| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
31,759 |
24,393 |
$3.89M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12,021 |
9,182 |
$1.90M |
| D7140 |
Extraction, erupted tooth or exposed root |
1,965 |
731 |
$885K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,938 |
3,049 |
$713K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
8,670 |
7,060 |
$698K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
7,688 |
1,702 |
$582K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,946 |
4,536 |
$441K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
8,719 |
7,092 |
$405K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
3,367 |
2,212 |
$343K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
10,215 |
7,507 |
$331K |
| G0378 |
Hospital observation service, per hour |
1,226 |
670 |
$331K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,162 |
1,661 |
$304K |
| 71045 |
Radiologic examination, chest; single view |
6,045 |
4,515 |
$206K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12,052 |
7,320 |
$193K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
191 |
137 |
$183K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,134 |
4,725 |
$163K |
| 71046 |
Radiologic examination, chest; 2 views |
4,156 |
3,321 |
$154K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
8,945 |
6,408 |
$150K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,835 |
1,418 |
$139K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,895 |
2,291 |
$139K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,090 |
752 |
$112K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,973 |
2,273 |
$92K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16,618 |
11,792 |
$79K |
| 73560 |
|
1,959 |
1,490 |
$73K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,435 |
2,569 |
$73K |
| 80053 |
Comprehensive metabolic panel |
10,592 |
7,805 |
$67K |
| 87430 |
|
5,511 |
4,564 |
$65K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,451 |
680 |
$59K |
| 76801 |
|
727 |
610 |
$55K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
13 |
13 |
$47K |
| 73630 |
|
1,217 |
945 |
$47K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
648 |
556 |
$46K |
| 86900 |
|
923 |
695 |
$45K |
| 72082 |
|
619 |
528 |
$44K |
| 87641 |
|
1,839 |
1,492 |
$41K |
| 36415 |
Collection of venous blood by venipuncture |
20,610 |
14,298 |
$40K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
548 |
414 |
$39K |
| 73610 |
|
954 |
752 |
$38K |
| 83880 |
|
1,927 |
1,394 |
$36K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
587 |
312 |
$35K |
| 84703 |
|
6,464 |
5,212 |
$35K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
449 |
406 |
$34K |
| 72100 |
|
737 |
551 |
$32K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
312 |
284 |
$31K |
| 87070 |
|
4,223 |
3,557 |
$30K |
| 73130 |
|
785 |
577 |
$30K |
| 73030 |
|
920 |
663 |
$28K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
5,356 |
3,922 |
$27K |
| 81001 |
|
12,670 |
9,813 |
$27K |
| 84484 |
|
3,869 |
2,409 |
$26K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
595 |
463 |
$26K |
| 77077 |
|
338 |
279 |
$24K |
| 87428 |
|
449 |
387 |
$18K |
| 74018 |
|
471 |
355 |
$18K |
| 86850 |
|
748 |
557 |
$16K |
| 86901 |
|
928 |
697 |
$15K |
| 83690 |
|
3,351 |
2,601 |
$14K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,222 |
1,026 |
$14K |
| 72170 |
|
225 |
186 |
$14K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
669 |
128 |
$13K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
204 |
108 |
$12K |
| D1120 |
Prophylaxis - child |
805 |
704 |
$12K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,361 |
1,855 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,648 |
1,258 |
$11K |
| 87807 |
|
1,004 |
857 |
$10K |
| D0350 |
|
527 |
456 |
$10K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
28 |
24 |
$10K |
| D1206 |
Topical application of fluoride varnish |
746 |
635 |
$9K |
| 82962 |
|
4,486 |
2,483 |
$7K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
456 |
388 |
$7K |
| 81025 |
|
1,496 |
1,119 |
$7K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
47 |
41 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
177 |
169 |
$7K |
| 85730 |
|
1,410 |
1,095 |
$5K |
| 85610 |
|
1,803 |
1,362 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
286 |
213 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
286 |
213 |
$4K |
| 83605 |
|
790 |
526 |
$4K |
| D1351 |
Sealant - per tooth |
469 |
122 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
61 |
51 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
68 |
54 |
$3K |
| 84702 |
|
303 |
232 |
$3K |
| 83735 |
|
1,152 |
726 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
547 |
465 |
$3K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
154 |
48 |
$3K |
| 87040 |
|
241 |
185 |
$3K |
| 80061 |
Lipid panel |
269 |
220 |
$3K |
| 73620 |
|
32 |
28 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
305 |
278 |
$2K |
| 82550 |
|
389 |
303 |
$2K |
| 73502 |
|
108 |
62 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
137 |
98 |
$2K |
| 86756 |
|
174 |
135 |
$2K |
| 82553 |
|
250 |
184 |
$2K |
| 87077 |
|
320 |
248 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
42 |
36 |
$2K |
| 73110 |
|
38 |
27 |
$2K |
| 87186 |
|
250 |
199 |
$1K |
| 80164 |
|
106 |
101 |
$1K |
| 12001 |
|
14 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
54 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
70 |
46 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
12 |
$970.74 |
| 81003 |
|
933 |
669 |
$895.54 |
| 82947 |
|
116 |
116 |
$797.58 |
| 97161 |
|
16 |
13 |
$787.18 |
| 73590 |
|
15 |
14 |
$761.91 |
| 85018 |
|
480 |
377 |
$753.78 |
| 85014 |
|
464 |
364 |
$746.63 |
| D2330 |
|
25 |
12 |
$674.59 |
| 73090 |
|
18 |
12 |
$622.20 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
31 |
27 |
$516.03 |
| 73552 |
|
12 |
12 |
$514.35 |
| 97016 |
|
49 |
13 |
$492.78 |
| 80076 |
|
99 |
75 |
$458.73 |
| 73562 |
|
15 |
12 |
$440.60 |
| 85378 |
|
89 |
67 |
$390.82 |
| 82248 |
|
132 |
106 |
$289.83 |
| 87797 |
|
14 |
12 |
$283.45 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
510 |
387 |
$264.66 |
| 86592 |
|
50 |
43 |
$195.55 |
| D0140 |
Limited oral evaluation - problem focused |
44 |
39 |
$190.33 |
| 82150 |
|
29 |
28 |
$185.10 |
| 87340 |
|
20 |
16 |
$144.97 |
| 86803 |
|
32 |
13 |
$139.17 |
| 85651 |
|
17 |
12 |
$107.66 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
7,891 |
5,742 |
$84.67 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
8,353 |
6,521 |
$84.31 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
646 |
502 |
$75.01 |
| 86140 |
|
20 |
15 |
$72.76 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
7,467 |
5,405 |
$50.54 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,530 |
2,635 |
$36.98 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,393 |
984 |
$25.32 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
4,759 |
3,585 |
$18.81 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
9,675 |
7,437 |
$18.48 |
| 84100 |
|
13 |
12 |
$16.55 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
4,364 |
3,237 |
$9.84 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
4,376 |
3,295 |
$6.85 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
325 |
206 |
$5.08 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
3,787 |
3,050 |
$2.64 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
866 |
612 |
$2.57 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
142 |
122 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
5,425 |
4,059 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
2,954 |
2,139 |
$0.00 |
| 94760 |
|
1,536 |
1,162 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
308 |
219 |
$0.00 |
| 96376 |
|
477 |
307 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
217 |
163 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
52 |
38 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
19 |
14 |
$0.00 |
| J1940 |
Injection, furosemide, up to 20 mg |
15 |
13 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,926 |
2,221 |
$0.00 |
| Q0177 |
Hydroxyzine pamoate, 25 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 |
294 |
195 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
268 |
172 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,995 |
1,412 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
194 |
140 |
$0.00 |
| G1002 |
Clinical decision support mechanism medcurrent, as defined by the medicare appropriate use criteria program |
53 |
45 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
223 |
196 |
$0.00 |
| J0595 |
Injection, butorphanol tartrate, 1 mg |
26 |
12 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
22 |
17 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
161 |
124 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
52 |
38 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
82 |
67 |
$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 |
24 |
16 |
$0.00 |
| J0694 |
Injection, cefoxitin sodium, 1 gm |
52 |
28 |
$0.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
19 |
14 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
42 |
32 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
44 |
40 |
$0.00 |