| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,965 |
1,822 |
$1.69M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
683 |
625 |
$926K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,135 |
1,101 |
$642K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,994 |
1,947 |
$448K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
924 |
895 |
$312K |
| 0450 |
Emergency room services |
18,864 |
16,797 |
$224K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,778 |
1,713 |
$171K |
| 99199 |
Unlisted special service, procedure or report |
3,335 |
2,903 |
$152K |
| 71045 |
Radiologic examination, chest; single view |
3,819 |
3,586 |
$149K |
| 36415 |
Collection of venous blood by venipuncture |
18,524 |
15,089 |
$148K |
| 71046 |
Radiologic examination, chest; 2 views |
2,621 |
2,568 |
$119K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,379 |
2,304 |
$113K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
630 |
619 |
$88K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
586 |
562 |
$84K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19,409 |
16,328 |
$70K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
458 |
458 |
$65K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
211 |
210 |
$62K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
273 |
269 |
$59K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,669 |
3,587 |
$57K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
168 |
168 |
$52K |
| 73630 |
|
578 |
494 |
$51K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
537 |
530 |
$50K |
| 82565 |
|
19,746 |
17,155 |
$47K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,213 |
5,169 |
$44K |
| 73030 |
|
408 |
370 |
$41K |
| 80061 |
Lipid panel |
3,138 |
3,119 |
$38K |
| 76830 |
Ultrasound, transvaginal |
473 |
467 |
$37K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,498 |
2,360 |
$37K |
| 80051 |
|
13,693 |
11,972 |
$35K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
133 |
132 |
$35K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,105 |
2,843 |
$35K |
| 71250 |
|
189 |
189 |
$34K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
411 |
405 |
$34K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,049 |
884 |
$34K |
| 84460 |
|
11,876 |
10,597 |
$33K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,632 |
5,120 |
$33K |
| 72100 |
|
283 |
282 |
$33K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,046 |
883 |
$33K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
424 |
420 |
$32K |
| 73564 |
|
207 |
143 |
$30K |
| G0378 |
Hospital observation service, per hour |
1,177 |
493 |
$30K |
| 86900 |
|
811 |
760 |
$29K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
872 |
862 |
$28K |
| 83880 |
|
1,764 |
1,604 |
$27K |
| 73610 |
|
308 |
283 |
$27K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
16 |
16 |
$27K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,086 |
986 |
$26K |
| 74018 |
|
210 |
198 |
$23K |
| 73130 |
|
272 |
239 |
$22K |
| 84450 |
|
8,922 |
7,953 |
$21K |
| 73502 |
|
209 |
201 |
$21K |
| 82947 |
|
14,957 |
13,097 |
$21K |
| 93971 |
|
154 |
149 |
$20K |
| 73560 |
|
236 |
213 |
$20K |
| 82247 |
|
8,254 |
7,080 |
$19K |
| 84520 |
|
14,341 |
12,536 |
$19K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,240 |
2,093 |
$18K |
| 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 |
164 |
156 |
$18K |
| 82728 |
|
1,216 |
1,194 |
$17K |
| 84132 |
|
3,724 |
3,364 |
$17K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
622 |
618 |
$16K |
| 85027 |
|
3,096 |
2,988 |
$16K |
| 82607 |
|
967 |
964 |
$16K |
| 84075 |
|
7,155 |
6,515 |
$15K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
107 |
107 |
$15K |
| 84484 |
|
4,731 |
4,095 |
$14K |
| 73562 |
|
132 |
91 |
$14K |
| 83690 |
|
5,659 |
5,275 |
$14K |
| 72040 |
|
123 |
122 |
$13K |
| 83970 |
|
294 |
283 |
$12K |
| 83735 |
|
3,966 |
3,149 |
$12K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,706 |
1,624 |
$12K |
| 76770 |
|
76 |
75 |
$11K |
| 86850 |
|
465 |
447 |
$11K |
| 86235 |
|
68 |
67 |
$11K |
| 87088 |
|
2,817 |
2,707 |
$11K |
| 73110 |
|
131 |
118 |
$11K |
| 76642 |
|
98 |
60 |
$11K |
| 73221 |
|
27 |
26 |
$10K |
| 87506 |
|
56 |
56 |
$10K |
| 81001 |
|
5,747 |
5,396 |
$10K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
6,086 |
5,206 |
$10K |
| J2785 |
Injection, regadenoson, 0.1 mg |
76 |
76 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,700 |
1,556 |
$9K |
| 84295 |
|
1,841 |
1,673 |
$9K |
| 86780 |
|
632 |
628 |
$9K |
| 86803 |
|
587 |
585 |
$9K |
| 86901 |
|
810 |
760 |
$9K |
| 82043 |
|
1,382 |
1,365 |
$8K |
| 82310 |
|
1,581 |
1,348 |
$8K |
| Z7502 |
|
1,216 |
1,129 |
$8K |
| 83550 |
|
824 |
807 |
$8K |
| 82570 |
|
1,179 |
1,133 |
$7K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,890 |
1,835 |
$7K |
| 85610 |
|
2,732 |
2,332 |
$7K |
| 84153 |
|
346 |
341 |
$7K |
| 84702 |
|
1,276 |
1,119 |
$6K |
| 84439 |
|
624 |
572 |
$6K |
| 0270 |
|
6,313 |
2,958 |
$6K |
| 82040 |
|
1,289 |
1,111 |
$6K |
| 73080 |
|
63 |
60 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
368 |
366 |
$6K |
| 73590 |
|
60 |
55 |
$5K |
| 83540 |
|
847 |
829 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,553 |
3,380 |
$5K |
| 70486 |
|
28 |
28 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
44 |
41 |
$5K |
| 71101 |
|
50 |
50 |
$5K |
| 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 |
145 |
138 |
$5K |
| 76882 |
|
34 |
26 |
$4K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
37 |
37 |
$4K |
| 84703 |
|
3,079 |
2,916 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,395 |
3,111 |
$4K |
| 84100 |
|
1,841 |
1,563 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,592 |
1,469 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
111 |
111 |
$4K |
| 87340 |
|
300 |
300 |
$4K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
942 |
843 |
$4K |
| 87536 |
|
40 |
40 |
$3K |
| 96376 |
|
394 |
323 |
$3K |
| 81003 |
|
3,672 |
3,522 |
$3K |
| 82248 |
|
731 |
531 |
$3K |
| 85652 |
|
1,192 |
1,100 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
600 |
572 |
$3K |
| 83605 |
|
1,014 |
917 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
24 |
24 |
$3K |
| 86140 |
|
671 |
627 |
$3K |
| 82077 |
|
629 |
560 |
$3K |
| 87040 |
|
565 |
523 |
$3K |
| 86480 |
|
43 |
43 |
$3K |
| 93976 |
|
58 |
58 |
$3K |
| 80306 |
|
600 |
565 |
$3K |
| 77066 |
Tomosynthesis, mammo |
16 |
16 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
311 |
306 |
$2K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
147 |
143 |
$2K |
| 84165 |
|
202 |
189 |
$2K |
| 76536 |
|
17 |
17 |
$2K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,109 |
986 |
$2K |
| 84156 |
|
555 |
520 |
$2K |
| 84403 |
|
78 |
77 |
$2K |
| 82746 |
|
166 |
166 |
$2K |
| 73140 |
|
30 |
28 |
$2K |
| J3490 |
Unclassified drugs |
1,730 |
864 |
$2K |
| 85379 |
|
797 |
774 |
$2K |
| 93970 |
|
29 |
29 |
$2K |
| 80047 |
|
614 |
590 |
$2K |
| 84550 |
|
332 |
327 |
$2K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,179 |
1,035 |
$2K |
| 0250 |
|
3,142 |
1,506 |
$2K |
| 83516 |
|
57 |
53 |
$1K |
| 86704 |
|
104 |
104 |
$1K |
| 87631 |
|
93 |
93 |
$1K |
| 86706 |
|
114 |
113 |
$1K |
| 82550 |
|
272 |
251 |
$1K |
| 0637 |
|
13,366 |
3,052 |
$1K |
| 86225 |
|
70 |
69 |
$945.06 |
| 80179 |
|
211 |
183 |
$920.69 |
| 86038 |
|
68 |
67 |
$839.25 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
785 |
605 |
$763.78 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
475 |
440 |
$664.68 |
| 80069 |
|
204 |
199 |
$657.40 |
| 87449 |
|
65 |
64 |
$607.12 |
| 86360 |
|
12 |
12 |
$577.00 |
| 85014 |
|
817 |
776 |
$561.04 |
| 82962 |
|
940 |
566 |
$559.15 |
| 86762 |
|
26 |
26 |
$556.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
463 |
449 |
$547.63 |
| 80197 |
|
36 |
26 |
$538.00 |
| 82784 |
|
26 |
25 |
$489.00 |
| 97161 |
|
118 |
116 |
$464.21 |
| 82985 |
|
26 |
26 |
$463.00 |
| 87324 |
|
46 |
46 |
$457.00 |
| 82950 |
|
53 |
45 |
$449.00 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
13 |
13 |
$429.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
376 |
303 |
$417.92 |
| 85018 |
|
200 |
184 |
$369.00 |
| 85730 |
|
89 |
89 |
$356.54 |
| 0160 |
|
28 |
27 |
$350.82 |
| 82803 |
|
80 |
76 |
$334.73 |
| Z7610 |
|
289 |
102 |
$334.67 |
| 83615 |
|
40 |
39 |
$276.00 |
| 87338 |
|
28 |
28 |
$245.60 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
27 |
27 |
$239.76 |
| 86787 |
|
12 |
12 |
$237.00 |
| 84480 |
|
12 |
12 |
$196.06 |
| 83655 |
|
12 |
12 |
$183.00 |
| 84134 |
|
12 |
12 |
$172.00 |
| 0320 |
|
17 |
15 |
$171.14 |
| 86593 |
|
29 |
29 |
$153.90 |
| 87081 |
|
261 |
253 |
$148.80 |
| J1815 |
Injection, insulin, per 5 units |
702 |
261 |
$144.25 |
| 85378 |
|
39 |
38 |
$140.29 |
| 90715 |
|
28 |
28 |
$130.65 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
140 |
128 |
$129.04 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
104 |
100 |
$122.20 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
219 |
184 |
$112.77 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
180 |
172 |
$97.71 |
| 82140 |
|
14 |
12 |
$43.20 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
222 |
118 |
$42.12 |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
13 |
12 |
$38.66 |
| J1644 |
Injection, heparin sodium, per 1000 units |
162 |
71 |
$33.82 |
| J2060 |
Injection, lorazepam, 2 mg |
48 |
45 |
$28.86 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
12 |
12 |
$24.39 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
53 |
$22.30 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
51 |
39 |
$21.17 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
135 |
101 |
$10.89 |
| J1940 |
Injection, furosemide, up to 20 mg |
61 |
28 |
$2.20 |
| 85008 |
|
13 |
13 |
$0.00 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
21 |
14 |
$0.00 |
| 80329 |
|
13 |
12 |
$0.00 |
| 80320 |
|
14 |
13 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
33 |
29 |
$0.00 |
| 76376 |
|
74 |
74 |
$0.00 |
| 96367 |
|
13 |
13 |
$0.00 |