| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
10,362 |
9,616 |
$2.06M |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
421 |
412 |
$1.41M |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,344 |
913 |
$844K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13,463 |
12,819 |
$702K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
4,283 |
4,085 |
$471K |
| 81420 |
Fetal chromosomal aneuploidy genomic sequence analysis panel |
477 |
448 |
$371K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,832 |
1,765 |
$297K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,428 |
1,366 |
$230K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,828 |
1,629 |
$209K |
| 42830 |
|
138 |
137 |
$191K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,217 |
1,177 |
$151K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,000 |
3,808 |
$136K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,998 |
3,807 |
$136K |
| 80053 |
Comprehensive metabolic panel |
11,071 |
10,105 |
$125K |
| 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 |
1,075 |
976 |
$121K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14,521 |
13,031 |
$100K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
143 |
135 |
$71K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,600 |
2,273 |
$70K |
| 86780 |
|
3,762 |
3,529 |
$58K |
| 86850 |
|
2,182 |
2,033 |
$56K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
2,046 |
1,930 |
$56K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
833 |
773 |
$41K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
4,933 |
4,584 |
$38K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,861 |
2,742 |
$33K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
994 |
949 |
$30K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
936 |
887 |
$28K |
| 86762 |
|
1,620 |
1,540 |
$28K |
| 42821 |
|
12 |
12 |
$27K |
| 70450 |
Computed tomography, head or brain; without contrast material |
525 |
492 |
$25K |
| 81001 |
|
6,610 |
6,158 |
$23K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
910 |
877 |
$22K |
| 87340 |
|
1,690 |
1,602 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
177 |
122 |
$20K |
| 85027 |
|
2,546 |
2,407 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
1,448 |
1,269 |
$19K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,425 |
2,334 |
$18K |
| 80050 |
General health panel |
84 |
75 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
455 |
433 |
$13K |
| 87081 |
|
1,684 |
1,656 |
$13K |
| 86803 |
|
719 |
667 |
$12K |
| 82950 |
|
1,844 |
1,767 |
$11K |
| 84702 |
|
842 |
723 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
169 |
162 |
$10K |
| 84484 |
|
1,853 |
1,036 |
$9K |
| 81513 |
|
68 |
66 |
$9K |
| 81025 |
|
1,171 |
1,090 |
$9K |
| 86900 |
|
2,288 |
2,141 |
$8K |
| 90715 |
|
374 |
355 |
$8K |
| 86901 |
|
2,290 |
2,141 |
$8K |
| 59025 |
Fetal non-stress test |
201 |
178 |
$8K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
241 |
228 |
$6K |
| 80061 |
Lipid panel |
1,209 |
1,182 |
$6K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,128 |
1,016 |
$5K |
| 86003 |
|
98 |
32 |
$5K |
| 84703 |
|
833 |
792 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
355 |
339 |
$5K |
| 83880 |
|
363 |
330 |
$5K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
324 |
318 |
$4K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
62 |
61 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
26 |
26 |
$3K |
| 83690 |
|
1,137 |
1,055 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
27 |
14 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
654 |
534 |
$3K |
| 87480 |
|
170 |
161 |
$2K |
| 87660 |
|
170 |
161 |
$2K |
| 82077 |
|
239 |
221 |
$2K |
| 84030 |
|
415 |
413 |
$2K |
| 83735 |
|
580 |
524 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
919 |
788 |
$2K |
| 87070 |
|
385 |
383 |
$2K |
| 87077 |
|
559 |
473 |
$2K |
| 82947 |
|
701 |
369 |
$2K |
| 81511 |
|
312 |
293 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
112 |
98 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
273 |
250 |
$2K |
| 81329 |
|
17 |
12 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,163 |
1,031 |
$1K |
| 87510 |
|
102 |
95 |
$1K |
| 85610 |
|
743 |
678 |
$1K |
| 87481 |
|
62 |
61 |
$974.52 |
| 85730 |
|
387 |
361 |
$918.18 |
| 82247 |
|
121 |
81 |
$874.55 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
545 |
482 |
$863.25 |
| 87040 |
|
268 |
148 |
$825.48 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
588 |
460 |
$810.66 |
| 86787 |
|
63 |
57 |
$763.56 |
| 87186 |
|
304 |
265 |
$722.85 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
24 |
24 |
$719.04 |
| 81003 |
|
550 |
525 |
$708.29 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
308 |
278 |
$705.25 |
| 83605 |
|
219 |
176 |
$688.77 |
| 83021 |
|
34 |
29 |
$616.39 |
| 82248 |
|
114 |
112 |
$557.47 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
64 |
49 |
$521.18 |
| 82607 |
|
63 |
61 |
$459.52 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
383 |
361 |
$452.53 |
| 82105 |
|
34 |
32 |
$418.39 |
| J7050 |
Infusion, normal saline solution, 250 cc |
131 |
104 |
$325.42 |
| 82746 |
|
29 |
28 |
$269.23 |
| 82570 |
|
126 |
125 |
$261.87 |
| 82043 |
|
63 |
63 |
$144.99 |
| 82951 |
|
14 |
13 |
$118.99 |
| 86140 |
|
76 |
72 |
$99.15 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
47 |
43 |
$92.93 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
44 |
41 |
$87.94 |
| 84146 |
|
43 |
43 |
$87.54 |
| 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 |
72 |
69 |
$71.14 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
39 |
39 |
$64.47 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
118 |
109 |
$56.76 |
| 36415 |
Collection of venous blood by venipuncture |
14,499 |
12,551 |
$47.91 |
| 84439 |
|
12 |
12 |
$36.43 |
| 82952 |
|
14 |
13 |
$36.21 |
| 87641 |
|
14 |
14 |
$29.48 |
| 85379 |
|
12 |
12 |
$14.31 |
| G1010 |
Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program |
36 |
28 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
26 |
26 |
$0.00 |
| 96376 |
|
16 |
12 |
$0.00 |