| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
11,674 |
10,909 |
$1.86M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
11,367 |
10,888 |
$1.07M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,914 |
5,752 |
$859K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,692 |
3,487 |
$610K |
| 0450 |
Emergency room services |
29,497 |
26,057 |
$581K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,826 |
4,746 |
$501K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
12,377 |
11,833 |
$482K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
8,146 |
7,918 |
$373K |
| 71046 |
Radiologic examination, chest; 2 views |
6,580 |
6,442 |
$186K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,132 |
4,967 |
$182K |
| 99199 |
Unlisted special service, procedure or report |
3,166 |
2,782 |
$146K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
3,917 |
3,867 |
$113K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,974 |
1,946 |
$109K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
7,482 |
7,135 |
$94K |
| 71045 |
Radiologic examination, chest; single view |
8,218 |
7,830 |
$91K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14,454 |
13,384 |
$84K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,449 |
6,928 |
$82K |
| 76830 |
Ultrasound, transvaginal |
2,046 |
2,022 |
$81K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,027 |
2,001 |
$81K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,438 |
1,427 |
$69K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
37,896 |
32,089 |
$63K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
488 |
483 |
$53K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
6,370 |
6,030 |
$50K |
| 73630 |
|
2,236 |
2,013 |
$47K |
| 80051 |
|
26,893 |
23,597 |
$44K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,720 |
5,367 |
$41K |
| 73610 |
|
1,906 |
1,781 |
$40K |
| 72100 |
|
1,404 |
1,399 |
$36K |
| 36415 |
Collection of venous blood by venipuncture |
33,103 |
26,784 |
$32K |
| 73130 |
|
1,454 |
1,292 |
$31K |
| 82565 |
|
30,248 |
26,061 |
$31K |
| 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 |
1,324 |
1,314 |
$30K |
| 73560 |
|
1,785 |
1,589 |
$30K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,027 |
2,904 |
$30K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
124 |
124 |
$29K |
| 73030 |
|
1,496 |
1,388 |
$27K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
532 |
527 |
$26K |
| 84702 |
|
10,052 |
9,018 |
$26K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
397 |
395 |
$26K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,193 |
4,034 |
$25K |
| 73110 |
|
1,129 |
1,049 |
$24K |
| 73564 |
|
400 |
311 |
$24K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
283 |
282 |
$23K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,632 |
1,502 |
$23K |
| G0378 |
Hospital observation service, per hour |
1,981 |
1,374 |
$23K |
| 84520 |
|
26,627 |
23,475 |
$22K |
| 83880 |
|
4,585 |
4,326 |
$21K |
| 82947 |
|
26,699 |
23,461 |
$21K |
| 93971 |
|
605 |
594 |
$21K |
| 84484 |
|
9,151 |
8,197 |
$21K |
| 83690 |
|
12,960 |
12,118 |
$20K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
176 |
175 |
$20K |
| 74018 |
|
823 |
794 |
$20K |
| 82247 |
|
17,519 |
14,798 |
$19K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,101 |
2,089 |
$19K |
| 84460 |
|
17,002 |
14,766 |
$19K |
| 87631 |
|
898 |
881 |
$18K |
| 0270 |
|
8,636 |
5,275 |
$17K |
| 84450 |
|
15,844 |
13,903 |
$17K |
| 70486 |
|
237 |
234 |
$17K |
| 84075 |
|
14,401 |
12,950 |
$15K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,351 |
1,284 |
$15K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,351 |
1,285 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,221 |
3,030 |
$15K |
| 72040 |
|
532 |
527 |
$15K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
11,743 |
10,287 |
$15K |
| 73140 |
|
670 |
641 |
$13K |
| 81001 |
|
18,451 |
17,360 |
$13K |
| 86900 |
|
2,136 |
2,039 |
$12K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,302 |
1,284 |
$12K |
| 73080 |
|
412 |
390 |
$11K |
| 73502 |
|
366 |
336 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
270 |
251 |
$10K |
| 87040 |
|
2,675 |
2,521 |
$9K |
| 93976 |
|
374 |
373 |
$9K |
| 71250 |
|
212 |
210 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
324 |
311 |
$9K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,852 |
3,776 |
$7K |
| 83605 |
|
3,104 |
2,888 |
$7K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,183 |
4,817 |
$7K |
| 80306 |
|
1,792 |
1,726 |
$7K |
| 83735 |
|
6,035 |
4,911 |
$7K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,614 |
5,995 |
$7K |
| 86850 |
|
1,685 |
1,626 |
$6K |
| 87088 |
|
4,695 |
4,526 |
$6K |
| 85610 |
|
9,082 |
7,791 |
$6K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
93 |
91 |
$6K |
| 82077 |
|
1,649 |
1,542 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,818 |
3,522 |
$6K |
| 81003 |
|
11,182 |
10,854 |
$5K |
| Z7502 |
|
433 |
415 |
$5K |
| J3490 |
Unclassified drugs |
3,167 |
2,476 |
$5K |
| 86901 |
|
2,136 |
2,039 |
$5K |
| 76536 |
|
214 |
214 |
$5K |
| 0250 |
|
6,765 |
3,985 |
$4K |
| 76770 |
|
160 |
159 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
146 |
143 |
$4K |
| 85652 |
|
6,504 |
6,319 |
$4K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
4,028 |
3,589 |
$4K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,192 |
1,874 |
$3K |
| 72141 |
|
24 |
24 |
$3K |
| 82248 |
|
1,634 |
1,159 |
$3K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
243 |
242 |
$3K |
| 76857 |
|
51 |
51 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,749 |
1,529 |
$3K |
| 82962 |
|
4,105 |
3,273 |
$3K |
| 85379 |
|
966 |
952 |
$2K |
| 85027 |
|
2,201 |
1,923 |
$2K |
| 80179 |
|
666 |
644 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,758 |
2,582 |
$2K |
| 86140 |
|
1,283 |
1,235 |
$2K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,841 |
1,691 |
$2K |
| 86923 |
|
13 |
12 |
$2K |
| 84100 |
|
2,410 |
2,138 |
$2K |
| 76376 |
|
121 |
121 |
$2K |
| 73590 |
|
113 |
102 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
496 |
493 |
$2K |
| 73562 |
|
28 |
25 |
$2K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
12 |
12 |
$2K |
| 72131 |
|
15 |
15 |
$2K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,545 |
1,442 |
$2K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
403 |
398 |
$1K |
| 0637 |
|
35,918 |
12,222 |
$1K |
| 82570 |
|
291 |
285 |
$1K |
| 71101 |
|
37 |
37 |
$1K |
| 82310 |
|
821 |
580 |
$1K |
| 84132 |
|
1,027 |
822 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
271 |
230 |
$1K |
| 82040 |
|
653 |
500 |
$1K |
| 85730 |
|
766 |
741 |
$1K |
| 72070 |
|
12 |
12 |
$916.12 |
| 59025 |
Fetal non-stress test |
141 |
116 |
$908.27 |
| 84295 |
|
364 |
277 |
$883.12 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
748 |
616 |
$878.48 |
| 87324 |
|
152 |
151 |
$877.70 |
| 87449 |
|
158 |
156 |
$869.12 |
| 84156 |
|
283 |
276 |
$846.52 |
| 90715 |
|
54 |
53 |
$801.87 |
| 0710 |
|
1,461 |
1,445 |
$729.10 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
408 |
359 |
$502.24 |
| J1815 |
Injection, insulin, per 5 units |
975 |
471 |
$453.06 |
| 0370 |
|
1,224 |
1,211 |
$437.25 |
| 85378 |
|
290 |
284 |
$433.99 |
| 85007 |
|
753 |
626 |
$425.01 |
| J2060 |
Injection, lorazepam, 2 mg |
307 |
279 |
$420.51 |
| 73090 |
|
119 |
104 |
$391.46 |
| 82550 |
|
230 |
215 |
$337.08 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
597 |
556 |
$265.16 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
489 |
473 |
$263.60 |
| 93970 |
|
13 |
13 |
$220.37 |
| 73620 |
|
73 |
68 |
$214.78 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
79 |
79 |
$211.44 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,013 |
944 |
$202.59 |
| 82803 |
|
28 |
26 |
$197.46 |
| 82272 |
|
29 |
28 |
$185.00 |
| 73600 |
|
57 |
53 |
$172.55 |
| J0134 |
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
25 |
24 |
$141.60 |
| 76882 |
|
33 |
27 |
$133.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
354 |
348 |
$104.27 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
180 |
179 |
$102.39 |
| 80069 |
|
45 |
41 |
$84.08 |
| J0137 |
Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg |
38 |
38 |
$77.42 |
| 12001 |
|
44 |
44 |
$77.21 |
| 83615 |
|
64 |
61 |
$71.82 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
39 |
38 |
$71.02 |
| 96376 |
|
836 |
793 |
$70.47 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
54 |
54 |
$50.71 |
| 76870 |
|
12 |
12 |
$47.16 |
| 82728 |
|
15 |
15 |
$43.45 |
| 87070 |
|
14 |
14 |
$40.34 |
| J8501 |
Aprepitant, oral, 5 mg |
25 |
25 |
$40.30 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
40 |
37 |
$35.01 |
| J1630 |
Injection, haloperidol, up to 5 mg |
12 |
12 |
$23.37 |
| J0136 |
Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg |
14 |
14 |
$18.46 |
| 73660 |
|
13 |
13 |
$17.22 |
| 73120 |
|
13 |
12 |
$15.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$13.38 |
| 29125 |
|
12 |
12 |
$10.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
106 |
105 |
$4.95 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
55 |
47 |
$3.88 |
| 85008 |
|
349 |
295 |
$3.35 |
| 0272 |
|
38 |
38 |
$0.00 |
| 80325 |
|
25 |
24 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
22 |
12 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
51 |
26 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
12 |
12 |
$0.00 |
| 76942 |
|
12 |
12 |
$0.00 |
| 80329 |
|
23 |
20 |
$0.00 |
| 80320 |
|
235 |
209 |
$0.00 |
| 0258 |
|
294 |
260 |
$0.00 |
| 87081 |
|
13 |
12 |
$0.00 |
| 80349 |
|
25 |
25 |
$0.00 |