| Code | Description | Claims | Beneficiaries | Total Paid |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
4,479 |
4,392 |
$1.94M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
9,414 |
8,457 |
$1.35M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
11,096 |
9,451 |
$1.05M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,191 |
9,197 |
$728K |
| 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 |
6,395 |
5,922 |
$479K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,559 |
1,523 |
$286K |
| 80053 |
Comprehensive metabolic panel |
18,661 |
17,330 |
$194K |
| X0621 |
|
624 |
342 |
$172K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
2,767 |
2,693 |
$131K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,692 |
4,586 |
$97K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18,977 |
17,502 |
$96K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,564 |
2,550 |
$95K |
| 300 |
Patient transfer system <300 |
1,114 |
214 |
$94K |
| 80061 |
Lipid panel |
7,193 |
7,125 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,854 |
2,716 |
$91K |
| G0378 |
Hospital observation service, per hour |
184 |
168 |
$87K |
| 87486 |
|
2,247 |
2,193 |
$85K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,397 |
3,178 |
$84K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
2,940 |
2,298 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,608 |
2,443 |
$65K |
| 70450 |
Computed tomography, head or brain; without contrast material |
965 |
936 |
$64K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,948 |
1,735 |
$63K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,014 |
966 |
$55K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,238 |
5,978 |
$54K |
| 80050 |
General health panel |
1,279 |
1,270 |
$54K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,645 |
501 |
$52K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
633 |
617 |
$49K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
3,618 |
3,468 |
$45K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
324 |
321 |
$35K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
472 |
471 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
699 |
683 |
$33K |
| 87070 |
|
4,171 |
4,061 |
$32K |
| 86617 |
|
973 |
575 |
$30K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,233 |
1,216 |
$29K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
4,092 |
3,827 |
$29K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,701 |
1,545 |
$28K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
159 |
155 |
$27K |
| 71046 |
Radiologic examination, chest; 2 views |
1,919 |
1,880 |
$27K |
| 20610 |
|
1,015 |
802 |
$26K |
| 86618 |
|
1,011 |
568 |
$25K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
844 |
833 |
$25K |
| 86803 |
|
1,327 |
1,319 |
$24K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,038 |
1,023 |
$24K |
| 86780 |
|
1,588 |
1,571 |
$24K |
| 84484 |
|
2,747 |
2,506 |
$22K |
| 84439 |
|
2,975 |
2,941 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
2,827 |
2,733 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
4,939 |
4,040 |
$20K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
451 |
449 |
$19K |
| 87081 |
|
2,664 |
2,584 |
$19K |
| 93307 |
|
213 |
213 |
$18K |
| 87476 |
|
489 |
480 |
$18K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
362 |
362 |
$18K |
| 94729 |
|
1,549 |
1,339 |
$18K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
667 |
645 |
$18K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,413 |
3,180 |
$18K |
| 81001 |
|
6,610 |
6,387 |
$17K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,777 |
2,752 |
$17K |
| 82607 |
|
1,327 |
1,319 |
$16K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
201 |
134 |
$16K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
548 |
348 |
$15K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
881 |
876 |
$15K |
| 87340 |
|
1,066 |
1,060 |
$15K |
| 94727 |
|
1,461 |
1,268 |
$15K |
| 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 |
1,108 |
970 |
$14K |
| 85730 |
|
2,345 |
2,257 |
$13K |
| 83690 |
|
3,012 |
2,892 |
$13K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,009 |
254 |
$13K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
182 |
179 |
$12K |
| 84702 |
|
782 |
635 |
$12K |
| 87150 |
|
262 |
258 |
$12K |
| 83735 |
|
1,887 |
1,739 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,150 |
967 |
$12K |
| 76830 |
Ultrasound, transvaginal |
252 |
251 |
$11K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
506 |
180 |
$11K |
| 80299 |
|
444 |
407 |
$11K |
| 85610 |
|
3,378 |
3,073 |
$10K |
| 87522 |
Neg quan hep c or qual rna |
265 |
261 |
$10K |
| 87186 |
|
1,266 |
1,216 |
$10K |
| X0592 |
|
257 |
189 |
$10K |
| 83605 |
|
1,265 |
1,200 |
$10K |
| 76536 |
|
195 |
193 |
$9K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
472 |
471 |
$9K |
| 84703 |
|
923 |
895 |
$9K |
| 93000 |
|
631 |
613 |
$9K |
| 84481 |
|
414 |
405 |
$9K |
| 73610 |
|
482 |
444 |
$8K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,127 |
1,035 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
111 |
111 |
$8K |
| 84153 |
|
337 |
335 |
$8K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
360 |
112 |
$8K |
| 73562 |
|
532 |
449 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
221 |
217 |
$7K |
| 84146 |
|
130 |
128 |
$7K |
| 86038 |
|
499 |
496 |
$7K |
| 87077 |
|
880 |
856 |
$7K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
114 |
112 |
$7K |
| 93971 |
|
113 |
110 |
$7K |
| 82728 |
|
621 |
613 |
$7K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
173 |
171 |
$7K |
| 80320 |
|
571 |
545 |
$7K |
| 84466 |
|
396 |
392 |
$7K |
| 85027 |
|
988 |
943 |
$6K |
| 84403 |
|
239 |
237 |
$6K |
| 87040 |
|
572 |
389 |
$6K |
| 82746 |
|
544 |
539 |
$6K |
| 94060 |
|
957 |
811 |
$6K |
| 82570 |
|
934 |
873 |
$6K |
| 80074 |
|
121 |
120 |
$6K |
| 83880 |
|
235 |
227 |
$6K |
| 71250 |
|
112 |
111 |
$6K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
55 |
53 |
$6K |
| 86665 |
|
198 |
113 |
$5K |
| 82043 |
|
762 |
756 |
$5K |
| 73030 |
|
376 |
356 |
$5K |
| 81003 |
|
1,954 |
1,848 |
$5K |
| 86762 |
|
257 |
256 |
$5K |
| 73630 |
|
480 |
429 |
$5K |
| 84436 |
|
580 |
559 |
$5K |
| 94618 |
|
487 |
411 |
$5K |
| 72110 |
|
243 |
243 |
$5K |
| 85378 |
|
556 |
550 |
$5K |
| 86850 |
|
619 |
563 |
$5K |
| 87088 |
|
673 |
636 |
$5K |
| 76642 |
|
114 |
103 |
$4K |
| 82951 |
|
338 |
302 |
$4K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
30 |
25 |
$4K |
| 73110 |
|
379 |
329 |
$4K |
| 84145 |
|
231 |
226 |
$4K |
| 73130 |
|
353 |
320 |
$4K |
| 86003 |
|
22 |
20 |
$4K |
| 83001 |
|
201 |
197 |
$4K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
152 |
148 |
$4K |
| 85651 |
|
1,260 |
1,235 |
$3K |
| 84402 |
|
131 |
130 |
$3K |
| 86235 |
|
109 |
108 |
$3K |
| 73502 |
|
201 |
188 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
80 |
80 |
$3K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
227 |
85 |
$3K |
| 82670 |
|
145 |
143 |
$3K |
| 97164 |
|
103 |
101 |
$3K |
| 83550 |
|
633 |
628 |
$3K |
| 86431 |
|
343 |
322 |
$3K |
| 84480 |
|
354 |
353 |
$3K |
| 93017 |
|
75 |
74 |
$3K |
| 87581 |
|
364 |
355 |
$3K |
| 86140 |
|
918 |
887 |
$3K |
| 74018 |
|
192 |
186 |
$2K |
| 86664 |
|
113 |
113 |
$2K |
| 86901 |
|
632 |
571 |
$2K |
| 86900 |
|
632 |
571 |
$2K |
| 82150 |
|
499 |
489 |
$2K |
| 80349 |
|
188 |
177 |
$2K |
| 83525 |
|
205 |
204 |
$2K |
| 88142 |
|
130 |
130 |
$2K |
| 80076 |
|
242 |
239 |
$2K |
| 83002 |
|
120 |
117 |
$2K |
| 86800 |
|
112 |
112 |
$2K |
| 82140 |
|
422 |
373 |
$2K |
| 82550 |
|
330 |
308 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
215 |
197 |
$2K |
| 82784 |
|
121 |
121 |
$2K |
| 84550 |
|
306 |
295 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
16 |
13 |
$2K |
| 83970 |
|
44 |
43 |
$2K |
| 90715 |
|
116 |
110 |
$2K |
| 88307 |
|
46 |
46 |
$2K |
| 86769 |
|
109 |
107 |
$1K |
| 93016 |
|
69 |
69 |
$1K |
| 72100 |
|
72 |
72 |
$1K |
| 97597 |
|
90 |
53 |
$1K |
| 83540 |
|
167 |
166 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$1K |
| 70486 |
|
15 |
15 |
$1K |
| 82248 |
|
187 |
162 |
$1K |
| 83615 |
|
187 |
174 |
$1K |
| 86757 |
|
48 |
33 |
$1K |
| 86376 |
|
147 |
147 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
563 |
517 |
$1K |
| 86706 |
|
85 |
85 |
$1K |
| 93970 |
|
13 |
12 |
$1K |
| 84156 |
|
288 |
274 |
$1K |
| 73080 |
|
93 |
80 |
$968.55 |
| 93018 |
|
69 |
69 |
$940.59 |
| 86255 |
|
58 |
58 |
$923.02 |
| 72050 |
|
35 |
35 |
$859.54 |
| 83655 |
|
79 |
78 |
$800.50 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$718.05 |
| 80178 |
|
99 |
89 |
$700.37 |
| 80164 |
|
37 |
37 |
$623.96 |
| 81025 |
|
224 |
220 |
$606.80 |
| 77080 |
|
12 |
12 |
$598.94 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$554.15 |
| 84144 |
|
31 |
27 |
$546.55 |
| 82977 |
|
59 |
58 |
$510.67 |
| 80069 |
|
61 |
55 |
$465.00 |
| 85007 |
|
123 |
110 |
$449.58 |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
12 |
12 |
$396.00 |
| 72070 |
|
25 |
25 |
$393.80 |
| 82565 |
|
68 |
67 |
$379.97 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
440 |
359 |
$375.62 |
| 82947 |
|
97 |
95 |
$373.73 |
| 73090 |
|
34 |
33 |
$357.82 |
| 73140 |
|
42 |
41 |
$351.10 |
| 84100 |
|
56 |
54 |
$321.84 |
| 86677 |
|
52 |
51 |
$301.75 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,344 |
3,058 |
$285.61 |
| 82627 |
|
13 |
13 |
$282.45 |
| 82465 |
|
42 |
42 |
$264.12 |
| 82962 |
|
174 |
108 |
$263.84 |
| 12001 |
|
12 |
12 |
$257.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
30 |
$252.00 |
| 84155 |
|
54 |
54 |
$246.26 |
| 93248 |
|
13 |
13 |
$239.76 |
| 94010 |
|
60 |
53 |
$235.10 |
| 82785 |
|
13 |
13 |
$220.40 |
| 82103 |
|
12 |
12 |
$193.80 |
| 86704 |
|
13 |
13 |
$188.25 |
| 96376 |
|
42 |
41 |
$126.22 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
197 |
179 |
$124.12 |
| 88141 |
|
16 |
16 |
$102.90 |
| 87147 |
|
26 |
25 |
$74.85 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
474 |
409 |
$68.84 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
494 |
474 |
$57.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
271 |
218 |
$44.16 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
91 |
85 |
$21.21 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,194 |
1,131 |
$2.40 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,542 |
2,412 |
$1.10 |
| J2704 |
Injection, propofol, 10 mg |
870 |
813 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
927 |
826 |
$0.00 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
26 |
25 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
207 |
199 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
412 |
379 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
153 |
103 |
$0.00 |
| 3074F |
|
70 |
70 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
262 |
243 |
$0.00 |
| J3490 |
Unclassified drugs |
69 |
52 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
17 |
15 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
14 |
13 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,617 |
2,402 |
$0.00 |
| 3078F |
|
50 |
50 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
13 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
73 |
63 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
14 |
12 |
$0.00 |