| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
20,178 |
19,985 |
$4.77M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
9,052 |
8,989 |
$2.99M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,779 |
14,671 |
$2.37M |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
398 |
398 |
$1.42M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,280 |
7,188 |
$870K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
936 |
935 |
$678K |
| 87631 |
|
3,923 |
3,915 |
$495K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
2,731 |
1,726 |
$466K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
7,723 |
6,538 |
$342K |
| D9999 |
Unspecified adjunctive procedure, by report |
342 |
342 |
$291K |
| 80053 |
Comprehensive metabolic panel |
21,296 |
20,260 |
$261K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
5,188 |
5,013 |
$251K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
24,222 |
22,910 |
$163K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
423 |
423 |
$157K |
| J0897 |
Injection, denosumab, 1 mg |
124 |
118 |
$149K |
| 71045 |
Radiologic examination, chest; single view |
9,616 |
9,535 |
$113K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
581 |
578 |
$96K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
12,501 |
10,997 |
$83K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
351 |
189 |
$70K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
731 |
725 |
$55K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,153 |
1,150 |
$52K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
117 |
116 |
$51K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
65 |
65 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
739 |
666 |
$48K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
385 |
371 |
$44K |
| 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 |
618 |
618 |
$43K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
774 |
717 |
$41K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,774 |
6,664 |
$40K |
| 81001 |
|
10,375 |
10,028 |
$32K |
| 36415 |
Collection of venous blood by venipuncture |
5,990 |
5,042 |
$26K |
| 84703 |
|
4,031 |
3,982 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
975 |
864 |
$22K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
271 |
270 |
$21K |
| 42830 |
|
12 |
12 |
$20K |
| 84484 |
|
1,770 |
1,479 |
$19K |
| 96523 |
|
365 |
313 |
$19K |
| 83690 |
|
2,565 |
2,543 |
$15K |
| 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 |
618 |
618 |
$14K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
189 |
189 |
$14K |
| 43249 |
|
12 |
12 |
$12K |
| 83735 |
|
1,923 |
1,418 |
$11K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
184 |
183 |
$9K |
| 83605 |
|
888 |
802 |
$9K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
150 |
150 |
$9K |
| 88300 |
|
403 |
403 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
82 |
82 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
112 |
111 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
62 |
62 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
772 |
765 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
72 |
64 |
$4K |
| 96417 |
|
57 |
36 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
161 |
161 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66 |
65 |
$2K |
| 81025 |
|
323 |
319 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
15 |
15 |
$2K |
| 83880 |
|
42 |
41 |
$1K |
| 87807 |
|
108 |
107 |
$1K |
| 87077 |
|
202 |
202 |
$1K |
| 85027 |
|
192 |
183 |
$1K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,065 |
1,049 |
$993.81 |
| 84443 |
Thyroid stimulating hormone (TSH) |
68 |
65 |
$972.60 |
| 96401 |
|
26 |
25 |
$792.72 |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
80 |
52 |
$754.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
51 |
$720.30 |
| 82728 |
|
58 |
57 |
$657.54 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
13 |
$625.80 |
| 84466 |
|
58 |
57 |
$615.78 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,593 |
1,585 |
$589.33 |
| 86780 |
|
50 |
50 |
$589.00 |
| 86850 |
|
71 |
64 |
$543.27 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
17 |
17 |
$530.57 |
| 87486 |
|
17 |
17 |
$530.57 |
| 87581 |
|
17 |
17 |
$530.57 |
| 85007 |
|
159 |
155 |
$507.40 |
| 81003 |
|
211 |
207 |
$456.27 |
| 87070 |
|
56 |
56 |
$427.11 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
28 |
26 |
$349.01 |
| 83540 |
|
58 |
57 |
$311.95 |
| 94060 |
|
13 |
13 |
$270.07 |
| 73630 |
|
14 |
12 |
$264.13 |
| 87081 |
|
33 |
33 |
$222.09 |
| 86900 |
|
84 |
77 |
$198.87 |
| 94761 |
|
6,237 |
6,175 |
$185.22 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
25 |
25 |
$172.32 |
| 86901 |
|
71 |
64 |
$161.85 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
27 |
27 |
$154.38 |
| 82950 |
|
12 |
12 |
$46.53 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
149 |
149 |
$4.45 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
298 |
210 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
73 |
69 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
41 |
41 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
569 |
465 |
$0.00 |
| C1889 |
Implantable/insertable device, not otherwise classified |
134 |
134 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
18 |
14 |
$0.00 |