| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
20,919 |
16,153 |
$2.61M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
10,764 |
8,295 |
$2.19M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
7,497 |
3,903 |
$2.17M |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
6,607 |
4,377 |
$1.37M |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,266 |
3,260 |
$509K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,668 |
1,016 |
$317K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,487 |
3,480 |
$275K |
| G0378 |
Hospital observation service, per hour |
2,960 |
1,442 |
$240K |
| 71046 |
Radiologic examination, chest; 2 views |
5,666 |
3,909 |
$236K |
| 71250 |
|
2,662 |
1,623 |
$221K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
4,802 |
2,088 |
$192K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,660 |
1,595 |
$182K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,558 |
1,234 |
$177K |
| 71045 |
Radiologic examination, chest; single view |
7,935 |
3,826 |
$164K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,714 |
817 |
$159K |
| 80053 |
Comprehensive metabolic panel |
29,626 |
21,292 |
$155K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,103 |
1,092 |
$148K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
8,080 |
6,099 |
$148K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,823 |
1,577 |
$142K |
| 72131 |
|
1,526 |
1,107 |
$142K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
3,381 |
2,900 |
$140K |
| 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 |
2,059 |
1,839 |
$139K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
4,013 |
3,420 |
$138K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13,358 |
9,101 |
$133K |
| 36415 |
Collection of venous blood by venipuncture |
48,888 |
20,930 |
$132K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,637 |
2,831 |
$131K |
| 80061 |
Lipid panel |
7,061 |
5,811 |
$107K |
| G0483 |
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; 22 or more drug class(es), including metabolite(s) if performed |
818 |
638 |
$104K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
4,369 |
3,921 |
$98K |
| 84443 |
Thyroid stimulating hormone (TSH) |
7,250 |
6,525 |
$97K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
23,944 |
19,460 |
$96K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,251 |
1,089 |
$94K |
| 72110 |
|
1,176 |
961 |
$87K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,202 |
1,748 |
$83K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,355 |
1,199 |
$73K |
| 70486 |
|
326 |
280 |
$70K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,782 |
2,372 |
$68K |
| 73630 |
|
1,409 |
1,198 |
$63K |
| 72128 |
|
424 |
324 |
$63K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
286 |
243 |
$61K |
| 73564 |
|
1,222 |
982 |
$60K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,801 |
1,338 |
$57K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
210 |
131 |
$56K |
| 82607 |
|
3,991 |
3,586 |
$49K |
| 73130 |
|
1,113 |
968 |
$48K |
| 73030 |
|
1,196 |
950 |
$47K |
| 97161 |
|
750 |
682 |
$45K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
166 |
160 |
$44K |
| 93975 |
|
406 |
336 |
$43K |
| 73610 |
|
1,175 |
959 |
$40K |
| 80074 |
|
1,034 |
896 |
$39K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
133 |
93 |
$37K |
| 82746 |
|
2,968 |
2,676 |
$37K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,680 |
2,919 |
$36K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,715 |
4,215 |
$35K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
173 |
129 |
$33K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
5,610 |
4,688 |
$32K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,526 |
2,065 |
$32K |
| 43202 |
|
87 |
46 |
$29K |
| J2704 |
Injection, propofol, 10 mg |
1,935 |
1,617 |
$28K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,078 |
2,761 |
$27K |
| 77080 |
|
406 |
363 |
$26K |
| 72072 |
|
273 |
220 |
$26K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
4,038 |
2,911 |
$25K |
| 87070 |
|
4,985 |
3,731 |
$25K |
| 84484 |
|
5,880 |
4,247 |
$24K |
| 87040 |
|
3,323 |
2,737 |
$24K |
| 84681 |
|
1,239 |
1,117 |
$20K |
| 86738 |
|
2,692 |
2,379 |
$19K |
| 73110 |
|
586 |
467 |
$19K |
| 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 |
640 |
523 |
$19K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,572 |
1,766 |
$19K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
274 |
201 |
$18K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,699 |
1,369 |
$16K |
| 83735 |
|
5,421 |
4,530 |
$16K |
| 96376 |
|
1,003 |
676 |
$16K |
| 83880 |
|
1,251 |
995 |
$15K |
| 84439 |
|
2,079 |
1,856 |
$15K |
| 81001 |
|
5,915 |
5,205 |
$15K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
657 |
386 |
$14K |
| 72100 |
|
217 |
173 |
$14K |
| 87430 |
|
2,292 |
2,107 |
$14K |
| 72050 |
|
309 |
240 |
$13K |
| 85027 |
|
4,500 |
3,502 |
$13K |
| 86140 |
|
3,092 |
2,758 |
$13K |
| 83525 |
|
1,408 |
1,275 |
$13K |
| 84550 |
|
3,394 |
3,052 |
$12K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,022 |
2,346 |
$12K |
| 85651 |
|
3,837 |
3,432 |
$12K |
| 84703 |
|
3,855 |
3,315 |
$12K |
| 84403 |
|
598 |
534 |
$12K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
17 |
12 |
$12K |
| 87081 |
|
2,700 |
2,263 |
$12K |
| 83690 |
|
4,088 |
3,448 |
$11K |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
2,488 |
2,028 |
$10K |
| 76536 |
|
103 |
90 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
696 |
372 |
$10K |
| 74018 |
|
235 |
214 |
$10K |
| 85730 |
|
4,066 |
3,337 |
$10K |
| 86038 |
|
818 |
741 |
$9K |
| 82150 |
|
3,444 |
2,936 |
$9K |
| 83550 |
|
1,194 |
1,034 |
$9K |
| 85610 |
|
4,773 |
3,579 |
$9K |
| 95913 |
|
32 |
28 |
$9K |
| J3490 |
Unclassified drugs |
1,388 |
619 |
$8K |
| 93225 |
|
105 |
88 |
$8K |
| 83540 |
|
1,350 |
1,161 |
$7K |
| 73080 |
|
161 |
129 |
$7K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
3,314 |
2,509 |
$7K |
| 87186 |
|
1,389 |
1,216 |
$7K |
| 87075 |
|
1,051 |
801 |
$7K |
| 82803 |
|
869 |
700 |
$7K |
| 94760 |
|
889 |
474 |
$7K |
| 36600 |
|
1,242 |
733 |
$6K |
| 97010 |
|
611 |
125 |
$6K |
| 81003 |
|
5,879 |
5,069 |
$6K |
| 87077 |
|
1,546 |
1,040 |
$5K |
| 84402 |
|
241 |
220 |
$5K |
| 82962 |
|
2,359 |
1,530 |
$5K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,894 |
1,678 |
$5K |
| 93017 |
|
106 |
91 |
$5K |
| 90714 |
|
615 |
514 |
$5K |
| J0595 |
Injection, butorphanol tartrate, 1 mg |
988 |
813 |
$5K |
| 73090 |
|
103 |
85 |
$5K |
| 82043 |
|
932 |
845 |
$5K |
| 86431 |
|
843 |
760 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
261 |
240 |
$4K |
| 84702 |
|
536 |
463 |
$4K |
| 94664 |
|
523 |
448 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
575 |
497 |
$4K |
| 83605 |
|
903 |
726 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
12 |
$3K |
| 82728 |
|
359 |
297 |
$3K |
| 93971 |
|
43 |
39 |
$3K |
| 73562 |
|
62 |
60 |
$3K |
| 84480 |
|
221 |
205 |
$3K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
1,126 |
913 |
$3K |
| 82553 |
|
842 |
689 |
$3K |
| 82550 |
|
1,238 |
1,040 |
$3K |
| 84481 |
|
186 |
174 |
$3K |
| 73560 |
|
81 |
66 |
$3K |
| 85378 |
|
883 |
759 |
$3K |
| 73590 |
|
96 |
81 |
$3K |
| 72040 |
|
31 |
30 |
$3K |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
557 |
506 |
$2K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
267 |
207 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
220 |
121 |
$2K |
| 87205 |
|
936 |
800 |
$2K |
| 86677 |
|
112 |
106 |
$2K |
| J2785 |
Injection, regadenoson, 0.1 mg |
70 |
61 |
$2K |
| G0481 |
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; 8-14 drug class(es), including metabolite(s) if performed |
138 |
130 |
$2K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
88 |
76 |
$2K |
| J2060 |
Injection, lorazepam, 2 mg |
338 |
281 |
$2K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,847 |
1,511 |
$1K |
| C9113 |
Injection, pantoprazole sodium, per vial |
400 |
295 |
$1K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,501 |
1,249 |
$1K |
| 87420 |
|
142 |
133 |
$1K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
181 |
99 |
$1K |
| 93226 |
|
63 |
60 |
$1K |
| 72192 |
|
12 |
12 |
$1K |
| 84436 |
|
181 |
164 |
$1K |
| 87076 |
|
266 |
205 |
$1K |
| 0012A |
|
74 |
55 |
$1K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
209 |
186 |
$903.42 |
| 84154 |
|
80 |
73 |
$900.74 |
| 80320 |
|
80 |
66 |
$826.13 |
| 76642 |
|
17 |
13 |
$823.41 |
| 82140 |
|
86 |
67 |
$816.04 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
95 |
79 |
$815.12 |
| 0011A |
|
60 |
53 |
$781.87 |
| G0482 |
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; 15-21 drug class(es), including metabolite(s) if performed |
132 |
121 |
$768.23 |
| 86318 |
|
65 |
53 |
$707.63 |
| 86701 |
|
58 |
50 |
$701.86 |
| 72220 |
|
15 |
15 |
$693.02 |
| 12001 |
|
83 |
65 |
$682.60 |
| 77065 |
Tomosynthesis, mammo |
17 |
12 |
$594.67 |
| 80299 |
|
130 |
105 |
$589.20 |
| C1780 |
Lens, intraocular (new technology) |
17 |
12 |
$568.41 |
| 76775 |
|
15 |
13 |
$543.77 |
| 96367 |
|
61 |
33 |
$520.53 |
| J1956 |
Injection, levofloxacin, 250 mg |
34 |
25 |
$486.59 |
| J2300 |
Injection, nalbuphine hydrochloride, per 10 mg |
82 |
67 |
$440.99 |
| 73502 |
|
12 |
12 |
$420.66 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
274 |
241 |
$397.70 |
| J7050 |
Infusion, normal saline solution, 250 cc |
84 |
54 |
$387.79 |
| 80076 |
|
65 |
58 |
$363.79 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
173 |
153 |
$348.38 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
38 |
24 |
$327.87 |
| 84100 |
|
159 |
121 |
$291.87 |
| 84153 |
|
23 |
13 |
$198.62 |
| 86592 |
|
58 |
52 |
$178.66 |
| 73565 |
|
32 |
20 |
$161.30 |
| 95885 |
|
34 |
27 |
$160.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
57 |
48 |
$156.52 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$132.28 |
| G0008 |
Administration of influenza virus vaccine |
20 |
12 |
$115.81 |
| 80346 |
|
16 |
16 |
$107.82 |
| 90686 |
|
34 |
24 |
$96.28 |
| 80335 |
|
15 |
15 |
$89.55 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
281 |
239 |
$83.97 |
| 80329 |
|
13 |
13 |
$82.30 |
| 80348 |
|
13 |
13 |
$79.66 |
| 80372 |
|
13 |
13 |
$79.30 |
| 80367 |
|
13 |
13 |
$76.66 |
| 80361 |
|
13 |
13 |
$76.66 |
| 80354 |
|
13 |
13 |
$76.66 |
| 80365 |
|
13 |
13 |
$76.66 |
| 80362 |
|
13 |
13 |
$76.66 |
| 80373 |
|
13 |
13 |
$76.66 |
| 80338 |
|
13 |
13 |
$74.34 |
| 80332 |
|
13 |
13 |
$74.34 |
| 80369 |
|
13 |
13 |
$73.42 |
| 80368 |
|
13 |
13 |
$73.38 |
| 80366 |
|
13 |
13 |
$71.34 |
| 83992 |
|
41 |
40 |
$66.56 |
| 80342 |
|
13 |
13 |
$66.46 |
| 80358 |
|
13 |
13 |
$66.02 |
| 80324 |
|
16 |
16 |
$62.90 |
| 80353 |
|
13 |
13 |
$62.02 |
| 80339 |
|
13 |
13 |
$60.58 |
| 80357 |
|
13 |
13 |
$60.46 |
| 80359 |
|
13 |
13 |
$53.02 |
| 80371 |
|
13 |
13 |
$50.02 |
| 80360 |
|
13 |
13 |
$50.02 |
| 80375 |
|
13 |
13 |
$47.50 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
17 |
14 |
$42.73 |
| J1644 |
Injection, heparin sodium, per 1000 units |
55 |
42 |
$35.34 |
| J2780 |
Injection, ranitidine hydrochloride, 25 mg |
19 |
17 |
$32.85 |
| 86308 |
|
13 |
13 |
$25.22 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
17 |
12 |
$11.65 |
| C9399 |
Unclassified drugs or biologicals |
80 |
57 |
$0.00 |
| A9270 |
Non-covered item or service |
77 |
29 |
$0.00 |