| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
25,364 |
23,602 |
$2.94M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
19,086 |
17,290 |
$2.39M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
6,918 |
5,183 |
$2.19M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
7,333 |
6,516 |
$993K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
7,014 |
6,540 |
$718K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,779 |
2,419 |
$683K |
| 59025 |
Fetal non-stress test |
3,664 |
1,452 |
$616K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,315 |
2,018 |
$550K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,611 |
1,398 |
$433K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,288 |
1,794 |
$264K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,083 |
1,212 |
$264K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,339 |
1,108 |
$248K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
831 |
691 |
$216K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
953 |
548 |
$178K |
| G0378 |
Hospital observation service, per hour |
2,582 |
1,085 |
$164K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
2,140 |
805 |
$154K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,382 |
1,085 |
$146K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,492 |
1,342 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,773 |
1,633 |
$134K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
15,421 |
12,967 |
$127K |
| 80053 |
Comprehensive metabolic panel |
12,945 |
11,199 |
$124K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
578 |
528 |
$120K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,562 |
690 |
$116K |
| 97602 |
|
820 |
302 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
964 |
953 |
$93K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
4,546 |
3,999 |
$93K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
504 |
471 |
$78K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
32,391 |
27,466 |
$78K |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,081 |
4,621 |
$76K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
362 |
347 |
$73K |
| 0240U |
|
459 |
437 |
$73K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
3,464 |
3,025 |
$64K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
683 |
355 |
$64K |
| 80061 |
Lipid panel |
4,406 |
4,141 |
$61K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,469 |
1,350 |
$55K |
| 36415 |
Collection of venous blood by venipuncture |
36,452 |
31,221 |
$54K |
| 93976 |
|
369 |
298 |
$52K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,378 |
3,142 |
$49K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,769 |
1,649 |
$48K |
| 82607 |
|
1,853 |
1,723 |
$41K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
434 |
388 |
$40K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,334 |
1,186 |
$38K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
465 |
286 |
$38K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
5,426 |
4,749 |
$38K |
| 71250 |
|
471 |
389 |
$34K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
187 |
178 |
$34K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
201 |
158 |
$31K |
| 86703 |
|
1,082 |
1,008 |
$28K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
614 |
562 |
$27K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
228 |
218 |
$27K |
| 86803 |
|
1,356 |
1,266 |
$26K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
76 |
71 |
$25K |
| 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 |
145 |
143 |
$25K |
| J3490 |
Unclassified drugs |
2,280 |
1,355 |
$23K |
| 85027 |
|
3,141 |
2,553 |
$22K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
158 |
127 |
$21K |
| 93971 |
|
279 |
235 |
$21K |
| 73221 |
|
100 |
97 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
2,093 |
1,898 |
$20K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,055 |
942 |
$20K |
| 70496 |
|
83 |
68 |
$20K |
| 97162 |
|
419 |
358 |
$20K |
| 82728 |
|
1,040 |
953 |
$18K |
| 84702 |
|
1,261 |
931 |
$17K |
| 76830 |
Ultrasound, transvaginal |
367 |
309 |
$17K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
34 |
25 |
$17K |
| 74018 |
|
577 |
506 |
$17K |
| 96367 |
|
376 |
271 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
6,900 |
6,091 |
$15K |
| 84439 |
|
1,023 |
908 |
$15K |
| 82746 |
|
1,049 |
964 |
$15K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
9,852 |
8,681 |
$15K |
| 82805 |
|
733 |
568 |
$15K |
| 80348 |
|
695 |
644 |
$14K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
524 |
201 |
$14K |
| 93017 |
|
203 |
186 |
$14K |
| 86900 |
|
1,016 |
908 |
$13K |
| 87340 |
|
723 |
673 |
$13K |
| 86850 |
|
967 |
864 |
$13K |
| 72100 |
|
519 |
460 |
$13K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
723 |
642 |
$12K |
| 86780 |
|
601 |
550 |
$12K |
| 82248 |
|
5,483 |
4,685 |
$11K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,402 |
2,217 |
$11K |
| 64483 |
|
19 |
13 |
$11K |
| 82570 |
|
1,326 |
1,137 |
$10K |
| 72141 |
|
60 |
59 |
$10K |
| 73630 |
|
703 |
620 |
$10K |
| 83735 |
|
3,964 |
3,232 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
517 |
442 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,434 |
6,301 |
$9K |
| 83540 |
|
966 |
883 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
956 |
917 |
$9K |
| 87653 |
|
274 |
257 |
$9K |
| 76536 |
|
69 |
63 |
$8K |
| 87081 |
|
687 |
645 |
$8K |
| 86592 |
|
423 |
401 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
630 |
576 |
$8K |
| 82043 |
|
1,093 |
1,017 |
$8K |
| 83550 |
|
932 |
857 |
$7K |
| 80076 |
|
1,802 |
1,639 |
$7K |
| 84484 |
|
6,676 |
5,549 |
$7K |
| 86762 |
|
433 |
399 |
$7K |
| 86140 |
|
460 |
367 |
$7K |
| 87077 |
|
1,067 |
924 |
$7K |
| 85610 |
|
3,672 |
2,996 |
$7K |
| 76642 |
|
71 |
60 |
$7K |
| 81001 |
|
15,215 |
13,397 |
$6K |
| 87070 |
|
510 |
452 |
$6K |
| 71271 |
|
42 |
40 |
$6K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
30 |
26 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,543 |
3,212 |
$6K |
| 84153 |
|
348 |
315 |
$6K |
| G0482 |
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; 15-21 drug class(es), including metabolite(s) if performed |
115 |
114 |
$6K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
16 |
16 |
$5K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
850 |
753 |
$5K |
| 84403 |
|
250 |
227 |
$5K |
| 72131 |
|
71 |
60 |
$5K |
| 95886 |
|
12 |
12 |
$4K |
| 80051 |
|
3,213 |
2,924 |
$4K |
| 83880 |
|
1,848 |
1,534 |
$4K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
27 |
26 |
$4K |
| 73610 |
|
466 |
420 |
$4K |
| 97163 |
|
101 |
89 |
$4K |
| 73030 |
|
407 |
357 |
$4K |
| 86787 |
|
205 |
186 |
$4K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
151 |
49 |
$4K |
| 73560 |
|
625 |
523 |
$3K |
| 84460 |
|
723 |
653 |
$3K |
| 86901 |
|
725 |
631 |
$3K |
| 73130 |
|
497 |
418 |
$3K |
| 87186 |
|
900 |
772 |
$3K |
| 70498 |
|
86 |
71 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
56 |
56 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,764 |
4,594 |
$3K |
| 84450 |
|
653 |
586 |
$3K |
| 94060 |
|
27 |
24 |
$3K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,353 |
1,311 |
$3K |
| 85652 |
|
698 |
554 |
$3K |
| 82950 |
|
243 |
226 |
$3K |
| 83605 |
|
4,200 |
3,459 |
$2K |
| 87205 |
|
466 |
397 |
$2K |
| 70486 |
|
28 |
26 |
$2K |
| 94726 |
|
44 |
38 |
$2K |
| 90715 |
|
116 |
101 |
$2K |
| 84703 |
|
3,851 |
3,214 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
7,609 |
5,942 |
$2K |
| 97166 |
|
42 |
36 |
$2K |
| 82565 |
|
3,435 |
3,076 |
$2K |
| 93970 |
|
15 |
15 |
$2K |
| 94729 |
|
45 |
39 |
$2K |
| 82077 |
|
1,063 |
862 |
$2K |
| 73502 |
|
154 |
131 |
$2K |
| 73700 |
|
14 |
13 |
$2K |
| 82553 |
|
186 |
170 |
$1K |
| 84520 |
|
3,297 |
2,992 |
$1K |
| 83690 |
|
5,221 |
4,525 |
$1K |
| 72110 |
|
38 |
37 |
$1K |
| 87634 |
|
480 |
411 |
$1K |
| 85730 |
|
1,004 |
893 |
$1K |
| 82947 |
|
3,255 |
2,966 |
$1K |
| 96376 |
|
1,097 |
645 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 93922 |
|
15 |
12 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,529 |
4,594 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
69 |
65 |
$1K |
| 82105 |
|
41 |
39 |
$1K |
| 82677 |
|
27 |
27 |
$973.67 |
| 84270 |
|
60 |
56 |
$945.70 |
| 84156 |
|
361 |
251 |
$915.46 |
| 86038 |
|
39 |
38 |
$903.29 |
| 87040 |
|
1,261 |
997 |
$822.06 |
| 97161 |
|
39 |
34 |
$812.55 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$811.37 |
| 73110 |
|
242 |
202 |
$789.81 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
150 |
124 |
$744.92 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,709 |
4,353 |
$727.92 |
| 84550 |
|
352 |
253 |
$710.03 |
| 87480 |
|
30 |
28 |
$623.87 |
| 85379 |
|
1,455 |
1,227 |
$603.51 |
| 83695 |
|
49 |
42 |
$543.66 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
515 |
405 |
$539.71 |
| 83615 |
|
337 |
233 |
$523.14 |
| 84100 |
|
211 |
147 |
$451.56 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,588 |
1,004 |
$446.74 |
| 88142 |
|
13 |
13 |
$437.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
3,026 |
1,873 |
$433.63 |
| 80069 |
|
22 |
14 |
$431.52 |
| 82550 |
|
342 |
304 |
$392.75 |
| 83001 |
|
27 |
25 |
$372.69 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
5,690 |
4,853 |
$350.81 |
| 87510 |
|
30 |
28 |
$345.03 |
| J1815 |
Injection, insulin, per 5 units |
180 |
95 |
$327.09 |
| 72040 |
|
15 |
13 |
$323.78 |
| 82627 |
|
12 |
12 |
$285.27 |
| 97116 |
|
23 |
12 |
$272.33 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
678 |
307 |
$248.08 |
| 81025 |
|
752 |
719 |
$246.73 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
514 |
381 |
$242.28 |
| 85018 |
|
822 |
620 |
$236.78 |
| 86376 |
|
12 |
12 |
$232.28 |
| J3535 |
Drug administered through a metered dose inhaler |
41 |
26 |
$218.82 |
| J2704 |
Injection, propofol, 10 mg |
2,449 |
1,697 |
$216.65 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
77 |
71 |
$203.60 |
| 86336 |
|
41 |
41 |
$184.80 |
| 83525 |
|
12 |
12 |
$170.05 |
| 72050 |
|
12 |
12 |
$163.16 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,824 |
1,317 |
$162.13 |
| 83970 |
|
12 |
12 |
$139.36 |
| 86706 |
|
13 |
13 |
$130.30 |
| 80143 |
|
130 |
115 |
$107.27 |
| 70360 |
|
15 |
13 |
$100.90 |
| 73080 |
|
55 |
49 |
$100.90 |
| 80179 |
|
141 |
127 |
$96.44 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,326 |
878 |
$95.00 |
| 82375 |
|
354 |
292 |
$83.74 |
| 82040 |
|
14 |
14 |
$78.54 |
| 71101 |
|
32 |
25 |
$76.12 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
443 |
274 |
$74.14 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,052 |
569 |
$73.30 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,194 |
779 |
$66.22 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$65.80 |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
145 |
143 |
$64.82 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
359 |
261 |
$58.38 |
| 82140 |
|
34 |
30 |
$49.78 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
709 |
539 |
$46.59 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
741 |
570 |
$44.19 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,186 |
835 |
$42.81 |
| 83050 |
|
344 |
285 |
$39.56 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
888 |
628 |
$38.46 |
| 87147 |
|
13 |
13 |
$36.87 |
| 81003 |
|
223 |
217 |
$34.53 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
646 |
512 |
$23.81 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
184 |
162 |
$23.70 |
| C9113 |
Injection, pantoprazole sodium, per vial |
27 |
20 |
$19.28 |
| 36416 |
|
531 |
318 |
$18.10 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
1,487 |
847 |
$17.45 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
506 |
389 |
$16.39 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
317 |
275 |
$8.71 |
| J1644 |
Injection, heparin sodium, per 1000 units |
33 |
14 |
$7.88 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
20 |
13 |
$7.56 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
293 |
235 |
$6.56 |
| J3360 |
Injection, diazepam, up to 5 mg |
51 |
42 |
$5.96 |
| J1940 |
Injection, furosemide, up to 20 mg |
28 |
16 |
$3.53 |
| J7510 |
Prednisolone oral, per 5 mg |
12 |
12 |
$2.38 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
14 |
12 |
$2.10 |
| J2060 |
Injection, lorazepam, 2 mg |
20 |
13 |
$1.18 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
31 |
27 |
$0.46 |
| 82010 |
|
124 |
95 |
$0.00 |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
40 |
40 |
$0.00 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
132 |
121 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
122 |
96 |
$0.00 |
| 51701 |
|
13 |
13 |
$0.00 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
379 |
310 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
62 |
61 |
$0.00 |
| 88304 |
|
107 |
78 |
$0.00 |
| J2785 |
Injection, regadenoson, 0.1 mg |
31 |
30 |
$0.00 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
42 |
24 |
$0.00 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
41 |
28 |
$0.00 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
93 |
85 |
$0.00 |
| C1769 |
Guide wire |
28 |
12 |
$0.00 |
| 73090 |
|
37 |
26 |
$0.00 |