| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
36,140 |
33,023 |
$3.23M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
22,719 |
20,185 |
$1.60M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
8,456 |
7,862 |
$737K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
6,135 |
5,298 |
$497K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,518 |
2,348 |
$459K |
| 80053 |
Comprehensive metabolic panel |
15,730 |
13,861 |
$336K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
386 |
367 |
$246K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,262 |
1,921 |
$241K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,689 |
1,474 |
$205K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,130 |
2,837 |
$190K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,777 |
3,842 |
$141K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
7,900 |
7,547 |
$95K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,502 |
1,364 |
$81K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
68 |
68 |
$74K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,790 |
1,650 |
$74K |
| 81025 |
|
8,249 |
7,498 |
$67K |
| 87631 |
|
1,089 |
1,050 |
$62K |
| 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 |
1,864 |
1,743 |
$58K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
713 |
632 |
$46K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
587 |
538 |
$45K |
| 82948 |
|
4,477 |
1,486 |
$44K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,895 |
1,778 |
$36K |
| 36415 |
Collection of venous blood by venipuncture |
17,657 |
14,221 |
$32K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
7,188 |
6,880 |
$27K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,037 |
2,697 |
$26K |
| 81003 |
|
18,971 |
17,042 |
$26K |
| 71046 |
Radiologic examination, chest; 2 views |
3,281 |
2,975 |
$25K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,478 |
1,267 |
$24K |
| 73630 |
|
1,097 |
980 |
$23K |
| 71045 |
Radiologic examination, chest; single view |
8,961 |
8,026 |
$21K |
| G0378 |
Hospital observation service, per hour |
2,460 |
1,068 |
$21K |
| 73130 |
|
705 |
644 |
$20K |
| 73610 |
|
762 |
711 |
$18K |
| 73562 |
|
906 |
806 |
$14K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,554 |
3,170 |
$13K |
| 84702 |
|
1,223 |
999 |
$12K |
| 74018 |
|
884 |
845 |
$9K |
| 73030 |
|
641 |
526 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
168 |
144 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
441 |
423 |
$8K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,358 |
1,259 |
$8K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
607 |
589 |
$7K |
| 72100 |
|
598 |
473 |
$6K |
| 84484 |
|
5,562 |
3,730 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
20,504 |
17,781 |
$6K |
| 73110 |
|
242 |
216 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
221 |
207 |
$5K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
126 |
54 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
7,875 |
6,837 |
$4K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
84 |
69 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
12 |
$3K |
| 87070 |
|
75 |
66 |
$3K |
| 73140 |
|
41 |
41 |
$2K |
| 97597 |
|
79 |
13 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
96 |
93 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
9,703 |
8,606 |
$2K |
| 72131 |
|
13 |
13 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,948 |
6,100 |
$2K |
| 86900 |
|
707 |
633 |
$2K |
| 85380 |
|
442 |
406 |
$1K |
| 83880 |
|
1,307 |
1,094 |
$1K |
| 85610 |
|
2,223 |
1,830 |
$1K |
| 85730 |
|
1,559 |
1,308 |
$1K |
| 73590 |
|
38 |
37 |
$1K |
| 72040 |
|
123 |
85 |
$1K |
| 29125 |
|
142 |
133 |
$955.14 |
| 87186 |
|
1,165 |
1,032 |
$953.50 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,363 |
1,263 |
$944.67 |
| 82805 |
|
30 |
25 |
$856.16 |
| 76801 |
|
275 |
249 |
$826.06 |
| 73080 |
|
45 |
41 |
$763.18 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,677 |
2,304 |
$712.62 |
| 71101 |
|
14 |
13 |
$673.57 |
| 87077 |
|
1,473 |
1,301 |
$631.96 |
| 74019 |
|
148 |
134 |
$606.68 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,189 |
1,812 |
$605.38 |
| 83735 |
|
1,280 |
1,044 |
$601.54 |
| 10060 |
|
15 |
12 |
$566.79 |
| 84443 |
Thyroid stimulating hormone (TSH) |
455 |
399 |
$562.84 |
| 76830 |
Ultrasound, transvaginal |
119 |
114 |
$561.55 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,332 |
1,210 |
$545.39 |
| 87040 |
|
682 |
589 |
$533.53 |
| 87400 |
|
173 |
155 |
$521.40 |
| 12001 |
|
65 |
63 |
$509.90 |
| 82077 |
|
115 |
103 |
$446.77 |
| 85027 |
|
586 |
416 |
$437.48 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
25 |
12 |
$435.05 |
| 80061 |
Lipid panel |
25 |
13 |
$435.05 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
39 |
25 |
$435.05 |
| 87480 |
|
712 |
663 |
$403.90 |
| 83690 |
|
5,751 |
5,168 |
$403.12 |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
148 |
119 |
$396.98 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,708 |
1,473 |
$385.09 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
1,444 |
1,260 |
$354.20 |
| 12011 |
|
27 |
25 |
$316.80 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
18 |
14 |
$292.30 |
| 74022 |
|
196 |
187 |
$288.01 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,053 |
938 |
$259.95 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,610 |
1,444 |
$210.16 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,349 |
2,078 |
$197.71 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,894 |
1,761 |
$196.02 |
| 0240U |
|
90 |
81 |
$155.88 |
| 94760 |
|
551 |
383 |
$151.69 |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
1,560 |
1,456 |
$134.90 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
720 |
636 |
$103.69 |
| 87510 |
|
697 |
651 |
$97.98 |
| 84145 |
|
125 |
113 |
$95.24 |
| 83605 |
|
243 |
215 |
$95.24 |
| 87660 |
|
697 |
651 |
$90.96 |
| 93971 |
|
41 |
37 |
$74.60 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,327 |
1,189 |
$73.89 |
| A9270 |
Non-covered item or service |
101 |
41 |
$73.53 |
| J1815 |
Injection, insulin, per 5 units |
279 |
185 |
$73.19 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,315 |
1,127 |
$71.89 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$20.48 |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
380 |
359 |
$14.70 |
| 87430 |
|
67 |
62 |
$7.74 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
434 |
369 |
$6.83 |
| 86901 |
|
703 |
629 |
$4.40 |
| J7510 |
Prednisolone oral, per 5 mg |
357 |
350 |
$0.00 |
| 90714 |
|
50 |
39 |
$0.00 |
| 0353U |
|
71 |
71 |
$0.00 |
| 90715 |
|
31 |
27 |
$0.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
19 |
17 |
$0.00 |
| 87634 |
|
13 |
13 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
71 |
64 |
$0.00 |
| J0500 |
Injection, dicyclomine hcl, up to 20 mg |
329 |
309 |
$0.00 |
| 84703 |
|
617 |
589 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
44 |
37 |
$0.00 |
| 87205 |
|
83 |
70 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
73 |
67 |
$0.00 |
| 00126 |
|
276 |
258 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
85 |
77 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
208 |
194 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
13 |
12 |
$0.00 |
| 73090 |
|
26 |
25 |
$0.00 |
| 86140 |
|
18 |
16 |
$0.00 |
| J3490 |
Unclassified drugs |
26 |
24 |
$0.00 |
| 0352U |
|
44 |
44 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
119 |
98 |
$0.00 |
| J3410 |
Injection, hydroxyzine hcl, up to 25 mg |
15 |
12 |
$0.00 |
| 82150 |
|
14 |
14 |
$0.00 |