| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99232 |
Subsequent hospital care, per day, moderate complexity |
23,005 |
8,635 |
$963K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,077 |
6,025 |
$550K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
6,392 |
6,301 |
$348K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
30,106 |
18,559 |
$271K |
| 99233 |
Prolong inpt eval add15 m |
4,151 |
1,896 |
$248K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,618 |
606 |
$216K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,239 |
1,221 |
$145K |
| 0120 |
|
107 |
94 |
$140K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
5,020 |
4,109 |
$122K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
806 |
776 |
$118K |
| 0450 |
Emergency room services |
5,292 |
4,730 |
$109K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,708 |
2,450 |
$90K |
| 93970 |
|
2,377 |
2,225 |
$81K |
| 99223 |
Prolong inpt eval add15 m |
786 |
777 |
$72K |
| 70450 |
Computed tomography, head or brain; without contrast material |
728 |
684 |
$64K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,265 |
1,882 |
$52K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,481 |
3,136 |
$48K |
| 99222 |
Initial hospital care, per day, moderate complexity |
610 |
599 |
$43K |
| 99221 |
|
4,272 |
3,517 |
$42K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,932 |
7,570 |
$38K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
7,118 |
6,133 |
$33K |
| 0250 |
|
5,137 |
3,538 |
$33K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
945 |
773 |
$31K |
| A4649 |
Surgical supply; miscellaneous |
1,597 |
1,057 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
319 |
251 |
$25K |
| 0301 |
|
382 |
344 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
2,416 |
2,236 |
$22K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
594 |
565 |
$21K |
| Q3014 |
Telehealth originating site facility fee |
1,293 |
1,163 |
$20K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
454 |
447 |
$20K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
400 |
353 |
$20K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,778 |
1,638 |
$20K |
| 0272 |
|
523 |
480 |
$19K |
| 0710 |
|
233 |
220 |
$19K |
| 86850 |
|
245 |
215 |
$17K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
638 |
521 |
$16K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,981 |
1,824 |
$15K |
| 80053 |
Comprehensive metabolic panel |
2,109 |
1,645 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
605 |
567 |
$14K |
| 80076 |
|
3,040 |
2,758 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
854 |
678 |
$12K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
400 |
154 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
214 |
211 |
$11K |
| 0949 |
|
720 |
589 |
$11K |
| G0378 |
Hospital observation service, per hour |
636 |
369 |
$11K |
| 84484 |
|
2,504 |
2,140 |
$11K |
| 86900 |
|
474 |
420 |
$11K |
| 83880 |
|
857 |
791 |
$10K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
163 |
162 |
$10K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,829 |
1,681 |
$10K |
| 0510 |
|
932 |
845 |
$8K |
| 0206 |
|
49 |
42 |
$8K |
| 81001 |
|
3,749 |
3,378 |
$8K |
| 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 |
560 |
367 |
$8K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
310 |
267 |
$7K |
| 0370 |
|
162 |
151 |
$7K |
| 83690 |
|
2,215 |
2,054 |
$6K |
| 84703 |
|
1,489 |
1,387 |
$6K |
| 0305 |
|
404 |
365 |
$5K |
| 0762 |
|
93 |
65 |
$5K |
| 94375 |
|
538 |
485 |
$4K |
| 87088 |
|
606 |
562 |
$4K |
| 86901 |
|
486 |
431 |
$4K |
| 83605 |
|
676 |
613 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
40 |
39 |
$3K |
| 99254 |
|
38 |
38 |
$3K |
| 93971 |
|
203 |
197 |
$3K |
| 49083 |
|
42 |
25 |
$3K |
| 96376 |
|
334 |
268 |
$3K |
| 85610 |
|
1,314 |
1,204 |
$3K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,200 |
1,071 |
$2K |
| 0352 |
|
76 |
68 |
$2K |
| 87040 |
|
273 |
231 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$2K |
| 0300 |
|
285 |
261 |
$2K |
| 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 |
57 |
54 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
894 |
781 |
$2K |
| 85730 |
|
751 |
717 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$2K |
| J3490 |
Unclassified drugs |
1,744 |
1,215 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
850 |
761 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
270 |
258 |
$2K |
| 73610 |
|
53 |
38 |
$1K |
| 83735 |
|
426 |
331 |
$1K |
| 0324 |
|
171 |
158 |
$1K |
| 93308 |
|
48 |
44 |
$1K |
| 0306 |
|
362 |
330 |
$955.29 |
| 0730 |
|
172 |
154 |
$914.25 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
186 |
156 |
$897.72 |
| 87077 |
|
222 |
206 |
$823.18 |
| 87400 |
|
118 |
110 |
$806.16 |
| 93325 |
|
222 |
196 |
$650.92 |
| 36415 |
Collection of venous blood by venipuncture |
512 |
408 |
$620.38 |
| 0760 |
|
15 |
12 |
$619.04 |
| 0271 |
|
199 |
187 |
$609.49 |
| 94729 |
|
83 |
83 |
$562.95 |
| 94726 |
|
69 |
69 |
$548.12 |
| 0761 |
|
53 |
52 |
$537.80 |
| 85027 |
|
104 |
81 |
$477.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
70 |
67 |
$466.54 |
| 93321 |
|
57 |
53 |
$447.87 |
| 0255 |
|
110 |
98 |
$394.78 |
| 85379 |
|
79 |
78 |
$267.47 |
| 84100 |
|
38 |
28 |
$236.35 |
| 86140 |
|
121 |
116 |
$234.51 |
| 80306 |
|
70 |
66 |
$225.94 |
| J2704 |
Injection, propofol, 10 mg |
52 |
45 |
$215.49 |
| 0302 |
|
100 |
94 |
$179.85 |
| 73630 |
|
15 |
12 |
$173.05 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
20 |
17 |
$169.36 |
| 80197 |
|
39 |
24 |
$152.61 |
| 85652 |
|
110 |
107 |
$127.49 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
40 |
36 |
$121.35 |
| J2060 |
Injection, lorazepam, 2 mg |
30 |
28 |
$111.33 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$77.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
31 |
24 |
$51.86 |
| 87186 |
|
13 |
12 |
$49.91 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
59 |
54 |
$48.12 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
36 |
27 |
$38.68 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
14 |
14 |
$24.61 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
12 |
12 |
$23.82 |
| 82962 |
|
19 |
13 |
$23.68 |
| 80061 |
Lipid panel |
15 |
15 |
$22.62 |
| 80320 |
|
97 |
78 |
$0.00 |
| 0001A |
|
129 |
127 |
$0.00 |
| 0307 |
|
112 |
99 |
$0.00 |
| 0031A |
|
12 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
12 |
$0.00 |
| 0483 |
|
30 |
25 |
$0.00 |
| 0637 |
|
243 |
180 |
$0.00 |
| 0309 |
|
48 |
43 |
$0.00 |
| 0320 |
|
28 |
24 |
$0.00 |
| 0002A |
|
125 |
122 |
$0.00 |
| 0424 |
|
14 |
13 |
$0.00 |