| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
22,662 |
20,966 |
$2.45M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13,668 |
13,124 |
$2.31M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
10,427 |
9,922 |
$1.95M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
5,096 |
4,815 |
$861K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,160 |
2,131 |
$454K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17,203 |
15,648 |
$417K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,602 |
2,554 |
$393K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,419 |
1,398 |
$314K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,775 |
2,706 |
$292K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
6,496 |
2,121 |
$278K |
| 36415 |
Collection of venous blood by venipuncture |
22,483 |
14,089 |
$239K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
902 |
893 |
$195K |
| 80053 |
Comprehensive metabolic panel |
9,659 |
9,192 |
$192K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
691 |
683 |
$154K |
| 97161 |
|
2,136 |
2,116 |
$149K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,316 |
2,264 |
$139K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
3,458 |
3,425 |
$138K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,178 |
3,059 |
$133K |
| 87631 |
|
2,279 |
2,256 |
$120K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
487 |
484 |
$118K |
| G0378 |
Hospital observation service, per hour |
104 |
64 |
$114K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,006 |
985 |
$113K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
369 |
368 |
$111K |
| 93976 |
|
454 |
450 |
$106K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,728 |
4,660 |
$80K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,811 |
2,774 |
$80K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,525 |
2,475 |
$78K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,387 |
4,165 |
$72K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
116 |
116 |
$70K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
358 |
357 |
$69K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
753 |
717 |
$62K |
| C1776 |
Joint device (implantable) |
12 |
12 |
$51K |
| 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 |
836 |
827 |
$46K |
| 90791 |
Psychiatric diagnostic evaluation |
353 |
352 |
$45K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,291 |
1,165 |
$39K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,238 |
3,016 |
$39K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
4,865 |
4,559 |
$36K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,165 |
2,126 |
$36K |
| 97803 |
|
961 |
842 |
$31K |
| 90670 |
|
1,650 |
1,649 |
$29K |
| 29581 |
|
163 |
50 |
$29K |
| 90686 |
|
1,216 |
1,216 |
$28K |
| 99406 |
|
913 |
893 |
$27K |
| 90648 |
|
1,622 |
1,621 |
$27K |
| 97010 |
|
2,119 |
914 |
$27K |
| 97802 |
|
757 |
748 |
$26K |
| 90715 |
|
1,187 |
1,180 |
$24K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
719 |
717 |
$23K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,698 |
2,653 |
$23K |
| 83880 |
|
895 |
883 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
339 |
339 |
$21K |
| 90723 |
|
1,237 |
1,236 |
$21K |
| 81025 |
|
6,985 |
6,754 |
$18K |
| 90633 |
|
1,029 |
1,029 |
$18K |
| 80061 |
Lipid panel |
1,546 |
1,538 |
$18K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
517 |
423 |
$17K |
| 90734 |
|
919 |
919 |
$16K |
| 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 |
762 |
753 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
278 |
271 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
245 |
245 |
$14K |
| 90674 |
|
812 |
812 |
$14K |
| 90651 |
|
655 |
654 |
$13K |
| 99460 |
|
149 |
149 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
185 |
185 |
$12K |
| 99201 |
|
113 |
113 |
$12K |
| 90680 |
|
688 |
687 |
$11K |
| 86850 |
|
365 |
360 |
$10K |
| 80076 |
|
1,341 |
1,288 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
149 |
149 |
$9K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
505 |
220 |
$8K |
| 12001 |
|
24 |
24 |
$8K |
| 90677 |
|
316 |
316 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,990 |
1,976 |
$7K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
19 |
19 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
92 |
92 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
2,817 |
2,782 |
$7K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
35 |
26 |
$7K |
| 83655 |
|
415 |
404 |
$7K |
| 99442 |
|
178 |
167 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
86 |
86 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,892 |
1,869 |
$6K |
| 86900 |
|
402 |
390 |
$6K |
| 59425 |
|
71 |
58 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,207 |
11,550 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,675 |
4,656 |
$6K |
| 93798 |
|
206 |
40 |
$6K |
| 86701 |
|
614 |
604 |
$5K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,793 |
3,541 |
$5K |
| 87481 |
|
152 |
149 |
$5K |
| 90710 |
|
302 |
302 |
$5K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
242 |
240 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,052 |
4,027 |
$4K |
| 99441 |
|
219 |
211 |
$4K |
| 90697 |
|
186 |
186 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
76 |
75 |
$4K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
30 |
30 |
$4K |
| 90707 |
|
224 |
224 |
$4K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,639 |
6,216 |
$4K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
333 |
331 |
$4K |
| 76801 |
|
58 |
57 |
$4K |
| 90681 |
|
176 |
176 |
$4K |
| 90696 |
|
220 |
220 |
$4K |
| 90716 |
|
194 |
194 |
$3K |
| 87563 |
|
207 |
203 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
42 |
42 |
$3K |
| 82607 |
|
681 |
678 |
$3K |
| M0247 |
Intravenous infusion, sotrovimab, includes infusion and post administration monitoring |
12 |
12 |
$3K |
| 93975 |
|
12 |
12 |
$3K |
| 90656 |
|
199 |
199 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,124 |
4,863 |
$3K |
| 90714 |
|
172 |
172 |
$3K |
| 93971 |
|
67 |
67 |
$3K |
| 84439 |
|
529 |
525 |
$3K |
| 90620 |
|
162 |
161 |
$3K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,034 |
1,018 |
$3K |
| 99173 |
|
562 |
562 |
$3K |
| 90700 |
|
148 |
148 |
$3K |
| 90658 |
|
142 |
142 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
3,218 |
3,136 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
50 |
49 |
$2K |
| 93041 |
|
540 |
525 |
$2K |
| 59426 |
|
20 |
12 |
$2K |
| 98968 |
|
65 |
62 |
$2K |
| 99000 |
|
81 |
80 |
$2K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
28 |
26 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,810 |
2,739 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
63 |
63 |
$2K |
| 87081 |
|
1,335 |
1,321 |
$2K |
| 81001 |
|
5,358 |
5,156 |
$2K |
| 73630 |
|
660 |
654 |
$2K |
| 76830 |
Ultrasound, transvaginal |
87 |
86 |
$1K |
| 73130 |
|
491 |
479 |
$1K |
| 70486 |
|
12 |
12 |
$1K |
| 86901 |
|
84 |
78 |
$1K |
| 85610 |
|
2,209 |
2,156 |
$1K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
44 |
44 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,296 |
4,001 |
$1K |
| 84484 |
|
5,119 |
3,356 |
$1K |
| 90657 |
|
64 |
64 |
$1K |
| 82803 |
|
53 |
50 |
$1K |
| 82948 |
|
1,317 |
758 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,014 |
977 |
$1K |
| 85027 |
|
1,328 |
1,265 |
$955.27 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
57 |
25 |
$951.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,199 |
1,198 |
$934.04 |
| 73030 |
|
303 |
292 |
$892.83 |
| 72110 |
|
122 |
122 |
$854.34 |
| 87660 |
|
1,624 |
1,524 |
$799.72 |
| 73562 |
|
183 |
177 |
$762.82 |
| 97165 |
|
12 |
12 |
$717.14 |
| 81513 |
|
630 |
620 |
$714.06 |
| 90732 |
|
16 |
16 |
$597.95 |
| 85730 |
|
2,211 |
2,166 |
$586.25 |
| 83690 |
|
4,959 |
4,670 |
$571.20 |
| 84702 |
|
566 |
543 |
$497.68 |
| 85018 |
|
414 |
406 |
$471.25 |
| 83735 |
|
1,965 |
1,847 |
$457.42 |
| 98967 |
|
15 |
14 |
$432.57 |
| 86580 |
|
87 |
84 |
$430.00 |
| 85379 |
|
1,245 |
1,224 |
$386.30 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
918 |
914 |
$369.20 |
| 73610 |
|
366 |
361 |
$351.83 |
| 97535 |
Self-care/home management training, each 15 minutes |
19 |
18 |
$318.02 |
| 81002 |
|
774 |
723 |
$317.52 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,053 |
1,949 |
$267.69 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
3,694 |
3,497 |
$240.99 |
| 81003 |
|
2,907 |
2,832 |
$219.65 |
| 73564 |
|
156 |
155 |
$218.85 |
| 90461 |
|
1,510 |
1,508 |
$213.91 |
| 87077 |
|
1,056 |
944 |
$204.28 |
| 82746 |
|
90 |
88 |
$188.95 |
| 72100 |
|
25 |
25 |
$168.12 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,440 |
1,347 |
$160.14 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,736 |
5,445 |
$152.70 |
| 87070 |
|
143 |
139 |
$151.76 |
| 82150 |
|
1,164 |
1,120 |
$144.02 |
| 85007 |
|
712 |
682 |
$139.67 |
| 87186 |
|
769 |
707 |
$114.24 |
| 85652 |
|
80 |
78 |
$78.64 |
| 83605 |
|
503 |
454 |
$75.41 |
| 72050 |
|
12 |
12 |
$63.21 |
| 86803 |
|
108 |
108 |
$52.85 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
988 |
955 |
$52.11 |
| 73502 |
|
12 |
12 |
$50.52 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
110 |
107 |
$47.62 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
520 |
514 |
$47.55 |
| 83550 |
|
44 |
44 |
$47.16 |
| 74018 |
|
25 |
25 |
$46.58 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
978 |
962 |
$44.21 |
| 82728 |
|
12 |
12 |
$43.00 |
| 87510 |
|
75 |
73 |
$32.73 |
| 87480 |
|
75 |
73 |
$32.73 |
| 87040 |
|
412 |
223 |
$32.50 |
| 95806 |
|
51 |
51 |
$30.57 |
| 73140 |
|
12 |
12 |
$30.11 |
| J7050 |
Infusion, normal saline solution, 250 cc |
35 |
29 |
$30.09 |
| J3490 |
Unclassified drugs |
586 |
516 |
$29.57 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
411 |
341 |
$28.34 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,239 |
1,174 |
$28.05 |
| 85014 |
|
12 |
12 |
$24.30 |
| 73110 |
|
28 |
28 |
$22.74 |
| 87590 |
|
175 |
172 |
$20.50 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,315 |
1,224 |
$18.21 |
| 73620 |
|
14 |
14 |
$18.00 |
| 74019 |
|
16 |
16 |
$16.58 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
994 |
922 |
$13.25 |
| 88312 |
|
43 |
43 |
$13.18 |
| J2704 |
Injection, propofol, 10 mg |
387 |
375 |
$11.16 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
654 |
538 |
$5.65 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
71 |
70 |
$5.32 |
| 86308 |
|
30 |
30 |
$4.73 |
| 81015 |
|
197 |
188 |
$2.70 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
30 |
29 |
$2.28 |
| 87205 |
|
106 |
104 |
$1.57 |
| A9270 |
Non-covered item or service |
8,318 |
7,545 |
$1.05 |
| 96376 |
|
174 |
122 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
268 |
256 |
$0.00 |
| J1790 |
Injection, droperidol, up to 5 mg |
54 |
44 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
14 |
13 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
17 |
13 |
$0.00 |
| 86403 |
|
13 |
12 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
130 |
111 |
$0.00 |
| 90474 |
|
64 |
64 |
$0.00 |
| J0132 |
Injection, acetylcysteine, 100 mg |
114 |
107 |
$0.00 |
| 99080 |
|
794 |
786 |
$0.00 |
| 99152 |
|
133 |
132 |
$0.00 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
28 |
28 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
47 |
30 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$0.00 |
| 87339 |
|
14 |
14 |
$0.00 |
| 73080 |
|
18 |
18 |
$0.00 |