| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
4,790 |
4,238 |
$484K |
| 80053 |
Comprehensive metabolic panel |
17,717 |
14,715 |
$437K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,464 |
8,135 |
$366K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,308 |
4,789 |
$287K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,163 |
2,254 |
$257K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
4,568 |
4,199 |
$230K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,372 |
1,642 |
$227K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
4,826 |
2,490 |
$217K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
6,796 |
5,815 |
$188K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
4,105 |
3,629 |
$184K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
20,836 |
16,856 |
$176K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
2,408 |
2,219 |
$173K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,331 |
1,235 |
$144K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,132 |
1,959 |
$141K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,208 |
2,033 |
$138K |
| 84443 |
Thyroid stimulating hormone (TSH) |
7,285 |
6,693 |
$130K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,990 |
2,736 |
$120K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,755 |
1,625 |
$118K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,219 |
1,950 |
$118K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,829 |
1,433 |
$113K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,766 |
1,564 |
$104K |
| 83880 |
|
2,936 |
2,234 |
$102K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,979 |
2,725 |
$98K |
| 80061 |
Lipid panel |
4,855 |
4,588 |
$95K |
| 82805 |
|
3,624 |
2,992 |
$80K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,500 |
1,330 |
$77K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,246 |
4,947 |
$72K |
| 87480 |
|
2,308 |
2,091 |
$72K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,073 |
1,943 |
$71K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,952 |
1,848 |
$70K |
| 85610 |
|
3,924 |
2,792 |
$64K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,638 |
1,059 |
$62K |
| 81001 |
|
9,910 |
8,560 |
$61K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,931 |
3,514 |
$60K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,540 |
1,341 |
$59K |
| 84145 |
|
3,237 |
2,710 |
$49K |
| 99000 |
|
398 |
345 |
$49K |
| 99215 |
Prolong outpt/office vis |
634 |
592 |
$46K |
| 87510 |
|
2,331 |
2,104 |
$45K |
| 87660 |
|
2,308 |
2,092 |
$43K |
| 71046 |
Radiologic examination, chest; 2 views |
5,679 |
5,122 |
$39K |
| 87077 |
|
2,859 |
2,453 |
$38K |
| 81025 |
|
2,219 |
2,016 |
$34K |
| 83605 |
|
4,743 |
3,802 |
$34K |
| 87070 |
|
1,051 |
921 |
$28K |
| 80306 |
|
1,251 |
999 |
$27K |
| 86140 |
|
4,827 |
4,050 |
$27K |
| 73630 |
|
1,589 |
1,334 |
$25K |
| 84484 |
|
4,392 |
3,093 |
$24K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
777 |
714 |
$23K |
| 85027 |
|
3,681 |
3,017 |
$21K |
| 87634 |
|
416 |
379 |
$21K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
300 |
290 |
$20K |
| 84439 |
|
1,368 |
1,259 |
$19K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
414 |
229 |
$18K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
220 |
193 |
$17K |
| 84703 |
|
1,445 |
1,308 |
$17K |
| 82728 |
|
1,063 |
981 |
$16K |
| 83690 |
|
3,249 |
2,702 |
$16K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
225 |
207 |
$15K |
| 85007 |
|
1,694 |
1,286 |
$15K |
| 82948 |
|
1,598 |
804 |
$14K |
| 83735 |
|
3,396 |
2,690 |
$14K |
| 87186 |
|
2,055 |
1,765 |
$13K |
| 73030 |
|
997 |
881 |
$13K |
| 85379 |
|
1,951 |
1,741 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,267 |
2,505 |
$12K |
| 73562 |
|
830 |
708 |
$11K |
| 82607 |
|
852 |
803 |
$11K |
| 86703 |
|
259 |
230 |
$11K |
| 84702 |
|
388 |
269 |
$11K |
| 86618 |
|
681 |
317 |
$11K |
| 73610 |
|
798 |
673 |
$10K |
| 83655 |
|
247 |
237 |
$10K |
| 87040 |
|
1,545 |
743 |
$10K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
453 |
410 |
$9K |
| 59025 |
Fetal non-stress test |
147 |
78 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
157 |
141 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
197 |
181 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
148 |
134 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
37,929 |
29,620 |
$8K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,548 |
4,446 |
$7K |
| 82077 |
|
887 |
738 |
$7K |
| 72100 |
|
443 |
416 |
$7K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
60 |
53 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
425 |
382 |
$6K |
| 82043 |
|
830 |
785 |
$6K |
| 84481 |
|
490 |
457 |
$6K |
| 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 |
694 |
615 |
$6K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,174 |
467 |
$6K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
101 |
25 |
$6K |
| 88142 |
|
299 |
277 |
$5K |
| 73502 |
|
443 |
404 |
$5K |
| 73560 |
|
363 |
319 |
$5K |
| 76830 |
Ultrasound, transvaginal |
84 |
77 |
$5K |
| 80320 |
|
620 |
514 |
$5K |
| 73110 |
|
372 |
308 |
$5K |
| 85652 |
|
2,302 |
1,959 |
$5K |
| 84460 |
|
977 |
807 |
$5K |
| 83540 |
|
773 |
710 |
$4K |
| 80329 |
|
321 |
162 |
$4K |
| 87507 |
|
12 |
12 |
$4K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
24 |
24 |
$4K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,455 |
3,591 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
94 |
79 |
$4K |
| 71250 |
|
194 |
176 |
$4K |
| 73130 |
|
250 |
200 |
$4K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
104 |
98 |
$4K |
| 86803 |
|
297 |
275 |
$4K |
| 86780 |
|
361 |
343 |
$4K |
| 83550 |
|
499 |
470 |
$3K |
| 87340 |
|
363 |
333 |
$3K |
| G0378 |
Hospital observation service, per hour |
492 |
416 |
$3K |
| 84100 |
|
1,059 |
846 |
$3K |
| 82565 |
|
286 |
206 |
$3K |
| 85730 |
|
556 |
505 |
$3K |
| 80055 |
|
41 |
38 |
$3K |
| G0380 |
Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
52 |
28 |
$3K |
| 82746 |
|
116 |
113 |
$3K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
77 |
27 |
$2K |
| 93017 |
|
96 |
82 |
$2K |
| 76801 |
|
45 |
37 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
37 |
36 |
$2K |
| 82274 |
|
52 |
51 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
1,812 |
1,599 |
$2K |
| G0383 |
Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
180 |
172 |
$2K |
| 86850 |
|
534 |
464 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
17 |
14 |
$2K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
155 |
64 |
$2K |
| G0381 |
Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
54 |
49 |
$2K |
| 81015 |
|
550 |
481 |
$1K |
| 82947 |
|
115 |
105 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
15 |
14 |
$1K |
| 80076 |
|
47 |
44 |
$1K |
| 84450 |
|
284 |
224 |
$1K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
287 |
233 |
$1K |
| 82150 |
|
174 |
145 |
$1K |
| 76642 |
|
14 |
13 |
$1K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
163 |
155 |
$1K |
| 81003 |
|
269 |
248 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
27 |
25 |
$984.02 |
| 86900 |
|
446 |
386 |
$980.11 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
19 |
18 |
$979.97 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,810 |
3,005 |
$874.08 |
| 86901 |
|
446 |
386 |
$855.49 |
| 0352U |
|
396 |
360 |
$852.17 |
| 93041 |
|
1,402 |
1,228 |
$764.51 |
| 84153 |
|
13 |
13 |
$752.15 |
| 82977 |
|
76 |
63 |
$708.38 |
| 82550 |
|
180 |
146 |
$687.56 |
| 92557 |
|
32 |
26 |
$626.48 |
| 73565 |
|
130 |
126 |
$569.45 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
14 |
14 |
$506.20 |
| 94660 |
|
13 |
12 |
$487.32 |
| 85014 |
|
102 |
81 |
$472.67 |
| 74019 |
|
109 |
97 |
$447.85 |
| 83615 |
|
141 |
117 |
$391.56 |
| 86762 |
|
34 |
31 |
$386.62 |
| 82247 |
|
24 |
13 |
$334.84 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
12 |
$310.38 |
| 85018 |
|
152 |
139 |
$304.56 |
| 80179 |
|
59 |
50 |
$270.66 |
| 82248 |
|
67 |
56 |
$236.86 |
| 80143 |
|
45 |
39 |
$208.74 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
65 |
28 |
$208.41 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,362 |
1,894 |
$203.39 |
| 86704 |
|
15 |
13 |
$151.81 |
| 86038 |
|
14 |
12 |
$150.78 |
| 82784 |
|
15 |
12 |
$145.78 |
| 87205 |
|
55 |
53 |
$141.51 |
| 82330 |
|
13 |
13 |
$141.38 |
| 86706 |
|
15 |
13 |
$135.35 |
| 82375 |
|
20 |
18 |
$127.30 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
24 |
24 |
$105.13 |
| 82010 |
|
14 |
12 |
$92.84 |
| 72040 |
|
15 |
15 |
$92.20 |
| J7050 |
Infusion, normal saline solution, 250 cc |
2,635 |
1,322 |
$73.99 |
| 92567 |
|
13 |
12 |
$63.45 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
563 |
436 |
$62.26 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,848 |
1,447 |
$54.68 |
| 84550 |
|
14 |
14 |
$46.55 |
| 96376 |
|
600 |
376 |
$43.64 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,023 |
2,887 |
$33.83 |
| 97162 |
|
43 |
29 |
$24.00 |
| J2704 |
Injection, propofol, 10 mg |
3,017 |
2,027 |
$22.21 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,134 |
2,443 |
$19.43 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,302 |
922 |
$16.55 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
768 |
617 |
$7.13 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
24 |
13 |
$5.88 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
948 |
652 |
$4.74 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
124 |
77 |
$3.30 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
685 |
437 |
$3.23 |
| J3490 |
Unclassified drugs |
345 |
238 |
$2.56 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
844 |
585 |
$1.85 |
| J7627 |
Budesonide, inhalation solution, compounded product, administered through dme, unit dose form, up to 0.5 mg |
19 |
15 |
$1.70 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
464 |
380 |
$1.39 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
255 |
200 |
$0.83 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
130 |
114 |
$0.43 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
607 |
385 |
$0.00 |
| J7626 |
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg |
63 |
48 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
46 |
36 |
$0.00 |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
64 |
55 |
$0.00 |
| J2785 |
Injection, regadenoson, 0.1 mg |
16 |
13 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
18 |
13 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
52 |
38 |
$0.00 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
18 |
12 |
$0.00 |
| 93000 |
|
19 |
14 |
$0.00 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
92 |
81 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
138 |
90 |
$0.00 |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
49 |
41 |
$0.00 |
| J0689 |
Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg |
32 |
26 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
28 |
26 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
80 |
75 |
$0.00 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
60 |
39 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
15 |
13 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
13 |
12 |
$0.00 |
| A4649 |
Surgical supply; miscellaneous |
21 |
15 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
16 |
12 |
$0.00 |