| Code | Description | Claims | Beneficiaries | Total Paid |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
14,199 |
13,584 |
$1.34M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
10,416 |
9,856 |
$1.19M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,102 |
2,019 |
$714K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,465 |
4,167 |
$658K |
| 80053 |
Comprehensive metabolic panel |
19,891 |
17,845 |
$427K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,454 |
2,304 |
$411K |
| 71045 |
Radiologic examination, chest; single view |
7,546 |
6,929 |
$351K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
7,333 |
6,513 |
$344K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,351 |
1,300 |
$343K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,823 |
1,296 |
$341K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,548 |
4,741 |
$306K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,234 |
2,296 |
$284K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
4,423 |
4,260 |
$260K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,141 |
4,443 |
$187K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,651 |
4,954 |
$187K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
20,019 |
17,843 |
$143K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
906 |
490 |
$133K |
| 71046 |
Radiologic examination, chest; 2 views |
2,571 |
2,438 |
$133K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
560 |
535 |
$128K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,273 |
2,814 |
$120K |
| 87428 |
|
1,567 |
1,530 |
$107K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
240 |
240 |
$90K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
709 |
693 |
$88K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,384 |
2,284 |
$83K |
| 36415 |
Collection of venous blood by venipuncture |
23,906 |
20,517 |
$79K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
782 |
641 |
$77K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,732 |
4,641 |
$73K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
461 |
459 |
$73K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,586 |
652 |
$71K |
| 84484 |
|
4,580 |
3,781 |
$66K |
| 80306 |
|
2,521 |
2,383 |
$66K |
| 73630 |
|
974 |
844 |
$60K |
| 95811 |
|
57 |
57 |
$57K |
| 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 |
709 |
594 |
$51K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
289 |
282 |
$51K |
| 73562 |
|
593 |
551 |
$51K |
| 83880 |
|
2,192 |
2,012 |
$50K |
| 80061 |
Lipid panel |
3,521 |
3,473 |
$47K |
| 83690 |
|
4,778 |
4,422 |
$46K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
128 |
121 |
$44K |
| 81001 |
|
9,912 |
9,279 |
$43K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,892 |
3,844 |
$36K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,855 |
2,688 |
$34K |
| 85730 |
|
3,953 |
3,718 |
$32K |
| 73610 |
|
330 |
310 |
$29K |
| 95806 |
|
132 |
131 |
$29K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
986 |
418 |
$28K |
| 81025 |
|
2,549 |
2,448 |
$27K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,119 |
1,106 |
$26K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
25 |
25 |
$26K |
| 84439 |
|
2,496 |
2,460 |
$25K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
277 |
178 |
$22K |
| 72100 |
|
263 |
261 |
$21K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
497 |
462 |
$21K |
| 74021 |
|
265 |
252 |
$18K |
| 73030 |
|
215 |
206 |
$17K |
| 85610 |
|
4,557 |
4,162 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,271 |
677 |
$16K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
850 |
700 |
$16K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
405 |
400 |
$16K |
| 73130 |
|
219 |
205 |
$15K |
| 87186 |
|
1,370 |
1,204 |
$15K |
| 84703 |
|
1,252 |
1,210 |
$15K |
| 83605 |
|
1,025 |
835 |
$14K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
405 |
400 |
$14K |
| 87430 |
|
980 |
959 |
$14K |
| 87081 |
|
799 |
786 |
$14K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
140 |
44 |
$14K |
| 87077 |
|
1,569 |
1,352 |
$14K |
| G0378 |
Hospital observation service, per hour |
62 |
42 |
$13K |
| 84481 |
|
718 |
706 |
$12K |
| 87040 |
|
765 |
547 |
$11K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
40 |
38 |
$11K |
| 73110 |
|
140 |
135 |
$11K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
708 |
651 |
$10K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
109 |
106 |
$10K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
527 |
500 |
$10K |
| 94664 |
|
66 |
59 |
$8K |
| 82607 |
|
513 |
505 |
$7K |
| 96376 |
|
306 |
242 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
52 |
52 |
$7K |
| 86140 |
|
727 |
650 |
$7K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
4,402 |
2,976 |
$6K |
| 87070 |
|
618 |
596 |
$6K |
| 82550 |
|
735 |
656 |
$5K |
| 85379 |
|
456 |
442 |
$5K |
| J2704 |
Injection, propofol, 10 mg |
2,396 |
1,861 |
$5K |
| 74018 |
|
81 |
78 |
$5K |
| J3490 |
Unclassified drugs |
4,083 |
2,739 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
380 |
377 |
$5K |
| 76830 |
Ultrasound, transvaginal |
41 |
41 |
$5K |
| 97161 |
|
163 |
159 |
$5K |
| 86850 |
|
555 |
485 |
$4K |
| 82553 |
|
436 |
403 |
$4K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
70 |
60 |
$4K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
3,389 |
2,800 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
4,869 |
4,213 |
$4K |
| 82570 |
|
521 |
483 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
153 |
149 |
$4K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,654 |
4,774 |
$4K |
| 82043 |
|
502 |
493 |
$4K |
| 87400 |
|
283 |
266 |
$4K |
| 83735 |
|
519 |
449 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$4K |
| 76641 |
|
29 |
27 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
13 |
$3K |
| 82728 |
|
248 |
246 |
$3K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,453 |
1,024 |
$3K |
| 86900 |
|
556 |
488 |
$3K |
| 86901 |
|
653 |
576 |
$3K |
| 85652 |
|
784 |
689 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
93 |
90 |
$3K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
79 |
37 |
$3K |
| J3370 |
Injection, vancomycin hcl, 500 mg |
496 |
422 |
$3K |
| 82150 |
|
317 |
290 |
$3K |
| 96367 |
|
44 |
39 |
$2K |
| 82248 |
|
330 |
263 |
$2K |
| 76942 |
|
25 |
24 |
$2K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,101 |
914 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
163 |
158 |
$2K |
| 85027 |
|
319 |
279 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,762 |
1,487 |
$2K |
| J1790 |
Injection, droperidol, up to 5 mg |
330 |
301 |
$2K |
| 83540 |
|
275 |
269 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$1K |
| 76642 |
|
13 |
12 |
$1K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,080 |
921 |
$1K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
12 |
12 |
$1K |
| 84466 |
|
130 |
127 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,451 |
1,226 |
$1K |
| 93000 |
|
40 |
38 |
$1K |
| 82805 |
|
16 |
13 |
$1K |
| 87420 |
|
35 |
31 |
$1K |
| 97162 |
|
28 |
26 |
$981.46 |
| 76536 |
|
12 |
12 |
$948.66 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
31 |
30 |
$885.25 |
| 81002 |
|
279 |
263 |
$695.87 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,620 |
1,465 |
$670.92 |
| 73140 |
|
12 |
12 |
$670.02 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
60 |
57 |
$645.97 |
| 86703 |
|
37 |
37 |
$564.29 |
| 73560 |
|
13 |
13 |
$559.21 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
930 |
758 |
$511.87 |
| 81003 |
|
171 |
165 |
$466.56 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
290 |
218 |
$461.82 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
506 |
445 |
$420.14 |
| 84702 |
|
14 |
13 |
$407.57 |
| 80076 |
|
30 |
28 |
$407.03 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
19 |
17 |
$373.55 |
| J2800 |
Injection, methocarbamol, up to 10 ml |
25 |
24 |
$349.36 |
| 80305 |
|
25 |
24 |
$313.79 |
| 87205 |
|
81 |
76 |
$313.54 |
| 86141 |
|
21 |
17 |
$296.91 |
| 88304 |
|
15 |
13 |
$292.62 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
63 |
52 |
$287.56 |
| J0500 |
Injection, dicyclomine hcl, up to 20 mg |
15 |
13 |
$267.31 |
| 90714 |
|
13 |
13 |
$264.30 |
| 97035 |
|
24 |
12 |
$260.66 |
| 86038 |
|
18 |
15 |
$257.99 |
| A9576 |
Injection, gadoteridol, (prohance multipack), per ml |
29 |
27 |
$241.10 |
| C9290 |
Injection, bupivacaine liposome, 1 mg |
261 |
239 |
$169.73 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
53 |
49 |
$161.74 |
| 86592 |
|
25 |
25 |
$155.88 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
54 |
52 |
$125.21 |
| 86039 |
|
14 |
13 |
$109.01 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$54.70 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
15 |
15 |
$45.72 |
| J2060 |
Injection, lorazepam, 2 mg |
31 |
24 |
$25.60 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
26 |
25 |
$10.33 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
14 |
13 |
$8.19 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
12 |
12 |
$7.13 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
24 |
22 |
$7.07 |