| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
8,191 |
7,813 |
$1.43M |
| G0378 |
Hospital observation service, per hour |
965 |
924 |
$1.32M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,549 |
5,301 |
$1.06M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,840 |
4,326 |
$1.05M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,643 |
4,500 |
$769K |
| 52000 |
|
544 |
544 |
$703K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,975 |
1,933 |
$589K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,102 |
3,999 |
$457K |
| 80053 |
Comprehensive metabolic panel |
17,909 |
16,223 |
$352K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
493 |
486 |
$269K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,001 |
987 |
$262K |
| 59025 |
Fetal non-stress test |
1,029 |
866 |
$258K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,341 |
1,288 |
$244K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
787 |
770 |
$236K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,449 |
1,159 |
$220K |
| 93975 |
|
360 |
354 |
$217K |
| 96415 |
|
505 |
383 |
$208K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,975 |
1,305 |
$197K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
794 |
786 |
$150K |
| 95251 |
|
892 |
859 |
$150K |
| 87631 |
|
2,589 |
2,541 |
$136K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
161 |
159 |
$117K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
331 |
330 |
$96K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,362 |
522 |
$71K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
669 |
662 |
$66K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,692 |
1,653 |
$60K |
| 86900 |
|
2,619 |
2,540 |
$59K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
675 |
638 |
$54K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
277 |
218 |
$50K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
386 |
149 |
$42K |
| J1453 |
Injection, fosaprepitant, 1 mg |
424 |
269 |
$42K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,392 |
2,510 |
$38K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,325 |
4,317 |
$37K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,432 |
2,000 |
$35K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,191 |
1,873 |
$34K |
| 86850 |
|
2,612 |
2,540 |
$34K |
| 86901 |
|
2,590 |
2,510 |
$34K |
| 88307 |
|
481 |
476 |
$32K |
| 36415 |
Collection of venous blood by venipuncture |
5,922 |
5,629 |
$31K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,593 |
5,917 |
$30K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,516 |
6,348 |
$30K |
| 96367 |
|
519 |
358 |
$29K |
| 71046 |
Radiologic examination, chest; 2 views |
3,093 |
3,074 |
$25K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
738 |
355 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
131 |
131 |
$19K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,690 |
10,522 |
$18K |
| 81025 |
|
5,098 |
4,955 |
$17K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
27 |
27 |
$16K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
327 |
309 |
$16K |
| 82803 |
|
576 |
554 |
$16K |
| 82948 |
|
3,974 |
3,097 |
$15K |
| 97161 |
|
188 |
182 |
$14K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,493 |
1,472 |
$12K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
291 |
288 |
$11K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
89 |
87 |
$9K |
| 83880 |
|
335 |
329 |
$9K |
| 99457 |
|
57 |
52 |
$8K |
| 85730 |
|
1,925 |
1,893 |
$8K |
| 85027 |
|
2,686 |
2,560 |
$8K |
| 80061 |
Lipid panel |
1,015 |
1,012 |
$8K |
| 88342 |
|
177 |
176 |
$8K |
| 85610 |
|
3,304 |
3,194 |
$7K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
286 |
283 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,836 |
1,784 |
$6K |
| 84439 |
|
731 |
722 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,565 |
1,532 |
$5K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
251 |
249 |
$5K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
136 |
130 |
$5K |
| 84703 |
|
1,921 |
1,908 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,151 |
2,118 |
$5K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
160 |
158 |
$4K |
| 88304 |
|
245 |
235 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
100 |
98 |
$4K |
| 81001 |
|
4,942 |
4,745 |
$4K |
| 96376 |
|
756 |
711 |
$4K |
| 70496 |
|
12 |
12 |
$3K |
| 99443 |
|
37 |
37 |
$3K |
| 97803 |
|
90 |
90 |
$3K |
| 96417 |
|
378 |
246 |
$3K |
| 83690 |
|
2,039 |
1,960 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
169 |
163 |
$2K |
| 93017 |
|
25 |
25 |
$2K |
| 83605 |
|
1,140 |
1,057 |
$2K |
| 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 |
64 |
63 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
14 |
$2K |
| C9399 |
Unclassified drugs or biologicals |
470 |
467 |
$1K |
| 97162 |
|
14 |
14 |
$1K |
| 83874 |
|
1,426 |
1,378 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 83735 |
|
1,254 |
1,133 |
$1K |
| 84484 |
|
2,540 |
2,378 |
$1K |
| 76830 |
Ultrasound, transvaginal |
54 |
53 |
$1K |
| 88313 |
|
85 |
82 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
28 |
28 |
$1K |
| 85008 |
|
124 |
120 |
$1K |
| 97802 |
|
32 |
32 |
$989.41 |
| J2704 |
Injection, propofol, 10 mg |
2,791 |
2,675 |
$918.31 |
| C1769 |
Guide wire |
170 |
162 |
$842.83 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,967 |
2,613 |
$758.12 |
| 84702 |
|
215 |
190 |
$592.79 |
| 96411 |
|
19 |
12 |
$585.00 |
| 86141 |
|
119 |
109 |
$583.36 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
743 |
737 |
$447.53 |
| 87088 |
|
158 |
156 |
$379.57 |
| 82570 |
|
86 |
80 |
$337.55 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
1,151 |
710 |
$335.85 |
| 81003 |
|
580 |
578 |
$315.04 |
| 87070 |
|
270 |
267 |
$289.74 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,305 |
959 |
$276.48 |
| 93971 |
|
13 |
13 |
$271.97 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,115 |
779 |
$267.65 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,805 |
1,557 |
$257.67 |
| 97010 |
|
31 |
14 |
$253.89 |
| 87040 |
|
266 |
261 |
$234.45 |
| Q9963 |
High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml |
546 |
540 |
$199.74 |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
42 |
24 |
$191.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,275 |
1,001 |
$166.87 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
4,244 |
3,820 |
$163.77 |
| 82043 |
|
25 |
25 |
$141.70 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,365 |
2,302 |
$133.80 |
| 87147 |
|
12 |
12 |
$112.06 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,440 |
1,043 |
$107.75 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,254 |
1,156 |
$97.81 |
| 85379 |
|
287 |
282 |
$80.69 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
514 |
497 |
$80.34 |
| 87077 |
|
27 |
25 |
$73.98 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,598 |
3,288 |
$73.44 |
| 85651 |
|
56 |
55 |
$71.02 |
| 87186 |
|
16 |
16 |
$40.57 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$39.20 |
| 84100 |
|
16 |
14 |
$37.38 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
237 |
206 |
$28.26 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
56 |
55 |
$19.20 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,270 |
2,230 |
$17.49 |
| 87430 |
|
27 |
27 |
$10.74 |
| J0744 |
Injection, ciprofloxacin for intravenous infusion, 200 mg |
58 |
53 |
$8.19 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
139 |
109 |
$5.11 |
| 86308 |
|
12 |
12 |
$5.04 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
29 |
25 |
$2.52 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
187 |
171 |
$2.24 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
143 |
140 |
$1.89 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
122 |
119 |
$0.50 |
| S2900 |
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) |
40 |
40 |
$0.00 |
| 86710 |
|
14 |
14 |
$0.00 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
15 |
15 |
$0.00 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
13 |
13 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
146 |
145 |
$0.00 |
| 74018 |
|
14 |
13 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
252 |
250 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
53 |
42 |
$0.00 |
| 87400 |
|
13 |
13 |
$0.00 |
| J0694 |
Injection, cefoxitin sodium, 1 gm |
12 |
12 |
$0.00 |