| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
11,939 |
9,832 |
$1.65M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
10,880 |
9,475 |
$1.41M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
10,799 |
9,050 |
$1.39M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,535 |
2,693 |
$782K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,672 |
3,143 |
$599K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,110 |
2,747 |
$547K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,458 |
2,117 |
$517K |
| G0378 |
Hospital observation service, per hour |
2,036 |
1,640 |
$392K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,757 |
2,968 |
$270K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
993 |
904 |
$208K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
924 |
811 |
$204K |
| 80053 |
Comprehensive metabolic panel |
27,526 |
22,321 |
$186K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,429 |
1,291 |
$181K |
| 36415 |
Collection of venous blood by venipuncture |
40,813 |
29,500 |
$164K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
47,143 |
36,895 |
$158K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
6,187 |
5,307 |
$149K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
3,598 |
1,603 |
$137K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
7,783 |
6,782 |
$125K |
| 86738 |
|
10,960 |
9,944 |
$119K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
700 |
517 |
$113K |
| 71046 |
Radiologic examination, chest; 2 views |
4,848 |
4,162 |
$98K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
5,137 |
4,667 |
$94K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13,081 |
9,659 |
$83K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,282 |
503 |
$82K |
| 84443 |
Thyroid stimulating hormone (TSH) |
11,243 |
10,089 |
$70K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
7,396 |
5,620 |
$63K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
5,009 |
4,675 |
$61K |
| 72110 |
|
1,635 |
1,490 |
$55K |
| 87634 |
|
2,450 |
2,194 |
$48K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,747 |
1,605 |
$47K |
| 87040 |
|
5,398 |
2,873 |
$40K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,080 |
3,707 |
$39K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,233 |
5,125 |
$38K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,052 |
936 |
$37K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,761 |
2,420 |
$37K |
| 84439 |
|
4,726 |
4,402 |
$36K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
804 |
764 |
$35K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
7,337 |
5,535 |
$33K |
| 73564 |
|
1,410 |
1,101 |
$33K |
| 80061 |
Lipid panel |
7,152 |
6,649 |
$32K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,380 |
5,947 |
$31K |
| 81001 |
|
15,828 |
13,223 |
$31K |
| 71250 |
|
1,036 |
918 |
$30K |
| 83880 |
|
2,679 |
2,191 |
$30K |
| 84484 |
|
10,863 |
6,443 |
$30K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
371 |
329 |
$30K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,939 |
4,641 |
$27K |
| 71045 |
Radiologic examination, chest; single view |
6,461 |
5,152 |
$25K |
| 83655 |
|
1,736 |
1,667 |
$21K |
| 86677 |
|
2,261 |
2,035 |
$20K |
| 80306 |
|
4,434 |
3,822 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,001 |
2,556 |
$20K |
| 73030 |
|
1,010 |
822 |
$20K |
| 82542 |
|
8,224 |
3,385 |
$20K |
| 87088 |
|
5,574 |
4,698 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,372 |
2,165 |
$19K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
79 |
58 |
$18K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
169 |
147 |
$15K |
| 82607 |
|
2,786 |
2,582 |
$15K |
| 85379 |
|
3,066 |
2,631 |
$14K |
| 85610 |
|
4,536 |
3,617 |
$13K |
| 73630 |
|
721 |
623 |
$13K |
| 73610 |
|
846 |
761 |
$12K |
| 82150 |
|
3,083 |
2,584 |
$12K |
| 76536 |
|
109 |
104 |
$12K |
| 83690 |
|
5,747 |
4,856 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,463 |
1,531 |
$11K |
| 82550 |
|
7,693 |
5,426 |
$11K |
| 87070 |
|
1,156 |
927 |
$11K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,637 |
1,836 |
$11K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
73 |
64 |
$10K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
47 |
44 |
$10K |
| 83605 |
|
4,533 |
3,527 |
$10K |
| 85018 |
|
2,056 |
1,946 |
$10K |
| 72050 |
|
314 |
291 |
$9K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
794 |
174 |
$9K |
| 72131 |
|
107 |
104 |
$9K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
537 |
519 |
$8K |
| 81025 |
|
1,997 |
1,806 |
$8K |
| 83735 |
|
9,269 |
7,504 |
$8K |
| 73620 |
|
424 |
358 |
$8K |
| 87077 |
|
2,865 |
2,373 |
$7K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,375 |
2,373 |
$7K |
| 84703 |
|
2,744 |
2,448 |
$7K |
| 96376 |
|
2,451 |
1,255 |
$7K |
| 87186 |
|
2,756 |
2,299 |
$7K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
4,987 |
3,965 |
$6K |
| 87430 |
|
1,136 |
1,071 |
$6K |
| 83540 |
|
1,608 |
1,507 |
$6K |
| 85730 |
|
2,069 |
1,731 |
$6K |
| 82805 |
|
690 |
497 |
$5K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,668 |
1,227 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,449 |
4,594 |
$5K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
37 |
35 |
$5K |
| 87428 |
|
575 |
544 |
$5K |
| 73130 |
|
267 |
227 |
$4K |
| 93017 |
|
91 |
73 |
$4K |
| 85651 |
|
2,255 |
1,959 |
$4K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
23 |
14 |
$4K |
| 72072 |
|
134 |
129 |
$4K |
| 97161 |
|
13 |
12 |
$3K |
| 74018 |
|
84 |
70 |
$3K |
| 86756 |
|
134 |
128 |
$3K |
| 82140 |
|
179 |
119 |
$3K |
| 82728 |
|
544 |
503 |
$3K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
62 |
39 |
$3K |
| 80074 |
|
516 |
478 |
$3K |
| 87400 |
|
482 |
232 |
$3K |
| 90715 |
|
219 |
186 |
$3K |
| 93971 |
|
32 |
25 |
$3K |
| 80076 |
|
846 |
759 |
$2K |
| 96367 |
|
56 |
43 |
$2K |
| G0379 |
Direct admission of patient for hospital observation care |
13 |
13 |
$2K |
| 73110 |
|
101 |
91 |
$2K |
| 70486 |
|
76 |
70 |
$2K |
| 87420 |
|
387 |
367 |
$2K |
| 73502 |
|
83 |
61 |
$2K |
| 83550 |
|
286 |
259 |
$2K |
| 82043 |
|
682 |
634 |
$2K |
| 82962 |
|
2,028 |
836 |
$2K |
| 86800 |
|
124 |
111 |
$2K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
1,876 |
1,273 |
$2K |
| 76775 |
|
12 |
12 |
$1K |
| 86376 |
|
149 |
144 |
$1K |
| 76642 |
|
14 |
12 |
$1K |
| 86703 |
|
158 |
146 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
357 |
323 |
$1K |
| 99218 |
|
14 |
12 |
$1K |
| 86140 |
|
212 |
189 |
$960.82 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,062 |
823 |
$845.79 |
| 87522 |
Neg quan hep c or qual rna |
37 |
34 |
$830.39 |
| 94664 |
|
334 |
135 |
$773.82 |
| 85652 |
|
551 |
494 |
$753.18 |
| 99406 |
|
47 |
43 |
$737.09 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,184 |
1,030 |
$730.58 |
| 74022 |
|
28 |
25 |
$725.16 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
75 |
65 |
$629.76 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
300 |
222 |
$572.71 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
149 |
126 |
$571.59 |
| 86592 |
|
135 |
125 |
$558.69 |
| 86308 |
|
119 |
110 |
$524.10 |
| 93000 |
|
47 |
39 |
$512.56 |
| 82553 |
|
367 |
181 |
$510.57 |
| 73590 |
|
14 |
12 |
$504.27 |
| 73140 |
|
12 |
12 |
$460.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
246 |
201 |
$450.94 |
| 86038 |
|
60 |
53 |
$369.44 |
| 86431 |
|
71 |
65 |
$349.79 |
| J2785 |
Injection, regadenoson, 0.1 mg |
18 |
15 |
$337.48 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
209 |
153 |
$269.95 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
201 |
101 |
$240.81 |
| 73080 |
|
14 |
12 |
$209.94 |
| J3490 |
Unclassified drugs |
330 |
204 |
$200.92 |
| 51702 |
|
104 |
90 |
$135.29 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
237 |
214 |
$134.78 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
18 |
15 |
$130.56 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
558 |
452 |
$119.89 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
217 |
152 |
$111.86 |
| 84550 |
|
40 |
38 |
$85.13 |
| 82565 |
|
25 |
12 |
$70.14 |
| J2300 |
Injection, nalbuphine hydrochloride, per 10 mg |
75 |
41 |
$66.84 |
| J2060 |
Injection, lorazepam, 2 mg |
140 |
113 |
$62.90 |
| 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 |
303 |
238 |
$55.69 |
| 36600 |
|
36 |
29 |
$49.26 |
| A9270 |
Non-covered item or service |
2,095 |
1,239 |
$46.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
41 |
24 |
$45.31 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
298 |
252 |
$41.23 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
163 |
143 |
$28.04 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
131 |
120 |
$15.07 |
| 87205 |
|
21 |
14 |
$8.19 |
| 87081 |
|
21 |
12 |
$7.96 |
| 84479 |
|
39 |
36 |
$7.53 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
16 |
15 |
$3.84 |
| 83615 |
|
22 |
18 |
$2.50 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
98 |
89 |
$1.66 |
| J1956 |
Injection, levofloxacin, 250 mg |
20 |
14 |
$1.10 |
| J3480 |
Injection, potassium chloride, per 2 meq |
17 |
14 |
$0.00 |
| 84145 |
|
37 |
35 |
$0.00 |