| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,940 |
3,446 |
$671K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
18,099 |
16,578 |
$658K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,680 |
1,510 |
$368K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,714 |
2,434 |
$331K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12,294 |
10,967 |
$308K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,151 |
2,750 |
$268K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,564 |
3,379 |
$242K |
| 87420 |
|
1,902 |
1,822 |
$200K |
| 80053 |
Comprehensive metabolic panel |
10,961 |
9,331 |
$199K |
| 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 |
1,898 |
1,735 |
$199K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,207 |
4,496 |
$165K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,134 |
4,727 |
$163K |
| 83516 |
|
798 |
744 |
$147K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,169 |
861 |
$110K |
| 81001 |
|
9,148 |
8,302 |
$106K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,228 |
2,709 |
$105K |
| 81025 |
|
5,012 |
4,599 |
$98K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,464 |
2,128 |
$91K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,528 |
1,493 |
$91K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,832 |
4,101 |
$88K |
| 71045 |
Radiologic examination, chest; single view |
6,061 |
5,361 |
$85K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,211 |
316 |
$83K |
| 59025 |
Fetal non-stress test |
1,284 |
980 |
$80K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,831 |
3,137 |
$74K |
| 86850 |
|
1,376 |
1,243 |
$65K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,787 |
1,623 |
$60K |
| 71046 |
Radiologic examination, chest; 2 views |
1,696 |
1,595 |
$60K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,839 |
1,541 |
$60K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
5,207 |
4,782 |
$57K |
| 82947 |
|
2,622 |
1,499 |
$51K |
| 81003 |
|
3,140 |
2,892 |
$47K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,265 |
1,120 |
$43K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
305 |
297 |
$36K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,355 |
1,808 |
$36K |
| 73610 |
|
493 |
450 |
$34K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
834 |
753 |
$32K |
| 74018 |
|
851 |
821 |
$31K |
| 36415 |
Collection of venous blood by venipuncture |
2,123 |
1,734 |
$29K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14,916 |
12,221 |
$28K |
| 86901 |
|
1,773 |
1,604 |
$26K |
| 87070 |
|
569 |
495 |
$25K |
| 73630 |
|
489 |
457 |
$23K |
| 84484 |
|
4,155 |
2,932 |
$20K |
| 84702 |
|
1,593 |
1,266 |
$18K |
| 73110 |
|
336 |
305 |
$18K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
6,916 |
5,508 |
$17K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,445 |
5,328 |
$16K |
| 73130 |
|
246 |
231 |
$16K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
919 |
880 |
$16K |
| 73562 |
|
310 |
263 |
$15K |
| 96376 |
|
850 |
544 |
$14K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
700 |
519 |
$13K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
172 |
143 |
$13K |
| 76801 |
|
891 |
784 |
$12K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
135 |
131 |
$12K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
428 |
405 |
$11K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,357 |
1,291 |
$11K |
| 85610 |
|
4,005 |
3,339 |
$10K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,354 |
1,145 |
$10K |
| 87507 |
|
227 |
212 |
$10K |
| G0378 |
Hospital observation service, per hour |
2,516 |
1,031 |
$9K |
| 85730 |
|
2,700 |
2,327 |
$9K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
130 |
119 |
$9K |
| 73030 |
|
311 |
273 |
$8K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
129 |
82 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
333 |
307 |
$8K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,403 |
1,178 |
$8K |
| 76377 |
|
325 |
250 |
$8K |
| 73080 |
|
109 |
103 |
$7K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
207 |
83 |
$6K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,192 |
2,565 |
$6K |
| J1644 |
Injection, heparin sodium, per 1000 units |
651 |
332 |
$6K |
| 93017 |
|
137 |
123 |
$6K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
745 |
632 |
$6K |
| 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 |
93 |
82 |
$6K |
| 82951 |
|
216 |
216 |
$6K |
| 86900 |
|
1,776 |
1,605 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,320 |
1,202 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
201 |
187 |
$5K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
26 |
24 |
$5K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,334 |
1,268 |
$5K |
| 93971 |
|
230 |
210 |
$4K |
| 73090 |
|
66 |
62 |
$4K |
| 83735 |
|
1,476 |
1,262 |
$4K |
| 97597 |
|
157 |
62 |
$4K |
| 86140 |
|
889 |
765 |
$4K |
| 01999 |
|
663 |
624 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,789 |
3,170 |
$4K |
| 87040 |
|
2,632 |
1,519 |
$4K |
| 72100 |
|
165 |
154 |
$3K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
219 |
167 |
$3K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
485 |
431 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
137 |
131 |
$3K |
| 85027 |
|
622 |
528 |
$3K |
| 76830 |
Ultrasound, transvaginal |
203 |
195 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
647 |
559 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
43 |
38 |
$3K |
| 80061 |
Lipid panel |
1,056 |
932 |
$3K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
41 |
37 |
$3K |
| 74019 |
|
81 |
78 |
$2K |
| 82565 |
|
293 |
258 |
$2K |
| 83605 |
|
1,752 |
1,449 |
$2K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,001 |
1,584 |
$2K |
| 82247 |
|
148 |
92 |
$2K |
| 80050 |
General health panel |
102 |
101 |
$2K |
| 83690 |
|
3,378 |
2,975 |
$2K |
| 87077 |
|
2,213 |
1,949 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,651 |
2,361 |
$2K |
| 73564 |
|
26 |
24 |
$2K |
| 83880 |
|
995 |
867 |
$2K |
| 82274 |
|
76 |
70 |
$2K |
| 73140 |
|
26 |
26 |
$2K |
| 76775 |
|
42 |
41 |
$2K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
349 |
307 |
$2K |
| 87486 |
|
1,030 |
989 |
$2K |
| 84703 |
|
705 |
662 |
$2K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
277 |
210 |
$2K |
| 84439 |
|
658 |
604 |
$2K |
| 84112 |
|
15 |
14 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
368 |
306 |
$1K |
| 87186 |
|
1,778 |
1,602 |
$1K |
| 80076 |
|
184 |
174 |
$1K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
127 |
120 |
$986.99 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
25 |
22 |
$970.54 |
| 87210 |
|
683 |
650 |
$927.76 |
| 71250 |
|
47 |
36 |
$904.52 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
14 |
12 |
$903.70 |
| 97161 |
|
18 |
16 |
$879.68 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
684 |
609 |
$872.85 |
| 87806 |
|
555 |
534 |
$846.84 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
23 |
16 |
$737.09 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,904 |
1,468 |
$690.60 |
| 73502 |
|
14 |
12 |
$644.02 |
| J7050 |
Infusion, normal saline solution, 250 cc |
437 |
321 |
$595.99 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
757 |
697 |
$527.31 |
| J2060 |
Injection, lorazepam, 2 mg |
389 |
327 |
$507.10 |
| 12001 |
|
14 |
14 |
$491.79 |
| 86317 |
|
272 |
255 |
$472.83 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
366 |
329 |
$470.94 |
| 80074 |
|
198 |
188 |
$468.38 |
| 87581 |
|
257 |
253 |
$465.89 |
| 85018 |
|
324 |
305 |
$409.79 |
| 82728 |
|
50 |
39 |
$404.31 |
| 82570 |
|
112 |
94 |
$379.50 |
| 72110 |
|
13 |
12 |
$365.82 |
| 85379 |
|
503 |
447 |
$357.20 |
| 82550 |
|
158 |
135 |
$339.28 |
| 82105 |
|
32 |
32 |
$337.72 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
26 |
24 |
$326.07 |
| 0002A |
|
14 |
14 |
$287.88 |
| 82248 |
|
199 |
141 |
$259.94 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
239 |
202 |
$233.59 |
| 82805 |
|
43 |
36 |
$229.63 |
| 86780 |
|
124 |
115 |
$226.09 |
| 90715 |
|
75 |
65 |
$198.08 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
28 |
25 |
$190.08 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
167 |
149 |
$159.76 |
| 99152 |
|
85 |
61 |
$153.55 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
160 |
157 |
$152.53 |
| 93970 |
|
14 |
14 |
$141.32 |
| 86787 |
|
187 |
175 |
$139.48 |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
30 |
28 |
$124.80 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
994 |
950 |
$108.38 |
| 0011A |
|
31 |
29 |
$101.64 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
271 |
250 |
$89.24 |
| 0001A |
|
21 |
20 |
$84.70 |
| 85014 |
|
466 |
425 |
$83.91 |
| 85652 |
|
192 |
170 |
$80.21 |
| 84145 |
|
84 |
67 |
$72.86 |
| 87340 |
|
448 |
434 |
$67.61 |
| 99153 |
Mod sedat endo service >5yrs |
17 |
15 |
$41.96 |
| C9113 |
Injection, pantoprazole sodium, per vial |
138 |
95 |
$34.58 |
| J2704 |
Injection, propofol, 10 mg |
40 |
38 |
$27.30 |
| 84156 |
|
91 |
69 |
$12.46 |
| 82330 |
|
15 |
12 |
$6.62 |
| 82607 |
|
20 |
13 |
$5.07 |
| 84466 |
|
53 |
41 |
$3.92 |
| 83540 |
|
55 |
43 |
$3.36 |
| 84295 |
|
31 |
28 |
$1.47 |
| 84520 |
|
31 |
28 |
$1.47 |
| 84132 |
|
98 |
76 |
$1.47 |
| 82435 |
|
31 |
28 |
$1.47 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
25 |
24 |
$0.00 |
| 87076 |
|
14 |
14 |
$0.00 |
| 84100 |
|
15 |
13 |
$0.00 |
| 82952 |
|
205 |
204 |
$0.00 |
| G0379 |
Direct admission of patient for hospital observation care |
18 |
12 |
$0.00 |
| J2791 |
Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu |
12 |
12 |
$0.00 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
25 |
24 |
$0.00 |
| J0500 |
Injection, dicyclomine hcl, up to 20 mg |
14 |
12 |
$0.00 |
| 82077 |
|
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
12 |
$0.00 |
| 88304 |
|
15 |
12 |
$0.00 |