| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
16,298 |
15,810 |
$1.70M |
| G0378 |
Hospital observation service, per hour |
991 |
971 |
$795K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,696 |
8,490 |
$661K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,265 |
2,183 |
$225K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
700 |
676 |
$149K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
7,699 |
7,235 |
$87K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17,289 |
16,246 |
$86K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,588 |
2,432 |
$69K |
| 80053 |
Comprehensive metabolic panel |
6,334 |
5,945 |
$64K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
6,518 |
6,049 |
$50K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
270 |
268 |
$48K |
| 71046 |
Radiologic examination, chest; 2 views |
3,048 |
2,948 |
$46K |
| 70450 |
Computed tomography, head or brain; without contrast material |
651 |
629 |
$43K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
876 |
858 |
$37K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,608 |
2,196 |
$33K |
| 84484 |
|
3,358 |
3,035 |
$29K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
264 |
256 |
$27K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,012 |
977 |
$26K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
922 |
897 |
$23K |
| 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 |
399 |
372 |
$22K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
443 |
409 |
$21K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,336 |
1,145 |
$18K |
| 84443 |
Thyroid stimulating hormone (TSH) |
647 |
631 |
$13K |
| 81001 |
|
4,244 |
4,087 |
$12K |
| 83880 |
|
448 |
418 |
$11K |
| 80061 |
Lipid panel |
791 |
780 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
1,089 |
1,041 |
$10K |
| 93976 |
|
176 |
172 |
$10K |
| 80050 |
General health panel |
257 |
253 |
$10K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,016 |
878 |
$9K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
212 |
205 |
$9K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,230 |
3,058 |
$9K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
297 |
293 |
$9K |
| 83605 |
|
1,175 |
1,086 |
$8K |
| 83690 |
|
1,885 |
1,790 |
$8K |
| 76830 |
Ultrasound, transvaginal |
134 |
131 |
$7K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
250 |
235 |
$7K |
| 93971 |
|
109 |
106 |
$6K |
| 82728 |
|
550 |
536 |
$6K |
| 84703 |
|
614 |
597 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
209 |
201 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
204 |
196 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
150 |
143 |
$5K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
133 |
129 |
$5K |
| 83735 |
|
1,346 |
1,021 |
$5K |
| 73610 |
|
227 |
219 |
$5K |
| 82607 |
|
409 |
402 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
148 |
113 |
$4K |
| 84702 |
|
263 |
250 |
$4K |
| 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 |
61 |
59 |
$4K |
| 83540 |
|
542 |
534 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
71 |
69 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
585 |
572 |
$4K |
| 85027 |
|
922 |
771 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
599 |
594 |
$4K |
| 76857 |
|
117 |
114 |
$4K |
| 73630 |
|
223 |
216 |
$3K |
| 85379 |
|
302 |
298 |
$3K |
| 80076 |
|
373 |
344 |
$3K |
| 83550 |
|
537 |
529 |
$3K |
| 76801 |
|
57 |
57 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
44 |
44 |
$3K |
| 73030 |
|
139 |
129 |
$3K |
| 73130 |
|
160 |
148 |
$2K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
525 |
503 |
$2K |
| 87040 |
|
178 |
165 |
$2K |
| 85610 |
|
762 |
587 |
$2K |
| 86900 |
|
264 |
251 |
$2K |
| 72100 |
|
84 |
84 |
$2K |
| 84439 |
|
257 |
255 |
$2K |
| 82746 |
|
181 |
178 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$2K |
| 73564 |
|
74 |
73 |
$2K |
| 85730 |
|
324 |
302 |
$2K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
70 |
67 |
$2K |
| 86140 |
|
546 |
501 |
$2K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
42 |
33 |
$1K |
| 86901 |
|
264 |
251 |
$1K |
| 82570 |
|
181 |
177 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
6,780 |
6,281 |
$1K |
| 85652 |
|
431 |
393 |
$1K |
| 96376 |
|
344 |
243 |
$1K |
| 73110 |
|
59 |
57 |
$1K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
27 |
27 |
$993.72 |
| 73590 |
|
42 |
40 |
$842.55 |
| 73560 |
|
41 |
40 |
$824.07 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
28 |
28 |
$813.47 |
| 82043 |
|
104 |
101 |
$802.88 |
| J3490 |
Unclassified drugs |
1,111 |
1,007 |
$801.01 |
| 90715 |
|
107 |
106 |
$778.55 |
| 83615 |
|
114 |
106 |
$741.38 |
| 86038 |
|
39 |
39 |
$564.28 |
| 84100 |
|
223 |
189 |
$522.62 |
| 87081 |
|
88 |
87 |
$509.33 |
| 87186 |
|
73 |
72 |
$498.07 |
| 86803 |
|
29 |
28 |
$472.93 |
| 87077 |
|
78 |
77 |
$471.28 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,049 |
873 |
$426.76 |
| 99000 |
|
87 |
87 |
$420.21 |
| 73090 |
|
18 |
18 |
$351.05 |
| 74018 |
|
25 |
24 |
$305.22 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
53 |
50 |
$270.79 |
| 73502 |
|
14 |
14 |
$267.33 |
| 73070 |
|
12 |
12 |
$262.90 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
764 |
655 |
$243.09 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,361 |
1,221 |
$225.96 |
| 74022 |
|
13 |
13 |
$221.80 |
| 82550 |
|
34 |
29 |
$207.36 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,500 |
2,203 |
$204.17 |
| 86850 |
|
46 |
43 |
$201.14 |
| J2704 |
Injection, propofol, 10 mg |
486 |
423 |
$192.71 |
| 80143 |
|
15 |
13 |
$162.32 |
| 80179 |
|
14 |
13 |
$162.32 |
| 87340 |
|
13 |
13 |
$134.61 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$108.60 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
184 |
139 |
$100.24 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
822 |
735 |
$87.07 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
213 |
195 |
$83.19 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
595 |
449 |
$74.61 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
13 |
13 |
$71.42 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
3,111 |
2,990 |
$69.89 |
| 86431 |
|
12 |
12 |
$68.41 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
194 |
166 |
$68.10 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
110 |
56 |
$66.63 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
839 |
759 |
$66.29 |
| 81025 |
|
17 |
16 |
$53.20 |
| J2060 |
Injection, lorazepam, 2 mg |
190 |
157 |
$51.99 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
30 |
26 |
$44.43 |
| 81003 |
|
12 |
12 |
$37.51 |
| T1015 |
Clinic visit/encounter, all-inclusive |
16 |
15 |
$37.45 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
283 |
220 |
$35.39 |
| J1644 |
Injection, heparin sodium, per 1000 units |
118 |
77 |
$31.31 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
323 |
299 |
$26.30 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
361 |
333 |
$7.29 |
| Q0163 |
Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen |
56 |
52 |
$6.83 |
| 36415 |
Collection of venous blood by venipuncture |
98 |
79 |
$3.96 |