| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
10,021 |
8,896 |
$560K |
| 80053 |
Comprehensive metabolic panel |
41,729 |
35,058 |
$501K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,438 |
6,185 |
$449K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
49,069 |
40,581 |
$417K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,218 |
2,045 |
$360K |
| 59025 |
Fetal non-stress test |
2,111 |
1,337 |
$346K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,950 |
2,686 |
$333K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,189 |
3,365 |
$306K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
795 |
772 |
$236K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
5,617 |
4,637 |
$229K |
| 80306 |
|
9,711 |
8,252 |
$199K |
| 80050 |
General health panel |
3,929 |
3,839 |
$190K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,430 |
1,536 |
$188K |
| 84443 |
Thyroid stimulating hormone (TSH) |
12,318 |
11,229 |
$176K |
| 71046 |
Radiologic examination, chest; 2 views |
8,394 |
7,734 |
$163K |
| 83880 |
|
5,293 |
4,586 |
$148K |
| 0240U |
|
1,102 |
995 |
$140K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
10,244 |
8,693 |
$116K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
10,725 |
9,489 |
$109K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
497 |
469 |
$109K |
| 80061 |
Lipid panel |
7,549 |
7,066 |
$109K |
| 36415 |
Collection of venous blood by venipuncture |
19,446 |
14,648 |
$98K |
| 87081 |
|
9,859 |
9,211 |
$92K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,276 |
1,177 |
$88K |
| 80074 |
|
1,461 |
1,398 |
$88K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
632 |
590 |
$87K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,273 |
1,176 |
$86K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,624 |
2,485 |
$84K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,402 |
2,239 |
$82K |
| 87275 |
|
6,136 |
5,735 |
$80K |
| 87276 |
|
6,133 |
5,731 |
$79K |
| 51702 |
|
447 |
418 |
$77K |
| 71045 |
Radiologic examination, chest; single view |
7,884 |
6,845 |
$73K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
891 |
834 |
$71K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
8,468 |
7,321 |
$71K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,453 |
1,982 |
$71K |
| 73630 |
|
2,241 |
2,054 |
$65K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,382 |
5,981 |
$64K |
| 84703 |
|
5,284 |
4,682 |
$64K |
| 84484 |
|
5,993 |
4,918 |
$63K |
| 81001 |
|
15,338 |
13,233 |
$60K |
| 84439 |
|
5,160 |
4,840 |
$58K |
| 74018 |
|
2,492 |
2,339 |
$55K |
| 87430 |
|
4,132 |
3,910 |
$54K |
| 82550 |
|
6,207 |
5,280 |
$53K |
| 86703 |
|
2,896 |
2,773 |
$53K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
389 |
349 |
$52K |
| 87040 |
|
4,183 |
3,831 |
$51K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
174 |
167 |
$51K |
| 83735 |
|
7,112 |
6,011 |
$49K |
| 80320 |
|
2,605 |
2,167 |
$49K |
| 73130 |
|
1,716 |
1,560 |
$45K |
| 83690 |
|
4,890 |
4,347 |
$45K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
792 |
776 |
$45K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,529 |
2,063 |
$44K |
| 85027 |
|
5,909 |
5,210 |
$44K |
| 82553 |
|
3,657 |
3,125 |
$43K |
| 86901 |
|
3,094 |
2,782 |
$43K |
| 80055 |
|
1,090 |
1,082 |
$40K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
143 |
140 |
$39K |
| 73560 |
|
1,672 |
1,475 |
$39K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
272 |
252 |
$38K |
| 73610 |
|
1,939 |
1,744 |
$38K |
| 74019 |
|
1,536 |
1,431 |
$38K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
895 |
526 |
$37K |
| 86803 |
|
1,910 |
1,813 |
$37K |
| 84146 |
|
1,178 |
1,038 |
$36K |
| 82803 |
|
1,901 |
1,652 |
$35K |
| 80329 |
|
2,450 |
1,880 |
$35K |
| 83605 |
|
3,078 |
2,273 |
$34K |
| 73030 |
|
1,601 |
1,446 |
$32K |
| 88142 |
|
1,977 |
1,882 |
$32K |
| 73110 |
|
1,308 |
1,146 |
$32K |
| 85730 |
|
5,603 |
4,922 |
$32K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
939 |
724 |
$31K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
635 |
609 |
$30K |
| 82607 |
|
1,770 |
1,660 |
$29K |
| 84702 |
|
2,356 |
1,670 |
$28K |
| 97161 |
|
455 |
426 |
$28K |
| 87088 |
|
3,161 |
2,882 |
$27K |
| 87186 |
|
3,874 |
3,547 |
$25K |
| 85610 |
|
6,821 |
5,814 |
$25K |
| 86756 |
|
1,381 |
1,323 |
$24K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,226 |
1,162 |
$24K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,819 |
1,493 |
$23K |
| 72100 |
|
937 |
888 |
$22K |
| 86762 |
|
2,333 |
2,221 |
$22K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
50 |
48 |
$21K |
| 87205 |
|
3,329 |
3,122 |
$20K |
| 82565 |
|
2,342 |
2,123 |
$20K |
| 72141 |
|
60 |
59 |
$20K |
| 81025 |
|
2,028 |
1,876 |
$19K |
| 87493 |
|
421 |
404 |
$19K |
| 82248 |
|
2,846 |
1,872 |
$18K |
| 85007 |
|
4,850 |
4,271 |
$18K |
| 72131 |
|
146 |
142 |
$17K |
| 73502 |
|
783 |
736 |
$17K |
| 83540 |
|
2,312 |
2,152 |
$17K |
| 81003 |
|
5,606 |
5,036 |
$16K |
| 87070 |
|
1,489 |
1,401 |
$16K |
| 82150 |
|
1,883 |
1,720 |
$16K |
| 82728 |
|
1,071 |
978 |
$16K |
| 51701 |
|
115 |
106 |
$15K |
| 82140 |
|
1,408 |
1,222 |
$14K |
| 86592 |
|
3,675 |
3,500 |
$14K |
| 87210 |
|
2,112 |
1,951 |
$13K |
| 82962 |
|
2,646 |
1,906 |
$13K |
| 12001 |
|
47 |
40 |
$13K |
| 82746 |
|
748 |
698 |
$12K |
| 73562 |
|
361 |
313 |
$12K |
| 88304 |
|
483 |
458 |
$12K |
| 71020 |
|
850 |
807 |
$11K |
| 88342 |
|
194 |
183 |
$11K |
| 70486 |
|
80 |
79 |
$11K |
| 86738 |
|
674 |
637 |
$10K |
| 82950 |
|
1,499 |
1,433 |
$10K |
| 83550 |
|
1,134 |
1,053 |
$10K |
| 84520 |
|
1,774 |
1,606 |
$10K |
| 86308 |
|
1,212 |
1,155 |
$9K |
| 86850 |
|
2,563 |
2,379 |
$9K |
| 86140 |
|
1,474 |
1,324 |
$9K |
| 78227 |
|
24 |
24 |
$9K |
| 82247 |
|
1,178 |
639 |
$8K |
| X4011 |
State-specific procedure code |
57 |
53 |
$8K |
| 87077 |
|
742 |
701 |
$8K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
594 |
487 |
$7K |
| 82947 |
|
1,039 |
864 |
$7K |
| 87045 |
|
554 |
527 |
$7K |
| 93971 |
|
134 |
123 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
395 |
386 |
$6K |
| 36600 |
|
323 |
274 |
$6K |
| 87340 |
|
1,602 |
1,530 |
$6K |
| 83615 |
|
1,070 |
855 |
$6K |
| 86900 |
|
2,744 |
2,535 |
$6K |
| 74022 |
|
196 |
173 |
$5K |
| 84145 |
|
284 |
242 |
$5K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
133 |
83 |
$5K |
| 85652 |
|
1,569 |
1,448 |
$5K |
| 73090 |
|
241 |
208 |
$5K |
| 72110 |
|
132 |
129 |
$5K |
| Y7506 |
|
42 |
40 |
$5K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,949 |
1,634 |
$4K |
| 84460 |
|
468 |
438 |
$4K |
| 80076 |
|
353 |
319 |
$4K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
16 |
15 |
$4K |
| 84450 |
|
431 |
402 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,464 |
1,908 |
$4K |
| 12011 |
|
13 |
13 |
$4K |
| 87046 |
|
555 |
528 |
$3K |
| 47562 |
|
12 |
12 |
$3K |
| 87209 |
|
132 |
126 |
$3K |
| 97001 |
|
54 |
54 |
$3K |
| 95886 |
|
55 |
54 |
$3K |
| 72040 |
|
139 |
129 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
534 |
308 |
$2K |
| 72128 |
|
13 |
12 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
31 |
26 |
$2K |
| 84112 |
|
29 |
26 |
$2K |
| 74020 |
|
122 |
116 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
67 |
65 |
$2K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
16 |
16 |
$2K |
| 84550 |
|
375 |
308 |
$2K |
| 71010 |
|
302 |
287 |
$2K |
| 76536 |
|
39 |
39 |
$2K |
| 74000 |
|
103 |
96 |
$2K |
| 83525 |
|
65 |
60 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
808 |
738 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
14 |
13 |
$2K |
| 73070 |
|
75 |
67 |
$1K |
| 73590 |
|
61 |
52 |
$1K |
| 82272 |
|
270 |
254 |
$1K |
| 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 |
172 |
102 |
$1K |
| 86759 |
|
58 |
56 |
$1K |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$1K |
| 94644 |
|
18 |
13 |
$979.60 |
| 72072 |
|
40 |
40 |
$978.15 |
| 93226 |
|
13 |
12 |
$948.38 |
| 82570 |
|
232 |
204 |
$945.05 |
| G0202 |
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed |
18 |
17 |
$901.12 |
| 87329 |
|
61 |
58 |
$815.92 |
| 87328 |
|
61 |
58 |
$812.73 |
| 84153 |
|
70 |
67 |
$802.57 |
| 80164 |
|
28 |
25 |
$776.06 |
| 95912 |
|
14 |
13 |
$722.05 |
| 82009 |
|
114 |
103 |
$684.89 |
| 85018 |
|
310 |
282 |
$518.91 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
279 |
249 |
$515.07 |
| 71101 |
|
15 |
12 |
$510.47 |
| 84156 |
|
117 |
91 |
$481.63 |
| 72050 |
|
13 |
13 |
$459.61 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
54 |
37 |
$419.29 |
| 94060 |
|
12 |
12 |
$381.04 |
| 73080 |
|
14 |
12 |
$366.13 |
| 85014 |
|
222 |
203 |
$355.99 |
| 73565 |
|
46 |
44 |
$346.82 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$336.00 |
| 85651 |
|
97 |
91 |
$324.48 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
17 |
14 |
$315.05 |
| 82105 |
|
12 |
12 |
$287.39 |
| 82951 |
|
14 |
13 |
$271.56 |
| 77080 |
|
12 |
12 |
$266.61 |
| G0378 |
Hospital observation service, per hour |
168 |
145 |
$234.50 |
| 84100 |
|
202 |
188 |
$225.36 |
| 86430 |
|
30 |
27 |
$224.92 |
| 84478 |
|
32 |
26 |
$199.48 |
| 86038 |
|
12 |
12 |
$189.32 |
| J2704 |
Injection, propofol, 10 mg |
115 |
102 |
$130.50 |
| 82952 |
|
14 |
13 |
$93.90 |
| 88300 |
|
12 |
12 |
$81.00 |
| 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) |
73 |
72 |
$11.62 |
| Q0244 |
Injection, casirivimab and imdevimab, 1200 mg |
28 |
27 |
$0.04 |
| 82040 |
|
30 |
28 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
18 |
14 |
$0.00 |
| 88141 |
|
21 |
21 |
$0.00 |
| 99152 |
|
17 |
13 |
$0.00 |