| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13,429 |
12,411 |
$2.57M |
| T1015 |
Clinic visit/encounter, all-inclusive |
11,122 |
9,070 |
$2.53M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
9,839 |
8,856 |
$2.25M |
| 0450 |
Emergency room services |
8,060 |
7,119 |
$862K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,809 |
22,146 |
$796K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
11,922 |
2,820 |
$609K |
| 0270 |
|
5,201 |
4,480 |
$385K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,722 |
4,598 |
$373K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,046 |
8,073 |
$323K |
| Q3014 |
Telehealth originating site facility fee |
8,286 |
6,643 |
$186K |
| 99215 |
Prolong outpt/office vis |
3,917 |
2,576 |
$163K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,499 |
1,452 |
$146K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,847 |
5,427 |
$127K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,216 |
2,105 |
$114K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
2,100 |
1,424 |
$108K |
| J3490 |
Unclassified drugs |
11,070 |
6,202 |
$95K |
| 80053 |
Comprehensive metabolic panel |
12,220 |
10,505 |
$89K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,662 |
3,419 |
$69K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,703 |
10,879 |
$59K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,457 |
2,300 |
$57K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,644 |
2,477 |
$54K |
| 71046 |
Radiologic examination, chest; 2 views |
2,739 |
2,670 |
$53K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,838 |
1,641 |
$53K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,283 |
3,006 |
$52K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,364 |
4,642 |
$50K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
468 |
452 |
$48K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,147 |
3,085 |
$48K |
| 99223 |
Prolong inpt eval add15 m |
553 |
536 |
$44K |
| 83880 |
|
3,538 |
3,069 |
$44K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,146 |
2,968 |
$43K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
674 |
650 |
$36K |
| 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 |
1,413 |
1,276 |
$32K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
811 |
800 |
$28K |
| 83605 |
|
5,734 |
4,956 |
$28K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
683 |
676 |
$28K |
| 80061 |
Lipid panel |
1,678 |
1,667 |
$28K |
| 84484 |
|
5,624 |
4,616 |
$28K |
| 71045 |
Radiologic examination, chest; single view |
4,677 |
4,274 |
$25K |
| 97161 |
|
662 |
649 |
$24K |
| 73630 |
|
848 |
743 |
$23K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
283 |
277 |
$22K |
| 90707 |
|
309 |
309 |
$21K |
| 92552 |
|
1,101 |
1,098 |
$21K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,865 |
1,779 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
337 |
335 |
$18K |
| 97139 |
|
1,350 |
334 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
377 |
368 |
$17K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
4,524 |
3,822 |
$17K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,178 |
1,172 |
$16K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
307 |
298 |
$14K |
| 82550 |
|
4,440 |
4,011 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
536 |
519 |
$13K |
| 83735 |
|
3,353 |
2,919 |
$12K |
| 83690 |
|
3,576 |
3,282 |
$12K |
| 85610 |
|
5,336 |
4,899 |
$11K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,272 |
930 |
$11K |
| 84439 |
|
996 |
989 |
$11K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
440 |
426 |
$10K |
| 71250 |
|
77 |
76 |
$9K |
| 85730 |
|
3,105 |
2,930 |
$9K |
| 87040 |
|
1,198 |
1,117 |
$8K |
| 90674 |
|
379 |
377 |
$8K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
272 |
272 |
$8K |
| 99070 |
|
10,485 |
9,289 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
118 |
118 |
$7K |
| 82010 |
|
1,756 |
1,629 |
$7K |
| 97163 |
|
205 |
205 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
207 |
103 |
$7K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,977 |
1,772 |
$7K |
| 72110 |
|
172 |
170 |
$7K |
| 81001 |
|
2,825 |
2,670 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,891 |
1,836 |
$6K |
| 81003 |
|
3,644 |
3,474 |
$6K |
| 90715 |
|
332 |
329 |
$6K |
| 73030 |
|
414 |
387 |
$6K |
| 99173 |
|
1,149 |
1,143 |
$5K |
| 73562 |
|
309 |
279 |
$5K |
| 81025 |
|
2,191 |
2,107 |
$5K |
| 90658 |
|
201 |
199 |
$5K |
| 82948 |
|
1,050 |
823 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
154 |
151 |
$4K |
| 82553 |
|
898 |
800 |
$4K |
| 85379 |
|
824 |
787 |
$4K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,090 |
865 |
$4K |
| 73130 |
|
199 |
184 |
$3K |
| Z7502 |
|
118 |
113 |
$3K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
139 |
133 |
$3K |
| 73610 |
|
214 |
196 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
780 |
770 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
496 |
483 |
$3K |
| 90649 |
|
26 |
26 |
$2K |
| 82150 |
|
811 |
779 |
$2K |
| 80305 |
|
362 |
306 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
899 |
828 |
$2K |
| 85378 |
|
671 |
646 |
$2K |
| 87070 |
|
655 |
630 |
$2K |
| 84145 |
|
433 |
379 |
$2K |
| 0250 |
|
82 |
78 |
$2K |
| 87088 |
|
527 |
501 |
$2K |
| 99442 |
|
38 |
38 |
$2K |
| 90700 |
|
84 |
84 |
$1K |
| 87450 |
|
573 |
557 |
$1K |
| 85651 |
|
894 |
877 |
$1K |
| 86769 |
|
35 |
34 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
46 |
45 |
$1K |
| 96367 |
|
79 |
79 |
$1K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
31 |
14 |
$1K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
915 |
724 |
$1K |
| 0320 |
|
14 |
14 |
$1K |
| 90716 |
|
81 |
81 |
$1K |
| 99201 |
|
33 |
33 |
$922.23 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$898.77 |
| 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 |
23 |
22 |
$885.22 |
| 84100 |
|
408 |
354 |
$873.91 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
422 |
367 |
$873.01 |
| 90670 |
|
75 |
74 |
$823.50 |
| 87186 |
|
300 |
286 |
$780.57 |
| 80074 |
|
13 |
13 |
$776.43 |
| 90713 |
|
38 |
38 |
$764.51 |
| 82043 |
|
104 |
104 |
$733.24 |
| 87077 |
|
379 |
364 |
$684.94 |
| J7050 |
Infusion, normal saline solution, 250 cc |
233 |
206 |
$597.31 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$548.08 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
37 |
26 |
$542.96 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$485.05 |
| 72100 |
|
24 |
24 |
$474.15 |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
15 |
15 |
$450.00 |
| 72050 |
|
25 |
25 |
$434.10 |
| 90734 |
|
12 |
12 |
$418.16 |
| 96376 |
|
15 |
13 |
$394.30 |
| H0033 |
Oral medication administration, direct observation |
500 |
321 |
$391.62 |
| 0012A |
|
13 |
13 |
$369.07 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
79 |
69 |
$365.61 |
| 90633 |
|
28 |
28 |
$306.00 |
| 96127 |
|
49 |
49 |
$294.49 |
| J2060 |
Injection, lorazepam, 2 mg |
190 |
168 |
$281.52 |
| 73502 |
|
12 |
12 |
$280.51 |
| 94760 |
|
69 |
40 |
$280.42 |
| 3080F |
|
263 |
257 |
$278.47 |
| 3077F |
|
414 |
399 |
$278.47 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
12 |
12 |
$240.67 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
93 |
78 |
$213.12 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
86 |
77 |
$181.08 |
| 90744 |
|
13 |
13 |
$171.54 |
| 82140 |
|
40 |
37 |
$154.27 |
| 3079F |
|
211 |
203 |
$119.79 |
| 90686 |
|
32 |
32 |
$117.45 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
109 |
107 |
$92.07 |
| 84481 |
|
12 |
12 |
$87.74 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
26 |
25 |
$87.08 |
| 36415 |
Collection of venous blood by venipuncture |
69 |
65 |
$75.10 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
15 |
15 |
$69.95 |
| 84703 |
|
27 |
27 |
$46.94 |
| 86580 |
|
37 |
36 |
$46.07 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
42 |
40 |
$45.80 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
15 |
14 |
$36.67 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
292 |
222 |
$30.40 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
12 |
12 |
$30.22 |
| 3044F |
|
13 |
12 |
$22.98 |
| A4663 |
Blood pressure cuff only |
24 |
24 |
$22.15 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
13 |
13 |
$5.40 |
| 80349 |
|
81 |
80 |
$1.85 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
82 |
79 |
$1.02 |
| 91301 |
|
92 |
92 |
$0.75 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
30 |
30 |
$0.30 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
12 |
12 |
$0.24 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
19 |
19 |
$0.19 |
| 80329 |
|
34 |
25 |
$0.00 |
| 0250R |
|
70 |
66 |
$0.00 |
| 3075F |
|
63 |
61 |
$0.00 |
| 3074F |
|
170 |
150 |
$0.00 |
| J1741 |
Injection, ibuprofen, 100 mg |
15 |
15 |
$0.00 |
| 3078F |
|
169 |
155 |
$0.00 |
| 0270R |
|
31 |
27 |
$0.00 |