| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19,008 |
18,270 |
$2.60M |
| 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 |
27,352 |
24,687 |
$2.35M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
10,917 |
10,461 |
$1.57M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,008 |
3,793 |
$535K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
3,218 |
3,186 |
$367K |
| G0378 |
Hospital observation service, per hour |
383 |
344 |
$248K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,875 |
2,782 |
$176K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,068 |
3,904 |
$142K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
762 |
731 |
$119K |
| 80053 |
Comprehensive metabolic panel |
10,420 |
9,789 |
$101K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13,308 |
12,374 |
$65K |
| 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 |
5,183 |
4,766 |
$54K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,793 |
4,527 |
$38K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
757 |
701 |
$37K |
| 80050 |
General health panel |
765 |
754 |
$31K |
| 70450 |
Computed tomography, head or brain; without contrast material |
504 |
482 |
$27K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
112 |
108 |
$21K |
| 71045 |
Radiologic examination, chest; single view |
3,302 |
3,183 |
$20K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
386 |
339 |
$19K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,812 |
1,735 |
$14K |
| X0616 |
|
86 |
86 |
$13K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
203 |
199 |
$13K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
32 |
32 |
$13K |
| 80061 |
Lipid panel |
911 |
894 |
$11K |
| 83880 |
|
368 |
352 |
$10K |
| 83735 |
|
1,563 |
1,497 |
$10K |
| 83690 |
|
2,067 |
1,982 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
249 |
238 |
$9K |
| 87631 |
|
48 |
48 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
666 |
652 |
$6K |
| 81001 |
|
2,491 |
2,394 |
$6K |
| 84484 |
|
1,045 |
938 |
$6K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
211 |
207 |
$6K |
| M0239 |
Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring |
23 |
23 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
352 |
275 |
$5K |
| M0245 |
Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring |
13 |
13 |
$5K |
| 87040 |
|
303 |
289 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
249 |
239 |
$5K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
249 |
239 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
336 |
312 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
190 |
179 |
$5K |
| 73630 |
|
454 |
391 |
$4K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
172 |
167 |
$4K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
104 |
94 |
$4K |
| 85379 |
|
412 |
396 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
600 |
563 |
$4K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
192 |
177 |
$4K |
| OP250 |
|
1,821 |
1,212 |
$3K |
| 83605 |
|
570 |
527 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
3,318 |
2,693 |
$3K |
| 86803 |
|
167 |
166 |
$3K |
| 84702 |
|
167 |
142 |
$3K |
| 81003 |
|
985 |
931 |
$2K |
| 84703 |
|
244 |
240 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
51 |
48 |
$2K |
| 85730 |
|
507 |
482 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
378 |
370 |
$2K |
| 85027 |
|
376 |
356 |
$2K |
| 85610 |
|
729 |
663 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
148 |
148 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
27 |
27 |
$2K |
| 73610 |
|
135 |
127 |
$2K |
| 80076 |
|
140 |
137 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
13 |
12 |
$2K |
| 70498 |
|
14 |
13 |
$2K |
| 70496 |
|
13 |
12 |
$1K |
| 73130 |
|
151 |
129 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
56 |
49 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
547 |
482 |
$1K |
| 71250 |
|
27 |
26 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
16 |
16 |
$992.40 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
112 |
79 |
$938.19 |
| 87186 |
|
120 |
117 |
$900.00 |
| 87077 |
|
116 |
112 |
$846.27 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,614 |
4,542 |
$836.35 |
| 82805 |
|
28 |
26 |
$832.38 |
| 87070 |
|
118 |
117 |
$813.15 |
| 82550 |
|
125 |
118 |
$741.12 |
| 82728 |
|
59 |
56 |
$618.00 |
| 85007 |
|
170 |
161 |
$567.49 |
| 82948 |
|
362 |
295 |
$525.54 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
423 |
381 |
$520.39 |
| 73564 |
|
45 |
43 |
$471.90 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
28 |
28 |
$444.31 |
| 73030 |
|
55 |
53 |
$427.91 |
| 73140 |
|
33 |
31 |
$422.76 |
| 76801 |
|
14 |
14 |
$418.98 |
| J3490 |
Unclassified drugs |
132 |
84 |
$367.57 |
| 84145 |
|
25 |
24 |
$363.83 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,364 |
3,017 |
$343.74 |
| 83540 |
|
49 |
49 |
$339.89 |
| 90715 |
|
49 |
43 |
$332.17 |
| 82077 |
|
102 |
95 |
$323.16 |
| 82570 |
|
45 |
45 |
$296.06 |
| 82803 |
|
19 |
15 |
$286.66 |
| 82043 |
|
37 |
37 |
$263.71 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
40 |
39 |
$218.70 |
| 84439 |
|
28 |
28 |
$218.24 |
| 84153 |
|
12 |
12 |
$213.40 |
| 86140 |
|
79 |
78 |
$204.43 |
| 81025 |
|
161 |
151 |
$186.47 |
| 86592 |
|
42 |
41 |
$175.47 |
| J2704 |
Injection, propofol, 10 mg |
1,392 |
976 |
$166.20 |
| 86901 |
|
46 |
44 |
$163.88 |
| 86900 |
|
46 |
44 |
$161.95 |
| 82607 |
|
12 |
12 |
$149.35 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,438 |
1,328 |
$148.79 |
| J2060 |
Injection, lorazepam, 2 mg |
447 |
372 |
$127.91 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
41 |
41 |
$118.77 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
732 |
670 |
$117.57 |
| 82330 |
|
19 |
16 |
$113.29 |
| 83550 |
|
25 |
25 |
$83.40 |
| J7050 |
Infusion, normal saline solution, 250 cc |
138 |
76 |
$78.78 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
705 |
655 |
$71.61 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
647 |
564 |
$69.01 |
| 87088 |
|
13 |
12 |
$64.00 |
| 84295 |
|
15 |
12 |
$61.88 |
| 87081 |
|
16 |
14 |
$61.25 |
| 84132 |
|
16 |
13 |
$60.35 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
14 |
$59.04 |
| 85014 |
|
19 |
16 |
$37.87 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
668 |
644 |
$37.00 |
| 87205 |
|
13 |
13 |
$36.36 |
| 82947 |
|
17 |
14 |
$33.28 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
13 |
$19.40 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
448 |
432 |
$5.08 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
69 |
58 |
$0.01 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
97 |
93 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
29 |
27 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
15 |
12 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
14 |
13 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
335 |
295 |
$0.00 |
| 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) |
59 |
46 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
42 |
42 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
72 |
69 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
13 |
$0.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
21 |
15 |
$0.00 |