| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
10,534 |
9,188 |
$1.14M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
8,366 |
6,985 |
$1.03M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
10,415 |
8,556 |
$1.01M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,562 |
2,721 |
$645K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,615 |
2,301 |
$569K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,351 |
2,031 |
$355K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,882 |
1,609 |
$340K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,143 |
981 |
$241K |
| 36415 |
Collection of venous blood by venipuncture |
25,598 |
18,476 |
$208K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,991 |
903 |
$199K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,629 |
1,471 |
$184K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,201 |
1,045 |
$146K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
4,539 |
3,858 |
$126K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
271 |
245 |
$126K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,258 |
1,406 |
$119K |
| 80053 |
Comprehensive metabolic panel |
20,603 |
16,108 |
$115K |
| S0028 |
Injection, famotidine, 20 mg |
239 |
198 |
$109K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,281 |
962 |
$92K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
220 |
182 |
$75K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
368 |
323 |
$65K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
307 |
283 |
$50K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
507 |
451 |
$48K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,062 |
993 |
$48K |
| 71046 |
Radiologic examination, chest; 2 views |
4,506 |
3,985 |
$43K |
| G0378 |
Hospital observation service, per hour |
1,516 |
1,183 |
$42K |
| 87040 |
|
4,117 |
2,200 |
$39K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
842 |
742 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
280 |
263 |
$35K |
| 93971 |
|
357 |
307 |
$33K |
| 93017 |
|
305 |
275 |
$32K |
| 87077 |
|
5,557 |
5,050 |
$31K |
| J3490 |
Unclassified drugs |
2,511 |
1,891 |
$31K |
| 83880 |
|
2,590 |
2,102 |
$30K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,161 |
3,568 |
$30K |
| 71250 |
|
455 |
392 |
$27K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
274 |
186 |
$26K |
| 74018 |
|
1,540 |
1,285 |
$26K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
9,850 |
7,432 |
$24K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,493 |
3,530 |
$23K |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,877 |
5,230 |
$23K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
110 |
100 |
$20K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
983 |
803 |
$19K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
21,661 |
16,233 |
$19K |
| 59025 |
Fetal non-stress test |
135 |
98 |
$19K |
| 84484 |
|
9,448 |
5,746 |
$17K |
| 76536 |
|
200 |
180 |
$17K |
| 73562 |
|
1,106 |
868 |
$16K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
767 |
521 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
5,590 |
4,383 |
$15K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,018 |
915 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
213 |
187 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,674 |
2,478 |
$13K |
| 72100 |
|
965 |
851 |
$13K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
8,895 |
7,161 |
$13K |
| 81001 |
|
7,477 |
6,159 |
$13K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
63 |
55 |
$12K |
| 80329 |
|
1,262 |
624 |
$12K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
357 |
329 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,400 |
3,759 |
$11K |
| 84439 |
|
2,859 |
2,535 |
$11K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
741 |
681 |
$9K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,045 |
992 |
$9K |
| 84702 |
|
1,552 |
1,158 |
$9K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
420 |
366 |
$9K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,634 |
4,322 |
$9K |
| 85027 |
|
3,278 |
2,898 |
$9K |
| 83605 |
|
4,281 |
3,248 |
$9K |
| 87088 |
|
3,574 |
3,070 |
$9K |
| 80061 |
Lipid panel |
2,329 |
2,150 |
$8K |
| 73610 |
|
750 |
646 |
$8K |
| 81025 |
|
2,604 |
2,334 |
$8K |
| 97162 |
|
229 |
200 |
$8K |
| 73030 |
|
786 |
660 |
$8K |
| 73630 |
|
1,060 |
892 |
$8K |
| 80074 |
|
317 |
305 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
89 |
85 |
$7K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
608 |
546 |
$7K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
273 |
254 |
$6K |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
589 |
465 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,678 |
2,100 |
$6K |
| 81003 |
|
5,538 |
4,737 |
$6K |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
307 |
269 |
$6K |
| 73130 |
|
662 |
564 |
$6K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
58 |
55 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
76 |
67 |
$5K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
825 |
706 |
$5K |
| 76641 |
|
68 |
42 |
$5K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,834 |
4,649 |
$4K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
13 |
13 |
$4K |
| 80320 |
|
987 |
872 |
$4K |
| 85379 |
|
534 |
471 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
738 |
678 |
$3K |
| 97014 |
|
133 |
39 |
$3K |
| 83735 |
|
6,002 |
4,577 |
$3K |
| 77002 |
|
13 |
12 |
$3K |
| 82607 |
|
701 |
614 |
$3K |
| 87070 |
|
875 |
710 |
$3K |
| 87186 |
|
1,846 |
1,600 |
$3K |
| 72131 |
|
136 |
123 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
28 |
$3K |
| 86850 |
|
378 |
336 |
$3K |
| 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 |
157 |
150 |
$3K |
| 84480 |
|
129 |
121 |
$3K |
| 12001 |
|
12 |
12 |
$3K |
| 85610 |
|
7,757 |
6,044 |
$3K |
| 90715 |
|
185 |
169 |
$3K |
| 73110 |
|
268 |
240 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,184 |
2,890 |
$2K |
| G0480 |
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; 1-7 drug class(es), including metabolite(s) if performed |
414 |
316 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
186 |
152 |
$2K |
| 85730 |
|
5,647 |
4,584 |
$2K |
| 84146 |
|
143 |
131 |
$2K |
| 86901 |
|
1,191 |
872 |
$2K |
| 73221 |
|
12 |
12 |
$2K |
| 80076 |
|
611 |
530 |
$2K |
| 82565 |
|
364 |
272 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
12 |
12 |
$2K |
| 86900 |
|
1,307 |
875 |
$2K |
| 72040 |
|
58 |
52 |
$2K |
| 83001 |
|
110 |
102 |
$2K |
| 84481 |
|
113 |
108 |
$2K |
| 73502 |
|
169 |
152 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
412 |
369 |
$2K |
| 83690 |
|
4,945 |
4,089 |
$2K |
| 96376 |
|
1,551 |
1,093 |
$2K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
20 |
16 |
$2K |
| 76830 |
Ultrasound, transvaginal |
33 |
31 |
$1K |
| 93225 |
|
41 |
38 |
$1K |
| 82728 |
|
519 |
410 |
$1K |
| 86140 |
|
976 |
819 |
$1K |
| 93226 |
|
41 |
38 |
$1K |
| 83655 |
|
106 |
103 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,512 |
2,010 |
$1K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
68 |
16 |
$1K |
| 86592 |
|
303 |
290 |
$1K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
1,499 |
1,172 |
$1K |
| 85018 |
|
353 |
326 |
$1K |
| 76801 |
|
14 |
13 |
$1K |
| 83002 |
|
118 |
109 |
$1K |
| 86803 |
|
259 |
248 |
$1K |
| 84703 |
|
1,980 |
1,738 |
$1K |
| 74022 |
|
214 |
200 |
$988.11 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
95 |
65 |
$975.66 |
| 83540 |
|
686 |
559 |
$950.03 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,193 |
2,671 |
$942.82 |
| 84466 |
|
554 |
441 |
$921.66 |
| 82570 |
|
319 |
299 |
$921.55 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
86 |
64 |
$896.41 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
190 |
167 |
$887.21 |
| 70486 |
|
25 |
24 |
$857.83 |
| 85652 |
|
1,060 |
880 |
$820.26 |
| 87807 |
|
820 |
756 |
$803.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,921 |
2,218 |
$791.30 |
| 76770 |
|
21 |
14 |
$766.38 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
158 |
125 |
$762.17 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
250 |
165 |
$711.93 |
| 94729 |
|
32 |
30 |
$689.02 |
| 36600 |
|
484 |
382 |
$684.29 |
| 82950 |
|
104 |
100 |
$647.14 |
| 73080 |
|
116 |
105 |
$645.09 |
| 84100 |
|
962 |
613 |
$625.44 |
| 94664 |
|
65 |
46 |
$615.96 |
| 82150 |
|
925 |
768 |
$560.82 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
485 |
264 |
$558.16 |
| 87147 |
|
437 |
372 |
$556.20 |
| 84144 |
|
44 |
44 |
$556.12 |
| 0296T |
|
32 |
26 |
$554.88 |
| 80050 |
General health panel |
13 |
13 |
$531.18 |
| 84403 |
|
43 |
40 |
$523.54 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
557 |
467 |
$503.23 |
| J7050 |
Infusion, normal saline solution, 250 cc |
103 |
56 |
$501.74 |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$498.65 |
| 83615 |
|
784 |
527 |
$491.87 |
| 73590 |
|
91 |
70 |
$490.26 |
| 94726 |
|
31 |
28 |
$488.28 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,891 |
1,408 |
$456.47 |
| 86762 |
|
94 |
90 |
$451.59 |
| 82140 |
|
586 |
486 |
$436.07 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
1,340 |
1,196 |
$407.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
346 |
301 |
$407.19 |
| 87081 |
|
339 |
270 |
$394.31 |
| 0011A |
|
51 |
40 |
$376.19 |
| 82803 |
|
782 |
575 |
$361.47 |
| 82330 |
|
266 |
165 |
$351.24 |
| 84550 |
|
260 |
207 |
$312.58 |
| 80055 |
|
119 |
115 |
$291.64 |
| 87653 |
|
12 |
12 |
$281.02 |
| 82043 |
|
125 |
121 |
$273.54 |
| 87210 |
|
327 |
294 |
$225.57 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,831 |
1,544 |
$221.26 |
| 87205 |
|
259 |
209 |
$177.72 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
259 |
233 |
$175.72 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,829 |
1,571 |
$163.75 |
| 83550 |
|
41 |
38 |
$159.81 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
119 |
83 |
$154.82 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,187 |
927 |
$130.07 |
| 82550 |
|
169 |
134 |
$126.93 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
253 |
225 |
$120.55 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
401 |
292 |
$119.64 |
| 86308 |
|
175 |
166 |
$112.72 |
| G0481 |
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; 8-14 drug class(es), including metabolite(s) if performed |
19 |
15 |
$107.59 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
925 |
785 |
$101.22 |
| 84156 |
|
33 |
28 |
$92.13 |
| 82784 |
|
12 |
12 |
$86.31 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
273 |
229 |
$85.89 |
| 84153 |
|
28 |
26 |
$70.39 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
63 |
53 |
$70.34 |
| 94761 |
|
94 |
52 |
$60.13 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
40 |
24 |
$57.21 |
| 87075 |
|
17 |
13 |
$49.66 |
| 88312 |
|
109 |
95 |
$43.49 |
| J2060 |
Injection, lorazepam, 2 mg |
305 |
232 |
$38.46 |
| J2704 |
Injection, propofol, 10 mg |
2,061 |
1,743 |
$36.10 |
| 87076 |
|
31 |
27 |
$23.92 |
| J3480 |
Injection, potassium chloride, per 2 meq |
154 |
107 |
$19.89 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
260 |
205 |
$19.01 |
| C9113 |
Injection, pantoprazole sodium, per vial |
106 |
78 |
$10.52 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
169 |
102 |
$7.39 |
| 82009 |
|
31 |
24 |
$4.94 |
| 73552 |
|
24 |
17 |
$4.63 |
| J7510 |
Prednisolone oral, per 5 mg |
55 |
55 |
$3.72 |
| J1644 |
Injection, heparin sodium, per 1000 units |
21 |
12 |
$2.16 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
51 |
39 |
$1.97 |
| J0692 |
Injection, cefepime hydrochloride, 500 mg |
14 |
14 |
$1.52 |
| J1940 |
Injection, furosemide, up to 20 mg |
17 |
13 |
$1.47 |
| A9270 |
Non-covered item or service |
537 |
406 |
$1.40 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
16 |
13 |
$1.17 |
| J2785 |
Injection, regadenoson, 0.1 mg |
158 |
140 |
$0.00 |
| 72170 |
|
32 |
26 |
$0.00 |
| 88304 |
|
13 |
12 |
$0.00 |
| 73090 |
|
13 |
12 |
$0.00 |
| 94760 |
|
29 |
13 |
$0.00 |
| 93975 |
|
25 |
25 |
$0.00 |