| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
18,972 |
18,204 |
$2.17M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
5,744 |
5,522 |
$938K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,892 |
8,611 |
$731K |
| G0378 |
Hospital observation service, per hour |
1,027 |
414 |
$295K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,260 |
1,234 |
$196K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,471 |
7,095 |
$187K |
| T1015 |
Clinic visit/encounter, all-inclusive |
5,882 |
5,416 |
$172K |
| 80053 |
Comprehensive metabolic panel |
14,655 |
13,674 |
$150K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,205 |
2,179 |
$119K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,989 |
1,890 |
$106K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19,268 |
17,600 |
$96K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,942 |
1,719 |
$91K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
835 |
784 |
$63K |
| 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 |
757 |
725 |
$57K |
| 80050 |
General health panel |
1,232 |
1,220 |
$55K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,418 |
3,142 |
$54K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
297 |
294 |
$51K |
| 71046 |
Radiologic examination, chest; 2 views |
3,676 |
3,531 |
$48K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,086 |
4,817 |
$45K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
178 |
173 |
$43K |
| 84484 |
|
5,154 |
4,728 |
$41K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
234 |
233 |
$37K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
423 |
421 |
$35K |
| 80061 |
Lipid panel |
2,941 |
2,890 |
$35K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
218 |
212 |
$33K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
170 |
166 |
$33K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,167 |
3,643 |
$33K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
957 |
947 |
$27K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
414 |
404 |
$26K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,197 |
1,178 |
$25K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
54 |
54 |
$20K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
372 |
354 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
3,035 |
2,907 |
$20K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
104 |
102 |
$19K |
| 76830 |
Ultrasound, transvaginal |
426 |
416 |
$19K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
196 |
196 |
$18K |
| 83735 |
|
3,468 |
2,942 |
$18K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
166 |
159 |
$18K |
| 83605 |
|
2,707 |
2,547 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,314 |
1,125 |
$16K |
| 71250 |
|
307 |
294 |
$16K |
| 93971 |
|
304 |
294 |
$16K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
246 |
244 |
$15K |
| 83690 |
|
3,179 |
2,980 |
$14K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
600 |
513 |
$14K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
424 |
412 |
$13K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
293 |
283 |
$13K |
| 76801 |
|
303 |
286 |
$13K |
| 83880 |
|
541 |
507 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
263 |
260 |
$12K |
| 76536 |
|
262 |
255 |
$12K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
5,010 |
4,787 |
$11K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
400 |
387 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
272 |
263 |
$11K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
255 |
251 |
$11K |
| 81003 |
|
3,595 |
3,348 |
$10K |
| 62323 |
|
125 |
108 |
$10K |
| 85610 |
|
3,729 |
3,279 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,669 |
1,632 |
$10K |
| 72100 |
|
467 |
457 |
$10K |
| 76770 |
|
283 |
275 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
166 |
154 |
$9K |
| 93970 |
|
142 |
136 |
$9K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
417 |
415 |
$9K |
| 87088 |
|
1,272 |
1,199 |
$8K |
| 85730 |
|
1,718 |
1,618 |
$8K |
| 80329 |
|
700 |
632 |
$8K |
| 72141 |
|
40 |
40 |
$8K |
| 86803 |
|
374 |
370 |
$7K |
| 82607 |
|
618 |
604 |
$7K |
| 76642 |
|
182 |
175 |
$7K |
| 72020 |
|
701 |
655 |
$7K |
| 84702 |
|
437 |
370 |
$7K |
| 73564 |
|
320 |
307 |
$6K |
| 81025 |
|
1,747 |
1,690 |
$6K |
| 81015 |
|
2,534 |
2,389 |
$6K |
| 95886 |
|
138 |
129 |
$6K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
553 |
534 |
$6K |
| 73610 |
|
377 |
359 |
$6K |
| 84439 |
|
767 |
753 |
$6K |
| 73030 |
|
396 |
369 |
$6K |
| 87040 |
|
593 |
385 |
$6K |
| 74018 |
|
435 |
416 |
$5K |
| 80076 |
|
644 |
586 |
$5K |
| 90715 |
|
389 |
381 |
$5K |
| 85027 |
|
934 |
830 |
$5K |
| 93017 |
|
151 |
149 |
$5K |
| 82728 |
|
460 |
437 |
$5K |
| 73630 |
|
467 |
444 |
$5K |
| 85379 |
|
489 |
475 |
$4K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
763 |
741 |
$4K |
| 84100 |
|
906 |
727 |
$4K |
| 73502 |
|
279 |
271 |
$4K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
7,677 |
4,943 |
$4K |
| 72110 |
|
193 |
190 |
$4K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
30 |
30 |
$4K |
| 83540 |
|
558 |
535 |
$4K |
| 94729 |
|
151 |
146 |
$4K |
| 84703 |
|
370 |
364 |
$4K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
446 |
366 |
$4K |
| J1815 |
Injection, insulin, per 5 units |
326 |
207 |
$4K |
| 87077 |
|
631 |
585 |
$4K |
| 77066 |
Tomosynthesis, mammo |
47 |
45 |
$4K |
| 73221 |
|
14 |
14 |
$4K |
| 70486 |
|
50 |
50 |
$4K |
| 87186 |
|
525 |
489 |
$4K |
| 82043 |
|
487 |
472 |
$3K |
| 94726 |
|
148 |
143 |
$3K |
| Q3014 |
Telehealth originating site facility fee |
217 |
211 |
$3K |
| 73130 |
|
309 |
301 |
$3K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
13 |
13 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
129 |
126 |
$3K |
| 86038 |
|
212 |
208 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
124 |
121 |
$3K |
| 83970 |
|
78 |
77 |
$3K |
| J3490 |
Unclassified drugs |
2,375 |
1,454 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
62 |
61 |
$3K |
| 73110 |
|
286 |
267 |
$3K |
| 86140 |
|
1,015 |
927 |
$3K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
175 |
165 |
$3K |
| 82746 |
|
243 |
237 |
$3K |
| 72050 |
|
109 |
107 |
$2K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$2K |
| 85652 |
|
913 |
832 |
$2K |
| 86480 |
|
39 |
39 |
$2K |
| 84153 |
|
103 |
99 |
$2K |
| 80081 |
|
26 |
25 |
$2K |
| 82550 |
|
354 |
293 |
$2K |
| 84436 |
|
211 |
211 |
$2K |
| 83550 |
|
462 |
451 |
$2K |
| 82962 |
|
1,216 |
758 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
282 |
199 |
$2K |
| 82565 |
|
339 |
311 |
$2K |
| 93226 |
|
57 |
57 |
$2K |
| 82784 |
|
121 |
118 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
12 |
12 |
$2K |
| 86850 |
|
271 |
244 |
$2K |
| 72040 |
|
113 |
109 |
$2K |
| 77065 |
Tomosynthesis, mammo |
32 |
30 |
$2K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
3,018 |
1,779 |
$2K |
| 82150 |
|
347 |
317 |
$2K |
| 95911 |
|
27 |
25 |
$2K |
| 73560 |
|
112 |
109 |
$1K |
| 94060 |
|
154 |
147 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
51 |
51 |
$1K |
| 84480 |
|
174 |
174 |
$1K |
| 84460 |
|
208 |
203 |
$1K |
| 73562 |
|
92 |
89 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
35 |
31 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,878 |
4,351 |
$1K |
| 93041 |
|
299 |
281 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
24 |
24 |
$1K |
| 84450 |
|
182 |
177 |
$1K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
144 |
96 |
$1K |
| 82977 |
|
143 |
89 |
$1K |
| 11043 |
|
23 |
12 |
$1K |
| 73590 |
|
91 |
87 |
$1K |
| 86901 |
|
304 |
275 |
$997.67 |
| 86900 |
|
304 |
275 |
$982.41 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
357 |
336 |
$977.92 |
| 84520 |
|
221 |
196 |
$970.72 |
| J2785 |
Injection, regadenoson, 0.1 mg |
84 |
84 |
$943.84 |
| 84403 |
|
27 |
27 |
$915.24 |
| 73090 |
|
95 |
91 |
$888.22 |
| 86618 |
|
42 |
40 |
$884.15 |
| 84550 |
|
158 |
141 |
$855.55 |
| 93225 |
|
57 |
57 |
$800.28 |
| 97597 |
|
36 |
26 |
$789.00 |
| 93296 |
|
76 |
75 |
$786.60 |
| 87070 |
|
176 |
164 |
$753.84 |
| 87340 |
|
56 |
55 |
$752.47 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
41 |
41 |
$647.74 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
162 |
141 |
$605.60 |
| 73080 |
|
56 |
55 |
$591.80 |
| 83615 |
|
96 |
88 |
$590.49 |
| 87205 |
|
184 |
172 |
$588.39 |
| 80348 |
|
12 |
12 |
$579.34 |
| 82805 |
|
16 |
14 |
$575.55 |
| 72070 |
|
33 |
33 |
$574.55 |
| 82248 |
|
109 |
73 |
$545.41 |
| 86592 |
|
126 |
125 |
$506.73 |
| 82570 |
|
74 |
64 |
$498.25 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,277 |
1,092 |
$497.95 |
| J3535 |
Drug administered through a metered dose inhaler |
43 |
38 |
$495.20 |
| 86706 |
|
39 |
38 |
$474.05 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
12 |
12 |
$457.10 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,239 |
4,406 |
$455.81 |
| 70496 |
|
12 |
12 |
$440.44 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,778 |
1,243 |
$424.30 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,991 |
1,887 |
$417.85 |
| 36415 |
Collection of venous blood by venipuncture |
2,308 |
1,745 |
$389.44 |
| 80197 |
|
18 |
12 |
$380.52 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
676 |
624 |
$365.43 |
| 80345 |
|
27 |
27 |
$360.61 |
| 82947 |
|
120 |
113 |
$354.85 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
325 |
303 |
$311.51 |
| J7050 |
Infusion, normal saline solution, 250 cc |
3,632 |
2,412 |
$306.91 |
| 84146 |
|
13 |
13 |
$280.32 |
| 20552 |
|
12 |
12 |
$280.15 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
289 |
231 |
$270.44 |
| 80361 |
|
12 |
12 |
$268.80 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,013 |
433 |
$264.67 |
| 84481 |
|
12 |
12 |
$246.12 |
| 76942 |
|
43 |
43 |
$244.94 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
63 |
63 |
$238.84 |
| 95816 |
|
29 |
28 |
$227.69 |
| 84156 |
|
53 |
42 |
$225.64 |
| 72072 |
|
12 |
12 |
$225.49 |
| 80358 |
|
12 |
12 |
$224.99 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,814 |
1,454 |
$220.28 |
| 80347 |
|
12 |
12 |
$217.25 |
| 73552 |
|
12 |
12 |
$210.26 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
926 |
798 |
$209.64 |
| 82140 |
|
50 |
47 |
$201.03 |
| 86431 |
|
24 |
24 |
$199.12 |
| 80353 |
|
12 |
12 |
$192.77 |
| 72114 |
|
12 |
12 |
$189.74 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,127 |
1,031 |
$178.41 |
| J7999 |
Compounded drug, not otherwise classified |
518 |
387 |
$163.75 |
| 87430 |
|
13 |
13 |
$149.76 |
| 82950 |
|
29 |
28 |
$148.94 |
| 36600 |
|
13 |
12 |
$141.10 |
| 80051 |
|
28 |
24 |
$137.97 |
| 82009 |
|
30 |
27 |
$119.55 |
| J2704 |
Injection, propofol, 10 mg |
1,499 |
758 |
$98.86 |
| 87210 |
|
15 |
13 |
$98.33 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
44 |
42 |
$97.67 |
| 80069 |
|
12 |
12 |
$95.96 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,801 |
1,563 |
$84.38 |
| 87081 |
|
35 |
33 |
$77.92 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
332 |
311 |
$73.64 |
| J2060 |
Injection, lorazepam, 2 mg |
387 |
290 |
$73.43 |
| 84425 |
|
12 |
12 |
$61.95 |
| S0028 |
Injection, famotidine, 20 mg |
215 |
173 |
$59.93 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,839 |
1,626 |
$53.46 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
170 |
144 |
$46.94 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
174 |
155 |
$37.35 |
| 88304 |
|
37 |
37 |
$28.15 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
52 |
26 |
$25.48 |
| J3480 |
Injection, potassium chloride, per 2 meq |
71 |
38 |
$25.05 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
454 |
379 |
$17.67 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
602 |
454 |
$13.40 |
| J1940 |
Injection, furosemide, up to 20 mg |
19 |
12 |
$3.30 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
69 |
58 |
$2.26 |
| Q0243 |
Injection, casirivimab and imdevimab, 2400 mg |
41 |
41 |
$0.22 |
| 97165 |
|
14 |
14 |
$0.00 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
67 |
66 |
$0.00 |
| 96376 |
|
64 |
33 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
20 |
12 |
$0.00 |
| J8501 |
Aprepitant, oral, 5 mg |
14 |
14 |
$0.00 |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
28 |
27 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
51 |
43 |
$0.00 |
| J0136 |
Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg |
36 |
36 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
111 |
89 |
$0.00 |
| J0295 |
Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm |
14 |
12 |
$0.00 |
| 97161 |
|
14 |
14 |
$0.00 |
| 96136 |
|
24 |
23 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
15 |
13 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
14 |
12 |
$0.00 |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
32 |
13 |
$0.00 |