| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
18,842 |
16,659 |
$1.24M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
17,809 |
14,778 |
$1.10M |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
5,279 |
4,282 |
$586K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
10,659 |
8,485 |
$552K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
8,957 |
7,315 |
$483K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
2,344 |
1,950 |
$390K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,346 |
2,772 |
$357K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,640 |
2,891 |
$298K |
| 80053 |
Comprehensive metabolic panel |
23,916 |
18,051 |
$184K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,617 |
2,334 |
$165K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
7,410 |
5,425 |
$162K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,581 |
1,092 |
$155K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
6,352 |
5,027 |
$153K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,762 |
2,418 |
$141K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
3,004 |
2,746 |
$95K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
735 |
608 |
$82K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
773 |
635 |
$81K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,856 |
1,345 |
$81K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,227 |
1,792 |
$81K |
| 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 |
1,885 |
1,600 |
$66K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,189 |
988 |
$64K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
380 |
90 |
$60K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,222 |
1,095 |
$55K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
299 |
275 |
$53K |
| 81001 |
|
9,581 |
7,809 |
$46K |
| 71046 |
Radiologic examination, chest; 2 views |
3,377 |
2,813 |
$43K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,169 |
1,765 |
$43K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
664 |
581 |
$43K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,304 |
3,037 |
$40K |
| G0378 |
Hospital observation service, per hour |
4,810 |
2,362 |
$39K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
944 |
784 |
$36K |
| 82947 |
|
4,617 |
2,098 |
$33K |
| 87430 |
|
2,892 |
2,554 |
$31K |
| 71045 |
Radiologic examination, chest; single view |
7,874 |
6,499 |
$28K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
979 |
838 |
$27K |
| 86850 |
|
938 |
691 |
$26K |
| 81025 |
|
2,115 |
1,744 |
$24K |
| 73610 |
|
421 |
358 |
$24K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
4,497 |
3,682 |
$22K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
917 |
252 |
$21K |
| 81003 |
|
4,287 |
3,565 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
27,747 |
20,194 |
$20K |
| 76830 |
Ultrasound, transvaginal |
519 |
445 |
$19K |
| 86901 |
|
1,739 |
1,323 |
$19K |
| 92587 |
|
503 |
425 |
$19K |
| 01999 |
|
1,381 |
1,188 |
$18K |
| 73630 |
|
545 |
451 |
$16K |
| 93976 |
|
199 |
175 |
$16K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
11,511 |
8,777 |
$15K |
| 84484 |
|
11,328 |
6,369 |
$13K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
499 |
396 |
$13K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
927 |
811 |
$12K |
| 73130 |
|
198 |
166 |
$9K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
10,661 |
7,439 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
1,290 |
891 |
$8K |
| 96376 |
|
2,856 |
1,557 |
$8K |
| 80050 |
General health panel |
457 |
417 |
$8K |
| 83735 |
|
4,457 |
2,987 |
$7K |
| 87186 |
|
1,144 |
904 |
$7K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
474 |
192 |
$7K |
| 73110 |
|
107 |
92 |
$7K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
425 |
264 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
380 |
287 |
$6K |
| 97162 |
|
86 |
78 |
$6K |
| 93971 |
|
283 |
247 |
$6K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,473 |
4,778 |
$6K |
| 84702 |
|
1,904 |
1,411 |
$6K |
| 82077 |
|
569 |
470 |
$6K |
| 97535 |
Self-care/home management training, each 15 minutes |
673 |
431 |
$6K |
| 92650 |
|
130 |
126 |
$5K |
| 85730 |
|
2,346 |
1,865 |
$5K |
| 73030 |
|
177 |
134 |
$5K |
| 87210 |
|
644 |
537 |
$5K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
27 |
25 |
$5K |
| 84703 |
|
7,613 |
6,292 |
$4K |
| 76801 |
|
876 |
661 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
768 |
590 |
$4K |
| 85610 |
|
2,772 |
2,163 |
$4K |
| 87040 |
|
5,316 |
2,428 |
$4K |
| 87070 |
|
1,909 |
1,713 |
$4K |
| 83605 |
|
3,761 |
2,753 |
$4K |
| 83690 |
|
6,106 |
4,891 |
$4K |
| 86900 |
|
1,724 |
1,311 |
$3K |
| 59025 |
Fetal non-stress test |
49 |
37 |
$3K |
| 83880 |
|
2,576 |
2,093 |
$3K |
| 97161 |
|
63 |
56 |
$3K |
| 74022 |
|
223 |
202 |
$2K |
| 87807 |
|
847 |
789 |
$2K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,104 |
1,684 |
$2K |
| 73564 |
|
56 |
41 |
$2K |
| 80061 |
Lipid panel |
1,739 |
1,409 |
$2K |
| 12001 |
|
29 |
24 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
892 |
756 |
$2K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
4,063 |
2,651 |
$2K |
| 85027 |
|
822 |
554 |
$2K |
| 97163 |
|
118 |
93 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
217 |
177 |
$2K |
| 85379 |
|
1,783 |
1,480 |
$2K |
| 74019 |
|
31 |
28 |
$2K |
| 97116 |
|
236 |
140 |
$1K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,369 |
1,091 |
$1K |
| 73562 |
|
30 |
25 |
$1K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
41 |
28 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,145 |
3,977 |
$1K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
838 |
506 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
969 |
776 |
$1K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,596 |
1,209 |
$1K |
| 12011 |
|
13 |
13 |
$1K |
| 74018 |
|
65 |
53 |
$1K |
| 82550 |
|
839 |
618 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,090 |
845 |
$1K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,008 |
762 |
$1K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
17 |
14 |
$905.54 |
| 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 |
215 |
145 |
$860.51 |
| Q9963 |
High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml |
13 |
12 |
$761.43 |
| 73080 |
|
17 |
15 |
$737.02 |
| J2060 |
Injection, lorazepam, 2 mg |
1,088 |
849 |
$588.96 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
497 |
411 |
$502.89 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,132 |
1,750 |
$489.59 |
| J2704 |
Injection, propofol, 10 mg |
181 |
131 |
$454.53 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$398.13 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,048 |
747 |
$319.77 |
| 84145 |
|
402 |
335 |
$308.12 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
857 |
726 |
$245.00 |
| 86140 |
|
745 |
641 |
$215.08 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,209 |
967 |
$179.49 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
18 |
14 |
$172.09 |
| 80076 |
|
56 |
43 |
$170.93 |
| 85652 |
|
199 |
148 |
$153.20 |
| 90715 |
|
69 |
59 |
$133.17 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
397 |
383 |
$124.35 |
| 93880 |
|
16 |
12 |
$103.63 |
| 86308 |
|
13 |
12 |
$91.78 |
| G1010 |
Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program |
76 |
45 |
$89.96 |
| 82565 |
|
18 |
14 |
$88.75 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,007 |
718 |
$85.83 |
| 87077 |
|
894 |
668 |
$55.88 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,465 |
1,021 |
$42.19 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
49 |
43 |
$38.04 |
| 72131 |
|
18 |
14 |
$32.65 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
39 |
25 |
$28.30 |
| J1630 |
Injection, haloperidol, up to 5 mg |
39 |
29 |
$25.62 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
60 |
28 |
$25.24 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
16 |
14 |
$15.58 |
| 84100 |
|
523 |
319 |
$4.63 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
15 |
12 |
$0.22 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
69 |
53 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
67 |
50 |
$0.00 |
| 84132 |
|
56 |
35 |
$0.00 |
| 87486 |
|
17 |
14 |
$0.00 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
26 |
21 |
$0.00 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
20 |
16 |
$0.00 |
| 87081 |
|
167 |
164 |
$0.00 |
| 87581 |
|
16 |
13 |
$0.00 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
39 |
24 |
$0.00 |
| 82607 |
|
57 |
41 |
$0.00 |
| 82728 |
|
13 |
12 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
69 |
51 |
$0.00 |
| 84439 |
|
20 |
18 |
$0.00 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
36 |
24 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
68 |
45 |
$0.00 |
| 80179 |
|
65 |
63 |
$0.00 |
| 85007 |
|
13 |
12 |
$0.00 |
| 87420 |
|
22 |
22 |
$0.00 |
| 80143 |
|
27 |
25 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
37 |
13 |
$0.00 |
| 83540 |
|
12 |
12 |
$0.00 |