| Code | Description | Claims | Beneficiaries | Total Paid |
| J0791 |
Injection, crizanlizumab-tmca, 5 mg |
1,027 |
864 |
$5.98M |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
98,345 |
91,680 |
$3.60M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
17,398 |
16,691 |
$1.16M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
24,450 |
23,536 |
$944K |
| 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 |
12,668 |
11,868 |
$600K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
66,718 |
60,640 |
$564K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12,918 |
12,411 |
$543K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
50,566 |
47,388 |
$515K |
| 36430 |
|
2,528 |
2,291 |
$291K |
| 80053 |
Comprehensive metabolic panel |
24,834 |
20,681 |
$256K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
24,316 |
20,098 |
$250K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
9,346 |
8,006 |
$202K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
651 |
639 |
$198K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
15,329 |
14,595 |
$192K |
| 83020 |
|
12,585 |
10,147 |
$176K |
| 36512 |
|
1,164 |
1,065 |
$133K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,486 |
1,427 |
$133K |
| 86850 |
|
22,670 |
19,881 |
$126K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,830 |
2,264 |
$123K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
9,453 |
8,850 |
$120K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
6,852 |
6,377 |
$104K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
1,133 |
1,085 |
$101K |
| 80306 |
|
7,894 |
6,774 |
$94K |
| 64615 |
|
535 |
532 |
$90K |
| 82728 |
|
9,585 |
8,781 |
$88K |
| 85027 |
|
18,917 |
15,526 |
$82K |
| 0001A |
|
2,735 |
2,515 |
$79K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,870 |
969 |
$78K |
| 0002A |
|
2,337 |
2,241 |
$76K |
| J2785 |
Injection, regadenoson, 0.1 mg |
647 |
625 |
$76K |
| 86832 |
|
724 |
574 |
$70K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,986 |
1,207 |
$68K |
| 86833 |
|
719 |
574 |
$64K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
3,907 |
3,349 |
$60K |
| 99233 |
Prolong inpt eval add15 m |
3,459 |
3,015 |
$59K |
| 86922 |
|
3,524 |
3,136 |
$59K |
| 86901 |
|
22,568 |
19,769 |
$58K |
| 86900 |
|
22,299 |
19,539 |
$58K |
| 83735 |
|
7,772 |
7,291 |
$57K |
| 87536 |
|
1,757 |
1,729 |
$53K |
| 85045 |
|
10,313 |
7,868 |
$51K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
684 |
452 |
$48K |
| 82607 |
|
2,884 |
2,781 |
$48K |
| 83615 |
|
8,449 |
6,414 |
$47K |
| J2997 |
Injection, alteplase recombinant, 1 mg |
843 |
779 |
$47K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
2,246 |
2,196 |
$46K |
| 74183 |
|
113 |
113 |
$45K |
| 82950 |
|
6,518 |
5,488 |
$43K |
| 87077 |
|
5,695 |
4,771 |
$42K |
| 87631 |
|
895 |
820 |
$38K |
| 82746 |
|
2,747 |
2,645 |
$34K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,060 |
1,988 |
$33K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,844 |
1,733 |
$33K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
429 |
421 |
$33K |
| 84466 |
|
1,958 |
1,832 |
$32K |
| 80076 |
|
4,353 |
4,081 |
$29K |
| 73610 |
|
2,126 |
1,997 |
$29K |
| 78451 |
|
385 |
370 |
$27K |
| 82570 |
|
6,042 |
5,303 |
$27K |
| 83970 |
|
417 |
412 |
$26K |
| 81001 |
|
7,055 |
6,708 |
$26K |
| 83880 |
|
905 |
847 |
$25K |
| 81025 |
|
7,009 |
6,724 |
$24K |
| 73630 |
|
1,792 |
1,729 |
$24K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
486 |
470 |
$23K |
| 93017 |
|
1,233 |
1,192 |
$22K |
| 59025 |
Fetal non-stress test |
4,345 |
3,847 |
$21K |
| 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 |
408 |
399 |
$21K |
| 83540 |
|
3,281 |
3,143 |
$21K |
| 82565 |
|
2,894 |
2,420 |
$18K |
| 80061 |
Lipid panel |
1,034 |
1,020 |
$18K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
775 |
700 |
$18K |
| 84156 |
|
5,823 |
5,112 |
$18K |
| 87522 |
Neg quan hep c or qual rna |
528 |
522 |
$17K |
| 87186 |
|
2,182 |
1,821 |
$17K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
346 |
340 |
$17K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
540 |
489 |
$16K |
| 31231 |
|
81 |
78 |
$14K |
| 84450 |
|
2,003 |
1,604 |
$14K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
98 |
97 |
$13K |
| 84484 |
|
1,392 |
1,227 |
$13K |
| G0378 |
Hospital observation service, per hour |
114 |
110 |
$13K |
| 85610 |
|
3,291 |
3,104 |
$13K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,603 |
1,564 |
$13K |
| 82043 |
|
3,053 |
2,827 |
$13K |
| 95886 |
|
607 |
581 |
$12K |
| 80197 |
|
2,213 |
1,774 |
$12K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
247 |
241 |
$12K |
| 83550 |
|
1,583 |
1,503 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
955 |
926 |
$11K |
| 91320 |
|
84 |
83 |
$10K |
| 82977 |
|
1,756 |
1,648 |
$10K |
| J7297 |
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
14 |
14 |
$10K |
| 85007 |
|
2,356 |
1,839 |
$10K |
| 84439 |
|
1,121 |
1,077 |
$9K |
| 82105 |
|
663 |
651 |
$9K |
| 86780 |
|
510 |
459 |
$9K |
| 73502 |
|
708 |
693 |
$9K |
| 80069 |
|
1,676 |
1,337 |
$9K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
49 |
38 |
$8K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
58 |
56 |
$8K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
61 |
61 |
$8K |
| 36455 |
|
44 |
43 |
$7K |
| 73564 |
|
439 |
430 |
$7K |
| 86160 |
|
569 |
557 |
$7K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
456 |
181 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
666 |
644 |
$6K |
| 62323 |
|
37 |
37 |
$6K |
| 86902 |
|
2,178 |
1,941 |
$6K |
| 82951 |
|
780 |
618 |
$6K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
31 |
31 |
$6K |
| 73562 |
|
314 |
307 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
3,954 |
3,391 |
$5K |
| 76642 |
|
163 |
158 |
$5K |
| 90686 |
|
288 |
285 |
$4K |
| 83690 |
|
568 |
547 |
$4K |
| 73030 |
|
408 |
389 |
$4K |
| 84702 |
|
324 |
216 |
$4K |
| 94729 |
|
235 |
224 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
225 |
219 |
$4K |
| 0003A |
|
125 |
123 |
$4K |
| 73620 |
|
333 |
325 |
$4K |
| 0053A |
|
92 |
91 |
$3K |
| 0124A |
|
90 |
89 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
136 |
132 |
$3K |
| 72110 |
|
171 |
167 |
$3K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
64 |
63 |
$3K |
| 82952 |
|
779 |
617 |
$3K |
| 91200 |
|
41 |
39 |
$3K |
| 84681 |
|
209 |
206 |
$3K |
| 86225 |
|
264 |
260 |
$3K |
| 94010 |
|
310 |
299 |
$3K |
| 90480 |
|
85 |
84 |
$3K |
| 92587 |
|
81 |
79 |
$3K |
| 76770 |
|
72 |
71 |
$2K |
| 86677 |
|
118 |
116 |
$2K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
2,584 |
1,436 |
$2K |
| 85652 |
|
621 |
610 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
171 |
92 |
$2K |
| 84134 |
|
253 |
250 |
$2K |
| 82652 |
|
47 |
47 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
63 |
62 |
$2K |
| 92567 |
|
232 |
221 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
80 |
75 |
$2K |
| 92557 |
|
81 |
77 |
$2K |
| 94727 |
|
143 |
138 |
$2K |
| 85379 |
|
220 |
209 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
14 |
$2K |
| 51600 |
|
14 |
13 |
$2K |
| 74018 |
|
148 |
145 |
$2K |
| 86140 |
|
715 |
702 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
768 |
732 |
$1K |
| 73130 |
|
149 |
137 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
31 |
29 |
$1K |
| 95911 |
|
16 |
12 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
250 |
232 |
$1K |
| 86870 |
|
96 |
81 |
$1K |
| 97161 |
|
39 |
38 |
$1K |
| 87340 |
|
116 |
113 |
$1K |
| 73221 |
|
14 |
13 |
$1K |
| 73110 |
|
113 |
96 |
$1K |
| 83883 |
|
101 |
73 |
$1K |
| 36593 |
|
17 |
12 |
$1K |
| 86706 |
|
115 |
111 |
$1K |
| 0051A |
|
30 |
30 |
$1K |
| 85730 |
|
479 |
459 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
59 |
48 |
$1K |
| 92588 |
|
29 |
26 |
$1K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
672 |
514 |
$943.95 |
| 82248 |
|
203 |
201 |
$928.75 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,799 |
1,655 |
$907.90 |
| 86803 |
|
72 |
69 |
$904.32 |
| 72100 |
|
53 |
51 |
$833.90 |
| 86905 |
|
348 |
330 |
$822.96 |
| 82172 |
|
49 |
49 |
$821.88 |
| 88142 |
|
42 |
32 |
$797.21 |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$778.61 |
| 80305 |
|
103 |
102 |
$768.87 |
| 86923 |
|
108 |
102 |
$714.31 |
| 0072A |
|
20 |
19 |
$680.00 |
| 85018 |
|
247 |
233 |
$643.61 |
| 0071A |
|
18 |
17 |
$640.00 |
| 87070 |
|
50 |
48 |
$630.27 |
| 86300 |
|
43 |
38 |
$608.35 |
| 99195 |
|
13 |
13 |
$600.66 |
| 86256 |
|
64 |
60 |
$564.90 |
| Q3014 |
Telehealth originating site facility fee |
108 |
106 |
$561.51 |
| 82784 |
|
62 |
58 |
$548.00 |
| 86039 |
|
44 |
43 |
$493.50 |
| 81003 |
|
201 |
193 |
$479.78 |
| 82390 |
|
63 |
59 |
$459.61 |
| 82103 |
|
65 |
61 |
$448.14 |
| 83010 |
|
49 |
49 |
$436.32 |
| 97162 |
|
14 |
14 |
$434.80 |
| 93320 |
|
13 |
13 |
$373.74 |
| 70355 |
|
21 |
18 |
$373.16 |
| 73590 |
|
41 |
36 |
$370.50 |
| 86704 |
|
36 |
36 |
$358.96 |
| 87147 |
|
125 |
104 |
$303.94 |
| 83525 |
|
30 |
30 |
$303.30 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
37 |
36 |
$303.20 |
| 93325 |
|
13 |
13 |
$276.36 |
| 81002 |
|
158 |
150 |
$274.72 |
| 73560 |
|
16 |
15 |
$238.98 |
| 80180 |
|
93 |
83 |
$224.26 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
301 |
286 |
$206.44 |
| 72052 |
|
14 |
13 |
$197.68 |
| 51797 |
|
14 |
13 |
$177.90 |
| 84165 |
|
27 |
25 |
$172.26 |
| 72190 |
|
16 |
15 |
$171.80 |
| 86038 |
|
16 |
14 |
$168.20 |
| 86592 |
|
25 |
24 |
$166.78 |
| 86790 |
|
12 |
12 |
$166.77 |
| 84460 |
|
29 |
26 |
$162.58 |
| 91010 |
|
12 |
12 |
$161.76 |
| 51784 |
|
14 |
13 |
$148.20 |
| 86200 |
|
12 |
12 |
$146.00 |
| 84100 |
|
31 |
31 |
$141.00 |
| 95885 |
|
14 |
12 |
$131.00 |
| 88304 |
|
12 |
12 |
$101.34 |
| 82040 |
|
13 |
13 |
$88.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
20 |
13 |
$79.20 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
100 |
83 |
$78.58 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
425 |
390 |
$76.53 |
| 85613 |
|
12 |
12 |
$60.66 |
| 86431 |
|
12 |
12 |
$56.10 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,304 |
1,233 |
$45.11 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,172 |
1,116 |
$43.60 |
| J2704 |
Injection, propofol, 10 mg |
99 |
96 |
$30.09 |
| J0612 |
Injection, calcium gluconate, not otherwise specified, 10 mg |
240 |
223 |
$29.20 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
176 |
169 |
$25.84 |
| 85014 |
|
15 |
13 |
$24.29 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
14 |
13 |
$22.95 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
208 |
195 |
$19.04 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
871 |
840 |
$13.45 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,430 |
1,337 |
$13.26 |
| 82962 |
|
652 |
617 |
$7.26 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
25 |
24 |
$6.96 |
| G0008 |
Administration of influenza virus vaccine |
15 |
15 |
$4.64 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
41 |
26 |
$0.52 |
| 0001U |
|
18 |
18 |
$0.00 |
| 86361 |
|
504 |
498 |
$0.00 |
| 90656 |
|
29 |
29 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
706 |
678 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
319 |
314 |
$0.00 |
| C1769 |
Guide wire |
67 |
49 |
$0.00 |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
73 |
70 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
251 |
249 |
$0.00 |
| G9172 |
Voice functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
12 |
12 |
$0.00 |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
38 |
37 |
$0.00 |
| 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 |
38 |
20 |
$0.00 |
| 74430 |
|
14 |
13 |
$0.00 |
| 93797 |
|
41 |
12 |
$0.00 |
| G9171 |
Voice functional limitation, current status at therapy episode outset and at reporting intervals |
12 |
12 |
$0.00 |
| P9016 |
Red blood cells, leukocytes reduced, each unit |
1,659 |
1,535 |
$0.00 |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
53 |
52 |
$0.00 |
| P9045 |
Infusion, albumin (human), 5%, 250 ml |
222 |
204 |
$0.00 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
56 |
56 |
$0.00 |
| G8996 |
Swallowing functional limitation, current status at therapy episode outset and at reporting intervals |
13 |
12 |
$0.00 |
| 91300 |
|
150 |
149 |
$0.00 |
| 87799 |
|
33 |
28 |
$0.00 |
| G8997 |
Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
13 |
12 |
$0.00 |