| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12,467 |
9,711 |
$2.01M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,091 |
1,668 |
$1.23M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,027 |
5,817 |
$812K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,079 |
2,392 |
$756K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
15,382 |
4,478 |
$756K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
18,750 |
5,262 |
$496K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,669 |
3,440 |
$408K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
16,407 |
4,697 |
$378K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,945 |
1,420 |
$343K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
6,789 |
2,110 |
$334K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,252 |
616 |
$262K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,056 |
2,569 |
$226K |
| G0378 |
Hospital observation service, per hour |
1,215 |
896 |
$224K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,578 |
3,188 |
$185K |
| 71046 |
Radiologic examination, chest; 2 views |
3,678 |
3,039 |
$168K |
| J2704 |
Injection, propofol, 10 mg |
4,971 |
3,817 |
$165K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,914 |
1,144 |
$158K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,295 |
940 |
$156K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
455 |
381 |
$150K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,635 |
4,796 |
$146K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,216 |
3,969 |
$143K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
409 |
321 |
$133K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
375 |
301 |
$121K |
| 71045 |
Radiologic examination, chest; single view |
4,206 |
3,170 |
$114K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,307 |
1,158 |
$110K |
| 80053 |
Comprehensive metabolic panel |
18,903 |
13,383 |
$101K |
| 97113 |
|
2,801 |
804 |
$99K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
489 |
388 |
$98K |
| 97161 |
|
2,390 |
2,027 |
$98K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,123 |
1,677 |
$91K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
21,547 |
14,672 |
$86K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,196 |
1,673 |
$81K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
407 |
319 |
$76K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,122 |
1,640 |
$69K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
6,498 |
4,285 |
$65K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
188 |
148 |
$64K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
68 |
45 |
$60K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
119 |
93 |
$59K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
279 |
197 |
$58K |
| 93971 |
|
483 |
403 |
$58K |
| 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 |
762 |
627 |
$57K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
418 |
378 |
$54K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
132 |
100 |
$53K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
400 |
356 |
$50K |
| 76830 |
Ultrasound, transvaginal |
397 |
349 |
$47K |
| 97597 |
|
883 |
406 |
$42K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
176 |
153 |
$41K |
| 76642 |
|
464 |
399 |
$38K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
382 |
304 |
$38K |
| 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 |
616 |
458 |
$37K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,525 |
1,112 |
$36K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
94 |
81 |
$36K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
5,347 |
4,150 |
$34K |
| 96367 |
|
216 |
95 |
$33K |
| 97165 |
|
719 |
609 |
$32K |
| 97162 |
|
870 |
702 |
$32K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
921 |
574 |
$31K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
947 |
776 |
$28K |
| 76770 |
|
296 |
233 |
$27K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,778 |
2,965 |
$25K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,294 |
1,145 |
$22K |
| 96376 |
|
646 |
496 |
$21K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,428 |
1,967 |
$20K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
807 |
339 |
$20K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
487 |
463 |
$20K |
| 77002 |
|
272 |
206 |
$18K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,674 |
1,265 |
$18K |
| 84484 |
|
4,380 |
2,698 |
$18K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
502 |
436 |
$18K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,551 |
1,942 |
$18K |
| 83735 |
|
3,978 |
2,324 |
$15K |
| 97116 |
|
862 |
340 |
$15K |
| 83690 |
|
3,769 |
2,852 |
$14K |
| 74018 |
|
303 |
234 |
$14K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
4,059 |
3,021 |
$13K |
| 59025 |
Fetal non-stress test |
128 |
63 |
$13K |
| 93976 |
|
141 |
121 |
$13K |
| 93017 |
|
99 |
83 |
$12K |
| 84703 |
|
2,449 |
1,941 |
$12K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,283 |
824 |
$11K |
| 77066 |
Tomosynthesis, mammo |
114 |
105 |
$11K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,429 |
2,576 |
$10K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,195 |
2,947 |
$10K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,066 |
4,525 |
$10K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,921 |
1,336 |
$9K |
| 97035 |
|
478 |
196 |
$8K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,199 |
1,688 |
$7K |
| 73030 |
|
169 |
135 |
$7K |
| 73630 |
|
161 |
137 |
$7K |
| 76536 |
|
81 |
70 |
$7K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,871 |
1,278 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
24,247 |
16,537 |
$7K |
| 81001 |
|
4,242 |
3,317 |
$7K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
155 |
137 |
$7K |
| 81025 |
|
1,602 |
1,320 |
$7K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
684 |
236 |
$7K |
| 71250 |
|
33 |
25 |
$6K |
| 82948 |
|
3,535 |
1,449 |
$6K |
| 82077 |
|
664 |
499 |
$6K |
| 73610 |
|
138 |
109 |
$6K |
| 80061 |
Lipid panel |
633 |
556 |
$6K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
1,210 |
503 |
$5K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
29 |
25 |
$5K |
| 87077 |
|
1,102 |
812 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
621 |
262 |
$5K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
146 |
83 |
$4K |
| 82728 |
|
475 |
375 |
$4K |
| 76801 |
|
43 |
37 |
$4K |
| 85379 |
|
666 |
530 |
$4K |
| 87040 |
|
602 |
289 |
$4K |
| 73110 |
|
79 |
65 |
$3K |
| 73130 |
|
63 |
50 |
$3K |
| 87186 |
|
746 |
555 |
$3K |
| 88304 |
|
174 |
147 |
$3K |
| 86140 |
|
856 |
619 |
$3K |
| 85610 |
|
1,507 |
971 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
14 |
$3K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
12 |
12 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
89 |
73 |
$3K |
| 82607 |
|
303 |
241 |
$2K |
| 76942 |
|
17 |
13 |
$2K |
| 83605 |
|
407 |
275 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
255 |
217 |
$2K |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,216 |
539 |
$2K |
| 72100 |
|
34 |
31 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
369 |
321 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
17 |
13 |
$2K |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
519 |
400 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
271 |
228 |
$2K |
| 83550 |
|
288 |
224 |
$2K |
| 20610 |
|
13 |
12 |
$2K |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
137 |
117 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
12 |
$2K |
| 83540 |
|
356 |
277 |
$2K |
| 81003 |
|
1,670 |
1,303 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
12 |
12 |
$2K |
| 80143 |
|
139 |
102 |
$1K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
764 |
505 |
$1K |
| A9270 |
Non-covered item or service |
14,313 |
2,171 |
$1K |
| 82746 |
|
114 |
97 |
$1K |
| 80179 |
|
115 |
86 |
$1K |
| 94729 |
|
34 |
26 |
$1K |
| 74019 |
|
13 |
13 |
$1K |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
14 |
13 |
$1K |
| 77065 |
Tomosynthesis, mammo |
21 |
13 |
$1K |
| 85651 |
|
483 |
356 |
$1K |
| 85730 |
|
351 |
274 |
$1K |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
148 |
97 |
$1K |
| 94010 |
|
19 |
13 |
$1K |
| 87081 |
|
234 |
205 |
$994.36 |
| 84100 |
|
384 |
262 |
$978.26 |
| 87070 |
|
229 |
173 |
$936.08 |
| 73564 |
|
17 |
14 |
$916.83 |
| 83880 |
|
57 |
41 |
$850.08 |
| 94726 |
|
19 |
12 |
$715.50 |
| J2060 |
Injection, lorazepam, 2 mg |
924 |
627 |
$711.74 |
| 87420 |
|
60 |
57 |
$601.56 |
| 84145 |
|
38 |
27 |
$473.05 |
| 36591 |
|
20 |
13 |
$463.97 |
| 73502 |
|
16 |
13 |
$457.87 |
| 82784 |
|
28 |
25 |
$430.35 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
111 |
53 |
$424.05 |
| 85027 |
|
61 |
50 |
$286.62 |
| 84439 |
|
46 |
36 |
$276.48 |
| 86618 |
|
35 |
14 |
$260.90 |
| 86850 |
|
29 |
24 |
$253.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
14 |
$244.41 |
| 80050 |
General health panel |
29 |
29 |
$205.90 |
| 86901 |
|
68 |
50 |
$163.64 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
17 |
14 |
$152.09 |
| 83615 |
|
35 |
28 |
$110.57 |
| 86900 |
|
48 |
36 |
$99.81 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
204 |
141 |
$87.85 |
| 84550 |
|
23 |
14 |
$84.00 |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
58 |
56 |
$8.03 |
| 99153 |
Mod sedat endo service >5yrs |
16 |
15 |
$3.59 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
16 |
16 |
$2.41 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
240 |
157 |
$0.00 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
295 |
184 |
$0.00 |