| Code | Description | Claims | Beneficiaries | Total Paid |
| 96361 |
Intravenous infusion, hydration; each additional hour |
12,160 |
9,438 |
$3.28M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
28,281 |
25,731 |
$3.07M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
24,946 |
21,478 |
$2.93M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
9,838 |
8,433 |
$1.26M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
13,180 |
3,562 |
$880K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,776 |
2,971 |
$830K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,534 |
2,053 |
$599K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,317 |
4,685 |
$489K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
4,167 |
3,355 |
$443K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,306 |
1,134 |
$361K |
| G0378 |
Hospital observation service, per hour |
4,807 |
1,685 |
$315K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,561 |
1,204 |
$279K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,762 |
1,810 |
$270K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,097 |
823 |
$252K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
2,833 |
1,302 |
$237K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,997 |
1,419 |
$234K |
| 80053 |
Comprehensive metabolic panel |
22,977 |
19,351 |
$226K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
954 |
738 |
$149K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
336 |
270 |
$134K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,717 |
1,331 |
$131K |
| 90791 |
Psychiatric diagnostic evaluation |
637 |
502 |
$127K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
801 |
429 |
$126K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
353 |
307 |
$118K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
429 |
359 |
$93K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
179 |
124 |
$88K |
| 70496 |
|
368 |
273 |
$85K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
4,267 |
1,366 |
$85K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,811 |
1,284 |
$65K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
255 |
204 |
$63K |
| 43249 |
|
228 |
180 |
$60K |
| 84484 |
|
11,791 |
7,208 |
$57K |
| 71046 |
Radiologic examination, chest; 2 views |
2,997 |
2,638 |
$50K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
689 |
538 |
$47K |
| 97162 |
|
1,315 |
1,123 |
$39K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
755 |
635 |
$38K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,423 |
458 |
$35K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
9,009 |
6,207 |
$34K |
| 93017 |
|
409 |
327 |
$33K |
| 72131 |
|
492 |
407 |
$31K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,073 |
1,690 |
$31K |
| 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 |
162 |
159 |
$31K |
| 93970 |
|
257 |
204 |
$30K |
| 93971 |
|
501 |
397 |
$30K |
| C8929 |
Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography |
135 |
115 |
$26K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14,471 |
11,617 |
$23K |
| 74018 |
|
513 |
424 |
$22K |
| 97014 |
|
603 |
223 |
$22K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,043 |
835 |
$20K |
| 80320 |
|
1,715 |
1,271 |
$18K |
| 76642 |
|
154 |
117 |
$18K |
| 83605 |
|
2,408 |
1,738 |
$18K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
32 |
28 |
$17K |
| 71250 |
|
268 |
243 |
$17K |
| 97161 |
|
417 |
358 |
$15K |
| 70486 |
|
291 |
228 |
$15K |
| 76830 |
Ultrasound, transvaginal |
273 |
208 |
$15K |
| 97012 |
|
317 |
96 |
$13K |
| 73130 |
|
757 |
579 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
33,415 |
27,167 |
$11K |
| 0001A |
|
351 |
326 |
$11K |
| 0002A |
|
299 |
294 |
$10K |
| 87040 |
|
1,555 |
753 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
8,744 |
7,322 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
33,527 |
28,443 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
759 |
644 |
$9K |
| 97166 |
|
249 |
208 |
$9K |
| 73630 |
|
827 |
683 |
$8K |
| 86850 |
|
471 |
355 |
$7K |
| 73030 |
|
559 |
433 |
$7K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
14 |
13 |
$7K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
47 |
40 |
$7K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
48 |
39 |
$7K |
| 73110 |
|
422 |
339 |
$7K |
| 86900 |
|
598 |
438 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,195 |
4,286 |
$6K |
| 70491 |
|
19 |
12 |
$6K |
| 83880 |
|
1,405 |
1,211 |
$6K |
| 12001 |
|
33 |
32 |
$5K |
| 73560 |
|
591 |
444 |
$5K |
| J3490 |
Unclassified drugs |
3,555 |
2,144 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
4,390 |
3,854 |
$5K |
| 80061 |
Lipid panel |
521 |
470 |
$5K |
| 72100 |
|
92 |
80 |
$5K |
| 73610 |
|
627 |
509 |
$5K |
| 72128 |
|
176 |
143 |
$5K |
| 81003 |
|
15,259 |
13,737 |
$4K |
| 97116 |
|
278 |
118 |
$4K |
| 70498 |
|
355 |
271 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
375 |
312 |
$4K |
| 96376 |
|
2,639 |
1,215 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
373 |
310 |
$4K |
| 85027 |
|
1,499 |
850 |
$4K |
| 90715 |
|
288 |
217 |
$4K |
| 82565 |
|
431 |
368 |
$3K |
| 87070 |
|
3,123 |
2,874 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
16 |
13 |
$3K |
| 76536 |
|
26 |
24 |
$3K |
| J0500 |
Injection, dicyclomine hcl, up to 20 mg |
95 |
84 |
$3K |
| 82248 |
|
12,678 |
10,465 |
$3K |
| 81001 |
|
4,883 |
3,914 |
$2K |
| 73590 |
|
164 |
117 |
$2K |
| 97535 |
Self-care/home management training, each 15 minutes |
137 |
96 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
14,517 |
11,981 |
$2K |
| 87510 |
|
86 |
83 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
49 |
40 |
$2K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
138 |
124 |
$2K |
| 81025 |
|
7,742 |
6,538 |
$2K |
| 96367 |
|
106 |
66 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
62 |
54 |
$2K |
| 73502 |
|
127 |
112 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
12,734 |
9,825 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
725 |
600 |
$2K |
| 87480 |
|
86 |
83 |
$2K |
| 85379 |
|
1,248 |
974 |
$2K |
| 88341 |
|
39 |
26 |
$2K |
| 74178 |
|
22 |
16 |
$2K |
| 87660 |
|
99 |
95 |
$1K |
| 85610 |
|
3,160 |
2,520 |
$1K |
| 95819 |
|
13 |
12 |
$1K |
| 83735 |
|
2,069 |
1,449 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
387 |
308 |
$1K |
| 73562 |
|
45 |
40 |
$1K |
| 83690 |
|
10,935 |
9,116 |
$1K |
| 97163 |
|
15 |
15 |
$827.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
3,306 |
2,417 |
$797.62 |
| 87088 |
|
2,609 |
2,208 |
$797.30 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,397 |
2,722 |
$742.08 |
| 87430 |
|
3,194 |
2,896 |
$695.88 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,831 |
938 |
$614.18 |
| 82803 |
|
1,145 |
853 |
$604.67 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
1,363 |
607 |
$566.83 |
| 83655 |
|
12 |
12 |
$484.68 |
| J1815 |
Injection, insulin, per 5 units |
497 |
158 |
$435.62 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
5,898 |
3,686 |
$427.25 |
| 85730 |
|
2,113 |
1,767 |
$410.79 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
326 |
245 |
$379.08 |
| 88142 |
|
27 |
27 |
$377.16 |
| 00731 |
|
666 |
561 |
$371.70 |
| 77066 |
Tomosynthesis, mammo |
15 |
13 |
$357.05 |
| 73090 |
|
58 |
49 |
$321.07 |
| 84439 |
|
252 |
194 |
$291.60 |
| 86901 |
|
598 |
438 |
$280.73 |
| J2785 |
Injection, regadenoson, 0.1 mg |
180 |
141 |
$274.03 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,762 |
2,107 |
$268.11 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
527 |
481 |
$252.63 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,777 |
2,035 |
$237.29 |
| 86140 |
|
181 |
118 |
$205.35 |
| 87077 |
|
698 |
502 |
$197.59 |
| 84100 |
|
286 |
174 |
$185.11 |
| 80329 |
|
14 |
13 |
$163.11 |
| 88342 |
|
1,252 |
989 |
$137.61 |
| 87186 |
|
649 |
470 |
$136.16 |
| 82550 |
|
382 |
249 |
$119.93 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
6,251 |
4,825 |
$118.62 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
931 |
621 |
$96.19 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
1,298 |
863 |
$88.23 |
| 84702 |
|
379 |
255 |
$78.17 |
| 87147 |
|
64 |
52 |
$72.42 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
8,861 |
6,658 |
$65.98 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
109 |
76 |
$64.56 |
| 74022 |
|
71 |
62 |
$58.42 |
| J2704 |
Injection, propofol, 10 mg |
4,634 |
3,747 |
$54.10 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,163 |
875 |
$45.37 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
18 |
18 |
$44.40 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
4,203 |
2,910 |
$43.76 |
| J2060 |
Injection, lorazepam, 2 mg |
444 |
288 |
$43.09 |
| J3535 |
Drug administered through a metered dose inhaler |
89 |
53 |
$41.18 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
678 |
485 |
$38.62 |
| 80143 |
|
358 |
257 |
$36.07 |
| J1790 |
Injection, droperidol, up to 5 mg |
563 |
401 |
$29.47 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
548 |
381 |
$26.73 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,359 |
912 |
$24.52 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
425 |
362 |
$21.48 |
| 84703 |
|
44 |
27 |
$19.45 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,418 |
1,917 |
$18.17 |
| 80179 |
|
335 |
241 |
$18.03 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
175 |
111 |
$16.24 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
475 |
309 |
$15.15 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
195 |
146 |
$12.15 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
55 |
43 |
$11.73 |
| J1644 |
Injection, heparin sodium, per 1000 units |
147 |
58 |
$10.73 |
| 76376 |
|
16 |
16 |
$10.65 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
35 |
24 |
$9.87 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
73 |
45 |
$8.72 |
| 85652 |
|
190 |
131 |
$7.93 |
| 91300 |
|
603 |
526 |
$5.21 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
208 |
174 |
$4.41 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
147 |
112 |
$4.39 |
| J3480 |
Injection, potassium chloride, per 2 meq |
39 |
15 |
$3.04 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,058 |
1,620 |
$2.87 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
23 |
12 |
$1.24 |
| J7050 |
Infusion, normal saline solution, 250 cc |
451 |
263 |
$0.35 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
5,269 |
3,960 |
$0.00 |
| Q9956 |
Injection, octafluoropropane microspheres, per ml |
117 |
105 |
$0.00 |
| 93356 |
|
434 |
366 |
$0.00 |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
49 |
40 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
48 |
16 |
$0.00 |
| 00811 |
|
126 |
101 |
$0.00 |
| 82010 |
|
20 |
13 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
108 |
93 |
$0.00 |
| A4649 |
Surgical supply; miscellaneous |
43 |
39 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
39 |
25 |
$0.00 |
| 82805 |
|
28 |
27 |
$0.00 |
| 00813 |
|
325 |
241 |
$0.00 |
| Q9969 |
Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose |
576 |
471 |
$0.00 |
| 82150 |
|
389 |
357 |
$0.00 |
| C1726 |
Catheter, balloon dilatation, non-vascular |
175 |
146 |
$0.00 |
| 94760 |
|
409 |
121 |
$0.00 |
| 72170 |
|
36 |
27 |
$0.00 |
| J3360 |
Injection, diazepam, up to 5 mg |
80 |
41 |
$0.00 |
| 88304 |
|
134 |
83 |
$0.00 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
156 |
45 |
$0.00 |
| 82270 |
|
19 |
12 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
33 |
31 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
21 |
12 |
$0.00 |