| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
16,970 |
14,888 |
$1.31M |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
11,888 |
10,733 |
$968K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
6,105 |
2,045 |
$245K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,581 |
2,446 |
$203K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,315 |
1,201 |
$190K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
801 |
799 |
$142K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
418 |
412 |
$140K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,290 |
1,252 |
$121K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,130 |
2,849 |
$114K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,072 |
1,904 |
$110K |
| 80053 |
Comprehensive metabolic panel |
11,913 |
10,824 |
$91K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,092 |
1,909 |
$76K |
| 70450 |
Computed tomography, head or brain; without contrast material |
403 |
397 |
$75K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,590 |
11,490 |
$70K |
| 71046 |
Radiologic examination, chest; 2 views |
1,766 |
1,730 |
$65K |
| 71045 |
Radiologic examination, chest; single view |
2,137 |
2,074 |
$51K |
| 99201 |
|
245 |
145 |
$51K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,319 |
4,210 |
$50K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
332 |
280 |
$33K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
346 |
342 |
$29K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
960 |
373 |
$28K |
| 80061 |
Lipid panel |
3,000 |
2,982 |
$27K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,989 |
1,840 |
$27K |
| J3490 |
Unclassified drugs |
2,294 |
1,771 |
$25K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,231 |
1,209 |
$21K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,375 |
2,185 |
$20K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
257 |
245 |
$19K |
| 87631 |
|
333 |
319 |
$18K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
398 |
371 |
$18K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,068 |
1,863 |
$17K |
| 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 |
258 |
245 |
$16K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
749 |
741 |
$15K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,199 |
2,055 |
$14K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
103 |
103 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,066 |
2,045 |
$14K |
| 84484 |
|
1,687 |
1,433 |
$13K |
| 83690 |
|
2,516 |
2,341 |
$13K |
| J2704 |
Injection, propofol, 10 mg |
633 |
620 |
$12K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
444 |
210 |
$12K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,971 |
1,889 |
$12K |
| 84439 |
|
1,845 |
1,826 |
$11K |
| 80305 |
|
841 |
793 |
$11K |
| 81001 |
|
3,735 |
3,502 |
$10K |
| 73030 |
|
275 |
262 |
$10K |
| 72100 |
|
195 |
194 |
$9K |
| 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 |
116 |
111 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
77 |
77 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
259 |
209 |
$8K |
| 73610 |
|
174 |
162 |
$7K |
| 81025 |
|
2,334 |
2,227 |
$7K |
| 73630 |
|
166 |
160 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
71 |
49 |
$6K |
| 73110 |
|
151 |
140 |
$6K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
680 |
610 |
$6K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
59 |
59 |
$5K |
| 85027 |
|
1,068 |
962 |
$5K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
187 |
179 |
$5K |
| 85610 |
|
1,714 |
1,399 |
$5K |
| 0450 |
Emergency room services |
49 |
43 |
$4K |
| 86769 |
|
147 |
140 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
586 |
561 |
$4K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
486 |
460 |
$4K |
| 87400 |
|
473 |
447 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
43 |
43 |
$3K |
| 73130 |
|
79 |
78 |
$3K |
| 81003 |
|
1,621 |
1,564 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13 |
13 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
113 |
113 |
$3K |
| 83605 |
|
365 |
328 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
61 |
60 |
$3K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
542 |
483 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
102 |
98 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
40 |
39 |
$3K |
| 82947 |
|
669 |
519 |
$3K |
| 87081 |
|
525 |
521 |
$2K |
| 87430 |
|
292 |
292 |
$2K |
| 86140 |
|
561 |
531 |
$2K |
| 87186 |
|
309 |
297 |
$2K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
251 |
243 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
126 |
123 |
$1K |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$1K |
| 83735 |
|
289 |
260 |
$1K |
| 73562 |
|
37 |
37 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
26 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
37 |
37 |
$982.83 |
| 87807 |
|
112 |
110 |
$929.90 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
50 |
50 |
$656.16 |
| 99070 |
|
18 |
12 |
$639.00 |
| 85652 |
|
338 |
323 |
$634.25 |
| 82746 |
|
54 |
54 |
$536.55 |
| 86901 |
|
272 |
264 |
$524.06 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
119 |
107 |
$489.64 |
| 86850 |
|
246 |
240 |
$489.04 |
| 85730 |
|
90 |
80 |
$487.59 |
| 86900 |
|
247 |
242 |
$458.98 |
| 87040 |
|
62 |
53 |
$450.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
15 |
13 |
$386.56 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
15 |
13 |
$385.32 |
| 83880 |
|
15 |
13 |
$373.86 |
| 86803 |
|
38 |
37 |
$285.08 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
24 |
24 |
$255.54 |
| 83540 |
|
41 |
40 |
$184.34 |
| 87077 |
|
31 |
30 |
$172.86 |
| 83550 |
|
26 |
26 |
$143.26 |
| 86592 |
|
52 |
52 |
$133.26 |
| 84481 |
|
13 |
12 |
$98.52 |
| 84436 |
|
13 |
13 |
$62.66 |
| 86038 |
|
12 |
12 |
$55.15 |
| 84100 |
|
12 |
12 |
$37.07 |
| 87340 |
|
13 |
13 |
$24.09 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
14 |
13 |
$15.04 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
13 |
13 |
$0.24 |