| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
58,133 |
52,223 |
$12.90M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
29,242 |
25,606 |
$8.95M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
36,863 |
33,298 |
$5.45M |
| 64635 |
|
2,185 |
1,651 |
$2.01M |
| 64493 |
|
2,064 |
1,592 |
$1.77M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
21,258 |
17,130 |
$1.77M |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
17,932 |
15,652 |
$1.31M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
12,606 |
8,825 |
$1.28M |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
32,624 |
28,451 |
$1.24M |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
21,434 |
18,845 |
$1.09M |
| 64636 |
|
2,243 |
1,595 |
$874K |
| 64494 |
|
2,277 |
1,494 |
$772K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,512 |
2,231 |
$712K |
| 62323 |
|
2,461 |
2,232 |
$707K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17,711 |
14,484 |
$688K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
11,166 |
8,996 |
$617K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
602 |
517 |
$567K |
| 71045 |
Radiologic examination, chest; single view |
10,180 |
8,993 |
$493K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,019 |
1,439 |
$458K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
11,334 |
9,790 |
$307K |
| 80053 |
Comprehensive metabolic panel |
37,748 |
32,260 |
$282K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
10,477 |
2,795 |
$274K |
| 71046 |
Radiologic examination, chest; 2 views |
3,585 |
3,200 |
$268K |
| 81025 |
|
39,050 |
34,648 |
$244K |
| G0378 |
Hospital observation service, per hour |
1,629 |
765 |
$229K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
42,591 |
36,216 |
$228K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
411 |
380 |
$218K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
1,383 |
1,004 |
$216K |
| 62321 |
|
682 |
633 |
$201K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
831 |
350 |
$146K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
1,026 |
642 |
$143K |
| 27096 |
|
89 |
80 |
$141K |
| 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 |
1,838 |
1,624 |
$132K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,553 |
4,243 |
$124K |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
386 |
317 |
$121K |
| 36415 |
Collection of venous blood by venipuncture |
55,103 |
44,511 |
$111K |
| 73562 |
|
1,040 |
832 |
$108K |
| 73560 |
|
1,039 |
845 |
$93K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,748 |
2,396 |
$90K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
909 |
712 |
$88K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,173 |
3,510 |
$88K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
868 |
825 |
$77K |
| C1776 |
Joint device (implantable) |
33 |
28 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,499 |
1,374 |
$74K |
| 84484 |
|
8,281 |
6,910 |
$71K |
| 64490 |
|
70 |
53 |
$70K |
| 64483 |
|
44 |
42 |
$68K |
| 73564 |
|
389 |
347 |
$64K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
756 |
662 |
$60K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
568 |
472 |
$57K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,043 |
1,752 |
$56K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,042 |
1,752 |
$56K |
| 0001A |
|
1,542 |
1,419 |
$52K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,377 |
2,059 |
$49K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
94 |
83 |
$46K |
| 0002A |
|
1,332 |
1,156 |
$45K |
| C9290 |
Injection, bupivacaine liposome, 1 mg |
495 |
435 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,436 |
1,322 |
$42K |
| 80305 |
|
4,695 |
4,026 |
$41K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
4,028 |
3,407 |
$40K |
| 20610 |
|
30 |
29 |
$40K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
362 |
345 |
$39K |
| 64491 |
|
82 |
51 |
$38K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
6,519 |
5,775 |
$37K |
| 87634 |
|
597 |
541 |
$37K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,205 |
3,834 |
$37K |
| 81001 |
|
15,803 |
13,843 |
$37K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
4,841 |
4,174 |
$37K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
94 |
84 |
$35K |
| 83880 |
|
1,559 |
1,383 |
$35K |
| 83690 |
|
6,886 |
6,023 |
$35K |
| 97161 |
|
658 |
583 |
$33K |
| 0012A |
|
1,060 |
951 |
$32K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,393 |
412 |
$31K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
152 |
126 |
$29K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
297 |
194 |
$28K |
| 94664 |
|
282 |
246 |
$28K |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
3,387 |
1,545 |
$27K |
| 0011A |
|
999 |
955 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,689 |
1,615 |
$24K |
| 73130 |
|
263 |
219 |
$23K |
| 81003 |
|
14,047 |
12,036 |
$22K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
44 |
41 |
$21K |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
1,394 |
1,220 |
$21K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,140 |
2,829 |
$21K |
| 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 |
455 |
372 |
$20K |
| 94644 |
|
366 |
332 |
$20K |
| 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 |
805 |
757 |
$18K |
| 80061 |
Lipid panel |
1,652 |
1,540 |
$17K |
| J2704 |
Injection, propofol, 10 mg |
6,640 |
4,899 |
$17K |
| 0004A |
|
486 |
431 |
$17K |
| 73030 |
|
174 |
150 |
$17K |
| 64633 |
|
15 |
12 |
$16K |
| 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 |
457 |
431 |
$15K |
| J0558 |
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units |
52 |
41 |
$15K |
| 73221 |
|
13 |
12 |
$15K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
283 |
266 |
$14K |
| 0071A |
|
320 |
282 |
$13K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,827 |
1,695 |
$13K |
| 0013A |
|
317 |
293 |
$12K |
| 82550 |
|
2,774 |
2,407 |
$12K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,109 |
1,727 |
$12K |
| 87081 |
|
1,500 |
1,428 |
$10K |
| 80047 |
|
1,140 |
982 |
$9K |
| 73630 |
|
96 |
88 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$8K |
| 73610 |
|
89 |
79 |
$7K |
| 72170 |
|
67 |
63 |
$7K |
| 64634 |
|
15 |
12 |
$7K |
| 29827 |
|
18 |
12 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
499 |
436 |
$6K |
| 0031A |
|
201 |
164 |
$6K |
| 83735 |
|
1,416 |
1,176 |
$6K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
227 |
213 |
$6K |
| G0105 |
Colorectal cancer screening; colonoscopy on individual at high risk |
19 |
15 |
$5K |
| 80050 |
General health panel |
155 |
145 |
$5K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
195 |
165 |
$5K |
| 82150 |
|
903 |
799 |
$5K |
| 0072A |
|
118 |
103 |
$5K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,870 |
1,140 |
$5K |
| 73502 |
|
42 |
41 |
$4K |
| 72100 |
|
39 |
38 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,410 |
1,627 |
$4K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
197 |
179 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,817 |
2,416 |
$3K |
| 85027 |
|
695 |
586 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
38 |
28 |
$3K |
| 87430 |
|
262 |
241 |
$3K |
| 82962 |
|
1,321 |
974 |
$3K |
| 93350 |
|
12 |
12 |
$3K |
| 82947 |
|
1,655 |
1,346 |
$3K |
| 90674 |
|
182 |
156 |
$3K |
| 93017 |
|
13 |
13 |
$2K |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
125 |
118 |
$2K |
| 80076 |
|
270 |
241 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,000 |
2,598 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
32 |
25 |
$2K |
| 85610 |
|
566 |
509 |
$2K |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
279 |
196 |
$2K |
| G0433 |
Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening |
215 |
160 |
$2K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
262 |
216 |
$2K |
| 84100 |
|
493 |
436 |
$2K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
262 |
212 |
$2K |
| J8540 |
Dexamethasone, oral, 0.25 mg |
705 |
618 |
$2K |
| 74022 |
|
12 |
12 |
$1K |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
369 |
288 |
$1K |
| 74019 |
|
14 |
13 |
$1K |
| 73110 |
|
14 |
12 |
$1K |
| 83605 |
|
158 |
118 |
$1K |
| 86706 |
|
117 |
108 |
$1K |
| 80074 |
|
39 |
33 |
$1K |
| 90715 |
|
25 |
24 |
$933.50 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
4,700 |
2,641 |
$930.69 |
| 87210 |
|
258 |
200 |
$915.84 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
46 |
40 |
$884.19 |
| C1751 |
Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) |
714 |
557 |
$865.49 |
| 86803 |
|
70 |
66 |
$826.31 |
| 87070 |
|
96 |
85 |
$818.95 |
| 86756 |
|
53 |
52 |
$808.16 |
| 87088 |
|
114 |
109 |
$776.64 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$748.70 |
| 85379 |
|
110 |
97 |
$741.65 |
| 86408 |
|
23 |
19 |
$716.21 |
| J0500 |
Injection, dicyclomine hcl, up to 20 mg |
23 |
12 |
$647.91 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,307 |
1,060 |
$601.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
553 |
373 |
$575.84 |
| 0064A |
|
13 |
13 |
$553.14 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
21 |
16 |
$549.31 |
| 86708 |
|
42 |
38 |
$475.24 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
30 |
27 |
$462.57 |
| J3490 |
Unclassified drugs |
170 |
82 |
$455.00 |
| 0054A |
|
12 |
12 |
$454.58 |
| 83090 |
|
40 |
33 |
$430.08 |
| 86140 |
|
97 |
89 |
$414.40 |
| 96376 |
|
12 |
12 |
$394.47 |
| 84481 |
|
36 |
32 |
$384.64 |
| 85730 |
|
85 |
79 |
$381.05 |
| 86704 |
|
27 |
24 |
$334.07 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
12,871 |
10,492 |
$330.36 |
| 85651 |
|
85 |
77 |
$328.37 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
38 |
24 |
$325.77 |
| 86592 |
|
100 |
83 |
$324.54 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
911 |
776 |
$310.28 |
| 85014 |
|
241 |
172 |
$308.53 |
| 87340 |
|
27 |
24 |
$298.65 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
208 |
197 |
$248.11 |
| G0475 |
Hiv antigen/antibody, combination assay, screening |
29 |
24 |
$228.85 |
| 80320 |
|
32 |
12 |
$189.40 |
| 87077 |
|
26 |
24 |
$185.84 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
27 |
26 |
$167.53 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
78 |
72 |
$129.23 |
| 84439 |
|
15 |
14 |
$126.28 |
| 84702 |
|
12 |
12 |
$90.30 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
35 |
27 |
$84.23 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
14 |
12 |
$75.00 |
| 91300 |
|
3,447 |
2,834 |
$62.08 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
263 |
226 |
$59.06 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
48 |
39 |
$51.14 |
| A6258 |
Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing |
113 |
73 |
$45.94 |
| 85018 |
|
19 |
12 |
$37.92 |
| A6223 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing |
362 |
309 |
$34.93 |
| 91301 |
|
2,601 |
2,107 |
$31.60 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
104 |
71 |
$30.27 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
49 |
39 |
$29.29 |
| 85652 |
|
12 |
12 |
$27.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
15 |
15 |
$23.67 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
23 |
17 |
$19.45 |
| J0688 |
Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg |
14 |
13 |
$16.04 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
49 |
44 |
$14.68 |
| 88342 |
|
294 |
258 |
$9.73 |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
305 |
266 |
$1.66 |
| 91305 |
|
41 |
39 |
$0.02 |
| 88304 |
|
14 |
13 |
$0.00 |
| 91307 |
|
445 |
365 |
$0.00 |
| 91303 |
|
234 |
181 |
$0.00 |
| 64450 |
|
55 |
24 |
$0.00 |
| 91306 |
|
13 |
13 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
12 |
12 |
$0.00 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
22 |
12 |
$0.00 |
| 99001 |
|
2,071 |
1,413 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
116 |
61 |
$0.00 |
| 88312 |
|
88 |
77 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
26 |
15 |
$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 |
12 |
12 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
13 |
13 |
$0.00 |