| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
98,218 |
87,032 |
$6.41M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
6,142 |
5,963 |
$1.45M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
16,928 |
15,363 |
$1.28M |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,126 |
5,980 |
$1.11M |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
4,123 |
4,038 |
$867K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
4,015 |
3,930 |
$820K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
12,629 |
11,035 |
$661K |
| 80053 |
Comprehensive metabolic panel |
52,410 |
46,957 |
$598K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
17,335 |
16,045 |
$579K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
61,927 |
54,973 |
$517K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
5,492 |
4,866 |
$487K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
6,790 |
6,564 |
$452K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
5,552 |
5,142 |
$415K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,739 |
1,723 |
$392K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,541 |
3,460 |
$388K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,374 |
1,628 |
$381K |
| 0450 |
Emergency room services |
8,118 |
7,418 |
$329K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,428 |
1,397 |
$308K |
| 71046 |
Radiologic examination, chest; 2 views |
12,444 |
12,079 |
$279K |
| 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 |
3,383 |
3,325 |
$275K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
7,056 |
6,538 |
$270K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
5,578 |
5,564 |
$263K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,080 |
2,065 |
$237K |
| 84443 |
Thyroid stimulating hormone (TSH) |
11,552 |
11,361 |
$236K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,284 |
2,233 |
$230K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
469 |
439 |
$220K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
2,648 |
2,542 |
$214K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
700 |
696 |
$193K |
| 84484 |
|
15,953 |
12,423 |
$173K |
| Z7502 |
|
4,306 |
4,214 |
$160K |
| 80061 |
Lipid panel |
9,320 |
9,287 |
$157K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,916 |
1,899 |
$154K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,037 |
1,989 |
$145K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
14,971 |
13,395 |
$136K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
966 |
965 |
$135K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
10,876 |
10,822 |
$131K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,405 |
2,357 |
$130K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,402 |
2,354 |
$130K |
| 71250 |
|
586 |
582 |
$129K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
11,559 |
10,995 |
$128K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,319 |
1,313 |
$123K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,463 |
2,040 |
$122K |
| 81025 |
|
14,640 |
13,810 |
$112K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
16,394 |
8,737 |
$110K |
| 83690 |
|
15,009 |
13,609 |
$109K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
196 |
194 |
$107K |
| 76801 |
|
1,473 |
1,364 |
$103K |
| 71045 |
Radiologic examination, chest; single view |
8,489 |
8,017 |
$99K |
| 99199 |
Unlisted special service, procedure or report |
1,003 |
790 |
$96K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,148 |
2,129 |
$95K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
74,550 |
43,203 |
$94K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
177 |
177 |
$93K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
2,896 |
2,834 |
$89K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
9,622 |
9,047 |
$87K |
| 81001 |
|
24,856 |
23,279 |
$86K |
| 70496 |
|
370 |
367 |
$81K |
| 93971 |
|
627 |
610 |
$79K |
| 73610 |
|
2,245 |
2,142 |
$73K |
| 73630 |
|
2,406 |
2,310 |
$70K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
10,988 |
9,796 |
$70K |
| 59025 |
Fetal non-stress test |
1,479 |
468 |
$64K |
| 73030 |
|
2,080 |
2,018 |
$64K |
| 73564 |
|
1,820 |
1,750 |
$64K |
| 83880 |
|
2,371 |
2,216 |
$59K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,291 |
1,158 |
$58K |
| 87040 |
|
4,068 |
2,417 |
$57K |
| 72131 |
|
276 |
273 |
$56K |
| 73130 |
|
1,687 |
1,620 |
$54K |
| 70498 |
|
415 |
411 |
$51K |
| 82077 |
|
1,884 |
1,724 |
$49K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
5,509 |
4,690 |
$49K |
| 90715 |
|
1,366 |
1,364 |
$48K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,753 |
4,575 |
$46K |
| Z9725 |
|
1,083 |
1,073 |
$46K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
273 |
270 |
$45K |
| 84702 |
|
2,678 |
2,122 |
$45K |
| 87186 |
|
3,702 |
3,463 |
$45K |
| 73110 |
|
1,405 |
1,312 |
$44K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,743 |
1,632 |
$42K |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
1,713 |
1,690 |
$42K |
| 81003 |
|
15,935 |
13,229 |
$41K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
3,995 |
3,510 |
$41K |
| 82803 |
|
1,401 |
1,224 |
$38K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
425 |
280 |
$37K |
| 83735 |
|
5,505 |
4,922 |
$37K |
| 80074 |
|
474 |
470 |
$36K |
| 87480 |
|
1,445 |
1,424 |
$36K |
| 87510 |
|
1,445 |
1,424 |
$36K |
| 80143 |
|
1,188 |
1,063 |
$35K |
| 73562 |
|
1,175 |
1,122 |
$34K |
| 87077 |
|
3,322 |
3,012 |
$33K |
| 83605 |
|
3,247 |
2,600 |
$33K |
| 86850 |
|
3,193 |
3,104 |
$33K |
| 86762 |
|
1,423 |
1,406 |
$33K |
| 80179 |
|
1,158 |
1,059 |
$32K |
| 74018 |
|
1,357 |
1,293 |
$31K |
| 87660 |
|
1,419 |
1,403 |
$31K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
3,264 |
2,551 |
$29K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,632 |
3,417 |
$29K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
756 |
755 |
$29K |
| 86803 |
|
1,237 |
1,233 |
$28K |
| 85610 |
|
6,311 |
5,582 |
$26K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,632 |
1,511 |
$26K |
| 72100 |
|
742 |
740 |
$26K |
| 85379 |
|
2,292 |
2,255 |
$25K |
| 86481 |
|
218 |
214 |
$23K |
| 87420 |
|
1,495 |
1,438 |
$23K |
| 84439 |
|
1,996 |
1,966 |
$22K |
| 76830 |
Ultrasound, transvaginal |
234 |
233 |
$21K |
| 86592 |
|
2,814 |
2,770 |
$19K |
| 73221 |
|
44 |
43 |
$19K |
| J3490 |
Unclassified drugs |
1,167 |
717 |
$18K |
| 0001A |
|
460 |
460 |
$18K |
| 87340 |
|
1,097 |
1,085 |
$18K |
| 0002A |
|
427 |
427 |
$17K |
| 73140 |
|
767 |
733 |
$17K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,433 |
2,135 |
$16K |
| 87400 |
|
3,313 |
3,211 |
$16K |
| 87430 |
|
1,359 |
1,335 |
$16K |
| 84481 |
|
548 |
547 |
$16K |
| 85730 |
|
2,536 |
2,448 |
$16K |
| 87081 |
|
1,524 |
1,510 |
$16K |
| 86140 |
|
2,578 |
2,484 |
$15K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,785 |
1,739 |
$15K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
2,133 |
1,962 |
$14K |
| 73080 |
|
439 |
426 |
$14K |
| 0270 |
|
1,840 |
1,265 |
$13K |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
1,205 |
1,031 |
$13K |
| 83655 |
|
1,976 |
1,971 |
$13K |
| 82947 |
|
3,049 |
2,765 |
$12K |
| 84703 |
|
1,345 |
1,310 |
$12K |
| 73502 |
|
394 |
382 |
$11K |
| 70486 |
|
41 |
40 |
$11K |
| 86901 |
|
3,229 |
3,070 |
$11K |
| 86900 |
|
3,190 |
2,768 |
$11K |
| 0012A |
|
255 |
255 |
$10K |
| 0011A |
|
250 |
250 |
$10K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
58 |
57 |
$9K |
| 76642 |
|
119 |
118 |
$9K |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,249 |
1,086 |
$9K |
| 85651 |
|
1,960 |
1,875 |
$9K |
| J2060 |
Injection, lorazepam, 2 mg |
1,262 |
1,088 |
$9K |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
1,010 |
900 |
$9K |
| 84550 |
|
1,383 |
1,339 |
$7K |
| 96367 |
|
167 |
163 |
$7K |
| 80055 |
|
130 |
130 |
$7K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
750 |
684 |
$7K |
| J1815 |
Injection, insulin, per 5 units |
545 |
354 |
$7K |
| 72110 |
|
109 |
109 |
$7K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
211 |
211 |
$6K |
| 82550 |
|
1,108 |
1,019 |
$6K |
| 87088 |
|
616 |
596 |
$6K |
| 82607 |
|
232 |
231 |
$6K |
| 82553 |
|
662 |
597 |
$6K |
| 82043 |
|
697 |
692 |
$6K |
| 80081 |
|
63 |
63 |
$5K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
147 |
143 |
$5K |
| 82247 |
|
778 |
541 |
$5K |
| 72040 |
|
144 |
144 |
$5K |
| 0250 |
|
302 |
196 |
$5K |
| 83540 |
|
447 |
440 |
$5K |
| 84144 |
|
125 |
123 |
$4K |
| 82746 |
|
221 |
221 |
$4K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
93 |
93 |
$4K |
| Z7610 |
|
436 |
259 |
$4K |
| 83550 |
|
278 |
274 |
$4K |
| 82570 |
|
603 |
567 |
$4K |
| 0071A |
|
98 |
98 |
$4K |
| 73590 |
|
138 |
136 |
$4K |
| 73090 |
|
133 |
128 |
$4K |
| 82950 |
|
610 |
609 |
$3K |
| 82728 |
|
152 |
152 |
$3K |
| 87634 |
|
36 |
29 |
$3K |
| 96376 |
|
113 |
95 |
$3K |
| 87070 |
|
213 |
211 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
43 |
26 |
$3K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
485 |
432 |
$3K |
| 86735 |
|
125 |
124 |
$3K |
| 82670 |
|
56 |
55 |
$3K |
| 86765 |
|
124 |
124 |
$3K |
| 0064A |
|
65 |
65 |
$3K |
| 0072A |
|
65 |
65 |
$3K |
| 86003 |
|
27 |
14 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
29 |
26 |
$2K |
| 82248 |
|
386 |
320 |
$2K |
| 76870 |
|
25 |
24 |
$2K |
| 80076 |
|
231 |
224 |
$2K |
| 94644 |
|
120 |
115 |
$2K |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$2K |
| 76770 |
|
24 |
24 |
$2K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
177 |
175 |
$2K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
267 |
267 |
$2K |
| 84403 |
|
82 |
80 |
$2K |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
168 |
164 |
$2K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
50 |
49 |
$2K |
| 87147 |
|
223 |
152 |
$2K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
42 |
41 |
$2K |
| 86038 |
|
70 |
65 |
$1K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
43 |
43 |
$1K |
| 86706 |
|
70 |
70 |
$1K |
| 85018 |
|
431 |
428 |
$1K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
61 |
41 |
$1K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
24 |
24 |
$1K |
| 76536 |
|
12 |
12 |
$1K |
| 85014 |
|
334 |
330 |
$853.27 |
| 83970 |
|
12 |
12 |
$842.16 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
123 |
103 |
$810.47 |
| 83001 |
|
25 |
25 |
$784.48 |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
34 |
30 |
$779.22 |
| J1940 |
Injection, furosemide, up to 20 mg |
114 |
94 |
$716.79 |
| 82009 |
|
168 |
139 |
$641.91 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
148 |
100 |
$625.76 |
| 83002 |
|
14 |
14 |
$435.47 |
| 84100 |
|
78 |
67 |
$420.46 |
| 84153 |
|
12 |
12 |
$406.39 |
| 82270 |
|
71 |
70 |
$399.32 |
| 84270 |
|
12 |
12 |
$346.96 |
| 71020 |
|
25 |
14 |
$324.60 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
16 |
14 |
$296.98 |
| 86787 |
|
17 |
17 |
$272.71 |
| J0500 |
Injection, dicyclomine hcl, up to 20 mg |
15 |
14 |
$267.17 |
| 85027 |
|
32 |
32 |
$228.80 |
| 87045 |
|
12 |
12 |
$208.65 |
| 36415 |
Collection of venous blood by venipuncture |
1,972 |
1,788 |
$197.40 |
| 82951 |
|
12 |
12 |
$192.50 |
| 87427 |
|
12 |
12 |
$179.88 |
| J2471 |
Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg |
39 |
38 |
$166.62 |
| 87015 |
|
12 |
12 |
$136.32 |
| 87046 |
|
24 |
12 |
$110.99 |
| 86430 |
|
12 |
12 |
$100.20 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
21 |
15 |
$90.67 |
| 87205 |
|
15 |
12 |
$79.14 |
| 85007 |
|
13 |
13 |
$62.04 |
| 82952 |
|
12 |
12 |
$58.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$38.18 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
116 |
107 |
$36.88 |
| 96379 |
|
16 |
12 |
$6.00 |
| 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 |
25 |
25 |
$0.45 |