| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
31,088 |
27,910 |
$6.60M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
26,746 |
24,527 |
$4.76M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
19,210 |
17,218 |
$4.55M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,295 |
4,900 |
$2.80M |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
4,099 |
3,763 |
$1.66M |
| 58661 |
|
353 |
328 |
$1.14M |
| 59025 |
Fetal non-stress test |
13,574 |
9,841 |
$854K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
4,901 |
2,491 |
$706K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
2,067 |
1,899 |
$694K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,727 |
5,233 |
$493K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,677 |
1,551 |
$473K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
7,439 |
6,811 |
$446K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,467 |
1,367 |
$295K |
| 47562 |
|
85 |
77 |
$285K |
| G0378 |
Hospital observation service, per hour |
8,479 |
4,356 |
$273K |
| 58670 |
|
58 |
51 |
$150K |
| 52356 |
|
59 |
58 |
$134K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
20,753 |
16,816 |
$109K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
164 |
147 |
$102K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
198 |
189 |
$101K |
| 82805 |
|
1,131 |
1,078 |
$83K |
| 80053 |
Comprehensive metabolic panel |
38,214 |
32,410 |
$80K |
| C1781 |
Mesh (implantable) |
715 |
677 |
$73K |
| C1889 |
Implantable/insertable device, not otherwise classified |
750 |
703 |
$64K |
| 93971 |
|
1,303 |
1,193 |
$64K |
| S2900 |
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) |
498 |
441 |
$63K |
| 93970 |
|
344 |
314 |
$57K |
| 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 |
3,158 |
2,950 |
$39K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
13 |
12 |
$35K |
| 88307 |
|
735 |
652 |
$34K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
727 |
655 |
$33K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
17,624 |
14,291 |
$29K |
| 97597 |
|
548 |
384 |
$28K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,499 |
4,111 |
$26K |
| 72131 |
|
99 |
96 |
$25K |
| 93458 |
|
28 |
28 |
$24K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,071 |
1,928 |
$22K |
| 50590 |
|
13 |
12 |
$20K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
18,227 |
16,049 |
$20K |
| 70498 |
|
59 |
57 |
$18K |
| 76818 |
|
941 |
832 |
$18K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
4,227 |
3,763 |
$15K |
| 84112 |
|
2,557 |
2,269 |
$14K |
| 96376 |
|
5,473 |
3,768 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
6,383 |
6,032 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,410 |
1,306 |
$12K |
| 15271 |
|
38 |
12 |
$11K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,587 |
1,042 |
$10K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
77 |
43 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
21,861 |
19,193 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
549 |
403 |
$8K |
| 88342 |
|
528 |
477 |
$7K |
| 93312 |
|
45 |
39 |
$6K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
950 |
673 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
44,286 |
36,533 |
$6K |
| 93975 |
|
31 |
29 |
$5K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
12 |
12 |
$5K |
| 11045 |
|
256 |
72 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
10,681 |
8,818 |
$4K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,924 |
3,400 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,151 |
1,993 |
$4K |
| 93976 |
|
995 |
935 |
$4K |
| 70496 |
|
73 |
71 |
$4K |
| 73630 |
|
660 |
631 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,457 |
1,275 |
$4K |
| C9290 |
Injection, bupivacaine liposome, 1 mg |
1,044 |
957 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
11,989 |
10,846 |
$3K |
| 70486 |
|
68 |
64 |
$3K |
| 76801 |
|
1,924 |
1,747 |
$3K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
5,782 |
5,415 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
9,828 |
8,184 |
$3K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,209 |
1,126 |
$3K |
| 74018 |
|
826 |
746 |
$2K |
| 84484 |
|
13,135 |
10,006 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
3,194 |
3,081 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
11,294 |
10,145 |
$2K |
| 73130 |
|
315 |
299 |
$2K |
| 88304 |
|
2,212 |
2,109 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
25,109 |
21,726 |
$2K |
| 86850 |
|
4,265 |
3,885 |
$2K |
| 83690 |
|
10,450 |
9,339 |
$2K |
| 84703 |
|
7,452 |
6,936 |
$2K |
| J1756 |
Injection, iron sucrose, 1 mg |
161 |
118 |
$2K |
| 81025 |
|
6,350 |
5,990 |
$2K |
| 73564 |
|
211 |
194 |
$1K |
| 84702 |
|
2,912 |
2,649 |
$1K |
| 87186 |
|
3,067 |
2,806 |
$1K |
| 73562 |
|
241 |
226 |
$1K |
| 85379 |
|
3,008 |
2,790 |
$1K |
| 76830 |
Ultrasound, transvaginal |
351 |
329 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
6,250 |
4,996 |
$1K |
| 81001 |
|
24,127 |
21,058 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13,687 |
12,241 |
$958.15 |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,038 |
1,901 |
$883.97 |
| 81003 |
|
10,324 |
9,287 |
$801.97 |
| 83735 |
|
7,492 |
6,132 |
$774.23 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,299 |
1,241 |
$764.21 |
| 85027 |
|
6,353 |
5,498 |
$649.25 |
| 36600 |
|
598 |
578 |
$647.95 |
| 73110 |
|
219 |
211 |
$623.09 |
| 82731 |
|
1,034 |
960 |
$611.30 |
| 83880 |
|
2,833 |
2,413 |
$557.21 |
| 87430 |
|
1,553 |
1,516 |
$529.55 |
| 73030 |
|
773 |
715 |
$527.33 |
| 87206 |
|
108 |
91 |
$482.97 |
| 86635 |
|
14 |
12 |
$458.75 |
| 87400 |
|
2,208 |
1,748 |
$396.80 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
12,819 |
9,328 |
$393.48 |
| 93017 |
|
127 |
118 |
$393.48 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,093 |
1,653 |
$389.66 |
| 87088 |
|
12,325 |
10,667 |
$351.21 |
| 80061 |
Lipid panel |
1,348 |
1,233 |
$322.64 |
| 85730 |
|
5,141 |
4,546 |
$285.37 |
| 88341 |
|
31 |
29 |
$283.76 |
| 85610 |
|
8,760 |
7,561 |
$274.37 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
606 |
579 |
$243.14 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
4,859 |
4,353 |
$230.77 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
619 |
592 |
$230.49 |
| 83605 |
|
3,101 |
2,686 |
$211.54 |
| 82962 |
|
10,805 |
5,706 |
$201.16 |
| 76775 |
|
52 |
49 |
$195.75 |
| 29515 |
|
27 |
26 |
$194.52 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,842 |
3,266 |
$176.79 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
6,379 |
5,404 |
$172.14 |
| 90715 |
|
389 |
367 |
$171.65 |
| 80076 |
|
340 |
326 |
$166.79 |
| 87077 |
|
2,257 |
2,043 |
$158.93 |
| 84100 |
|
1,632 |
1,336 |
$130.11 |
| 73610 |
|
559 |
521 |
$121.65 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
4,478 |
3,829 |
$120.82 |
| J2060 |
Injection, lorazepam, 2 mg |
2,645 |
2,258 |
$117.85 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,726 |
1,513 |
$117.50 |
| J2704 |
Injection, propofol, 10 mg |
14,244 |
12,979 |
$115.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
10,185 |
9,409 |
$113.93 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
919 |
868 |
$112.74 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
11,687 |
10,678 |
$104.90 |
| 86901 |
|
5,766 |
5,304 |
$100.27 |
| 87081 |
|
1,390 |
1,358 |
$90.92 |
| 87040 |
|
1,694 |
1,136 |
$90.91 |
| 82550 |
|
1,459 |
1,206 |
$71.84 |
| 86900 |
|
5,768 |
5,304 |
$71.47 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
3,900 |
3,505 |
$67.54 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
16,666 |
14,151 |
$64.86 |
| J1956 |
Injection, levofloxacin, 250 mg |
891 |
752 |
$64.37 |
| 87147 |
|
583 |
495 |
$60.91 |
| 87210 |
|
1,946 |
1,836 |
$59.63 |
| 99001 |
|
2,890 |
2,680 |
$58.82 |
| 72040 |
|
26 |
26 |
$49.87 |
| 87205 |
|
1,769 |
1,292 |
$49.46 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
1,206 |
1,044 |
$43.45 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
1,002 |
914 |
$32.35 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
392 |
366 |
$31.99 |
| J0744 |
Injection, ciprofloxacin for intravenous infusion, 200 mg |
190 |
159 |
$29.39 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
3,033 |
2,677 |
$26.87 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
307 |
298 |
$25.42 |
| 84550 |
|
1,957 |
1,552 |
$24.57 |
| 83615 |
|
1,867 |
1,471 |
$24.19 |
| 87420 |
|
258 |
252 |
$23.94 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
882 |
811 |
$22.04 |
| 87070 |
|
1,489 |
1,309 |
$21.64 |
| 82570 |
|
1,233 |
1,023 |
$20.03 |
| 84156 |
|
1,321 |
1,000 |
$19.49 |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
118 |
98 |
$16.86 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,140 |
898 |
$15.18 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
269 |
202 |
$14.48 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
2,179 |
1,924 |
$12.73 |
| J1790 |
Injection, droperidol, up to 5 mg |
91 |
84 |
$9.40 |
| 82150 |
|
55 |
51 |
$5.18 |
| 72100 |
|
345 |
324 |
$4.92 |
| 84132 |
|
31 |
24 |
$3.44 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
647 |
548 |
$2.55 |
| 85651 |
|
111 |
102 |
$2.37 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
3,334 |
2,984 |
$1.73 |
| 36415 |
Collection of venous blood by venipuncture |
5,089 |
3,821 |
$1.62 |
| J1630 |
Injection, haloperidol, up to 5 mg |
573 |
505 |
$0.94 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,416 |
778 |
$0.59 |
| J3490 |
Unclassified drugs |
3,549 |
2,855 |
$0.00 |
| C1769 |
Guide wire |
2,961 |
2,607 |
$0.00 |
| C2617 |
Stent, non-coronary, temporary, without delivery system |
497 |
467 |
$0.00 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
515 |
385 |
$0.00 |
| 74022 |
|
67 |
64 |
$0.00 |
| J1940 |
Injection, furosemide, up to 20 mg |
25 |
14 |
$0.00 |
| 88300 |
|
148 |
141 |
$0.00 |
| J3590 |
Unclassified biologics |
16 |
15 |
$0.00 |
| A9270 |
Non-covered item or service |
9,668 |
5,387 |
$0.00 |
| 74420 |
|
399 |
374 |
$0.00 |
| J7999 |
Compounded drug, not otherwise classified |
154 |
119 |
$0.00 |
| A9150 |
Non-prescription drugs |
269 |
259 |
$0.00 |
| A4217 |
Sterile water/saline, 500 ml |
57 |
48 |
$0.00 |
| 73502 |
|
18 |
15 |
$0.00 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
390 |
363 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
215 |
183 |
$0.00 |
| 86140 |
|
59 |
52 |
$0.00 |
| J0687 |
Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg |
219 |
199 |
$0.00 |
| J1815 |
Injection, insulin, per 5 units |
63 |
57 |
$0.00 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
17 |
13 |
$0.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
72 |
57 |
$0.00 |
| 85018 |
|
12 |
12 |
$0.00 |
| 87116 |
|
113 |
92 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
42 |
39 |
$0.00 |
| J2305 |
Injection, nitroglycerin, 5 mg |
12 |
12 |
$0.00 |
| 82270 |
|
13 |
13 |
$0.00 |
| 12001 |
|
42 |
40 |
$0.00 |
| J2785 |
Injection, regadenoson, 0.1 mg |
130 |
117 |
$0.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
26 |
24 |
$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 |
27 |
$0.00 |
| 90686 |
|
14 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
13 |
$0.00 |
| C1725 |
Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) |
28 |
24 |
$0.00 |
| 82360 |
|
13 |
13 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
417 |
400 |
$0.00 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
2,097 |
1,854 |
$0.00 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
328 |
313 |
$0.00 |
| J0694 |
Injection, cefoxitin sodium, 1 gm |
265 |
243 |
$0.00 |
| 10060 |
|
25 |
24 |
$0.00 |
| 88302 |
|
563 |
519 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
86 |
75 |
$0.00 |
| 88112 |
|
110 |
106 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
1,015 |
943 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
1,015 |
691 |
$0.00 |
| C1760 |
Closure device, vascular (implantable/insertable) |
313 |
278 |
$0.00 |
| C1758 |
Catheter, ureteral |
455 |
431 |
$0.00 |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
549 |
486 |
$0.00 |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
164 |
148 |
$0.00 |
| 29125 |
|
92 |
89 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
29 |
24 |
$0.00 |
| 85384 |
|
86 |
80 |
$0.00 |
| 73590 |
|
13 |
12 |
$0.00 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
227 |
186 |
$0.00 |
| 82365 |
|
70 |
67 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
42 |
38 |
$0.00 |
| 89051 |
|
37 |
36 |
$0.00 |
| 85460 |
|
12 |
12 |
$0.00 |
| 87102 |
|
86 |
80 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
14 |
13 |
$0.00 |
| 85347 |
|
42 |
25 |
$0.00 |
| 76937 |
|
97 |
83 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
58 |
32 |
$0.00 |
| J3371 |
Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg |
35 |
30 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
48 |
45 |
$0.00 |
| 84439 |
|
42 |
37 |
$0.00 |
| A9576 |
Injection, gadoteridol, (prohance multipack), per ml |
16 |
12 |
$0.00 |
| 82565 |
|
25 |
24 |
$0.00 |
| C1729 |
Catheter, drainage |
47 |
27 |
$0.00 |
| 93325 |
|
31 |
26 |
$0.00 |
| 12011 |
|
14 |
14 |
$0.00 |