| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
54,509 |
48,295 |
$6.86M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
25,674 |
21,297 |
$2.60M |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
15,055 |
4,480 |
$1.76M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
10,917 |
2,842 |
$1.71M |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
5,893 |
5,035 |
$1.28M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
6,720 |
6,274 |
$935K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
9,731 |
2,801 |
$903K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,387 |
4,264 |
$856K |
| 80053 |
Comprehensive metabolic panel |
21,013 |
16,807 |
$644K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,779 |
3,878 |
$528K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,429 |
2,049 |
$483K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
2,340 |
2,217 |
$404K |
| 36415 |
Collection of venous blood by venipuncture |
10,728 |
7,860 |
$379K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
8,622 |
6,372 |
$315K |
| 87070 |
|
8,078 |
7,578 |
$179K |
| 80047 |
|
1,838 |
1,325 |
$112K |
| 92523 |
|
586 |
567 |
$109K |
| 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 |
634 |
615 |
$107K |
| 85027 |
|
31,550 |
23,413 |
$106K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
4,612 |
3,831 |
$97K |
| 81001 |
|
14,350 |
11,823 |
$91K |
| A9270 |
Non-covered item or service |
6,400 |
2,541 |
$87K |
| 71045 |
Radiologic examination, chest; single view |
13,889 |
11,589 |
$82K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,249 |
1,069 |
$76K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
402 |
352 |
$73K |
| 71046 |
Radiologic examination, chest; 2 views |
2,630 |
2,257 |
$51K |
| 71250 |
|
735 |
608 |
$48K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,352 |
5,239 |
$47K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13,776 |
10,161 |
$46K |
| 84484 |
|
9,847 |
6,549 |
$46K |
| 97163 |
|
624 |
555 |
$44K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
589 |
558 |
$42K |
| 97167 |
|
248 |
234 |
$41K |
| 73610 |
|
919 |
847 |
$41K |
| 73630 |
|
1,292 |
1,159 |
$37K |
| 85610 |
|
6,563 |
5,057 |
$34K |
| 73130 |
|
817 |
746 |
$34K |
| G0378 |
Hospital observation service, per hour |
1,995 |
1,081 |
$33K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
14,262 |
11,243 |
$33K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
516 |
483 |
$33K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,393 |
1,090 |
$32K |
| 85730 |
|
5,788 |
4,528 |
$30K |
| 81025 |
|
8,643 |
7,475 |
$30K |
| 10060 |
|
203 |
189 |
$27K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
812 |
264 |
$26K |
| 83735 |
|
8,380 |
6,197 |
$26K |
| J2704 |
Injection, propofol, 10 mg |
825 |
630 |
$25K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
8,563 |
6,864 |
$25K |
| 84702 |
|
853 |
697 |
$25K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,510 |
4,226 |
$25K |
| 12001 |
|
228 |
217 |
$24K |
| 73030 |
|
785 |
641 |
$23K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
42 |
36 |
$22K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
572 |
448 |
$21K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,088 |
2,552 |
$20K |
| 87077 |
|
2,076 |
1,684 |
$20K |
| 83880 |
|
5,214 |
4,037 |
$20K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
45 |
40 |
$20K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,140 |
4,943 |
$19K |
| 81003 |
|
2,792 |
2,243 |
$18K |
| 87088 |
|
3,819 |
3,006 |
$18K |
| 73110 |
|
415 |
383 |
$17K |
| 59025 |
Fetal non-stress test |
383 |
290 |
$16K |
| 74018 |
|
585 |
530 |
$16K |
| 73562 |
|
623 |
517 |
$16K |
| 87275 |
|
2,490 |
2,345 |
$16K |
| 80076 |
|
2,758 |
2,307 |
$13K |
| 72100 |
|
544 |
460 |
$13K |
| 83690 |
|
6,700 |
5,585 |
$13K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
7,109 |
5,592 |
$13K |
| 83605 |
|
2,555 |
1,940 |
$13K |
| 87040 |
|
2,235 |
1,414 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,006 |
4,630 |
$12K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
644 |
515 |
$12K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
550 |
403 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,882 |
6,286 |
$12K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
446 |
333 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,231 |
7,802 |
$11K |
| 97162 |
|
148 |
140 |
$11K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
363 |
329 |
$11K |
| J7999 |
Compounded drug, not otherwise classified |
1,233 |
995 |
$10K |
| 86900 |
|
804 |
652 |
$9K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
843 |
702 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
152 |
142 |
$9K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,472 |
4,448 |
$9K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
790 |
751 |
$9K |
| 80061 |
Lipid panel |
3,136 |
2,574 |
$8K |
| 73140 |
|
110 |
103 |
$8K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,925 |
1,518 |
$8K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,154 |
1,655 |
$7K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,995 |
2,573 |
$6K |
| 76801 |
|
211 |
191 |
$6K |
| 72131 |
|
92 |
81 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,502 |
2,073 |
$6K |
| 86850 |
|
322 |
254 |
$6K |
| 70486 |
|
76 |
69 |
$6K |
| 86901 |
|
781 |
629 |
$5K |
| J2060 |
Injection, lorazepam, 2 mg |
1,133 |
827 |
$5K |
| G1003 |
Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program |
286 |
224 |
$4K |
| 93971 |
|
211 |
191 |
$4K |
| 12011 |
|
40 |
39 |
$4K |
| 87186 |
|
1,858 |
1,489 |
$4K |
| 82248 |
|
1,046 |
805 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
48 |
38 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
809 |
768 |
$3K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
196 |
137 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,498 |
1,224 |
$3K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,424 |
1,125 |
$3K |
| 87807 |
|
1,843 |
1,803 |
$3K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
1,674 |
1,318 |
$3K |
| 82550 |
|
776 |
595 |
$3K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
834 |
479 |
$3K |
| 12002 |
|
26 |
25 |
$2K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
13 |
12 |
$2K |
| J1815 |
Injection, insulin, per 5 units |
241 |
145 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
93 |
72 |
$2K |
| 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 |
148 |
111 |
$2K |
| 93976 |
|
64 |
60 |
$2K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,423 |
1,155 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
43 |
27 |
$2K |
| 85379 |
|
667 |
594 |
$2K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
1,130 |
1,006 |
$1K |
| J1644 |
Injection, heparin sodium, per 1000 units |
57 |
25 |
$1K |
| 84439 |
|
791 |
672 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
824 |
662 |
$1K |
| 76770 |
|
14 |
13 |
$1K |
| 87205 |
|
235 |
154 |
$1K |
| 96376 |
|
641 |
491 |
$940.60 |
| 73090 |
|
14 |
14 |
$903.01 |
| 73080 |
|
26 |
25 |
$854.17 |
| 82077 |
|
650 |
593 |
$800.26 |
| 73502 |
|
73 |
51 |
$786.19 |
| 87210 |
|
104 |
102 |
$718.70 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
176 |
135 |
$717.78 |
| 86140 |
|
558 |
464 |
$592.07 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
175 |
147 |
$475.44 |
| 82043 |
|
160 |
129 |
$344.31 |
| 85652 |
|
167 |
127 |
$324.19 |
| 84100 |
|
83 |
53 |
$323.07 |
| 82009 |
|
31 |
25 |
$244.10 |
| 84550 |
|
86 |
62 |
$238.07 |
| 82607 |
|
182 |
149 |
$204.23 |
| 80164 |
|
13 |
12 |
$178.64 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
29 |
27 |
$133.68 |
| 90715 |
|
31 |
27 |
$109.41 |
| 84436 |
|
141 |
110 |
$99.57 |
| 87400 |
|
1,241 |
1,159 |
$69.01 |
| 82746 |
|
17 |
14 |
$65.65 |
| 82570 |
|
33 |
26 |
$47.24 |
| 80329 |
|
51 |
48 |
$37.74 |
| 87430 |
|
934 |
896 |
$31.56 |
| 82272 |
|
35 |
27 |
$25.75 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
29 |
26 |
$14.90 |
| 80320 |
|
338 |
302 |
$11.49 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
15 |
15 |
$0.61 |
| 73564 |
|
30 |
28 |
$0.00 |
| 83050 |
|
17 |
12 |
$0.00 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
27 |
25 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
12 |
$0.00 |
| 82553 |
|
45 |
12 |
$0.00 |
| 90714 |
|
29 |
25 |
$0.00 |
| 82140 |
|
14 |
12 |
$0.00 |
| 87420 |
|
52 |
51 |
$0.00 |
| 36600 |
|
17 |
12 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
21 |
14 |
$0.00 |
| 82375 |
|
17 |
12 |
$0.00 |
| 83540 |
|
13 |
12 |
$0.00 |
| 00731 |
|
14 |
14 |
$0.00 |