| Code | Description | Claims | Beneficiaries | Total Paid |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
25,210 |
21,383 |
$4.07M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
42,246 |
32,755 |
$3.81M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,205 |
2,152 |
$1.45M |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
4,852 |
2,339 |
$893K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,280 |
2,215 |
$886K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,034 |
5,331 |
$735K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,942 |
2,716 |
$654K |
| 99201 |
|
4,305 |
2,013 |
$613K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,909 |
4,776 |
$560K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
5,947 |
5,406 |
$451K |
| 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 |
4,817 |
3,905 |
$408K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,750 |
6,178 |
$393K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,196 |
1,193 |
$286K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,528 |
5,172 |
$279K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
976 |
951 |
$278K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,671 |
1,649 |
$251K |
| 80053 |
Comprehensive metabolic panel |
25,126 |
21,393 |
$247K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
303 |
297 |
$243K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,139 |
857 |
$233K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,500 |
2,977 |
$224K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,517 |
1,481 |
$211K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,629 |
3,203 |
$205K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
28,195 |
23,683 |
$197K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,339 |
1,288 |
$186K |
| 71046 |
Radiologic examination, chest; 2 views |
4,498 |
4,307 |
$177K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
649 |
632 |
$165K |
| 71045 |
Radiologic examination, chest; single view |
5,381 |
5,018 |
$159K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
994 |
890 |
$139K |
| J3490 |
Unclassified drugs |
23,135 |
13,267 |
$137K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
869 |
862 |
$123K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
246 |
243 |
$116K |
| 73630 |
|
1,864 |
1,754 |
$102K |
| 73610 |
|
1,544 |
1,438 |
$93K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
484 |
481 |
$93K |
| 73030 |
|
1,548 |
1,483 |
$93K |
| 84443 |
Thyroid stimulating hormone (TSH) |
6,103 |
5,777 |
$81K |
| 73130 |
|
1,291 |
1,204 |
$78K |
| 72100 |
|
1,222 |
1,206 |
$77K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
3,356 |
3,308 |
$74K |
| 73110 |
|
1,164 |
1,051 |
$69K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
235 |
225 |
$66K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
7,013 |
5,821 |
$62K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,746 |
1,713 |
$62K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,728 |
1,696 |
$61K |
| 73562 |
|
1,087 |
1,060 |
$60K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
2,578 |
1,226 |
$54K |
| 82077 |
|
1,704 |
1,473 |
$51K |
| 76830 |
Ultrasound, transvaginal |
342 |
342 |
$51K |
| 84484 |
|
5,051 |
3,846 |
$47K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
53 |
52 |
$47K |
| 83880 |
|
1,666 |
1,518 |
$47K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,172 |
1,073 |
$45K |
| 81001 |
|
10,399 |
9,440 |
$44K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
6,945 |
3,525 |
$44K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,317 |
5,098 |
$43K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
628 |
619 |
$38K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
376 |
225 |
$36K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
68 |
66 |
$36K |
| 76536 |
|
284 |
284 |
$36K |
| 80061 |
Lipid panel |
3,503 |
3,459 |
$35K |
| 83605 |
|
3,341 |
2,621 |
$35K |
| 83690 |
|
5,234 |
4,691 |
$34K |
| 87040 |
|
3,191 |
1,880 |
$33K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,738 |
3,556 |
$32K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
57 |
56 |
$30K |
| 97750 |
|
221 |
197 |
$28K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,445 |
3,394 |
$26K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,693 |
3,379 |
$26K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,844 |
2,635 |
$25K |
| 97010 |
|
408 |
84 |
$24K |
| 90715 |
|
454 |
452 |
$24K |
| 87186 |
|
2,411 |
2,191 |
$23K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
938 |
921 |
$22K |
| 87081 |
|
2,806 |
2,762 |
$22K |
| 87799 |
|
218 |
195 |
$21K |
| 87077 |
|
2,292 |
2,044 |
$21K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
917 |
910 |
$20K |
| 73502 |
|
356 |
342 |
$20K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
153 |
152 |
$20K |
| 76770 |
|
138 |
134 |
$19K |
| 81025 |
|
5,322 |
4,921 |
$19K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,699 |
1,324 |
$19K |
| 85610 |
|
3,243 |
2,930 |
$18K |
| J2704 |
Injection, propofol, 10 mg |
2,350 |
1,758 |
$17K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
64 |
53 |
$17K |
| J7050 |
Infusion, normal saline solution, 250 cc |
2,162 |
1,794 |
$17K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,782 |
1,607 |
$16K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,082 |
1,681 |
$16K |
| 97139 |
|
365 |
63 |
$16K |
| 81003 |
|
6,107 |
5,658 |
$16K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,661 |
1,382 |
$16K |
| 96367 |
|
158 |
104 |
$16K |
| 73221 |
|
26 |
25 |
$16K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,910 |
1,445 |
$16K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
415 |
410 |
$15K |
| 72040 |
|
292 |
286 |
$15K |
| 80143 |
|
737 |
646 |
$15K |
| 87400 |
|
1,479 |
1,431 |
$14K |
| 12001 |
|
103 |
103 |
$14K |
| 83735 |
|
2,281 |
1,933 |
$13K |
| 80179 |
|
703 |
619 |
$13K |
| 84439 |
|
1,706 |
1,670 |
$13K |
| 85730 |
|
1,594 |
1,494 |
$13K |
| 73080 |
|
152 |
138 |
$13K |
| 87070 |
|
1,253 |
1,146 |
$12K |
| 73140 |
|
302 |
293 |
$12K |
| 87631 |
|
181 |
173 |
$11K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,812 |
1,684 |
$11K |
| 82947 |
|
2,013 |
1,612 |
$11K |
| 87430 |
|
732 |
717 |
$9K |
| J2060 |
Injection, lorazepam, 2 mg |
1,256 |
1,036 |
$7K |
| 86900 |
|
578 |
469 |
$7K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,181 |
1,116 |
$7K |
| 86140 |
|
1,635 |
1,538 |
$7K |
| 93971 |
|
25 |
25 |
$7K |
| 72141 |
|
12 |
12 |
$6K |
| 72110 |
|
54 |
54 |
$6K |
| 0450 |
Emergency room services |
104 |
92 |
$6K |
| 87486 |
|
230 |
219 |
$6K |
| 87581 |
|
230 |
219 |
$5K |
| 86901 |
|
530 |
494 |
$5K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
926 |
772 |
$5K |
| 87481 |
|
163 |
162 |
$5K |
| 87634 |
|
104 |
104 |
$5K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
590 |
511 |
$5K |
| 99070 |
|
324 |
278 |
$5K |
| 80055 |
|
167 |
166 |
$5K |
| 87147 |
|
793 |
508 |
$5K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
162 |
162 |
$5K |
| 74018 |
|
132 |
124 |
$5K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
24 |
12 |
$5K |
| 83540 |
|
939 |
902 |
$4K |
| 87512 |
|
114 |
114 |
$4K |
| 82728 |
|
452 |
432 |
$4K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
105 |
99 |
$4K |
| 85027 |
|
674 |
652 |
$4K |
| 86803 |
|
317 |
315 |
$4K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
512 |
457 |
$4K |
| 83550 |
|
668 |
648 |
$4K |
| 73564 |
|
57 |
57 |
$4K |
| 85379 |
|
425 |
418 |
$3K |
| 70486 |
|
15 |
14 |
$3K |
| 85651 |
|
1,427 |
1,348 |
$3K |
| 86850 |
|
181 |
166 |
$3K |
| 73560 |
|
75 |
75 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
25 |
25 |
$3K |
| 86592 |
|
714 |
708 |
$3K |
| 77065 |
Tomosynthesis, mammo |
14 |
14 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
109 |
103 |
$3K |
| 87420 |
|
580 |
550 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
14 |
$2K |
| Z9725 |
|
54 |
53 |
$2K |
| 87075 |
|
227 |
211 |
$2K |
| 87205 |
|
454 |
403 |
$2K |
| 94060 |
|
13 |
13 |
$2K |
| 94729 |
|
12 |
12 |
$2K |
| 94726 |
|
13 |
13 |
$2K |
| 80074 |
|
47 |
47 |
$2K |
| 73090 |
|
28 |
27 |
$2K |
| 76642 |
|
12 |
12 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
24 |
24 |
$1K |
| 81329 |
|
12 |
12 |
$1K |
| 82746 |
|
133 |
133 |
$1K |
| 74022 |
|
16 |
15 |
$1K |
| 83655 |
|
170 |
165 |
$1K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
114 |
106 |
$1K |
| 83021 |
|
146 |
143 |
$1K |
| 82803 |
|
101 |
90 |
$1K |
| 86038 |
|
105 |
105 |
$986.82 |
| 82550 |
|
138 |
129 |
$804.51 |
| 82570 |
|
168 |
157 |
$764.67 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
71 |
68 |
$613.30 |
| 82274 |
|
41 |
39 |
$580.32 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
80 |
67 |
$569.30 |
| 73120 |
|
13 |
13 |
$547.09 |
| 84403 |
|
26 |
25 |
$539.64 |
| Z7502 |
|
13 |
13 |
$520.80 |
| 84100 |
|
134 |
107 |
$424.62 |
| 73590 |
|
14 |
13 |
$358.50 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
38 |
37 |
$315.12 |
| 82950 |
|
72 |
71 |
$314.29 |
| 85041 |
|
121 |
118 |
$311.89 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
28 |
24 |
$294.11 |
| 85014 |
|
144 |
141 |
$291.21 |
| 82670 |
|
13 |
12 |
$290.55 |
| 85018 |
|
131 |
127 |
$252.28 |
| 84481 |
|
14 |
14 |
$194.61 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
33 |
13 |
$177.78 |
| 83615 |
|
35 |
32 |
$153.98 |
| 84702 |
|
16 |
13 |
$148.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
34 |
$140.40 |
| 82784 |
|
17 |
13 |
$121.60 |
| 82607 |
|
14 |
14 |
$106.60 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
13 |
12 |
$97.66 |
| 87088 |
|
14 |
14 |
$85.12 |
| S0028 |
Injection, famotidine, 20 mg |
15 |
15 |
$74.90 |
| 87210 |
|
14 |
14 |
$73.55 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
53 |
38 |
$63.00 |
| 82247 |
|
17 |
12 |
$55.59 |
| 84550 |
|
15 |
13 |
$44.94 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
186 |
167 |
$37.65 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
35 |
34 |
$28.90 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
59 |
58 |
$21.13 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
165 |
162 |
$12.61 |
| 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 |
13 |
13 |
$0.41 |