| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
29,622 |
26,994 |
$4.79M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14,332 |
13,035 |
$4.18M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12,877 |
11,725 |
$1.47M |
| 41899 |
Unlisted procedure, dentoalveolar structures |
2,237 |
1,980 |
$1.36M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,446 |
3,069 |
$1.12M |
| 62323 |
|
1,623 |
1,478 |
$386K |
| 80050 |
General health panel |
8,158 |
7,381 |
$328K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,019 |
5,279 |
$314K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
5,615 |
4,889 |
$282K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
6,547 |
6,057 |
$270K |
| 95811 |
|
153 |
146 |
$232K |
| 80053 |
Comprehensive metabolic panel |
30,110 |
26,550 |
$232K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
173 |
162 |
$217K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
240 |
222 |
$212K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,588 |
2,371 |
$204K |
| 71045 |
Radiologic examination, chest; single view |
2,518 |
2,300 |
$187K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30,686 |
26,724 |
$176K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,873 |
1,687 |
$174K |
| 71046 |
Radiologic examination, chest; 2 views |
2,598 |
2,298 |
$167K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
5,410 |
4,924 |
$163K |
| 70450 |
Computed tomography, head or brain; without contrast material |
411 |
375 |
$161K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,716 |
4,297 |
$151K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,689 |
4,264 |
$150K |
| 80061 |
Lipid panel |
11,932 |
10,946 |
$139K |
| 36415 |
Collection of venous blood by venipuncture |
56,850 |
48,473 |
$134K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
3,135 |
2,885 |
$101K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
283 |
55 |
$94K |
| 81025 |
|
13,015 |
11,781 |
$94K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
4,055 |
3,537 |
$94K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,452 |
5,796 |
$88K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
396 |
360 |
$88K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,417 |
1,599 |
$84K |
| 76830 |
Ultrasound, transvaginal |
487 |
445 |
$77K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
8,434 |
7,696 |
$69K |
| 87400 |
|
4,964 |
4,449 |
$59K |
| G0378 |
Hospital observation service, per hour |
567 |
336 |
$55K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,107 |
4,576 |
$54K |
| 81001 |
|
20,621 |
18,211 |
$48K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
198 |
132 |
$47K |
| 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 |
587 |
449 |
$45K |
| 95806 |
|
151 |
134 |
$37K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
223 |
207 |
$33K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
193 |
182 |
$32K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
26 |
24 |
$30K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
4,437 |
3,874 |
$29K |
| 83880 |
|
1,137 |
1,016 |
$24K |
| 84484 |
|
3,250 |
2,729 |
$23K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
68 |
58 |
$21K |
| 83970 |
|
765 |
716 |
$21K |
| 0240U |
|
153 |
147 |
$20K |
| 73564 |
|
93 |
92 |
$19K |
| 80081 |
|
242 |
217 |
$15K |
| 86480 |
|
289 |
278 |
$15K |
| 83690 |
|
2,647 |
2,342 |
$14K |
| 82550 |
|
3,012 |
2,463 |
$13K |
| 82553 |
|
1,857 |
1,520 |
$13K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
447 |
374 |
$12K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,630 |
1,381 |
$11K |
| 74019 |
|
170 |
150 |
$11K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
497 |
433 |
$11K |
| 82150 |
|
2,179 |
1,933 |
$11K |
| G0379 |
Direct admission of patient for hospital observation care |
268 |
179 |
$10K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
443 |
404 |
$10K |
| 84439 |
|
1,150 |
1,044 |
$9K |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
685 |
603 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
359 |
232 |
$9K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,251 |
2,853 |
$8K |
| 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 |
91 |
82 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
97 |
91 |
$7K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,595 |
1,423 |
$7K |
| 81002 |
|
2,368 |
1,401 |
$6K |
| 85610 |
|
2,417 |
2,139 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
609 |
540 |
$6K |
| 86850 |
|
1,344 |
1,230 |
$6K |
| 94664 |
|
352 |
247 |
$5K |
| 81003 |
|
3,737 |
2,998 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
17 |
17 |
$5K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
37 |
31 |
$4K |
| 85730 |
|
1,042 |
896 |
$4K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
50 |
50 |
$4K |
| 83020 |
|
295 |
273 |
$4K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
476 |
412 |
$3K |
| 86803 |
|
314 |
283 |
$3K |
| 87420 |
|
250 |
224 |
$3K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
180 |
79 |
$3K |
| 72100 |
|
38 |
36 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
56 |
27 |
$3K |
| 87340 |
|
311 |
280 |
$2K |
| 82570 |
|
690 |
644 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
28 |
12 |
$2K |
| 86038 |
|
243 |
217 |
$2K |
| 86592 |
|
554 |
496 |
$2K |
| 83605 |
|
237 |
210 |
$2K |
| J2704 |
Injection, propofol, 10 mg |
3,869 |
3,043 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
15 |
12 |
$2K |
| 84156 |
|
696 |
650 |
$2K |
| 87634 |
|
28 |
25 |
$2K |
| 84702 |
|
123 |
109 |
$2K |
| 82728 |
|
146 |
117 |
$1K |
| 85018 |
|
1,027 |
775 |
$1K |
| 73610 |
|
13 |
12 |
$1K |
| 86140 |
|
316 |
286 |
$1K |
| 94760 |
|
425 |
262 |
$1K |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
47 |
43 |
$1K |
| 87186 |
|
147 |
130 |
$995.45 |
| 87040 |
|
124 |
72 |
$987.39 |
| 87077 |
|
147 |
131 |
$981.87 |
| 85027 |
|
1,763 |
1,630 |
$967.10 |
| 83550 |
|
147 |
117 |
$958.44 |
| 83735 |
|
194 |
156 |
$956.99 |
| 86431 |
|
226 |
204 |
$952.56 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
118 |
88 |
$873.02 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
139 |
100 |
$870.95 |
| 86200 |
|
83 |
67 |
$786.86 |
| 83540 |
|
159 |
130 |
$769.10 |
| 87081 |
|
108 |
104 |
$649.74 |
| 82950 |
|
135 |
131 |
$589.00 |
| 86901 |
|
228 |
201 |
$575.03 |
| 86900 |
|
229 |
201 |
$572.04 |
| 82677 |
|
26 |
26 |
$556.14 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
14 |
13 |
$519.96 |
| J3490 |
Unclassified drugs |
1,015 |
686 |
$486.04 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
74 |
70 |
$477.77 |
| J0571 |
Buprenorphine, oral, 1 mg |
207 |
28 |
$462.77 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
75 |
51 |
$459.84 |
| 82105 |
|
26 |
26 |
$385.71 |
| 80076 |
|
57 |
42 |
$381.38 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
815 |
750 |
$369.22 |
| 86336 |
|
26 |
26 |
$358.57 |
| 82248 |
|
77 |
69 |
$326.37 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,622 |
1,211 |
$303.26 |
| J1335 |
Injection, ertapenem sodium, 500 mg |
70 |
62 |
$300.32 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,166 |
1,935 |
$284.18 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
192 |
133 |
$275.90 |
| 86225 |
|
26 |
24 |
$274.80 |
| 82607 |
|
26 |
17 |
$269.86 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
13 |
12 |
$260.80 |
| 84481 |
|
26 |
25 |
$241.74 |
| 84100 |
|
77 |
46 |
$225.35 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
506 |
481 |
$222.81 |
| 84153 |
|
12 |
12 |
$220.68 |
| 82043 |
|
29 |
29 |
$212.90 |
| 83721 |
|
91 |
41 |
$189.47 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
15 |
12 |
$171.17 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
23 |
18 |
$164.22 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
175 |
143 |
$145.82 |
| S0028 |
Injection, famotidine, 20 mg |
13 |
13 |
$94.78 |
| 82962 |
|
26 |
14 |
$82.94 |
| 84550 |
|
24 |
23 |
$72.32 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
551 |
494 |
$54.29 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
19 |
13 |
$44.83 |
| A9150 |
Non-prescription drugs |
28 |
26 |
$30.16 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
110 |
99 |
$28.46 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
147 |
141 |
$0.00 |
| G0177 |
Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) |
268 |
30 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
95 |
30 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
60 |
56 |
$0.00 |
| Q0243 |
Injection, casirivimab and imdevimab, 2400 mg |
13 |
13 |
$0.00 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
144 |
126 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
14 |
12 |
$0.00 |
| Q0244 |
Injection, casirivimab and imdevimab, 1200 mg |
147 |
98 |
$0.00 |
| 92551 |
|
51 |
40 |
$0.00 |
| 00000 |
|
224 |
210 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
978 |
890 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
992 |
909 |
$0.00 |
| G0410 |
Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes |
665 |
56 |
$0.00 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
134 |
101 |
$0.00 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
287 |
257 |
$0.00 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
27 |
25 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
190 |
183 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
15 |
12 |
$0.00 |