| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19,535 |
18,039 |
$3.21M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,859 |
4,490 |
$1.13M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
6,150 |
5,778 |
$1.10M |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
5,631 |
1,662 |
$476K |
| 80053 |
Comprehensive metabolic panel |
20,765 |
19,146 |
$437K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,274 |
2,767 |
$377K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,263 |
1,242 |
$327K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,244 |
1,225 |
$314K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,065 |
2,021 |
$303K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,261 |
1,242 |
$226K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,537 |
1,499 |
$200K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,213 |
1,191 |
$197K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,481 |
1,313 |
$179K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
769 |
753 |
$173K |
| 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 |
2,214 |
2,010 |
$153K |
| 81025 |
|
3,345 |
3,213 |
$143K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,115 |
1,071 |
$142K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
315 |
132 |
$123K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
672 |
661 |
$118K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,387 |
469 |
$103K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,636 |
1,634 |
$100K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,400 |
1,387 |
$95K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
396 |
396 |
$85K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,472 |
2,090 |
$84K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,278 |
2,268 |
$63K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,327 |
3,000 |
$53K |
| 84443 |
Thyroid stimulating hormone (TSH) |
6,502 |
6,431 |
$53K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,006 |
1,774 |
$49K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,999 |
1,952 |
$44K |
| 80061 |
Lipid panel |
7,169 |
7,139 |
$44K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
21,386 |
19,258 |
$42K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
923 |
909 |
$39K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
954 |
941 |
$30K |
| 87390 |
|
1,367 |
1,365 |
$30K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,178 |
745 |
$29K |
| 86850 |
|
1,201 |
1,159 |
$29K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
348 |
346 |
$27K |
| 84439 |
|
3,302 |
3,281 |
$26K |
| 97161 |
|
265 |
263 |
$24K |
| 83880 |
|
886 |
817 |
$23K |
| 82607 |
|
1,996 |
1,988 |
$22K |
| 71046 |
Radiologic examination, chest; 2 views |
3,743 |
3,678 |
$21K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,467 |
2,459 |
$21K |
| 36415 |
Collection of venous blood by venipuncture |
593 |
514 |
$20K |
| 84153 |
|
1,093 |
1,083 |
$19K |
| 82728 |
|
1,488 |
1,474 |
$19K |
| 82803 |
|
814 |
739 |
$18K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
4,016 |
3,833 |
$18K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
954 |
941 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
425 |
396 |
$16K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
339 |
336 |
$16K |
| 82746 |
|
1,391 |
1,385 |
$15K |
| 86901 |
|
1,246 |
1,202 |
$15K |
| 59025 |
Fetal non-stress test |
657 |
466 |
$13K |
| 86900 |
|
1,246 |
1,202 |
$13K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
636 |
633 |
$12K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,578 |
5,012 |
$11K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
505 |
199 |
$10K |
| 86803 |
|
1,150 |
1,147 |
$10K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,100 |
1,098 |
$10K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
26 |
26 |
$9K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
75 |
64 |
$9K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
976 |
904 |
$8K |
| 83655 |
|
639 |
638 |
$8K |
| 73630 |
|
997 |
952 |
$8K |
| 85610 |
|
2,944 |
2,537 |
$7K |
| 97010 |
|
447 |
215 |
$7K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,180 |
4,893 |
$7K |
| 97162 |
|
65 |
65 |
$7K |
| 83540 |
|
1,521 |
1,504 |
$7K |
| 87186 |
|
1,572 |
1,529 |
$7K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,833 |
1,794 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
24 |
24 |
$7K |
| 76641 |
|
243 |
241 |
$6K |
| 81003 |
|
8,597 |
8,078 |
$6K |
| 83550 |
|
1,209 |
1,194 |
$6K |
| 73030 |
|
741 |
725 |
$6K |
| 84702 |
|
844 |
664 |
$6K |
| 74018 |
|
1,248 |
1,227 |
$6K |
| 12001 |
|
12 |
12 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
107 |
105 |
$5K |
| 86140 |
|
1,463 |
1,355 |
$5K |
| 82570 |
|
1,102 |
1,086 |
$5K |
| 76830 |
Ultrasound, transvaginal |
152 |
149 |
$5K |
| 72100 |
|
493 |
488 |
$4K |
| 87070 |
|
618 |
610 |
$4K |
| 87088 |
|
904 |
882 |
$4K |
| 73562 |
|
430 |
416 |
$4K |
| 83735 |
|
2,147 |
1,917 |
$4K |
| 73610 |
|
733 |
708 |
$4K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
60 |
60 |
$3K |
| 82043 |
|
712 |
712 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,720 |
1,322 |
$3K |
| 82784 |
|
318 |
315 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$3K |
| 84703 |
|
1,202 |
1,133 |
$3K |
| 76801 |
|
38 |
36 |
$3K |
| 85652 |
|
1,634 |
1,548 |
$3K |
| 82550 |
|
1,067 |
1,043 |
$3K |
| 73130 |
|
572 |
545 |
$3K |
| 73564 |
|
248 |
234 |
$2K |
| 85730 |
|
1,425 |
1,360 |
$2K |
| 72110 |
|
167 |
166 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
30 |
$2K |
| G0378 |
Hospital observation service, per hour |
28 |
26 |
$2K |
| 90715 |
|
116 |
116 |
$2K |
| 84403 |
|
92 |
92 |
$2K |
| 86038 |
|
411 |
406 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
26 |
26 |
$2K |
| 94726 |
|
41 |
40 |
$2K |
| 86762 |
|
157 |
155 |
$2K |
| 71271 |
|
77 |
77 |
$2K |
| 83690 |
|
2,650 |
2,504 |
$2K |
| 87077 |
|
182 |
179 |
$2K |
| 73110 |
|
283 |
279 |
$1K |
| 87340 |
|
156 |
154 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
2,696 |
2,575 |
$1K |
| 73502 |
|
221 |
214 |
$1K |
| 86592 |
|
445 |
445 |
$1K |
| 84402 |
|
37 |
37 |
$882.33 |
| 87040 |
|
1,109 |
819 |
$872.16 |
| 87634 |
|
76 |
76 |
$753.85 |
| 94729 |
|
41 |
40 |
$700.81 |
| 82962 |
|
903 |
671 |
$692.50 |
| 93971 |
|
25 |
25 |
$651.79 |
| 82248 |
|
149 |
115 |
$647.94 |
| 76775 |
|
14 |
14 |
$634.78 |
| 84484 |
|
3,107 |
2,654 |
$511.57 |
| 84460 |
|
103 |
103 |
$484.03 |
| 85379 |
|
369 |
364 |
$413.21 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,707 |
3,375 |
$359.74 |
| 84450 |
|
72 |
72 |
$342.56 |
| 82247 |
|
78 |
52 |
$328.97 |
| 86769 |
|
15 |
15 |
$274.90 |
| 72040 |
|
25 |
25 |
$203.76 |
| 76536 |
|
12 |
12 |
$198.00 |
| 82950 |
|
39 |
39 |
$190.04 |
| 86255 |
|
29 |
29 |
$165.09 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,268 |
3,007 |
$162.13 |
| 84436 |
|
28 |
28 |
$158.11 |
| 86376 |
|
12 |
12 |
$152.67 |
| 86800 |
|
13 |
13 |
$152.10 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
211 |
205 |
$151.81 |
| 83605 |
|
1,315 |
1,183 |
$149.11 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
1,010 |
975 |
$107.53 |
| 84100 |
|
24 |
24 |
$107.45 |
| 86706 |
|
12 |
12 |
$106.95 |
| 86430 |
|
24 |
24 |
$106.09 |
| J7050 |
Infusion, normal saline solution, 250 cc |
59 |
48 |
$82.50 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,116 |
2,919 |
$74.69 |
| 80076 |
|
12 |
12 |
$69.24 |
| 86431 |
|
12 |
12 |
$56.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
153 |
145 |
$54.10 |
| 84550 |
|
12 |
12 |
$46.42 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35 |
30 |
$40.40 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
151 |
141 |
$37.02 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
535 |
492 |
$33.04 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
668 |
660 |
$25.70 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
571 |
530 |
$23.51 |
| 87081 |
|
13 |
12 |
$20.80 |
| 81015 |
|
12 |
12 |
$17.43 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
797 |
790 |
$15.83 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
80 |
75 |
$10.19 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
101 |
94 |
$10.19 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
844 |
840 |
$9.32 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
205 |
203 |
$1.50 |
| 80329 |
|
264 |
161 |
$0.00 |
| 96376 |
|
519 |
378 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
15 |
13 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
29 |
28 |
$0.00 |
| 87430 |
|
17 |
17 |
$0.00 |
| J3490 |
Unclassified drugs |
30 |
30 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
14 |
14 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
40 |
37 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
21 |
16 |
$0.00 |