| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
38,589 |
35,735 |
$6.39M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
25,414 |
23,208 |
$5.21M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
6,936 |
6,111 |
$1.70M |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
6,118 |
5,769 |
$982K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12,708 |
11,948 |
$792K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12,231 |
10,662 |
$464K |
| 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 |
3,982 |
3,281 |
$343K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
41,431 |
36,673 |
$308K |
| 80053 |
Comprehensive metabolic panel |
36,103 |
32,201 |
$297K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,496 |
1,364 |
$267K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,384 |
6,818 |
$222K |
| 71046 |
Radiologic examination, chest; 2 views |
5,140 |
4,753 |
$218K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
345 |
311 |
$192K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
7,545 |
6,822 |
$190K |
| 71045 |
Radiologic examination, chest; single view |
5,142 |
4,734 |
$167K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
6,814 |
4,956 |
$165K |
| J3490 |
Unclassified drugs |
133,761 |
46,535 |
$157K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,564 |
2,333 |
$154K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,388 |
2,200 |
$121K |
| 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 |
3,344 |
2,790 |
$96K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,784 |
1,456 |
$94K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,095 |
755 |
$56K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
376 |
274 |
$44K |
| 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 |
487 |
412 |
$40K |
| J2704 |
Injection, propofol, 10 mg |
1,958 |
1,802 |
$38K |
| 84484 |
|
3,758 |
2,399 |
$37K |
| 81001 |
|
11,011 |
10,102 |
$36K |
| D0220 |
Intraoral - periapical first radiographic image |
214 |
199 |
$35K |
| D0230 |
Intraoral - periapical each additional radiographic image |
216 |
201 |
$34K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,747 |
3,416 |
$31K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,955 |
1,800 |
$30K |
| G0378 |
Hospital observation service, per hour |
840 |
286 |
$28K |
| 81025 |
|
3,508 |
3,178 |
$26K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,319 |
1,219 |
$25K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,072 |
851 |
$23K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
77 |
75 |
$21K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
53 |
51 |
$21K |
| 83690 |
|
2,673 |
2,512 |
$21K |
| 83735 |
|
3,369 |
3,084 |
$21K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,394 |
1,308 |
$20K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
133 |
118 |
$20K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
4,607 |
4,069 |
$20K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
92 |
80 |
$15K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
49 |
38 |
$13K |
| 88304 |
|
232 |
200 |
$13K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
190 |
184 |
$11K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,557 |
1,394 |
$11K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,911 |
1,712 |
$10K |
| D7140 |
Extraction, erupted tooth or exposed root |
45 |
38 |
$8K |
| 87430 |
|
529 |
481 |
$7K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
49 |
47 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
390 |
339 |
$7K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
17 |
13 |
$6K |
| C1889 |
Implantable/insertable device, not otherwise classified |
90 |
90 |
$6K |
| 84703 |
|
599 |
556 |
$6K |
| 87070 |
|
548 |
487 |
$5K |
| V2632 |
Posterior chamber intraocular lens |
62 |
59 |
$5K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
194 |
170 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,200 |
1,753 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
209 |
191 |
$4K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
131 |
81 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
26 |
26 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
481 |
398 |
$3K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
137 |
116 |
$2K |
| 81003 |
|
823 |
745 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
28 |
27 |
$2K |
| 80299 |
|
120 |
101 |
$2K |
| J7050 |
Infusion, normal saline solution, 250 cc |
405 |
204 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
76 |
52 |
$1K |
| 87631 |
|
15 |
14 |
$1K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
26 |
15 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
25 |
$1K |
| 80143 |
|
34 |
25 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50 |
38 |
$1K |
| J8597 |
Antiemetic drug, oral, not otherwise specified |
2,422 |
2,135 |
$958.18 |
| 96367 |
|
25 |
12 |
$628.80 |
| C1769 |
Guide wire |
15 |
12 |
$535.72 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
30 |
12 |
$517.54 |
| 80179 |
|
19 |
13 |
$511.33 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
18 |
12 |
$472.76 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$411.49 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$411.43 |
| 87205 |
|
148 |
129 |
$375.43 |
| 87147 |
|
106 |
83 |
$372.11 |
| 87186 |
|
63 |
43 |
$369.93 |
| 97597 |
|
15 |
12 |
$323.80 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
41 |
27 |
$283.90 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
2,544 |
1,776 |
$281.01 |
| 83880 |
|
17 |
12 |
$253.80 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
15 |
14 |
$224.41 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
13 |
12 |
$206.30 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$164.67 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
15 |
13 |
$155.80 |
| 87077 |
|
18 |
15 |
$135.79 |
| 84702 |
|
12 |
12 |
$119.90 |
| 85027 |
|
41 |
25 |
$89.57 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
19 |
12 |
$82.48 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
13 |
12 |
$6.93 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
32 |
29 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
63 |
60 |
$0.00 |