| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
27,586 |
26,453 |
$5.04M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
19,021 |
18,375 |
$4.50M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
5,691 |
5,504 |
$2.01M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,559 |
2,518 |
$1.49M |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,608 |
1,595 |
$647K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,124 |
4,926 |
$438K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,767 |
1,744 |
$257K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
810 |
797 |
$217K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
250 |
245 |
$87K |
| 10060 |
|
341 |
337 |
$69K |
| 72131 |
|
166 |
163 |
$45K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
21 |
21 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,569 |
5,229 |
$11K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
284 |
281 |
$10K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
8,976 |
8,652 |
$5K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
493 |
463 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
7,073 |
6,670 |
$3K |
| 70486 |
|
145 |
144 |
$3K |
| 70491 |
|
13 |
12 |
$3K |
| 12001 |
|
390 |
385 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,470 |
1,422 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
5,534 |
5,421 |
$1K |
| 29125 |
|
143 |
139 |
$748.64 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
4,771 |
4,653 |
$746.57 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$690.11 |
| 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 |
3,433 |
3,348 |
$675.00 |
| 71250 |
|
84 |
81 |
$668.91 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
16 |
16 |
$645.96 |
| 80053 |
Comprehensive metabolic panel |
11,464 |
10,857 |
$390.40 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
10,076 |
9,768 |
$387.38 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,960 |
2,801 |
$285.10 |
| 93976 |
|
689 |
664 |
$281.47 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,674 |
3,547 |
$263.38 |
| 87631 |
|
4,384 |
4,307 |
$261.12 |
| 93975 |
|
252 |
251 |
$256.29 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,878 |
2,225 |
$133.70 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,338 |
2,286 |
$133.41 |
| A9270 |
Non-covered item or service |
90 |
62 |
$123.18 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,876 |
12,322 |
$109.87 |
| 71045 |
Radiologic examination, chest; single view |
4,662 |
4,543 |
$107.77 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
8,404 |
7,941 |
$97.59 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,269 |
1,244 |
$89.71 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,277 |
1,251 |
$89.48 |
| 81025 |
|
6,928 |
6,701 |
$88.45 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
703 |
691 |
$87.13 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
539 |
536 |
$72.78 |
| 76830 |
Ultrasound, transvaginal |
331 |
330 |
$72.78 |
| 74018 |
|
1,060 |
1,052 |
$66.05 |
| 87634 |
|
1,105 |
1,083 |
$62.39 |
| 73562 |
|
715 |
674 |
$58.57 |
| 73130 |
|
1,014 |
979 |
$36.06 |
| 84702 |
|
1,242 |
1,203 |
$35.32 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,865 |
1,838 |
$32.70 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
9,224 |
8,853 |
$31.05 |
| 83880 |
|
1,047 |
1,009 |
$30.15 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,610 |
4,480 |
$28.46 |
| 84484 |
|
2,958 |
2,813 |
$24.94 |
| 81003 |
|
10,015 |
9,638 |
$22.84 |
| 82962 |
|
638 |
596 |
$19.65 |
| 80051 |
|
1,888 |
1,843 |
$19.23 |
| 82550 |
|
2,139 |
2,085 |
$17.81 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
818 |
811 |
$16.13 |
| 80076 |
|
1,350 |
1,326 |
$15.29 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,072 |
5,817 |
$15.27 |
| 82565 |
|
1,950 |
1,905 |
$11.94 |
| 82803 |
|
1,510 |
1,420 |
$11.85 |
| 82947 |
|
1,946 |
1,904 |
$10.17 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,258 |
1,184 |
$10.09 |
| 84520 |
|
1,948 |
1,905 |
$10.06 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
623 |
618 |
$9.65 |
| 83605 |
|
1,567 |
1,460 |
$9.41 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
776 |
751 |
$6.64 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,087 |
1,047 |
$6.11 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
473 |
461 |
$5.83 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,367 |
2,310 |
$5.45 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
673 |
635 |
$5.44 |
| J3490 |
Unclassified drugs |
4,671 |
4,320 |
$2.79 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
688 |
680 |
$0.06 |
| 72100 |
|
377 |
375 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
249 |
242 |
$0.00 |
| 90715 |
|
792 |
786 |
$0.00 |
| 73110 |
|
593 |
573 |
$0.00 |
| 73080 |
|
199 |
193 |
$0.00 |
| 73630 |
|
1,096 |
1,048 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,147 |
3,092 |
$0.00 |
| 73140 |
|
235 |
230 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
516 |
504 |
$0.00 |
| 82374 |
|
208 |
205 |
$0.00 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
387 |
379 |
$0.00 |
| 73030 |
|
549 |
534 |
$0.00 |
| 73610 |
|
809 |
785 |
$0.00 |
| 80306 |
|
1,188 |
1,158 |
$0.00 |
| 87660 |
|
367 |
363 |
$0.00 |
| 87186 |
|
628 |
621 |
$0.00 |
| 85610 |
|
78 |
73 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
42 |
42 |
$0.00 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
12 |
12 |
$0.00 |
| 12011 |
|
200 |
198 |
$0.00 |
| 81513 |
|
58 |
58 |
$0.00 |
| 73590 |
|
133 |
125 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
111 |
110 |
$0.00 |
| 84295 |
|
206 |
203 |
$0.00 |
| J0736 |
Injection, clindamycin phosphate, 300 mg |
13 |
12 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
12 |
12 |
$0.00 |
| 87481 |
|
58 |
58 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
13 |
13 |
$0.00 |
| 96376 |
|
633 |
607 |
$0.00 |
| 87480 |
|
369 |
363 |
$0.00 |
| 87510 |
|
367 |
363 |
$0.00 |
| 84703 |
|
821 |
785 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
463 |
440 |
$0.00 |
| 84132 |
|
206 |
203 |
$0.00 |
| 87077 |
|
713 |
703 |
$0.00 |
| J1790 |
Injection, droperidol, up to 5 mg |
163 |
153 |
$0.00 |
| 82553 |
|
1,229 |
1,151 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
29 |
29 |
$0.00 |
| 76801 |
|
664 |
626 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12,335 |
11,819 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
655 |
585 |
$0.00 |
| 85379 |
|
1,261 |
1,232 |
$0.00 |
| 87040 |
|
895 |
505 |
$0.00 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
15 |
15 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
13 |
13 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
97 |
97 |
$0.00 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
244 |
221 |
$0.00 |
| 74022 |
|
98 |
98 |
$0.00 |
| 93971 |
|
208 |
201 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
280 |
267 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
40 |
39 |
$0.00 |
| 82150 |
|
56 |
53 |
$0.00 |
| 86308 |
|
41 |
39 |
$0.00 |
| 73090 |
|
62 |
57 |
$0.00 |
| 73502 |
|
13 |
13 |
$0.00 |
| 82435 |
|
206 |
203 |
$0.00 |
| 72040 |
|
27 |
27 |
$0.00 |
| 87428 |
|
147 |
147 |
$0.00 |
| 71101 |
|
14 |
14 |
$0.00 |
| 12002 |
|
12 |
12 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
16 |
16 |
$0.00 |