| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
111,960 |
103,660 |
$4.51M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
78,836 |
71,069 |
$4.38M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,379 |
2,187 |
$1.96M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50,503 |
45,358 |
$1.71M |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,576 |
5,827 |
$1.40M |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
15,480 |
13,612 |
$983K |
| 85027 |
|
129,771 |
114,946 |
$638K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
17,669 |
15,750 |
$633K |
| 71046 |
Radiologic examination, chest; 2 views |
13,909 |
12,927 |
$625K |
| 87631 |
|
4,915 |
4,478 |
$615K |
| 80053 |
Comprehensive metabolic panel |
70,938 |
63,690 |
$575K |
| 71045 |
Radiologic examination, chest; single view |
25,024 |
22,274 |
$511K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
10,714 |
9,506 |
$505K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
32,210 |
28,432 |
$464K |
| 76818 |
|
2,365 |
1,526 |
$379K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
4,848 |
4,451 |
$348K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
10,493 |
9,600 |
$335K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
10,487 |
9,599 |
$335K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
7,891 |
6,894 |
$258K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,147 |
2,012 |
$249K |
| 84443 |
Thyroid stimulating hormone (TSH) |
16,578 |
15,092 |
$225K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,107 |
1,964 |
$223K |
| G0378 |
Hospital observation service, per hour |
1,975 |
1,290 |
$219K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
6,054 |
5,628 |
$192K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,866 |
3,637 |
$182K |
| 74150 |
|
528 |
478 |
$174K |
| 81001 |
|
68,607 |
60,578 |
$162K |
| 84484 |
|
20,467 |
17,284 |
$158K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
19,623 |
17,773 |
$136K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
4,432 |
4,039 |
$135K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
19,602 |
17,842 |
$133K |
| 80061 |
Lipid panel |
11,964 |
10,994 |
$130K |
| 36415 |
Collection of venous blood by venipuncture |
51,046 |
45,258 |
$128K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,629 |
1,290 |
$103K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
4,959 |
4,503 |
$102K |
| 74018 |
|
3,299 |
3,012 |
$98K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12,086 |
11,112 |
$91K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,188 |
1,922 |
$90K |
| 80076 |
|
12,996 |
12,013 |
$89K |
| 94060 |
|
696 |
661 |
$87K |
| 86738 |
|
6,867 |
6,372 |
$87K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
4,435 |
3,960 |
$86K |
| 76801 |
|
1,002 |
898 |
$84K |
| 81025 |
|
12,624 |
11,622 |
$82K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
7,361 |
4,410 |
$76K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,209 |
1,901 |
$73K |
| 87653 |
|
2,150 |
2,020 |
$72K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
5,476 |
5,040 |
$69K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,772 |
1,708 |
$66K |
| 0240U |
|
833 |
774 |
$63K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
2,154 |
1,891 |
$59K |
| 80074 |
|
1,474 |
1,341 |
$58K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,626 |
1,478 |
$57K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
10,438 |
8,683 |
$57K |
| 73562 |
|
1,307 |
1,205 |
$57K |
| 20610 |
|
2,106 |
1,856 |
$56K |
| 83690 |
|
9,645 |
8,878 |
$55K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,685 |
3,503 |
$54K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
505 |
445 |
$50K |
| 87808 |
|
3,830 |
3,491 |
$48K |
| 83735 |
|
9,755 |
8,753 |
$46K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
537 |
516 |
$44K |
| 87070 |
|
5,122 |
4,816 |
$43K |
| 84439 |
|
5,946 |
5,413 |
$43K |
| 83605 |
|
5,735 |
4,738 |
$43K |
| 83874 |
|
6,153 |
5,306 |
$40K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
164 |
156 |
$38K |
| 82553 |
|
5,566 |
4,704 |
$38K |
| 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 |
515 |
504 |
$36K |
| 86803 |
|
3,045 |
2,725 |
$35K |
| 59025 |
Fetal non-stress test |
297 |
259 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,201 |
1,110 |
$34K |
| 84703 |
|
5,254 |
4,787 |
$32K |
| 87340 |
|
3,752 |
3,363 |
$32K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,975 |
2,478 |
$30K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
10,822 |
9,092 |
$30K |
| 94729 |
|
413 |
393 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
937 |
906 |
$28K |
| 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 |
1,105 |
818 |
$27K |
| 94726 |
|
325 |
308 |
$27K |
| 83655 |
|
2,107 |
2,009 |
$26K |
| 83880 |
|
1,185 |
1,070 |
$25K |
| 86592 |
|
6,298 |
5,693 |
$25K |
| 73630 |
|
745 |
635 |
$25K |
| 86308 |
|
4,505 |
4,246 |
$23K |
| 87400 |
|
1,562 |
1,333 |
$23K |
| 87390 |
|
998 |
931 |
$19K |
| 84146 |
|
1,144 |
1,022 |
$19K |
| J7050 |
Infusion, normal saline solution, 250 cc |
808 |
661 |
$18K |
| 80047 |
|
2,398 |
2,121 |
$17K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
41 |
40 |
$15K |
| 85610 |
|
6,172 |
5,435 |
$15K |
| 82731 |
|
723 |
644 |
$15K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
14 |
$14K |
| 84425 |
|
604 |
579 |
$13K |
| 86703 |
|
1,173 |
1,096 |
$12K |
| 87040 |
|
1,236 |
1,034 |
$12K |
| 85730 |
|
3,613 |
3,153 |
$12K |
| 73610 |
|
342 |
289 |
$11K |
| 82607 |
|
832 |
778 |
$11K |
| 84702 |
|
856 |
764 |
$11K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
88 |
62 |
$11K |
| 87077 |
|
991 |
936 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
121 |
108 |
$9K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
56 |
54 |
$8K |
| C1892 |
Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away |
94 |
84 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
532 |
272 |
$8K |
| 86850 |
|
2,357 |
2,013 |
$8K |
| 81003 |
|
3,248 |
2,349 |
$7K |
| 82550 |
|
1,747 |
1,557 |
$7K |
| 86762 |
|
570 |
506 |
$7K |
| 87205 |
|
1,731 |
1,563 |
$7K |
| 73130 |
|
189 |
137 |
$6K |
| 84112 |
|
80 |
71 |
$6K |
| 76830 |
Ultrasound, transvaginal |
60 |
53 |
$6K |
| 73110 |
|
146 |
106 |
$6K |
| 86901 |
|
3,127 |
2,681 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,724 |
1,519 |
$5K |
| 86900 |
|
3,111 |
2,664 |
$5K |
| 90686 |
|
1,417 |
1,248 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
9,197 |
6,384 |
$5K |
| 87905 |
|
596 |
493 |
$5K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
6,243 |
5,170 |
$4K |
| 82150 |
|
808 |
742 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,284 |
1,049 |
$4K |
| 72131 |
|
14 |
12 |
$4K |
| C1769 |
Guide wire |
180 |
160 |
$3K |
| 86140 |
|
651 |
609 |
$3K |
| 86694 |
|
169 |
141 |
$3K |
| M0222 |
Intravenous injection, bebtelovimab, includes injection and post administration monitoring |
14 |
13 |
$3K |
| 80164 |
|
226 |
182 |
$2K |
| 82043 |
|
435 |
421 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
609 |
569 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,440 |
2,099 |
$2K |
| 84481 |
|
278 |
251 |
$2K |
| Q0222 |
Injection, bebtelovimab, 175 mg |
21 |
14 |
$2K |
| 87634 |
|
37 |
36 |
$2K |
| 82570 |
|
435 |
418 |
$2K |
| 82746 |
|
210 |
176 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,071 |
1,760 |
$2K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
727 |
660 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
46 |
41 |
$2K |
| 94727 |
|
27 |
26 |
$2K |
| 72100 |
|
56 |
51 |
$2K |
| 83001 |
|
122 |
113 |
$2K |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
78 |
68 |
$2K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,206 |
1,893 |
$2K |
| 87186 |
|
208 |
187 |
$2K |
| 82077 |
|
187 |
158 |
$2K |
| 86787 |
|
162 |
139 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
56 |
51 |
$1K |
| 77336 |
|
45 |
13 |
$1K |
| 70100 |
|
67 |
55 |
$1K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
138 |
112 |
$1K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
107 |
89 |
$1K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
6,278 |
3,988 |
$985.65 |
| 73030 |
|
27 |
27 |
$915.67 |
| 84134 |
|
169 |
153 |
$870.44 |
| 86235 |
|
15 |
13 |
$850.51 |
| 82950 |
|
195 |
181 |
$800.81 |
| 84145 |
|
29 |
27 |
$667.47 |
| 80179 |
|
59 |
50 |
$579.96 |
| 84153 |
|
37 |
37 |
$557.62 |
| 58100 |
|
95 |
88 |
$556.60 |
| 83970 |
|
13 |
13 |
$544.94 |
| 72040 |
|
13 |
13 |
$516.58 |
| 83615 |
|
105 |
74 |
$514.44 |
| 87501 |
|
48 |
36 |
$471.06 |
| 90715 |
|
14 |
12 |
$458.64 |
| 87276 |
|
36 |
27 |
$434.54 |
| 87529 |
|
15 |
13 |
$423.88 |
| 87299 |
|
37 |
27 |
$417.12 |
| 85652 |
|
197 |
181 |
$415.78 |
| 82652 |
|
53 |
51 |
$415.32 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
237 |
193 |
$401.16 |
| 87260 |
|
36 |
27 |
$399.71 |
| 84550 |
|
100 |
76 |
$394.21 |
| 87280 |
|
36 |
27 |
$378.24 |
| 82248 |
|
115 |
91 |
$376.06 |
| 87275 |
|
36 |
27 |
$359.95 |
| 86141 |
|
45 |
24 |
$338.48 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
88 |
83 |
$320.20 |
| S0028 |
Injection, famotidine, 20 mg |
107 |
42 |
$312.36 |
| 92133 |
|
192 |
170 |
$311.25 |
| J0500 |
Injection, dicyclomine hcl, up to 20 mg |
16 |
13 |
$310.27 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
526 |
489 |
$289.41 |
| 84403 |
|
12 |
12 |
$287.55 |
| 82670 |
|
13 |
12 |
$283.88 |
| 84402 |
|
12 |
12 |
$283.74 |
| 87081 |
|
57 |
54 |
$277.09 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
801 |
624 |
$242.26 |
| 85014 |
|
104 |
97 |
$235.96 |
| 85018 |
|
101 |
94 |
$227.91 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
64 |
56 |
$219.90 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
413 |
311 |
$195.46 |
| 87279 |
|
73 |
27 |
$188.81 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
163 |
140 |
$187.88 |
| 83516 |
|
15 |
13 |
$161.74 |
| 85045 |
|
44 |
40 |
$156.81 |
| 82728 |
|
15 |
12 |
$152.09 |
| J1644 |
Injection, heparin sodium, per 1000 units |
79 |
69 |
$151.71 |
| 86038 |
|
14 |
12 |
$151.31 |
| 57454 |
|
36 |
28 |
$147.50 |
| 86039 |
|
18 |
14 |
$147.28 |
| 82247 |
|
40 |
26 |
$118.14 |
| 90714 |
|
16 |
13 |
$102.20 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
106 |
30 |
$99.15 |
| 84480 |
|
12 |
12 |
$85.88 |
| 82270 |
|
32 |
13 |
$85.18 |
| S0077 |
Injection, clindamycin phosphate, 300 mg |
29 |
29 |
$75.78 |
| 86431 |
|
13 |
13 |
$74.92 |
| 84270 |
|
12 |
12 |
$69.48 |
| 84436 |
|
12 |
12 |
$64.24 |
| 83540 |
|
13 |
12 |
$57.06 |
| 84100 |
|
13 |
12 |
$56.97 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
36 |
30 |
$40.92 |
| J2704 |
Injection, propofol, 10 mg |
503 |
365 |
$37.41 |
| G0008 |
Administration of influenza virus vaccine |
1,928 |
1,521 |
$28.95 |
| J3480 |
Injection, potassium chloride, per 2 meq |
51 |
26 |
$26.91 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
44 |
42 |
$25.70 |
| J7614 |
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg |
33 |
31 |
$18.35 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
13 |
12 |
$14.43 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
22 |
17 |
$14.19 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
14 |
13 |
$9.38 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
54 |
51 |
$6.64 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
24 |
$4.91 |
| Q0243 |
Injection, casirivimab and imdevimab, 2400 mg |
107 |
76 |
$0.00 |
| 92015 |
Determination of refractive state |
39 |
33 |
$0.00 |
| 92134 |
|
15 |
13 |
$0.00 |
| A9270 |
Non-covered item or service |
324 |
161 |
$0.00 |
| 87632 |
|
69 |
69 |
$0.00 |