| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
46,292 |
42,408 |
$3.04M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
44,582 |
38,909 |
$2.77M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
14,927 |
12,820 |
$959K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
3,158 |
3,084 |
$693K |
| 80053 |
Comprehensive metabolic panel |
64,547 |
48,795 |
$664K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
10,616 |
4,461 |
$626K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
4,740 |
2,269 |
$609K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,521 |
4,798 |
$567K |
| 87632 |
|
4,639 |
4,350 |
$563K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,566 |
3,273 |
$521K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,098 |
7,619 |
$516K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
8,359 |
3,217 |
$496K |
| 59025 |
Fetal non-stress test |
8,780 |
6,410 |
$447K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
4,584 |
1,817 |
$384K |
| 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 |
17,504 |
15,311 |
$348K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
6,085 |
5,123 |
$318K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
741 |
706 |
$308K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,960 |
2,341 |
$294K |
| 93976 |
|
3,151 |
2,852 |
$289K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,608 |
4,298 |
$279K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
7,902 |
6,934 |
$261K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
395 |
378 |
$234K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,342 |
1,205 |
$217K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,065 |
2,863 |
$215K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
4,441 |
2,712 |
$210K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,147 |
1,048 |
$204K |
| 87631 |
|
6,147 |
5,821 |
$199K |
| 87400 |
|
9,277 |
8,771 |
$189K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
5,889 |
5,008 |
$179K |
| 82962 |
|
12,728 |
8,893 |
$151K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
6,049 |
5,253 |
$143K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
401 |
382 |
$137K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
42,733 |
24,086 |
$127K |
| 84703 |
|
18,784 |
16,790 |
$125K |
| 97161 |
|
1,532 |
1,433 |
$119K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
9,313 |
6,838 |
$116K |
| G0378 |
Hospital observation service, per hour |
9,934 |
4,491 |
$104K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
14,052 |
10,562 |
$98K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
7,367 |
4,704 |
$92K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,431 |
1,359 |
$90K |
| 85027 |
|
26,316 |
18,635 |
$86K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,136 |
5,221 |
$84K |
| 71046 |
Radiologic examination, chest; 2 views |
12,006 |
10,939 |
$78K |
| 86900 |
|
3,973 |
3,411 |
$77K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,552 |
1,328 |
$69K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
5,774 |
3,759 |
$69K |
| 36415 |
Collection of venous blood by venipuncture |
15,061 |
9,848 |
$68K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,292 |
1,172 |
$66K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
21,231 |
17,275 |
$58K |
| 11045 |
|
654 |
299 |
$58K |
| 77336 |
|
495 |
202 |
$56K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
7,206 |
5,985 |
$55K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,807 |
649 |
$53K |
| 84702 |
|
3,720 |
2,970 |
$53K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
51,349 |
40,853 |
$52K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,153 |
4,116 |
$51K |
| 85610 |
|
8,802 |
6,897 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
792 |
480 |
$49K |
| 96367 |
|
3,126 |
2,585 |
$46K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
417 |
367 |
$44K |
| 95811 |
|
108 |
101 |
$43K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
15,829 |
13,363 |
$43K |
| 85730 |
|
7,252 |
5,844 |
$43K |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
289 |
244 |
$43K |
| 97162 |
|
708 |
630 |
$41K |
| 86850 |
|
2,684 |
2,252 |
$40K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
4,862 |
4,689 |
$37K |
| 71045 |
Radiologic examination, chest; single view |
13,578 |
11,718 |
$36K |
| 80047 |
|
2,754 |
2,309 |
$36K |
| 96401 |
|
210 |
109 |
$33K |
| 81003 |
|
12,567 |
11,128 |
$33K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,150 |
909 |
$30K |
| J2505 |
Injection, pegfilgrastim, 6 mg |
33 |
25 |
$30K |
| 83735 |
|
12,172 |
8,918 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,417 |
6,129 |
$28K |
| 97116 |
|
1,244 |
645 |
$28K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,463 |
662 |
$27K |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
1,476 |
1,205 |
$26K |
| 76801 |
|
2,607 |
2,178 |
$26K |
| 85014 |
|
3,219 |
2,698 |
$26K |
| 96523 |
|
1,417 |
931 |
$26K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,161 |
1,099 |
$25K |
| 93971 |
|
795 |
714 |
$25K |
| 70496 |
|
73 |
65 |
$24K |
| 87420 |
|
3,376 |
3,261 |
$24K |
| 96415 |
|
942 |
666 |
$23K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,374 |
1,287 |
$22K |
| 84443 |
Thyroid stimulating hormone (TSH) |
8,393 |
6,933 |
$22K |
| C1769 |
Guide wire |
1,605 |
1,323 |
$21K |
| 81001 |
|
25,469 |
22,123 |
$21K |
| 93017 |
|
737 |
660 |
$21K |
| 84484 |
|
10,578 |
8,197 |
$20K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
187 |
130 |
$19K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
536 |
313 |
$19K |
| 87490 |
|
3,846 |
3,585 |
$17K |
| 36430 |
|
756 |
583 |
$16K |
| 73564 |
|
765 |
690 |
$15K |
| 96376 |
|
3,696 |
2,795 |
$15K |
| 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 |
545 |
490 |
$15K |
| 73130 |
|
378 |
345 |
$15K |
| 74018 |
|
949 |
892 |
$14K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,294 |
1,932 |
$13K |
| 87641 |
|
1,090 |
948 |
$12K |
| 73610 |
|
489 |
467 |
$12K |
| P9016 |
Red blood cells, leukocytes reduced, each unit |
712 |
539 |
$12K |
| 84439 |
|
1,774 |
1,425 |
$11K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
687 |
482 |
$11K |
| 82731 |
|
102 |
94 |
$11K |
| 73630 |
|
527 |
493 |
$11K |
| 10060 |
|
221 |
200 |
$10K |
| 80061 |
Lipid panel |
4,181 |
3,317 |
$10K |
| 83880 |
|
4,335 |
3,266 |
$10K |
| 76830 |
Ultrasound, transvaginal |
1,137 |
1,067 |
$10K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,557 |
1,394 |
$9K |
| 87070 |
|
1,498 |
1,227 |
$9K |
| 87040 |
|
2,466 |
2,125 |
$9K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
142 |
132 |
$8K |
| 64718 |
|
27 |
26 |
$8K |
| 74230 |
|
116 |
97 |
$8K |
| 84132 |
|
601 |
503 |
$8K |
| 76775 |
|
143 |
136 |
$8K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,041 |
1,665 |
$7K |
| 76000 |
|
676 |
618 |
$7K |
| 86328 |
|
1,220 |
1,172 |
$7K |
| 86901 |
|
3,966 |
3,405 |
$7K |
| 87590 |
|
3,860 |
3,604 |
$6K |
| 83690 |
|
7,707 |
6,759 |
$6K |
| 82728 |
|
2,327 |
1,929 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
7,140 |
6,741 |
$6K |
| 84112 |
|
168 |
147 |
$6K |
| 96416 |
|
169 |
101 |
$6K |
| 82607 |
|
1,998 |
1,598 |
$6K |
| 84295 |
|
242 |
200 |
$5K |
| 82330 |
|
160 |
120 |
$5K |
| 70486 |
|
197 |
183 |
$5K |
| 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 |
9,669 |
5,205 |
$4K |
| 82947 |
|
270 |
225 |
$4K |
| 73140 |
|
107 |
104 |
$4K |
| 96368 |
|
962 |
779 |
$4K |
| 97597 |
|
51 |
36 |
$4K |
| 73030 |
|
267 |
239 |
$4K |
| 12001 |
|
89 |
84 |
$4K |
| J0185 |
Injection, aprepitant, 1 mg |
88 |
55 |
$4K |
| 12011 |
|
53 |
50 |
$3K |
| 82746 |
|
828 |
691 |
$3K |
| 97166 |
|
62 |
52 |
$3K |
| C1725 |
Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) |
178 |
132 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
37 |
27 |
$3K |
| 73110 |
|
47 |
44 |
$3K |
| J2785 |
Injection, regadenoson, 0.1 mg |
255 |
235 |
$2K |
| 97165 |
|
29 |
26 |
$2K |
| 82378 |
|
574 |
366 |
$2K |
| 97010 |
|
99 |
44 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
234 |
223 |
$2K |
| 73600 |
|
47 |
42 |
$2K |
| 86592 |
|
1,583 |
1,456 |
$2K |
| 82024 |
|
506 |
369 |
$2K |
| 84156 |
|
870 |
708 |
$2K |
| 73620 |
|
161 |
147 |
$2K |
| 83605 |
|
1,762 |
1,463 |
$2K |
| 76885 |
|
17 |
17 |
$2K |
| 82550 |
|
2,152 |
1,734 |
$2K |
| 74019 |
|
143 |
138 |
$2K |
| 76376 |
|
61 |
55 |
$2K |
| 92523 |
|
12 |
12 |
$2K |
| 11043 |
|
15 |
12 |
$2K |
| 85379 |
|
1,580 |
1,437 |
$1K |
| 93970 |
|
15 |
15 |
$1K |
| 97802 |
|
13 |
13 |
$1K |
| 84145 |
|
1,634 |
1,166 |
$1K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
415 |
367 |
$1K |
| 73590 |
|
136 |
117 |
$1K |
| 83550 |
|
1,579 |
1,367 |
$1K |
| 73560 |
|
81 |
69 |
$1K |
| 85045 |
|
2,882 |
1,662 |
$1K |
| 72131 |
|
27 |
24 |
$1K |
| 80164 |
|
327 |
274 |
$1K |
| 88300 |
|
142 |
135 |
$1K |
| 85007 |
|
1,043 |
966 |
$1K |
| 82570 |
|
781 |
689 |
$1K |
| 86923 |
|
426 |
339 |
$1K |
| 73502 |
|
229 |
196 |
$1K |
| 86140 |
|
2,031 |
1,488 |
$997.40 |
| 73100 |
|
43 |
42 |
$992.69 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
13 |
$934.81 |
| 87506 |
|
112 |
108 |
$930.91 |
| 87806 |
|
429 |
398 |
$924.11 |
| 86308 |
|
190 |
180 |
$921.90 |
| 82803 |
|
122 |
93 |
$895.99 |
| J1453 |
Injection, fosaprepitant, 1 mg |
16 |
12 |
$889.68 |
| 73090 |
|
55 |
49 |
$878.45 |
| 73020 |
|
38 |
38 |
$761.78 |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
25 |
24 |
$716.06 |
| 96417 |
|
578 |
380 |
$693.25 |
| 87045 |
|
25 |
24 |
$684.03 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
28 |
26 |
$665.20 |
| 84550 |
|
1,058 |
870 |
$635.17 |
| 96411 |
|
97 |
67 |
$623.86 |
| 85660 |
|
555 |
342 |
$623.70 |
| 93325 |
|
176 |
171 |
$619.57 |
| 88304 |
|
438 |
407 |
$619.40 |
| 84100 |
|
651 |
383 |
$574.96 |
| 85652 |
|
1,421 |
979 |
$559.99 |
| 82077 |
|
1,864 |
1,639 |
$556.98 |
| C8929 |
Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography |
44 |
42 |
$553.50 |
| 73706 |
|
350 |
317 |
$538.84 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
72 |
67 |
$509.69 |
| 70320 |
|
268 |
256 |
$490.52 |
| 73070 |
|
13 |
12 |
$482.57 |
| 86902 |
|
35 |
25 |
$480.83 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
13 |
13 |
$472.24 |
| 90715 |
|
427 |
371 |
$430.63 |
| 83615 |
|
1,334 |
1,102 |
$380.14 |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
15 |
13 |
$366.67 |
| 98960 |
|
22 |
14 |
$342.02 |
| 87340 |
|
320 |
285 |
$330.72 |
| 77338 |
|
16 |
12 |
$258.13 |
| 87205 |
|
458 |
400 |
$211.90 |
| 82270 |
|
29 |
26 |
$211.21 |
| 82248 |
|
105 |
95 |
$208.41 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
14 |
13 |
$199.68 |
| 92611 |
|
115 |
97 |
$194.14 |
| 82553 |
|
130 |
95 |
$190.46 |
| 72193 |
|
12 |
12 |
$190.08 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
62 |
26 |
$174.46 |
| 87210 |
|
438 |
414 |
$164.90 |
| 80143 |
|
663 |
591 |
$157.77 |
| 82010 |
|
396 |
349 |
$156.49 |
| 72170 |
|
27 |
24 |
$144.33 |
| 82140 |
|
66 |
54 |
$143.18 |
| 87186 |
|
1,690 |
1,465 |
$142.14 |
| 77300 |
|
17 |
13 |
$117.91 |
| 72110 |
|
27 |
25 |
$109.25 |
| 86762 |
|
84 |
78 |
$97.06 |
| 83021 |
|
91 |
81 |
$81.57 |
| 80074 |
|
49 |
47 |
$80.07 |
| 86735 |
|
47 |
45 |
$78.08 |
| 94060 |
|
15 |
14 |
$73.16 |
| 85520 |
|
187 |
163 |
$64.96 |
| 83883 |
|
32 |
27 |
$64.69 |
| 86765 |
|
47 |
45 |
$53.60 |
| 86787 |
|
44 |
42 |
$47.50 |
| 86304 |
|
33 |
25 |
$47.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
14 |
$45.86 |
| 84134 |
|
164 |
88 |
$44.99 |
| 93320 |
|
120 |
96 |
$33.50 |
| 80179 |
|
601 |
538 |
$33.42 |
| 86706 |
|
32 |
30 |
$29.20 |
| 88312 |
|
27 |
24 |
$21.86 |
| 82542 |
|
28 |
24 |
$21.43 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
16 |
15 |
$21.35 |
| 82784 |
|
96 |
87 |
$15.10 |
| 99000 |
|
42 |
22 |
$2.00 |
| 96377 |
|
16 |
12 |
$0.00 |
| 70498 |
|
72 |
64 |
$0.00 |
| 84153 |
|
24 |
13 |
$0.00 |
| G0257 |
Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility |
19 |
13 |
$0.00 |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
426 |
414 |
$0.00 |
| 82009 |
|
145 |
123 |
$0.00 |
| A0425 |
Ground mileage, per statute mile |
27 |
26 |
$0.00 |
| 80076 |
|
64 |
61 |
$0.00 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
13 |
13 |
$0.00 |
| 99152 |
|
15 |
12 |
$0.00 |
| 36600 |
|
15 |
12 |
$0.00 |
| 70310 |
|
53 |
53 |
$0.00 |
| 88302 |
|
13 |
12 |
$0.00 |
| C1760 |
Closure device, vascular (implantable/insertable) |
15 |
12 |
$0.00 |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
17 |
13 |
$0.00 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
16 |
12 |
$0.00 |