| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
31,136 |
25,999 |
$3.67M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
6,896 |
4,779 |
$2.18M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
15,373 |
12,507 |
$2.01M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18,043 |
16,087 |
$1.85M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,738 |
6,546 |
$847K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,754 |
4,587 |
$583K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,956 |
1,261 |
$557K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,585 |
1,128 |
$433K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
925 |
653 |
$294K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,169 |
1,604 |
$289K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,656 |
807 |
$271K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
966 |
582 |
$242K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,090 |
820 |
$206K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,167 |
691 |
$156K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
9,084 |
8,241 |
$119K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
769 |
474 |
$116K |
| 80053 |
Comprehensive metabolic panel |
11,863 |
8,632 |
$115K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
10,792 |
8,205 |
$86K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
312 |
208 |
$85K |
| 64635 |
|
203 |
164 |
$67K |
| G0378 |
Hospital observation service, per hour |
927 |
319 |
$66K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
26,749 |
20,259 |
$63K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,819 |
500 |
$57K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
121 |
81 |
$53K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
869 |
292 |
$45K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
167 |
137 |
$40K |
| 71046 |
Radiologic examination, chest; 2 views |
4,261 |
3,305 |
$40K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
9,156 |
6,955 |
$40K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,204 |
1,758 |
$36K |
| 80061 |
Lipid panel |
2,110 |
1,745 |
$35K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
198 |
71 |
$34K |
| 20611 |
|
127 |
97 |
$32K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
10,392 |
7,592 |
$30K |
| 36415 |
Collection of venous blood by venipuncture |
20,711 |
14,396 |
$28K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
82 |
37 |
$27K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,149 |
820 |
$26K |
| 97161 |
|
330 |
247 |
$24K |
| 84484 |
|
4,661 |
2,947 |
$24K |
| 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 |
124 |
122 |
$21K |
| 73630 |
|
1,101 |
797 |
$21K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,830 |
3,990 |
$20K |
| 64450 |
|
99 |
39 |
$19K |
| 86140 |
|
1,025 |
761 |
$19K |
| 73562 |
|
406 |
297 |
$19K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
190 |
183 |
$19K |
| 81001 |
|
11,982 |
9,534 |
$16K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
34 |
27 |
$16K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
727 |
600 |
$16K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
232 |
110 |
$16K |
| 73130 |
|
861 |
591 |
$15K |
| 97162 |
|
165 |
125 |
$14K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,677 |
3,811 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,234 |
1,011 |
$13K |
| 93975 |
|
73 |
42 |
$12K |
| 93971 |
|
108 |
73 |
$12K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
50 |
28 |
$12K |
| 73610 |
|
668 |
490 |
$12K |
| 73030 |
|
608 |
434 |
$12K |
| 82607 |
|
547 |
413 |
$11K |
| 81025 |
|
4,653 |
3,357 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
481 |
349 |
$10K |
| 72100 |
|
349 |
278 |
$10K |
| 84439 |
|
420 |
326 |
$10K |
| 90715 |
|
523 |
338 |
$9K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
685 |
458 |
$9K |
| 64640 |
|
47 |
27 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
2,444 |
1,841 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
68 |
53 |
$8K |
| 80076 |
|
968 |
625 |
$8K |
| 73110 |
|
447 |
310 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
91 |
55 |
$8K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
13 |
13 |
$7K |
| 85027 |
|
729 |
577 |
$7K |
| 73502 |
|
367 |
284 |
$7K |
| 64493 |
|
18 |
14 |
$7K |
| 83690 |
|
4,365 |
3,016 |
$7K |
| 85652 |
|
1,093 |
824 |
$6K |
| 82728 |
|
482 |
371 |
$6K |
| 83550 |
|
522 |
402 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,895 |
1,320 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
61 |
51 |
$6K |
| 83540 |
|
572 |
440 |
$5K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
124 |
122 |
$5K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
93 |
91 |
$5K |
| 73564 |
|
549 |
382 |
$5K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
8,723 |
6,806 |
$4K |
| 94729 |
|
56 |
41 |
$4K |
| 93017 |
|
53 |
37 |
$4K |
| 83970 |
|
130 |
97 |
$4K |
| 86900 |
|
193 |
113 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
19 |
14 |
$4K |
| 64636 |
|
187 |
147 |
$4K |
| 83605 |
|
1,663 |
975 |
$4K |
| 94760 |
|
912 |
769 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,006 |
684 |
$4K |
| 12001 |
|
21 |
12 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,158 |
1,192 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
42 |
24 |
$3K |
| 72110 |
|
77 |
53 |
$3K |
| 83735 |
|
886 |
568 |
$3K |
| 96367 |
|
78 |
24 |
$3K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
24 |
12 |
$3K |
| 82570 |
|
337 |
287 |
$3K |
| 10060 |
|
17 |
12 |
$3K |
| 97113 |
|
47 |
13 |
$2K |
| 80320 |
|
512 |
311 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
16 |
13 |
$2K |
| J3490 |
Unclassified drugs |
2,923 |
2,329 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,007 |
685 |
$2K |
| 94726 |
|
38 |
28 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
14 |
14 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,919 |
1,330 |
$2K |
| 82746 |
|
186 |
120 |
$2K |
| 85610 |
|
895 |
633 |
$2K |
| 73565 |
|
65 |
61 |
$2K |
| 80069 |
|
63 |
38 |
$2K |
| 86850 |
|
112 |
72 |
$2K |
| 73080 |
|
77 |
41 |
$2K |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
2,171 |
1,137 |
$1K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
779 |
478 |
$1K |
| 71250 |
|
30 |
25 |
$1K |
| 87486 |
|
773 |
475 |
$1K |
| 84702 |
|
134 |
64 |
$1K |
| 73560 |
|
65 |
50 |
$1K |
| 87186 |
|
672 |
491 |
$1K |
| 87581 |
|
773 |
475 |
$1K |
| 82962 |
|
1,304 |
604 |
$1K |
| 0012A |
|
40 |
32 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
5,883 |
3,619 |
$1K |
| 83880 |
|
444 |
329 |
$1K |
| 82043 |
|
172 |
135 |
$1K |
| 87088 |
|
527 |
379 |
$1K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
59 |
24 |
$1K |
| 0011A |
|
39 |
29 |
$996.01 |
| 87430 |
|
1,570 |
1,066 |
$959.96 |
| 73590 |
|
22 |
12 |
$879.52 |
| 74018 |
|
60 |
31 |
$876.48 |
| 81003 |
|
633 |
422 |
$843.13 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
271 |
181 |
$743.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
557 |
344 |
$704.73 |
| 64615 |
|
15 |
12 |
$692.50 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,385 |
691 |
$687.47 |
| J2704 |
Injection, propofol, 10 mg |
4,733 |
3,388 |
$650.56 |
| 84703 |
|
510 |
293 |
$649.87 |
| 86038 |
|
34 |
25 |
$612.46 |
| 87070 |
|
93 |
66 |
$515.02 |
| 85379 |
|
616 |
420 |
$512.72 |
| 96376 |
|
860 |
450 |
$509.91 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
4,878 |
3,593 |
$487.87 |
| 87081 |
|
1,021 |
697 |
$414.87 |
| 90686 |
|
31 |
25 |
$395.60 |
| 85730 |
|
199 |
140 |
$386.48 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
7,044 |
4,818 |
$369.84 |
| 88304 |
|
212 |
99 |
$368.46 |
| 84156 |
|
61 |
57 |
$358.69 |
| 86901 |
|
278 |
175 |
$347.51 |
| 76830 |
Ultrasound, transvaginal |
17 |
12 |
$343.83 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,860 |
1,723 |
$315.34 |
| 87205 |
|
40 |
28 |
$304.26 |
| J0689 |
Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg |
842 |
479 |
$297.86 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
214 |
129 |
$294.04 |
| C9113 |
Injection, pantoprazole sodium, per vial |
149 |
68 |
$239.17 |
| G0008 |
Administration of influenza virus vaccine |
51 |
45 |
$237.35 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
284 |
239 |
$222.49 |
| 84153 |
|
13 |
12 |
$184.59 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,315 |
4,005 |
$170.84 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,845 |
2,727 |
$169.98 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,999 |
2,703 |
$139.97 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
368 |
201 |
$132.79 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
401 |
345 |
$131.31 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
176 |
99 |
$129.50 |
| 82565 |
|
15 |
14 |
$126.66 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
277 |
100 |
$117.17 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
1,478 |
1,170 |
$117.07 |
| 00731 |
|
271 |
210 |
$115.94 |
| 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 |
125 |
122 |
$115.86 |
| J0134 |
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
365 |
235 |
$107.34 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
397 |
257 |
$101.10 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
862 |
503 |
$89.11 |
| J7121 |
5% dextrose in lactated ringers infusion, up to 1000 cc |
853 |
531 |
$88.64 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
151 |
73 |
$86.72 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
896 |
512 |
$75.07 |
| 82550 |
|
25 |
15 |
$70.50 |
| J7050 |
Infusion, normal saline solution, 250 cc |
675 |
256 |
$58.39 |
| 87210 |
|
34 |
24 |
$54.31 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
127 |
59 |
$48.17 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
640 |
463 |
$45.54 |
| 36416 |
|
1,073 |
602 |
$45.04 |
| 81002 |
|
39 |
39 |
$41.82 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
373 |
233 |
$30.13 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
63 |
29 |
$29.91 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
644 |
406 |
$27.92 |
| 84100 |
|
24 |
13 |
$27.51 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
261 |
160 |
$23.63 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
47 |
36 |
$16.95 |
| J2060 |
Injection, lorazepam, 2 mg |
79 |
52 |
$7.15 |
| A9270 |
Non-covered item or service |
2,785 |
1,472 |
$2.94 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
48 |
39 |
$1.90 |
| 91301 |
|
84 |
68 |
$0.55 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
36 |
29 |
$0.00 |
| 64494 |
|
18 |
14 |
$0.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
28 |
12 |
$0.00 |
| 76942 |
|
67 |
59 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
25 |
24 |
$0.00 |
| 87400 |
|
241 |
194 |
$0.00 |
| 87420 |
|
69 |
47 |
$0.00 |
| 00811 |
|
126 |
76 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
25 |
15 |
$0.00 |