| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
22,101 |
19,218 |
$3.64M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
27,780 |
24,719 |
$2.80M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,027 |
3,375 |
$798K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,758 |
1,478 |
$652K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
9,796 |
9,088 |
$579K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,667 |
1,417 |
$316K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
508 |
447 |
$265K |
| 80053 |
Comprehensive metabolic panel |
30,010 |
25,697 |
$222K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
4,001 |
3,601 |
$219K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
4,418 |
4,179 |
$203K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
4,759 |
4,125 |
$198K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
33,249 |
28,417 |
$180K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,021 |
4,206 |
$144K |
| 71045 |
Radiologic examination, chest; single view |
8,451 |
7,195 |
$139K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,700 |
4,733 |
$130K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
418 |
354 |
$106K |
| 80061 |
Lipid panel |
8,227 |
7,607 |
$95K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,810 |
1,621 |
$93K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
260 |
231 |
$88K |
| 36415 |
Collection of venous blood by venipuncture |
38,966 |
32,957 |
$80K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,074 |
1,857 |
$69K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,572 |
2,140 |
$68K |
| G0378 |
Hospital observation service, per hour |
2,782 |
1,861 |
$66K |
| 81001 |
|
31,603 |
26,361 |
$66K |
| 93000 |
|
2,805 |
2,481 |
$60K |
| 80050 |
General health panel |
1,407 |
1,343 |
$57K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,588 |
2,320 |
$56K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,069 |
3,655 |
$51K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
10,466 |
8,874 |
$48K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,326 |
1,220 |
$44K |
| 80081 |
|
666 |
576 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,331 |
2,990 |
$43K |
| 81025 |
|
6,563 |
5,906 |
$42K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
5,995 |
5,194 |
$37K |
| 87088 |
|
5,844 |
5,059 |
$36K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
86 |
76 |
$34K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,895 |
3,587 |
$32K |
| 84484 |
|
4,237 |
3,446 |
$30K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,271 |
3,689 |
$29K |
| 71046 |
Radiologic examination, chest; 2 views |
1,368 |
1,211 |
$25K |
| 76801 |
|
453 |
395 |
$24K |
| 82553 |
|
4,294 |
3,441 |
$24K |
| 87070 |
|
3,398 |
3,020 |
$24K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
6,434 |
5,659 |
$24K |
| 82550 |
|
5,416 |
4,546 |
$23K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,633 |
5,626 |
$18K |
| 94726 |
|
420 |
393 |
$18K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,145 |
1,907 |
$15K |
| 80076 |
|
1,975 |
1,774 |
$14K |
| 94060 |
|
431 |
404 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
196 |
186 |
$11K |
| 83690 |
|
2,152 |
1,863 |
$11K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
34 |
28 |
$9K |
| 94729 |
|
435 |
408 |
$8K |
| 0002A |
|
196 |
184 |
$8K |
| 0001A |
|
188 |
185 |
$7K |
| 84481 |
|
723 |
643 |
$7K |
| 83880 |
|
322 |
272 |
$7K |
| 87653 |
|
215 |
202 |
$7K |
| J2704 |
Injection, propofol, 10 mg |
6,700 |
5,100 |
$7K |
| 59025 |
Fetal non-stress test |
196 |
98 |
$7K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
240 |
60 |
$7K |
| 84439 |
|
828 |
740 |
$6K |
| 74019 |
|
254 |
210 |
$5K |
| J3410 |
Injection, hydroxyzine hcl, up to 25 mg |
136 |
109 |
$5K |
| 82728 |
|
421 |
346 |
$4K |
| 82043 |
|
760 |
706 |
$4K |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
1,166 |
1,004 |
$4K |
| 82607 |
|
316 |
259 |
$4K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
1,662 |
1,213 |
$4K |
| 82746 |
|
327 |
268 |
$4K |
| 86803 |
|
308 |
285 |
$4K |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
965 |
842 |
$3K |
| 86376 |
|
273 |
228 |
$3K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,737 |
1,497 |
$3K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
70 |
25 |
$3K |
| 87807 |
|
210 |
191 |
$2K |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
151 |
141 |
$2K |
| 94664 |
|
409 |
328 |
$2K |
| J2060 |
Injection, lorazepam, 2 mg |
894 |
758 |
$2K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
78 |
68 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
88 |
78 |
$2K |
| 87077 |
|
355 |
309 |
$2K |
| 87186 |
|
320 |
276 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
48 |
47 |
$2K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
631 |
512 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
72 |
24 |
$2K |
| 83550 |
|
293 |
242 |
$2K |
| 86780 |
|
427 |
332 |
$2K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
288 |
261 |
$2K |
| 87210 |
|
443 |
398 |
$2K |
| 94760 |
|
1,903 |
1,279 |
$2K |
| 83540 |
|
378 |
308 |
$2K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
793 |
568 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
84 |
75 |
$2K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
613 |
500 |
$2K |
| 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 |
4,148 |
3,616 |
$1K |
| 87081 |
|
215 |
202 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
51 |
51 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
26 |
26 |
$1K |
| 80074 |
|
27 |
26 |
$1K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
401 |
359 |
$1K |
| 82570 |
|
181 |
177 |
$953.52 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$927.24 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
64 |
24 |
$866.44 |
| 85045 |
|
277 |
232 |
$864.06 |
| 73630 |
|
39 |
36 |
$756.79 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$746.46 |
| 83525 |
|
60 |
58 |
$741.24 |
| 85379 |
|
97 |
88 |
$713.07 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
13 |
13 |
$711.40 |
| 85610 |
|
238 |
201 |
$558.50 |
| 0003A |
|
12 |
12 |
$552.88 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
150 |
126 |
$465.65 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,296 |
1,048 |
$462.93 |
| 87529 |
|
15 |
12 |
$421.08 |
| 87400 |
|
55 |
25 |
$400.42 |
| 94761 |
|
107 |
39 |
$396.90 |
| 85730 |
|
133 |
107 |
$391.48 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
14 |
12 |
$385.99 |
| 83735 |
|
81 |
69 |
$374.47 |
| 86140 |
|
103 |
89 |
$352.48 |
| 86850 |
|
613 |
459 |
$311.02 |
| J0692 |
Injection, cefepime hydrochloride, 500 mg |
27 |
25 |
$305.67 |
| 84550 |
|
81 |
72 |
$294.49 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
60 |
51 |
$259.85 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
26 |
26 |
$235.94 |
| 82948 |
|
65 |
55 |
$226.62 |
| 82150 |
|
45 |
39 |
$224.94 |
| 86696 |
|
12 |
12 |
$212.85 |
| 83615 |
|
53 |
45 |
$212.64 |
| 83020 |
|
19 |
18 |
$206.56 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
17 |
12 |
$201.68 |
| 83605 |
|
15 |
15 |
$173.55 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
12 |
12 |
$160.08 |
| 86901 |
|
633 |
472 |
$142.16 |
| 86900 |
|
631 |
472 |
$142.15 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
404 |
216 |
$136.86 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
526 |
398 |
$130.42 |
| 84436 |
|
29 |
28 |
$117.20 |
| 85652 |
|
56 |
48 |
$97.76 |
| J1644 |
Injection, heparin sodium, per 1000 units |
94 |
77 |
$89.17 |
| 85007 |
|
76 |
65 |
$79.45 |
| 82950 |
|
12 |
12 |
$52.25 |
| 85014 |
|
12 |
12 |
$32.69 |
| 85018 |
|
12 |
12 |
$32.69 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
345 |
231 |
$27.65 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
148 |
118 |
$23.08 |
| 85008 |
|
111 |
82 |
$18.18 |
| 84703 |
|
109 |
71 |
$15.04 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
109 |
82 |
$10.66 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
171 |
140 |
$3.74 |
| 91300 |
|
439 |
372 |
$0.00 |
| J7342 |
Instillation, ciprofloxacin otic suspension, 6 mg |
24 |
13 |
$0.00 |
| 00000 |
|
361 |
323 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
13 |
13 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
13 |
13 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
25 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
13 |
12 |
$0.00 |