| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
16,262 |
11,678 |
$928K |
| 36415 |
Collection of venous blood by venipuncture |
11,515 |
7,707 |
$515K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
8,816 |
6,461 |
$459K |
| 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 |
1,605 |
1,212 |
$458K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,569 |
4,824 |
$403K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,424 |
3,627 |
$316K |
| 59025 |
Fetal non-stress test |
1,944 |
1,309 |
$263K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,906 |
4,325 |
$259K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,256 |
989 |
$199K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,685 |
2,168 |
$188K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,879 |
2,118 |
$174K |
| 80053 |
Comprehensive metabolic panel |
8,689 |
6,495 |
$171K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,700 |
1,122 |
$167K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
316 |
164 |
$150K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,032 |
1,612 |
$132K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,840 |
3,411 |
$128K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,138 |
382 |
$97K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,056 |
5,204 |
$92K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
901 |
679 |
$81K |
| 81025 |
|
3,448 |
2,879 |
$73K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
810 |
726 |
$73K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,125 |
897 |
$55K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
424 |
291 |
$54K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
645 |
472 |
$52K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,309 |
841 |
$52K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
850 |
671 |
$51K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
683 |
544 |
$48K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,258 |
1,542 |
$47K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
668 |
501 |
$40K |
| 82962 |
|
2,542 |
1,246 |
$37K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
539 |
449 |
$29K |
| 86901 |
|
1,039 |
777 |
$27K |
| G0378 |
Hospital observation service, per hour |
2,736 |
1,094 |
$27K |
| A9270 |
Non-covered item or service |
3,938 |
1,715 |
$25K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,916 |
3,476 |
$25K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
96 |
82 |
$24K |
| 81001 |
|
5,683 |
4,466 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
1,646 |
1,334 |
$22K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
66 |
55 |
$21K |
| 87081 |
|
722 |
586 |
$21K |
| 87210 |
|
1,014 |
827 |
$19K |
| 87400 |
|
1,875 |
850 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
4,480 |
3,461 |
$18K |
| 93017 |
|
364 |
298 |
$18K |
| 76642 |
|
261 |
254 |
$17K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
41 |
40 |
$17K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,527 |
1,183 |
$15K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
319 |
287 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,937 |
9,085 |
$12K |
| 72131 |
|
169 |
140 |
$11K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
141 |
51 |
$11K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
6,540 |
4,596 |
$11K |
| 81003 |
|
2,233 |
1,825 |
$11K |
| 96376 |
|
979 |
597 |
$11K |
| 86850 |
|
460 |
332 |
$9K |
| 86900 |
|
1,027 |
713 |
$9K |
| 72100 |
|
315 |
271 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
707 |
543 |
$7K |
| 84112 |
|
40 |
25 |
$7K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,654 |
4,254 |
$6K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,861 |
2,916 |
$6K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,052 |
848 |
$6K |
| 82731 |
|
28 |
14 |
$6K |
| 76830 |
Ultrasound, transvaginal |
657 |
525 |
$6K |
| 73610 |
|
159 |
145 |
$5K |
| J2704 |
Injection, propofol, 10 mg |
1,610 |
1,226 |
$5K |
| 73630 |
|
237 |
201 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
534 |
427 |
$5K |
| 84702 |
|
1,214 |
856 |
$5K |
| 77066 |
Tomosynthesis, mammo |
129 |
125 |
$5K |
| 85610 |
|
1,711 |
1,268 |
$5K |
| 73030 |
|
154 |
133 |
$4K |
| 84484 |
|
4,309 |
3,024 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
172 |
171 |
$4K |
| 95816 |
|
35 |
29 |
$4K |
| 76801 |
|
416 |
299 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,076 |
873 |
$3K |
| 73130 |
|
97 |
74 |
$3K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,629 |
1,237 |
$3K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
31 |
26 |
$3K |
| 85730 |
|
1,107 |
819 |
$3K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,017 |
806 |
$3K |
| 72040 |
|
72 |
70 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
116 |
115 |
$3K |
| 93971 |
|
172 |
147 |
$3K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
360 |
220 |
$2K |
| 73562 |
|
187 |
142 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,553 |
2,779 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,134 |
901 |
$2K |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,552 |
957 |
$2K |
| 97161 |
|
46 |
41 |
$2K |
| 83735 |
|
788 |
556 |
$2K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,018 |
1,445 |
$2K |
| 83690 |
|
3,158 |
2,473 |
$2K |
| 83605 |
|
1,324 |
1,016 |
$2K |
| 94060 |
|
25 |
15 |
$2K |
| 84703 |
|
2,796 |
2,216 |
$1K |
| 85379 |
|
844 |
665 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,378 |
1,046 |
$1K |
| 87077 |
|
60 |
40 |
$1K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
523 |
433 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
425 |
408 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
652 |
638 |
$917.72 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
368 |
267 |
$747.05 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
963 |
711 |
$647.28 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,258 |
1,003 |
$554.27 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
985 |
727 |
$549.15 |
| 80061 |
Lipid panel |
52 |
40 |
$486.13 |
| 83880 |
|
947 |
682 |
$482.30 |
| 80076 |
|
194 |
150 |
$457.11 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
269 |
146 |
$434.03 |
| J1644 |
Injection, heparin sodium, per 1000 units |
451 |
196 |
$302.89 |
| 87634 |
|
188 |
185 |
$219.17 |
| 87186 |
|
194 |
142 |
$219.06 |
| 80329 |
|
122 |
102 |
$152.36 |
| 87807 |
|
99 |
78 |
$140.41 |
| 80320 |
|
266 |
206 |
$138.89 |
| 84443 |
Thyroid stimulating hormone (TSH) |
532 |
411 |
$122.18 |
| 84145 |
|
99 |
65 |
$106.54 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
43 |
39 |
$94.79 |
| 87040 |
|
275 |
200 |
$61.30 |
| 88342 |
|
166 |
125 |
$33.87 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
88 |
77 |
$14.52 |
| 86140 |
|
52 |
45 |
$6.61 |
| 87430 |
|
734 |
590 |
$2.61 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
164 |
153 |
$0.02 |
| 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 |
56 |
40 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
235 |
198 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
243 |
192 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
107 |
77 |
$0.00 |
| 86803 |
|
41 |
40 |
$0.00 |
| 87147 |
|
51 |
39 |
$0.00 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
36 |
27 |
$0.00 |
| J1815 |
Injection, insulin, per 5 units |
103 |
54 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
16 |
15 |
$0.00 |
| 85652 |
|
18 |
13 |
$0.00 |
| 85027 |
|
12 |
12 |
$0.00 |
| 82077 |
|
77 |
64 |
$0.00 |
| 94762 |
|
23 |
12 |
$0.00 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
60 |
51 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
18 |
13 |
$0.00 |
| 86703 |
|
41 |
40 |
$0.00 |
| 90714 |
|
15 |
13 |
$0.00 |
| 87641 |
|
17 |
15 |
$0.00 |
| 82010 |
|
17 |
15 |
$0.00 |
| 82248 |
|
30 |
16 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
42 |
40 |
$0.00 |
| 94729 |
|
26 |
16 |
$0.00 |
| 94726 |
|
23 |
14 |
$0.00 |
| 77062 |
|
18 |
18 |
$0.00 |
| 76000 |
|
13 |
12 |
$0.00 |