| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
16,334 |
14,544 |
$1.72M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,390 |
26,714 |
$1.62M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13,018 |
11,947 |
$1.44M |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
16,690 |
4,441 |
$1.11M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
9,830 |
9,017 |
$1.10M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
16,084 |
3,752 |
$1.07M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18,541 |
16,584 |
$1.07M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,508 |
2,566 |
$932K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
6,593 |
2,130 |
$410K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
6,930 |
2,157 |
$399K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,624 |
1,407 |
$385K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,920 |
2,571 |
$333K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,350 |
1,170 |
$296K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
5,376 |
4,160 |
$260K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,013 |
849 |
$259K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,516 |
3,240 |
$199K |
| 59025 |
Fetal non-stress test |
1,288 |
636 |
$184K |
| 80053 |
Comprehensive metabolic panel |
21,775 |
18,729 |
$161K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,659 |
1,551 |
$160K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
926 |
459 |
$136K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,459 |
1,044 |
$128K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,331 |
2,952 |
$103K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,600 |
2,422 |
$98K |
| 97161 |
|
1,361 |
1,237 |
$94K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,062 |
723 |
$91K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
522 |
414 |
$89K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,710 |
1,529 |
$87K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
694 |
618 |
$83K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
378 |
343 |
$81K |
| 92526 |
|
1,907 |
651 |
$70K |
| G0378 |
Hospital observation service, per hour |
1,281 |
741 |
$68K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,519 |
3,091 |
$64K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,544 |
3,183 |
$64K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,600 |
2,423 |
$62K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,764 |
3,516 |
$57K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
55 |
48 |
$54K |
| 97016 |
|
1,414 |
393 |
$52K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,174 |
766 |
$49K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19,883 |
16,986 |
$48K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
223 |
178 |
$46K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
447 |
218 |
$40K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
327 |
286 |
$34K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,377 |
1,194 |
$34K |
| 36415 |
Collection of venous blood by venipuncture |
21,439 |
18,806 |
$34K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,338 |
1,248 |
$33K |
| 71046 |
Radiologic examination, chest; 2 views |
1,894 |
1,765 |
$33K |
| 97162 |
|
455 |
412 |
$32K |
| 80061 |
Lipid panel |
2,564 |
2,351 |
$31K |
| 92557 |
|
366 |
332 |
$29K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,504 |
2,291 |
$29K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
572 |
526 |
$29K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,432 |
1,870 |
$26K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,284 |
1,951 |
$26K |
| 87070 |
|
1,947 |
1,833 |
$25K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
175 |
146 |
$24K |
| 74018 |
|
643 |
544 |
$21K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
730 |
721 |
$19K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,289 |
1,059 |
$18K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13,605 |
8,026 |
$18K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
440 |
409 |
$16K |
| 51798 |
|
377 |
363 |
$16K |
| 84439 |
|
1,591 |
1,388 |
$14K |
| 82728 |
|
819 |
739 |
$14K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
663 |
619 |
$14K |
| 92567 |
|
1,271 |
1,180 |
$14K |
| 86850 |
|
643 |
508 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,710 |
1,577 |
$12K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
27 |
26 |
$11K |
| 82607 |
|
771 |
712 |
$11K |
| 86592 |
|
337 |
298 |
$10K |
| 87077 |
|
976 |
855 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,199 |
2,121 |
$10K |
| 86803 |
|
515 |
476 |
$9K |
| 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 |
1,018 |
832 |
$9K |
| 84484 |
|
6,299 |
3,994 |
$9K |
| 86900 |
|
729 |
576 |
$8K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
91 |
88 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
572 |
526 |
$8K |
| 73030 |
|
373 |
336 |
$8K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
52 |
51 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
373 |
318 |
$8K |
| 76536 |
|
71 |
66 |
$7K |
| 87653 |
|
222 |
197 |
$7K |
| 86787 |
|
300 |
285 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
119 |
102 |
$7K |
| 73630 |
|
399 |
357 |
$6K |
| 76642 |
|
48 |
43 |
$6K |
| 87480 |
|
366 |
318 |
$6K |
| 84702 |
|
421 |
268 |
$6K |
| 83540 |
|
635 |
555 |
$6K |
| 92587 |
|
71 |
67 |
$6K |
| 97167 |
|
43 |
43 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
98 |
98 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
4,551 |
4,001 |
$6K |
| 87186 |
|
948 |
831 |
$5K |
| 82746 |
|
578 |
535 |
$5K |
| 93017 |
|
67 |
60 |
$5K |
| 97166 |
|
127 |
108 |
$5K |
| 85007 |
|
3,075 |
2,380 |
$5K |
| 90686 |
|
829 |
817 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
43 |
43 |
$5K |
| 83550 |
|
519 |
452 |
$5K |
| 81001 |
|
8,807 |
7,715 |
$4K |
| 86780 |
|
202 |
192 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
85 |
78 |
$4K |
| 71250 |
|
92 |
84 |
$4K |
| 82950 |
|
362 |
338 |
$4K |
| 97750 |
|
99 |
82 |
$4K |
| 87634 |
|
93 |
87 |
$4K |
| 82570 |
|
562 |
448 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
17 |
14 |
$4K |
| 92523 |
|
49 |
46 |
$4K |
| 83735 |
|
2,173 |
1,766 |
$4K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
12 |
12 |
$4K |
| 0352U |
|
151 |
144 |
$3K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
573 |
443 |
$3K |
| 87660 |
|
365 |
318 |
$3K |
| 85027 |
|
3,173 |
2,455 |
$3K |
| 90648 |
|
424 |
416 |
$3K |
| 87510 |
|
365 |
318 |
$3K |
| 72110 |
|
70 |
65 |
$3K |
| 86901 |
|
729 |
576 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
234 |
223 |
$3K |
| 93971 |
|
43 |
37 |
$3K |
| 80081 |
|
134 |
122 |
$3K |
| 73610 |
|
212 |
193 |
$3K |
| 84703 |
|
3,239 |
2,656 |
$3K |
| 92555 |
|
77 |
76 |
$3K |
| 84153 |
|
159 |
147 |
$2K |
| 86038 |
|
91 |
83 |
$2K |
| 85610 |
|
1,209 |
977 |
$2K |
| 76830 |
Ultrasound, transvaginal |
28 |
27 |
$2K |
| 90670 |
|
545 |
535 |
$2K |
| 87340 |
|
136 |
130 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
60 |
56 |
$2K |
| 97113 |
|
38 |
15 |
$2K |
| 72131 |
|
18 |
13 |
$2K |
| 84403 |
|
122 |
112 |
$2K |
| 73560 |
|
91 |
85 |
$2K |
| 87205 |
|
386 |
337 |
$2K |
| 82565 |
|
236 |
219 |
$2K |
| 85652 |
|
428 |
375 |
$2K |
| 73130 |
|
180 |
159 |
$2K |
| 84550 |
|
379 |
303 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
30 |
$2K |
| 73502 |
|
84 |
76 |
$2K |
| 72100 |
|
51 |
39 |
$2K |
| 83880 |
|
786 |
627 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,607 |
2,955 |
$2K |
| 73110 |
|
92 |
81 |
$1K |
| 83001 |
|
73 |
67 |
$1K |
| 83690 |
|
3,438 |
2,840 |
$1K |
| 92610 |
|
28 |
26 |
$1K |
| 96376 |
|
802 |
459 |
$1K |
| 96367 |
|
70 |
41 |
$1K |
| 93289 |
|
79 |
73 |
$1K |
| 86140 |
|
150 |
122 |
$1K |
| 85730 |
|
1,477 |
1,213 |
$1K |
| 90723 |
|
283 |
279 |
$1K |
| 97802 |
|
12 |
12 |
$1K |
| 83525 |
|
52 |
44 |
$1K |
| 86762 |
|
97 |
93 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,041 |
4,323 |
$943.31 |
| 82043 |
|
157 |
145 |
$928.13 |
| 84156 |
|
306 |
230 |
$906.93 |
| 81003 |
|
173 |
165 |
$848.88 |
| 73564 |
|
15 |
12 |
$834.42 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,637 |
2,829 |
$810.62 |
| 90680 |
|
191 |
187 |
$792.92 |
| 87806 |
|
32 |
31 |
$736.64 |
| 83605 |
|
1,235 |
939 |
$734.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
138 |
129 |
$724.19 |
| 69210 |
|
42 |
41 |
$723.66 |
| 97165 |
|
15 |
14 |
$699.48 |
| 85379 |
|
734 |
634 |
$688.08 |
| 80076 |
|
57 |
54 |
$650.42 |
| 90633 |
|
82 |
80 |
$612.90 |
| 86141 |
|
15 |
15 |
$586.75 |
| 80055 |
|
29 |
29 |
$543.20 |
| 70486 |
|
13 |
12 |
$472.65 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
14 |
$424.52 |
| 99201 |
|
18 |
18 |
$378.45 |
| 90715 |
|
27 |
25 |
$377.34 |
| 82803 |
|
639 |
480 |
$352.86 |
| 88304 |
|
64 |
52 |
$292.84 |
| 85018 |
|
60 |
51 |
$280.19 |
| 80143 |
|
246 |
210 |
$279.44 |
| 88342 |
|
19 |
13 |
$262.08 |
| 86430 |
|
20 |
14 |
$248.86 |
| 77066 |
Tomosynthesis, mammo |
14 |
12 |
$245.20 |
| 82550 |
|
178 |
151 |
$244.94 |
| 87640 |
|
12 |
12 |
$201.63 |
| 90647 |
|
28 |
28 |
$173.31 |
| 84145 |
|
629 |
471 |
$166.22 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,222 |
740 |
$161.62 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,051 |
1,590 |
$161.54 |
| 84481 |
|
15 |
14 |
$148.47 |
| 84520 |
|
30 |
26 |
$133.88 |
| 87040 |
|
887 |
393 |
$129.88 |
| 82150 |
|
171 |
128 |
$123.90 |
| 90716 |
|
14 |
14 |
$120.76 |
| 87641 |
|
12 |
12 |
$100.83 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,775 |
3,009 |
$93.94 |
| J7121 |
5% dextrose in lactated ringers infusion, up to 1000 cc |
1,539 |
939 |
$76.03 |
| 90707 |
|
14 |
14 |
$63.01 |
| 80179 |
|
223 |
195 |
$62.42 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
877 |
473 |
$57.89 |
| 90685 |
|
15 |
15 |
$52.52 |
| 82652 |
|
17 |
12 |
$41.18 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,746 |
2,665 |
$31.21 |
| 83615 |
|
17 |
12 |
$29.91 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
239 |
205 |
$22.50 |
| C9113 |
Injection, pantoprazole sodium, per vial |
50 |
26 |
$19.80 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
402 |
227 |
$16.54 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
149 |
100 |
$14.38 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,423 |
1,130 |
$10.83 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,423 |
916 |
$9.61 |
| 87807 |
|
13 |
12 |
$7.76 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
260 |
210 |
$5.58 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
23 |
13 |
$3.40 |
| J2060 |
Injection, lorazepam, 2 mg |
247 |
155 |
$2.13 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,266 |
856 |
$1.85 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
42 |
37 |
$1.06 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
37 |
27 |
$1.04 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
18 |
14 |
$0.40 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
871 |
531 |
$0.00 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
12 |
12 |
$0.00 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
52 |
38 |
$0.00 |
| 94760 |
|
21 |
12 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
16 |
12 |
$0.00 |
| 00126 |
|
13 |
12 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
229 |
152 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
27 |
18 |
$0.00 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
20 |
12 |
$0.00 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
15 |
13 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
40 |
26 |
$0.00 |