| Code | Description | Claims | Beneficiaries | Total Paid |
| 96361 |
Intravenous infusion, hydration; each additional hour |
13,002 |
11,336 |
$4.67M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
25,372 |
22,843 |
$4.51M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
23,068 |
21,560 |
$3.40M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
20,930 |
19,301 |
$3.14M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
31,357 |
9,662 |
$1.67M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
6,049 |
5,745 |
$935K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
7,488 |
7,088 |
$868K |
| S9485 |
Crisis intervention mental health services, per diem |
1,490 |
889 |
$728K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,131 |
4,938 |
$721K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,643 |
4,260 |
$500K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
3,726 |
3,472 |
$408K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
6,411 |
5,824 |
$389K |
| G0378 |
Hospital observation service, per hour |
3,686 |
2,989 |
$346K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,838 |
2,497 |
$307K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
15,747 |
5,741 |
$288K |
| 97161 |
|
4,589 |
4,438 |
$261K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,863 |
3,804 |
$243K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,838 |
4,405 |
$231K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,599 |
1,532 |
$216K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
39,144 |
31,568 |
$175K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,115 |
1,081 |
$147K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,511 |
1,451 |
$141K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
8,339 |
7,524 |
$136K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,401 |
1,326 |
$127K |
| 71046 |
Radiologic examination, chest; 2 views |
11,388 |
10,613 |
$110K |
| 93975 |
|
933 |
904 |
$96K |
| 84484 |
|
14,567 |
9,448 |
$90K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,317 |
1,006 |
$70K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
465 |
447 |
$70K |
| ATP14 |
|
7,521 |
6,306 |
$66K |
| ATP08 |
|
9,010 |
7,279 |
$64K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,879 |
3,823 |
$62K |
| 0001A |
|
2,323 |
1,468 |
$61K |
| 0002A |
|
2,186 |
1,358 |
$58K |
| 70496 |
|
432 |
400 |
$55K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
24,338 |
19,434 |
$52K |
| 76830 |
Ultrasound, transvaginal |
861 |
837 |
$50K |
| 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 |
3,074 |
2,841 |
$49K |
| 80053 |
Comprehensive metabolic panel |
18,444 |
15,689 |
$49K |
| 81025 |
|
7,093 |
6,662 |
$48K |
| 83690 |
|
9,614 |
8,663 |
$47K |
| 83735 |
|
11,178 |
8,967 |
$43K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
13,200 |
12,105 |
$42K |
| 93971 |
|
252 |
236 |
$41K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,165 |
1,053 |
$40K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,083 |
2,993 |
$38K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,371 |
1,325 |
$35K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,370 |
1,324 |
$35K |
| 76770 |
|
213 |
205 |
$32K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
495 |
483 |
$31K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
5,722 |
5,337 |
$31K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,626 |
862 |
$26K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
903 |
803 |
$26K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,242 |
3,090 |
$24K |
| 84703 |
|
4,164 |
3,947 |
$24K |
| 76642 |
|
400 |
334 |
$23K |
| 81001 |
|
10,253 |
9,506 |
$23K |
| 87631 |
|
201 |
196 |
$21K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
17,045 |
14,609 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,997 |
2,555 |
$18K |
| ATP15 |
|
2,418 |
1,857 |
$17K |
| 83605 |
|
2,652 |
2,016 |
$16K |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
2,079 |
1,202 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
43,983 |
32,897 |
$16K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
27 |
27 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
4,394 |
4,050 |
$15K |
| 87088 |
|
2,642 |
2,484 |
$15K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
8,069 |
7,336 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,093 |
636 |
$15K |
| 0012A |
|
580 |
427 |
$14K |
| 87081 |
|
2,531 |
2,444 |
$14K |
| 83880 |
|
871 |
801 |
$13K |
| 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 |
214 |
208 |
$13K |
| 87040 |
|
2,203 |
1,097 |
$13K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,934 |
2,613 |
$12K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
968 |
940 |
$12K |
| 93017 |
|
155 |
148 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,753 |
2,620 |
$12K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,157 |
1,018 |
$11K |
| 0011A |
|
532 |
396 |
$11K |
| 82962 |
|
7,927 |
3,267 |
$11K |
| 85027 |
|
3,501 |
2,937 |
$10K |
| 84702 |
|
855 |
735 |
$10K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
9,408 |
8,675 |
$10K |
| 81003 |
|
6,234 |
5,887 |
$10K |
| 85379 |
|
1,377 |
1,305 |
$10K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
9,332 |
7,656 |
$9K |
| 73630 |
|
1,281 |
1,158 |
$9K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
85 |
81 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,422 |
1,281 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
90 |
85 |
$8K |
| 70498 |
|
423 |
396 |
$8K |
| 85610 |
|
3,849 |
2,786 |
$8K |
| J1790 |
Injection, droperidol, up to 5 mg |
430 |
379 |
$7K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
375 |
281 |
$6K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
9,449 |
7,995 |
$6K |
| 80061 |
Lipid panel |
3,300 |
3,173 |
$6K |
| 73130 |
|
608 |
529 |
$5K |
| 97162 |
|
80 |
79 |
$5K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
13 |
12 |
$5K |
| 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 |
1,666 |
1,530 |
$5K |
| 73030 |
|
602 |
549 |
$5K |
| 87077 |
|
955 |
904 |
$5K |
| 72100 |
|
313 |
302 |
$5K |
| 71250 |
|
186 |
174 |
$4K |
| 87186 |
|
740 |
694 |
$4K |
| 73610 |
|
983 |
914 |
$4K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,575 |
1,442 |
$4K |
| J2060 |
Injection, lorazepam, 2 mg |
1,015 |
799 |
$4K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
15 |
15 |
$4K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
4,042 |
3,088 |
$4K |
| 86850 |
|
651 |
621 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,737 |
1,973 |
$4K |
| 80050 |
General health panel |
192 |
187 |
$3K |
| 87210 |
|
461 |
419 |
$3K |
| 86803 |
|
435 |
418 |
$3K |
| 76641 |
|
45 |
26 |
$3K |
| 12001 |
|
12 |
12 |
$3K |
| 73110 |
|
293 |
269 |
$3K |
| 97014 |
|
55 |
27 |
$2K |
| 82607 |
|
405 |
378 |
$2K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
13 |
13 |
$2K |
| 76882 |
|
13 |
13 |
$2K |
| 96376 |
|
740 |
686 |
$2K |
| 82803 |
|
161 |
141 |
$2K |
| 76536 |
|
25 |
25 |
$2K |
| 77080 |
|
56 |
55 |
$2K |
| 82728 |
|
283 |
275 |
$2K |
| 77065 |
Tomosynthesis, mammo |
49 |
48 |
$2K |
| 86140 |
|
691 |
609 |
$2K |
| J2704 |
Injection, propofol, 10 mg |
2,923 |
2,497 |
$2K |
| A9270 |
Non-covered item or service |
2,781 |
1,284 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
724 |
649 |
$2K |
| 80076 |
|
2,905 |
2,623 |
$2K |
| 90714 |
|
81 |
78 |
$1K |
| 86901 |
|
786 |
748 |
$1K |
| 86900 |
|
774 |
736 |
$1K |
| 73562 |
|
680 |
588 |
$1K |
| 76870 |
|
12 |
12 |
$1K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,115 |
1,925 |
$1K |
| 77066 |
Tomosynthesis, mammo |
56 |
56 |
$1K |
| 85652 |
|
786 |
728 |
$1K |
| 84439 |
|
257 |
243 |
$972.91 |
| 0031A |
|
50 |
34 |
$963.27 |
| ATP17 |
|
199 |
193 |
$895.62 |
| 82570 |
|
485 |
448 |
$888.02 |
| 71271 |
|
28 |
28 |
$849.88 |
| 83540 |
|
280 |
267 |
$836.39 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,224 |
1,120 |
$797.07 |
| 90686 |
|
74 |
66 |
$766.87 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
591 |
347 |
$674.80 |
| 83550 |
|
167 |
160 |
$668.71 |
| 77062 |
|
13 |
13 |
$651.48 |
| 82077 |
|
632 |
572 |
$618.01 |
| ATP03 |
|
135 |
126 |
$498.40 |
| 73502 |
|
102 |
88 |
$441.04 |
| 84153 |
|
80 |
80 |
$400.86 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,362 |
1,176 |
$399.50 |
| 82746 |
|
58 |
52 |
$394.38 |
| 97535 |
Self-care/home management training, each 15 minutes |
12 |
12 |
$341.38 |
| 80179 |
|
68 |
65 |
$319.60 |
| J7050 |
Infusion, normal saline solution, 250 cc |
2,289 |
1,769 |
$302.57 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
308 |
261 |
$302.40 |
| 85730 |
|
101 |
92 |
$263.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
864 |
796 |
$261.67 |
| 84100 |
|
2,198 |
1,571 |
$248.41 |
| 97116 |
|
19 |
12 |
$236.33 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
312 |
280 |
$227.32 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$212.40 |
| 80143 |
|
71 |
64 |
$172.70 |
| 87070 |
|
24 |
24 |
$121.68 |
| 82043 |
|
70 |
68 |
$119.18 |
| J1644 |
Injection, heparin sodium, per 1000 units |
22 |
12 |
$94.60 |
| 86618 |
|
12 |
12 |
$93.18 |
| 90791 |
Psychiatric diagnostic evaluation |
25 |
25 |
$82.04 |
| 74019 |
|
15 |
12 |
$75.61 |
| ATP11 |
|
12 |
12 |
$73.92 |
| 77091 |
|
29 |
28 |
$67.68 |
| ATP10 |
|
12 |
12 |
$54.54 |
| 87205 |
|
12 |
12 |
$35.20 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
153 |
95 |
$32.47 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,467 |
1,266 |
$27.64 |
| 82550 |
|
127 |
106 |
$11.88 |
| 76376 |
|
371 |
337 |
$0.00 |
| 73590 |
|
12 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
832 |
652 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
236 |
141 |
$0.00 |
| 82248 |
|
12 |
12 |
$0.00 |
| J0689 |
Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg |
41 |
36 |
$0.00 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
94 |
81 |
$0.00 |
| 91300 |
|
4,046 |
2,150 |
$0.00 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
62 |
53 |
$0.00 |
| 84460 |
|
41 |
41 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
108 |
44 |
$0.00 |
| 84450 |
|
28 |
28 |
$0.00 |
| 73080 |
|
13 |
13 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
19 |
12 |
$0.00 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
18 |
13 |
$0.00 |
| 80069 |
|
39 |
36 |
$0.00 |
| 91301 |
|
763 |
474 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
16 |
15 |
$0.00 |
| 94761 |
|
85 |
82 |
$0.00 |
| 76801 |
|
16 |
15 |
$0.00 |
| 91303 |
|
45 |
29 |
$0.00 |
| 88304 |
|
14 |
13 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
14 |
13 |
$0.00 |
| J1815 |
Injection, insulin, per 5 units |
15 |
12 |
$0.00 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
15 |
12 |
$0.00 |