| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
21,165 |
18,999 |
$2.25M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,963 |
7,453 |
$1.43M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
17,502 |
16,668 |
$1.34M |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
23,579 |
21,288 |
$1.15M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,692 |
4,589 |
$562K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
8,670 |
8,204 |
$402K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,999 |
1,887 |
$313K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,018 |
3,903 |
$221K |
| 71046 |
Radiologic examination, chest; 2 views |
9,335 |
9,085 |
$204K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,884 |
3,500 |
$143K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
8,418 |
7,869 |
$126K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,562 |
1,542 |
$112K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
4,042 |
3,946 |
$112K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,479 |
1,460 |
$91K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
48,776 |
40,103 |
$88K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,289 |
6,762 |
$86K |
| 76830 |
Ultrasound, transvaginal |
2,969 |
2,915 |
$82K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12,291 |
11,306 |
$80K |
| 71045 |
Radiologic examination, chest; single view |
7,051 |
6,688 |
$78K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,593 |
2,556 |
$73K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,867 |
4,783 |
$66K |
| 73610 |
|
2,742 |
2,567 |
$56K |
| 80051 |
|
28,048 |
24,776 |
$53K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,799 |
5,371 |
$53K |
| 73630 |
|
2,790 |
2,552 |
$49K |
| G0378 |
Hospital observation service, per hour |
364 |
246 |
$44K |
| 82565 |
|
39,163 |
32,856 |
$43K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,261 |
1,184 |
$42K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,033 |
4,812 |
$39K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
5,013 |
4,746 |
$39K |
| 93971 |
|
922 |
906 |
$39K |
| 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 |
1,891 |
1,854 |
$38K |
| 73030 |
|
2,070 |
1,896 |
$38K |
| 73130 |
|
2,221 |
1,976 |
$38K |
| 73110 |
|
2,053 |
1,874 |
$37K |
| 72100 |
|
1,803 |
1,792 |
$36K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,252 |
2,168 |
$35K |
| 73560 |
|
2,027 |
1,878 |
$34K |
| 83880 |
|
5,102 |
4,730 |
$34K |
| J3490 |
Unclassified drugs |
13,976 |
7,352 |
$34K |
| 80306 |
|
3,921 |
3,648 |
$33K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
122 |
121 |
$30K |
| 82947 |
|
29,328 |
25,783 |
$29K |
| 73564 |
|
1,132 |
885 |
$28K |
| 76770 |
|
786 |
774 |
$28K |
| 86900 |
|
3,368 |
3,114 |
$27K |
| 84520 |
|
28,628 |
24,992 |
$27K |
| 36415 |
Collection of venous blood by venipuncture |
5,946 |
4,827 |
$27K |
| 83690 |
|
14,719 |
13,473 |
$26K |
| 82247 |
|
23,950 |
18,812 |
$25K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
387 |
352 |
$24K |
| 84460 |
|
26,344 |
21,770 |
$24K |
| 82077 |
|
3,737 |
3,370 |
$23K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
333 |
332 |
$22K |
| 87631 |
|
542 |
536 |
$22K |
| 73140 |
|
1,224 |
1,154 |
$21K |
| 84450 |
|
21,121 |
17,880 |
$20K |
| 74018 |
|
1,290 |
1,235 |
$20K |
| 99070 |
|
9,029 |
2,846 |
$19K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,456 |
4,322 |
$19K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,650 |
2,491 |
$18K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,646 |
2,489 |
$18K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
9,553 |
8,626 |
$17K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,260 |
2,226 |
$17K |
| 84484 |
|
6,861 |
6,200 |
$17K |
| 81001 |
|
27,241 |
25,168 |
$16K |
| 84075 |
|
17,453 |
15,291 |
$16K |
| 83735 |
|
9,177 |
7,157 |
$15K |
| 72040 |
|
1,045 |
1,038 |
$14K |
| 87040 |
|
3,072 |
2,874 |
$13K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
5,530 |
5,017 |
$13K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,394 |
1,374 |
$13K |
| 93976 |
|
470 |
461 |
$12K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
2,142 |
2,010 |
$12K |
| 86850 |
|
2,723 |
2,551 |
$12K |
| 83605 |
|
4,013 |
3,708 |
$12K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
6,165 |
5,651 |
$11K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
133 |
131 |
$11K |
| 73080 |
|
929 |
874 |
$11K |
| 80179 |
|
1,736 |
1,656 |
$11K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,052 |
1,016 |
$10K |
| 84702 |
|
4,591 |
3,116 |
$10K |
| 87088 |
|
5,575 |
5,335 |
$10K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
58 |
58 |
$10K |
| 73502 |
|
810 |
793 |
$9K |
| 86901 |
|
3,371 |
3,116 |
$9K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,271 |
5,644 |
$9K |
| 84100 |
|
6,300 |
5,322 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,178 |
5,097 |
$7K |
| 85610 |
|
8,653 |
6,965 |
$7K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
5,898 |
5,393 |
$7K |
| 81003 |
|
16,218 |
15,502 |
$7K |
| 85652 |
|
11,214 |
10,781 |
$6K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
58 |
58 |
$6K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,978 |
1,771 |
$5K |
| 76870 |
|
287 |
279 |
$5K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,742 |
1,736 |
$5K |
| 74022 |
|
404 |
396 |
$5K |
| 85027 |
|
5,457 |
5,049 |
$5K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
2,129 |
1,844 |
$5K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,709 |
3,464 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
181 |
180 |
$4K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,904 |
1,680 |
$4K |
| 82248 |
|
3,125 |
2,212 |
$4K |
| 70486 |
|
144 |
140 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
155 |
151 |
$4K |
| J2060 |
Injection, lorazepam, 2 mg |
1,580 |
1,380 |
$4K |
| 85379 |
|
2,023 |
1,974 |
$3K |
| 87324 |
|
1,371 |
1,348 |
$3K |
| 87449 |
|
1,376 |
1,352 |
$3K |
| 73590 |
|
110 |
100 |
$3K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
153 |
148 |
$3K |
| 0450 |
Emergency room services |
73 |
64 |
$3K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,101 |
1,920 |
$3K |
| 82310 |
|
4,028 |
2,859 |
$3K |
| 86140 |
|
2,314 |
2,202 |
$3K |
| 82962 |
|
3,448 |
2,743 |
$3K |
| 71250 |
|
127 |
126 |
$3K |
| 82570 |
|
1,208 |
1,076 |
$2K |
| 82040 |
|
3,082 |
2,257 |
$2K |
| 84132 |
|
5,351 |
4,084 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,182 |
4,162 |
$2K |
| 84703 |
|
7,082 |
6,609 |
$2K |
| 86780 |
|
1,512 |
1,507 |
$2K |
| 85730 |
|
1,479 |
1,409 |
$2K |
| 73090 |
|
101 |
93 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
722 |
720 |
$2K |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
718 |
675 |
$2K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,582 |
3,368 |
$2K |
| 85378 |
|
918 |
888 |
$2K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
247 |
241 |
$2K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
2,085 |
1,918 |
$2K |
| 87070 |
|
783 |
747 |
$2K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
3,447 |
3,269 |
$2K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,378 |
1,259 |
$1K |
| 71101 |
|
26 |
26 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
235 |
235 |
$1K |
| 86803 |
|
1,350 |
1,347 |
$1K |
| 0270 |
|
266 |
192 |
$1K |
| 87340 |
|
1,307 |
1,297 |
$1K |
| 80061 |
Lipid panel |
2,744 |
2,727 |
$1K |
| 84156 |
|
976 |
868 |
$1K |
| 59025 |
Fetal non-stress test |
251 |
225 |
$1K |
| 0637 |
|
8,133 |
2,990 |
$1K |
| 82803 |
|
154 |
149 |
$1K |
| J1815 |
Injection, insulin, per 5 units |
691 |
343 |
$921.45 |
| 84439 |
|
907 |
881 |
$878.09 |
| 76536 |
|
103 |
102 |
$861.35 |
| 82728 |
|
1,397 |
1,385 |
$857.66 |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
85 |
75 |
$785.41 |
| 82550 |
|
450 |
411 |
$777.08 |
| 85007 |
|
793 |
601 |
$771.38 |
| 84295 |
|
3,136 |
2,484 |
$765.81 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
311 |
305 |
$559.28 |
| 87506 |
|
12 |
12 |
$483.90 |
| 82150 |
|
356 |
312 |
$456.19 |
| 96376 |
|
170 |
146 |
$422.82 |
| 83615 |
|
572 |
483 |
$414.20 |
| 86706 |
|
238 |
237 |
$410.93 |
| 88304 |
|
538 |
532 |
$356.70 |
| 72141 |
|
12 |
12 |
$314.93 |
| 0250 |
|
639 |
445 |
$287.03 |
| 90715 |
|
28 |
28 |
$285.90 |
| 83540 |
|
927 |
914 |
$223.08 |
| 84550 |
|
487 |
453 |
$214.87 |
| 83550 |
|
745 |
732 |
$210.61 |
| 90686 |
|
79 |
79 |
$199.68 |
| 88342 |
|
297 |
294 |
$195.86 |
| 72070 |
|
12 |
12 |
$186.04 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
112 |
96 |
$168.66 |
| 74019 |
|
54 |
54 |
$163.18 |
| 80069 |
|
181 |
165 |
$162.93 |
| J1453 |
Injection, fosaprepitant, 1 mg |
67 |
67 |
$157.75 |
| 73660 |
|
54 |
52 |
$155.92 |
| 80053 |
Comprehensive metabolic panel |
401 |
378 |
$143.00 |
| Z7502 |
|
12 |
12 |
$136.40 |
| 87081 |
|
83 |
79 |
$133.18 |
| 86704 |
|
40 |
39 |
$127.71 |
| 73522 |
|
12 |
12 |
$121.41 |
| 85014 |
|
171 |
159 |
$117.80 |
| 88307 |
|
217 |
213 |
$113.95 |
| 73100 |
|
13 |
12 |
$106.45 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
90 |
88 |
$106.17 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
433 |
391 |
$106.05 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
136 |
119 |
$105.38 |
| 83516 |
|
27 |
27 |
$89.44 |
| 82140 |
|
28 |
25 |
$84.20 |
| 82043 |
|
332 |
330 |
$63.69 |
| 82607 |
|
524 |
523 |
$57.32 |
| 82784 |
|
13 |
12 |
$56.69 |
| J8501 |
Aprepitant, oral, 5 mg |
80 |
80 |
$52.20 |
| 87205 |
|
215 |
195 |
$49.36 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
14 |
12 |
$47.37 |
| J1644 |
Injection, heparin sodium, per 1000 units |
74 |
45 |
$42.84 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
39 |
$41.32 |
| 80047 |
|
13 |
12 |
$29.74 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
12 |
12 |
$26.92 |
| 85008 |
|
191 |
176 |
$26.03 |
| G0151 |
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
2,000 |
728 |
$25.82 |
| 82272 |
|
96 |
93 |
$23.31 |
| 85018 |
|
199 |
164 |
$23.05 |
| 84155 |
|
90 |
89 |
$22.86 |
| 89051 |
|
29 |
26 |
$12.64 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
369 |
312 |
$8.84 |
| 85045 |
|
74 |
72 |
$8.77 |
| 82435 |
|
70 |
56 |
$3.00 |
| 82374 |
|
75 |
58 |
$3.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
13 |
12 |
$0.00 |
| 88341 |
|
12 |
12 |
$0.00 |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
620 |
156 |
$0.00 |
| 86762 |
|
13 |
13 |
$0.00 |
| 84153 |
|
94 |
93 |
$0.00 |
| G0152 |
Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes |
98 |
39 |
$0.00 |
| 80349 |
|
39 |
38 |
$0.00 |
| 12001 |
|
12 |
12 |
$0.00 |
| 70491 |
|
16 |
15 |
$0.00 |
| Q5001 |
Hospice or home health care provided in patient's home/residence |
34 |
25 |
$0.00 |
| 86664 |
|
13 |
13 |
$0.00 |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
11,646 |
914 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
787 |
784 |
$0.00 |
| 76376 |
|
180 |
179 |
$0.00 |
| J0136 |
Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg |
49 |
48 |
$0.00 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
278 |
278 |
$0.00 |
| 83970 |
|
91 |
89 |
$0.00 |
| 84466 |
|
22 |
22 |
$0.00 |
| 84403 |
|
26 |
24 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
30 |
12 |
$0.00 |
| 81025 |
|
66 |
65 |
$0.00 |
| 76642 |
|
30 |
25 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
20 |
19 |
$0.00 |
| 90756 |
|
13 |
13 |
$0.00 |
| 86665 |
|
13 |
13 |
$0.00 |