| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
26,521 |
24,980 |
$9.08M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
12,529 |
11,547 |
$4.57M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
31,840 |
30,609 |
$2.71M |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24,109 |
19,585 |
$982K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19,964 |
19,276 |
$861K |
| 80053 |
Comprehensive metabolic panel |
25,091 |
22,542 |
$488K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
8,262 |
7,440 |
$486K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,111 |
1,053 |
$433K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
27,008 |
24,112 |
$320K |
| 87430 |
|
11,661 |
11,378 |
$297K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,191 |
3,067 |
$231K |
| 59025 |
Fetal non-stress test |
2,344 |
1,690 |
$230K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,003 |
1,901 |
$205K |
| 71045 |
Radiologic examination, chest; single view |
6,299 |
5,904 |
$193K |
| G0378 |
Hospital observation service, per hour |
1,398 |
684 |
$139K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
5,631 |
4,913 |
$139K |
| 81025 |
|
7,649 |
7,129 |
$133K |
| 99218 |
|
561 |
234 |
$112K |
| 87081 |
|
9,802 |
9,567 |
$106K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,543 |
3,140 |
$105K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,642 |
1,429 |
$103K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
5,808 |
5,058 |
$98K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
555 |
534 |
$97K |
| 71046 |
Radiologic examination, chest; 2 views |
1,783 |
1,737 |
$95K |
| 87807 |
|
4,928 |
4,790 |
$95K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,105 |
474 |
$86K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
489 |
458 |
$86K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,904 |
1,714 |
$80K |
| 87088 |
|
5,934 |
5,527 |
$68K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
192 |
182 |
$66K |
| 81001 |
|
10,141 |
9,296 |
$60K |
| 76801 |
|
484 |
428 |
$59K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
6,247 |
4,715 |
$58K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
862 |
213 |
$55K |
| 84484 |
|
4,718 |
3,870 |
$51K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,648 |
1,259 |
$44K |
| 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 |
1,425 |
1,289 |
$44K |
| 81003 |
|
10,110 |
9,503 |
$40K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
8,404 |
7,607 |
$31K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,302 |
5,776 |
$30K |
| 83690 |
|
3,054 |
2,780 |
$28K |
| 95816 |
|
54 |
54 |
$28K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,172 |
3,658 |
$28K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
415 |
397 |
$27K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
529 |
527 |
$27K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,731 |
4,363 |
$23K |
| 87040 |
|
1,698 |
1,314 |
$20K |
| J7050 |
Infusion, normal saline solution, 250 cc |
2,814 |
1,830 |
$18K |
| 84702 |
|
1,056 |
899 |
$16K |
| 73610 |
|
233 |
221 |
$16K |
| 86850 |
|
1,061 |
969 |
$16K |
| 74270 |
|
86 |
83 |
$15K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,041 |
1,920 |
$14K |
| 83605 |
|
1,544 |
1,341 |
$13K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
70 |
70 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,280 |
5,762 |
$11K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,059 |
1,601 |
$11K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
42 |
41 |
$10K |
| 83880 |
|
633 |
582 |
$10K |
| 74018 |
|
215 |
203 |
$9K |
| 87077 |
|
1,394 |
1,222 |
$8K |
| 80305 |
|
525 |
493 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
56 |
51 |
$8K |
| 73630 |
|
111 |
107 |
$7K |
| 87186 |
|
1,187 |
1,048 |
$7K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,093 |
2,814 |
$7K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
736 |
659 |
$6K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
27 |
26 |
$6K |
| 85730 |
|
2,101 |
1,911 |
$5K |
| 85610 |
|
2,521 |
2,254 |
$4K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
16 |
12 |
$4K |
| 85027 |
|
1,637 |
1,392 |
$4K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,362 |
1,030 |
$3K |
| 86901 |
|
1,419 |
1,272 |
$3K |
| 86900 |
|
1,413 |
1,266 |
$3K |
| 83735 |
|
1,035 |
807 |
$2K |
| 82550 |
|
351 |
311 |
$2K |
| 73030 |
|
72 |
65 |
$2K |
| 73130 |
|
25 |
25 |
$2K |
| 72082 |
|
13 |
13 |
$2K |
| 12001 |
|
12 |
12 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
190 |
183 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
776 |
503 |
$2K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
280 |
257 |
$1K |
| 73560 |
|
44 |
39 |
$1K |
| 82962 |
|
5,753 |
2,818 |
$1K |
| 84703 |
|
199 |
184 |
$1K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
587 |
449 |
$1K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
64 |
49 |
$1K |
| S5010 |
5% dextrose and 0.45% normal saline, 1000 ml |
88 |
52 |
$995.48 |
| 90715 |
|
42 |
38 |
$960.20 |
| 96376 |
|
193 |
115 |
$934.21 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,211 |
1,096 |
$857.30 |
| 73140 |
|
13 |
12 |
$786.49 |
| 73080 |
|
12 |
12 |
$763.62 |
| 87147 |
|
67 |
66 |
$660.92 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,239 |
1,108 |
$637.93 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
14 |
13 |
$635.37 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
30 |
12 |
$602.82 |
| 87070 |
|
292 |
213 |
$552.52 |
| 71250 |
|
12 |
12 |
$547.60 |
| 80061 |
Lipid panel |
117 |
106 |
$537.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
40 |
$474.61 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
17 |
13 |
$429.62 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
196 |
180 |
$424.95 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
16 |
14 |
$409.32 |
| 84145 |
|
28 |
27 |
$388.14 |
| 87486 |
|
16 |
12 |
$351.23 |
| 87581 |
|
16 |
12 |
$351.23 |
| S0028 |
Injection, famotidine, 20 mg |
604 |
559 |
$327.65 |
| 82607 |
|
15 |
14 |
$323.81 |
| 72100 |
|
13 |
12 |
$319.31 |
| 82746 |
|
15 |
14 |
$315.65 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
108 |
104 |
$280.07 |
| 84100 |
|
336 |
261 |
$265.19 |
| 94664 |
|
97 |
87 |
$226.29 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
28 |
25 |
$204.05 |
| 84439 |
|
12 |
12 |
$176.30 |
| 86140 |
|
94 |
77 |
$167.76 |
| 77080 |
|
25 |
25 |
$159.78 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
178 |
120 |
$154.40 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
14 |
13 |
$141.13 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
382 |
364 |
$139.86 |
| J1644 |
Injection, heparin sodium, per 1000 units |
76 |
55 |
$122.28 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
20 |
13 |
$120.04 |
| 85379 |
|
12 |
12 |
$110.45 |
| 82150 |
|
33 |
28 |
$71.94 |
| 82248 |
|
12 |
12 |
$26.13 |
| J2704 |
Injection, propofol, 10 mg |
1,300 |
1,198 |
$25.56 |
| C1769 |
Guide wire |
31 |
27 |
$17.24 |
| 97116 |
|
18 |
13 |
$15.78 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
20 |
18 |
$1.87 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
12 |
12 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
362 |
331 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
13 |
13 |
$0.00 |
| A9270 |
Non-covered item or service |
2,527 |
2,059 |
$0.00 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
13 |
12 |
$0.00 |