epinephrine, 1 mg |
50 |
46 |
$0.00 |
| 84156 |
|
32 |
29 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
47 |
43 |
$0.00 |
| 1159F |
|
17 |
14 |
$0.00 |
| 80061 |
Lipid panel |
17 |
13 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
75 |
49 |
$0.00 |
| 93017 |
|
16 |
12 |
$0.00 |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
21 |
21 |
$0.00 |
| 76000 |
|
56 |
41 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
12 |
12 |
$0.00 |
| 3078F |
|
17 |
14 |
$0.00 |
| J1953 |
Injection, levetiracetam, 10 mg |
19 |
14 |
$0.00 |
| J0878 |
Injection, daptomycin, 1 mg |
23 |
12 |
$0.00 |