| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96361 |
Intravenous infusion, hydration; each additional hour |
24,051 |
21,602 |
$5.86M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
47,098 |
43,958 |
$5.19M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
24,836 |
22,916 |
$2.45M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12,711 |
11,920 |
$1.42M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
3,925 |
3,600 |
$1.40M |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
12,599 |
11,689 |
$1.35M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
13,694 |
12,585 |
$1.34M |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,260 |
3,024 |
$562K |
| 80053 |
Comprehensive metabolic panel |
41,681 |
38,088 |
$534K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,133 |
2,033 |
$435K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,927 |
3,740 |
$300K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
439 |
423 |
$283K |
| 50590 |
|
119 |
109 |
$227K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,395 |
3,193 |
$220K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,095 |
1,034 |
$215K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,733 |
2,642 |
$213K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,410 |
1,293 |
$190K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,915 |
1,727 |
$189K |
| 84484 |
|
14,121 |
9,193 |
$170K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,695 |
1,465 |
$158K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
968 |
916 |
$149K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
5,943 |
5,009 |
$119K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
963 |
879 |
$114K |
| 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 |
1,387 |
1,339 |
$89K |
| 83605 |
|
7,260 |
5,714 |
$80K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
208 |
185 |
$74K |
| 64635 |
|
197 |
84 |
$44K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
580 |
480 |
$36K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,061 |
961 |
$34K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
132 |
123 |
$30K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
20,283 |
17,052 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
10,189 |
9,399 |
$15K |
| 87040 |
|
1,832 |
908 |
$15K |
| 80320 |
|
146 |
133 |
$14K |
| 87400 |
|
532 |
209 |
$11K |
| 77336 |
|
178 |
64 |
$11K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
12 |
12 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
426 |
341 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
31,026 |
28,393 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
71 |
65 |
$7K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
23,418 |
20,969 |
$7K |
| 93975 |
|
44 |
44 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
25 |
24 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
151 |
142 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
51,571 |
46,563 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,127 |
5,637 |
$3K |
| J8540 |
Dexamethasone, oral, 0.25 mg |
239 |
200 |
$2K |
| 0002A |
|
39 |
34 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
4,804 |
4,481 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
38,844 |
31,855 |
$2K |
| 81001 |
|
14,743 |
13,612 |
$2K |
| 80047 |
|
87 |
78 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
267 |
259 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
15 |
$2K |
| G0378 |
Hospital observation service, per hour |
74 |
24 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,847 |
2,709 |
$2K |
| 0001A |
|
32 |
29 |
$1K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
16,272 |
14,576 |
$1K |
| 73630 |
|
31 |
24 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,535 |
3,532 |
$1K |
| 85379 |
|
296 |
279 |
$1K |
| 93971 |
|
13 |
13 |
$1K |
| 97597 |
|
51 |
18 |
$961.94 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
651 |
629 |
$857.23 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
25 |
25 |
$840.65 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
41 |
39 |
$797.98 |
| 83690 |
|
15,488 |
14,264 |
$708.40 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
15 |
14 |
$688.90 |
| 81003 |
|
7,229 |
6,701 |
$662.86 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,705 |
1,489 |
$512.68 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
9,977 |
9,346 |
$435.55 |
| 93017 |
|
12 |
12 |
$399.61 |
| 80076 |
|
47 |
35 |
$399.51 |
| 81025 |
|
4,236 |
3,971 |
$395.28 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
15 |
13 |
$377.95 |
| 90715 |
|
25 |
25 |
$365.18 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,665 |
2,685 |
$341.28 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
6,301 |
5,868 |
$328.56 |
| 84145 |
|
52 |
28 |
$263.64 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
276 |
173 |
$238.58 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
759 |
721 |
$201.17 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
6,278 |
4,440 |
$200.46 |
| 87807 |
|
263 |
248 |
$198.48 |
| 84703 |
|
3,807 |
3,625 |
$177.23 |
| 87081 |
|
269 |
255 |
$148.91 |
| 82077 |
|
2,078 |
1,968 |
$135.41 |
| J2704 |
Injection, propofol, 10 mg |
3,999 |
2,796 |
$91.05 |
| 80050 |
General health panel |
248 |
238 |
$86.56 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,165 |
1,107 |
$70.84 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
775 |
714 |
$48.50 |
| C9113 |
Injection, pantoprazole sodium, per vial |
550 |
500 |
$40.48 |
| 86140 |
|
771 |
730 |
$35.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
43 |
37 |
$32.51 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
588 |
545 |
$30.36 |
| 85610 |
|
392 |
343 |
$15.56 |
| 80305 |
|
722 |
633 |
$11.31 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,557 |
1,398 |
$10.45 |
| 83735 |
|
1,976 |
1,820 |
$10.43 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
335 |
318 |
$10.12 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,246 |
1,173 |
$10.12 |
| 82803 |
|
1,100 |
819 |
$7.72 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,778 |
1,597 |
$7.22 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
398 |
336 |
$0.20 |
| 0753T |
|
1,375 |
1,062 |
$0.00 |
| 94664 |
|
440 |
419 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
61 |
40 |
$0.00 |
| 82248 |
|
131 |
104 |
$0.00 |
| 64636 |
|
358 |
82 |
$0.00 |
| 82010 |
|
223 |
206 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
33 |
31 |
$0.00 |
| 73562 |
|
43 |
43 |
$0.00 |
| 73610 |
|
44 |
43 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
15 |
14 |
$0.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
14 |
14 |
$0.00 |
| 87186 |
|
14 |
13 |
$0.00 |
| J3490 |
Unclassified drugs |
40,254 |
21,676 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
679 |
630 |
$0.00 |
| 83880 |
|
773 |
740 |
$0.00 |
| 88342 |
|
1,278 |
1,066 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
88 |
78 |
$0.00 |
| 85730 |
|
37 |
37 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
180 |
158 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
97 |
86 |
$0.00 |
| 96376 |
|
300 |
281 |
$0.00 |
| 84540 |
|
29 |
24 |
$0.00 |
| 83615 |
|
29 |
27 |
$0.00 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
290 |
276 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
42 |
40 |
$0.00 |
| 87077 |
|
83 |
65 |
$0.00 |
| 94760 |
|
13 |
13 |
$0.00 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
96 |
92 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
112 |
105 |
$0.00 |
| 82330 |
|
29 |
24 |
$0.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
12 |
12 |
$0.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
44 |
26 |
$0.00 |
| 90686 |
|
15 |
14 |
$0.00 |
| C1769 |
Guide wire |
17 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
27 |
12 |
$0.00 |
| 85027 |
|
28 |
26 |
$0.00 |