| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
35,390 |
32,172 |
$9.30M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
14,056 |
12,622 |
$3.51M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
20,824 |
19,307 |
$3.36M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
60,717 |
52,977 |
$2.07M |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
17,395 |
15,840 |
$1.11M |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20,940 |
17,637 |
$817K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17,164 |
15,578 |
$679K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,384 |
3,030 |
$667K |
| 71045 |
Radiologic examination, chest; single view |
8,142 |
7,376 |
$555K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,085 |
9,934 |
$431K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,079 |
979 |
$419K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
7,632 |
6,468 |
$348K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,196 |
7,991 |
$340K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
10,268 |
9,463 |
$311K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
928 |
833 |
$296K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
9,962 |
8,857 |
$276K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,550 |
2,374 |
$261K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,340 |
4,370 |
$248K |
| 80053 |
Comprehensive metabolic panel |
30,634 |
26,599 |
$236K |
| 71046 |
Radiologic examination, chest; 2 views |
3,116 |
2,907 |
$222K |
| 81514 |
|
1,154 |
995 |
$220K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
487 |
211 |
$182K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
5,897 |
4,454 |
$181K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30,056 |
26,072 |
$172K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,049 |
3,209 |
$161K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,506 |
1,951 |
$157K |
| 74019 |
|
1,495 |
1,351 |
$134K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,607 |
2,115 |
$130K |
| 83880 |
|
5,266 |
4,709 |
$126K |
| 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 |
1,730 |
1,505 |
$115K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
3,637 |
3,238 |
$110K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,650 |
3,236 |
$108K |
| 36415 |
Collection of venous blood by venipuncture |
45,030 |
37,738 |
$106K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
472 |
371 |
$97K |
| 81025 |
|
12,147 |
10,880 |
$85K |
| 84484 |
|
10,170 |
7,599 |
$78K |
| 87634 |
|
1,147 |
1,051 |
$72K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,084 |
903 |
$69K |
| 20610 |
|
236 |
194 |
$53K |
| 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 |
1,949 |
1,462 |
$52K |
| 72100 |
|
751 |
689 |
$51K |
| 87481 |
|
771 |
684 |
$50K |
| 73564 |
|
530 |
493 |
$47K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
718 |
681 |
$45K |
| 73630 |
|
562 |
507 |
$44K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,931 |
2,696 |
$41K |
| 83690 |
|
7,484 |
6,713 |
$40K |
| 82553 |
|
5,234 |
3,881 |
$40K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
270 |
224 |
$40K |
| 73130 |
|
452 |
415 |
$38K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,119 |
2,717 |
$35K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
1,631 |
1,473 |
$34K |
| 81000 |
|
11,227 |
9,921 |
$31K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
2,930 |
2,643 |
$28K |
| 80050 |
General health panel |
769 |
700 |
$28K |
| 82550 |
|
6,571 |
5,053 |
$28K |
| 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 |
1,294 |
1,128 |
$27K |
| 59025 |
Fetal non-stress test |
258 |
172 |
$26K |
| 87040 |
|
3,664 |
1,951 |
$25K |
| 87400 |
|
1,748 |
816 |
$25K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
6,588 |
5,921 |
$25K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
669 |
594 |
$22K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,554 |
3,182 |
$22K |
| 73560 |
|
311 |
290 |
$22K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
43 |
43 |
$22K |
| 80061 |
Lipid panel |
1,962 |
1,814 |
$20K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
776 |
684 |
$19K |
| 87081 |
|
2,749 |
2,566 |
$19K |
| 83605 |
|
2,550 |
2,054 |
$19K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,041 |
5,291 |
$15K |
| 73610 |
|
195 |
180 |
$15K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
799 |
659 |
$15K |
| 85379 |
|
2,031 |
1,845 |
$15K |
| 81003 |
|
8,773 |
7,527 |
$14K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,638 |
2,420 |
$14K |
| 73562 |
|
191 |
179 |
$13K |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
720 |
655 |
$13K |
| 73030 |
|
181 |
167 |
$12K |
| 87807 |
|
908 |
834 |
$12K |
| 80179 |
|
902 |
802 |
$11K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
513 |
469 |
$11K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
261 |
229 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,246 |
1,146 |
$10K |
| 87660 |
|
447 |
377 |
$9K |
| 87510 |
|
432 |
365 |
$8K |
| 87480 |
|
432 |
365 |
$8K |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
955 |
914 |
$8K |
| 72040 |
|
141 |
124 |
$8K |
| 82607 |
|
769 |
633 |
$8K |
| 82746 |
|
764 |
628 |
$8K |
| 83735 |
|
1,587 |
1,385 |
$7K |
| 99215 |
Prolong outpt/office vis |
129 |
125 |
$7K |
| 85730 |
|
1,885 |
1,662 |
$7K |
| 84439 |
|
1,087 |
913 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
66 |
66 |
$6K |
| 84145 |
|
396 |
327 |
$6K |
| 86803 |
|
448 |
413 |
$6K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,993 |
1,729 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
17 |
13 |
$5K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
198 |
172 |
$5K |
| 85610 |
|
1,995 |
1,771 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
60 |
54 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
116 |
109 |
$5K |
| 84100 |
|
1,450 |
1,272 |
$5K |
| 0002A |
|
144 |
128 |
$5K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
30 |
27 |
$4K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
941 |
786 |
$4K |
| 76830 |
Ultrasound, transvaginal |
41 |
39 |
$4K |
| 86703 |
|
345 |
293 |
$4K |
| 90686 |
|
335 |
299 |
$4K |
| 84702 |
|
273 |
212 |
$4K |
| 87186 |
|
714 |
592 |
$3K |
| 0001A |
|
135 |
131 |
$3K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
194 |
164 |
$3K |
| 87077 |
|
699 |
577 |
$3K |
| 87088 |
|
519 |
459 |
$3K |
| 84481 |
|
379 |
290 |
$3K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
296 |
270 |
$3K |
| 80320 |
|
408 |
303 |
$3K |
| 59430 |
|
19 |
13 |
$3K |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
627 |
467 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
13 |
$2K |
| 90715 |
|
90 |
82 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
26 |
25 |
$2K |
| 85027 |
|
402 |
341 |
$2K |
| 80329 |
|
288 |
230 |
$2K |
| 96160 |
|
114 |
94 |
$2K |
| 84425 |
|
147 |
118 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
519 |
360 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
211 |
192 |
$1K |
| 72170 |
|
39 |
38 |
$1K |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
304 |
209 |
$1K |
| 76801 |
|
12 |
12 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
14 |
$1K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
507 |
441 |
$1K |
| 74018 |
|
12 |
12 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
496 |
452 |
$1K |
| 82962 |
|
324 |
262 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
66 |
65 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
24 |
$916.27 |
| 80055 |
|
37 |
37 |
$878.02 |
| 86593 |
|
243 |
211 |
$864.66 |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
13 |
12 |
$864.00 |
| 85007 |
|
341 |
286 |
$839.80 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
145 |
137 |
$830.01 |
| J2060 |
Injection, lorazepam, 2 mg |
312 |
266 |
$826.58 |
| 87653 |
|
26 |
25 |
$820.05 |
| 94760 |
|
127 |
105 |
$816.03 |
| 82728 |
|
87 |
76 |
$788.96 |
| 96376 |
|
54 |
41 |
$743.85 |
| 0071A |
|
18 |
17 |
$688.17 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
391 |
334 |
$638.80 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
200 |
182 |
$603.49 |
| 86850 |
|
143 |
119 |
$574.03 |
| 83655 |
|
46 |
45 |
$549.05 |
| 86140 |
|
143 |
125 |
$520.11 |
| 85651 |
|
181 |
159 |
$506.61 |
| 0072A |
|
13 |
13 |
$498.94 |
| J3490 |
Unclassified drugs |
92 |
55 |
$464.77 |
| 87147 |
|
66 |
50 |
$405.66 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
100 |
95 |
$325.15 |
| 83615 |
|
72 |
66 |
$324.68 |
| 84144 |
|
15 |
13 |
$310.11 |
| 82950 |
|
70 |
66 |
$284.15 |
| 86901 |
|
128 |
105 |
$278.63 |
| 86900 |
|
128 |
105 |
$278.62 |
| 84466 |
|
26 |
26 |
$271.16 |
| 87340 |
|
30 |
25 |
$244.48 |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
24 |
14 |
$220.51 |
| 86308 |
|
48 |
38 |
$217.93 |
| 86762 |
|
12 |
12 |
$174.85 |
| 90656 |
|
44 |
34 |
$158.25 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
12 |
12 |
$142.29 |
| 83540 |
|
26 |
26 |
$137.47 |
| 81002 |
|
37 |
37 |
$123.21 |
| 99459 |
|
197 |
160 |
$113.36 |
| 0352U |
|
112 |
93 |
$89.50 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
43 |
31 |
$79.96 |
| 82803 |
|
12 |
12 |
$57.92 |
| 81001 |
|
13 |
12 |
$56.11 |
| 82043 |
|
12 |
12 |
$46.77 |
| 82570 |
|
12 |
12 |
$41.90 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
12 |
12 |
$41.83 |
| 91300 |
|
329 |
277 |
$5.62 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
3,469 |
2,489 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
17 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
77 |
32 |
$0.00 |
| 91307 |
|
45 |
42 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
40 |
21 |
$0.00 |
| 99490 |
Ccm add 20min |
660 |
328 |
$0.00 |
| Q0244 |
Injection, casirivimab and imdevimab, 1200 mg |
210 |
193 |
$0.00 |