| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
26,320 |
24,035 |
$2.97M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
9,467 |
8,450 |
$2.58M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
22,222 |
20,820 |
$2.40M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
16,555 |
14,843 |
$2.16M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,251 |
10,110 |
$1.24M |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,577 |
4,103 |
$1.03M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,914 |
1,682 |
$458K |
| 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 |
2,054 |
1,773 |
$313K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
5,304 |
4,422 |
$300K |
| 80053 |
Comprehensive metabolic panel |
31,654 |
28,134 |
$245K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
950 |
847 |
$238K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,664 |
1,454 |
$171K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,093 |
951 |
$160K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,024 |
886 |
$144K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
472 |
431 |
$118K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
10,284 |
8,319 |
$116K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,237 |
568 |
$101K |
| G0378 |
Hospital observation service, per hour |
1,185 |
535 |
$94K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
216 |
191 |
$81K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
840 |
807 |
$73K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
425 |
383 |
$73K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
509 |
450 |
$63K |
| 71046 |
Radiologic examination, chest; 2 views |
5,277 |
4,871 |
$61K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
505 |
473 |
$54K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
583 |
526 |
$52K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,526 |
2,302 |
$46K |
| 83605 |
|
8,884 |
7,582 |
$43K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,283 |
3,623 |
$42K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
33,338 |
29,254 |
$42K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
153 |
134 |
$39K |
| 84484 |
|
9,625 |
7,194 |
$37K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
103 |
92 |
$30K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
46 |
40 |
$30K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
704 |
650 |
$29K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14,445 |
12,712 |
$27K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,560 |
1,387 |
$25K |
| 93971 |
|
349 |
306 |
$25K |
| 31231 |
|
179 |
165 |
$25K |
| 73562 |
|
699 |
614 |
$24K |
| 72100 |
|
631 |
573 |
$24K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
172 |
147 |
$23K |
| 36415 |
Collection of venous blood by venipuncture |
45,097 |
37,720 |
$23K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,062 |
990 |
$23K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,009 |
1,834 |
$22K |
| 93017 |
|
184 |
148 |
$20K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
88 |
81 |
$19K |
| 80061 |
Lipid panel |
1,824 |
1,668 |
$19K |
| 88304 |
|
657 |
596 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
7,533 |
6,707 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
194 |
191 |
$19K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,019 |
940 |
$19K |
| 71250 |
|
222 |
198 |
$18K |
| 70486 |
|
210 |
193 |
$18K |
| 76642 |
|
135 |
122 |
$17K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
45 |
37 |
$17K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
78 |
74 |
$15K |
| 73030 |
|
518 |
457 |
$15K |
| 84439 |
|
1,230 |
1,156 |
$15K |
| 76536 |
|
139 |
124 |
$15K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
797 |
694 |
$14K |
| 73630 |
|
633 |
589 |
$14K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
97 |
83 |
$14K |
| 73130 |
|
583 |
526 |
$14K |
| 72131 |
|
258 |
215 |
$14K |
| 95811 |
|
25 |
24 |
$13K |
| 73610 |
|
473 |
424 |
$11K |
| 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 |
1,782 |
1,558 |
$11K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
11,734 |
10,502 |
$10K |
| 71271 |
|
70 |
65 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,286 |
1,211 |
$9K |
| 76830 |
Ultrasound, transvaginal |
277 |
248 |
$9K |
| 93970 |
|
73 |
68 |
$7K |
| 73502 |
|
271 |
228 |
$7K |
| 82553 |
|
664 |
598 |
$7K |
| 82607 |
|
532 |
488 |
$6K |
| 94060 |
|
42 |
38 |
$6K |
| 83735 |
|
4,231 |
3,483 |
$6K |
| 82570 |
|
599 |
536 |
$6K |
| 74018 |
|
179 |
164 |
$5K |
| 87040 |
|
987 |
599 |
$5K |
| 81001 |
|
10,829 |
9,756 |
$5K |
| 73110 |
|
174 |
159 |
$5K |
| 81003 |
|
9,794 |
8,884 |
$5K |
| 87631 |
|
35 |
35 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,862 |
1,627 |
$5K |
| 86850 |
|
222 |
186 |
$5K |
| 86900 |
|
405 |
341 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
7,588 |
6,718 |
$4K |
| 84100 |
|
698 |
469 |
$4K |
| 59025 |
Fetal non-stress test |
42 |
12 |
$4K |
| 76770 |
|
25 |
25 |
$4K |
| 85027 |
|
2,400 |
2,060 |
$4K |
| 85379 |
|
1,477 |
1,284 |
$4K |
| 82043 |
|
527 |
497 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
118 |
111 |
$3K |
| 12001 |
|
17 |
12 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
596 |
368 |
$3K |
| 82728 |
|
229 |
203 |
$3K |
| 94729 |
|
48 |
43 |
$3K |
| 80184 |
|
196 |
172 |
$3K |
| 85610 |
|
2,260 |
1,930 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
6,995 |
6,110 |
$3K |
| 87081 |
|
836 |
732 |
$2K |
| 86140 |
|
337 |
283 |
$2K |
| 84702 |
|
350 |
280 |
$2K |
| 90715 |
|
176 |
162 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,396 |
2,877 |
$2K |
| 83880 |
|
945 |
800 |
$2K |
| 81025 |
|
6,118 |
5,533 |
$2K |
| 80164 |
|
283 |
228 |
$2K |
| 97597 |
|
20 |
13 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
12 |
12 |
$2K |
| 83690 |
|
4,828 |
4,319 |
$2K |
| 72050 |
|
40 |
34 |
$2K |
| 74019 |
|
43 |
37 |
$2K |
| 94726 |
|
26 |
25 |
$2K |
| 83540 |
|
228 |
210 |
$2K |
| 90686 |
|
219 |
212 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
236 |
209 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
236 |
209 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,007 |
888 |
$1K |
| 84466 |
|
168 |
160 |
$1K |
| 85007 |
|
1,514 |
1,263 |
$1K |
| 85652 |
|
563 |
487 |
$1K |
| 80143 |
|
830 |
666 |
$1K |
| 82077 |
|
1,015 |
951 |
$1K |
| 90756 |
|
108 |
106 |
$1K |
| 82962 |
|
1,256 |
765 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
14,094 |
10,399 |
$995.10 |
| 82550 |
|
1,513 |
1,277 |
$990.88 |
| 82746 |
|
141 |
125 |
$979.15 |
| 76775 |
|
14 |
12 |
$879.17 |
| 77065 |
Tomosynthesis, mammo |
28 |
27 |
$791.73 |
| 84703 |
|
1,553 |
1,357 |
$787.42 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
8,011 |
6,959 |
$717.55 |
| 87077 |
|
246 |
212 |
$640.83 |
| 88342 |
|
121 |
115 |
$637.55 |
| 80179 |
|
801 |
638 |
$628.91 |
| 85730 |
|
881 |
759 |
$604.68 |
| 87186 |
|
459 |
402 |
$592.67 |
| 11045 |
|
19 |
12 |
$590.96 |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
25 |
24 |
$541.25 |
| 71101 |
|
18 |
15 |
$485.81 |
| 72128 |
|
30 |
30 |
$465.35 |
| 84145 |
|
292 |
231 |
$464.87 |
| 83970 |
|
14 |
13 |
$450.30 |
| 87070 |
|
324 |
280 |
$432.11 |
| 82150 |
|
785 |
645 |
$373.49 |
| 84146 |
|
76 |
58 |
$358.82 |
| 86901 |
|
405 |
341 |
$356.12 |
| 77066 |
Tomosynthesis, mammo |
16 |
14 |
$348.53 |
| 87340 |
|
18 |
15 |
$333.05 |
| 82805 |
|
23 |
18 |
$305.12 |
| 73590 |
|
16 |
15 |
$300.11 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,317 |
952 |
$299.58 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
698 |
611 |
$271.68 |
| 83550 |
|
46 |
41 |
$261.07 |
| 90633 |
|
25 |
25 |
$237.52 |
| 87147 |
|
328 |
283 |
$231.88 |
| 96376 |
|
184 |
139 |
$229.92 |
| 87205 |
|
359 |
305 |
$225.07 |
| 86706 |
|
13 |
12 |
$224.21 |
| 86803 |
|
16 |
14 |
$212.63 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,558 |
1,352 |
$194.55 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,006 |
1,418 |
$189.80 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
47 |
47 |
$179.14 |
| 90651 |
|
16 |
15 |
$141.50 |
| 00731 |
|
27 |
26 |
$138.73 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
35 |
35 |
$128.33 |
| Q3014 |
Telehealth originating site facility fee |
51 |
48 |
$127.92 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,283 |
869 |
$123.96 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
15 |
13 |
$114.25 |
| 84550 |
|
28 |
25 |
$92.85 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,987 |
3,483 |
$89.65 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,687 |
5,464 |
$78.90 |
| J3490 |
Unclassified drugs |
51 |
43 |
$61.54 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
159 |
132 |
$59.01 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
555 |
431 |
$58.21 |
| J2704 |
Injection, propofol, 10 mg |
4,321 |
2,280 |
$56.68 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
232 |
188 |
$41.41 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
475 |
337 |
$40.95 |
| J1644 |
Injection, heparin sodium, per 1000 units |
336 |
193 |
$40.92 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
118 |
98 |
$40.14 |
| 87430 |
|
88 |
80 |
$33.31 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
12 |
12 |
$33.28 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
19 |
13 |
$33.23 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,505 |
1,653 |
$29.52 |
| J2060 |
Injection, lorazepam, 2 mg |
181 |
125 |
$24.95 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
24 |
13 |
$23.32 |
| 87807 |
|
125 |
111 |
$19.64 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,678 |
1,317 |
$19.28 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
45 |
32 |
$16.69 |
| 87088 |
|
30 |
26 |
$15.23 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
18 |
15 |
$13.87 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
205 |
184 |
$9.46 |
| 81002 |
|
389 |
365 |
$8.84 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
49 |
38 |
$7.58 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
41 |
25 |
$6.93 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,729 |
1,367 |
$5.86 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
283 |
220 |
$5.28 |
| J7050 |
Infusion, normal saline solution, 250 cc |
66 |
51 |
$4.65 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
52 |
43 |
$3.44 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
931 |
762 |
$3.27 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
300 |
238 |
$2.80 |
| J1630 |
Injection, haloperidol, up to 5 mg |
48 |
26 |
$2.42 |
| 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 |
27 |
27 |
$0.06 |
| 90734 |
|
12 |
12 |
$0.02 |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
61 |
49 |
$0.00 |
| 00811 |
|
92 |
75 |
$0.00 |
| C1758 |
Catheter, ureteral |
41 |
32 |
$0.00 |
| 87075 |
|
49 |
41 |
$0.00 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
14 |
12 |
$0.00 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
41 |
33 |
$0.00 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
53 |
48 |
$0.00 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
72 |
54 |
$0.00 |
| 00813 |
|
12 |
12 |
$0.00 |
| C1769 |
Guide wire |
33 |
28 |
$0.00 |