| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
23,436 |
21,094 |
$2.58M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
8,028 |
6,088 |
$2.17M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
17,930 |
16,359 |
$2.00M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,974 |
7,025 |
$936K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
7,783 |
6,822 |
$870K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
6,567 |
1,572 |
$425K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,656 |
1,308 |
$424K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,637 |
1,364 |
$397K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
4,650 |
1,478 |
$347K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
879 |
692 |
$243K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
4,034 |
1,432 |
$233K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,385 |
1,041 |
$195K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
928 |
473 |
$180K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,530 |
1,034 |
$177K |
| 80053 |
Comprehensive metabolic panel |
13,675 |
11,434 |
$169K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,551 |
625 |
$148K |
| G0378 |
Hospital observation service, per hour |
1,550 |
1,167 |
$136K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
20,778 |
16,863 |
$120K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
339 |
302 |
$119K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
456 |
371 |
$114K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,220 |
802 |
$114K |
| 59025 |
Fetal non-stress test |
724 |
509 |
$112K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
38,206 |
31,526 |
$88K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
364 |
330 |
$84K |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,256 |
4,686 |
$78K |
| 36415 |
Collection of venous blood by venipuncture |
26,779 |
20,010 |
$71K |
| 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 |
711 |
522 |
$60K |
| 87631 |
|
883 |
800 |
$52K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
494 |
404 |
$41K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,029 |
922 |
$40K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,060 |
1,679 |
$36K |
| 97162 |
|
676 |
594 |
$35K |
| 97113 |
|
627 |
154 |
$33K |
| 97161 |
|
490 |
448 |
$33K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
895 |
310 |
$33K |
| 80061 |
Lipid panel |
2,672 |
2,449 |
$32K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,808 |
1,629 |
$31K |
| 71046 |
Radiologic examination, chest; 2 views |
3,015 |
2,586 |
$28K |
| 94668 |
|
244 |
90 |
$27K |
| 86703 |
|
832 |
729 |
$27K |
| 84439 |
|
1,344 |
1,199 |
$26K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
135 |
123 |
$24K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,541 |
2,127 |
$23K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,024 |
920 |
$22K |
| 76830 |
Ultrasound, transvaginal |
399 |
346 |
$21K |
| 97164 |
|
439 |
375 |
$21K |
| 85027 |
|
3,751 |
2,766 |
$21K |
| 94060 |
|
138 |
128 |
$20K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,824 |
1,629 |
$20K |
| M0245 |
Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring |
65 |
59 |
$20K |
| 92508 |
Group treatment of speech, language, voice, communication, and/or auditory processing disorder |
198 |
47 |
$19K |
| 97803 |
|
244 |
188 |
$19K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
429 |
377 |
$18K |
| 86850 |
|
804 |
640 |
$17K |
| H2020 |
Therapeutic behavioral services, per diem |
96 |
24 |
$17K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
442 |
299 |
$17K |
| 87070 |
|
1,021 |
862 |
$16K |
| 82607 |
|
918 |
803 |
$15K |
| 86780 |
|
782 |
684 |
$15K |
| 95886 |
|
51 |
48 |
$14K |
| 93971 |
|
169 |
154 |
$14K |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
826 |
747 |
$14K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
106 |
102 |
$14K |
| 97166 |
|
268 |
227 |
$13K |
| H2012 |
Behavioral health day treatment, per hour |
207 |
51 |
$13K |
| 86900 |
|
931 |
737 |
$12K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
8,334 |
6,920 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,327 |
1,507 |
$12K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
280 |
243 |
$12K |
| 59050 |
|
779 |
543 |
$12K |
| 82728 |
|
757 |
656 |
$11K |
| 74018 |
|
324 |
286 |
$11K |
| 97802 |
|
229 |
153 |
$10K |
| 84702 |
|
607 |
379 |
$10K |
| 87077 |
|
1,488 |
1,091 |
$10K |
| 87088 |
|
1,869 |
1,579 |
$10K |
| 86140 |
|
1,035 |
839 |
$10K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,278 |
1,036 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
157 |
122 |
$10K |
| 86803 |
|
554 |
478 |
$10K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
56 |
41 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
10,942 |
9,181 |
$9K |
| 83735 |
|
1,661 |
1,197 |
$9K |
| 87340 |
|
446 |
386 |
$8K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
185 |
174 |
$8K |
| 83516 |
|
422 |
217 |
$8K |
| 94726 |
|
109 |
100 |
$8K |
| 94729 |
|
109 |
100 |
$8K |
| 82570 |
|
714 |
583 |
$7K |
| 85610 |
|
1,695 |
1,187 |
$7K |
| 72100 |
|
336 |
289 |
$7K |
| 87205 |
|
908 |
761 |
$7K |
| 80320 |
|
1,180 |
899 |
$7K |
| 87186 |
|
1,466 |
1,101 |
$6K |
| 73610 |
|
461 |
393 |
$6K |
| 80076 |
|
1,633 |
1,310 |
$6K |
| 73630 |
|
615 |
493 |
$6K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
27 |
24 |
$6K |
| 83540 |
|
670 |
583 |
$6K |
| 86235 |
|
431 |
125 |
$6K |
| 87081 |
|
306 |
273 |
$6K |
| 82784 |
|
578 |
314 |
$5K |
| 93017 |
|
76 |
65 |
$5K |
| 86901 |
|
918 |
725 |
$5K |
| 96367 |
|
124 |
79 |
$5K |
| 88304 |
|
244 |
178 |
$5K |
| 84481 |
|
436 |
399 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
4,837 |
4,284 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,420 |
1,353 |
$5K |
| 73030 |
|
299 |
247 |
$5K |
| 73564 |
|
268 |
230 |
$5K |
| 85652 |
|
1,085 |
854 |
$5K |
| 0001A |
|
224 |
170 |
$4K |
| 86762 |
|
230 |
192 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
430 |
378 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
359 |
292 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
29 |
27 |
$4K |
| 92526 |
|
53 |
25 |
$4K |
| 12001 |
|
36 |
26 |
$4K |
| 76642 |
|
34 |
25 |
$4K |
| 83615 |
|
614 |
470 |
$4K |
| 81001 |
|
10,600 |
9,029 |
$4K |
| 71271 |
|
25 |
25 |
$4K |
| 83880 |
|
603 |
503 |
$4K |
| 0002A |
|
189 |
136 |
$4K |
| 86256 |
|
230 |
98 |
$4K |
| 83550 |
|
536 |
461 |
$3K |
| 82950 |
|
243 |
201 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
112 |
88 |
$3K |
| 82043 |
|
401 |
362 |
$3K |
| 73110 |
|
178 |
160 |
$3K |
| 84484 |
|
4,085 |
2,754 |
$3K |
| 90715 |
|
138 |
118 |
$2K |
| 73130 |
|
272 |
248 |
$2K |
| 84112 |
|
56 |
38 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
6,554 |
5,054 |
$2K |
| 76981 |
|
47 |
42 |
$2K |
| 86225 |
|
165 |
136 |
$2K |
| 82670 |
|
56 |
47 |
$2K |
| 84153 |
|
104 |
94 |
$2K |
| 93970 |
|
14 |
12 |
$2K |
| 82248 |
|
199 |
130 |
$2K |
| 83690 |
|
2,924 |
2,173 |
$2K |
| 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 |
259 |
255 |
$2K |
| 84156 |
|
354 |
257 |
$2K |
| 36591 |
|
163 |
83 |
$2K |
| 82140 |
|
169 |
128 |
$2K |
| 96158 |
|
18 |
14 |
$2K |
| 82746 |
|
230 |
196 |
$2K |
| 92523 |
|
31 |
27 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
28 |
14 |
$2K |
| 83001 |
|
79 |
67 |
$2K |
| 73502 |
|
87 |
68 |
$1K |
| 84146 |
|
70 |
58 |
$1K |
| 88342 |
|
393 |
304 |
$1K |
| 99152 |
|
18 |
13 |
$1K |
| 84100 |
|
414 |
261 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
16 |
14 |
$1K |
| 82247 |
|
69 |
37 |
$1K |
| 86480 |
|
21 |
18 |
$1K |
| 96376 |
|
1,215 |
706 |
$1K |
| 87075 |
|
288 |
224 |
$1K |
| 88313 |
|
280 |
224 |
$968.40 |
| 84550 |
|
199 |
155 |
$936.92 |
| 82962 |
|
1,921 |
1,021 |
$932.02 |
| 82785 |
|
87 |
66 |
$922.00 |
| 83002 |
|
51 |
46 |
$917.89 |
| 85730 |
|
769 |
618 |
$915.47 |
| 84402 |
|
28 |
24 |
$789.15 |
| 86706 |
|
42 |
31 |
$785.52 |
| 86038 |
|
42 |
36 |
$776.61 |
| 86255 |
|
69 |
56 |
$742.31 |
| 86003 |
|
66 |
26 |
$741.85 |
| 80074 |
|
38 |
27 |
$731.69 |
| 99153 |
Mod sedat endo service >5yrs |
17 |
12 |
$681.92 |
| 70486 |
|
17 |
14 |
$631.99 |
| 85379 |
|
709 |
584 |
$597.28 |
| 80164 |
|
67 |
52 |
$589.97 |
| 84703 |
|
2,186 |
1,717 |
$586.34 |
| 80069 |
|
26 |
25 |
$543.66 |
| 86787 |
|
24 |
15 |
$524.88 |
| 84165 |
|
73 |
67 |
$488.95 |
| 81025 |
|
1,299 |
979 |
$484.79 |
| 81002 |
|
240 |
207 |
$479.68 |
| 99406 |
|
52 |
40 |
$477.65 |
| 87040 |
|
366 |
183 |
$459.61 |
| 83970 |
|
29 |
26 |
$437.29 |
| 82652 |
|
17 |
12 |
$385.46 |
| 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 |
21 |
21 |
$320.00 |
| 86376 |
|
14 |
13 |
$293.18 |
| 73080 |
|
42 |
40 |
$290.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
377 |
190 |
$261.84 |
| 87807 |
|
219 |
193 |
$224.64 |
| 86334 |
|
27 |
27 |
$223.90 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
239 |
200 |
$209.38 |
| 87428 |
|
1,152 |
979 |
$198.08 |
| 82550 |
|
69 |
56 |
$183.54 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
598 |
494 |
$182.38 |
| 83605 |
|
725 |
533 |
$180.81 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
9,960 |
6,821 |
$122.21 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
2,438 |
1,661 |
$120.01 |
| 72040 |
|
14 |
13 |
$116.78 |
| 84436 |
|
17 |
13 |
$87.07 |
| 82565 |
|
20 |
13 |
$79.74 |
| 84450 |
|
20 |
13 |
$62.02 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
13 |
$56.71 |
| 73590 |
|
32 |
26 |
$51.83 |
| 84460 |
|
19 |
12 |
$44.30 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
93 |
84 |
$44.14 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
543 |
388 |
$33.08 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
105 |
61 |
$15.18 |
| J7050 |
Infusion, normal saline solution, 250 cc |
645 |
358 |
$9.23 |
| 91300 |
|
431 |
291 |
$2.40 |
| A9270 |
Non-covered item or service |
1,349 |
971 |
$1.22 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,622 |
2,073 |
$0.85 |
| Q0245 |
Injection, bamlanivimab and etesevimab, 2100 mg |
26 |
24 |
$0.20 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
88 |
80 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
54 |
47 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
245 |
157 |
$0.00 |
| 00840 |
|
14 |
12 |
$0.00 |
| 82077 |
|
197 |
180 |
$0.00 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
29 |
24 |
$0.00 |