| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,779 |
4,504 |
$2.27M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12,174 |
10,092 |
$2.02M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,289 |
1,364 |
$848K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
612 |
540 |
$684K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,107 |
898 |
$360K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,834 |
2,421 |
$340K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
7,617 |
1,630 |
$330K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
401 |
352 |
$312K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,987 |
2,367 |
$203K |
| 80053 |
Comprehensive metabolic panel |
13,224 |
8,923 |
$184K |
| 71045 |
Radiologic examination, chest; single view |
2,188 |
1,811 |
$161K |
| 36415 |
Collection of venous blood by venipuncture |
21,898 |
9,430 |
$128K |
| 71046 |
Radiologic examination, chest; 2 views |
2,204 |
1,765 |
$127K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
2,315 |
640 |
$121K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
11,452 |
8,532 |
$119K |
| 80050 |
General health panel |
2,070 |
1,565 |
$111K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,284 |
1,347 |
$110K |
| G0378 |
Hospital observation service, per hour |
872 |
425 |
$100K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,309 |
1,022 |
$88K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,680 |
1,365 |
$87K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
868 |
520 |
$76K |
| 84484 |
|
2,656 |
1,925 |
$75K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
776 |
674 |
$67K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,116 |
960 |
$66K |
| 80061 |
Lipid panel |
1,904 |
1,722 |
$51K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
592 |
463 |
$51K |
| 81001 |
|
5,240 |
4,349 |
$51K |
| 83735 |
|
3,404 |
2,631 |
$50K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,268 |
394 |
$49K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,620 |
1,432 |
$49K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,158 |
1,929 |
$45K |
| 83690 |
|
2,213 |
1,823 |
$39K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
893 |
795 |
$39K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
567 |
424 |
$37K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
497 |
198 |
$34K |
| 87040 |
|
597 |
475 |
$33K |
| 84439 |
|
2,264 |
2,019 |
$32K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
720 |
604 |
$31K |
| 82607 |
|
746 |
664 |
$28K |
| 83605 |
|
915 |
739 |
$25K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,525 |
1,787 |
$23K |
| 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 |
290 |
254 |
$22K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,448 |
1,138 |
$22K |
| 83874 |
|
1,102 |
751 |
$21K |
| 82550 |
|
1,438 |
1,040 |
$19K |
| 73630 |
|
164 |
132 |
$17K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,081 |
980 |
$17K |
| 84703 |
|
837 |
752 |
$15K |
| 82553 |
|
935 |
661 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
263 |
187 |
$15K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,196 |
1,717 |
$14K |
| 81025 |
|
860 |
734 |
$13K |
| 87430 |
|
750 |
672 |
$13K |
| 97014 |
|
425 |
134 |
$13K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
120 |
110 |
$13K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
676 |
174 |
$12K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,018 |
698 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
737 |
333 |
$10K |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
451 |
382 |
$10K |
| 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 |
163 |
129 |
$10K |
| 87081 |
|
314 |
254 |
$10K |
| 83540 |
|
508 |
472 |
$9K |
| 82150 |
|
769 |
633 |
$9K |
| 96376 |
|
152 |
88 |
$9K |
| 73610 |
|
73 |
63 |
$8K |
| 82728 |
|
231 |
208 |
$8K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
270 |
239 |
$7K |
| 87077 |
|
1,114 |
614 |
$7K |
| 83550 |
|
305 |
285 |
$7K |
| 87186 |
|
634 |
424 |
$7K |
| 86803 |
|
164 |
139 |
$6K |
| 85379 |
|
223 |
198 |
$6K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
74 |
70 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
24 |
$5K |
| 94760 |
|
299 |
177 |
$5K |
| 97162 |
|
48 |
42 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,153 |
876 |
$4K |
| 82947 |
|
312 |
149 |
$4K |
| 85610 |
|
433 |
346 |
$3K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,174 |
1,670 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
167 |
141 |
$3K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
225 |
185 |
$3K |
| 81015 |
|
510 |
449 |
$3K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
50 |
12 |
$3K |
| 85652 |
|
302 |
269 |
$2K |
| 81003 |
|
432 |
359 |
$2K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
160 |
134 |
$2K |
| 74022 |
|
16 |
14 |
$2K |
| 82746 |
|
38 |
38 |
$2K |
| 82077 |
|
96 |
71 |
$2K |
| 86140 |
|
133 |
99 |
$2K |
| 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 |
103 |
97 |
$2K |
| 82043 |
|
84 |
65 |
$2K |
| 97161 |
|
13 |
13 |
$2K |
| 73030 |
|
20 |
12 |
$2K |
| 80076 |
|
63 |
47 |
$1K |
| 73130 |
|
18 |
13 |
$1K |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
67 |
38 |
$1K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
14 |
12 |
$963.61 |
| 82248 |
|
151 |
139 |
$946.49 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
275 |
189 |
$906.05 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
14 |
14 |
$896.40 |
| J3490 |
Unclassified drugs |
14 |
12 |
$821.38 |
| 87420 |
|
17 |
16 |
$533.31 |
| 85027 |
|
53 |
39 |
$497.99 |
| 83880 |
|
20 |
14 |
$425.79 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
37 |
34 |
$292.63 |
| 85007 |
|
34 |
26 |
$191.10 |
| 87070 |
|
13 |
12 |
$183.90 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
98 |
77 |
$130.80 |
| J2704 |
Injection, propofol, 10 mg |
13 |
12 |
$76.40 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
15 |
14 |
$7.96 |