| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
11,491 |
10,749 |
$1.75M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,226 |
7,034 |
$975K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
10,835 |
10,545 |
$876K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,341 |
3,187 |
$576K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
1,223 |
1,211 |
$496K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,872 |
4,793 |
$466K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
8,040 |
7,784 |
$286K |
| G0378 |
Hospital observation service, per hour |
3,022 |
2,514 |
$279K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
5,803 |
5,690 |
$274K |
| 0450 |
Emergency room services |
14,753 |
13,308 |
$270K |
| 71046 |
Radiologic examination, chest; 2 views |
9,562 |
9,297 |
$241K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,315 |
5,159 |
$175K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
4,508 |
4,431 |
$131K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,526 |
1,520 |
$106K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,684 |
1,675 |
$99K |
| 76830 |
Ultrasound, transvaginal |
2,562 |
2,503 |
$95K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
763 |
762 |
$95K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
2,034 |
2,024 |
$84K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13,726 |
12,572 |
$84K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,169 |
2,128 |
$81K |
| 72141 |
|
674 |
671 |
$68K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,290 |
1,278 |
$67K |
| 71045 |
Radiologic examination, chest; single view |
6,825 |
6,500 |
$67K |
| 99199 |
Unlisted special service, procedure or report |
1,402 |
1,202 |
$66K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,291 |
5,124 |
$66K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
41,210 |
33,412 |
$57K |
| 73630 |
|
2,417 |
2,093 |
$56K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,886 |
5,477 |
$56K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,289 |
4,093 |
$52K |
| 36415 |
Collection of venous blood by venipuncture |
37,679 |
29,796 |
$49K |
| 86900 |
|
3,258 |
2,888 |
$47K |
| 73564 |
|
1,292 |
927 |
$46K |
| 73030 |
|
2,006 |
1,844 |
$39K |
| 76770 |
|
1,054 |
1,052 |
$39K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
632 |
631 |
$38K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
265 |
253 |
$37K |
| 73130 |
|
1,634 |
1,373 |
$34K |
| 0270 |
|
7,430 |
4,849 |
$34K |
| 73610 |
|
1,598 |
1,476 |
$33K |
| 72100 |
|
1,362 |
1,348 |
$32K |
| 83880 |
|
6,627 |
6,015 |
$31K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
255 |
254 |
$31K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,059 |
3,803 |
$31K |
| 80051 |
|
22,888 |
19,771 |
$29K |
| 71250 |
|
819 |
814 |
$28K |
| 93971 |
|
701 |
678 |
$28K |
| 73560 |
|
1,345 |
1,188 |
$25K |
| 86850 |
|
3,048 |
2,732 |
$25K |
| 86923 |
|
230 |
166 |
$24K |
| 82565 |
|
28,675 |
23,950 |
$23K |
| 74018 |
|
801 |
753 |
$22K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
433 |
431 |
$21K |
| 76536 |
|
608 |
607 |
$20K |
| 73110 |
|
952 |
875 |
$18K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,469 |
2,328 |
$18K |
| 73502 |
|
801 |
769 |
$17K |
| 82247 |
|
18,239 |
14,721 |
$17K |
| 84460 |
|
18,144 |
14,832 |
$16K |
| 70486 |
|
340 |
339 |
$16K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
722 |
713 |
$16K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
3,079 |
2,827 |
$16K |
| 84484 |
|
9,095 |
8,163 |
$14K |
| 86901 |
|
3,259 |
2,889 |
$14K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,232 |
1,146 |
$14K |
| 82947 |
|
22,984 |
19,849 |
$14K |
| 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 |
1,036 |
1,023 |
$14K |
| 84702 |
|
3,391 |
2,447 |
$14K |
| 84450 |
|
14,972 |
12,524 |
$14K |
| 84520 |
|
22,726 |
19,640 |
$14K |
| 70543 |
|
26 |
26 |
$14K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,759 |
1,725 |
$13K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
384 |
377 |
$13K |
| 83690 |
|
10,349 |
9,585 |
$13K |
| 73080 |
|
380 |
357 |
$13K |
| 73140 |
|
400 |
381 |
$12K |
| 81001 |
|
19,851 |
18,406 |
$11K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
10,323 |
8,690 |
$10K |
| 83735 |
|
9,639 |
7,745 |
$10K |
| 84075 |
|
11,824 |
10,482 |
$10K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
6,459 |
5,843 |
$10K |
| J3490 |
Unclassified drugs |
3,583 |
2,684 |
$10K |
| 76857 |
|
252 |
250 |
$9K |
| 72040 |
|
222 |
222 |
$9K |
| 0637 |
|
42,969 |
14,624 |
$8K |
| 93976 |
|
462 |
461 |
$8K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,269 |
1,260 |
$8K |
| 73562 |
|
263 |
208 |
$7K |
| 84703 |
|
6,424 |
6,025 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
591 |
563 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,451 |
1,405 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
592 |
563 |
$6K |
| 85610 |
|
9,076 |
7,310 |
$6K |
| 76870 |
|
62 |
62 |
$6K |
| 87631 |
|
507 |
500 |
$6K |
| 72146 |
|
41 |
40 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,215 |
3,162 |
$5K |
| 59025 |
Fetal non-stress test |
330 |
283 |
$5K |
| 81003 |
|
12,953 |
12,525 |
$5K |
| 85652 |
|
6,884 |
6,653 |
$5K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
4,837 |
4,218 |
$5K |
| 83605 |
|
3,097 |
2,819 |
$5K |
| 87040 |
|
2,283 |
2,108 |
$4K |
| Z7502 |
|
368 |
343 |
$4K |
| 74170 |
|
13 |
13 |
$4K |
| 82248 |
|
2,385 |
1,744 |
$4K |
| 84100 |
|
5,366 |
4,612 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
38 |
25 |
$4K |
| 73221 |
|
29 |
28 |
$4K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
364 |
360 |
$3K |
| 0250 |
|
6,441 |
4,073 |
$3K |
| 80306 |
|
1,100 |
1,059 |
$3K |
| 82310 |
|
2,443 |
1,884 |
$3K |
| 82077 |
|
1,176 |
1,110 |
$3K |
| 87324 |
|
873 |
859 |
$3K |
| 87449 |
|
892 |
878 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,010 |
2,759 |
$3K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
4,024 |
3,635 |
$3K |
| 70491 |
|
24 |
24 |
$3K |
| 84132 |
|
2,829 |
2,228 |
$3K |
| 87088 |
|
2,824 |
2,733 |
$3K |
| 73590 |
|
109 |
97 |
$2K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,635 |
1,433 |
$2K |
| 76882 |
|
27 |
24 |
$2K |
| 85027 |
|
2,509 |
2,182 |
$2K |
| 82962 |
|
3,915 |
3,070 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
42 |
41 |
$2K |
| 86140 |
|
1,495 |
1,412 |
$2K |
| 96376 |
|
878 |
836 |
$2K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
796 |
778 |
$2K |
| 85730 |
|
1,449 |
1,411 |
$2K |
| 84295 |
|
1,796 |
1,445 |
$2K |
| 82570 |
|
597 |
502 |
$2K |
| 80179 |
|
746 |
723 |
$2K |
| 82040 |
|
1,172 |
1,008 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
607 |
600 |
$2K |
| 85379 |
|
893 |
875 |
$1K |
| 0710 |
|
2,223 |
2,193 |
$1K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,149 |
911 |
$1K |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
213 |
205 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
131 |
131 |
$1K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,272 |
1,163 |
$1K |
| 84156 |
|
465 |
402 |
$980.30 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,190 |
1,105 |
$978.93 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
132 |
129 |
$958.89 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
755 |
659 |
$659.65 |
| 74019 |
|
12 |
12 |
$613.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
760 |
699 |
$556.77 |
| 73660 |
|
27 |
25 |
$534.98 |
| 82803 |
|
152 |
148 |
$511.36 |
| 85378 |
|
292 |
277 |
$421.44 |
| 86780 |
|
92 |
90 |
$402.07 |
| J1815 |
Injection, insulin, per 5 units |
749 |
344 |
$347.57 |
| 99070 |
|
25 |
12 |
$340.75 |
| 87205 |
|
313 |
287 |
$253.16 |
| C1769 |
Guide wire |
145 |
136 |
$253.05 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,108 |
1,001 |
$244.83 |
| 82550 |
|
367 |
346 |
$240.68 |
| 83615 |
|
203 |
168 |
$223.60 |
| 90715 |
|
57 |
57 |
$194.19 |
| J2785 |
Injection, regadenoson, 0.1 mg |
17 |
16 |
$185.28 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
193 |
191 |
$163.87 |
| 0636 |
|
29 |
27 |
$156.79 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
85 |
85 |
$149.06 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
223 |
221 |
$131.80 |
| 0370 |
|
2,034 |
2,007 |
$128.33 |
| J2060 |
Injection, lorazepam, 2 mg |
109 |
95 |
$123.42 |
| 73090 |
|
45 |
39 |
$119.84 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$113.78 |
| 85007 |
|
565 |
409 |
$103.83 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
241 |
215 |
$93.84 |
| 86803 |
|
13 |
12 |
$92.59 |
| 82140 |
|
13 |
12 |
$90.00 |
| 82150 |
|
12 |
12 |
$82.00 |
| 87081 |
|
40 |
39 |
$68.61 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
555 |
530 |
$66.96 |
| 82272 |
|
36 |
36 |
$61.00 |
| 87070 |
|
41 |
40 |
$52.58 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
410 |
396 |
$51.38 |
| 12001 |
|
39 |
38 |
$48.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
925 |
824 |
$46.49 |
| 90686 |
|
14 |
14 |
$31.92 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
73 |
68 |
$31.52 |
| J1644 |
Injection, heparin sodium, per 1000 units |
131 |
71 |
$30.18 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
14 |
12 |
$25.95 |
| 97162 |
|
27 |
27 |
$25.05 |
| 82728 |
|
18 |
16 |
$25.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$24.39 |
| J0137 |
Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg |
22 |
21 |
$23.46 |
| 72170 |
|
14 |
13 |
$22.95 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
15 |
12 |
$22.77 |
| 85018 |
|
27 |
25 |
$14.92 |
| J1953 |
Injection, levetiracetam, 10 mg |
17 |
13 |
$14.92 |
| 85014 |
|
27 |
25 |
$14.92 |
| 84550 |
|
12 |
12 |
$6.00 |
| 0258 |
|
476 |
398 |
$0.00 |
| 0990 |
|
124 |
124 |
$0.00 |
| 85008 |
|
43 |
40 |
$0.00 |
| V2632 |
Posterior chamber intraocular lens |
52 |
49 |
$0.00 |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
27 |
24 |
$0.00 |
| 80329 |
|
16 |
13 |
$0.00 |
| 88304 |
|
25 |
25 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
56 |
48 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 76376 |
|
188 |
188 |
$0.00 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
42 |
42 |
$0.00 |
| 89055 |
|
28 |
28 |
$0.00 |
| 96367 |
|
12 |
12 |
$0.00 |
| 0272 |
|
70 |
68 |
$0.00 |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
12 |
12 |
$0.00 |
| 76775 |
|
12 |
12 |
$0.00 |
| 90749 |
|
24 |
24 |
$0.00 |