| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12,690 |
10,914 |
$1.07M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,488 |
3,517 |
$994K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,836 |
6,409 |
$720K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,292 |
2,592 |
$368K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,861 |
1,524 |
$366K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,630 |
1,338 |
$268K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,277 |
3,034 |
$259K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
809 |
638 |
$186K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,756 |
1,331 |
$162K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
815 |
651 |
$130K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,152 |
535 |
$123K |
| 80053 |
Comprehensive metabolic panel |
17,625 |
13,566 |
$119K |
| G0378 |
Hospital observation service, per hour |
1,296 |
520 |
$112K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
11,645 |
9,698 |
$101K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,254 |
858 |
$97K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,191 |
1,114 |
$91K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
4,962 |
4,091 |
$75K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
253 |
207 |
$53K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
362 |
332 |
$49K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,037 |
1,698 |
$49K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,972 |
3,468 |
$47K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17,093 |
13,097 |
$40K |
| 71046 |
Radiologic examination, chest; 2 views |
1,602 |
1,366 |
$36K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,980 |
2,102 |
$36K |
| 80061 |
Lipid panel |
3,379 |
3,068 |
$32K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,791 |
1,609 |
$32K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,717 |
2,453 |
$30K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
897 |
773 |
$29K |
| 97014 |
|
981 |
241 |
$28K |
| 82607 |
|
1,089 |
985 |
$19K |
| 84439 |
|
1,293 |
1,158 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
8,944 |
6,865 |
$18K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,356 |
1,078 |
$17K |
| 88142 |
|
1,082 |
996 |
$17K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
454 |
388 |
$15K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
900 |
775 |
$15K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,381 |
4,150 |
$15K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
385 |
353 |
$13K |
| 36000 |
|
1,834 |
1,338 |
$12K |
| 76830 |
Ultrasound, transvaginal |
328 |
303 |
$12K |
| 72131 |
|
173 |
133 |
$12K |
| 73630 |
|
605 |
495 |
$12K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,731 |
2,263 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
5,333 |
4,294 |
$12K |
| 81001 |
|
9,463 |
7,734 |
$11K |
| 73030 |
|
502 |
431 |
$10K |
| 73130 |
|
530 |
415 |
$10K |
| 73610 |
|
585 |
478 |
$10K |
| 85027 |
|
1,483 |
1,245 |
$10K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
725 |
204 |
$10K |
| 72110 |
|
219 |
177 |
$6K |
| 71250 |
|
138 |
107 |
$6K |
| 83735 |
|
2,492 |
1,665 |
$6K |
| 82746 |
|
483 |
438 |
$6K |
| 84484 |
|
4,943 |
3,313 |
$6K |
| 86140 |
|
571 |
495 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,469 |
2,043 |
$5K |
| 87070 |
|
511 |
391 |
$5K |
| 74018 |
|
335 |
283 |
$5K |
| 85610 |
|
2,652 |
2,015 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,948 |
4,831 |
$5K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
284 |
241 |
$5K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
322 |
101 |
$5K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
114 |
38 |
$4K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
36 |
33 |
$4K |
| 73562 |
|
93 |
81 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
386 |
354 |
$4K |
| 86850 |
|
236 |
187 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
44 |
39 |
$4K |
| 73110 |
|
243 |
208 |
$4K |
| 87480 |
|
349 |
295 |
$3K |
| 97162 |
|
305 |
236 |
$3K |
| 95886 |
|
16 |
13 |
$3K |
| 83540 |
|
330 |
293 |
$3K |
| 87660 |
|
349 |
295 |
$3K |
| 84153 |
|
181 |
169 |
$3K |
| 94375 |
|
25 |
24 |
$2K |
| 82043 |
|
451 |
413 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,599 |
2,188 |
$2K |
| 87205 |
|
481 |
369 |
$2K |
| 73560 |
|
70 |
55 |
$2K |
| 82140 |
|
422 |
254 |
$2K |
| 86900 |
|
256 |
205 |
$2K |
| 87510 |
|
349 |
295 |
$2K |
| 83690 |
|
2,819 |
2,244 |
$2K |
| 73502 |
|
88 |
78 |
$2K |
| 80076 |
|
151 |
123 |
$2K |
| 87634 |
|
558 |
470 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,822 |
3,810 |
$2K |
| 82550 |
|
2,426 |
1,871 |
$1K |
| 80320 |
|
235 |
165 |
$1K |
| J3490 |
Unclassified drugs |
878 |
483 |
$1K |
| 73564 |
|
245 |
203 |
$1K |
| 85730 |
|
2,104 |
1,659 |
$1K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
384 |
266 |
$1K |
| 83605 |
|
1,343 |
918 |
$1K |
| 97161 |
|
27 |
25 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
82 |
73 |
$1K |
| 85651 |
|
484 |
410 |
$1K |
| 86901 |
|
256 |
205 |
$1K |
| 82728 |
|
61 |
56 |
$1K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
910 |
753 |
$1K |
| 73100 |
|
19 |
13 |
$998.04 |
| 81025 |
|
2,137 |
1,688 |
$966.84 |
| 83880 |
|
728 |
562 |
$953.13 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,538 |
731 |
$755.72 |
| 90715 |
|
74 |
66 |
$723.24 |
| 82805 |
|
23 |
12 |
$647.70 |
| 84703 |
|
265 |
213 |
$565.72 |
| 96376 |
|
573 |
405 |
$551.16 |
| 83550 |
|
75 |
68 |
$519.81 |
| 84702 |
|
41 |
30 |
$461.63 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
16 |
14 |
$446.52 |
| 87040 |
|
961 |
433 |
$433.23 |
| 80143 |
|
349 |
293 |
$420.52 |
| 82077 |
|
264 |
234 |
$418.43 |
| 84145 |
|
367 |
278 |
$405.49 |
| 84436 |
|
27 |
25 |
$395.11 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,381 |
2,605 |
$361.49 |
| 85379 |
|
822 |
659 |
$344.83 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
978 |
630 |
$330.74 |
| 73090 |
|
18 |
14 |
$289.27 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,342 |
1,001 |
$282.95 |
| 83001 |
|
13 |
12 |
$281.80 |
| 80179 |
|
347 |
290 |
$266.50 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
632 |
512 |
$235.19 |
| 82565 |
|
22 |
15 |
$228.83 |
| 80164 |
|
13 |
13 |
$196.29 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
4,983 |
3,369 |
$169.73 |
| 80074 |
|
13 |
13 |
$168.39 |
| J2704 |
Injection, propofol, 10 mg |
1,323 |
717 |
$166.84 |
| 84403 |
|
13 |
12 |
$162.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
721 |
514 |
$160.99 |
| 87081 |
|
197 |
160 |
$158.08 |
| 94760 |
|
3,816 |
3,500 |
$156.71 |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
18 |
14 |
$152.64 |
| 84146 |
|
22 |
13 |
$147.35 |
| 70486 |
|
13 |
12 |
$123.81 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
93 |
63 |
$117.81 |
| 86308 |
|
32 |
27 |
$115.08 |
| 84100 |
|
138 |
114 |
$110.92 |
| 84520 |
|
17 |
12 |
$92.70 |
| J2060 |
Injection, lorazepam, 2 mg |
529 |
326 |
$78.31 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
298 |
229 |
$76.46 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
126 |
105 |
$67.68 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,157 |
861 |
$61.25 |
| 87428 |
|
20 |
20 |
$55.70 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,217 |
710 |
$51.14 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
528 |
367 |
$43.32 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
136 |
93 |
$28.40 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
291 |
164 |
$19.91 |
| 86618 |
|
15 |
15 |
$15.77 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,669 |
1,315 |
$13.10 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
45 |
26 |
$11.85 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
633 |
500 |
$3.40 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
79 |
41 |
$2.70 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
78 |
73 |
$2.45 |
| 94761 |
|
700 |
562 |
$1.93 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
74 |
51 |
$1.35 |
| A9270 |
Non-covered item or service |
1,010 |
746 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
17 |
12 |
$0.00 |
| 29125 |
|
32 |
29 |
$0.00 |