| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,327 |
10,977 |
$1.46M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
10,953 |
10,365 |
$1.34M |
| 41899 |
Unlisted procedure, dentoalveolar structures |
1,050 |
1,046 |
$1.15M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
7,350 |
7,114 |
$914K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,336 |
3,268 |
$897K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
5,899 |
5,667 |
$725K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,340 |
2,284 |
$612K |
| 80053 |
Comprehensive metabolic panel |
31,995 |
29,152 |
$526K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
4,856 |
4,675 |
$369K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
618 |
617 |
$338K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
972 |
969 |
$336K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,953 |
1,408 |
$282K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
4,658 |
1,612 |
$276K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
931 |
919 |
$247K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,615 |
1,590 |
$209K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,161 |
4,731 |
$204K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
709 |
696 |
$198K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,023 |
2,023 |
$186K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
7,396 |
7,250 |
$166K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
5,426 |
5,397 |
$161K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
7,399 |
7,252 |
$157K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,344 |
2,289 |
$117K |
| 36415 |
Collection of venous blood by venipuncture |
26,258 |
22,481 |
$104K |
| 84443 |
Thyroid stimulating hormone (TSH) |
11,535 |
11,361 |
$95K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
487 |
477 |
$94K |
| 88142 |
|
3,600 |
3,599 |
$77K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
594 |
379 |
$76K |
| 80061 |
Lipid panel |
12,082 |
11,988 |
$76K |
| 12001 |
|
186 |
185 |
$74K |
| 76830 |
Ultrasound, transvaginal |
1,745 |
1,726 |
$69K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
35,708 |
32,247 |
$69K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,408 |
7,341 |
$68K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,331 |
2,293 |
$66K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,560 |
2,230 |
$64K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
179 |
179 |
$59K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,909 |
4,695 |
$56K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
2,578 |
2,523 |
$54K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
308 |
254 |
$53K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
677 |
674 |
$51K |
| 83880 |
|
1,593 |
1,510 |
$49K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,687 |
1,652 |
$48K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,693 |
1,688 |
$46K |
| 87088 |
|
7,955 |
7,480 |
$45K |
| 83655 |
|
3,549 |
3,538 |
$45K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
2,381 |
2,377 |
$43K |
| 82607 |
|
3,472 |
3,440 |
$42K |
| 86850 |
|
2,071 |
2,019 |
$39K |
| 87070 |
|
7,643 |
7,440 |
$38K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,065 |
2,609 |
$38K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
123 |
123 |
$37K |
| 84439 |
|
4,413 |
4,333 |
$37K |
| 82728 |
|
2,821 |
2,772 |
$35K |
| G0378 |
Hospital observation service, per hour |
660 |
605 |
$34K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
44 |
44 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
487 |
442 |
$33K |
| 71046 |
Radiologic examination, chest; 2 views |
4,745 |
4,657 |
$29K |
| 93971 |
|
531 |
516 |
$28K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
923 |
764 |
$28K |
| 84153 |
|
1,397 |
1,389 |
$26K |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
769 |
766 |
$26K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
290 |
286 |
$26K |
| 76801 |
|
534 |
513 |
$25K |
| 82746 |
|
2,046 |
2,031 |
$24K |
| 86901 |
|
1,309 |
1,255 |
$24K |
| 86803 |
|
2,413 |
2,405 |
$23K |
| 88342 |
|
351 |
351 |
$23K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
614 |
609 |
$22K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,006 |
2,006 |
$20K |
| 59025 |
Fetal non-stress test |
132 |
79 |
$19K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,705 |
3,535 |
$19K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,360 |
1,314 |
$18K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
558 |
539 |
$18K |
| 86900 |
|
1,317 |
1,263 |
$18K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
614 |
587 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
166 |
154 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
246 |
210 |
$17K |
| 70486 |
|
246 |
245 |
$17K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
5,250 |
4,697 |
$16K |
| 97162 |
|
182 |
182 |
$16K |
| 84702 |
|
2,597 |
2,174 |
$16K |
| 86762 |
|
1,110 |
1,102 |
$16K |
| 29125 |
|
78 |
78 |
$15K |
| 83540 |
|
3,171 |
3,104 |
$15K |
| 90715 |
|
523 |
523 |
$15K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
9,882 |
8,777 |
$14K |
| 82784 |
|
1,013 |
1,004 |
$14K |
| 87077 |
|
2,467 |
2,394 |
$14K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
500 |
490 |
$12K |
| 97161 |
|
154 |
154 |
$12K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
319 |
310 |
$12K |
| 29515 |
|
60 |
60 |
$12K |
| 11721 |
|
636 |
634 |
$11K |
| 85027 |
|
3,777 |
3,689 |
$11K |
| 81001 |
|
13,112 |
12,329 |
$11K |
| 81025 |
|
3,360 |
3,239 |
$11K |
| 87081 |
|
2,306 |
2,256 |
$10K |
| 71250 |
|
91 |
91 |
$10K |
| 72110 |
|
714 |
710 |
$10K |
| 83550 |
|
1,994 |
1,952 |
$10K |
| 87481 |
|
452 |
442 |
$9K |
| 86787 |
|
1,171 |
1,148 |
$9K |
| 80076 |
|
1,036 |
1,019 |
$9K |
| 86003 |
|
131 |
131 |
$9K |
| 94060 |
|
51 |
51 |
$9K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
150 |
46 |
$9K |
| 83735 |
|
6,081 |
5,171 |
$9K |
| V2632 |
Posterior chamber intraocular lens |
107 |
15 |
$9K |
| 71271 |
|
223 |
223 |
$9K |
| 86592 |
|
2,598 |
2,574 |
$8K |
| 86140 |
|
3,021 |
2,902 |
$8K |
| 87341 |
|
843 |
840 |
$8K |
| 86618 |
|
632 |
612 |
$8K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
26 |
26 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
244 |
241 |
$8K |
| 64483 |
|
12 |
12 |
$8K |
| 76536 |
|
361 |
361 |
$8K |
| 76770 |
|
100 |
99 |
$7K |
| 85610 |
|
3,747 |
3,124 |
$7K |
| 82043 |
|
1,367 |
1,358 |
$6K |
| 12002 |
|
15 |
15 |
$6K |
| 86038 |
|
1,274 |
1,204 |
$6K |
| 76642 |
|
216 |
214 |
$6K |
| 87428 |
|
516 |
504 |
$5K |
| 86777 |
|
371 |
367 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
15 |
15 |
$5K |
| 83970 |
|
139 |
137 |
$5K |
| 86617 |
|
294 |
171 |
$5K |
| 86778 |
|
372 |
370 |
$5K |
| 73630 |
|
1,443 |
1,424 |
$5K |
| 73221 |
|
13 |
13 |
$4K |
| 73562 |
|
994 |
983 |
$4K |
| 12011 |
|
13 |
13 |
$4K |
| 83690 |
|
5,863 |
5,520 |
$4K |
| 82570 |
|
900 |
864 |
$4K |
| 85652 |
|
2,816 |
2,731 |
$4K |
| 84703 |
|
3,663 |
3,528 |
$4K |
| 88304 |
|
107 |
107 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,211 |
1,511 |
$4K |
| 87807 |
|
646 |
641 |
$4K |
| 84402 |
|
142 |
141 |
$4K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
26 |
26 |
$4K |
| 87340 |
|
310 |
308 |
$3K |
| 82950 |
|
658 |
657 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,686 |
7,101 |
$3K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
12 |
12 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
5,206 |
4,971 |
$3K |
| 95806 |
|
68 |
68 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
97 |
51 |
$3K |
| 85007 |
|
2,573 |
2,474 |
$3K |
| 86376 |
|
189 |
186 |
$3K |
| 80069 |
|
301 |
264 |
$3K |
| 85730 |
|
1,820 |
1,753 |
$3K |
| 80306 |
|
1,228 |
1,198 |
$3K |
| 73610 |
|
1,151 |
1,137 |
$2K |
| 84450 |
|
460 |
447 |
$2K |
| 73030 |
|
617 |
609 |
$2K |
| 84460 |
|
459 |
446 |
$2K |
| 73130 |
|
925 |
918 |
$2K |
| 86665 |
|
98 |
59 |
$2K |
| 84484 |
|
6,811 |
5,695 |
$2K |
| 82550 |
|
2,825 |
2,709 |
$2K |
| 84436 |
|
365 |
360 |
$2K |
| 87205 |
|
951 |
898 |
$2K |
| 93242 |
|
12 |
12 |
$2K |
| 84403 |
|
66 |
65 |
$2K |
| 74019 |
|
260 |
255 |
$2K |
| 93880 |
|
14 |
12 |
$2K |
| 86431 |
|
351 |
319 |
$2K |
| 81003 |
|
1,379 |
1,359 |
$2K |
| 86235 |
|
86 |
80 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
5,497 |
5,265 |
$2K |
| 96367 |
|
41 |
38 |
$2K |
| 83002 |
|
87 |
87 |
$2K |
| 84560 |
|
363 |
358 |
$2K |
| 85379 |
|
2,003 |
1,967 |
$1K |
| 84481 |
|
170 |
168 |
$1K |
| 86255 |
|
106 |
103 |
$1K |
| 86480 |
|
25 |
25 |
$1K |
| 84146 |
|
56 |
56 |
$1K |
| 85014 |
|
595 |
582 |
$1K |
| 85018 |
|
583 |
571 |
$1K |
| 83001 |
|
56 |
56 |
$1K |
| 73110 |
|
429 |
424 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
783 |
706 |
$1K |
| 87046 |
|
258 |
253 |
$1K |
| 87040 |
|
2,475 |
1,632 |
$1K |
| 87177 |
|
204 |
198 |
$959.91 |
| 87045 |
|
258 |
253 |
$953.55 |
| 86403 |
|
2,108 |
2,073 |
$908.55 |
| 84156 |
|
276 |
258 |
$859.02 |
| 86666 |
|
51 |
38 |
$835.39 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,238 |
3,817 |
$820.27 |
| 86141 |
|
78 |
78 |
$802.12 |
| 86430 |
|
164 |
164 |
$780.80 |
| 86696 |
|
52 |
39 |
$757.30 |
| 81511 |
|
12 |
12 |
$750.80 |
| 82150 |
|
255 |
252 |
$738.92 |
| 76775 |
|
25 |
25 |
$714.48 |
| 0012A |
|
44 |
43 |
$697.36 |
| 0064A |
|
16 |
16 |
$686.80 |
| 86704 |
|
75 |
74 |
$678.39 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,048 |
1,035 |
$646.38 |
| 0011A |
|
46 |
45 |
$628.44 |
| 82553 |
|
1,424 |
1,377 |
$573.69 |
| 86706 |
|
52 |
52 |
$530.71 |
| 74018 |
|
222 |
219 |
$485.75 |
| 83605 |
|
1,967 |
1,743 |
$482.21 |
| 85651 |
|
360 |
353 |
$476.05 |
| 86160 |
|
28 |
28 |
$445.62 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
681 |
654 |
$430.90 |
| 86701 |
|
44 |
44 |
$424.71 |
| 86308 |
|
160 |
158 |
$377.55 |
| 88300 |
|
603 |
598 |
$344.79 |
| 90686 |
|
14 |
14 |
$315.97 |
| 83525 |
|
26 |
26 |
$311.09 |
| 90688 |
|
16 |
15 |
$286.79 |
| J2704 |
Injection, propofol, 10 mg |
4,137 |
4,052 |
$276.58 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,458 |
5,822 |
$241.91 |
| J3490 |
Unclassified drugs |
15 |
14 |
$228.47 |
| 82248 |
|
56 |
55 |
$227.85 |
| 82270 |
|
102 |
100 |
$218.81 |
| 94761 |
|
851 |
419 |
$210.00 |
| 87400 |
|
1,013 |
992 |
$199.32 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
734 |
676 |
$194.37 |
| 82465 |
|
39 |
39 |
$178.16 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
140 |
128 |
$176.17 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
18 |
18 |
$160.48 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
7,000 |
5,568 |
$156.80 |
| 87209 |
|
58 |
55 |
$152.10 |
| 82565 |
|
36 |
36 |
$144.18 |
| 80050 |
General health panel |
935 |
925 |
$141.51 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,390 |
1,258 |
$127.86 |
| 86708 |
|
12 |
12 |
$121.50 |
| 72050 |
|
12 |
12 |
$121.20 |
| 73502 |
|
24 |
24 |
$109.21 |
| 87324 |
|
59 |
59 |
$103.40 |
| 73080 |
|
43 |
43 |
$95.40 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
936 |
715 |
$83.85 |
| 84479 |
|
26 |
26 |
$83.25 |
| C9399 |
Unclassified drugs or biologicals |
387 |
386 |
$68.72 |
| 70360 |
|
12 |
12 |
$68.08 |
| 96376 |
|
1,266 |
912 |
$67.38 |
| 86694 |
|
12 |
12 |
$62.40 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
164 |
140 |
$61.73 |
| 83718 |
|
12 |
12 |
$60.36 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,082 |
1,940 |
$59.77 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
684 |
626 |
$52.18 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,348 |
3,085 |
$51.99 |
| 83615 |
|
54 |
53 |
$50.30 |
| 89055 |
|
31 |
30 |
$44.20 |
| 84520 |
|
12 |
12 |
$43.45 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
318 |
277 |
$41.22 |
| 73590 |
|
12 |
12 |
$36.00 |
| 94726 |
|
14 |
14 |
$33.98 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
561 |
481 |
$23.52 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
822 |
796 |
$22.69 |
| 73140 |
|
28 |
28 |
$18.20 |
| 82077 |
|
47 |
47 |
$17.27 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,067 |
962 |
$15.37 |
| J0744 |
Injection, ciprofloxacin for intravenous infusion, 200 mg |
33 |
25 |
$14.40 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,500 |
1,455 |
$14.39 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,027 |
951 |
$14.14 |
| 85384 |
|
43 |
43 |
$6.90 |
| J2060 |
Injection, lorazepam, 2 mg |
140 |
119 |
$5.80 |
| J7510 |
Prednisolone oral, per 5 mg |
179 |
119 |
$1.11 |
| C9113 |
Injection, pantoprazole sodium, per vial |
87 |
62 |
$1.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
13 |
13 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
52 |
51 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
23 |
13 |
$0.00 |
| 88312 |
|
61 |
61 |
$0.00 |
| A4649 |
Surgical supply; miscellaneous |
36 |
36 |
$0.00 |
| 80179 |
|
12 |
12 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
12 |
12 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
20 |
12 |
$0.00 |