| Code | Description | Claims | Beneficiaries | Total Paid |
| 96361 |
Intravenous infusion, hydration; each additional hour |
14,793 |
12,971 |
$4.78M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
34,234 |
32,775 |
$4.57M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
29,010 |
26,816 |
$2.46M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
21,504 |
20,408 |
$2.21M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
8,446 |
8,029 |
$1.57M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
6,280 |
6,149 |
$761K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,728 |
3,595 |
$564K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
3,405 |
3,307 |
$459K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,661 |
3,462 |
$292K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
3,245 |
3,096 |
$274K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,456 |
1,417 |
$265K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,153 |
1,017 |
$254K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,702 |
1,642 |
$249K |
| 76830 |
Ultrasound, transvaginal |
2,745 |
2,667 |
$229K |
| 80053 |
Comprehensive metabolic panel |
47,023 |
42,449 |
$217K |
| 70496 |
|
1,114 |
1,090 |
$209K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,903 |
2,839 |
$195K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
6,081 |
4,912 |
$184K |
| 76642 |
|
1,949 |
1,853 |
$170K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
116 |
115 |
$157K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,155 |
4,984 |
$156K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,539 |
2,524 |
$110K |
| 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 |
1,305 |
1,253 |
$108K |
| 71046 |
Radiologic examination, chest; 2 views |
13,208 |
12,600 |
$100K |
| 59025 |
Fetal non-stress test |
642 |
506 |
$92K |
| 36415 |
Collection of venous blood by venipuncture |
32,305 |
29,990 |
$92K |
| 76770 |
|
765 |
753 |
$88K |
| 12001 |
|
394 |
388 |
$84K |
| 87400 |
|
6,156 |
3,211 |
$75K |
| 84443 |
Thyroid stimulating hormone (TSH) |
8,021 |
7,871 |
$74K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
52,155 |
46,674 |
$72K |
| 76801 |
|
1,697 |
1,584 |
$70K |
| 84484 |
|
15,280 |
11,916 |
$70K |
| 80061 |
Lipid panel |
9,697 |
9,588 |
$67K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
5,734 |
5,592 |
$66K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
231 |
226 |
$58K |
| D7140 |
Extraction, erupted tooth or exposed root |
27 |
26 |
$49K |
| 74018 |
|
1,988 |
1,942 |
$45K |
| 93971 |
|
487 |
471 |
$43K |
| 83605 |
|
6,719 |
6,027 |
$39K |
| 76536 |
|
427 |
424 |
$39K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
23,458 |
21,267 |
$37K |
| 73564 |
|
1,133 |
1,021 |
$37K |
| 73030 |
|
2,464 |
2,297 |
$37K |
| 73630 |
|
2,801 |
2,666 |
$35K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
301 |
286 |
$35K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
494 |
457 |
$35K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
5,756 |
5,614 |
$33K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
3,687 |
3,388 |
$32K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,353 |
6,270 |
$31K |
| 73610 |
|
2,534 |
2,394 |
$30K |
| 87040 |
|
4,547 |
2,631 |
$30K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
2,009 |
1,994 |
$29K |
| 77066 |
Tomosynthesis, mammo |
997 |
986 |
$29K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
6,119 |
5,546 |
$28K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,126 |
1,086 |
$26K |
| 73562 |
|
2,435 |
2,334 |
$25K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
140 |
138 |
$25K |
| 83880 |
|
3,982 |
3,704 |
$24K |
| 80050 |
General health panel |
3,379 |
3,349 |
$24K |
| 10060 |
|
114 |
113 |
$22K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
17,156 |
14,832 |
$22K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,533 |
2,518 |
$22K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
7,629 |
7,402 |
$22K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
939 |
875 |
$21K |
| 70498 |
|
1,121 |
1,096 |
$20K |
| 82728 |
|
2,538 |
2,500 |
$20K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
13 |
13 |
$20K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
183 |
181 |
$19K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
11,851 |
11,174 |
$18K |
| 72100 |
|
1,351 |
1,323 |
$18K |
| G0378 |
Hospital observation service, per hour |
2,331 |
1,165 |
$17K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
1,423 |
1,379 |
$17K |
| 87420 |
|
1,547 |
1,518 |
$17K |
| 73502 |
|
1,079 |
1,028 |
$17K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
20,791 |
16,744 |
$17K |
| 84439 |
|
2,612 |
2,556 |
$16K |
| 12011 |
|
64 |
64 |
$15K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,486 |
2,451 |
$15K |
| 85379 |
|
3,357 |
3,252 |
$15K |
| 82247 |
|
1,847 |
1,190 |
$15K |
| 73110 |
|
1,651 |
1,522 |
$15K |
| 76870 |
|
164 |
163 |
$14K |
| 73130 |
|
1,794 |
1,693 |
$13K |
| 87505 |
|
244 |
238 |
$13K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
353 |
347 |
$13K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,651 |
1,373 |
$13K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,382 |
1,341 |
$13K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
369 |
307 |
$13K |
| 84702 |
|
3,818 |
3,118 |
$13K |
| 87070 |
|
7,471 |
7,288 |
$12K |
| 87481 |
|
1,406 |
1,339 |
$12K |
| 70491 |
|
69 |
67 |
$12K |
| 77080 |
|
207 |
202 |
$11K |
| 36592 |
|
16,523 |
15,153 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
6,607 |
6,246 |
$10K |
| 87631 |
|
536 |
526 |
$10K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
2,440 |
2,414 |
$10K |
| 82607 |
|
1,319 |
1,291 |
$10K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
694 |
689 |
$10K |
| 83550 |
|
2,131 |
2,095 |
$10K |
| 86803 |
|
1,712 |
1,688 |
$9K |
| 70486 |
|
191 |
188 |
$9K |
| 82570 |
|
2,095 |
1,941 |
$9K |
| 90715 |
|
546 |
540 |
$9K |
| 87430 |
|
6,005 |
5,866 |
$9K |
| 86140 |
|
3,954 |
3,775 |
$8K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
1,233 |
1,218 |
$8K |
| 80143 |
|
2,165 |
2,035 |
$8K |
| 81001 |
|
19,776 |
18,422 |
$8K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
14 |
14 |
$8K |
| 83540 |
|
2,251 |
2,213 |
$8K |
| 85027 |
|
2,295 |
2,195 |
$7K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
738 |
575 |
$7K |
| 73140 |
|
634 |
597 |
$7K |
| 86780 |
|
1,029 |
1,021 |
$7K |
| 84703 |
|
14,347 |
13,275 |
$7K |
| 73560 |
|
326 |
305 |
$6K |
| 97802 |
|
87 |
84 |
$6K |
| 83690 |
|
13,499 |
12,303 |
$6K |
| 84145 |
|
709 |
688 |
$6K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
13,990 |
13,170 |
$6K |
| 87186 |
|
3,473 |
3,288 |
$6K |
| 82248 |
|
1,544 |
1,096 |
$6K |
| 80055 |
|
998 |
988 |
$6K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,796 |
2,723 |
$5K |
| 87149 |
|
1,111 |
987 |
$5K |
| 81003 |
|
11,888 |
11,341 |
$5K |
| 85652 |
|
2,781 |
2,677 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,606 |
4,682 |
$5K |
| 96376 |
|
4,920 |
3,870 |
$5K |
| 73080 |
|
368 |
352 |
$5K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
75 |
74 |
$4K |
| 86003 |
|
638 |
337 |
$4K |
| 80179 |
|
2,138 |
2,024 |
$4K |
| 87205 |
|
4,333 |
4,200 |
$4K |
| 83735 |
|
4,219 |
3,831 |
$4K |
| 82784 |
|
419 |
399 |
$4K |
| 97803 |
|
57 |
55 |
$3K |
| 82105 |
|
351 |
350 |
$3K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
31 |
29 |
$3K |
| 82043 |
|
1,257 |
1,248 |
$3K |
| 82950 |
|
872 |
867 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
13 |
$3K |
| 87808 |
|
2,589 |
2,540 |
$3K |
| 84153 |
|
353 |
347 |
$3K |
| 80076 |
|
509 |
487 |
$3K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
40 |
40 |
$2K |
| 82746 |
|
551 |
535 |
$2K |
| 85610 |
|
3,061 |
2,781 |
$2K |
| 77065 |
Tomosynthesis, mammo |
85 |
85 |
$2K |
| 73590 |
|
389 |
368 |
$2K |
| 87077 |
|
2,168 |
2,046 |
$2K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
7,503 |
6,357 |
$2K |
| 84550 |
|
847 |
818 |
$2K |
| 86364 |
|
256 |
253 |
$2K |
| 81025 |
|
3,765 |
3,671 |
$2K |
| 87081 |
|
770 |
765 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
14,552 |
12,957 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12,584 |
11,713 |
$2K |
| 36416 |
|
4,988 |
4,179 |
$2K |
| J2704 |
Injection, propofol, 10 mg |
3,570 |
3,450 |
$2K |
| 85014 |
|
515 |
490 |
$2K |
| 12002 |
|
12 |
12 |
$1K |
| 84146 |
|
121 |
117 |
$1K |
| 82550 |
|
1,056 |
978 |
$1K |
| 86480 |
|
68 |
68 |
$1K |
| 84403 |
|
127 |
126 |
$1K |
| 83001 |
|
127 |
125 |
$1K |
| 82785 |
|
114 |
113 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
4,998 |
4,507 |
$967.46 |
| 84156 |
|
368 |
325 |
$923.96 |
| 83520 |
|
133 |
98 |
$923.10 |
| 72131 |
|
44 |
43 |
$916.33 |
| 73090 |
|
256 |
241 |
$901.34 |
| D1120 |
Prophylaxis - child |
274 |
271 |
$876.02 |
| 82962 |
|
2,084 |
1,252 |
$870.18 |
| D1206 |
Topical application of fluoride varnish |
265 |
262 |
$858.75 |
| 85730 |
|
1,536 |
1,477 |
$858.09 |
| 80074 |
|
130 |
130 |
$779.18 |
| 86900 |
|
1,151 |
1,117 |
$756.20 |
| 71101 |
|
101 |
100 |
$750.99 |
| 80305 |
|
475 |
459 |
$715.34 |
| 84100 |
|
419 |
361 |
$700.60 |
| 87510 |
|
52 |
49 |
$688.97 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
326 |
309 |
$687.32 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
4,249 |
3,934 |
$664.68 |
| 83970 |
|
29 |
28 |
$651.22 |
| 82947 |
|
266 |
265 |
$646.50 |
| 86850 |
|
633 |
617 |
$632.17 |
| 71250 |
|
17 |
17 |
$579.83 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
789 |
767 |
$554.08 |
| 84460 |
|
221 |
218 |
$484.07 |
| 84450 |
|
190 |
188 |
$461.65 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
100 |
98 |
$453.98 |
| 87660 |
|
52 |
49 |
$436.50 |
| 86901 |
|
1,427 |
1,362 |
$420.63 |
| 72040 |
|
37 |
36 |
$408.26 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
4,355 |
4,077 |
$404.15 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
2,318 |
1,890 |
$372.00 |
| 82077 |
|
2,462 |
2,198 |
$330.07 |
| 86706 |
|
64 |
63 |
$323.02 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
5,350 |
4,631 |
$305.85 |
| 87340 |
|
67 |
65 |
$278.88 |
| 82330 |
|
59 |
58 |
$268.17 |
| 87480 |
|
52 |
49 |
$256.18 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
1,906 |
1,482 |
$246.34 |
| D1351 |
Sealant - per tooth |
26 |
25 |
$245.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
5,088 |
4,937 |
$212.72 |
| 83002 |
|
17 |
17 |
$210.15 |
| 84481 |
|
36 |
36 |
$193.58 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,863 |
3,636 |
$190.35 |
| 82010 |
|
575 |
514 |
$186.66 |
| 86039 |
|
33 |
32 |
$161.77 |
| 86308 |
|
75 |
74 |
$161.73 |
| 99152 |
|
83 |
80 |
$150.48 |
| 83655 |
|
13 |
13 |
$140.38 |
| 88304 |
|
99 |
89 |
$131.96 |
| 87493 |
|
17 |
16 |
$128.46 |
| 83993 |
|
13 |
13 |
$125.76 |
| 86665 |
|
24 |
12 |
$122.64 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
1,218 |
1,118 |
$119.14 |
| 73660 |
|
13 |
12 |
$113.27 |
| 82274 |
|
14 |
14 |
$112.55 |
| 96367 |
|
29 |
29 |
$111.11 |
| 82951 |
|
14 |
14 |
$109.86 |
| A4649 |
Surgical supply; miscellaneous |
962 |
910 |
$102.82 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
934 |
898 |
$96.45 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
535 |
530 |
$93.42 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
535 |
524 |
$90.45 |
| 74022 |
|
12 |
12 |
$84.30 |
| J1815 |
Injection, insulin, per 5 units |
962 |
446 |
$74.25 |
| 84425 |
|
13 |
13 |
$64.71 |
| 87338 |
|
12 |
12 |
$64.70 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
1,755 |
1,221 |
$60.26 |
| J2060 |
Injection, lorazepam, 2 mg |
1,313 |
1,165 |
$58.98 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,238 |
2,167 |
$55.01 |
| 85018 |
|
56 |
49 |
$49.16 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
414 |
353 |
$47.15 |
| 82952 |
|
14 |
14 |
$44.13 |
| 87634 |
|
65 |
65 |
$43.24 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
761 |
689 |
$34.86 |
| 87184 |
|
26 |
25 |
$27.24 |
| J1630 |
Injection, haloperidol, up to 5 mg |
275 |
218 |
$14.34 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
176 |
167 |
$3.12 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
179 |
173 |
$2.67 |
| A4648 |
Tissue marker, implantable, any type, each |
16 |
15 |
$2.36 |
| J1790 |
Injection, droperidol, up to 5 mg |
134 |
122 |
$2.29 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
240 |
113 |
$0.83 |
| J1644 |
Injection, heparin sodium, per 1000 units |
167 |
94 |
$0.27 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
25 |
25 |
$0.23 |
| A4351 |
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each |
1,070 |
1,048 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
114 |
107 |
$0.00 |
| J3360 |
Injection, diazepam, up to 5 mg |
79 |
75 |
$0.00 |
| J1836 |
Injection, metronidazole, 10 mg |
23 |
16 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
14 |
14 |
$0.00 |
| J3480 |
Injection, potassium chloride, per 2 meq |
73 |
60 |
$0.00 |
| J3490 |
Unclassified drugs |
38 |
38 |
$0.00 |
| 86769 |
|
16 |
15 |
$0.00 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
18 |
12 |
$0.00 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
20 |
14 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
15 |
12 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
5,943 |
5,261 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
43 |
37 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
140 |
130 |
$0.00 |
| 82805 |
|
108 |
89 |
$0.00 |
| 0225U |
|
159 |
159 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
461 |
238 |
$0.00 |
| 77062 |
|
168 |
167 |
$0.00 |
| 29125 |
|
12 |
12 |
$0.00 |
| J2004 |
Injection, lidocaine hcl with epinephrine, 1 mg |
37 |
37 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
32 |
32 |
$0.00 |
| J0670 |
Injection, mepivacaine hydrochloride, per 10 ml |
26 |
25 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
26 |
25 |
$0.00 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
15 |
15 |
$0.00 |