| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
22,190 |
20,053 |
$5.19M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
11,926 |
10,391 |
$3.11M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
6,098 |
5,266 |
$2.55M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,630 |
8,667 |
$2.40M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,652 |
3,411 |
$1.42M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
18,689 |
5,546 |
$1.36M |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
13,383 |
4,269 |
$911K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,495 |
2,363 |
$743K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,953 |
2,771 |
$618K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
7,751 |
7,292 |
$598K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
2,433 |
719 |
$486K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,939 |
1,477 |
$382K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
976 |
930 |
$370K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
7,304 |
2,776 |
$350K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,622 |
1,520 |
$320K |
| 97161 |
|
1,107 |
1,065 |
$215K |
| 97162 |
|
853 |
823 |
$183K |
| 87428 |
|
6,740 |
6,387 |
$146K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19,808 |
18,378 |
$145K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
318 |
303 |
$142K |
| 71046 |
Radiologic examination, chest; 2 views |
4,645 |
4,407 |
$123K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
2,867 |
1,180 |
$123K |
| 80053 |
Comprehensive metabolic panel |
17,635 |
15,452 |
$111K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
320 |
251 |
$107K |
| 97535 |
Self-care/home management training, each 15 minutes |
1,136 |
771 |
$83K |
| G0378 |
Hospital observation service, per hour |
275 |
235 |
$78K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,290 |
1,106 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
500 |
458 |
$61K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
102 |
85 |
$56K |
| 73564 |
|
1,409 |
1,299 |
$51K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
603 |
593 |
$49K |
| 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 |
2,244 |
2,025 |
$49K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
8,779 |
7,733 |
$47K |
| 73110 |
|
1,006 |
906 |
$41K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,154 |
3,957 |
$41K |
| 36415 |
Collection of venous blood by venipuncture |
19,514 |
16,178 |
$41K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
20,852 |
17,735 |
$35K |
| 73610 |
|
1,046 |
964 |
$35K |
| 73030 |
|
981 |
926 |
$34K |
| 76830 |
Ultrasound, transvaginal |
197 |
191 |
$34K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
221 |
212 |
$32K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,667 |
6,698 |
$32K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,137 |
1,098 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,583 |
3,568 |
$28K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,628 |
3,169 |
$28K |
| 73630 |
|
1,012 |
916 |
$26K |
| 80061 |
Lipid panel |
2,055 |
1,987 |
$25K |
| 73130 |
|
966 |
863 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
425 |
376 |
$22K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
59 |
56 |
$20K |
| 81025 |
|
4,093 |
3,821 |
$16K |
| 85379 |
|
2,298 |
2,162 |
$16K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
83 |
77 |
$16K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,774 |
1,720 |
$15K |
| 87420 |
|
676 |
631 |
$14K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
385 |
329 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,424 |
1,310 |
$14K |
| 87807 |
|
1,765 |
1,636 |
$13K |
| 73502 |
|
309 |
285 |
$13K |
| 81002 |
|
3,929 |
3,746 |
$13K |
| 83880 |
|
792 |
726 |
$10K |
| 87040 |
|
1,098 |
817 |
$9K |
| 85610 |
|
2,703 |
1,886 |
$9K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
219 |
214 |
$9K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
2,179 |
2,003 |
$8K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
29 |
26 |
$8K |
| 81003 |
|
5,418 |
5,072 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
192 |
186 |
$7K |
| 72110 |
|
111 |
110 |
$7K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
13 |
12 |
$7K |
| 72100 |
|
138 |
137 |
$6K |
| 80143 |
|
1,020 |
946 |
$6K |
| 97163 |
|
71 |
70 |
$6K |
| 84484 |
|
5,182 |
4,267 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,585 |
3,303 |
$6K |
| 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 |
294 |
291 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
4,003 |
3,703 |
$5K |
| 87634 |
|
306 |
299 |
$5K |
| 73562 |
|
84 |
82 |
$5K |
| 97165 |
|
12 |
12 |
$5K |
| 92523 |
|
13 |
13 |
$5K |
| 76536 |
|
25 |
24 |
$4K |
| 80306 |
|
2,668 |
2,477 |
$4K |
| J3490 |
Unclassified drugs |
4,284 |
2,750 |
$4K |
| 12001 |
|
12 |
12 |
$3K |
| 87081 |
|
5,541 |
5,265 |
$3K |
| 86140 |
|
1,100 |
1,008 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,367 |
4,576 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
306 |
299 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
36 |
36 |
$3K |
| 80179 |
|
945 |
880 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,516 |
2,087 |
$3K |
| 90715 |
|
84 |
83 |
$2K |
| 81001 |
|
8,883 |
8,030 |
$2K |
| 82947 |
|
460 |
226 |
$2K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
2,676 |
2,091 |
$2K |
| 72131 |
|
16 |
15 |
$2K |
| 96376 |
|
1,806 |
1,357 |
$2K |
| 84466 |
|
184 |
178 |
$2K |
| 85652 |
|
640 |
589 |
$2K |
| J2704 |
Injection, propofol, 10 mg |
1,813 |
1,627 |
$2K |
| 87400 |
|
208 |
98 |
$2K |
| 74018 |
|
58 |
55 |
$2K |
| 97750 |
|
43 |
40 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
223 |
187 |
$2K |
| 84703 |
|
3,227 |
2,985 |
$2K |
| 83690 |
|
4,499 |
3,958 |
$1K |
| 83540 |
|
202 |
196 |
$1K |
| 85018 |
|
177 |
169 |
$1K |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
670 |
605 |
$1K |
| 83735 |
|
1,089 |
913 |
$1K |
| 73140 |
|
41 |
39 |
$999.22 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,696 |
1,325 |
$980.33 |
| 87186 |
|
1,495 |
1,324 |
$937.73 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,263 |
1,182 |
$916.72 |
| 84145 |
|
196 |
171 |
$850.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$801.90 |
| 82607 |
|
67 |
66 |
$692.42 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
716 |
682 |
$634.55 |
| 87070 |
|
480 |
428 |
$625.21 |
| 76801 |
|
13 |
12 |
$624.56 |
| 83605 |
|
1,480 |
1,212 |
$588.36 |
| 87077 |
|
824 |
745 |
$486.33 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
82 |
79 |
$470.01 |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
14 |
14 |
$444.42 |
| 73620 |
|
27 |
25 |
$428.48 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,627 |
3,171 |
$410.39 |
| 73080 |
|
13 |
13 |
$400.14 |
| 80076 |
|
162 |
159 |
$352.70 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
82 |
79 |
$346.70 |
| 94664 |
|
707 |
646 |
$325.79 |
| 73090 |
|
27 |
25 |
$320.98 |
| 84439 |
|
43 |
41 |
$293.34 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,711 |
3,460 |
$293.08 |
| J7050 |
Infusion, normal saline solution, 250 cc |
2,242 |
1,144 |
$242.46 |
| 82948 |
|
1,235 |
752 |
$237.63 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
263 |
236 |
$232.86 |
| 80047 |
|
165 |
150 |
$223.98 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
297 |
281 |
$217.81 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
386 |
353 |
$217.46 |
| 83655 |
|
12 |
12 |
$216.83 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,367 |
2,041 |
$210.55 |
| 74019 |
|
13 |
13 |
$208.92 |
| 85730 |
|
258 |
237 |
$187.80 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,087 |
924 |
$185.05 |
| 85014 |
|
63 |
62 |
$173.32 |
| 82746 |
|
13 |
12 |
$158.10 |
| 87205 |
|
244 |
222 |
$130.52 |
| 74022 |
|
18 |
17 |
$99.49 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
16 |
15 |
$92.81 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
905 |
849 |
$91.93 |
| 87088 |
|
59 |
54 |
$91.08 |
| 82270 |
|
28 |
24 |
$73.65 |
| 94760 |
|
343 |
302 |
$58.31 |
| A9698 |
Non-radioactive contrast imaging material, not otherwise classified, per study |
151 |
142 |
$50.40 |
| 82550 |
|
67 |
60 |
$45.14 |
| 85027 |
|
15 |
13 |
$44.53 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
850 |
746 |
$39.28 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
192 |
171 |
$35.80 |
| J2060 |
Injection, lorazepam, 2 mg |
167 |
131 |
$24.75 |
| 84702 |
|
29 |
25 |
$20.02 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
41 |
29 |
$8.05 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
89 |
78 |
$5.46 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
253 |
232 |
$2.25 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
116 |
104 |
$0.32 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
17 |
15 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
28 |
25 |
$0.00 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
126 |
90 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
29 |
29 |
$0.00 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
45 |
42 |
$0.00 |
| 73600 |
|
14 |
14 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
29 |
28 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
49 |
44 |
$0.00 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
44 |
38 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
70 |
50 |
$0.00 |
| 29125 |
|
14 |
14 |
$0.00 |