| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
42,287 |
36,343 |
$4.70M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
28,535 |
26,236 |
$3.68M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
29,607 |
25,758 |
$3.48M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
27,009 |
24,254 |
$3.43M |
| 71045 |
Radiologic examination, chest; single view |
13,625 |
11,985 |
$1.61M |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
25,033 |
21,823 |
$1.44M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
24,522 |
21,451 |
$1.29M |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,459 |
694 |
$775K |
| 90834 |
Psychotherapy, 45 minutes with patient |
6,371 |
4,103 |
$601K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
514 |
484 |
$566K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,360 |
4,757 |
$449K |
| 59025 |
Fetal non-stress test |
1,339 |
1,076 |
$417K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
6,698 |
1,377 |
$391K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
13,871 |
12,007 |
$387K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
5,082 |
4,209 |
$312K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
4,234 |
4,013 |
$306K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,061 |
917 |
$285K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
57,750 |
49,220 |
$231K |
| 90899 |
|
705 |
85 |
$224K |
| 80053 |
Comprehensive metabolic panel |
38,303 |
33,504 |
$223K |
| A0425 |
Ground mileage, per statute mile |
16,510 |
11,954 |
$212K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,485 |
512 |
$210K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
4,153 |
3,054 |
$205K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
114 |
102 |
$203K |
| 71046 |
Radiologic examination, chest; 2 views |
2,762 |
2,382 |
$153K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,727 |
1,494 |
$129K |
| 36415 |
Collection of venous blood by venipuncture |
37,571 |
32,438 |
$127K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
3,339 |
2,869 |
$125K |
| 80320 |
|
1,304 |
1,163 |
$123K |
| 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 |
1,671 |
1,321 |
$118K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,673 |
3,595 |
$117K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,640 |
636 |
$115K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,003 |
361 |
$111K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,781 |
1,522 |
$105K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,576 |
1,339 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
820 |
773 |
$88K |
| 80050 |
General health panel |
650 |
619 |
$83K |
| 93296 |
|
463 |
399 |
$76K |
| 77386 |
|
342 |
25 |
$69K |
| 84484 |
|
12,717 |
9,194 |
$68K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
3,138 |
2,326 |
$63K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
224 |
210 |
$61K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,906 |
1,722 |
$54K |
| 80061 |
Lipid panel |
6,130 |
5,760 |
$54K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13,288 |
11,452 |
$51K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,786 |
1,611 |
$51K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
8,055 |
7,531 |
$49K |
| 77336 |
|
382 |
142 |
$44K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
9,888 |
8,351 |
$44K |
| 81003 |
|
25,265 |
21,877 |
$42K |
| H0038 |
Self-help/peer services, per 15 minutes |
583 |
302 |
$39K |
| 99221 |
|
89 |
81 |
$39K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
585 |
503 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
360 |
338 |
$35K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
291 |
121 |
$34K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,915 |
2,740 |
$32K |
| 81025 |
|
5,674 |
5,127 |
$27K |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
2,546 |
2,391 |
$25K |
| 83690 |
|
8,717 |
7,569 |
$24K |
| 87503 |
|
1,354 |
1,142 |
$22K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
187 |
171 |
$21K |
| 87660 |
|
1,251 |
1,170 |
$20K |
| 87510 |
|
1,251 |
1,170 |
$20K |
| 87480 |
|
1,251 |
1,170 |
$20K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
15 |
12 |
$20K |
| 90791 |
Psychiatric diagnostic evaluation |
193 |
185 |
$19K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,059 |
1,000 |
$17K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
101 |
101 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
494 |
339 |
$16K |
| 81001 |
|
11,834 |
10,304 |
$16K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
435 |
183 |
$15K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
460 |
418 |
$14K |
| 87536 |
|
236 |
217 |
$14K |
| 80348 |
|
166 |
81 |
$14K |
| 83605 |
|
2,718 |
2,157 |
$14K |
| 80047 |
|
3,491 |
3,112 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
368 |
341 |
$11K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,024 |
2,530 |
$11K |
| 80349 |
|
215 |
101 |
$10K |
| 82607 |
|
950 |
895 |
$10K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
128 |
114 |
$9K |
| 85027 |
|
2,180 |
2,002 |
$9K |
| 83735 |
|
2,586 |
2,247 |
$8K |
| 80365 |
|
50 |
47 |
$8K |
| 80359 |
|
96 |
55 |
$7K |
| 86360 |
|
208 |
182 |
$7K |
| 80325 |
|
96 |
55 |
$7K |
| 86780 |
|
611 |
572 |
$7K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
44 |
41 |
$7K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
615 |
462 |
$6K |
| 95886 |
|
16 |
14 |
$6K |
| 86359 |
|
232 |
209 |
$6K |
| 80076 |
|
1,420 |
1,258 |
$6K |
| 97597 |
|
79 |
53 |
$5K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
30 |
27 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
32 |
26 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
38 |
31 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
12 |
$4K |
| 85610 |
|
2,233 |
1,932 |
$4K |
| 87522 |
Neg quan hep c or qual rna |
118 |
109 |
$4K |
| 85014 |
|
5,215 |
4,584 |
$4K |
| 84439 |
|
558 |
534 |
$4K |
| 64483 |
|
14 |
12 |
$4K |
| 80361 |
|
50 |
47 |
$4K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
513 |
454 |
$4K |
| 88142 |
|
266 |
260 |
$4K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
158 |
143 |
$3K |
| 83516 |
|
468 |
226 |
$3K |
| 82670 |
|
146 |
135 |
$3K |
| 77334 |
|
24 |
12 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
27 |
$3K |
| 86140 |
|
887 |
812 |
$3K |
| 83880 |
|
191 |
143 |
$2K |
| 85379 |
|
453 |
379 |
$2K |
| 83655 |
|
218 |
208 |
$2K |
| 84403 |
|
115 |
110 |
$2K |
| 80329 |
|
111 |
51 |
$2K |
| 77300 |
|
36 |
25 |
$2K |
| 86803 |
|
155 |
141 |
$2K |
| 87653 |
|
87 |
58 |
$2K |
| 84144 |
|
112 |
101 |
$2K |
| 84402 |
|
88 |
82 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
47 |
44 |
$2K |
| 84270 |
|
87 |
82 |
$2K |
| 82746 |
|
155 |
141 |
$2K |
| 85730 |
|
572 |
488 |
$1K |
| 82570 |
|
525 |
357 |
$1K |
| 84481 |
|
90 |
87 |
$1K |
| 82043 |
|
378 |
351 |
$1K |
| 83970 |
|
77 |
74 |
$1K |
| 94760 |
|
31 |
24 |
$1K |
| 86850 |
|
244 |
215 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
75 |
68 |
$1K |
| 82803 |
|
105 |
81 |
$1K |
| 82553 |
|
307 |
274 |
$850.27 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
26 |
25 |
$846.25 |
| 83001 |
|
61 |
57 |
$838.53 |
| 82550 |
|
322 |
289 |
$805.83 |
| 83002 |
|
44 |
43 |
$704.55 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
34 |
25 |
$687.74 |
| 82627 |
|
34 |
33 |
$645.62 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
13 |
$636.48 |
| 87340 |
|
83 |
75 |
$634.61 |
| 82728 |
|
87 |
76 |
$608.11 |
| 87040 |
|
132 |
75 |
$570.15 |
| 86900 |
|
228 |
199 |
$526.61 |
| 86901 |
|
228 |
199 |
$526.61 |
| 82948 |
|
288 |
75 |
$502.44 |
| 84702 |
|
59 |
53 |
$454.73 |
| 86762 |
|
29 |
27 |
$402.92 |
| 82951 |
|
27 |
26 |
$370.65 |
| 85652 |
|
239 |
217 |
$357.59 |
| 83540 |
|
84 |
79 |
$341.62 |
| 86317 |
|
28 |
24 |
$323.34 |
| 83550 |
|
54 |
50 |
$309.74 |
| 82330 |
|
360 |
324 |
$309.63 |
| 82150 |
|
97 |
82 |
$306.45 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
36 |
13 |
$294.84 |
| 84156 |
|
143 |
134 |
$287.83 |
| 87150 |
|
12 |
12 |
$284.23 |
| 84425 |
|
14 |
13 |
$281.08 |
| 82565 |
|
392 |
355 |
$236.62 |
| 84295 |
|
393 |
355 |
$217.45 |
| 84132 |
|
433 |
389 |
$215.39 |
| 82947 |
|
407 |
369 |
$208.15 |
| 82435 |
|
393 |
355 |
$186.64 |
| 80069 |
|
46 |
44 |
$185.38 |
| 84520 |
|
396 |
357 |
$178.43 |
| 83615 |
|
172 |
140 |
$163.95 |
| 80143 |
|
12 |
12 |
$160.37 |
| 87077 |
|
56 |
40 |
$150.79 |
| 84480 |
|
13 |
12 |
$133.58 |
| 82374 |
|
339 |
310 |
$119.40 |
| 87186 |
|
30 |
24 |
$96.05 |
| 84100 |
|
40 |
25 |
$86.74 |
| 82977 |
|
13 |
12 |
$64.50 |
| 84450 |
|
26 |
25 |
$63.79 |
| 82950 |
|
12 |
12 |
$55.11 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
13 |
$51.60 |
| 87070 |
|
38 |
24 |
$26.00 |
| 87205 |
|
38 |
24 |
$12.89 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
969 |
658 |
$0.00 |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
40 |
25 |
$0.00 |
| 81291 |
|
17 |
17 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
20 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
446 |
304 |
$0.00 |
| 96376 |
|
152 |
122 |
$0.00 |
| 99459 |
|
494 |
454 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
115 |
57 |
$0.00 |
| G0378 |
Hospital observation service, per hour |
13 |
13 |
$0.00 |
| 0064U |
|
14 |
13 |
$0.00 |