| Code | Description | Claims | Beneficiaries | Total Paid |
| 96361 |
Intravenous infusion, hydration; each additional hour |
16,828 |
14,804 |
$5.02M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
43,872 |
41,343 |
$4.86M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
44,994 |
41,047 |
$3.56M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
35,773 |
33,511 |
$3.25M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
9,192 |
8,852 |
$1.49M |
| 70450 |
Computed tomography, head or brain; without contrast material |
9,708 |
9,147 |
$1.30M |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
20,987 |
12,691 |
$1.12M |
| 59025 |
Fetal non-stress test |
6,094 |
4,549 |
$895K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
8,914 |
8,469 |
$842K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
2,631 |
2,255 |
$647K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
6,156 |
5,762 |
$528K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
4,334 |
4,200 |
$512K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,703 |
2,620 |
$459K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
20,716 |
15,143 |
$421K |
| 29581 |
|
2,665 |
980 |
$372K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
4,575 |
4,353 |
$371K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
2,144 |
2,088 |
$334K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
8,630 |
8,124 |
$298K |
| 80053 |
Comprehensive metabolic panel |
60,420 |
53,397 |
$264K |
| 76830 |
Ultrasound, transvaginal |
3,018 |
2,951 |
$254K |
| 10060 |
|
1,086 |
1,046 |
$218K |
| 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 |
2,539 |
2,382 |
$200K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,878 |
3,771 |
$191K |
| 76801 |
|
3,721 |
3,315 |
$181K |
| 12001 |
|
792 |
780 |
$168K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,030 |
603 |
$165K |
| 70496 |
|
766 |
753 |
$138K |
| 93971 |
|
1,539 |
1,493 |
$135K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,372 |
1,299 |
$126K |
| 71046 |
Radiologic examination, chest; 2 views |
18,570 |
17,653 |
$99K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
309 |
305 |
$96K |
| 87400 |
|
8,652 |
4,392 |
$96K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
205 |
203 |
$95K |
| 84484 |
|
20,394 |
15,281 |
$87K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,355 |
1,310 |
$84K |
| 97597 |
|
1,630 |
1,171 |
$84K |
| 95800 |
|
290 |
283 |
$77K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,769 |
1,610 |
$76K |
| 76770 |
|
850 |
830 |
$75K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
2,133 |
2,092 |
$54K |
| 12011 |
|
251 |
247 |
$54K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,053 |
1,854 |
$53K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
744 |
730 |
$49K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
6,190 |
5,556 |
$48K |
| 70491 |
|
324 |
317 |
$46K |
| 73564 |
|
3,740 |
3,456 |
$45K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
188 |
187 |
$44K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
30,913 |
27,066 |
$43K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,019 |
3,892 |
$41K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,170 |
1,008 |
$41K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
9,609 |
8,545 |
$39K |
| G0378 |
Hospital observation service, per hour |
4,173 |
2,143 |
$37K |
| 76536 |
|
407 |
400 |
$35K |
| 70486 |
|
1,076 |
1,054 |
$34K |
| 72100 |
|
2,894 |
2,843 |
$34K |
| 0011A |
|
1,193 |
1,186 |
$33K |
| 87040 |
|
5,305 |
3,051 |
$33K |
| 11043 |
|
96 |
60 |
$32K |
| 95811 |
|
83 |
82 |
$31K |
| 83605 |
|
6,436 |
5,761 |
$31K |
| 73630 |
|
3,412 |
3,171 |
$30K |
| 0012A |
|
777 |
772 |
$30K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
31,749 |
28,879 |
$30K |
| 0002A |
|
768 |
762 |
$29K |
| 94060 |
|
666 |
655 |
$28K |
| 0001A |
|
951 |
943 |
$28K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
2,970 |
2,849 |
$27K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
10,767 |
10,357 |
$26K |
| 83880 |
|
5,377 |
5,006 |
$26K |
| 64400 |
|
88 |
80 |
$24K |
| 73130 |
|
2,744 |
2,483 |
$24K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
447 |
438 |
$24K |
| 70498 |
|
890 |
876 |
$23K |
| 74018 |
|
1,607 |
1,548 |
$23K |
| 73110 |
|
1,973 |
1,759 |
$23K |
| 87420 |
|
1,173 |
1,146 |
$23K |
| 73030 |
|
2,742 |
2,477 |
$22K |
| 94729 |
|
983 |
969 |
$22K |
| 80143 |
|
5,034 |
4,628 |
$22K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
239 |
236 |
$21K |
| 94726 |
|
920 |
910 |
$20K |
| 90715 |
|
1,118 |
1,103 |
$20K |
| 73610 |
|
2,682 |
2,553 |
$20K |
| 85379 |
|
4,394 |
4,256 |
$20K |
| 76870 |
|
220 |
213 |
$18K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
401 |
386 |
$18K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
111 |
111 |
$17K |
| 87631 |
|
889 |
871 |
$16K |
| 73140 |
|
1,015 |
940 |
$14K |
| 95806 |
|
29 |
28 |
$14K |
| 29125 |
|
91 |
87 |
$14K |
| 12002 |
|
69 |
68 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
68,335 |
59,325 |
$13K |
| 73502 |
|
1,517 |
1,459 |
$13K |
| 71250 |
|
249 |
249 |
$12K |
| 72040 |
|
1,087 |
1,065 |
$12K |
| 80179 |
|
4,967 |
4,589 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
11,105 |
10,360 |
$11K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
22,559 |
19,632 |
$10K |
| 93970 |
|
110 |
109 |
$9K |
| 93798 |
|
1,234 |
318 |
$8K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
242 |
237 |
$7K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
42 |
40 |
$6K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
127 |
105 |
$6K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
13 |
13 |
$6K |
| 73590 |
|
861 |
786 |
$6K |
| 73080 |
|
924 |
869 |
$6K |
| J3490 |
Unclassified drugs |
208 |
195 |
$6K |
| 36592 |
|
24,801 |
22,685 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14,084 |
13,207 |
$5K |
| 80050 |
General health panel |
854 |
838 |
$5K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
175 |
62 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
11,367 |
9,477 |
$5K |
| 72072 |
|
438 |
427 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
39 |
39 |
$4K |
| 84703 |
|
16,972 |
15,747 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13 |
13 |
$4K |
| 96376 |
|
7,638 |
5,966 |
$3K |
| 81001 |
|
28,365 |
26,315 |
$3K |
| 85610 |
|
13,934 |
10,745 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
16,201 |
15,405 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,015 |
3,887 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
10,224 |
8,638 |
$3K |
| 85027 |
|
2,888 |
2,413 |
$3K |
| 82077 |
|
8,696 |
7,291 |
$2K |
| 71101 |
|
380 |
373 |
$2K |
| 97161 |
|
65 |
60 |
$2K |
| 83690 |
|
13,991 |
12,834 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
20,484 |
17,974 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16,428 |
15,258 |
$2K |
| 84702 |
|
4,272 |
3,677 |
$2K |
| 93017 |
|
13 |
13 |
$2K |
| 82962 |
|
6,781 |
3,594 |
$1K |
| 73090 |
|
399 |
366 |
$1K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
131 |
125 |
$1K |
| 96367 |
|
145 |
137 |
$1K |
| 83735 |
|
5,855 |
5,314 |
$1K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
7,676 |
6,369 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,647 |
1,610 |
$1K |
| 87070 |
|
7,841 |
7,378 |
$1K |
| 87430 |
|
6,081 |
5,942 |
$1K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
79 |
35 |
$1K |
| P9016 |
Red blood cells, leukocytes reduced, each unit |
13 |
12 |
$1K |
| 87186 |
|
4,680 |
4,321 |
$1K |
| 81003 |
|
15,738 |
14,737 |
$1K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
7,374 |
5,984 |
$1K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,846 |
2,309 |
$995.35 |
| 87808 |
|
2,933 |
2,857 |
$973.31 |
| J2060 |
Injection, lorazepam, 2 mg |
4,306 |
3,706 |
$833.59 |
| 81025 |
|
5,529 |
5,354 |
$827.22 |
| C1729 |
Catheter, drainage |
497 |
216 |
$819.75 |
| 73120 |
|
31 |
16 |
$745.56 |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,063 |
1,983 |
$722.73 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
8,461 |
6,912 |
$677.28 |
| 94010 |
|
38 |
38 |
$600.02 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
8,207 |
7,346 |
$577.55 |
| 76937 |
|
15 |
15 |
$553.30 |
| 80076 |
|
198 |
194 |
$546.28 |
| 36416 |
|
6,956 |
6,145 |
$541.14 |
| 86140 |
|
3,191 |
3,062 |
$531.66 |
| 84112 |
|
66 |
59 |
$520.15 |
| 87205 |
|
5,045 |
4,646 |
$466.13 |
| 86780 |
|
156 |
153 |
$445.26 |
| 0031A |
|
12 |
12 |
$437.99 |
| 82550 |
|
1,617 |
1,419 |
$430.98 |
| 86900 |
|
2,462 |
2,332 |
$424.12 |
| 86850 |
|
1,871 |
1,772 |
$401.60 |
| 90686 |
|
42 |
42 |
$400.55 |
| C1769 |
Guide wire |
578 |
524 |
$389.40 |
| 74019 |
|
90 |
89 |
$369.67 |
| 88307 |
|
13 |
12 |
$365.59 |
| 87077 |
|
2,894 |
2,649 |
$362.19 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
486 |
482 |
$344.42 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
581 |
567 |
$340.10 |
| 86901 |
|
2,924 |
2,734 |
$318.77 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
4,728 |
4,403 |
$302.71 |
| 96368 |
|
39 |
39 |
$282.19 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
4,371 |
3,580 |
$281.50 |
| 99152 |
|
1,062 |
1,012 |
$281.49 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
293 |
288 |
$274.72 |
| 85730 |
|
3,681 |
3,460 |
$256.65 |
| J1790 |
Injection, droperidol, up to 5 mg |
1,049 |
964 |
$255.83 |
| J1630 |
Injection, haloperidol, up to 5 mg |
1,340 |
1,166 |
$253.99 |
| 73660 |
|
25 |
24 |
$246.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
2,486 |
2,365 |
$240.29 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
27 |
12 |
$229.73 |
| A4649 |
Surgical supply; miscellaneous |
1,438 |
1,283 |
$222.21 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
3,843 |
3,596 |
$212.65 |
| 84145 |
|
25 |
25 |
$203.14 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
6,517 |
5,905 |
$199.52 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
2,066 |
1,857 |
$192.32 |
| J2704 |
Injection, propofol, 10 mg |
6,125 |
5,837 |
$184.89 |
| 85014 |
|
492 |
408 |
$181.46 |
| 80047 |
|
62 |
59 |
$177.82 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
5,377 |
5,081 |
$165.83 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
6,128 |
5,890 |
$160.37 |
| 88304 |
|
1,010 |
936 |
$155.39 |
| 85651 |
|
2,145 |
2,072 |
$148.09 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
1,738 |
1,598 |
$145.00 |
| 82010 |
|
1,057 |
968 |
$115.59 |
| 84100 |
|
494 |
431 |
$111.19 |
| 90674 |
|
12 |
12 |
$97.81 |
| 85018 |
|
158 |
122 |
$83.93 |
| 87210 |
|
700 |
600 |
$83.50 |
| 72170 |
|
57 |
55 |
$81.54 |
| 80164 |
|
16 |
13 |
$80.82 |
| 74022 |
|
25 |
24 |
$79.89 |
| 80305 |
|
203 |
195 |
$64.50 |
| 82570 |
|
293 |
264 |
$56.43 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
809 |
558 |
$49.70 |
| 82805 |
|
330 |
309 |
$48.93 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
61 |
60 |
$45.94 |
| 84550 |
|
277 |
256 |
$43.33 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
1,121 |
1,097 |
$38.93 |
| 84156 |
|
288 |
255 |
$31.58 |
| 88342 |
|
71 |
65 |
$23.65 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
1,948 |
1,731 |
$20.80 |
| J1644 |
Injection, heparin sodium, per 1000 units |
2,419 |
1,188 |
$20.58 |
| 99153 |
Mod sedat endo service >5yrs |
237 |
227 |
$17.49 |
| 85007 |
|
90 |
86 |
$14.11 |
| 86308 |
|
66 |
65 |
$13.94 |
| 87149 |
|
111 |
81 |
$12.77 |
| 80061 |
Lipid panel |
72 |
68 |
$11.69 |
| J1940 |
Injection, furosemide, up to 20 mg |
326 |
269 |
$10.45 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
968 |
858 |
$10.02 |
| J3480 |
Injection, potassium chloride, per 2 meq |
377 |
316 |
$7.09 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
229 |
174 |
$6.99 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
2,704 |
2,426 |
$6.65 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
76 |
74 |
$6.30 |
| 87184 |
|
29 |
27 |
$6.14 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
159 |
147 |
$5.86 |
| 89051 |
|
99 |
52 |
$5.60 |
| J1920 |
Injection, labetalol hydrochloride, 5 mg |
32 |
30 |
$4.25 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
345 |
324 |
$4.22 |
| 51798 |
|
32 |
30 |
$2.99 |
| Q9963 |
High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml |
483 |
463 |
$2.51 |
| J1815 |
Injection, insulin, per 5 units |
2,466 |
1,418 |
$1.34 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
27 |
25 |
$0.08 |
| Q9969 |
Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose |
233 |
218 |
$0.07 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
1,059 |
640 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
138 |
135 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
103 |
94 |
$0.00 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
361 |
294 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
9,152 |
7,604 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
864 |
833 |
$0.00 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
231 |
209 |
$0.00 |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
13 |
13 |
$0.00 |
| 91300 |
|
1,561 |
1,471 |
$0.00 |
| J2004 |
Injection, lidocaine hcl with epinephrine, 1 mg |
55 |
54 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
39 |
28 |
$0.00 |
| 84439 |
|
14 |
14 |
$0.00 |
| J0295 |
Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm |
89 |
72 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
136 |
117 |
$0.00 |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
44 |
38 |
$0.00 |
| J0689 |
Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg |
62 |
60 |
$0.00 |
| 87806 |
|
12 |
12 |
$0.00 |
| 80074 |
|
13 |
13 |
$0.00 |
| A9541 |
Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries |
12 |
12 |
$0.00 |
| J3411 |
Injection, thiamine hcl, 100 mg |
136 |
109 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
214 |
192 |
$0.00 |
| 87081 |
|
28 |
24 |
$0.00 |
| J3360 |
Injection, diazepam, up to 5 mg |
44 |
43 |
$0.00 |
| J1836 |
Injection, metronidazole, 10 mg |
58 |
40 |
$0.00 |
| 82330 |
|
31 |
26 |
$0.00 |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
13 |
13 |
$0.00 |
| 91301 |
|
1,910 |
1,824 |
$0.00 |
| 73060 |
|
12 |
12 |
$0.00 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
26 |
12 |
$0.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
17 |
14 |
$0.00 |
| 77001 |
|
12 |
12 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
31 |
18 |
$0.00 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
21 |
20 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$0.00 |