| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
22,148 |
19,886 |
$1.50M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
18,982 |
16,298 |
$1.16M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
7,560 |
6,481 |
$538K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
9,179 |
7,558 |
$531K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
5,843 |
4,980 |
$469K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,990 |
2,644 |
$420K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
2,694 |
2,383 |
$412K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
9,932 |
8,454 |
$401K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,875 |
3,231 |
$365K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
17,892 |
11,047 |
$341K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,478 |
4,087 |
$320K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,253 |
6,752 |
$281K |
| 80053 |
Comprehensive metabolic panel |
27,074 |
22,002 |
$280K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,992 |
1,744 |
$223K |
| 59025 |
Fetal non-stress test |
2,311 |
1,093 |
$206K |
| 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 |
4,335 |
3,830 |
$168K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,230 |
2,052 |
$129K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,280 |
1,898 |
$122K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,260 |
998 |
$114K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
7,035 |
5,654 |
$106K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,875 |
1,569 |
$99K |
| G0378 |
Hospital observation service, per hour |
5,902 |
2,440 |
$96K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,031 |
935 |
$91K |
| 36415 |
Collection of venous blood by venipuncture |
15,908 |
11,168 |
$90K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,755 |
2,627 |
$89K |
| 01999 |
|
1,994 |
1,818 |
$88K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
11,173 |
7,626 |
$88K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,465 |
1,319 |
$87K |
| 71046 |
Radiologic examination, chest; 2 views |
4,264 |
3,813 |
$84K |
| 82947 |
|
7,480 |
3,784 |
$83K |
| 81025 |
|
6,265 |
5,570 |
$78K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,815 |
2,441 |
$76K |
| 81003 |
|
9,003 |
7,632 |
$75K |
| 71045 |
Radiologic examination, chest; single view |
10,057 |
8,639 |
$74K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,732 |
1,405 |
$74K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,103 |
1,467 |
$72K |
| 81001 |
|
13,685 |
11,459 |
$71K |
| 73630 |
|
1,289 |
1,147 |
$65K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,532 |
2,045 |
$64K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
1,375 |
357 |
$59K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
517 |
411 |
$56K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
313 |
285 |
$56K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
34,904 |
25,721 |
$52K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
8,460 |
7,124 |
$51K |
| 73610 |
|
848 |
768 |
$46K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
549 |
509 |
$45K |
| 92587 |
|
987 |
919 |
$40K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
217 |
211 |
$40K |
| 73130 |
|
803 |
715 |
$38K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,805 |
1,687 |
$37K |
| 86850 |
|
1,549 |
1,176 |
$36K |
| 74018 |
|
1,332 |
1,239 |
$36K |
| 73564 |
|
1,116 |
895 |
$31K |
| 73110 |
|
568 |
523 |
$30K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13,189 |
9,833 |
$27K |
| 86901 |
|
2,393 |
1,842 |
$26K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
12,614 |
9,040 |
$25K |
| 97162 |
|
261 |
232 |
$24K |
| C1769 |
Guide wire |
1,553 |
1,099 |
$23K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,105 |
1,002 |
$23K |
| 93971 |
|
627 |
542 |
$22K |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
1,405 |
930 |
$22K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
217 |
208 |
$20K |
| 73030 |
|
979 |
806 |
$20K |
| 84112 |
|
261 |
239 |
$20K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,384 |
2,798 |
$19K |
| 76775 |
|
461 |
418 |
$19K |
| 72110 |
|
673 |
592 |
$18K |
| 76830 |
Ultrasound, transvaginal |
500 |
459 |
$17K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,630 |
469 |
$16K |
| 80050 |
General health panel |
500 |
481 |
$15K |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,858 |
901 |
$15K |
| 87070 |
|
944 |
778 |
$15K |
| 84702 |
|
2,457 |
1,728 |
$14K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
105 |
91 |
$14K |
| 87081 |
|
1,675 |
1,623 |
$14K |
| 80061 |
Lipid panel |
7,510 |
6,511 |
$14K |
| 97161 |
|
182 |
154 |
$12K |
| 96376 |
|
1,852 |
1,089 |
$12K |
| 84484 |
|
9,312 |
5,814 |
$12K |
| 80076 |
|
910 |
748 |
$12K |
| 85610 |
|
5,580 |
3,867 |
$12K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,681 |
2,263 |
$11K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
82 |
76 |
$11K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,644 |
1,273 |
$10K |
| 85730 |
|
3,324 |
2,639 |
$10K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,660 |
519 |
$10K |
| 94060 |
|
124 |
115 |
$9K |
| 83880 |
|
3,078 |
2,357 |
$9K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
40 |
39 |
$8K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,010 |
1,509 |
$8K |
| C1725 |
Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) |
325 |
249 |
$7K |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,887 |
1,279 |
$7K |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
800 |
587 |
$7K |
| 84439 |
|
3,590 |
3,190 |
$7K |
| 76536 |
|
126 |
120 |
$7K |
| 73502 |
|
301 |
250 |
$7K |
| 87420 |
|
539 |
513 |
$7K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,924 |
2,515 |
$7K |
| 82247 |
|
984 |
541 |
$6K |
| 12001 |
|
88 |
80 |
$6K |
| 86900 |
|
2,407 |
1,851 |
$6K |
| 87040 |
|
3,561 |
2,050 |
$6K |
| 85027 |
|
2,677 |
2,211 |
$6K |
| 84481 |
|
804 |
718 |
$6K |
| 84156 |
|
878 |
730 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
71 |
69 |
$5K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,294 |
5,078 |
$5K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,187 |
328 |
$5K |
| 83690 |
|
5,751 |
4,910 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,109 |
5,133 |
$5K |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,328 |
4,502 |
$5K |
| 83735 |
|
3,266 |
2,564 |
$5K |
| 83605 |
|
3,421 |
2,696 |
$5K |
| 93458 |
|
53 |
38 |
$4K |
| 88342 |
|
265 |
225 |
$4K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
1,046 |
716 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
524 |
433 |
$4K |
| 77080 |
|
272 |
229 |
$4K |
| 71250 |
|
151 |
127 |
$4K |
| 76642 |
|
89 |
74 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
7,337 |
6,126 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,460 |
2,828 |
$3K |
| 72100 |
|
157 |
141 |
$3K |
| 86803 |
|
422 |
394 |
$3K |
| 86140 |
|
2,371 |
1,913 |
$3K |
| 82248 |
|
1,198 |
812 |
$3K |
| 85380 |
|
985 |
852 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
299 |
260 |
$3K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
3,209 |
2,502 |
$2K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
74 |
50 |
$2K |
| 73080 |
|
56 |
50 |
$2K |
| 73562 |
|
70 |
53 |
$2K |
| 93880 |
|
136 |
104 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
39 |
33 |
$2K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,562 |
1,938 |
$2K |
| 84550 |
|
872 |
720 |
$2K |
| 84703 |
|
1,313 |
1,218 |
$2K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,881 |
1,464 |
$2K |
| 95806 |
|
25 |
24 |
$2K |
| 82607 |
|
1,962 |
1,651 |
$2K |
| 87077 |
|
2,645 |
1,975 |
$2K |
| 82570 |
|
1,809 |
1,554 |
$2K |
| 12011 |
|
39 |
38 |
$2K |
| 93970 |
|
48 |
39 |
$2K |
| 72050 |
|
64 |
55 |
$2K |
| 87186 |
|
3,466 |
2,601 |
$1K |
| 82077 |
|
529 |
448 |
$1K |
| 83540 |
|
908 |
770 |
$1K |
| 85651 |
|
1,504 |
1,294 |
$1K |
| 83970 |
|
158 |
136 |
$1K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
40 |
33 |
$1K |
| 87210 |
|
362 |
323 |
$1K |
| 73140 |
|
12 |
12 |
$974.86 |
| 82731 |
|
16 |
14 |
$966.17 |
| 82950 |
|
72 |
69 |
$934.17 |
| 71101 |
|
28 |
24 |
$924.84 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
16 |
14 |
$888.26 |
| 82728 |
|
1,054 |
867 |
$873.02 |
| 92650 |
|
16 |
16 |
$793.65 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,027 |
2,731 |
$680.79 |
| 77066 |
Tomosynthesis, mammo |
13 |
12 |
$680.26 |
| 76641 |
|
23 |
13 |
$675.50 |
| G1010 |
Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program |
113 |
71 |
$674.88 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,199 |
1,026 |
$659.80 |
| 80074 |
|
55 |
50 |
$639.67 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
293 |
268 |
$638.46 |
| 82565 |
|
348 |
290 |
$586.76 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
792 |
706 |
$553.31 |
| 74022 |
|
125 |
116 |
$521.73 |
| J2704 |
Injection, propofol, 10 mg |
171 |
141 |
$506.16 |
| 51798 |
|
79 |
49 |
$500.82 |
| 73090 |
|
14 |
12 |
$485.53 |
| 72072 |
|
16 |
13 |
$457.43 |
| 90715 |
|
391 |
344 |
$456.79 |
| 84999 |
|
76 |
62 |
$451.04 |
| 76801 |
|
54 |
50 |
$433.96 |
| 86780 |
|
511 |
473 |
$431.22 |
| 94729 |
|
83 |
73 |
$430.83 |
| 82272 |
|
158 |
123 |
$414.35 |
| 82043 |
|
1,073 |
938 |
$393.24 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
1,511 |
1,303 |
$330.66 |
| 70360 |
|
13 |
13 |
$330.61 |
| 82746 |
|
856 |
712 |
$316.10 |
| 82550 |
|
248 |
202 |
$259.94 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
655 |
629 |
$255.97 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
14 |
12 |
$227.88 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
92 |
60 |
$227.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
107 |
91 |
$214.82 |
| 84520 |
|
189 |
164 |
$191.66 |
| 94726 |
|
100 |
89 |
$176.33 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
70 |
53 |
$154.65 |
| 97597 |
|
21 |
12 |
$134.74 |
| 87340 |
|
410 |
391 |
$130.43 |
| 86038 |
|
116 |
108 |
$121.96 |
| 84466 |
|
581 |
501 |
$106.52 |
| 93017 |
|
14 |
12 |
$89.60 |
| 73590 |
|
13 |
12 |
$77.22 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
154 |
135 |
$74.05 |
| 84100 |
|
177 |
138 |
$61.45 |
| 86431 |
|
41 |
37 |
$52.05 |
| 82140 |
|
78 |
58 |
$49.54 |
| J2060 |
Injection, lorazepam, 2 mg |
427 |
346 |
$46.62 |
| 88304 |
|
33 |
26 |
$39.47 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
280 |
196 |
$35.35 |
| 82274 |
|
15 |
14 |
$27.41 |
| 86787 |
|
62 |
52 |
$23.05 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
739 |
716 |
$17.66 |
| 86762 |
|
45 |
38 |
$17.25 |
| 85652 |
|
108 |
100 |
$11.60 |
| 85007 |
|
50 |
47 |
$10.53 |
| 83525 |
|
15 |
13 |
$7.68 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
166 |
151 |
$6.05 |
| C9113 |
Injection, pantoprazole sodium, per vial |
165 |
106 |
$5.32 |
| Q0244 |
Injection, casirivimab and imdevimab, 1200 mg |
34 |
30 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
78 |
40 |
$0.00 |
| J7510 |
Prednisolone oral, per 5 mg |
282 |
278 |
$0.00 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
38 |
36 |
$0.00 |
| 97116 |
|
30 |
14 |
$0.00 |
| 80179 |
|
77 |
68 |
$0.00 |
| 88313 |
|
20 |
15 |
$0.00 |
| 80143 |
|
14 |
13 |
$0.00 |
| 84145 |
|
78 |
55 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
128 |
57 |
$0.00 |
| 99152 |
|
28 |
25 |
$0.00 |
| 83516 |
|
19 |
12 |
$0.00 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
15 |
12 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
45 |
24 |
$0.00 |
| 85347 |
|
25 |
14 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
214 |
162 |
$0.00 |
| J3480 |
Injection, potassium chloride, per 2 meq |
20 |
12 |
$0.00 |
| J1940 |
Injection, furosemide, up to 20 mg |
24 |
12 |
$0.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
55 |
27 |
$0.00 |
| 85379 |
|
20 |
17 |
$0.00 |