| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
10,872 |
10,431 |
$1.35M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,981 |
5,844 |
$499K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,313 |
2,209 |
$374K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,478 |
1,460 |
$113K |
| 80050 |
General health panel |
2,422 |
2,396 |
$113K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,604 |
4,357 |
$107K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
659 |
635 |
$97K |
| 80053 |
Comprehensive metabolic panel |
9,291 |
8,565 |
$91K |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,902 |
2,690 |
$86K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13,747 |
12,058 |
$66K |
| 80061 |
Lipid panel |
4,973 |
4,927 |
$59K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,921 |
2,695 |
$50K |
| G0378 |
Hospital observation service, per hour |
176 |
78 |
$34K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
399 |
397 |
$31K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,141 |
1,125 |
$28K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
859 |
859 |
$26K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,111 |
1,099 |
$25K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
335 |
319 |
$24K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,068 |
1,056 |
$23K |
| 76830 |
Ultrasound, transvaginal |
517 |
511 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
1,653 |
1,595 |
$22K |
| 84443 |
Thyroid stimulating hormone (TSH) |
952 |
935 |
$21K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
490 |
457 |
$21K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
538 |
538 |
$20K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,687 |
2,522 |
$20K |
| 70450 |
Computed tomography, head or brain; without contrast material |
437 |
414 |
$20K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
128 |
127 |
$19K |
| 20610 |
|
641 |
388 |
$17K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,321 |
2,182 |
$16K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,343 |
1,930 |
$16K |
| 87070 |
|
1,897 |
1,868 |
$14K |
| 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 |
198 |
195 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,186 |
2,160 |
$13K |
| 84484 |
|
1,775 |
1,560 |
$13K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
258 |
245 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
1,946 |
1,851 |
$11K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
420 |
370 |
$9K |
| 84702 |
|
541 |
472 |
$9K |
| 83880 |
|
452 |
398 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
266 |
263 |
$9K |
| 82607 |
|
828 |
804 |
$8K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
399 |
397 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
634 |
577 |
$8K |
| J3490 |
Unclassified drugs |
1,512 |
1,039 |
$8K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
115 |
112 |
$7K |
| 81001 |
|
2,857 |
2,701 |
$7K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
182 |
180 |
$6K |
| 84439 |
|
859 |
850 |
$6K |
| 93971 |
|
113 |
112 |
$6K |
| 72110 |
|
312 |
308 |
$6K |
| 83735 |
|
1,245 |
907 |
$6K |
| 82728 |
|
532 |
515 |
$6K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,957 |
2,830 |
$6K |
| 87077 |
|
823 |
774 |
$6K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
225 |
219 |
$5K |
| 83605 |
|
851 |
751 |
$5K |
| 83690 |
|
1,315 |
1,186 |
$5K |
| 73610 |
|
293 |
288 |
$5K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
143 |
142 |
$5K |
| 76801 |
|
118 |
112 |
$5K |
| 86618 |
|
180 |
179 |
$4K |
| 83540 |
|
585 |
567 |
$4K |
| 73630 |
|
405 |
389 |
$4K |
| 80076 |
|
536 |
447 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
28 |
25 |
$4K |
| 87040 |
|
339 |
220 |
$4K |
| 86803 |
|
207 |
203 |
$4K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
283 |
236 |
$4K |
| 73562 |
|
261 |
255 |
$4K |
| 87186 |
|
478 |
447 |
$3K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
151 |
119 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
338 |
325 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
32 |
32 |
$3K |
| 85610 |
|
1,138 |
892 |
$3K |
| 73130 |
|
253 |
244 |
$3K |
| 82043 |
|
371 |
366 |
$3K |
| 76770 |
|
74 |
73 |
$3K |
| 71250 |
|
47 |
47 |
$3K |
| 93017 |
|
63 |
63 |
$3K |
| 73030 |
|
192 |
182 |
$3K |
| 82803 |
|
99 |
88 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
90 |
89 |
$3K |
| 85379 |
|
306 |
297 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
57 |
55 |
$2K |
| 73110 |
|
212 |
201 |
$2K |
| 80081 |
|
29 |
28 |
$2K |
| 85730 |
|
410 |
380 |
$2K |
| 82746 |
|
238 |
222 |
$2K |
| 76536 |
|
41 |
40 |
$2K |
| 80329 |
|
151 |
146 |
$2K |
| 93976 |
|
26 |
24 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
56 |
56 |
$2K |
| 84100 |
|
316 |
196 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,076 |
1,505 |
$2K |
| 73564 |
|
100 |
95 |
$2K |
| 73502 |
|
121 |
115 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
5,042 |
3,953 |
$2K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
17 |
16 |
$1K |
| 83550 |
|
342 |
327 |
$1K |
| 81003 |
|
500 |
490 |
$1K |
| 82784 |
|
75 |
70 |
$1K |
| 83615 |
|
216 |
160 |
$1K |
| 84153 |
|
54 |
54 |
$1K |
| 86038 |
|
77 |
77 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
71 |
69 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
182 |
180 |
$1K |
| 84550 |
|
194 |
161 |
$1K |
| 83970 |
|
27 |
27 |
$1K |
| 85652 |
|
414 |
384 |
$1K |
| 86140 |
|
464 |
405 |
$1K |
| 86850 |
|
161 |
153 |
$977.76 |
| 84703 |
|
106 |
103 |
$969.89 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,912 |
1,263 |
$966.13 |
| J3535 |
Drug administered through a metered dose inhaler |
55 |
55 |
$950.65 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
15 |
15 |
$949.39 |
| 72050 |
|
36 |
35 |
$824.22 |
| 76642 |
|
25 |
25 |
$803.57 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$787.48 |
| 80074 |
|
15 |
15 |
$727.88 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,040 |
944 |
$722.47 |
| 86592 |
|
170 |
166 |
$669.38 |
| 82962 |
|
424 |
322 |
$667.45 |
| 87522 |
Neg quan hep c or qual rna |
14 |
12 |
$636.80 |
| 86376 |
|
77 |
77 |
$597.27 |
| 82950 |
|
95 |
94 |
$584.86 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,127 |
3,593 |
$582.37 |
| 87088 |
|
87 |
86 |
$581.90 |
| 86901 |
|
179 |
171 |
$552.24 |
| 86900 |
|
179 |
171 |
$551.59 |
| 86617 |
|
13 |
12 |
$533.35 |
| 74018 |
|
57 |
53 |
$504.59 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
26 |
26 |
$439.30 |
| 81025 |
|
151 |
149 |
$425.29 |
| 82550 |
|
66 |
61 |
$391.28 |
| 84403 |
|
13 |
12 |
$388.80 |
| 86800 |
|
24 |
24 |
$383.85 |
| 84146 |
|
15 |
15 |
$331.37 |
| 90715 |
|
27 |
26 |
$330.04 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,334 |
2,216 |
$327.68 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
45 |
41 |
$299.09 |
| 82565 |
|
65 |
64 |
$288.55 |
| 72072 |
|
14 |
14 |
$286.61 |
| 94664 |
|
25 |
25 |
$249.28 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
4,304 |
3,558 |
$237.48 |
| 82570 |
|
41 |
41 |
$199.89 |
| 87205 |
|
54 |
54 |
$195.81 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,072 |
1,673 |
$189.01 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
695 |
619 |
$188.64 |
| 73140 |
|
27 |
24 |
$188.55 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
371 |
322 |
$183.23 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
53 |
52 |
$146.62 |
| 82248 |
|
19 |
15 |
$144.79 |
| J7999 |
Compounded drug, not otherwise classified |
176 |
144 |
$119.20 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
848 |
770 |
$112.57 |
| 82977 |
|
21 |
12 |
$111.89 |
| 80069 |
|
15 |
13 |
$107.19 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
124 |
110 |
$105.73 |
| 87081 |
|
87 |
83 |
$104.70 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
528 |
403 |
$78.38 |
| 84520 |
|
13 |
13 |
$58.72 |
| 82150 |
|
16 |
13 |
$54.50 |
| 84156 |
|
15 |
12 |
$53.72 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
282 |
265 |
$43.68 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,257 |
1,184 |
$39.93 |
| J2060 |
Injection, lorazepam, 2 mg |
156 |
135 |
$34.90 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
512 |
494 |
$23.25 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
15 |
12 |
$23.03 |
| J1630 |
Injection, haloperidol, up to 5 mg |
37 |
36 |
$13.85 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
26 |
24 |
$9.63 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
323 |
313 |
$9.56 |
| J2704 |
Injection, propofol, 10 mg |
264 |
220 |
$9.30 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
403 |
362 |
$7.84 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
366 |
286 |
$5.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
344 |
269 |
$4.59 |
| 83986 |
|
13 |
13 |
$2.88 |
| J0134 |
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
73 |
69 |
$0.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
140 |
134 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
17 |
17 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
19 |
12 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
54 |
41 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
13 |
13 |
$0.00 |
| J3360 |
Injection, diazepam, up to 5 mg |
41 |
39 |
$0.00 |
| 84311 |
|
13 |
13 |
$0.00 |