| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36415 |
Collection of venous blood by venipuncture |
12,550 |
9,069 |
$1.55M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15,317 |
13,827 |
$799K |
| 80053 |
Comprehensive metabolic panel |
10,523 |
8,304 |
$742K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,423 |
2,138 |
$671K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,785 |
5,189 |
$416K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
2,022 |
1,851 |
$315K |
| 87081 |
|
3,305 |
3,134 |
$311K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
5,248 |
4,118 |
$293K |
| 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 |
1,525 |
1,424 |
$225K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
6,335 |
5,667 |
$208K |
| 81001 |
|
9,100 |
7,446 |
$204K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,658 |
1,133 |
$163K |
| 81003 |
|
4,362 |
3,835 |
$156K |
| 87077 |
|
2,315 |
2,057 |
$131K |
| 71046 |
Radiologic examination, chest; 2 views |
3,444 |
3,101 |
$131K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
355 |
325 |
$123K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,038 |
1,826 |
$100K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,077 |
2,433 |
$84K |
| 73610 |
|
850 |
788 |
$78K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
8,436 |
7,369 |
$76K |
| 73630 |
|
1,018 |
961 |
$69K |
| 73130 |
|
621 |
589 |
$67K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
766 |
711 |
$66K |
| 73562 |
|
965 |
895 |
$64K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
607 |
571 |
$58K |
| 81025 |
|
5,501 |
5,049 |
$52K |
| 73110 |
|
462 |
444 |
$49K |
| 71045 |
Radiologic examination, chest; single view |
4,038 |
3,377 |
$48K |
| 73030 |
|
638 |
602 |
$46K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,222 |
1,812 |
$42K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
526 |
445 |
$38K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,232 |
1,171 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,455 |
4,246 |
$38K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
602 |
541 |
$34K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
786 |
733 |
$34K |
| 72100 |
|
660 |
628 |
$31K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
723 |
697 |
$30K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,567 |
1,324 |
$26K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,427 |
1,978 |
$23K |
| 74018 |
|
548 |
518 |
$22K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,266 |
2,584 |
$21K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13,814 |
10,456 |
$17K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
82 |
80 |
$15K |
| 87210 |
|
381 |
362 |
$14K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
199 |
65 |
$13K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,574 |
3,617 |
$13K |
| 87070 |
|
187 |
166 |
$13K |
| 93971 |
|
55 |
53 |
$13K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,491 |
2,934 |
$13K |
| 87807 |
|
544 |
525 |
$10K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
957 |
772 |
$8K |
| 59025 |
Fetal non-stress test |
51 |
25 |
$8K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
871 |
753 |
$7K |
| 73502 |
|
114 |
107 |
$7K |
| 85027 |
|
2,089 |
1,692 |
$7K |
| 84702 |
|
1,090 |
765 |
$6K |
| 36600 |
|
150 |
118 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
637 |
538 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
120 |
119 |
$6K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
12 |
12 |
$5K |
| 88304 |
|
173 |
165 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
377 |
347 |
$4K |
| 97161 |
|
157 |
135 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
104 |
93 |
$4K |
| 74022 |
|
347 |
308 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
222 |
186 |
$4K |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
65 |
62 |
$3K |
| 73080 |
|
40 |
38 |
$3K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,235 |
976 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
59 |
49 |
$3K |
| 72040 |
|
39 |
39 |
$3K |
| 73090 |
|
30 |
26 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,436 |
1,256 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
140 |
125 |
$3K |
| G0378 |
Hospital observation service, per hour |
830 |
357 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
39 |
$2K |
| 73140 |
|
13 |
13 |
$2K |
| 73590 |
|
39 |
39 |
$2K |
| 97162 |
|
69 |
68 |
$2K |
| 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 |
499 |
486 |
$2K |
| 76775 |
|
26 |
25 |
$1K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
160 |
158 |
$1K |
| 71100 |
|
15 |
14 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
92 |
83 |
$1K |
| 76642 |
|
24 |
24 |
$964.05 |
| 85610 |
|
1,498 |
1,141 |
$913.05 |
| J3490 |
Unclassified drugs |
1,585 |
1,245 |
$877.63 |
| 83735 |
|
2,282 |
1,754 |
$854.58 |
| 86900 |
|
512 |
435 |
$844.21 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,213 |
1,061 |
$780.12 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,512 |
1,827 |
$699.70 |
| 74019 |
|
29 |
29 |
$662.78 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,267 |
1,179 |
$628.59 |
| 80143 |
|
76 |
67 |
$513.70 |
| 94664 |
|
54 |
41 |
$507.29 |
| 94644 |
|
45 |
41 |
$486.44 |
| 86850 |
|
130 |
113 |
$328.22 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,076 |
927 |
$278.82 |
| 80061 |
Lipid panel |
403 |
360 |
$272.69 |
| 93017 |
|
83 |
81 |
$272.07 |
| 85379 |
|
423 |
375 |
$227.89 |
| 82550 |
|
1,385 |
1,055 |
$195.75 |
| 80076 |
|
332 |
284 |
$169.94 |
| 83880 |
|
790 |
634 |
$147.37 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,473 |
1,300 |
$144.32 |
| 84484 |
|
3,370 |
2,218 |
$142.57 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,071 |
1,838 |
$126.95 |
| 84439 |
|
192 |
178 |
$97.38 |
| 82570 |
|
28 |
26 |
$92.60 |
| 83605 |
|
944 |
697 |
$72.83 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
573 |
480 |
$71.21 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,178 |
1,129 |
$67.63 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
50 |
48 |
$42.30 |
| 82247 |
|
15 |
13 |
$13.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
388 |
351 |
$12.51 |
| 82077 |
|
220 |
185 |
$7.77 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,934 |
1,725 |
$5.56 |
| 83690 |
|
1,983 |
1,703 |
$4.05 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,382 |
2,888 |
$1.24 |
| 87186 |
|
1,814 |
1,593 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
301 |
265 |
$0.00 |
| 84145 |
|
504 |
425 |
$0.00 |
| 80179 |
|
77 |
68 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
715 |
534 |
$0.00 |
| 84100 |
|
16 |
13 |
$0.00 |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
42 |
42 |
$0.00 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
30 |
27 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
28 |
26 |
$0.00 |
| 90715 |
|
39 |
38 |
$0.00 |
| 84156 |
|
13 |
12 |
$0.00 |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
28 |
27 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
297 |
272 |
$0.00 |
| 82150 |
|
74 |
62 |
$0.00 |
| A9270 |
Non-covered item or service |
4,379 |
2,096 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,045 |
735 |
$0.00 |
| 86901 |
|
512 |
435 |
$0.00 |
| 87040 |
|
854 |
416 |
$0.00 |
| 82803 |
|
259 |
193 |
$0.00 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
56 |
40 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
397 |
326 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
2,311 |
1,899 |
$0.00 |
| 96376 |
|
636 |
370 |
$0.00 |
| 82553 |
|
938 |
687 |
$0.00 |
| 85730 |
|
28 |
25 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
69 |
55 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
44 |
42 |
$0.00 |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
13 |
12 |
$0.00 |
| J2785 |
Injection, regadenoson, 0.1 mg |
41 |
40 |
$0.00 |
| 85652 |
|
44 |
42 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
14 |
12 |
$0.00 |
| 87205 |
|
13 |
12 |
$0.00 |
| 00160 |
|
16 |
16 |
$0.00 |
| 82728 |
|
12 |
12 |
$0.00 |