| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19,383 |
17,843 |
$2.36M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
5,652 |
4,366 |
$1.81M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12,849 |
11,651 |
$1.80M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
5,509 |
4,768 |
$778K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,847 |
1,530 |
$457K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
4,616 |
3,566 |
$390K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,221 |
959 |
$333K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,260 |
1,055 |
$325K |
| 29581 |
|
2,877 |
964 |
$291K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,013 |
988 |
$228K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,598 |
1,454 |
$218K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,448 |
1,124 |
$171K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
719 |
640 |
$166K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
197 |
188 |
$160K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
928 |
537 |
$134K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,247 |
334 |
$118K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
842 |
746 |
$116K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
996 |
791 |
$114K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
298 |
241 |
$85K |
| G0378 |
Hospital observation service, per hour |
1,306 |
709 |
$84K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14,573 |
12,373 |
$83K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,225 |
1,994 |
$75K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
3,641 |
3,189 |
$70K |
| 80053 |
Comprehensive metabolic panel |
5,850 |
5,099 |
$64K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
518 |
401 |
$58K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
369 |
234 |
$50K |
| 71046 |
Radiologic examination, chest; 2 views |
2,209 |
2,054 |
$41K |
| 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 |
255 |
245 |
$41K |
| 97162 |
|
615 |
528 |
$37K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,618 |
2,366 |
$33K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
264 |
227 |
$30K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
592 |
558 |
$30K |
| 71250 |
|
379 |
327 |
$29K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,015 |
1,620 |
$27K |
| 87529 |
|
1,689 |
899 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
21,852 |
18,211 |
$23K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
135 |
113 |
$21K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,445 |
1,284 |
$20K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,048 |
971 |
$19K |
| 73630 |
|
700 |
590 |
$19K |
| 80061 |
Lipid panel |
1,403 |
1,294 |
$17K |
| 36415 |
Collection of venous blood by venipuncture |
6,489 |
5,191 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
5,341 |
4,560 |
$14K |
| 72131 |
|
266 |
213 |
$14K |
| 82805 |
|
697 |
502 |
$14K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
669 |
565 |
$13K |
| 84484 |
|
6,200 |
3,871 |
$13K |
| 73030 |
|
564 |
480 |
$13K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,047 |
970 |
$13K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,058 |
985 |
$12K |
| 73562 |
|
268 |
219 |
$12K |
| 87070 |
|
647 |
636 |
$11K |
| 73130 |
|
434 |
374 |
$9K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
325 |
295 |
$9K |
| 84439 |
|
486 |
436 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,578 |
6,507 |
$9K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
98 |
90 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
605 |
571 |
$8K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
7,406 |
6,198 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
670 |
612 |
$8K |
| 73610 |
|
474 |
412 |
$7K |
| 97166 |
|
105 |
82 |
$7K |
| 72100 |
|
153 |
142 |
$6K |
| 80076 |
|
4,195 |
3,532 |
$6K |
| 84702 |
|
340 |
278 |
$5K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
154 |
147 |
$5K |
| 86780 |
|
201 |
190 |
$5K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
3,924 |
3,387 |
$4K |
| 97161 |
|
57 |
46 |
$4K |
| 80069 |
|
455 |
265 |
$4K |
| 87186 |
|
783 |
669 |
$4K |
| 73502 |
|
133 |
117 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,466 |
4,378 |
$3K |
| 73110 |
|
205 |
160 |
$3K |
| 83735 |
|
1,555 |
1,180 |
$3K |
| 76830 |
Ultrasound, transvaginal |
77 |
70 |
$3K |
| 81001 |
|
7,521 |
6,578 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,586 |
2,648 |
$3K |
| 82607 |
|
116 |
105 |
$3K |
| 86803 |
|
101 |
98 |
$3K |
| 70496 |
|
16 |
12 |
$2K |
| 74018 |
|
55 |
52 |
$2K |
| 85027 |
|
613 |
491 |
$2K |
| 90715 |
|
128 |
112 |
$2K |
| 96367 |
|
125 |
79 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,249 |
1,106 |
$2K |
| 82043 |
|
242 |
225 |
$2K |
| 86705 |
|
39 |
39 |
$2K |
| 82728 |
|
94 |
88 |
$2K |
| 85610 |
|
763 |
592 |
$2K |
| 87077 |
|
561 |
429 |
$2K |
| 83540 |
|
145 |
136 |
$2K |
| 80074 |
|
44 |
42 |
$1K |
| 83690 |
|
4,775 |
4,075 |
$1K |
| 93971 |
|
13 |
12 |
$1K |
| 96376 |
|
1,001 |
615 |
$1K |
| 70486 |
|
42 |
40 |
$1K |
| 73560 |
|
170 |
127 |
$1K |
| 86709 |
|
52 |
52 |
$1K |
| 92523 |
|
12 |
12 |
$1K |
| 86706 |
|
40 |
40 |
$1K |
| 86708 |
|
40 |
40 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
117 |
103 |
$945.43 |
| 81003 |
|
1,591 |
1,354 |
$887.45 |
| 83880 |
|
572 |
411 |
$880.38 |
| 83550 |
|
112 |
104 |
$853.66 |
| 87340 |
|
54 |
54 |
$820.55 |
| 83970 |
|
26 |
24 |
$801.01 |
| 81025 |
|
2,884 |
2,576 |
$708.97 |
| 85651 |
|
251 |
204 |
$673.50 |
| 82746 |
|
74 |
67 |
$618.17 |
| 87634 |
|
122 |
106 |
$467.09 |
| 82570 |
|
44 |
44 |
$438.79 |
| 85378 |
|
689 |
578 |
$384.22 |
| 85007 |
|
300 |
228 |
$377.66 |
| 87040 |
|
1,050 |
489 |
$377.23 |
| 84145 |
|
825 |
618 |
$365.84 |
| 83605 |
|
1,315 |
842 |
$363.09 |
| 84450 |
|
17 |
17 |
$309.12 |
| J3490 |
Unclassified drugs |
716 |
464 |
$305.35 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
188 |
90 |
$250.98 |
| 73140 |
|
13 |
13 |
$242.07 |
| 84550 |
|
26 |
25 |
$211.87 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
346 |
212 |
$206.13 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
74 |
50 |
$181.54 |
| 84460 |
|
17 |
17 |
$164.31 |
| 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 |
150 |
144 |
$159.03 |
| 87210 |
|
153 |
137 |
$158.49 |
| 85014 |
|
14 |
13 |
$137.78 |
| 82550 |
|
137 |
113 |
$131.79 |
| 73080 |
|
15 |
12 |
$128.51 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
774 |
576 |
$108.87 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,713 |
3,110 |
$103.85 |
| 29125 |
|
33 |
29 |
$83.35 |
| 84100 |
|
60 |
37 |
$71.68 |
| 85018 |
|
14 |
13 |
$62.63 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
100 |
77 |
$45.84 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,939 |
2,395 |
$43.92 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
560 |
407 |
$37.61 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,001 |
769 |
$37.15 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
281 |
180 |
$34.75 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
589 |
433 |
$24.91 |
| 85730 |
|
64 |
52 |
$18.77 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
26 |
$18.74 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
79 |
54 |
$18.12 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
459 |
370 |
$14.69 |
| 81015 |
|
91 |
87 |
$10.32 |
| J1790 |
Injection, droperidol, up to 5 mg |
195 |
150 |
$9.08 |
| J2800 |
Injection, methocarbamol, up to 10 ml |
15 |
14 |
$8.51 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
227 |
196 |
$6.76 |
| J2060 |
Injection, lorazepam, 2 mg |
115 |
82 |
$5.64 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
47 |
29 |
$4.82 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
225 |
177 |
$2.32 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
23 |
14 |
$1.89 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
62 |
42 |
$1.66 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
50 |
46 |
$0.38 |
| J2471 |
Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg |
37 |
35 |
$0.26 |
| 94760 |
|
26 |
26 |
$0.00 |
| 84703 |
|
29 |
25 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
24 |
16 |
$0.00 |
| 72128 |
|
16 |
12 |
$0.00 |
| J0500 |
Injection, dicyclomine hcl, up to 20 mg |
13 |
12 |
$0.00 |
| 70498 |
|
16 |
12 |
$0.00 |
| 82010 |
|
13 |
12 |
$0.00 |