| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
132,379 |
124,904 |
$33.18M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
182,403 |
172,526 |
$31.05M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
74,575 |
69,286 |
$24.41M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14,704 |
13,971 |
$7.67M |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
16,213 |
15,440 |
$3.00M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
27,180 |
26,321 |
$2.76M |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
4,039 |
3,823 |
$1.85M |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,761 |
1,659 |
$1.53M |
| 70450 |
Computed tomography, head or brain; without contrast material |
15,971 |
15,181 |
$1.08M |
| 72125 |
Computed tomography, cervical spine; without contrast material |
5,191 |
4,988 |
$911K |
| G0378 |
Hospital observation service, per hour |
6,111 |
2,513 |
$273K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,028 |
987 |
$243K |
| 72131 |
|
1,591 |
1,541 |
$206K |
| 70491 |
|
395 |
380 |
$148K |
| 70496 |
|
295 |
283 |
$129K |
| 10060 |
|
2,958 |
2,860 |
$128K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
2,399 |
2,338 |
$122K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
31,904 |
26,509 |
$89K |
| 70486 |
|
2,806 |
2,706 |
$87K |
| 47562 |
|
15 |
13 |
$54K |
| 74174 |
|
65 |
64 |
$36K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
40,812 |
34,841 |
$33K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
51,228 |
47,400 |
$24K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
1,596 |
1,546 |
$24K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
6,283 |
4,679 |
$24K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
41,938 |
33,976 |
$18K |
| 80053 |
Comprehensive metabolic panel |
93,791 |
83,364 |
$17K |
| 71250 |
|
1,835 |
1,738 |
$14K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
15,525 |
14,018 |
$13K |
| 96376 |
|
9,385 |
6,210 |
$12K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
33,230 |
30,072 |
$12K |
| 70498 |
|
305 |
295 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
30,831 |
29,537 |
$10K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
13,916 |
13,460 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
34,665 |
32,770 |
$8K |
| 93976 |
|
3,639 |
3,475 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
24,332 |
23,590 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
5,302 |
5,052 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
35,539 |
33,805 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
20,380 |
14,358 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
85,511 |
75,592 |
$6K |
| 12001 |
|
3,855 |
3,780 |
$5K |
| J3490 |
Unclassified drugs |
25,539 |
21,008 |
$4K |
| 84703 |
|
20,249 |
19,051 |
$4K |
| 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 |
13,483 |
13,023 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
4,335 |
4,130 |
$4K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
6,337 |
5,981 |
$3K |
| 93971 |
|
3,391 |
3,202 |
$3K |
| 73610 |
|
7,164 |
6,893 |
$3K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
32,500 |
27,552 |
$3K |
| 12002 |
|
1,505 |
1,484 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
11,195 |
8,563 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,835 |
2,667 |
$2K |
| 84484 |
|
24,644 |
21,496 |
$2K |
| 81003 |
|
61,495 |
57,956 |
$2K |
| 72128 |
|
122 |
116 |
$2K |
| 96367 |
|
2,009 |
1,714 |
$2K |
| 74018 |
|
5,008 |
4,877 |
$2K |
| 83880 |
|
6,568 |
6,041 |
$2K |
| 73562 |
|
6,745 |
6,317 |
$2K |
| 85379 |
|
9,364 |
8,884 |
$2K |
| 81025 |
|
32,054 |
30,594 |
$2K |
| 73630 |
|
8,379 |
8,040 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
14,057 |
13,387 |
$2K |
| 76830 |
Ultrasound, transvaginal |
2,340 |
2,239 |
$2K |
| 93975 |
|
1,878 |
1,789 |
$2K |
| 84702 |
|
7,419 |
6,949 |
$1K |
| 12011 |
|
2,530 |
2,471 |
$1K |
| 73030 |
|
5,049 |
4,709 |
$1K |
| 76801 |
|
3,256 |
3,056 |
$1K |
| 73110 |
|
4,866 |
4,665 |
$1K |
| 73130 |
|
7,363 |
7,041 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
52,259 |
48,367 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
637 |
616 |
$1K |
| 71100 |
|
1,612 |
1,529 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
5,999 |
5,841 |
$989.93 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
18,587 |
17,682 |
$954.09 |
| 87631 |
|
1,934 |
1,900 |
$934.30 |
| 93970 |
|
409 |
391 |
$874.63 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
39,994 |
35,457 |
$820.39 |
| 87040 |
|
10,211 |
5,726 |
$727.86 |
| 73700 |
|
193 |
180 |
$716.37 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
4,407 |
2,843 |
$710.19 |
| 74019 |
|
1,795 |
1,751 |
$693.20 |
| 73140 |
|
2,949 |
2,828 |
$691.89 |
| 85610 |
|
7,768 |
7,195 |
$626.31 |
| 83690 |
|
13,443 |
12,283 |
$621.34 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
10,562 |
10,316 |
$620.72 |
| 29125 |
|
2,118 |
2,036 |
$613.39 |
| 87510 |
|
3,753 |
3,500 |
$604.31 |
| 87480 |
|
3,756 |
3,502 |
$604.19 |
| 36415 |
Collection of venous blood by venipuncture |
43,817 |
37,026 |
$595.10 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
19,878 |
18,696 |
$542.93 |
| 72100 |
|
3,395 |
3,304 |
$538.19 |
| 29130 |
|
878 |
844 |
$536.07 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
788 |
669 |
$528.87 |
| 90715 |
|
6,589 |
6,444 |
$517.28 |
| 87070 |
|
1,788 |
1,695 |
$513.13 |
| 94664 |
|
3,666 |
3,250 |
$508.50 |
| 87660 |
|
3,832 |
3,492 |
$479.11 |
| 73080 |
|
2,887 |
2,781 |
$448.28 |
| 87420 |
|
1,073 |
1,063 |
$427.98 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
4,772 |
4,345 |
$423.30 |
| 73590 |
|
1,932 |
1,825 |
$422.81 |
| 80306 |
|
9,831 |
9,339 |
$412.98 |
| 80051 |
|
2,472 |
2,364 |
$375.70 |
| 82150 |
|
6,591 |
6,165 |
$354.97 |
| 83605 |
|
10,935 |
9,571 |
$347.08 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,526 |
1,334 |
$327.62 |
| A9270 |
Non-covered item or service |
28,943 |
17,873 |
$290.03 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
17,580 |
13,600 |
$273.67 |
| 72040 |
|
1,795 |
1,751 |
$256.56 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
6,802 |
6,222 |
$236.05 |
| 87186 |
|
1,750 |
1,696 |
$233.80 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
15,279 |
13,892 |
$225.41 |
| 73502 |
|
1,604 |
1,537 |
$224.06 |
| 83735 |
|
5,553 |
4,549 |
$211.33 |
| 82565 |
|
5,272 |
5,012 |
$153.04 |
| 82803 |
|
3,014 |
2,682 |
$146.59 |
| 82553 |
|
1,037 |
965 |
$145.54 |
| 81001 |
|
16,117 |
15,299 |
$142.91 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
6,121 |
5,851 |
$132.02 |
| 82947 |
|
6,497 |
6,038 |
$130.44 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
3,981 |
3,582 |
$124.33 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,623 |
6,472 |
$119.20 |
| 87634 |
|
2,714 |
2,626 |
$118.55 |
| 84520 |
|
5,251 |
4,984 |
$116.68 |
| 81513 |
|
200 |
194 |
$114.10 |
| 82550 |
|
7,137 |
6,597 |
$104.76 |
| 76870 |
|
763 |
731 |
$93.87 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
288 |
282 |
$92.62 |
| 31500 |
|
13 |
13 |
$85.47 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
9,631 |
8,857 |
$85.04 |
| 73660 |
|
633 |
601 |
$81.70 |
| 96368 |
|
912 |
843 |
$81.48 |
| 29515 |
|
600 |
577 |
$81.17 |
| J2060 |
Injection, lorazepam, 2 mg |
5,170 |
4,461 |
$80.96 |
| 82962 |
|
5,855 |
3,327 |
$74.31 |
| 86900 |
|
2,035 |
1,838 |
$70.02 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,361 |
2,821 |
$65.43 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
6,653 |
6,311 |
$65.12 |
| 87077 |
|
2,066 |
1,998 |
$60.24 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
2,753 |
1,812 |
$58.01 |
| S0028 |
Injection, famotidine, 20 mg |
603 |
514 |
$54.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
1,535 |
1,304 |
$54.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,041 |
1,021 |
$51.31 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
4,790 |
4,115 |
$50.82 |
| 72072 |
|
424 |
413 |
$49.37 |
| 87428 |
|
518 |
515 |
$42.00 |
| 80076 |
|
1,972 |
1,900 |
$41.16 |
| J0456 |
Injection, azithromycin, 500 mg |
969 |
751 |
$41.10 |
| 73564 |
|
86 |
82 |
$39.73 |
| 74021 |
|
1,017 |
974 |
$37.40 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,595 |
1,441 |
$36.02 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
3,124 |
2,722 |
$33.83 |
| 86308 |
|
742 |
716 |
$32.72 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
3,410 |
2,722 |
$32.46 |
| 87481 |
|
204 |
194 |
$31.19 |
| 73090 |
|
1,878 |
1,775 |
$29.81 |
| 86901 |
|
2,760 |
2,383 |
$25.30 |
| 70360 |
|
82 |
80 |
$24.82 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,814 |
1,473 |
$21.26 |
| J1790 |
Injection, droperidol, up to 5 mg |
1,115 |
1,034 |
$20.75 |
| C9113 |
Injection, pantoprazole sodium, per vial |
2,301 |
1,940 |
$19.66 |
| 85027 |
|
3,326 |
2,913 |
$14.05 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
1,614 |
1,514 |
$12.84 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
950 |
610 |
$11.47 |
| 80047 |
|
247 |
224 |
$10.90 |
| 84295 |
|
2,774 |
2,634 |
$8.32 |
| 84132 |
|
2,901 |
2,742 |
$8.20 |
| J1940 |
Injection, furosemide, up to 20 mg |
1,046 |
841 |
$8.06 |
| J3480 |
Injection, potassium chloride, per 2 meq |
1,762 |
1,274 |
$7.86 |
| 82435 |
|
2,764 |
2,629 |
$7.61 |
| 84100 |
|
1,127 |
773 |
$6.50 |
| 82374 |
|
2,761 |
2,627 |
$6.24 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
1,313 |
1,184 |
$5.67 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
2,568 |
2,418 |
$5.40 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
239 |
203 |
$4.87 |
| 86140 |
|
459 |
426 |
$4.60 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
508 |
436 |
$4.11 |
| 85007 |
|
2,282 |
2,004 |
$2.71 |
| J7510 |
Prednisolone oral, per 5 mg |
1,579 |
1,512 |
$1.04 |
| 29530 |
|
752 |
732 |
$0.00 |
| 87400 |
|
21 |
20 |
$0.00 |
| J0744 |
Injection, ciprofloxacin for intravenous infusion, 200 mg |
15 |
12 |
$0.00 |
| Q0243 |
Injection, casirivimab and imdevimab, 2400 mg |
176 |
169 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
82 |
73 |
$0.00 |
| J1980 |
Injection, hyoscyamine sulfate, up to 0.25 mg |
393 |
339 |
$0.00 |
| 51702 |
|
147 |
127 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
166 |
83 |
$0.00 |
| 69209 |
|
107 |
103 |
$0.00 |
| 72070 |
|
204 |
196 |
$0.00 |
| 82272 |
|
126 |
118 |
$0.00 |
| J1956 |
Injection, levofloxacin, 250 mg |
216 |
147 |
$0.00 |
| 29105 |
|
393 |
381 |
$0.00 |
| M0222 |
Intravenous injection, bebtelovimab, includes injection and post administration monitoring |
17 |
17 |
$0.00 |
| J0295 |
Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm |
110 |
71 |
$0.00 |
| 87149 |
|
26 |
16 |
$0.00 |
| J0736 |
Injection, clindamycin phosphate, 300 mg |
13 |
12 |
$0.00 |
| 84439 |
|
12 |
12 |
$0.00 |
| 51701 |
|
12 |
12 |
$0.00 |
| Q0163 |
Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen |
27 |
27 |
$0.00 |
| 86922 |
|
34 |
25 |
$0.00 |
| 76770 |
|
26 |
25 |
$0.00 |
| 36600 |
|
29 |
24 |
$0.00 |
| 73100 |
|
14 |
12 |
$0.00 |
| 76802 |
|
13 |
12 |
$0.00 |
| P9016 |
Red blood cells, leukocytes reduced, each unit |
16 |
12 |
$0.00 |
| 16020 |
|
12 |
12 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
13 |
13 |
$0.00 |
| 69200 |
|
12 |
12 |
$0.00 |
| 72220 |
|
12 |
12 |
$0.00 |
| 70487 |
|
12 |
12 |
$0.00 |
| 80329 |
|
1,859 |
1,017 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
1,464 |
1,268 |
$0.00 |
| C9399 |
Unclassified drugs or biologicals |
80 |
79 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
545 |
489 |
$0.00 |
| 85730 |
|
1,026 |
928 |
$0.00 |
| 85652 |
|
382 |
352 |
$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 |
2,004 |
1,496 |
$0.00 |
| 71101 |
|
356 |
350 |
$0.00 |
| 74022 |
|
263 |
254 |
$0.00 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
89 |
83 |
$0.00 |
| 88304 |
|
191 |
182 |
$0.00 |
| J1815 |
Injection, insulin, per 5 units |
1,271 |
784 |
$0.00 |
| C9290 |
Injection, bupivacaine liposome, 1 mg |
112 |
108 |
$0.00 |
| 80320 |
|
2,219 |
1,984 |
$0.00 |
| 94010 |
|
81 |
75 |
$0.00 |
| 64400 |
|
25 |
25 |
$0.00 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
156 |
87 |
$0.00 |
| 73060 |
|
230 |
218 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
480 |
350 |
$0.00 |
| 73552 |
|
268 |
252 |
$0.00 |
| 86885 |
|
121 |
113 |
$0.00 |
| 94760 |
|
274 |
258 |
$0.00 |
| 94644 |
|
32 |
30 |
$0.00 |
| J3360 |
Injection, diazepam, up to 5 mg |
12 |
12 |
$0.00 |
| 71020 |
|
21 |
21 |
$0.00 |
| 87147 |
|
80 |
76 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
226 |
211 |
$0.00 |
| 72170 |
|
93 |
91 |
$0.00 |
| 86850 |
|
82 |
77 |
$0.00 |
| J3030 |
Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) |
91 |
82 |
$0.00 |
| 73620 |
|
57 |
56 |
$0.00 |
| 99406 |
|
51 |
47 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
44 |
43 |
$0.00 |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
181 |
175 |
$0.00 |
| Q0222 |
Injection, bebtelovimab, 175 mg |
19 |
19 |
$0.00 |
| 87205 |
|
14 |
13 |
$0.00 |
| 93979 |
|
19 |
18 |
$0.00 |
| 87081 |
|
28 |
27 |
$0.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
49 |
48 |
$0.00 |
| 11730 |
|
44 |
44 |
$0.00 |
| J3411 |
Injection, thiamine hcl, 100 mg |
25 |
24 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
12 |
12 |
$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 |
61 |
59 |
$0.00 |