| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,164 |
6,766 |
$330K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,873 |
5,466 |
$307K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,904 |
10,322 |
$106K |
| 80053 |
Comprehensive metabolic panel |
5,431 |
4,603 |
$68K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
842 |
768 |
$59K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
300 |
284 |
$29K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
387 |
355 |
$23K |
| G0378 |
Hospital observation service, per hour |
955 |
644 |
$22K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
909 |
850 |
$21K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
441 |
392 |
$17K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
381 |
326 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
726 |
365 |
$14K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
103 |
99 |
$10K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
448 |
422 |
$10K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
161 |
148 |
$9K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
94 |
87 |
$9K |
| 81025 |
|
502 |
474 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
109 |
102 |
$7K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
384 |
120 |
$7K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
94 |
78 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
114 |
100 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
423 |
382 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
31 |
28 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
333 |
304 |
$5K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
336 |
93 |
$4K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
58 |
31 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
95 |
91 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
95 |
91 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
168 |
162 |
$4K |
| 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 |
67 |
63 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
199 |
175 |
$3K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
69 |
68 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
297 |
282 |
$3K |
| 81001 |
|
534 |
497 |
$3K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
252 |
88 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
49 |
48 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
106 |
95 |
$2K |
| 96376 |
|
118 |
94 |
$2K |
| 84112 |
|
25 |
25 |
$2K |
| 87077 |
|
242 |
222 |
$2K |
| 84484 |
|
201 |
152 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,255 |
987 |
$2K |
| 83690 |
|
196 |
189 |
$1K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
92 |
39 |
$1K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
29 |
12 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
127 |
122 |
$1K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
89 |
39 |
$1K |
| 84425 |
|
45 |
42 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
124 |
101 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
132 |
130 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
154 |
146 |
$1K |
| 83735 |
|
198 |
171 |
$1K |
| 76801 |
|
16 |
13 |
$876.96 |
| 83605 |
|
99 |
87 |
$760.80 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
111 |
41 |
$727.40 |
| 0001A |
|
137 |
137 |
$727.35 |
| 84702 |
|
66 |
58 |
$690.52 |
| 82947 |
|
186 |
86 |
$689.25 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
209 |
202 |
$676.07 |
| 0002A |
|
123 |
120 |
$670.75 |
| 97162 |
|
25 |
24 |
$644.61 |
| 73630 |
|
46 |
43 |
$639.53 |
| 72110 |
|
28 |
27 |
$634.29 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
14 |
$634.27 |
| 94761 |
|
64 |
59 |
$622.71 |
| 84443 |
Thyroid stimulating hormone (TSH) |
53 |
51 |
$610.38 |
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
63 |
14 |
$594.58 |
| 87186 |
|
66 |
57 |
$576.96 |
| 81003 |
|
544 |
500 |
$548.64 |
| 87040 |
|
88 |
48 |
$535.05 |
| 97113 |
|
29 |
12 |
$500.48 |
| 83880 |
|
53 |
50 |
$498.66 |
| 85380 |
|
50 |
48 |
$474.71 |
| 85027 |
|
73 |
69 |
$462.22 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$455.25 |
| 86901 |
|
80 |
75 |
$422.40 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
390 |
331 |
$415.24 |
| 87210 |
|
73 |
72 |
$398.16 |
| 97116 |
|
49 |
26 |
$386.11 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
242 |
219 |
$379.21 |
| 85610 |
|
122 |
112 |
$376.53 |
| 73502 |
|
18 |
13 |
$351.59 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$351.30 |
| 80061 |
Lipid panel |
56 |
51 |
$347.96 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
148 |
111 |
$342.26 |
| 86900 |
|
80 |
75 |
$333.79 |
| 73610 |
|
14 |
14 |
$268.19 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
21 |
15 |
$258.72 |
| 86850 |
|
38 |
32 |
$236.00 |
| 85730 |
|
71 |
69 |
$231.00 |
| 73562 |
|
18 |
16 |
$222.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
28 |
28 |
$211.97 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
89 |
85 |
$190.46 |
| 82565 |
|
34 |
29 |
$172.67 |
| 83655 |
|
12 |
12 |
$168.41 |
| 92508 |
Group treatment of speech, language, voice, communication, and/or auditory processing disorder |
32 |
15 |
$165.76 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
882 |
740 |
$147.06 |
| 87184 |
|
12 |
12 |
$143.76 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
98 |
85 |
$126.61 |
| 80076 |
|
15 |
14 |
$122.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
66 |
48 |
$112.83 |
| 87070 |
|
16 |
15 |
$97.80 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
111 |
85 |
$89.82 |
| 0031A |
|
12 |
12 |
$80.00 |
| 87205 |
|
17 |
16 |
$76.39 |
| 36415 |
Collection of venous blood by venipuncture |
1,390 |
950 |
$75.34 |
| 84703 |
|
12 |
12 |
$75.20 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
119 |
90 |
$65.88 |
| J7070 |
Infusion, d5w, 1000 cc |
53 |
26 |
$60.48 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
52 |
51 |
$55.39 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
43 |
33 |
$45.40 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
62 |
61 |
$33.79 |
| 85014 |
|
36 |
34 |
$33.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
56 |
41 |
$31.74 |
| J2060 |
Injection, lorazepam, 2 mg |
28 |
28 |
$29.24 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
49 |
36 |
$0.43 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
179 |
172 |
$0.00 |