| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
17,998 |
17,413 |
$2.62M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
16,104 |
15,558 |
$1.75M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,959 |
3,831 |
$611K |
| T1015 |
Clinic visit/encounter, all-inclusive |
6,466 |
1,628 |
$245K |
| G0378 |
Hospital observation service, per hour |
215 |
177 |
$206K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,177 |
2,106 |
$199K |
| 80053 |
Comprehensive metabolic panel |
12,624 |
11,950 |
$105K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
645 |
637 |
$96K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,755 |
3,607 |
$81K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,394 |
1,334 |
$81K |
| 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 |
847 |
836 |
$65K |
| 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 |
1,086 |
1,006 |
$61K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
7,741 |
7,413 |
$60K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13,940 |
13,134 |
$60K |
| X0621 |
|
279 |
218 |
$60K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
512 |
510 |
$42K |
| 70450 |
Computed tomography, head or brain; without contrast material |
655 |
638 |
$39K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,178 |
2,005 |
$30K |
| 71045 |
Radiologic examination, chest; single view |
4,119 |
3,994 |
$24K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
378 |
372 |
$24K |
| 84484 |
|
2,767 |
2,588 |
$22K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
283 |
278 |
$19K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
288 |
285 |
$19K |
| 84443 |
Thyroid stimulating hormone (TSH) |
739 |
724 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,277 |
1,188 |
$16K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
650 |
603 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
465 |
447 |
$14K |
| 76642 |
|
306 |
288 |
$12K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,416 |
1,342 |
$12K |
| 84703 |
|
1,411 |
1,357 |
$12K |
| 80050 |
General health panel |
257 |
253 |
$9K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
432 |
431 |
$9K |
| 80061 |
Lipid panel |
646 |
639 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
647 |
635 |
$8K |
| 97162 |
|
155 |
146 |
$8K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
193 |
190 |
$7K |
| 83880 |
|
357 |
350 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
194 |
190 |
$7K |
| 93971 |
|
104 |
103 |
$7K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
272 |
233 |
$6K |
| 83690 |
|
1,737 |
1,679 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
92 |
91 |
$6K |
| 77066 |
Tomosynthesis, mammo |
73 |
73 |
$6K |
| 84702 |
|
343 |
313 |
$6K |
| 81001 |
|
2,587 |
2,485 |
$6K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
20 |
20 |
$5K |
| 81003 |
|
2,283 |
2,219 |
$5K |
| 85610 |
|
1,773 |
1,705 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
707 |
677 |
$5K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
92 |
90 |
$5K |
| 73564 |
|
228 |
218 |
$4K |
| 71250 |
|
82 |
81 |
$4K |
| 83735 |
|
945 |
894 |
$4K |
| 73610 |
|
206 |
202 |
$3K |
| 76536 |
|
74 |
73 |
$3K |
| 73630 |
|
287 |
279 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
86 |
72 |
$3K |
| 83605 |
|
617 |
587 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
448 |
433 |
$3K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
5,214 |
4,612 |
$3K |
| 85730 |
|
404 |
393 |
$2K |
| 73130 |
|
206 |
198 |
$2K |
| 85379 |
|
246 |
244 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
53 |
53 |
$2K |
| 76830 |
Ultrasound, transvaginal |
44 |
44 |
$2K |
| 94729 |
|
62 |
62 |
$2K |
| 86850 |
|
291 |
274 |
$2K |
| 85027 |
|
285 |
275 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
270 |
267 |
$2K |
| 87040 |
|
138 |
132 |
$2K |
| 87631 |
|
14 |
14 |
$2K |
| 73030 |
|
123 |
118 |
$2K |
| 93970 |
|
13 |
12 |
$1K |
| 84439 |
|
169 |
166 |
$1K |
| 82803 |
|
59 |
57 |
$1K |
| 82947 |
|
367 |
343 |
$1K |
| 73110 |
|
99 |
97 |
$1K |
| 86900 |
|
326 |
308 |
$1K |
| 86901 |
|
326 |
308 |
$1K |
| 90715 |
|
57 |
54 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,443 |
4,235 |
$953.74 |
| 70486 |
|
14 |
14 |
$814.11 |
| 72110 |
|
39 |
38 |
$769.06 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
842 |
720 |
$768.31 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
491 |
456 |
$678.10 |
| 86618 |
|
26 |
26 |
$669.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
74 |
69 |
$645.23 |
| 85652 |
|
210 |
206 |
$545.38 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,011 |
804 |
$533.45 |
| 74018 |
|
52 |
52 |
$506.01 |
| 82607 |
|
38 |
37 |
$475.03 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
565 |
552 |
$474.78 |
| 82550 |
|
88 |
85 |
$473.47 |
| 94726 |
|
18 |
18 |
$455.87 |
| 86140 |
|
171 |
168 |
$452.44 |
| 86803 |
|
25 |
25 |
$436.46 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,505 |
1,379 |
$404.30 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
34 |
28 |
$401.25 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
13 |
13 |
$386.53 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,035 |
2,754 |
$379.78 |
| 82962 |
|
218 |
197 |
$364.35 |
| 87077 |
|
63 |
61 |
$350.41 |
| 83540 |
|
38 |
37 |
$325.12 |
| 36415 |
Collection of venous blood by venipuncture |
1,283 |
1,173 |
$281.67 |
| 72050 |
|
14 |
14 |
$281.63 |
| 87186 |
|
54 |
53 |
$268.88 |
| 73502 |
|
13 |
13 |
$251.78 |
| J2060 |
Injection, lorazepam, 2 mg |
701 |
619 |
$239.45 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
724 |
690 |
$229.32 |
| 82570 |
|
33 |
31 |
$200.48 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
378 |
357 |
$190.72 |
| 86038 |
|
12 |
12 |
$179.70 |
| 83655 |
|
13 |
13 |
$150.10 |
| 82728 |
|
14 |
13 |
$148.60 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,086 |
948 |
$144.75 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$139.60 |
| 84550 |
|
26 |
25 |
$131.20 |
| 94010 |
|
13 |
13 |
$91.14 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,526 |
1,460 |
$74.90 |
| 96368 |
|
12 |
12 |
$70.12 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
147 |
134 |
$53.12 |
| J7050 |
Infusion, normal saline solution, 250 cc |
99 |
81 |
$48.04 |
| 96376 |
|
14 |
14 |
$31.50 |
| A9270 |
Non-covered item or service |
2,608 |
1,293 |
$26.85 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
83 |
65 |
$25.37 |
| J2704 |
Injection, propofol, 10 mg |
17 |
12 |
$13.20 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
97 |
94 |
$9.03 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
298 |
257 |
$8.78 |
| J1630 |
Injection, haloperidol, up to 5 mg |
48 |
39 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
13 |
13 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
38 |
38 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
184 |
169 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
12 |
12 |
$0.00 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
14 |
13 |
$0.00 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
13 |
12 |
$0.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
12 |
12 |
$0.00 |