| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,386 |
13,553 |
$4.06M |
| G0378 |
Hospital observation service, per hour |
1,952 |
1,755 |
$3.62M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13,168 |
12,257 |
$3.50M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,013 |
1,859 |
$291K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,361 |
3,290 |
$243K |
| 62323 |
|
425 |
404 |
$243K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,115 |
2,093 |
$223K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,077 |
1,056 |
$166K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
580 |
558 |
$111K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
413 |
399 |
$75K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
632 |
623 |
$57K |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
368 |
357 |
$52K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
732 |
724 |
$50K |
| 76830 |
Ultrasound, transvaginal |
827 |
818 |
$48K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
197 |
190 |
$48K |
| 99215 |
Prolong outpt/office vis |
452 |
445 |
$46K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
954 |
942 |
$42K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
136 |
132 |
$40K |
| 71046 |
Radiologic examination, chest; 2 views |
2,416 |
2,352 |
$36K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,713 |
6,099 |
$36K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
183 |
181 |
$36K |
| 76536 |
|
525 |
518 |
$35K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
593 |
566 |
$33K |
| 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 |
2,386 |
2,221 |
$33K |
| 71250 |
|
374 |
366 |
$26K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
106 |
103 |
$25K |
| 93975 |
|
251 |
247 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
423 |
416 |
$22K |
| 93017 |
|
321 |
316 |
$21K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
25 |
25 |
$18K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
280 |
272 |
$18K |
| 93970 |
|
186 |
183 |
$16K |
| 93000 |
|
789 |
763 |
$14K |
| 81025 |
|
512 |
488 |
$13K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
27 |
25 |
$11K |
| 76770 |
|
213 |
208 |
$11K |
| 72141 |
|
40 |
40 |
$11K |
| 76642 |
|
178 |
146 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
465 |
443 |
$8K |
| 99205 |
Prolong outpt/office vis |
76 |
76 |
$8K |
| 93976 |
|
87 |
79 |
$8K |
| 80053 |
Comprehensive metabolic panel |
3,314 |
2,869 |
$7K |
| 20610 |
|
12 |
12 |
$7K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
31 |
31 |
$7K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
205 |
160 |
$7K |
| 93296 |
|
361 |
343 |
$7K |
| 77080 |
|
142 |
141 |
$7K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,009 |
2,414 |
$6K |
| 73564 |
|
361 |
264 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
169 |
163 |
$6K |
| 93971 |
|
99 |
92 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
134 |
128 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
107 |
107 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,630 |
1,521 |
$5K |
| 94729 |
|
140 |
133 |
$5K |
| 76775 |
|
92 |
91 |
$5K |
| 72100 |
|
179 |
172 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,909 |
3,731 |
$5K |
| 94726 |
|
130 |
125 |
$4K |
| 0002A |
|
75 |
51 |
$4K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
579 |
342 |
$4K |
| 74178 |
|
14 |
13 |
$4K |
| 73221 |
|
14 |
14 |
$4K |
| 73030 |
|
237 |
204 |
$3K |
| 0003A |
|
171 |
149 |
$3K |
| 74246 |
|
66 |
66 |
$3K |
| 84703 |
|
3,417 |
3,223 |
$3K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
25 |
25 |
$3K |
| 0001A |
|
68 |
52 |
$3K |
| A9270 |
Non-covered item or service |
5,787 |
2,474 |
$3K |
| 72110 |
|
110 |
103 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,601 |
4,822 |
$3K |
| 94618 |
|
103 |
100 |
$3K |
| 94060 |
|
128 |
121 |
$3K |
| 77065 |
Tomosynthesis, mammo |
29 |
27 |
$2K |
| 73630 |
|
262 |
217 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
602 |
594 |
$2K |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
304 |
254 |
$2K |
| 85027 |
|
1,781 |
1,495 |
$2K |
| 84484 |
|
2,539 |
2,100 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
246 |
229 |
$2K |
| 73610 |
|
147 |
125 |
$2K |
| 73130 |
|
173 |
137 |
$2K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
41 |
40 |
$2K |
| 76376 |
|
287 |
281 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
693 |
638 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
260 |
245 |
$1K |
| 77066 |
Tomosynthesis, mammo |
14 |
14 |
$1K |
| 82803 |
|
205 |
193 |
$1K |
| 77002 |
|
90 |
88 |
$1K |
| 82248 |
|
187 |
178 |
$1K |
| 82247 |
|
163 |
155 |
$846.29 |
| 73502 |
|
44 |
43 |
$787.50 |
| 82948 |
|
1,684 |
1,220 |
$724.85 |
| 85730 |
|
588 |
522 |
$661.36 |
| 73523 |
|
17 |
12 |
$579.10 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
29 |
27 |
$572.93 |
| 80061 |
Lipid panel |
210 |
203 |
$572.91 |
| 81001 |
|
890 |
842 |
$568.68 |
| 86850 |
|
350 |
302 |
$553.89 |
| Q0092 |
Set-up portable x-ray equipment |
971 |
911 |
$544.29 |
| 93922 |
|
15 |
14 |
$539.45 |
| 73560 |
|
31 |
26 |
$537.41 |
| 85610 |
|
698 |
596 |
$522.08 |
| 83690 |
|
873 |
818 |
$500.94 |
| 83880 |
|
202 |
184 |
$463.65 |
| 83735 |
|
967 |
734 |
$443.86 |
| 81003 |
|
1,687 |
1,594 |
$443.27 |
| 80323 |
|
24 |
12 |
$409.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
64 |
64 |
$403.60 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
17 |
15 |
$400.10 |
| 95819 |
|
14 |
13 |
$360.54 |
| 97162 |
|
18 |
14 |
$296.56 |
| 86901 |
|
412 |
317 |
$286.66 |
| 86900 |
|
414 |
319 |
$283.21 |
| 85007 |
|
460 |
423 |
$274.06 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
212 |
202 |
$270.44 |
| 87070 |
|
249 |
230 |
$265.01 |
| 87040 |
|
163 |
148 |
$261.38 |
| 84702 |
|
116 |
106 |
$259.69 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
379 |
360 |
$237.95 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,151 |
1,745 |
$233.00 |
| 93041 |
|
45 |
43 |
$224.63 |
| 85379 |
|
357 |
320 |
$219.36 |
| 82962 |
|
118 |
116 |
$214.18 |
| J3490 |
Unclassified drugs |
2,364 |
1,328 |
$204.82 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,849 |
1,769 |
$203.38 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
89 |
61 |
$200.39 |
| 83605 |
|
289 |
258 |
$195.25 |
| 88342 |
|
27 |
26 |
$181.81 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
869 |
739 |
$177.40 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
189 |
176 |
$173.46 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
189 |
176 |
$173.46 |
| J2704 |
Injection, propofol, 10 mg |
2,250 |
2,155 |
$149.96 |
| 80367 |
|
14 |
13 |
$136.60 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,931 |
955 |
$121.68 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
433 |
419 |
$113.42 |
| Q3014 |
Telehealth originating site facility fee |
12 |
12 |
$111.72 |
| 87186 |
|
142 |
134 |
$109.35 |
| 93294 |
|
15 |
15 |
$87.30 |
| 93295 |
|
29 |
27 |
$85.59 |
| 84100 |
|
336 |
264 |
$82.82 |
| 86803 |
|
94 |
92 |
$80.88 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,216 |
2,077 |
$72.67 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,483 |
898 |
$67.37 |
| 82550 |
|
102 |
84 |
$67.07 |
| 80076 |
|
252 |
213 |
$66.40 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
960 |
677 |
$59.31 |
| 90714 |
|
12 |
12 |
$50.20 |
| 87077 |
|
131 |
125 |
$38.12 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$27.30 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,121 |
2,674 |
$24.06 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
73 |
73 |
$18.37 |
| 87400 |
|
44 |
43 |
$18.27 |
| 97116 |
|
27 |
19 |
$16.36 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,068 |
1,984 |
$15.60 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
99 |
95 |
$13.61 |
| 88304 |
|
30 |
26 |
$12.42 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,951 |
2,633 |
$11.88 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
802 |
554 |
$5.82 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
12 |
12 |
$5.79 |
| 94760 |
|
34 |
30 |
$4.04 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
427 |
354 |
$3.46 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
444 |
387 |
$2.29 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
632 |
392 |
$1.20 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
50 |
40 |
$0.56 |
| G9920 |
Screening performed and negative |
17 |
17 |
$0.01 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
84 |
58 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
652 |
638 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
61 |
60 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
305 |
180 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
266 |
222 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
33 |
32 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
835 |
470 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
41 |
31 |
$0.00 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
46 |
42 |
$0.00 |
| 0004A |
|
83 |
83 |
$0.00 |
| J1817 |
Insulin for administration through dme (i.e., insulin pump) per 50 units |
524 |
249 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
464 |
202 |
$0.00 |
| J1815 |
Injection, insulin, per 5 units |
506 |
213 |
$0.00 |
| 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 |
245 |
187 |
$0.00 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
285 |
269 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
53 |
51 |
$0.00 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
199 |
193 |
$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 |
173 |
108 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
274 |
259 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$0.00 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
50 |
50 |
$0.00 |
| J2471 |
Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg |
17 |
13 |
$0.00 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
83 |
74 |
$0.00 |
| J2785 |
Injection, regadenoson, 0.1 mg |
102 |
102 |
$0.00 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
31 |
13 |
$0.00 |
| 94761 |
|
25 |
25 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
13 |
13 |
$0.00 |
| 87205 |
|
13 |
13 |
$0.00 |