| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
18,669 |
16,899 |
$2.39M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12,073 |
10,764 |
$1.67M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,022 |
2,877 |
$1.46M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,560 |
3,031 |
$500K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,781 |
3,430 |
$351K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,347 |
1,097 |
$338K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,748 |
2,383 |
$306K |
| 70450 |
Computed tomography, head or brain; without contrast material |
825 |
691 |
$196K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
827 |
622 |
$182K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
621 |
500 |
$179K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
648 |
343 |
$158K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,075 |
2,436 |
$150K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,801 |
625 |
$148K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,225 |
867 |
$146K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,537 |
565 |
$107K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
785 |
615 |
$96K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
688 |
336 |
$90K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
306 |
274 |
$83K |
| 0240U |
|
645 |
526 |
$64K |
| G0378 |
Hospital observation service, per hour |
1,010 |
376 |
$60K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
248 |
217 |
$56K |
| 80053 |
Comprehensive metabolic panel |
5,002 |
3,787 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,441 |
1,350 |
$52K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
149 |
131 |
$45K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
589 |
202 |
$38K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
684 |
629 |
$37K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
782 |
646 |
$36K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
6,050 |
4,786 |
$35K |
| 93976 |
|
211 |
175 |
$33K |
| 36415 |
Collection of venous blood by venipuncture |
18,383 |
14,566 |
$27K |
| 71046 |
Radiologic examination, chest; 2 views |
1,268 |
1,107 |
$25K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
94 |
75 |
$25K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
228 |
207 |
$25K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
310 |
206 |
$24K |
| 72100 |
|
370 |
335 |
$16K |
| 82805 |
|
605 |
457 |
$16K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
96 |
83 |
$16K |
| J3490 |
Unclassified drugs |
1,382 |
773 |
$15K |
| 71250 |
|
157 |
129 |
$15K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,053 |
849 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,675 |
1,647 |
$13K |
| 73030 |
|
316 |
276 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
747 |
686 |
$12K |
| 73560 |
|
438 |
384 |
$11K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
38 |
37 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,678 |
4,611 |
$8K |
| 73630 |
|
381 |
340 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18,613 |
15,713 |
$8K |
| G0483 |
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; 22 or more drug class(es), including metabolite(s) if performed |
310 |
249 |
$8K |
| 74018 |
|
242 |
211 |
$7K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,327 |
5,429 |
$7K |
| 36591 |
|
501 |
235 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
2,557 |
2,131 |
$6K |
| 93017 |
|
58 |
50 |
$6K |
| 93971 |
|
59 |
57 |
$6K |
| 73130 |
|
312 |
270 |
$6K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,729 |
2,555 |
$5K |
| 59025 |
Fetal non-stress test |
49 |
41 |
$5K |
| 84484 |
|
2,384 |
1,860 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
29 |
25 |
$4K |
| 85610 |
|
1,661 |
1,242 |
$4K |
| 76642 |
|
33 |
26 |
$4K |
| 96367 |
|
57 |
32 |
$3K |
| 73502 |
|
130 |
108 |
$3K |
| 73610 |
|
167 |
152 |
$3K |
| 96376 |
|
966 |
542 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
86 |
80 |
$3K |
| 72141 |
|
12 |
12 |
$3K |
| 85027 |
|
919 |
556 |
$3K |
| 76830 |
Ultrasound, transvaginal |
27 |
24 |
$3K |
| J3535 |
Drug administered through a metered dose inhaler |
73 |
55 |
$2K |
| 81025 |
|
1,858 |
1,506 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
12 |
12 |
$2K |
| 73110 |
|
72 |
66 |
$2K |
| 80320 |
|
97 |
89 |
$2K |
| 36416 |
|
646 |
403 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
451 |
370 |
$2K |
| 80047 |
|
850 |
676 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
804 |
650 |
$2K |
| 87081 |
|
520 |
434 |
$2K |
| 86900 |
|
144 |
113 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
633 |
509 |
$1K |
| 80339 |
|
97 |
89 |
$1K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,278 |
2,261 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
90 |
82 |
$1K |
| 82077 |
|
877 |
681 |
$1K |
| 84703 |
|
1,012 |
829 |
$891.41 |
| 83605 |
|
1,281 |
983 |
$814.68 |
| 86850 |
|
56 |
41 |
$802.70 |
| 72050 |
|
15 |
12 |
$749.02 |
| 90715 |
|
25 |
24 |
$638.19 |
| 82248 |
|
2,746 |
2,178 |
$632.83 |
| 83735 |
|
664 |
449 |
$598.26 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
4,793 |
3,468 |
$536.84 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,254 |
616 |
$499.28 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
992 |
447 |
$490.35 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$460.20 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
12 |
$420.56 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
152 |
115 |
$392.22 |
| 81002 |
|
4,055 |
3,627 |
$379.75 |
| 82565 |
|
896 |
769 |
$349.68 |
| 80051 |
|
620 |
550 |
$330.22 |
| 83690 |
|
2,045 |
1,611 |
$320.76 |
| 81001 |
|
1,189 |
970 |
$268.99 |
| 83880 |
|
574 |
485 |
$266.13 |
| 86901 |
|
144 |
113 |
$231.72 |
| 87077 |
|
123 |
100 |
$229.99 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
520 |
368 |
$225.93 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,191 |
665 |
$214.98 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,537 |
1,051 |
$201.75 |
| 82375 |
|
605 |
457 |
$200.57 |
| 82947 |
|
935 |
789 |
$187.11 |
| 85018 |
|
697 |
507 |
$185.81 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,856 |
2,930 |
$180.40 |
| 81003 |
|
878 |
699 |
$161.04 |
| 99441 |
|
16 |
16 |
$160.56 |
| 84520 |
|
838 |
718 |
$159.26 |
| 84702 |
|
142 |
113 |
$158.21 |
| 85379 |
|
477 |
396 |
$147.54 |
| J2704 |
Injection, propofol, 10 mg |
1,098 |
702 |
$132.34 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
2,147 |
1,331 |
$120.69 |
| 83050 |
|
603 |
456 |
$116.01 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
153 |
119 |
$92.32 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
473 |
364 |
$88.72 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
153 |
131 |
$81.72 |
| 82150 |
|
458 |
361 |
$73.38 |
| J1815 |
Injection, insulin, per 5 units |
22 |
13 |
$67.41 |
| J3360 |
Injection, diazepam, up to 5 mg |
22 |
12 |
$65.50 |
| 80321 |
|
98 |
90 |
$64.04 |
| 87186 |
|
96 |
79 |
$55.40 |
| 82040 |
|
457 |
359 |
$46.63 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,304 |
986 |
$46.21 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
518 |
370 |
$44.06 |
| 82247 |
|
451 |
354 |
$43.90 |
| 84450 |
|
457 |
360 |
$43.90 |
| 84155 |
|
452 |
355 |
$43.90 |
| 84460 |
|
456 |
359 |
$43.90 |
| 84075 |
|
451 |
354 |
$43.90 |
| 82977 |
|
464 |
365 |
$39.97 |
| 82330 |
|
29 |
24 |
$33.11 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
785 |
531 |
$26.86 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,478 |
2,030 |
$26.84 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,242 |
795 |
$21.04 |
| 83992 |
|
98 |
90 |
$20.73 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
209 |
135 |
$19.58 |
| 80369 |
|
98 |
90 |
$19.26 |
| 80373 |
|
98 |
90 |
$19.26 |
| 80356 |
|
98 |
90 |
$19.26 |
| 80366 |
|
98 |
90 |
$19.26 |
| 80361 |
|
98 |
90 |
$19.26 |
| 80360 |
|
98 |
90 |
$19.26 |
| 80355 |
|
98 |
90 |
$19.26 |
| 80365 |
|
98 |
90 |
$19.26 |
| 80325 |
|
96 |
88 |
$19.26 |
| 80364 |
|
97 |
89 |
$19.26 |
| 80323 |
|
97 |
89 |
$19.26 |
| 80348 |
|
98 |
90 |
$19.26 |
| 80354 |
|
98 |
90 |
$19.26 |
| 80372 |
|
98 |
90 |
$19.26 |
| 80346 |
|
98 |
90 |
$19.26 |
| 80371 |
|
97 |
89 |
$19.26 |
| 80349 |
|
98 |
90 |
$19.26 |
| 80352 |
|
97 |
89 |
$19.26 |
| 80357 |
|
97 |
89 |
$19.26 |
| 80345 |
|
97 |
89 |
$19.26 |
| 80358 |
|
98 |
90 |
$19.26 |
| 80359 |
|
98 |
90 |
$19.26 |
| 80353 |
|
98 |
90 |
$19.26 |
| 80368 |
|
98 |
90 |
$19.26 |
| 84132 |
|
47 |
36 |
$19.26 |
| 85007 |
|
18 |
13 |
$19.05 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
412 |
292 |
$15.55 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
67 |
26 |
$14.37 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
399 |
299 |
$7.84 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
35 |
27 |
$6.37 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
415 |
245 |
$4.56 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,066 |
583 |
$3.64 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
246 |
157 |
$3.48 |
| J2060 |
Injection, lorazepam, 2 mg |
19 |
12 |
$0.85 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
468 |
412 |
$0.00 |
| 3078F |
|
154 |
150 |
$0.00 |
| 80076 |
|
21 |
13 |
$0.00 |
| 1160F |
|
526 |
497 |
$0.00 |
| 1159F |
|
84 |
84 |
$0.00 |
| 80179 |
|
17 |
13 |
$0.00 |
| 3077F |
|
37 |
35 |
$0.00 |
| 80143 |
|
18 |
14 |
$0.00 |
| 87040 |
|
204 |
153 |
$0.00 |
| 3074F |
|
223 |
218 |
$0.00 |
| 1036F |
|
252 |
247 |
$0.00 |
| J1790 |
Injection, droperidol, up to 5 mg |
14 |
12 |
$0.00 |
| 3079F |
|
91 |
89 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
37 |
$0.00 |