| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,131 |
7,748 |
$1.11M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,439 |
1,985 |
$686K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,921 |
4,402 |
$331K |
| 80053 |
Comprehensive metabolic panel |
16,271 |
13,160 |
$160K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18,985 |
15,148 |
$141K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,548 |
6,456 |
$137K |
| 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 |
2,123 |
1,948 |
$122K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
836 |
707 |
$106K |
| 36415 |
Collection of venous blood by venipuncture |
16,228 |
12,936 |
$100K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,031 |
1,678 |
$81K |
| 81001 |
|
15,829 |
13,254 |
$78K |
| 80050 |
General health panel |
2,321 |
2,039 |
$77K |
| 71046 |
Radiologic examination, chest; 2 views |
5,727 |
4,899 |
$66K |
| G0378 |
Hospital observation service, per hour |
629 |
217 |
$56K |
| 74022 |
|
3,013 |
2,585 |
$55K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,344 |
3,479 |
$54K |
| 80305 |
|
3,912 |
3,288 |
$54K |
| 84484 |
|
5,903 |
4,738 |
$52K |
| 82805 |
|
1,301 |
982 |
$52K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,224 |
4,424 |
$46K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,720 |
1,550 |
$46K |
| 87430 |
|
3,566 |
3,075 |
$45K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,821 |
4,123 |
$42K |
| 83690 |
|
5,229 |
4,385 |
$41K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
8,052 |
6,677 |
$41K |
| 82150 |
|
5,084 |
4,281 |
$39K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
628 |
510 |
$35K |
| 87088 |
|
6,984 |
5,961 |
$33K |
| 86318 |
|
1,738 |
1,469 |
$30K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
79 |
79 |
$28K |
| M0245 |
Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring |
74 |
71 |
$28K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
704 |
626 |
$28K |
| 85730 |
|
4,122 |
3,468 |
$25K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,064 |
4,193 |
$25K |
| 84703 |
|
2,298 |
1,955 |
$25K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,695 |
1,400 |
$24K |
| 99001 |
|
1,301 |
1,092 |
$24K |
| 86140 |
|
5,144 |
4,247 |
$23K |
| 85610 |
|
4,571 |
3,774 |
$23K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,262 |
1,010 |
$21K |
| 87040 |
|
1,156 |
940 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
2,806 |
2,300 |
$20K |
| 83880 |
|
1,503 |
1,189 |
$20K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
311 |
251 |
$20K |
| 80061 |
Lipid panel |
1,568 |
1,388 |
$19K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,990 |
1,736 |
$18K |
| 83735 |
|
4,138 |
3,332 |
$17K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,800 |
1,587 |
$15K |
| 84436 |
|
1,493 |
1,352 |
$15K |
| 85379 |
|
1,211 |
1,013 |
$14K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
4,532 |
3,569 |
$14K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
5,505 |
4,262 |
$13K |
| 84443 |
Thyroid stimulating hormone (TSH) |
682 |
606 |
$12K |
| 87070 |
|
1,038 |
848 |
$12K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
95 |
79 |
$11K |
| 84479 |
|
1,136 |
1,023 |
$11K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,421 |
1,152 |
$10K |
| 72110 |
|
406 |
364 |
$9K |
| 86403 |
|
546 |
466 |
$7K |
| 73130 |
|
241 |
202 |
$6K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,723 |
3,996 |
$6K |
| 73630 |
|
269 |
235 |
$5K |
| 83605 |
|
544 |
441 |
$5K |
| 80320 |
|
519 |
423 |
$5K |
| 73562 |
|
262 |
226 |
$5K |
| 94760 |
|
54 |
46 |
$4K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
287 |
263 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
67 |
63 |
$4K |
| 73610 |
|
239 |
209 |
$3K |
| 83518 |
|
339 |
271 |
$3K |
| 96376 |
|
227 |
154 |
$3K |
| 84702 |
|
213 |
176 |
$3K |
| 73030 |
|
180 |
157 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
77 |
73 |
$3K |
| 87075 |
|
196 |
159 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
119 |
87 |
$2K |
| 74246 |
|
17 |
15 |
$2K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
613 |
521 |
$2K |
| 84100 |
|
109 |
98 |
$2K |
| 82553 |
|
28 |
25 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
105 |
85 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
120 |
88 |
$1K |
| 82140 |
|
93 |
68 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
12 |
$1K |
| 73110 |
|
96 |
89 |
$1K |
| 94664 |
|
248 |
202 |
$971.81 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
27 |
25 |
$895.87 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39 |
14 |
$840.00 |
| 80329 |
|
243 |
215 |
$833.92 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
383 |
304 |
$707.25 |
| 82550 |
|
35 |
30 |
$658.36 |
| 86703 |
|
55 |
54 |
$643.43 |
| 73564 |
|
27 |
26 |
$590.80 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
325 |
191 |
$521.00 |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$509.40 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,929 |
1,566 |
$498.70 |
| 80074 |
|
13 |
12 |
$471.57 |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,130 |
501 |
$438.59 |
| 82607 |
|
43 |
38 |
$399.16 |
| 82728 |
|
36 |
34 |
$360.33 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
67 |
37 |
$259.88 |
| 73590 |
|
15 |
15 |
$224.54 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
262 |
184 |
$202.70 |
| 86803 |
|
16 |
16 |
$192.60 |
| 86900 |
|
54 |
40 |
$188.94 |
| 86886 |
|
16 |
12 |
$163.89 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
19 |
17 |
$145.66 |
| J1956 |
Injection, levofloxacin, 250 mg |
35 |
18 |
$106.86 |
| 74018 |
|
14 |
14 |
$100.24 |
| 84550 |
|
16 |
14 |
$87.08 |
| 86592 |
|
15 |
14 |
$53.76 |
| J2060 |
Injection, lorazepam, 2 mg |
15 |
14 |
$44.85 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
28 |
24 |
$40.42 |
| 86901 |
|
13 |
12 |
$24.21 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
32 |
26 |
$1.26 |