| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
18,779 |
16,915 |
$5.85M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
25,024 |
22,997 |
$4.69M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
26,375 |
24,558 |
$4.47M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,194 |
4,857 |
$3.31M |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,440 |
3,211 |
$1.48M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,987 |
5,717 |
$668K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
2,266 |
2,111 |
$602K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,598 |
6,045 |
$535K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
745 |
734 |
$422K |
| C1776 |
Joint device (implantable) |
102 |
91 |
$347K |
| G0378 |
Hospital observation service, per hour |
6,938 |
3,275 |
$257K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,581 |
812 |
$231K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,055 |
993 |
$223K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
375 |
355 |
$182K |
| 93971 |
|
838 |
779 |
$151K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
6,509 |
5,708 |
$113K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,063 |
381 |
$96K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,348 |
1,254 |
$93K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
19,702 |
16,415 |
$88K |
| 72131 |
|
330 |
296 |
$82K |
| 70498 |
|
110 |
99 |
$53K |
| 59025 |
Fetal non-stress test |
318 |
192 |
$47K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
226 |
219 |
$43K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
16,699 |
14,071 |
$32K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
333 |
132 |
$31K |
| 80053 |
Comprehensive metabolic panel |
30,636 |
26,361 |
$24K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
461 |
440 |
$24K |
| 97535 |
Self-care/home management training, each 15 minutes |
1,170 |
628 |
$23K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,285 |
1,237 |
$22K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,689 |
1,593 |
$22K |
| 70486 |
|
351 |
326 |
$14K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
17,244 |
15,332 |
$11K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
9,618 |
8,276 |
$11K |
| 96376 |
|
4,479 |
3,212 |
$10K |
| 29581 |
|
91 |
36 |
$8K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
225 |
204 |
$8K |
| 93970 |
|
26 |
24 |
$6K |
| 73130 |
|
1,105 |
1,040 |
$6K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
5,024 |
4,695 |
$5K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,903 |
1,332 |
$5K |
| 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 |
1,219 |
1,155 |
$5K |
| 73630 |
|
1,159 |
1,099 |
$4K |
| 73562 |
|
1,026 |
946 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
309 |
229 |
$4K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
19,309 |
17,374 |
$4K |
| 73700 |
|
26 |
25 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
5,146 |
4,659 |
$3K |
| 87400 |
|
5,792 |
5,170 |
$3K |
| 73030 |
|
1,098 |
1,027 |
$3K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,462 |
1,429 |
$2K |
| 73610 |
|
1,049 |
995 |
$2K |
| 80061 |
Lipid panel |
1,022 |
941 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
37,836 |
31,356 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,791 |
7,584 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
14,135 |
12,830 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
3,818 |
3,608 |
$1K |
| 12001 |
|
205 |
200 |
$1K |
| 81025 |
|
8,607 |
8,158 |
$1K |
| 97162 |
|
240 |
231 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
3,893 |
3,710 |
$1K |
| 88342 |
|
52 |
52 |
$906.53 |
| 10060 |
|
51 |
50 |
$895.18 |
| 29125 |
|
186 |
180 |
$874.84 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,196 |
3,008 |
$752.40 |
| 83690 |
|
12,500 |
11,294 |
$724.03 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
162 |
95 |
$641.75 |
| 84484 |
|
11,215 |
8,728 |
$577.28 |
| 70496 |
|
95 |
83 |
$574.21 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,706 |
3,553 |
$572.62 |
| 81001 |
|
17,643 |
16,229 |
$552.54 |
| 97163 |
|
170 |
143 |
$539.95 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,904 |
2,136 |
$535.38 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
65 |
64 |
$494.12 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
909 |
877 |
$459.63 |
| 72128 |
|
34 |
32 |
$451.93 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
4,591 |
3,673 |
$402.50 |
| 87081 |
|
1,393 |
1,350 |
$335.04 |
| 74018 |
|
429 |
405 |
$327.55 |
| 84703 |
|
5,513 |
5,192 |
$326.96 |
| 83735 |
|
10,270 |
8,553 |
$311.43 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
8,181 |
7,363 |
$278.28 |
| 90715 |
|
1,805 |
1,726 |
$276.66 |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,480 |
2,281 |
$271.07 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,710 |
4,241 |
$265.07 |
| 83880 |
|
3,717 |
3,301 |
$240.34 |
| 93976 |
|
230 |
215 |
$233.42 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12,257 |
11,025 |
$225.29 |
| 80076 |
|
1,951 |
1,848 |
$211.72 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
28 |
24 |
$207.50 |
| 87186 |
|
2,640 |
2,467 |
$191.37 |
| 12002 |
|
66 |
64 |
$183.50 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,743 |
3,241 |
$177.01 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
9,579 |
7,289 |
$174.97 |
| 87088 |
|
6,938 |
6,378 |
$164.86 |
| 86850 |
|
1,026 |
929 |
$155.59 |
| 81003 |
|
3,652 |
3,410 |
$152.05 |
| 83605 |
|
4,256 |
3,653 |
$151.32 |
| 87070 |
|
300 |
248 |
$150.94 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
17,493 |
14,947 |
$148.22 |
| 85730 |
|
5,598 |
5,076 |
$148.13 |
| 84702 |
|
1,494 |
1,335 |
$145.94 |
| 87040 |
|
2,745 |
1,868 |
$133.45 |
| A9270 |
Non-covered item or service |
5,325 |
3,048 |
$130.35 |
| 73502 |
|
330 |
315 |
$129.74 |
| J3490 |
Unclassified drugs |
2,141 |
1,806 |
$126.43 |
| 85610 |
|
7,936 |
7,144 |
$126.07 |
| 85379 |
|
2,555 |
2,384 |
$120.03 |
| 82962 |
|
6,694 |
3,348 |
$115.92 |
| 87430 |
|
1,379 |
1,342 |
$103.28 |
| 76801 |
|
821 |
743 |
$102.73 |
| 85027 |
|
2,193 |
1,893 |
$100.05 |
| 76830 |
Ultrasound, transvaginal |
183 |
174 |
$97.04 |
| 82550 |
|
2,629 |
2,357 |
$88.87 |
| 73110 |
|
392 |
377 |
$86.91 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
946 |
916 |
$80.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,586 |
1,506 |
$60.57 |
| 87077 |
|
1,831 |
1,690 |
$58.68 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
4,935 |
4,363 |
$57.44 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
1,261 |
1,175 |
$48.23 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
947 |
917 |
$45.97 |
| 97116 |
|
379 |
231 |
$41.87 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,101 |
1,032 |
$39.37 |
| J1815 |
Injection, insulin, per 5 units |
254 |
198 |
$36.66 |
| 87420 |
|
432 |
421 |
$34.35 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,832 |
2,594 |
$32.51 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
37 |
26 |
$29.79 |
| J1790 |
Injection, droperidol, up to 5 mg |
224 |
211 |
$29.09 |
| 84100 |
|
2,297 |
1,850 |
$28.90 |
| J2704 |
Injection, propofol, 10 mg |
4,583 |
4,124 |
$28.06 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
3,163 |
2,251 |
$23.61 |
| J2060 |
Injection, lorazepam, 2 mg |
3,300 |
2,775 |
$22.82 |
| 86901 |
|
1,932 |
1,795 |
$22.55 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
2,781 |
2,231 |
$19.87 |
| 86900 |
|
1,932 |
1,795 |
$18.07 |
| 99001 |
|
2,506 |
2,303 |
$16.92 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
2,467 |
2,252 |
$11.08 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
566 |
517 |
$9.93 |
| 84439 |
|
104 |
97 |
$9.32 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
691 |
633 |
$7.28 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
3,557 |
3,269 |
$6.50 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
744 |
680 |
$6.32 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
3,145 |
2,803 |
$3.92 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,137 |
856 |
$3.70 |
| 87205 |
|
327 |
236 |
$3.42 |
| 36415 |
Collection of venous blood by venipuncture |
2,004 |
1,343 |
$3.07 |
| 88304 |
|
211 |
200 |
$0.00 |
| J1940 |
Injection, furosemide, up to 20 mg |
17 |
12 |
$0.00 |
| 96368 |
|
162 |
155 |
$0.00 |
| A9150 |
Non-prescription drugs |
144 |
139 |
$0.00 |
| 87147 |
|
251 |
218 |
$0.00 |
| 73560 |
|
52 |
46 |
$0.00 |
| 86140 |
|
274 |
252 |
$0.00 |
| 82270 |
|
12 |
12 |
$0.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
296 |
253 |
$0.00 |
| 85018 |
|
332 |
292 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
621 |
594 |
$0.00 |
| 85651 |
|
120 |
111 |
$0.00 |
| J7999 |
Compounded drug, not otherwise classified |
94 |
59 |
$0.00 |
| 73564 |
|
33 |
26 |
$0.00 |
| J0687 |
Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg |
79 |
71 |
$0.00 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
16 |
12 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
42 |
38 |
$0.00 |
| 71101 |
|
39 |
37 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
31 |
25 |
$0.00 |
| J3360 |
Injection, diazepam, up to 5 mg |
34 |
29 |
$0.00 |
| 73620 |
|
40 |
37 |
$0.00 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
33 |
26 |
$0.00 |
| 73090 |
|
15 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 82728 |
|
15 |
13 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |
| 83615 |
|
14 |
12 |
$0.00 |
| 74022 |
|
12 |
12 |
$0.00 |
| 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 |
28 |
28 |
$0.00 |
| C1769 |
Guide wire |
14 |
13 |
$0.00 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
1,339 |
1,269 |
$0.00 |
| 73590 |
|
128 |
115 |
$0.00 |
| 84145 |
|
32 |
29 |
$0.00 |
| 73140 |
|
26 |
26 |
$0.00 |
| J3371 |
Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg |
66 |
57 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
27 |
26 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
508 |
311 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
176 |
149 |
$0.00 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
362 |
251 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
96 |
86 |
$0.00 |
| 29515 |
|
24 |
24 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
233 |
225 |
$0.00 |
| 72100 |
|
166 |
159 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
205 |
101 |
$0.00 |
| 96367 |
|
154 |
126 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
291 |
270 |
$0.00 |
| 87210 |
|
85 |
82 |
$0.00 |
| 82805 |
|
54 |
52 |
$0.00 |
| 73080 |
|
55 |
50 |
$0.00 |
| 12011 |
|
13 |
12 |
$0.00 |
| 51702 |
|
46 |
38 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
38 |
28 |
$0.00 |
| J1956 |
Injection, levofloxacin, 250 mg |
27 |
12 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
12 |
$0.00 |