| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
20,230 |
17,234 |
$1.77M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
5,356 |
4,274 |
$1.41M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12,015 |
10,194 |
$708K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,287 |
3,803 |
$368K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,742 |
1,587 |
$279K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,974 |
1,718 |
$214K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,599 |
3,919 |
$210K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
7,106 |
2,586 |
$182K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,313 |
1,172 |
$164K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,160 |
1,794 |
$147K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
923 |
833 |
$140K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,048 |
967 |
$108K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
651 |
485 |
$99K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
4,138 |
1,676 |
$89K |
| 10060 |
|
449 |
393 |
$81K |
| 80053 |
Comprehensive metabolic panel |
13,225 |
10,787 |
$75K |
| 12001 |
|
321 |
296 |
$60K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,464 |
1,618 |
$54K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
338 |
301 |
$51K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
481 |
455 |
$39K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
375 |
368 |
$33K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
176 |
168 |
$30K |
| 97161 |
|
825 |
787 |
$30K |
| 43235 |
|
86 |
79 |
$28K |
| 29125 |
|
133 |
118 |
$26K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,011 |
374 |
$26K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
84 |
77 |
$24K |
| 84484 |
|
4,680 |
3,396 |
$22K |
| 97162 |
|
687 |
634 |
$22K |
| G0378 |
Hospital observation service, per hour |
2,001 |
904 |
$21K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
494 |
459 |
$18K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,289 |
1,196 |
$18K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,229 |
1,664 |
$17K |
| 76830 |
Ultrasound, transvaginal |
356 |
343 |
$17K |
| 80050 |
General health panel |
2,226 |
2,050 |
$16K |
| 83880 |
|
2,971 |
2,539 |
$15K |
| 83605 |
|
1,976 |
1,629 |
$15K |
| 97750 |
|
814 |
709 |
$15K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,004 |
1,506 |
$13K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,443 |
2,010 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,554 |
12,340 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
4,477 |
4,004 |
$9K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
85 |
83 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
87 |
78 |
$9K |
| 80061 |
Lipid panel |
2,121 |
2,033 |
$9K |
| 12011 |
|
41 |
39 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
552 |
493 |
$8K |
| 87040 |
|
934 |
652 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
13,142 |
10,196 |
$8K |
| 97116 |
|
580 |
299 |
$8K |
| 80306 |
|
3,532 |
3,148 |
$7K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
711 |
692 |
$7K |
| 93458 |
|
17 |
13 |
$6K |
| 93971 |
|
81 |
73 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,045 |
4,878 |
$6K |
| 72100 |
|
604 |
565 |
$6K |
| 76801 |
|
97 |
89 |
$6K |
| 10061 |
|
33 |
30 |
$6K |
| 85379 |
|
975 |
877 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,028 |
969 |
$5K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
15 |
12 |
$5K |
| 73030 |
|
678 |
610 |
$4K |
| 90714 |
|
230 |
221 |
$3K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
18 |
13 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
3,229 |
2,794 |
$3K |
| 73562 |
|
753 |
687 |
$3K |
| 84439 |
|
513 |
492 |
$3K |
| 76642 |
|
44 |
40 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
25 |
24 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,388 |
3,010 |
$3K |
| C8929 |
Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography |
26 |
24 |
$3K |
| 76937 |
|
86 |
78 |
$3K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
119 |
99 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
65 |
64 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
64 |
62 |
$3K |
| 73630 |
|
624 |
560 |
$2K |
| 73610 |
|
799 |
729 |
$2K |
| 12002 |
|
12 |
12 |
$2K |
| 73130 |
|
636 |
576 |
$2K |
| C1769 |
Guide wire |
300 |
245 |
$2K |
| C1725 |
Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) |
17 |
15 |
$2K |
| 93017 |
|
13 |
13 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,293 |
1,198 |
$2K |
| 73110 |
|
420 |
385 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
581 |
541 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
29 |
27 |
$2K |
| 86780 |
|
149 |
143 |
$2K |
| 87070 |
|
1,272 |
1,126 |
$2K |
| 84702 |
|
538 |
440 |
$2K |
| 70486 |
|
59 |
54 |
$1K |
| 86140 |
|
920 |
833 |
$1K |
| 74018 |
|
425 |
400 |
$1K |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
106 |
97 |
$1K |
| 36000 |
|
63 |
51 |
$1K |
| 85652 |
|
695 |
627 |
$1K |
| 84145 |
|
92 |
84 |
$1K |
| 87081 |
|
3,459 |
3,154 |
$1K |
| 73502 |
|
183 |
172 |
$1K |
| 83735 |
|
6,493 |
5,371 |
$1K |
| 83690 |
|
6,723 |
5,638 |
$1K |
| 81001 |
|
6,892 |
6,068 |
$983.45 |
| 87186 |
|
1,952 |
1,743 |
$791.49 |
| 73140 |
|
314 |
282 |
$790.47 |
| 72131 |
|
13 |
12 |
$749.49 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
52 |
45 |
$741.11 |
| 72040 |
|
76 |
70 |
$729.01 |
| 82550 |
|
334 |
293 |
$683.05 |
| 86900 |
|
505 |
429 |
$654.13 |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
126 |
108 |
$619.12 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
214 |
160 |
$606.13 |
| 85610 |
|
3,912 |
3,314 |
$587.34 |
| 87077 |
|
844 |
746 |
$528.94 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,823 |
2,633 |
$469.10 |
| 81025 |
|
3,779 |
3,380 |
$469.00 |
| 87340 |
|
132 |
126 |
$450.31 |
| 87205 |
|
1,213 |
1,058 |
$449.10 |
| 86803 |
|
110 |
108 |
$424.37 |
| 86038 |
|
77 |
76 |
$405.75 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$403.82 |
| 77080 |
|
13 |
13 |
$403.60 |
| 85027 |
|
184 |
157 |
$373.71 |
| 83550 |
|
68 |
67 |
$360.25 |
| 87147 |
|
1,003 |
925 |
$336.09 |
| 84703 |
|
1,296 |
1,191 |
$322.70 |
| 82150 |
|
674 |
583 |
$314.76 |
| 86901 |
|
604 |
515 |
$312.83 |
| 86850 |
|
219 |
200 |
$286.81 |
| 87088 |
|
564 |
514 |
$256.68 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,781 |
3,093 |
$242.61 |
| 73590 |
|
26 |
26 |
$227.53 |
| 72070 |
|
13 |
13 |
$227.35 |
| 82607 |
|
29 |
25 |
$209.81 |
| 86431 |
|
54 |
53 |
$205.99 |
| 85730 |
|
2,569 |
2,248 |
$201.05 |
| 73090 |
|
39 |
37 |
$190.96 |
| 83540 |
|
68 |
67 |
$180.04 |
| 80074 |
|
28 |
26 |
$175.04 |
| 84550 |
|
72 |
69 |
$149.82 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
159 |
150 |
$146.14 |
| 97035 |
|
53 |
24 |
$143.10 |
| 73080 |
|
87 |
82 |
$125.68 |
| 88313 |
|
29 |
28 |
$124.68 |
| 71101 |
|
65 |
64 |
$114.44 |
| 82140 |
|
211 |
187 |
$112.25 |
| 87210 |
|
494 |
452 |
$104.49 |
| 85007 |
|
54 |
42 |
$102.90 |
| 81003 |
|
1,682 |
1,515 |
$93.55 |
| 86704 |
|
16 |
14 |
$89.96 |
| 73560 |
|
12 |
12 |
$89.94 |
| 87807 |
|
602 |
549 |
$83.88 |
| 86701 |
|
14 |
12 |
$64.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
622 |
572 |
$59.61 |
| 87045 |
|
45 |
42 |
$56.46 |
| 82803 |
|
174 |
141 |
$53.27 |
| 73620 |
|
13 |
12 |
$50.66 |
| 86308 |
|
68 |
65 |
$49.53 |
| 86706 |
|
15 |
13 |
$47.41 |
| 86708 |
|
14 |
13 |
$47.41 |
| J2704 |
Injection, propofol, 10 mg |
1,929 |
1,690 |
$45.61 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
19 |
19 |
$42.17 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
463 |
429 |
$36.68 |
| 86702 |
|
14 |
12 |
$35.11 |
| 87493 |
|
30 |
29 |
$34.91 |
| 87046 |
|
45 |
42 |
$28.23 |
| 87899 |
|
44 |
41 |
$28.23 |
| 87177 |
|
29 |
28 |
$21.57 |
| 81002 |
|
597 |
509 |
$20.68 |
| 82270 |
|
67 |
56 |
$15.10 |
| 82272 |
|
61 |
57 |
$14.23 |
| 82248 |
|
51 |
47 |
$11.38 |
| 87015 |
|
48 |
43 |
$8.73 |
| 36600 |
|
14 |
12 |
$3.71 |
| 84132 |
|
16 |
12 |
$3.37 |
| 81015 |
|
42 |
41 |
$2.79 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
1,424 |
1,234 |
$2.40 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,718 |
3,138 |
$2.31 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
4,934 |
3,852 |
$2.31 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
2,962 |
2,185 |
$1.15 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,701 |
1,553 |
$1.02 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,156 |
991 |
$1.01 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
993 |
894 |
$0.09 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
931 |
729 |
$0.00 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,235 |
4,210 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,088 |
1,597 |
$0.00 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
145 |
129 |
$0.00 |
| G8980 |
Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting |
15 |
12 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,443 |
1,113 |
$0.00 |
| 94760 |
|
1,100 |
897 |
$0.00 |
| A9270 |
Non-covered item or service |
2,082 |
832 |
$0.00 |
| 88304 |
|
47 |
43 |
$0.00 |
| 96376 |
|
1,786 |
1,282 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
802 |
697 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
658 |
606 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
999 |
812 |
$0.00 |
| J1815 |
Injection, insulin, per 5 units |
834 |
335 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
929 |
770 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
1,010 |
828 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
480 |
440 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
777 |
671 |
$0.00 |
| 94761 |
|
440 |
352 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,808 |
4,931 |
$0.00 |
| P9612 |
Catheterization for collection of specimen, single patient, all places of service |
45 |
38 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
1,239 |
1,030 |
$0.00 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
337 |
172 |
$0.00 |
| Q9963 |
High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml |
17 |
17 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
117 |
93 |
$0.00 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
32 |
26 |
$0.00 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
16 |
12 |
$0.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
35 |
28 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,291 |
666 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,501 |
1,222 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
706 |
582 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,859 |
2,577 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
438 |
356 |
$0.00 |
| Q0163 |
Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen |
473 |
412 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,607 |
1,307 |
$0.00 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
239 |
185 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
180 |
168 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
2,430 |
1,807 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
77 |
67 |
$0.00 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
176 |
128 |
$0.00 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
200 |
157 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,516 |
4,391 |
$0.00 |
| 82009 |
|
96 |
76 |
$0.00 |
| 82948 |
|
48 |
39 |
$0.00 |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
244 |
200 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
160 |
79 |
$0.00 |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
51 |
47 |
$0.00 |
| 51702 |
|
12 |
12 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
36 |
33 |
$0.00 |