| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
89,130 |
82,015 |
$12.06M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
61,841 |
55,586 |
$10.91M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
18,463 |
15,836 |
$3.94M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13,617 |
12,741 |
$1.32M |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
26,154 |
24,295 |
$690K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
19,697 |
16,704 |
$460K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
77,536 |
67,927 |
$262K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
532 |
427 |
$259K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
991 |
849 |
$235K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,485 |
1,187 |
$216K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
18,407 |
16,716 |
$191K |
| 80053 |
Comprehensive metabolic panel |
62,425 |
55,021 |
$184K |
| 71045 |
Radiologic examination, chest; single view |
21,179 |
17,932 |
$169K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
609 |
540 |
$168K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
25,386 |
21,236 |
$168K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
12,446 |
10,473 |
$160K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22,235 |
20,822 |
$156K |
| 36415 |
Collection of venous blood by venipuncture |
88,234 |
72,646 |
$130K |
| 84484 |
|
17,824 |
13,043 |
$121K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
5,248 |
4,601 |
$112K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
6,131 |
5,128 |
$105K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
3,245 |
1,370 |
$105K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
366 |
307 |
$87K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19,666 |
18,643 |
$84K |
| 97597 |
|
3,304 |
1,524 |
$72K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,331 |
4,492 |
$57K |
| G0378 |
Hospital observation service, per hour |
443 |
341 |
$56K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
3,022 |
2,047 |
$55K |
| 83690 |
|
14,730 |
13,033 |
$54K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,632 |
3,909 |
$51K |
| 71046 |
Radiologic examination, chest; 2 views |
4,549 |
4,177 |
$41K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,162 |
976 |
$36K |
| 81001 |
|
41,322 |
36,704 |
$32K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
9,321 |
7,954 |
$29K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
339 |
316 |
$22K |
| 84703 |
|
5,408 |
4,938 |
$21K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
5,671 |
4,730 |
$16K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
346 |
305 |
$15K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,542 |
3,071 |
$15K |
| 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 |
290 |
270 |
$14K |
| 85610 |
|
7,194 |
6,203 |
$12K |
| 81025 |
|
4,663 |
4,210 |
$11K |
| 83735 |
|
4,056 |
3,424 |
$10K |
| 87400 |
|
1,642 |
852 |
$10K |
| 82077 |
|
1,685 |
1,471 |
$9K |
| 71250 |
|
274 |
236 |
$9K |
| 83605 |
|
1,764 |
1,433 |
$9K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
69 |
66 |
$8K |
| 85730 |
|
2,859 |
2,493 |
$7K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
29 |
27 |
$7K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
180 |
150 |
$5K |
| 82550 |
|
1,490 |
1,315 |
$5K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
13 |
12 |
$3K |
| 80143 |
|
601 |
545 |
$3K |
| 82553 |
|
1,006 |
889 |
$3K |
| 80179 |
|
556 |
506 |
$3K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
206 |
150 |
$3K |
| 82248 |
|
1,230 |
1,083 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
671 |
631 |
$2K |
| 87807 |
|
359 |
352 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66 |
62 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,153 |
1,047 |
$2K |
| 81003 |
|
2,632 |
2,401 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
101 |
91 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
101 |
91 |
$1K |
| 76830 |
Ultrasound, transvaginal |
25 |
25 |
$1K |
| 83880 |
|
145 |
130 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
215 |
185 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$955.52 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
36 |
29 |
$872.54 |
| 87040 |
|
120 |
52 |
$797.56 |
| 85379 |
|
75 |
67 |
$716.45 |
| 84702 |
|
68 |
62 |
$607.32 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
25 |
21 |
$461.89 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
81 |
72 |
$438.21 |
| 93017 |
|
14 |
13 |
$383.22 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
74 |
39 |
$382.29 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
13 |
12 |
$364.80 |
| 84443 |
Thyroid stimulating hormone (TSH) |
83 |
72 |
$288.48 |
| 82962 |
|
249 |
152 |
$269.27 |
| 87088 |
|
99 |
97 |
$268.48 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
13 |
12 |
$198.72 |
| 82150 |
|
60 |
56 |
$174.38 |
| 87210 |
|
91 |
86 |
$172.53 |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
13 |
12 |
$132.36 |
| 84145 |
|
31 |
26 |
$119.08 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
15 |
13 |
$114.08 |
| 87081 |
|
30 |
27 |
$88.97 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17 |
14 |
$55.77 |
| 85027 |
|
29 |
26 |
$54.65 |
| 74018 |
|
13 |
13 |
$53.32 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
39 |
37 |
$49.64 |
| 73630 |
|
12 |
12 |
$39.86 |
| 94664 |
|
13 |
12 |
$32.56 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,673 |
2,177 |
$18.73 |
| 86140 |
|
14 |
14 |
$17.22 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
41 |
37 |
$10.76 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
28 |
24 |
$3.65 |
| J2704 |
Injection, propofol, 10 mg |
4,049 |
3,435 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
606 |
511 |
$0.00 |
| C1889 |
Implantable/insertable device, not otherwise classified |
193 |
167 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
47 |
45 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
139 |
112 |
$0.00 |
| 88304 |
|
14 |
13 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
182 |
150 |
$0.00 |
| 88312 |
|
795 |
686 |
$0.00 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
19 |
16 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
15 |
15 |
$0.00 |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
13 |
12 |
$0.00 |