| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,226 |
8,863 |
$1.60M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,126 |
8,680 |
$1.48M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,363 |
3,898 |
$1.27M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,362 |
4,153 |
$710K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,942 |
1,905 |
$646K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,241 |
2,197 |
$616K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,650 |
1,858 |
$579K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,347 |
1,788 |
$499K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,507 |
1,480 |
$429K |
| 80053 |
Comprehensive metabolic panel |
13,177 |
11,598 |
$344K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,149 |
2,096 |
$342K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,396 |
1,335 |
$328K |
| G0378 |
Hospital observation service, per hour |
405 |
334 |
$303K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,259 |
1,286 |
$224K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,625 |
4,460 |
$223K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
317 |
305 |
$197K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
554 |
542 |
$167K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
251 |
123 |
$144K |
| 59025 |
Fetal non-stress test |
391 |
335 |
$109K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
134 |
133 |
$108K |
| 97161 |
|
517 |
512 |
$72K |
| 93017 |
|
374 |
371 |
$66K |
| 97535 |
Self-care/home management training, each 15 minutes |
981 |
758 |
$58K |
| 86850 |
|
1,189 |
1,121 |
$52K |
| 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 |
664 |
650 |
$50K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
680 |
680 |
$45K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,216 |
1,140 |
$42K |
| 93975 |
|
86 |
85 |
$41K |
| 86901 |
|
1,191 |
1,123 |
$34K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
531 |
525 |
$30K |
| 86900 |
|
1,188 |
1,121 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,676 |
1,471 |
$23K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
122 |
62 |
$23K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
72 |
71 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
90 |
61 |
$21K |
| 36415 |
Collection of venous blood by venipuncture |
3,938 |
3,218 |
$20K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
311 |
169 |
$18K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
1,685 |
1,501 |
$17K |
| 81025 |
|
4,654 |
4,455 |
$15K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
14 |
14 |
$15K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
615 |
531 |
$15K |
| 76830 |
Ultrasound, transvaginal |
406 |
396 |
$14K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
13 |
13 |
$14K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
62 |
55 |
$12K |
| 83880 |
|
363 |
349 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,679 |
8,128 |
$10K |
| 85610 |
|
2,345 |
2,258 |
$10K |
| 76801 |
|
82 |
78 |
$9K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
203 |
130 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
143 |
132 |
$9K |
| 12001 |
|
14 |
14 |
$8K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,596 |
2,509 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
28 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
679 |
679 |
$5K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
116 |
94 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
1,016 |
1,004 |
$4K |
| 96367 |
|
25 |
16 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,061 |
3,395 |
$4K |
| 93971 |
|
40 |
40 |
$3K |
| 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 |
130 |
128 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,375 |
4,050 |
$3K |
| 93225 |
|
12 |
12 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,663 |
3,374 |
$3K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
16 |
15 |
$3K |
| 76641 |
|
118 |
118 |
$3K |
| 88304 |
|
49 |
49 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
2,483 |
2,415 |
$1K |
| 99406 |
|
73 |
72 |
$1K |
| 77065 |
Tomosynthesis, mammo |
15 |
14 |
$1K |
| 93226 |
|
12 |
12 |
$1K |
| 97165 |
|
13 |
12 |
$1K |
| 81001 |
|
3,332 |
3,109 |
$869.60 |
| 90715 |
|
28 |
28 |
$848.61 |
| 87484 |
|
43 |
43 |
$840.72 |
| 87468 |
|
43 |
43 |
$840.71 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
13 |
12 |
$809.49 |
| 83735 |
|
2,096 |
1,785 |
$718.90 |
| 85027 |
|
460 |
424 |
$690.76 |
| 84484 |
|
2,509 |
2,216 |
$622.59 |
| 96417 |
|
21 |
13 |
$580.56 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,068 |
1,970 |
$531.22 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
13 |
$522.44 |
| 87400 |
|
2,598 |
1,998 |
$510.90 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,844 |
2,460 |
$467.84 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,356 |
2,197 |
$453.59 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
209 |
186 |
$441.30 |
| 83605 |
|
937 |
831 |
$414.63 |
| Q9963 |
High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml |
69 |
68 |
$399.00 |
| 82947 |
|
475 |
363 |
$387.68 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$358.40 |
| 83690 |
|
2,435 |
2,287 |
$334.93 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13 |
13 |
$274.46 |
| 85730 |
|
535 |
514 |
$200.14 |
| 81003 |
|
2,159 |
2,086 |
$195.69 |
| 86618 |
|
573 |
328 |
$170.62 |
| 85379 |
|
519 |
514 |
$147.35 |
| 87420 |
|
707 |
694 |
$133.64 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,965 |
2,681 |
$118.60 |
| 87081 |
|
435 |
435 |
$104.04 |
| 87040 |
|
190 |
124 |
$96.74 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
436 |
435 |
$94.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,194 |
2,806 |
$79.64 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
535 |
461 |
$78.58 |
| 82565 |
|
193 |
191 |
$78.23 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
563 |
479 |
$70.56 |
| 87077 |
|
319 |
299 |
$59.04 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,041 |
1,750 |
$55.79 |
| J2704 |
Injection, propofol, 10 mg |
1,961 |
1,939 |
$43.35 |
| 84702 |
|
43 |
39 |
$40.47 |
| 82948 |
|
325 |
227 |
$38.23 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$36.81 |
| J7050 |
Infusion, normal saline solution, 250 cc |
131 |
65 |
$34.76 |
| 73030 |
|
13 |
13 |
$29.70 |
| 87186 |
|
86 |
85 |
$24.48 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
67 |
53 |
$21.89 |
| 73630 |
|
14 |
14 |
$20.84 |
| 87207 |
|
128 |
125 |
$16.83 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$14.82 |
| C9113 |
Injection, pantoprazole sodium, per vial |
17 |
12 |
$10.80 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
373 |
323 |
$9.82 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,216 |
1,181 |
$8.46 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,091 |
1,078 |
$7.74 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
168 |
148 |
$6.35 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
207 |
190 |
$5.70 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
14 |
12 |
$2.40 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,130 |
1,122 |
$1.50 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
49 |
41 |
$0.49 |
| 96376 |
|
299 |
273 |
$0.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
162 |
89 |
$0.00 |
| 95806 |
|
24 |
24 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
128 |
104 |
$0.00 |
| 85651 |
|
41 |
41 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
28 |
28 |
$0.00 |
| 82150 |
|
13 |
13 |
$0.00 |
| 84703 |
|
14 |
12 |
$0.00 |
| 87205 |
|
12 |
12 |
$0.00 |
| 87070 |
|
12 |
12 |
$0.00 |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
16 |
16 |
$0.00 |
| A4649 |
Surgical supply; miscellaneous |
38 |
38 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
12 |
12 |
$0.00 |