| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
30,367 |
28,308 |
$9.96M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14,093 |
12,909 |
$5.18M |
| G0378 |
Hospital observation service, per hour |
7,079 |
3,460 |
$1.06M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,000 |
3,818 |
$1.05M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,071 |
1,007 |
$683K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,537 |
1,326 |
$577K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
963 |
202 |
$311K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24,962 |
13,721 |
$265K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13,960 |
12,957 |
$259K |
| 72082 |
|
2,187 |
2,153 |
$252K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
328 |
307 |
$219K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
117 |
113 |
$216K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,252 |
775 |
$201K |
| 95715 |
|
203 |
190 |
$147K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,386 |
2,260 |
$137K |
| 76775 |
|
772 |
746 |
$134K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
387 |
362 |
$130K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,573 |
461 |
$130K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,477 |
412 |
$128K |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
99 |
87 |
$127K |
| 73140 |
|
1,018 |
925 |
$115K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
129 |
44 |
$97K |
| 96415 |
|
168 |
154 |
$85K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
4,261 |
4,002 |
$85K |
| 71046 |
Radiologic examination, chest; 2 views |
1,695 |
1,517 |
$65K |
| 73100 |
|
489 |
403 |
$55K |
| 85027 |
|
2,886 |
2,390 |
$53K |
| D7140 |
Extraction, erupted tooth or exposed root |
113 |
60 |
$50K |
| 72170 |
|
438 |
429 |
$48K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
164 |
161 |
$47K |
| 87807 |
|
3,243 |
2,998 |
$46K |
| 44970 |
|
15 |
13 |
$46K |
| 95700 |
|
239 |
229 |
$45K |
| 93325 |
|
335 |
310 |
$42K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
134 |
98 |
$42K |
| 85007 |
|
2,258 |
1,873 |
$39K |
| 73130 |
|
305 |
266 |
$34K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
106 |
89 |
$32K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
169 |
151 |
$31K |
| 92587 |
|
209 |
199 |
$30K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
340 |
299 |
$28K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,166 |
862 |
$24K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,213 |
1,027 |
$23K |
| 81001 |
|
1,161 |
1,083 |
$23K |
| J0136 |
Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg |
831 |
662 |
$20K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
475 |
393 |
$17K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
658 |
405 |
$17K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
47 |
42 |
$16K |
| 86140 |
|
788 |
672 |
$16K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
624 |
391 |
$16K |
| 94664 |
|
507 |
455 |
$14K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
369 |
307 |
$14K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
687 |
602 |
$13K |
| 92567 |
|
293 |
284 |
$13K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
20 |
17 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
583 |
526 |
$12K |
| 96450 |
|
18 |
12 |
$12K |
| 87581 |
|
654 |
560 |
$12K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
583 |
518 |
$11K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
216 |
206 |
$11K |
| 73090 |
|
81 |
65 |
$10K |
| J2704 |
Injection, propofol, 10 mg |
510 |
432 |
$9K |
| 73610 |
|
71 |
66 |
$9K |
| 77072 |
|
82 |
81 |
$9K |
| 73560 |
|
97 |
86 |
$9K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
395 |
328 |
$8K |
| 96376 |
|
177 |
113 |
$7K |
| 80053 |
Comprehensive metabolic panel |
283 |
250 |
$7K |
| 93320 |
|
330 |
306 |
$7K |
| 80076 |
|
292 |
143 |
$7K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
295 |
278 |
$7K |
| D1351 |
Sealant - per tooth |
78 |
31 |
$6K |
| 74018 |
|
54 |
51 |
$6K |
| 74019 |
|
77 |
75 |
$5K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
14 |
12 |
$5K |
| 83615 |
|
246 |
111 |
$5K |
| 82784 |
|
230 |
117 |
$5K |
| 87486 |
|
167 |
149 |
$4K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
69 |
66 |
$4K |
| 97161 |
|
13 |
13 |
$4K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
141 |
116 |
$4K |
| 73630 |
|
32 |
27 |
$4K |
| 85652 |
|
177 |
164 |
$3K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
114 |
48 |
$3K |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
56 |
55 |
$3K |
| 96409 |
|
20 |
14 |
$3K |
| J3490 |
Unclassified drugs |
890 |
473 |
$3K |
| J3480 |
Injection, potassium chloride, per 2 meq |
451 |
317 |
$2K |
| 76536 |
|
15 |
12 |
$2K |
| 73070 |
|
18 |
15 |
$2K |
| 88312 |
|
31 |
28 |
$2K |
| 77077 |
|
13 |
12 |
$1K |
| 87040 |
|
81 |
68 |
$1K |
| 92579 |
|
15 |
15 |
$965.79 |
| 87338 |
|
29 |
26 |
$813.44 |
| 82657 |
|
13 |
12 |
$647.59 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15 |
12 |
$524.96 |
| 84100 |
|
62 |
38 |
$507.32 |
| 88304 |
|
15 |
13 |
$496.88 |
| 83735 |
|
61 |
38 |
$474.11 |
| 00840 |
|
13 |
12 |
$393.29 |
| J9370 |
Vincristine sulfate, 1 mg |
22 |
12 |
$386.49 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
18 |
14 |
$210.45 |
| 80047 |
|
15 |
14 |
$205.31 |
| 85014 |
|
15 |
14 |
$172.34 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
33 |
24 |
$170.87 |
| 85045 |
|
23 |
15 |
$89.62 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$86.02 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
32 |
27 |
$80.02 |
| 88108 |
|
19 |
12 |
$67.89 |
| 89050 |
|
19 |
12 |
$48.41 |