| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
47,802 |
40,928 |
$6.61M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
17,700 |
15,640 |
$1.58M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13,671 |
12,556 |
$806K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
11,300 |
9,740 |
$646K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
6,391 |
3,051 |
$572K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
105,947 |
80,062 |
$535K |
| 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 |
7,988 |
7,258 |
$415K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
10,434 |
3,274 |
$412K |
| 59025 |
Fetal non-stress test |
5,385 |
4,682 |
$291K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
896 |
786 |
$233K |
| 80053 |
Comprehensive metabolic panel |
75,578 |
56,866 |
$196K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
966 |
836 |
$144K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,694 |
2,589 |
$114K |
| 84484 |
|
6,358 |
5,112 |
$105K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,967 |
2,570 |
$88K |
| 71045 |
Radiologic examination, chest; single view |
4,089 |
3,501 |
$83K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,761 |
1,586 |
$62K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
352 |
293 |
$55K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
10,811 |
9,009 |
$54K |
| 71046 |
Radiologic examination, chest; 2 views |
2,345 |
2,077 |
$53K |
| 70450 |
Computed tomography, head or brain; without contrast material |
489 |
432 |
$49K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
151 |
140 |
$46K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
294 |
256 |
$42K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,004 |
1,521 |
$40K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
554 |
461 |
$31K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,501 |
2,397 |
$28K |
| 83690 |
|
5,503 |
4,839 |
$26K |
| 96367 |
|
924 |
461 |
$24K |
| 77336 |
|
530 |
222 |
$23K |
| 87088 |
|
3,257 |
2,887 |
$22K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
7,283 |
5,952 |
$22K |
| 93925 |
|
402 |
334 |
$20K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
58 |
53 |
$20K |
| 81001 |
|
25,498 |
22,179 |
$20K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,447 |
1,563 |
$18K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,042 |
2,572 |
$16K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
35 |
34 |
$14K |
| 83735 |
|
5,065 |
3,126 |
$13K |
| 0001A |
|
432 |
350 |
$13K |
| 84702 |
|
775 |
710 |
$12K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
132 |
112 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
306 |
283 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
471 |
437 |
$11K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
59 |
43 |
$11K |
| 80047 |
|
3,268 |
2,519 |
$10K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
5,888 |
4,455 |
$10K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
661 |
197 |
$9K |
| 82728 |
|
2,299 |
2,074 |
$9K |
| 11043 |
|
145 |
53 |
$9K |
| J1453 |
Injection, fosaprepitant, 1 mg |
40 |
24 |
$9K |
| 0002A |
|
275 |
213 |
$8K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
54 |
49 |
$8K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
136 |
73 |
$8K |
| 84238 |
|
261 |
242 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
749 |
674 |
$7K |
| 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 |
242 |
210 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
60 |
56 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
32 |
32 |
$7K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
72 |
70 |
$6K |
| 83550 |
|
2,236 |
2,018 |
$6K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
13 |
12 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
4,627 |
3,454 |
$6K |
| 81000 |
|
3,018 |
2,595 |
$5K |
| 93970 |
|
33 |
32 |
$4K |
| 82668 |
|
441 |
406 |
$3K |
| 85652 |
|
1,731 |
1,356 |
$3K |
| 80061 |
Lipid panel |
30 |
30 |
$3K |
| 36591 |
|
111 |
65 |
$3K |
| 93922 |
|
389 |
319 |
$3K |
| 82550 |
|
1,493 |
1,023 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,066 |
699 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
26 |
24 |
$2K |
| 11045 |
|
194 |
66 |
$2K |
| 82607 |
|
520 |
478 |
$2K |
| 83010 |
|
565 |
516 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
34 |
34 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,110 |
493 |
$2K |
| 83605 |
|
223 |
186 |
$2K |
| 86900 |
|
269 |
237 |
$2K |
| 77300 |
|
29 |
24 |
$2K |
| 77386 |
|
131 |
12 |
$2K |
| 82746 |
|
425 |
390 |
$2K |
| 86850 |
|
284 |
240 |
$2K |
| 97161 |
|
12 |
12 |
$2K |
| 82024 |
|
285 |
171 |
$1K |
| 86140 |
|
2,306 |
1,791 |
$1K |
| 73120 |
|
145 |
64 |
$1K |
| 80197 |
|
1,311 |
883 |
$1K |
| 83880 |
|
114 |
106 |
$1K |
| 85610 |
|
494 |
428 |
$1K |
| 82570 |
|
1,053 |
756 |
$1K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
35 |
29 |
$1K |
| 94762 |
|
27 |
26 |
$1K |
| 83615 |
|
1,884 |
1,360 |
$1K |
| 93017 |
|
95 |
71 |
$1K |
| 93880 |
|
62 |
49 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
33 |
31 |
$1K |
| 85045 |
|
686 |
591 |
$977.95 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
32 |
30 |
$969.91 |
| 94761 |
|
203 |
125 |
$964.41 |
| 84439 |
|
694 |
460 |
$946.43 |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$927.99 |
| 87040 |
|
45 |
43 |
$917.27 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
6,538 |
2,884 |
$830.29 |
| 81025 |
|
267 |
249 |
$796.66 |
| 76000 |
|
79 |
71 |
$794.22 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
131 |
117 |
$779.74 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
94 |
44 |
$718.70 |
| 71250 |
|
30 |
25 |
$704.10 |
| 82533 |
|
385 |
231 |
$703.09 |
| 86901 |
|
269 |
237 |
$687.41 |
| 84550 |
|
1,588 |
1,109 |
$631.00 |
| 87400 |
|
117 |
117 |
$624.37 |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
59 |
43 |
$576.16 |
| 87799 |
|
78 |
65 |
$548.50 |
| 84100 |
|
1,602 |
1,094 |
$536.91 |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
123 |
55 |
$522.77 |
| 87186 |
|
120 |
103 |
$511.41 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
15 |
14 |
$480.15 |
| 72202 |
|
16 |
12 |
$465.71 |
| J2785 |
Injection, regadenoson, 0.1 mg |
36 |
27 |
$450.36 |
| 96523 |
|
27 |
25 |
$450.26 |
| 70355 |
|
29 |
24 |
$444.96 |
| 90715 |
|
18 |
16 |
$378.25 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,250 |
686 |
$374.48 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,337 |
1,802 |
$362.75 |
| 87070 |
|
378 |
267 |
$356.72 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
26 |
24 |
$355.00 |
| 87081 |
|
92 |
81 |
$345.81 |
| 73562 |
|
29 |
26 |
$319.28 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
53 |
24 |
$283.23 |
| J2060 |
Injection, lorazepam, 2 mg |
43 |
38 |
$274.43 |
| 82962 |
|
99 |
39 |
$265.68 |
| 92567 |
|
49 |
40 |
$258.17 |
| 84156 |
|
1,326 |
942 |
$249.98 |
| 82565 |
|
1,657 |
1,293 |
$246.10 |
| 94010 |
|
13 |
13 |
$234.07 |
| 86160 |
|
14 |
12 |
$212.52 |
| 64615 |
|
17 |
12 |
$211.56 |
| 80076 |
|
316 |
281 |
$203.00 |
| 85027 |
|
204 |
154 |
$179.70 |
| 76642 |
|
15 |
12 |
$172.87 |
| 84450 |
|
60 |
53 |
$168.41 |
| 84460 |
|
58 |
52 |
$168.41 |
| 94729 |
|
15 |
14 |
$159.60 |
| 82140 |
|
29 |
24 |
$159.03 |
| 94726 |
|
15 |
14 |
$145.86 |
| 82465 |
|
1,424 |
985 |
$144.29 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
74 |
66 |
$143.85 |
| 85730 |
|
37 |
34 |
$142.00 |
| 73130 |
|
27 |
27 |
$138.60 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
16 |
16 |
$135.53 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
13 |
$135.00 |
| 82105 |
|
178 |
159 |
$134.68 |
| 72100 |
|
15 |
14 |
$115.32 |
| 86708 |
|
72 |
66 |
$114.68 |
| 87497 |
|
14 |
12 |
$114.08 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17 |
17 |
$112.08 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
106 |
92 |
$88.46 |
| 86706 |
|
81 |
71 |
$86.26 |
| 80074 |
|
112 |
93 |
$79.55 |
| 85379 |
|
16 |
16 |
$69.80 |
| 86255 |
|
30 |
27 |
$66.84 |
| 83540 |
|
275 |
183 |
$60.33 |
| 86707 |
|
26 |
25 |
$55.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
15 |
$55.08 |
| G0378 |
Hospital observation service, per hour |
181 |
144 |
$53.40 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
74 |
53 |
$48.09 |
| 84520 |
|
34 |
31 |
$46.76 |
| 73610 |
|
17 |
17 |
$46.20 |
| 73630 |
|
13 |
13 |
$46.20 |
| 86304 |
|
14 |
12 |
$45.50 |
| 86480 |
|
89 |
75 |
$44.62 |
| 87522 |
Neg quan hep c or qual rna |
16 |
15 |
$30.84 |
| 87077 |
|
17 |
17 |
$27.34 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
13 |
13 |
$26.01 |
| 86235 |
|
15 |
12 |
$19.36 |
| 87350 |
|
17 |
16 |
$12.45 |
| 87340 |
|
27 |
27 |
$11.16 |
| 86225 |
|
12 |
12 |
$9.90 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,793 |
1,582 |
$8.70 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
663 |
571 |
$7.87 |
| 86705 |
|
13 |
13 |
$4.24 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
37 |
26 |
$3.60 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,845 |
1,584 |
$3.15 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
1,046 |
774 |
$1.02 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
251 |
207 |
$0.00 |
| 85007 |
|
312 |
194 |
$0.00 |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
141 |
112 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
34 |
27 |
$0.00 |
| Q0243 |
Injection, casirivimab and imdevimab, 2400 mg |
36 |
34 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
58 |
45 |
$0.00 |
| C1725 |
Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) |
153 |
106 |
$0.00 |
| C1769 |
Guide wire |
948 |
703 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,287 |
952 |
$0.00 |
| 88342 |
|
229 |
199 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
34 |
30 |
$0.00 |
| 82378 |
|
18 |
12 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
75 |
59 |
$0.00 |
| C1889 |
Implantable/insertable device, not otherwise classified |
15 |
12 |
$0.00 |
| 88307 |
|
19 |
15 |
$0.00 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
14 |
13 |
$0.00 |