| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
15,521 |
14,378 |
$2.13M |
| 36415 |
Collection of venous blood by venipuncture |
100,254 |
31,842 |
$2.05M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,164 |
10,665 |
$1.94M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,574 |
13,839 |
$1.68M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
10,700 |
10,225 |
$1.61M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
6,549 |
6,133 |
$1.41M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,586 |
9,965 |
$1.22M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,561 |
3,485 |
$1000K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,084 |
1,083 |
$880K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
710 |
705 |
$812K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,583 |
2,543 |
$809K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
9,023 |
2,823 |
$739K |
| 80053 |
Comprehensive metabolic panel |
40,659 |
36,439 |
$720K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
6,776 |
6,649 |
$561K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
2,794 |
2,604 |
$544K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,693 |
3,315 |
$541K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,315 |
3,233 |
$426K |
| 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 |
5,336 |
5,023 |
$368K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,262 |
1,245 |
$337K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
2,126 |
2,056 |
$310K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
3,244 |
2,739 |
$306K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14,936 |
14,143 |
$295K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
5,672 |
5,532 |
$223K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
995 |
984 |
$201K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,158 |
1,138 |
$179K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
7,790 |
7,664 |
$176K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,236 |
1,224 |
$166K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
5,433 |
5,397 |
$164K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
7,790 |
7,663 |
$161K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,350 |
3,222 |
$160K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
509 |
502 |
$157K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
787 |
736 |
$148K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
7,597 |
7,390 |
$144K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
5,271 |
4,950 |
$142K |
| 84443 |
Thyroid stimulating hormone (TSH) |
18,127 |
17,698 |
$137K |
| 45384 |
|
92 |
92 |
$110K |
| 88142 |
|
4,889 |
4,886 |
$105K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,693 |
1,689 |
$97K |
| 81025 |
|
3,357 |
3,255 |
$95K |
| 80061 |
Lipid panel |
15,013 |
14,908 |
$95K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
7,163 |
6,610 |
$90K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
580 |
577 |
$89K |
| 87070 |
|
14,480 |
12,926 |
$87K |
| 97016 |
|
4,393 |
1,345 |
$80K |
| 83880 |
|
2,427 |
2,291 |
$77K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
38,175 |
33,928 |
$75K |
| 12001 |
|
160 |
160 |
$75K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,796 |
7,734 |
$72K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,058 |
2,811 |
$70K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14,380 |
13,396 |
$68K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,005 |
996 |
$63K |
| 87481 |
|
2,142 |
1,866 |
$61K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
3,446 |
3,430 |
$60K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
191 |
191 |
$57K |
| 82607 |
|
4,756 |
4,730 |
$56K |
| 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 |
2,365 |
2,312 |
$56K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,601 |
753 |
$54K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,389 |
1,377 |
$53K |
| 97161 |
|
543 |
539 |
$50K |
| 84439 |
|
5,873 |
5,792 |
$48K |
| 86850 |
|
3,418 |
3,304 |
$47K |
| 82746 |
|
3,967 |
3,937 |
$46K |
| 94060 |
|
432 |
426 |
$46K |
| 86780 |
|
3,543 |
3,503 |
$42K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,341 |
1,992 |
$40K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,287 |
5,902 |
$39K |
| 86900 |
|
3,482 |
3,359 |
$37K |
| 86901 |
|
3,384 |
3,261 |
$36K |
| 99215 |
Prolong outpt/office vis |
295 |
265 |
$34K |
| 97010 |
|
1,839 |
744 |
$34K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,152 |
1,152 |
$33K |
| 84153 |
|
1,656 |
1,644 |
$31K |
| 82728 |
|
2,417 |
2,386 |
$30K |
| 71046 |
Radiologic examination, chest; 2 views |
4,450 |
4,379 |
$28K |
| 76770 |
|
333 |
327 |
$26K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
90 |
89 |
$26K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,798 |
4,628 |
$25K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
82 |
82 |
$25K |
| G0378 |
Hospital observation service, per hour |
453 |
442 |
$24K |
| 85027 |
|
8,592 |
8,055 |
$23K |
| 87077 |
|
3,692 |
3,520 |
$23K |
| 93971 |
|
337 |
323 |
$23K |
| 97162 |
|
176 |
176 |
$22K |
| 84702 |
|
2,699 |
2,184 |
$22K |
| 87340 |
|
2,263 |
2,249 |
$22K |
| 86803 |
|
2,357 |
2,339 |
$21K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
30 |
30 |
$21K |
| 83540 |
|
4,334 |
4,276 |
$20K |
| 76830 |
Ultrasound, transvaginal |
378 |
372 |
$20K |
| 94726 |
|
199 |
197 |
$19K |
| A9576 |
Injection, gadoteridol, (prohance multipack), per ml |
491 |
477 |
$18K |
| 88312 |
|
831 |
829 |
$18K |
| 87088 |
|
3,283 |
3,136 |
$17K |
| 97014 |
|
1,208 |
409 |
$17K |
| 84480 |
|
3,685 |
3,652 |
$17K |
| 88304 |
|
592 |
586 |
$17K |
| 83550 |
|
3,652 |
3,616 |
$17K |
| 87184 |
|
3,923 |
3,731 |
$16K |
| 84146 |
|
825 |
812 |
$16K |
| 80076 |
|
2,206 |
2,159 |
$16K |
| 86141 |
|
2,487 |
2,279 |
$14K |
| 84436 |
|
4,304 |
4,205 |
$14K |
| 51741 |
|
16 |
16 |
$13K |
| 83970 |
|
353 |
343 |
$13K |
| 83735 |
|
8,049 |
7,047 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
4,439 |
4,269 |
$13K |
| 82803 |
|
559 |
509 |
$13K |
| 83655 |
|
980 |
975 |
$13K |
| 81001 |
|
10,249 |
9,603 |
$13K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
208 |
206 |
$12K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,096 |
4,671 |
$12K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
70 |
69 |
$11K |
| 93017 |
|
137 |
134 |
$9K |
| 70486 |
|
126 |
125 |
$9K |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
479 |
479 |
$9K |
| 76641 |
|
357 |
355 |
$8K |
| 71250 |
|
93 |
93 |
$8K |
| 90715 |
|
315 |
314 |
$8K |
| 85610 |
|
9,739 |
8,712 |
$8K |
| 59025 |
Fetal non-stress test |
127 |
109 |
$7K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
8,798 |
8,023 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
50 |
50 |
$6K |
| 85651 |
|
3,711 |
3,477 |
$6K |
| 82043 |
|
1,129 |
1,113 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
16 |
15 |
$5K |
| 85730 |
|
8,031 |
7,583 |
$5K |
| 82950 |
|
960 |
959 |
$5K |
| 84550 |
|
1,309 |
1,270 |
$5K |
| 86038 |
|
956 |
949 |
$5K |
| 84481 |
|
551 |
548 |
$5K |
| 94729 |
|
232 |
231 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
253 |
249 |
$5K |
| 71271 |
|
209 |
208 |
$4K |
| 73564 |
|
960 |
945 |
$4K |
| 83690 |
|
6,418 |
5,902 |
$4K |
| 87081 |
|
862 |
857 |
$4K |
| 83001 |
|
233 |
231 |
$4K |
| 72110 |
|
468 |
466 |
$4K |
| 76536 |
|
195 |
195 |
$4K |
| 74018 |
|
854 |
828 |
$4K |
| 77066 |
Tomosynthesis, mammo |
67 |
67 |
$4K |
| 87634 |
|
655 |
646 |
$4K |
| 86705 |
|
447 |
447 |
$4K |
| 87205 |
|
2,118 |
2,018 |
$4K |
| 73030 |
|
851 |
834 |
$4K |
| 96367 |
|
113 |
88 |
$4K |
| 86709 |
|
424 |
424 |
$4K |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
1,231 |
837 |
$4K |
| 82150 |
|
5,243 |
4,880 |
$4K |
| 86430 |
|
738 |
733 |
$3K |
| 51798 |
|
12 |
12 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,079 |
1,076 |
$3K |
| 72141 |
|
14 |
14 |
$3K |
| 73630 |
|
1,266 |
1,253 |
$3K |
| 83002 |
|
176 |
173 |
$3K |
| 76857 |
|
216 |
215 |
$3K |
| 81003 |
|
4,302 |
4,168 |
$3K |
| 93225 |
|
25 |
25 |
$3K |
| 84100 |
|
735 |
687 |
$3K |
| 82550 |
|
4,839 |
4,478 |
$3K |
| 87807 |
|
289 |
287 |
$3K |
| 87430 |
|
2,800 |
2,763 |
$3K |
| 80074 |
|
51 |
50 |
$2K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
2,252 |
2,012 |
$2K |
| 76801 |
|
28 |
27 |
$2K |
| 86376 |
|
172 |
170 |
$2K |
| 85007 |
|
2,588 |
2,417 |
$2K |
| 84484 |
|
6,689 |
5,214 |
$2K |
| 86140 |
|
979 |
867 |
$2K |
| 86618 |
|
149 |
147 |
$2K |
| 73130 |
|
911 |
894 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
14 |
14 |
$2K |
| 81002 |
|
3,349 |
3,213 |
$2K |
| 93226 |
|
16 |
14 |
$2K |
| 82248 |
|
419 |
374 |
$2K |
| 84703 |
|
3,639 |
3,490 |
$2K |
| 73610 |
|
1,111 |
1,096 |
$2K |
| 81015 |
|
907 |
875 |
$2K |
| 82570 |
|
349 |
335 |
$2K |
| 87802 |
|
1,063 |
1,055 |
$1K |
| 82948 |
|
3,292 |
2,069 |
$1K |
| 85379 |
|
1,385 |
1,361 |
$1K |
| 87040 |
|
2,438 |
1,476 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
189 |
187 |
$1K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
82 |
82 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
92 |
43 |
$987.42 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
5,134 |
4,762 |
$978.81 |
| 84156 |
|
266 |
255 |
$855.91 |
| 73110 |
|
406 |
401 |
$824.37 |
| 83525 |
|
68 |
68 |
$784.40 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,393 |
3,155 |
$706.98 |
| 95816 |
|
14 |
14 |
$650.85 |
| 86800 |
|
51 |
51 |
$645.45 |
| 82627 |
|
29 |
29 |
$627.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
358 |
308 |
$533.07 |
| 84134 |
|
65 |
64 |
$499.43 |
| 73502 |
|
96 |
87 |
$491.09 |
| 82533 |
|
26 |
26 |
$456.84 |
| 93000 |
|
41 |
39 |
$366.91 |
| 86706 |
|
43 |
43 |
$357.08 |
| 87660 |
|
27 |
27 |
$348.25 |
| 87510 |
|
27 |
27 |
$348.25 |
| 87480 |
|
27 |
27 |
$348.25 |
| 82670 |
|
12 |
12 |
$333.88 |
| 83605 |
|
1,807 |
1,624 |
$305.89 |
| 80143 |
|
857 |
811 |
$302.02 |
| 76642 |
|
13 |
13 |
$293.44 |
| 86769 |
|
13 |
13 |
$283.38 |
| 72100 |
|
14 |
13 |
$257.55 |
| 96368 |
|
20 |
16 |
$242.48 |
| 82077 |
|
1,577 |
1,472 |
$205.34 |
| 80179 |
|
799 |
761 |
$204.31 |
| 74019 |
|
25 |
24 |
$190.76 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
8,059 |
7,166 |
$167.91 |
| 86308 |
|
79 |
79 |
$163.96 |
| 82140 |
|
27 |
25 |
$145.94 |
| 80320 |
|
1,048 |
966 |
$126.63 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,405 |
3,111 |
$125.12 |
| 82947 |
|
26 |
26 |
$102.78 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
504 |
438 |
$67.57 |
| 72050 |
|
13 |
13 |
$60.60 |
| 82977 |
|
13 |
13 |
$58.39 |
| 96376 |
|
259 |
239 |
$43.21 |
| 80335 |
|
1,048 |
1,002 |
$42.44 |
| 83615 |
|
14 |
12 |
$39.55 |
| J2704 |
Injection, propofol, 10 mg |
2,941 |
2,896 |
$38.22 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,769 |
5,229 |
$37.63 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,460 |
2,117 |
$36.51 |
| 85014 |
|
14 |
13 |
$35.91 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,740 |
1,597 |
$35.67 |
| 84145 |
|
391 |
380 |
$31.30 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,869 |
2,752 |
$28.66 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
53 |
52 |
$25.26 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
651 |
577 |
$24.93 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
381 |
357 |
$16.44 |
| 73080 |
|
29 |
28 |
$15.00 |
| 71101 |
|
25 |
25 |
$11.03 |
| 80329 |
|
1,242 |
595 |
$10.75 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
118 |
93 |
$8.36 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,438 |
1,387 |
$6.94 |
| 73590 |
|
12 |
12 |
$6.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
15 |
12 |
$5.20 |
| J2060 |
Injection, lorazepam, 2 mg |
648 |
557 |
$5.17 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
3,391 |
3,329 |
$5.06 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
393 |
379 |
$1.68 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
431 |
398 |
$0.01 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
88 |
44 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
12 |
12 |
$0.00 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
455 |
416 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
116 |
115 |
$0.00 |
| 0011A |
|
17 |
17 |
$0.00 |
| J3490 |
Unclassified drugs |
28 |
25 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
206 |
205 |
$0.00 |
| 0012A |
|
17 |
17 |
$0.00 |
| J1815 |
Injection, insulin, per 5 units |
14 |
13 |
$0.00 |
| C1726 |
Catheter, balloon dilatation, non-vascular |
14 |
14 |
$0.00 |
| 73090 |
|
12 |
12 |
$0.00 |