| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
166,771 |
163,291 |
$31.85M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
71,045 |
67,736 |
$24.34M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
37,242 |
36,772 |
$5.95M |
| 80053 |
Comprehensive metabolic panel |
55,307 |
50,680 |
$705K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
3,827 |
3,751 |
$550K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
29,349 |
28,922 |
$388K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,626 |
1,590 |
$288K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,833 |
2,698 |
$261K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
32,698 |
32,044 |
$259K |
| 85027 |
|
80,809 |
71,737 |
$229K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
18,846 |
17,851 |
$194K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
7,990 |
6,140 |
$183K |
| 76801 |
|
1,583 |
1,399 |
$156K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,622 |
2,411 |
$146K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14,552 |
13,455 |
$128K |
| 80076 |
|
1,965 |
1,088 |
$124K |
| 76770 |
|
663 |
644 |
$123K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
28,496 |
28,081 |
$122K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,504 |
1,348 |
$120K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,358 |
3,160 |
$115K |
| 71045 |
Radiologic examination, chest; single view |
21,931 |
21,005 |
$110K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
387 |
380 |
$93K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,050 |
939 |
$89K |
| 83735 |
|
11,954 |
8,146 |
$88K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,496 |
2,394 |
$87K |
| 71046 |
Radiologic examination, chest; 2 views |
11,295 |
11,110 |
$86K |
| 83615 |
|
3,495 |
1,859 |
$71K |
| 16020 |
|
270 |
162 |
$69K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
7,282 |
7,187 |
$61K |
| 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 |
6,609 |
6,529 |
$60K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,343 |
1,284 |
$60K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
331 |
322 |
$43K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,796 |
3,444 |
$43K |
| 87507 |
|
970 |
957 |
$38K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
536 |
494 |
$37K |
| 81001 |
|
30,313 |
28,790 |
$35K |
| 93975 |
|
139 |
130 |
$27K |
| 84702 |
|
2,990 |
2,642 |
$25K |
| 82657 |
|
711 |
454 |
$25K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
28 |
27 |
$25K |
| 93017 |
|
335 |
325 |
$24K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
455 |
438 |
$22K |
| 49083 |
|
137 |
69 |
$20K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,154 |
1,090 |
$20K |
| 83880 |
|
3,087 |
2,783 |
$19K |
| 83690 |
|
10,864 |
10,207 |
$18K |
| 88312 |
|
548 |
536 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,287 |
1,130 |
$18K |
| 84100 |
|
3,217 |
2,201 |
$17K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
7,333 |
7,065 |
$17K |
| 74018 |
|
570 |
553 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,882 |
3,106 |
$16K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,193 |
3,706 |
$15K |
| 93976 |
|
176 |
164 |
$14K |
| 84484 |
|
7,578 |
5,836 |
$13K |
| 74019 |
|
2,096 |
2,060 |
$13K |
| G0378 |
Hospital observation service, per hour |
196 |
177 |
$13K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
214 |
206 |
$13K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,365 |
1,310 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
331 |
186 |
$11K |
| 87040 |
|
2,996 |
2,567 |
$11K |
| 84703 |
|
5,255 |
5,030 |
$11K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
4,174 |
3,664 |
$10K |
| 97163 |
|
146 |
134 |
$10K |
| 82248 |
|
2,759 |
2,154 |
$9K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
152 |
121 |
$9K |
| 81025 |
|
2,806 |
2,701 |
$9K |
| 86140 |
|
3,778 |
3,681 |
$8K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
777 |
406 |
$8K |
| 86850 |
|
1,202 |
1,108 |
$8K |
| 81003 |
|
7,847 |
7,439 |
$8K |
| 97166 |
|
75 |
72 |
$7K |
| 87631 |
|
767 |
758 |
$7K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
197 |
190 |
$7K |
| 73630 |
|
366 |
337 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,938 |
1,788 |
$5K |
| G0175 |
Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present |
102 |
101 |
$5K |
| 85610 |
|
4,043 |
3,722 |
$5K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
7,830 |
7,717 |
$5K |
| 80197 |
|
2,446 |
1,398 |
$5K |
| 85730 |
|
2,717 |
2,547 |
$5K |
| 99152 |
|
484 |
463 |
$4K |
| 86900 |
|
2,732 |
2,482 |
$4K |
| 86901 |
|
2,723 |
2,476 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
6,030 |
3,920 |
$4K |
| J2785 |
Injection, regadenoson, 0.1 mg |
306 |
298 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
48 |
48 |
$4K |
| 83605 |
|
1,866 |
1,635 |
$4K |
| 87070 |
|
967 |
764 |
$3K |
| 80143 |
|
1,125 |
993 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
40 |
40 |
$3K |
| 86003 |
|
12 |
12 |
$3K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
4,818 |
4,177 |
$3K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
7,071 |
6,258 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,042 |
1,815 |
$3K |
| 73030 |
|
177 |
164 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,252 |
1,071 |
$3K |
| 87077 |
|
1,274 |
1,208 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,548 |
3,158 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
140 |
136 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
152 |
148 |
$2K |
| 85379 |
|
578 |
541 |
$2K |
| 80061 |
Lipid panel |
438 |
417 |
$2K |
| 73610 |
|
120 |
114 |
$2K |
| 71250 |
|
60 |
58 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
31 |
30 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
733 |
696 |
$2K |
| 80069 |
|
1,976 |
1,141 |
$2K |
| 87186 |
|
1,139 |
1,074 |
$2K |
| 96450 |
|
12 |
12 |
$1K |
| 82785 |
|
24 |
24 |
$1K |
| 85652 |
|
175 |
165 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
414 |
409 |
$1K |
| 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 |
11,850 |
11,483 |
$1K |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
13 |
13 |
$1K |
| 85007 |
|
109 |
66 |
$1K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
217 |
167 |
$1K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
740 |
676 |
$1K |
| 73560 |
|
62 |
53 |
$953.45 |
| 82570 |
|
1,776 |
1,055 |
$901.77 |
| 93356 |
|
694 |
676 |
$872.23 |
| 82550 |
|
726 |
662 |
$869.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
178 |
175 |
$801.87 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,507 |
1,940 |
$798.17 |
| 88108 |
|
12 |
12 |
$763.92 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,295 |
1,048 |
$702.70 |
| 84156 |
|
1,668 |
1,055 |
$686.43 |
| 93971 |
|
125 |
121 |
$658.18 |
| 76820 |
|
29 |
26 |
$626.92 |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
14 |
14 |
$570.06 |
| 97535 |
Self-care/home management training, each 15 minutes |
84 |
57 |
$567.19 |
| 89051 |
|
37 |
25 |
$549.19 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,114 |
744 |
$548.35 |
| 83789 |
|
13 |
13 |
$514.70 |
| 94644 |
|
24 |
24 |
$512.97 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
496 |
386 |
$470.23 |
| 96376 |
|
390 |
319 |
$418.73 |
| 73130 |
|
16 |
15 |
$385.45 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,546 |
1,435 |
$345.88 |
| C1729 |
Catheter, drainage |
181 |
104 |
$340.27 |
| 82803 |
|
75 |
63 |
$337.08 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
813 |
780 |
$307.74 |
| 99153 |
Mod sedat endo service >5yrs |
59 |
43 |
$299.14 |
| 73502 |
|
57 |
51 |
$284.53 |
| 0097U |
|
1,407 |
1,389 |
$273.46 |
| 87205 |
|
287 |
159 |
$265.12 |
| 0098U |
|
635 |
620 |
$262.18 |
| 90715 |
|
79 |
77 |
$253.53 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
467 |
392 |
$240.77 |
| 72131 |
|
15 |
12 |
$213.76 |
| 84030 |
|
13 |
13 |
$184.43 |
| A9270 |
Non-covered item or service |
8,368 |
4,591 |
$184.06 |
| C1769 |
Guide wire |
658 |
628 |
$183.62 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
15 |
15 |
$144.73 |
| 88342 |
|
40 |
37 |
$133.39 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
338 |
327 |
$118.52 |
| 88341 |
|
14 |
12 |
$109.92 |
| 82728 |
|
27 |
25 |
$99.22 |
| J1644 |
Injection, heparin sodium, per 1000 units |
249 |
206 |
$90.78 |
| 76376 |
|
38 |
37 |
$70.91 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
13 |
12 |
$68.81 |
| 73590 |
|
17 |
15 |
$61.48 |
| 87340 |
|
27 |
27 |
$58.03 |
| 86665 |
|
13 |
13 |
$56.98 |
| 97802 |
|
143 |
136 |
$50.19 |
| 86803 |
|
15 |
15 |
$48.28 |
| 86787 |
|
12 |
12 |
$40.46 |
| S5000 |
Prescription drug, generic |
18 |
16 |
$39.88 |
| J2704 |
Injection, propofol, 10 mg |
1,282 |
1,229 |
$35.74 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
12 |
12 |
$33.33 |
| 86141 |
|
51 |
50 |
$32.93 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
75 |
65 |
$28.36 |
| J1815 |
Injection, insulin, per 5 units |
187 |
114 |
$25.33 |
| 82105 |
|
12 |
12 |
$25.26 |
| 86644 |
|
12 |
12 |
$22.61 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
38 |
37 |
$18.88 |
| 86706 |
|
13 |
13 |
$16.86 |
| 84439 |
|
13 |
12 |
$15.16 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
16 |
12 |
$14.94 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
36 |
32 |
$14.58 |
| 82010 |
|
16 |
13 |
$13.72 |
| 82140 |
|
14 |
13 |
$12.24 |
| 81000 |
|
13 |
12 |
$6.42 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
13 |
13 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
13 |
13 |
$0.00 |
| J3490 |
Unclassified drugs |
58 |
52 |
$0.00 |
| 87420 |
|
38 |
38 |
$0.00 |