| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,027 |
10,277 |
$2.75M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,972 |
7,265 |
$2.27M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
5,040 |
4,554 |
$1.49M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,327 |
2,157 |
$1.15M |
| G0378 |
Hospital observation service, per hour |
1,816 |
895 |
$792K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
5,055 |
4,613 |
$713K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
19,454 |
4,170 |
$645K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
543 |
512 |
$602K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
12,524 |
2,978 |
$595K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
4,115 |
2,322 |
$424K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,719 |
3,454 |
$411K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,700 |
3,550 |
$375K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,650 |
2,404 |
$357K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
969 |
876 |
$346K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,904 |
1,200 |
$257K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
8,692 |
7,489 |
$242K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
7,534 |
1,199 |
$183K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,767 |
1,379 |
$149K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,116 |
12,402 |
$135K |
| 80053 |
Comprehensive metabolic panel |
12,662 |
10,848 |
$127K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
3,594 |
1,100 |
$117K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,122 |
1,077 |
$113K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,992 |
4,399 |
$104K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,252 |
2,629 |
$104K |
| 71046 |
Radiologic examination, chest; 2 views |
3,348 |
3,126 |
$94K |
| 71045 |
Radiologic examination, chest; single view |
4,089 |
3,665 |
$94K |
| 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 |
2,218 |
1,837 |
$87K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
463 |
435 |
$77K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,651 |
3,224 |
$74K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
477 |
409 |
$68K |
| 76830 |
Ultrasound, transvaginal |
373 |
361 |
$64K |
| OP250 |
|
32,676 |
14,370 |
$63K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
328 |
324 |
$58K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
818 |
289 |
$55K |
| OP710 |
|
601 |
485 |
$51K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,590 |
2,567 |
$48K |
| 84484 |
|
5,145 |
4,222 |
$45K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,113 |
1,067 |
$42K |
| 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 |
602 |
580 |
$37K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
156 |
140 |
$37K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
138 |
77 |
$36K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
927 |
749 |
$35K |
| 93017 |
|
55 |
53 |
$32K |
| 97162 |
|
580 |
535 |
$30K |
| OP272 |
|
6,551 |
4,829 |
$30K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
177 |
76 |
$29K |
| 36415 |
Collection of venous blood by venipuncture |
15,950 |
13,365 |
$28K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
193 |
182 |
$28K |
| OP270 |
|
6,233 |
3,596 |
$27K |
| 96376 |
|
740 |
530 |
$27K |
| 97161 |
|
488 |
433 |
$23K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,040 |
1,853 |
$19K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,242 |
2,709 |
$19K |
| 76641 |
|
104 |
100 |
$18K |
| 81001 |
|
6,541 |
5,931 |
$18K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,033 |
986 |
$17K |
| 81025 |
|
3,810 |
3,589 |
$15K |
| 71250 |
|
108 |
91 |
$15K |
| 83690 |
|
3,681 |
3,333 |
$14K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
595 |
503 |
$14K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
57 |
54 |
$13K |
| 83735 |
|
3,665 |
3,143 |
$13K |
| 85610 |
|
4,482 |
3,883 |
$13K |
| 84145 |
|
921 |
806 |
$12K |
| 85730 |
|
3,970 |
3,574 |
$12K |
| 83880 |
|
1,077 |
931 |
$11K |
| 73610 |
|
320 |
296 |
$11K |
| 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 |
484 |
464 |
$9K |
| 73630 |
|
263 |
245 |
$9K |
| 86850 |
|
802 |
665 |
$8K |
| 73030 |
|
205 |
183 |
$7K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
127 |
122 |
$7K |
| 87486 |
|
330 |
326 |
$7K |
| 87581 |
|
330 |
326 |
$7K |
| 83605 |
|
1,180 |
1,010 |
$7K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
332 |
328 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
267 |
259 |
$6K |
| 82962 |
|
2,587 |
1,890 |
$6K |
| 87040 |
|
707 |
637 |
$6K |
| 0012A |
|
209 |
208 |
$6K |
| 76536 |
|
42 |
38 |
$6K |
| 0011A |
|
209 |
209 |
$5K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
219 |
149 |
$5K |
| OP258 |
|
5,265 |
2,131 |
$5K |
| 0004A |
|
140 |
140 |
$5K |
| 86901 |
|
854 |
705 |
$5K |
| J1756 |
Injection, iron sucrose, 1 mg |
136 |
49 |
$5K |
| OP259 |
|
2,921 |
1,144 |
$5K |
| 80076 |
|
1,144 |
1,029 |
$4K |
| 86900 |
|
864 |
717 |
$4K |
| 84702 |
|
434 |
404 |
$4K |
| 87631 |
|
59 |
59 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
899 |
818 |
$3K |
| 85378 |
|
895 |
816 |
$3K |
| 80061 |
Lipid panel |
636 |
572 |
$3K |
| 73564 |
|
81 |
73 |
$3K |
| OP279 |
|
327 |
317 |
$3K |
| 82077 |
|
491 |
410 |
$3K |
| 0001A |
|
93 |
93 |
$3K |
| 0002A |
|
97 |
97 |
$3K |
| 81003 |
|
1,009 |
954 |
$3K |
| 84100 |
|
1,567 |
1,360 |
$3K |
| 73130 |
|
89 |
79 |
$3K |
| OP370 |
|
14 |
13 |
$3K |
| 80143 |
|
358 |
298 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,573 |
2,091 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,488 |
2,223 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
44 |
36 |
$2K |
| 72100 |
|
44 |
39 |
$2K |
| 80179 |
|
327 |
273 |
$2K |
| A4215 |
Needle, sterile, any size, each |
527 |
501 |
$2K |
| 76770 |
|
15 |
13 |
$2K |
| 0064A |
|
66 |
66 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
3,264 |
2,517 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
325 |
322 |
$2K |
| 84703 |
|
412 |
393 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
49 |
39 |
$2K |
| 82550 |
|
438 |
396 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
138 |
135 |
$2K |
| 77080 |
|
13 |
13 |
$2K |
| 93971 |
|
14 |
12 |
$2K |
| J3490 |
Unclassified drugs |
2,945 |
1,842 |
$2K |
| 93041 |
|
170 |
167 |
$1K |
| 97165 |
|
42 |
38 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
118 |
116 |
$1K |
| 96367 |
|
54 |
39 |
$1K |
| 93970 |
|
12 |
12 |
$1K |
| 90715 |
|
125 |
120 |
$1K |
| 85027 |
|
433 |
355 |
$1K |
| 0071A |
|
32 |
32 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$1K |
| 0072A |
|
30 |
30 |
$1K |
| 73562 |
|
30 |
27 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
25 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
926 |
720 |
$842.94 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
5,874 |
4,110 |
$842.72 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
12 |
$831.75 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
334 |
293 |
$794.83 |
| 90834 |
Psychotherapy, 45 minutes with patient |
14 |
12 |
$759.52 |
| 80320 |
|
44 |
42 |
$729.95 |
| J2704 |
Injection, propofol, 10 mg |
212 |
189 |
$708.64 |
| 76857 |
|
14 |
14 |
$628.00 |
| 73110 |
|
24 |
24 |
$612.59 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
141 |
137 |
$609.04 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
123 |
62 |
$561.09 |
| 74018 |
|
14 |
12 |
$505.42 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
118 |
116 |
$502.17 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
317 |
304 |
$494.13 |
| 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 |
219 |
201 |
$382.43 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
139 |
115 |
$355.11 |
| 83789 |
|
82 |
66 |
$352.34 |
| 80305 |
|
35 |
25 |
$332.64 |
| 82552 |
|
79 |
76 |
$307.81 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
14 |
12 |
$285.64 |
| J7050 |
Infusion, normal saline solution, 250 cc |
361 |
195 |
$282.18 |
| 87077 |
|
79 |
66 |
$167.31 |
| 87430 |
|
29 |
28 |
$143.72 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
178 |
127 |
$137.33 |
| 87186 |
|
45 |
36 |
$96.59 |
| 86140 |
|
57 |
40 |
$93.82 |
| OP255 |
|
97 |
60 |
$89.89 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
249 |
194 |
$77.27 |
| 85652 |
|
97 |
62 |
$55.83 |
| 85379 |
|
13 |
13 |
$54.50 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
105 |
68 |
$43.60 |
| 83615 |
|
14 |
12 |
$38.64 |
| J2060 |
Injection, lorazepam, 2 mg |
102 |
76 |
$36.23 |
| 87070 |
|
12 |
12 |
$27.90 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
93 |
71 |
$26.76 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
68 |
59 |
$17.00 |
| Q0163 |
Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen |
37 |
26 |
$8.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
13 |
13 |
$5.00 |
| 81002 |
|
27 |
27 |
$4.20 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
15 |
12 |
$0.85 |