| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
44,455 |
40,684 |
$4.47M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
28,188 |
24,902 |
$3.23M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
13,552 |
11,557 |
$1.53M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,920 |
5,532 |
$569K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,225 |
1,914 |
$568K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
2,419 |
2,373 |
$476K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
22,681 |
5,195 |
$473K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,660 |
2,185 |
$448K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,385 |
3,724 |
$379K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
6,294 |
5,817 |
$301K |
| G0378 |
Hospital observation service, per hour |
5,940 |
3,367 |
$271K |
| 97161 |
|
1,257 |
1,193 |
$158K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
618 |
541 |
$147K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
502 |
437 |
$136K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
459 |
396 |
$125K |
| 0225U |
|
991 |
907 |
$98K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
18,020 |
4,605 |
$96K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,872 |
1,756 |
$87K |
| 01999 |
|
1,690 |
1,536 |
$83K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
11,739 |
3,398 |
$73K |
| 97162 |
|
707 |
622 |
$65K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
583 |
446 |
$65K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
858 |
776 |
$63K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
628 |
570 |
$61K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
162 |
150 |
$59K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
285 |
251 |
$57K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,045 |
499 |
$48K |
| 76830 |
Ultrasound, transvaginal |
445 |
411 |
$38K |
| 97163 |
|
562 |
475 |
$35K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
552 |
474 |
$28K |
| 92587 |
|
849 |
634 |
$28K |
| 80053 |
Comprehensive metabolic panel |
30,764 |
26,063 |
$26K |
| 12011 |
|
234 |
219 |
$23K |
| 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 |
1,906 |
1,507 |
$22K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
337 |
311 |
$21K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
455 |
412 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
2,684 |
2,495 |
$20K |
| 93971 |
|
336 |
299 |
$19K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
317 |
287 |
$19K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
47 |
42 |
$18K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
723 |
664 |
$18K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,029 |
867 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
9,156 |
7,898 |
$16K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
27 |
26 |
$15K |
| 97116 |
|
1,245 |
510 |
$13K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
12,969 |
11,135 |
$12K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,936 |
1,465 |
$12K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12,801 |
10,353 |
$12K |
| 93970 |
|
189 |
148 |
$11K |
| 92650 |
|
241 |
233 |
$11K |
| 12001 |
|
162 |
138 |
$11K |
| 73030 |
|
389 |
319 |
$9K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,613 |
2,346 |
$9K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
42 |
41 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,010 |
862 |
$7K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
13 |
13 |
$7K |
| 95716 |
|
22 |
15 |
$7K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
16 |
15 |
$6K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,437 |
1,195 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,724 |
2,572 |
$6K |
| 70486 |
|
107 |
89 |
$6K |
| 73502 |
|
248 |
189 |
$5K |
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
929 |
360 |
$5K |
| 10060 |
|
100 |
89 |
$5K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
279 |
271 |
$5K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
372 |
253 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
34,441 |
27,925 |
$5K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,368 |
810 |
$5K |
| 12002 |
|
71 |
67 |
$4K |
| 93798 |
|
85 |
12 |
$4K |
| 70491 |
|
14 |
13 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,734 |
3,407 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
664 |
541 |
$3K |
| 72131 |
|
52 |
41 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,104 |
1,887 |
$3K |
| 76882 |
|
69 |
60 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
300 |
260 |
$2K |
| 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 |
39 |
37 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,305 |
4,311 |
$2K |
| 82947 |
|
5,510 |
3,015 |
$2K |
| 84703 |
|
11,646 |
10,258 |
$2K |
| 72100 |
|
93 |
87 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,594 |
3,924 |
$1K |
| 76801 |
|
905 |
737 |
$1K |
| 81001 |
|
13,720 |
12,041 |
$1K |
| 80050 |
General health panel |
302 |
266 |
$1K |
| 97167 |
|
100 |
79 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,544 |
2,283 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,581 |
3,054 |
$1K |
| 80061 |
Lipid panel |
880 |
735 |
$1K |
| 84484 |
|
11,949 |
5,640 |
$1K |
| J7050 |
Infusion, normal saline solution, 250 cc |
2,531 |
1,859 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,706 |
7,274 |
$1K |
| 36430 |
|
16 |
13 |
$1K |
| 73610 |
|
490 |
432 |
$970.37 |
| 97535 |
Self-care/home management training, each 15 minutes |
177 |
120 |
$921.89 |
| 88342 |
|
485 |
418 |
$919.64 |
| 74018 |
|
451 |
373 |
$912.91 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
4,652 |
4,105 |
$807.57 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,164 |
982 |
$789.73 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
37 |
28 |
$785.64 |
| 73564 |
|
499 |
377 |
$764.03 |
| 72110 |
|
19 |
15 |
$682.84 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
898 |
757 |
$671.90 |
| 73130 |
|
414 |
360 |
$660.29 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
7,065 |
5,617 |
$647.48 |
| 73630 |
|
540 |
462 |
$626.43 |
| 72084 |
|
16 |
16 |
$612.53 |
| 96376 |
|
2,064 |
1,142 |
$604.25 |
| 84702 |
|
1,934 |
1,541 |
$600.47 |
| 87186 |
|
1,050 |
869 |
$599.49 |
| 81003 |
|
4,377 |
3,948 |
$556.46 |
| 85610 |
|
1,559 |
1,227 |
$555.69 |
| 73590 |
|
171 |
141 |
$545.35 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
3,181 |
2,208 |
$528.72 |
| 81025 |
|
2,808 |
2,537 |
$523.53 |
| J2704 |
Injection, propofol, 10 mg |
834 |
705 |
$513.32 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
596 |
401 |
$474.43 |
| 74019 |
|
355 |
324 |
$460.45 |
| 83735 |
|
2,303 |
1,844 |
$449.15 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,586 |
1,269 |
$446.57 |
| 36415 |
Collection of venous blood by venipuncture |
567 |
360 |
$427.75 |
| 87070 |
|
1,459 |
1,345 |
$417.95 |
| J1644 |
Injection, heparin sodium, per 1000 units |
379 |
191 |
$343.49 |
| 82803 |
|
170 |
135 |
$331.67 |
| 93017 |
|
60 |
55 |
$327.54 |
| 99152 |
|
163 |
141 |
$327.43 |
| C1769 |
Guide wire |
249 |
199 |
$322.29 |
| 83690 |
|
5,430 |
4,696 |
$310.33 |
| 84443 |
Thyroid stimulating hormone (TSH) |
576 |
493 |
$310.03 |
| 71101 |
|
14 |
13 |
$296.84 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
239 |
189 |
$290.78 |
| 99153 |
Mod sedat endo service >5yrs |
15 |
15 |
$290.78 |
| 85730 |
|
1,222 |
988 |
$278.19 |
| 73110 |
|
331 |
281 |
$264.06 |
| 59025 |
Fetal non-stress test |
21 |
19 |
$245.06 |
| 74022 |
|
57 |
54 |
$243.05 |
| 85045 |
|
132 |
91 |
$215.92 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,676 |
2,199 |
$215.07 |
| 86850 |
|
618 |
529 |
$214.20 |
| 86901 |
|
1,268 |
1,079 |
$208.71 |
| 86900 |
|
1,264 |
1,079 |
$206.05 |
| 73090 |
|
183 |
153 |
$203.67 |
| 87077 |
|
1,298 |
1,033 |
$195.22 |
| G1010 |
Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program |
222 |
113 |
$175.64 |
| 83880 |
|
1,013 |
829 |
$160.06 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
953 |
804 |
$154.15 |
| 73140 |
|
124 |
113 |
$148.06 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,019 |
792 |
$146.50 |
| 82077 |
|
802 |
667 |
$135.61 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
135 |
129 |
$127.61 |
| 80076 |
|
12 |
12 |
$114.20 |
| 87481 |
|
134 |
128 |
$112.20 |
| 73560 |
|
31 |
24 |
$112.03 |
| 85027 |
|
1,222 |
908 |
$110.68 |
| 87081 |
|
1,282 |
1,258 |
$109.60 |
| 73562 |
|
69 |
59 |
$106.32 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
119 |
115 |
$103.11 |
| 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 |
486 |
318 |
$101.16 |
| 86140 |
|
1,277 |
1,161 |
$94.92 |
| 82565 |
|
161 |
133 |
$94.12 |
| P9016 |
Red blood cells, leukocytes reduced, each unit |
16 |
13 |
$93.20 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
122 |
93 |
$88.79 |
| 86923 |
|
15 |
13 |
$88.41 |
| 81513 |
|
14 |
14 |
$83.49 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,671 |
1,188 |
$78.44 |
| 73080 |
|
149 |
131 |
$76.00 |
| 90715 |
|
346 |
297 |
$74.72 |
| 76775 |
|
12 |
12 |
$72.41 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
167 |
148 |
$63.90 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
135 |
125 |
$50.42 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
490 |
407 |
$49.43 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
666 |
537 |
$42.25 |
| 73552 |
|
18 |
16 |
$37.64 |
| 82330 |
|
84 |
72 |
$32.79 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
443 |
347 |
$31.51 |
| 82247 |
|
24 |
13 |
$29.71 |
| 84295 |
|
43 |
37 |
$26.04 |
| 84132 |
|
201 |
157 |
$26.04 |
| 85652 |
|
277 |
250 |
$14.44 |
| 82728 |
|
28 |
24 |
$13.50 |
| 87040 |
|
1,833 |
981 |
$13.09 |
| J2060 |
Injection, lorazepam, 2 mg |
291 |
228 |
$10.96 |
| 83540 |
|
14 |
13 |
$9.39 |
| 84439 |
|
49 |
39 |
$8.10 |
| 82570 |
|
72 |
50 |
$7.83 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
321 |
276 |
$7.59 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
41 |
37 |
$6.96 |
| 83605 |
|
1,332 |
1,004 |
$6.75 |
| 87430 |
|
924 |
835 |
$4.82 |
| 87210 |
|
1,511 |
1,371 |
$4.64 |
| 82550 |
|
483 |
383 |
$3.15 |
| 80179 |
|
442 |
366 |
$0.00 |
| 84145 |
|
444 |
362 |
$0.00 |
| 29125 |
|
30 |
25 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
33 |
28 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
313 |
138 |
$0.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
157 |
140 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
467 |
249 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
28 |
25 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
281 |
106 |
$0.00 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
20 |
13 |
$0.00 |
| C1751 |
Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) |
34 |
28 |
$0.00 |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
14 |
14 |
$0.00 |
| 84100 |
|
70 |
52 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
57 |
51 |
$0.00 |
| 87420 |
|
91 |
88 |
$0.00 |
| 80143 |
|
128 |
115 |
$0.00 |
| 82248 |
|
13 |
12 |
$0.00 |
| 82375 |
|
36 |
31 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
30 |
26 |
$0.00 |
| 84156 |
|
18 |
13 |
$0.00 |
| 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 |
40 |
37 |
$0.00 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
42 |
34 |
$0.00 |
| J1815 |
Injection, insulin, per 5 units |
901 |
315 |
$0.00 |
| 86780 |
|
14 |
13 |
$0.00 |
| 87205 |
|
27 |
25 |
$0.00 |
| J2785 |
Injection, regadenoson, 0.1 mg |
13 |
13 |
$0.00 |
| 85018 |
|
87 |
67 |
$0.00 |
| C9290 |
Injection, bupivacaine liposome, 1 mg |
12 |
12 |
$0.00 |
| 85379 |
|
645 |
571 |
$0.00 |
| J1940 |
Injection, furosemide, up to 20 mg |
60 |
33 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
423 |
306 |
$0.00 |
| J3480 |
Injection, potassium chloride, per 2 meq |
64 |
43 |
$0.00 |
| J3490 |
Unclassified drugs |
49 |
24 |
$0.00 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
305 |
188 |
$0.00 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
144 |
73 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
141 |
107 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
533 |
401 |
$0.00 |
| J0456 |
Injection, azithromycin, 500 mg |
17 |
12 |
$0.00 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
26 |
25 |
$0.00 |
| 83050 |
|
36 |
31 |
$0.00 |
| 88304 |
|
163 |
119 |
$0.00 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
15 |
12 |
$0.00 |
| 94760 |
|
184 |
133 |
$0.00 |
| 82810 |
|
17 |
15 |
$0.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
54 |
40 |
$0.00 |
| P9612 |
Catheterization for collection of specimen, single patient, all places of service |
93 |
85 |
$0.00 |
| 95700 |
|
14 |
12 |
$0.00 |
| 82435 |
|
25 |
22 |
$0.00 |
| 86308 |
|
17 |
14 |
$0.00 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
18 |
15 |
$0.00 |