| Code | Description | Claims | Beneficiaries | Total Paid |
| Y7506 |
|
22,166 |
19,043 |
$7.64M |
| X4011 |
State-specific procedure code |
24,093 |
22,472 |
$6.93M |
| Y7507 |
|
10,540 |
8,869 |
$5.34M |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
52,278 |
46,460 |
$3.26M |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
53,704 |
46,677 |
$3.22M |
| 80053 |
Comprehensive metabolic panel |
51,383 |
45,323 |
$2.92M |
| J3490 |
Unclassified drugs |
6,583 |
3,591 |
$2.71M |
| X4006 |
|
2,814 |
2,484 |
$2.46M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
15,081 |
13,992 |
$2.25M |
| 81001 |
|
20,938 |
19,609 |
$2.06M |
| X4003 |
|
15,181 |
12,531 |
$1.73M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12,217 |
11,687 |
$1.44M |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
3,537 |
3,397 |
$1.20M |
| 94761 |
|
17,753 |
16,599 |
$1.17M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,335 |
7,003 |
$753K |
| 88304 |
|
357 |
348 |
$738K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12,755 |
11,838 |
$663K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
5,551 |
2,661 |
$625K |
| 71046 |
Radiologic examination, chest; 2 views |
1,864 |
1,765 |
$394K |
| 62323 |
|
1,687 |
1,635 |
$360K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,236 |
1,198 |
$350K |
| 85610 |
|
2,590 |
2,381 |
$349K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,573 |
4,452 |
$344K |
| 59025 |
Fetal non-stress test |
1,477 |
1,019 |
$338K |
| 85730 |
|
2,154 |
1,983 |
$319K |
| 36415 |
Collection of venous blood by venipuncture |
7,710 |
6,294 |
$261K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,912 |
2,798 |
$249K |
| 71045 |
Radiologic examination, chest; single view |
4,564 |
4,322 |
$238K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,398 |
874 |
$221K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
238 |
236 |
$212K |
| 84484 |
|
4,284 |
3,877 |
$210K |
| 83605 |
|
2,181 |
2,037 |
$201K |
| 83690 |
|
2,180 |
2,051 |
$181K |
| G0378 |
Hospital observation service, per hour |
281 |
255 |
$173K |
| 82550 |
|
2,169 |
1,997 |
$156K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,106 |
3,079 |
$148K |
| 86141 |
|
3,679 |
3,543 |
$146K |
| 88342 |
|
1,198 |
1,162 |
$145K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,239 |
4,023 |
$142K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,264 |
1,227 |
$135K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
666 |
644 |
$134K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
479 |
460 |
$133K |
| 87581 |
|
1,497 |
1,458 |
$128K |
| 87486 |
|
1,497 |
1,458 |
$128K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
1,136 |
1,103 |
$127K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,829 |
2,777 |
$126K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,569 |
3,218 |
$114K |
| 92523 |
|
518 |
510 |
$113K |
| 20610 |
|
2,027 |
1,649 |
$113K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,041 |
993 |
$112K |
| 87088 |
|
3,153 |
2,936 |
$108K |
| 97165 |
|
363 |
349 |
$96K |
| 87040 |
|
1,015 |
934 |
$96K |
| 97161 |
|
236 |
227 |
$90K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
673 |
559 |
$89K |
| 87631 |
|
449 |
433 |
$89K |
| 87070 |
|
3,742 |
3,604 |
$88K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
24 |
24 |
$85K |
| 82553 |
|
911 |
822 |
$82K |
| 36591 |
|
1,510 |
933 |
$81K |
| 85027 |
|
647 |
513 |
$78K |
| 84145 |
|
1,953 |
1,861 |
$76K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
642 |
615 |
$66K |
| 95811 |
|
130 |
127 |
$63K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
4,127 |
3,977 |
$62K |
| 87660 |
|
859 |
804 |
$57K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,271 |
2,192 |
$51K |
| 83880 |
|
795 |
747 |
$48K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
198 |
184 |
$47K |
| 97597 |
|
1,281 |
597 |
$44K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
618 |
569 |
$43K |
| 84439 |
|
1,580 |
1,513 |
$42K |
| 87400 |
|
290 |
277 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
244 |
235 |
$41K |
| 87480 |
|
486 |
448 |
$40K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
442 |
435 |
$40K |
| 88312 |
|
295 |
280 |
$39K |
| 87510 |
|
358 |
326 |
$39K |
| 83655 |
|
4,491 |
4,349 |
$36K |
| 81025 |
|
79 |
75 |
$34K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
94 |
91 |
$32K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
55 |
53 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
445 |
443 |
$32K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
212 |
202 |
$29K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,511 |
1,466 |
$28K |
| 93296 |
|
2,873 |
2,741 |
$26K |
| 90698 |
|
1,130 |
1,104 |
$25K |
| J1745 |
Injection, infliximab, excludes biosimilar, 10 mg |
54 |
52 |
$23K |
| 64483 |
|
67 |
65 |
$23K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
134 |
128 |
$22K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
81 |
77 |
$22K |
| 43248 |
|
57 |
53 |
$20K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
1,406 |
1,356 |
$19K |
| 88313 |
|
337 |
330 |
$19K |
| 62321 |
|
52 |
52 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
303 |
295 |
$18K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
540 |
495 |
$18K |
| 84703 |
|
989 |
924 |
$18K |
| 20605 |
|
202 |
190 |
$18K |
| 43235 |
|
28 |
27 |
$16K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
162 |
150 |
$16K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
162 |
150 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
203 |
198 |
$15K |
| 87641 |
|
28 |
25 |
$13K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
30 |
27 |
$13K |
| 82728 |
|
990 |
953 |
$12K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
54 |
51 |
$12K |
| 82150 |
|
81 |
74 |
$12K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
228 |
222 |
$11K |
| 45384 |
|
12 |
12 |
$11K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
155 |
153 |
$11K |
| 80061 |
Lipid panel |
1,033 |
1,001 |
$10K |
| 86803 |
|
253 |
227 |
$10K |
| 80081 |
|
139 |
129 |
$10K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,652 |
1,587 |
$10K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
187 |
179 |
$10K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
279 |
107 |
$10K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
15 |
13 |
$10K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
47 |
40 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
379 |
362 |
$9K |
| 11045 |
|
1,024 |
494 |
$9K |
| 83970 |
|
366 |
363 |
$9K |
| Q3014 |
Telehealth originating site facility fee |
492 |
460 |
$7K |
| 82607 |
|
350 |
335 |
$7K |
| 86235 |
|
136 |
134 |
$7K |
| 87210 |
|
26 |
24 |
$7K |
| 85651 |
|
2,177 |
2,106 |
$7K |
| 83540 |
|
904 |
872 |
$6K |
| 20553 |
|
45 |
44 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
63 |
56 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
590 |
566 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
42 |
41 |
$6K |
| 94726 |
|
40 |
38 |
$5K |
| 87081 |
|
111 |
107 |
$5K |
| 83550 |
|
798 |
773 |
$5K |
| 95831 |
|
185 |
177 |
$5K |
| 87077 |
|
610 |
591 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
51 |
51 |
$4K |
| 71250 |
|
135 |
129 |
$4K |
| 81002 |
|
1,446 |
1,203 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
40 |
36 |
$4K |
| 90670 |
|
582 |
552 |
$4K |
| 86703 |
|
109 |
102 |
$4K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,885 |
2,217 |
$4K |
| 87340 |
|
86 |
80 |
$4K |
| 86762 |
|
72 |
66 |
$3K |
| 87186 |
|
441 |
429 |
$3K |
| 77336 |
|
84 |
27 |
$3K |
| 82950 |
|
122 |
116 |
$3K |
| 95813 |
|
12 |
12 |
$3K |
| 84425 |
|
118 |
110 |
$3K |
| 77065 |
Tomosynthesis, mammo |
42 |
38 |
$3K |
| 95832 |
|
102 |
98 |
$3K |
| 83735 |
|
140 |
134 |
$2K |
| 86300 |
|
203 |
185 |
$2K |
| 80047 |
|
27 |
25 |
$2K |
| 94060 |
|
15 |
14 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
51 |
$2K |
| 90686 |
|
492 |
468 |
$2K |
| 86592 |
|
95 |
89 |
$2K |
| 84630 |
|
100 |
94 |
$2K |
| 82525 |
|
87 |
82 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
13 |
13 |
$2K |
| 84702 |
|
153 |
134 |
$2K |
| 86039 |
|
261 |
256 |
$2K |
| 81511 |
|
16 |
12 |
$2K |
| 88142 |
|
62 |
62 |
$2K |
| 80074 |
|
39 |
37 |
$2K |
| 90633 |
|
218 |
203 |
$1K |
| 84681 |
|
123 |
122 |
$1K |
| 86200 |
|
193 |
192 |
$1K |
| 72131 |
|
29 |
28 |
$1K |
| 96415 |
|
146 |
142 |
$1K |
| 84480 |
|
170 |
167 |
$1K |
| 90744 |
|
221 |
216 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
30 |
29 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
14 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$1K |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
19 |
16 |
$1K |
| 90677 |
|
112 |
112 |
$1K |
| 95861 |
|
26 |
25 |
$1K |
| 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 |
12 |
12 |
$1K |
| 80076 |
|
15 |
15 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
68 |
58 |
$968.47 |
| 83615 |
|
368 |
329 |
$956.98 |
| 90681 |
|
98 |
90 |
$944.14 |
| 80069 |
|
229 |
222 |
$850.14 |
| 83525 |
|
122 |
121 |
$843.04 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
12 |
$827.55 |
| 76642 |
|
15 |
15 |
$762.90 |
| 90656 |
|
111 |
107 |
$748.16 |
| 86780 |
|
69 |
65 |
$735.18 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
26 |
25 |
$704.88 |
| 86900 |
|
12 |
12 |
$656.34 |
| 86800 |
|
13 |
13 |
$599.62 |
| 84432 |
|
13 |
13 |
$589.12 |
| C9399 |
Unclassified drugs or biologicals |
225 |
100 |
$560.93 |
| 82533 |
|
55 |
54 |
$552.71 |
| 82043 |
|
199 |
196 |
$547.16 |
| 93299 |
|
171 |
169 |
$538.47 |
| 96417 |
|
14 |
12 |
$530.96 |
| 87522 |
Neg quan hep c or qual rna |
14 |
14 |
$521.32 |
| 80050 |
General health panel |
14 |
13 |
$412.65 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,500 |
1,405 |
$393.85 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
157 |
65 |
$390.52 |
| 72100 |
|
13 |
13 |
$362.63 |
| 86757 |
|
13 |
13 |
$353.96 |
| 85045 |
|
189 |
173 |
$336.79 |
| 86225 |
|
30 |
30 |
$320.63 |
| 93016 |
|
95 |
89 |
$287.11 |
| 90707 |
|
12 |
12 |
$280.98 |
| 87640 |
|
27 |
24 |
$280.70 |
| 86850 |
|
12 |
12 |
$279.43 |
| 86431 |
|
73 |
72 |
$255.97 |
| 86430 |
|
57 |
56 |
$233.46 |
| 85652 |
|
160 |
156 |
$213.39 |
| 86901 |
|
12 |
12 |
$203.17 |
| 93018 |
|
95 |
89 |
$190.97 |
| 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 |
38 |
38 |
$175.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
21 |
17 |
$170.09 |
| 80164 |
|
13 |
13 |
$168.18 |
| 84156 |
|
91 |
82 |
$156.72 |
| 82378 |
|
13 |
12 |
$150.12 |
| 85014 |
|
98 |
91 |
$138.33 |
| 85018 |
|
110 |
103 |
$138.33 |
| 83721 |
|
15 |
15 |
$125.57 |
| 82746 |
|
12 |
12 |
$98.42 |
| 90716 |
|
12 |
12 |
$93.75 |
| 86666 |
|
12 |
12 |
$93.08 |
| 90680 |
|
12 |
12 |
$75.26 |
| 84436 |
|
39 |
38 |
$69.00 |
| 82570 |
|
20 |
13 |
$68.06 |
| 88311 |
|
40 |
38 |
$67.80 |
| 86140 |
|
74 |
71 |
$65.96 |
| J2704 |
Injection, propofol, 10 mg |
840 |
778 |
$64.92 |
| 84550 |
|
17 |
12 |
$55.40 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
12 |
12 |
$54.33 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
62 |
60 |
$34.24 |
| 86038 |
|
14 |
14 |
$32.64 |
| 82948 |
|
16 |
13 |
$16.12 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,060 |
1,006 |
$0.00 |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
94 |
65 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
146 |
98 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
267 |
266 |
$0.00 |
| 99152 |
|
12 |
12 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
155 |
148 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$0.00 |
| 94729 |
|
12 |
12 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
160 |
101 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
1,138 |
1,107 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
587 |
564 |
$0.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
107 |
62 |
$0.00 |
| G0453 |
Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) |
12 |
12 |
$0.00 |
| 87807 |
|
18 |
18 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
149 |
141 |
$0.00 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
27 |
26 |
$0.00 |
| 94760 |
|
33 |
30 |
$0.00 |