| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
35,999 |
33,326 |
$10.31M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
27,258 |
24,662 |
$8.30M |
| G0378 |
Hospital observation service, per hour |
5,285 |
3,809 |
$2.87M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
8,736 |
7,890 |
$1.90M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
8,722 |
8,218 |
$1.35M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,398 |
2,303 |
$1.12M |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,161 |
3,015 |
$1.09M |
| 70450 |
Computed tomography, head or brain; without contrast material |
7,125 |
6,505 |
$578K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
5,489 |
4,914 |
$567K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
16,875 |
4,817 |
$501K |
| 99218 |
|
1,409 |
915 |
$488K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,382 |
3,141 |
$459K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
4,931 |
4,643 |
$426K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
66,922 |
49,703 |
$403K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
62,790 |
46,775 |
$383K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
8,376 |
7,236 |
$371K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
10,348 |
8,098 |
$354K |
| 80053 |
Comprehensive metabolic panel |
38,122 |
27,060 |
$346K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
709 |
679 |
$330K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
18,587 |
15,488 |
$273K |
| 97597 |
|
2,350 |
1,214 |
$269K |
| OP279 |
|
27,201 |
20,965 |
$243K |
| 71046 |
Radiologic examination, chest; 2 views |
10,531 |
9,991 |
$237K |
| 59025 |
Fetal non-stress test |
1,412 |
763 |
$217K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
335 |
324 |
$211K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
5,282 |
1,968 |
$211K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
14,636 |
13,088 |
$206K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
2,082 |
1,908 |
$197K |
| 36415 |
Collection of venous blood by venipuncture |
68,462 |
46,303 |
$186K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,392 |
1,285 |
$162K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,294 |
4,093 |
$161K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
12,833 |
11,575 |
$139K |
| 71045 |
Radiologic examination, chest; single view |
8,574 |
7,703 |
$139K |
| 93971 |
|
1,301 |
1,195 |
$128K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
6,007 |
4,310 |
$123K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
8,755 |
7,771 |
$122K |
| 85027 |
|
32,388 |
23,133 |
$114K |
| 97161 |
|
2,380 |
2,238 |
$105K |
| 76801 |
|
985 |
882 |
$99K |
| 76830 |
Ultrasound, transvaginal |
1,143 |
1,080 |
$99K |
| 62323 |
|
176 |
172 |
$96K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
341 |
312 |
$95K |
| 93970 |
|
532 |
506 |
$94K |
| 84484 |
|
14,072 |
9,132 |
$90K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
3,633 |
3,396 |
$89K |
| OP252 |
|
40,337 |
29,765 |
$89K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
657 |
616 |
$88K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
101 |
89 |
$88K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,421 |
4,849 |
$88K |
| 71250 |
|
753 |
668 |
$87K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
7,008 |
6,296 |
$87K |
| 83735 |
|
19,878 |
15,049 |
$77K |
| 84443 |
Thyroid stimulating hormone (TSH) |
13,414 |
12,163 |
$70K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,141 |
1,078 |
$69K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
3,091 |
1,748 |
$67K |
| 93017 |
|
325 |
310 |
$67K |
| 85610 |
|
22,626 |
13,261 |
$62K |
| OP251 |
|
27,680 |
21,668 |
$62K |
| 80320 |
|
6,070 |
5,284 |
$57K |
| 82550 |
|
9,639 |
8,192 |
$56K |
| 73630 |
|
2,647 |
2,470 |
$55K |
| 88342 |
|
2,248 |
2,153 |
$54K |
| 80076 |
|
13,654 |
12,115 |
$54K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
818 |
609 |
$54K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
6,001 |
4,299 |
$52K |
| 94060 |
|
378 |
371 |
$52K |
| 82948 |
|
9,294 |
6,568 |
$50K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,794 |
588 |
$49K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
5,437 |
3,548 |
$48K |
| 80061 |
Lipid panel |
10,897 |
10,199 |
$48K |
| 73130 |
|
2,223 |
2,053 |
$47K |
| 95806 |
|
44 |
42 |
$47K |
| 73564 |
|
1,998 |
1,861 |
$45K |
| 87040 |
|
3,282 |
2,963 |
$44K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,534 |
1,422 |
$43K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
444 |
439 |
$42K |
| 73610 |
|
2,159 |
2,039 |
$42K |
| J2704 |
Injection, propofol, 10 mg |
4,662 |
4,333 |
$42K |
| 83605 |
|
3,400 |
2,893 |
$41K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13,111 |
11,807 |
$41K |
| 83880 |
|
4,936 |
4,197 |
$40K |
| 85730 |
|
10,096 |
8,799 |
$39K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
929 |
279 |
$38K |
| 72110 |
|
912 |
892 |
$36K |
| 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 |
1,427 |
887 |
$34K |
| 81001 |
|
14,414 |
13,036 |
$34K |
| 87400 |
|
8,008 |
7,615 |
$32K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
4,991 |
4,652 |
$31K |
| 73030 |
|
1,273 |
1,190 |
$31K |
| 96376 |
|
2,238 |
1,963 |
$29K |
| 84145 |
|
2,056 |
1,840 |
$29K |
| 87077 |
|
6,613 |
5,994 |
$29K |
| 83690 |
|
8,442 |
7,527 |
$28K |
| 81003 |
|
6,288 |
5,966 |
$26K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
11,291 |
10,425 |
$26K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,600 |
2,342 |
$25K |
| 73110 |
|
1,229 |
1,136 |
$25K |
| 81025 |
|
11,372 |
10,405 |
$24K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,587 |
1,516 |
$22K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,585 |
1,515 |
$21K |
| 84100 |
|
5,072 |
3,767 |
$20K |
| G0471 |
Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) |
49,988 |
27,745 |
$19K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,743 |
2,416 |
$19K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
167 |
155 |
$19K |
| 87070 |
|
3,997 |
3,791 |
$17K |
| 29515 |
|
811 |
785 |
$17K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,162 |
5,097 |
$15K |
| 29125 |
|
722 |
700 |
$15K |
| 80164 |
|
3,264 |
2,851 |
$14K |
| 82150 |
|
3,351 |
3,117 |
$14K |
| OP258 |
|
21,497 |
15,579 |
$14K |
| 84702 |
|
1,389 |
1,154 |
$12K |
| 86885 |
|
1,921 |
1,643 |
$12K |
| 90715 |
|
1,645 |
1,580 |
$12K |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
1,565 |
868 |
$12K |
| 86900 |
|
2,777 |
2,389 |
$11K |
| 73502 |
|
490 |
450 |
$10K |
| 82607 |
|
3,184 |
2,957 |
$10K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,297 |
3,925 |
$10K |
| 82805 |
|
822 |
725 |
$10K |
| 70498 |
|
86 |
81 |
$10K |
| 94729 |
|
377 |
370 |
$10K |
| J2060 |
Injection, lorazepam, 2 mg |
1,685 |
1,306 |
$10K |
| 82140 |
|
1,463 |
1,141 |
$10K |
| 82248 |
|
1,724 |
1,350 |
$10K |
| 12001 |
|
309 |
299 |
$10K |
| 86901 |
|
2,796 |
2,390 |
$10K |
| 45384 |
|
45 |
40 |
$10K |
| 82271 |
|
6,843 |
5,954 |
$9K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$9K |
| 36600 |
|
814 |
713 |
$8K |
| 74018 |
|
347 |
328 |
$8K |
| 94727 |
|
376 |
369 |
$8K |
| 84153 |
|
1,285 |
1,187 |
$8K |
| 70496 |
|
158 |
134 |
$8K |
| 86403 |
|
2,611 |
2,534 |
$8K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,733 |
1,251 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,647 |
1,506 |
$7K |
| 94760 |
|
963 |
429 |
$7K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
3,110 |
2,651 |
$7K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
165 |
55 |
$7K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
8,166 |
7,044 |
$7K |
| 85651 |
|
3,163 |
2,204 |
$6K |
| 88313 |
|
439 |
432 |
$6K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
282 |
277 |
$6K |
| 80177 |
|
1,362 |
1,142 |
$6K |
| 85379 |
|
2,384 |
2,207 |
$6K |
| OP272 |
|
1,254 |
1,156 |
$6K |
| 83874 |
|
1,203 |
1,114 |
$6K |
| 87205 |
|
1,353 |
1,215 |
$6K |
| OP270 |
|
109 |
94 |
$6K |
| OP229 |
|
105 |
82 |
$5K |
| 86140 |
|
2,471 |
1,605 |
$5K |
| 96367 |
|
126 |
107 |
$5K |
| 73080 |
|
216 |
200 |
$5K |
| 82746 |
|
1,701 |
1,588 |
$5K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
17 |
12 |
$5K |
| 82728 |
|
1,514 |
1,327 |
$5K |
| 10060 |
|
165 |
163 |
$4K |
| 70486 |
|
92 |
88 |
$4K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
133 |
83 |
$4K |
| 84436 |
|
1,593 |
1,507 |
$4K |
| 87088 |
|
365 |
357 |
$4K |
| 84439 |
|
1,919 |
1,756 |
$4K |
| 97166 |
|
65 |
65 |
$4K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,855 |
2,229 |
$3K |
| C1769 |
Guide wire |
225 |
198 |
$3K |
| 82553 |
|
1,210 |
1,121 |
$3K |
| 87807 |
|
899 |
880 |
$3K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
2,324 |
1,373 |
$2K |
| 84134 |
|
1,689 |
1,477 |
$2K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
877 |
741 |
$2K |
| 76770 |
|
27 |
24 |
$2K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
2,022 |
1,552 |
$2K |
| 93226 |
|
12 |
12 |
$2K |
| 93880 |
|
13 |
13 |
$2K |
| 73590 |
|
85 |
82 |
$2K |
| J1630 |
Injection, haloperidol, up to 5 mg |
684 |
548 |
$2K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,768 |
1,588 |
$2K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,224 |
783 |
$2K |
| 71020 |
|
30 |
30 |
$2K |
| 83540 |
|
1,873 |
1,663 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
863 |
689 |
$2K |
| 95819 |
|
12 |
12 |
$2K |
| 93225 |
|
12 |
12 |
$2K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
990 |
834 |
$2K |
| 83550 |
|
1,328 |
1,173 |
$2K |
| 77003 |
|
934 |
829 |
$2K |
| 86592 |
|
277 |
271 |
$2K |
| 84479 |
|
694 |
651 |
$2K |
| 29530 |
|
82 |
82 |
$2K |
| 90686 |
|
29 |
29 |
$2K |
| 97116 |
|
67 |
28 |
$2K |
| 84481 |
|
545 |
491 |
$1K |
| 82947 |
|
339 |
329 |
$1K |
| M0245 |
Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring |
12 |
12 |
$1K |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
1,310 |
971 |
$1K |
| 12002 |
|
25 |
25 |
$1K |
| 72050 |
|
38 |
38 |
$1K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
150 |
146 |
$989.45 |
| 73090 |
|
52 |
49 |
$923.04 |
| 87428 |
|
60 |
59 |
$912.84 |
| 80185 |
|
132 |
89 |
$895.03 |
| 84703 |
|
318 |
291 |
$857.19 |
| OP710 |
|
34 |
33 |
$825.91 |
| 88304 |
|
46 |
43 |
$821.41 |
| 97162 |
|
12 |
12 |
$786.49 |
| 71010 |
|
13 |
12 |
$764.27 |
| J1644 |
Injection, heparin sodium, per 1000 units |
216 |
107 |
$714.38 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
1,675 |
1,562 |
$700.08 |
| 86618 |
|
13 |
13 |
$674.00 |
| 87324 |
|
116 |
107 |
$660.39 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
13 |
$608.67 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
1,891 |
1,615 |
$603.09 |
| 74022 |
|
34 |
33 |
$600.34 |
| 94010 |
|
19 |
15 |
$556.56 |
| 90675 |
|
26 |
12 |
$554.29 |
| 86803 |
|
27 |
26 |
$540.25 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22 |
16 |
$525.06 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
93 |
62 |
$524.36 |
| 84480 |
|
68 |
67 |
$497.89 |
| OP250 |
|
685 |
522 |
$472.09 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
69 |
65 |
$463.47 |
| 82043 |
|
792 |
708 |
$433.94 |
| 84550 |
|
480 |
436 |
$404.60 |
| P9603 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
41,837 |
23,395 |
$363.15 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
285 |
198 |
$351.08 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
13 |
13 |
$333.42 |
| 87340 |
|
13 |
13 |
$311.35 |
| 87181 |
|
130 |
117 |
$296.17 |
| 85045 |
|
105 |
93 |
$280.54 |
| 83721 |
|
166 |
156 |
$274.50 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
3,997 |
2,474 |
$270.15 |
| 70480 |
|
13 |
13 |
$258.86 |
| 73140 |
|
28 |
28 |
$235.23 |
| J0500 |
Injection, dicyclomine hcl, up to 20 mg |
15 |
15 |
$231.00 |
| 83615 |
|
119 |
99 |
$188.05 |
| 86308 |
|
136 |
131 |
$149.56 |
| 80162 |
|
15 |
12 |
$143.19 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
152 |
132 |
$139.30 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$119.53 |
| 87186 |
|
145 |
118 |
$116.32 |
| 94664 |
|
57 |
50 |
$113.87 |
| 82272 |
|
66 |
53 |
$109.27 |
| 80329 |
|
27 |
25 |
$102.14 |
| J1815 |
Injection, insulin, per 5 units |
32 |
26 |
$93.10 |
| 85014 |
|
164 |
87 |
$91.70 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
172 |
159 |
$90.46 |
| OP259 |
|
191 |
126 |
$77.23 |
| 86762 |
|
13 |
13 |
$76.00 |
| 85018 |
|
164 |
87 |
$73.10 |
| 87045 |
|
65 |
51 |
$62.80 |
| 86769 |
|
13 |
12 |
$55.29 |
| 87081 |
|
12 |
12 |
$53.68 |
| 82570 |
|
54 |
47 |
$46.89 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
91 |
72 |
$46.76 |
| J0736 |
Injection, clindamycin phosphate, 300 mg |
110 |
96 |
$46.66 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
124 |
94 |
$44.66 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
165 |
154 |
$39.28 |
| 85652 |
|
81 |
50 |
$37.32 |
| 83970 |
|
12 |
12 |
$33.02 |
| 84154 |
|
25 |
24 |
$32.14 |
| J7510 |
Prednisolone oral, per 5 mg |
140 |
135 |
$25.80 |
| 87449 |
|
13 |
13 |
$24.00 |
| S0077 |
Injection, clindamycin phosphate, 300 mg |
104 |
92 |
$20.32 |
| 82040 |
|
26 |
24 |
$17.64 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
116 |
99 |
$11.88 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
23 |
16 |
$11.31 |
| J3490 |
Unclassified drugs |
71 |
55 |
$8.70 |
| 80069 |
|
43 |
26 |
$8.70 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
122 |
99 |
$8.55 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
55 |
53 |
$7.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
12 |
12 |
$1.00 |
| OP450 |
|
13 |
13 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
45 |
40 |
$0.00 |