| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,661 |
5,310 |
$4.47M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,225 |
5,041 |
$2.72M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,444 |
5,251 |
$1.61M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
537 |
517 |
$747K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,490 |
1,467 |
$746K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
7,173 |
6,367 |
$687K |
| 0002A |
|
7,884 |
7,884 |
$312K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
3,191 |
3,122 |
$285K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,924 |
1,871 |
$270K |
| 71046 |
Radiologic examination, chest; 2 views |
3,175 |
3,092 |
$269K |
| 0001A |
|
8,244 |
8,244 |
$234K |
| G0378 |
Hospital observation service, per hour |
451 |
300 |
$203K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
153 |
150 |
$145K |
| 0270 |
|
3,164 |
2,462 |
$140K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
115 |
113 |
$139K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,199 |
1,189 |
$139K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,626 |
3,464 |
$133K |
| 0450 |
Emergency room services |
3,807 |
3,369 |
$130K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,895 |
5,440 |
$94K |
| 71045 |
Radiologic examination, chest; single view |
1,355 |
1,310 |
$84K |
| 36415 |
Collection of venous blood by venipuncture |
15,446 |
12,547 |
$81K |
| 83880 |
|
2,945 |
2,770 |
$77K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,556 |
12,976 |
$77K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
535 |
533 |
$76K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,097 |
2,865 |
$70K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
275 |
273 |
$68K |
| 81001 |
|
13,442 |
12,635 |
$45K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
2,032 |
1,896 |
$40K |
| 86900 |
|
601 |
522 |
$37K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
110 |
107 |
$36K |
| 80051 |
|
9,268 |
8,252 |
$35K |
| 82565 |
|
11,255 |
9,757 |
$33K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,069 |
1,945 |
$31K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
377 |
368 |
$28K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
758 |
708 |
$28K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,902 |
1,823 |
$27K |
| 84460 |
|
7,856 |
6,805 |
$25K |
| 82247 |
|
7,829 |
6,688 |
$25K |
| 76830 |
Ultrasound, transvaginal |
136 |
134 |
$22K |
| 84450 |
|
7,157 |
6,275 |
$22K |
| 99199 |
Unlisted special service, procedure or report |
410 |
359 |
$20K |
| 82947 |
|
9,520 |
8,449 |
$19K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
14 |
14 |
$18K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
894 |
852 |
$18K |
| 84520 |
|
9,399 |
8,343 |
$18K |
| 81003 |
|
7,476 |
7,284 |
$17K |
| 83690 |
|
5,548 |
5,135 |
$17K |
| 0637 |
|
18,578 |
6,349 |
$17K |
| 85652 |
|
4,495 |
4,348 |
$16K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
5,372 |
4,805 |
$15K |
| 84484 |
|
3,067 |
2,781 |
$15K |
| 84075 |
|
6,015 |
5,420 |
$14K |
| 84702 |
|
1,121 |
912 |
$14K |
| 93976 |
|
40 |
39 |
$13K |
| 71250 |
|
71 |
70 |
$12K |
| 83735 |
|
3,414 |
2,747 |
$12K |
| 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 |
286 |
284 |
$12K |
| 86901 |
|
601 |
522 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
601 |
560 |
$11K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
81 |
79 |
$10K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
453 |
217 |
$10K |
| 73560 |
|
111 |
99 |
$10K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
401 |
376 |
$9K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
402 |
376 |
$9K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,888 |
1,849 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
25 |
25 |
$9K |
| 86850 |
|
317 |
275 |
$9K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,233 |
2,021 |
$8K |
| 80306 |
|
785 |
751 |
$7K |
| 73610 |
|
57 |
52 |
$7K |
| 85610 |
|
2,658 |
2,042 |
$6K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,440 |
2,080 |
$6K |
| 93971 |
|
46 |
46 |
$6K |
| 73630 |
|
58 |
53 |
$6K |
| 70486 |
|
25 |
25 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
26 |
26 |
$5K |
| 82077 |
|
863 |
807 |
$5K |
| 84100 |
|
1,974 |
1,662 |
$5K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
346 |
338 |
$5K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,344 |
2,127 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,722 |
1,605 |
$5K |
| 82962 |
|
2,203 |
1,927 |
$4K |
| 87088 |
|
1,284 |
1,245 |
$4K |
| 84703 |
|
1,454 |
1,416 |
$4K |
| 85027 |
|
900 |
795 |
$4K |
| 87631 |
|
240 |
235 |
$4K |
| 83605 |
|
1,004 |
917 |
$4K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
92 |
80 |
$4K |
| 84132 |
|
662 |
522 |
$4K |
| 0031A |
|
88 |
88 |
$4K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
416 |
380 |
$3K |
| 70491 |
|
12 |
12 |
$3K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
169 |
169 |
$3K |
| J3490 |
Unclassified drugs |
1,218 |
935 |
$3K |
| 85379 |
|
473 |
466 |
$3K |
| 73030 |
|
28 |
25 |
$2K |
| 82310 |
|
401 |
304 |
$2K |
| 82248 |
|
477 |
379 |
$2K |
| 73130 |
|
12 |
12 |
$2K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,632 |
1,575 |
$2K |
| 87040 |
|
397 |
376 |
$2K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
553 |
471 |
$2K |
| 0250 |
|
3,263 |
1,837 |
$2K |
| 73502 |
|
12 |
12 |
$1K |
| 84295 |
|
208 |
160 |
$1K |
| 82570 |
|
196 |
189 |
$1K |
| C1769 |
Guide wire |
32 |
31 |
$1K |
| 85730 |
|
164 |
162 |
$1K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
66 |
65 |
$1K |
| 87449 |
|
55 |
54 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
338 |
293 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
122 |
122 |
$1K |
| 87324 |
|
55 |
54 |
$985.00 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
20 |
19 |
$897.05 |
| 96376 |
|
191 |
174 |
$882.87 |
| 86140 |
|
213 |
200 |
$846.67 |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
20 |
19 |
$813.56 |
| A4217 |
Sterile water/saline, 500 ml |
47 |
41 |
$782.60 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,291 |
1,247 |
$767.05 |
| 84156 |
|
193 |
184 |
$749.45 |
| 80179 |
|
142 |
136 |
$644.58 |
| Z7502 |
|
78 |
73 |
$550.33 |
| 84443 |
Thyroid stimulating hormone (TSH) |
53 |
51 |
$542.95 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
258 |
239 |
$440.63 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
140 |
137 |
$388.58 |
| 85378 |
|
71 |
70 |
$346.05 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
97 |
91 |
$324.29 |
| J1815 |
Injection, insulin, per 5 units |
35 |
14 |
$322.83 |
| 97162 |
|
25 |
24 |
$285.94 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
36 |
33 |
$260.93 |
| J2060 |
Injection, lorazepam, 2 mg |
140 |
126 |
$236.57 |
| 0710 |
|
753 |
742 |
$203.53 |
| 82040 |
|
35 |
25 |
$189.02 |
| 82550 |
|
13 |
12 |
$60.74 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
43 |
34 |
$42.06 |
| 0258 |
|
213 |
188 |
$19.32 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
18 |
12 |
$0.60 |
| 0370 |
|
659 |
654 |
$0.00 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
12 |
12 |
$0.00 |
| 76376 |
|
14 |
14 |
$0.00 |