| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
24,179 |
22,502 |
$4.40M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13,204 |
12,666 |
$1.64M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,543 |
3,379 |
$1.23M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,342 |
5,865 |
$616K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
7,679 |
6,101 |
$460K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,661 |
2,570 |
$405K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
17,442 |
5,122 |
$404K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,704 |
2,019 |
$238K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,718 |
2,664 |
$201K |
| 71046 |
Radiologic examination, chest; 2 views |
5,343 |
5,180 |
$200K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
6,076 |
5,356 |
$193K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
233 |
229 |
$172K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,844 |
4,956 |
$168K |
| 59025 |
Fetal non-stress test |
1,537 |
837 |
$141K |
| 80061 |
Lipid panel |
7,421 |
7,372 |
$131K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,444 |
1,414 |
$123K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,005 |
953 |
$96K |
| 99220 |
|
823 |
731 |
$83K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,950 |
1,920 |
$82K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
5,867 |
5,782 |
$77K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
5,882 |
5,787 |
$76K |
| 86900 |
|
2,024 |
1,901 |
$76K |
| G0378 |
Hospital observation service, per hour |
415 |
385 |
$76K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,391 |
1,382 |
$75K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
3,613 |
3,574 |
$74K |
| 76830 |
Ultrasound, transvaginal |
1,208 |
1,201 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,205 |
1,408 |
$69K |
| 71045 |
Radiologic examination, chest; single view |
1,724 |
1,643 |
$68K |
| 84443 |
Thyroid stimulating hormone (TSH) |
9,878 |
9,657 |
$68K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,395 |
1,394 |
$68K |
| 87428 |
|
3,282 |
3,175 |
$63K |
| 80053 |
Comprehensive metabolic panel |
23,701 |
21,390 |
$62K |
| 97162 |
|
1,145 |
1,138 |
$60K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
133 |
124 |
$60K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
4,229 |
1,757 |
$56K |
| 97161 |
|
1,080 |
1,071 |
$54K |
| 99460 |
|
955 |
916 |
$50K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
408 |
394 |
$47K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,717 |
3,628 |
$44K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,497 |
2,432 |
$41K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
24,868 |
21,460 |
$39K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,398 |
1,382 |
$38K |
| 64493 |
|
69 |
68 |
$38K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
622 |
621 |
$37K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,291 |
7,217 |
$36K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
609 |
604 |
$36K |
| 99223 |
Prolong inpt eval add15 m |
361 |
342 |
$35K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
4,109 |
3,876 |
$35K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,231 |
2,208 |
$34K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
23 |
12 |
$32K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
728 |
314 |
$30K |
| 59400 |
Routine obstetric care including antepartum care, vaginal delivery, and postpartum care |
13 |
13 |
$29K |
| 36415 |
Collection of venous blood by venipuncture |
21,496 |
19,304 |
$28K |
| 99233 |
Prolong inpt eval add15 m |
485 |
209 |
$27K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
633 |
626 |
$27K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
461 |
443 |
$25K |
| 27687 |
|
55 |
29 |
$24K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
103 |
103 |
$22K |
| 72100 |
|
565 |
563 |
$22K |
| 86780 |
|
2,790 |
2,757 |
$21K |
| 76801 |
|
362 |
330 |
$21K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,521 |
1,496 |
$20K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
242 |
235 |
$20K |
| 87481 |
|
990 |
982 |
$19K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,185 |
1,183 |
$18K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,310 |
1,309 |
$17K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
486 |
313 |
$14K |
| 86703 |
|
2,868 |
2,847 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
301 |
297 |
$14K |
| 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 |
1,968 |
1,843 |
$14K |
| 84439 |
|
2,938 |
2,882 |
$13K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,703 |
5,126 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
295 |
253 |
$13K |
| 99222 |
Initial hospital care, per day, moderate complexity |
161 |
152 |
$12K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
194 |
192 |
$11K |
| 84702 |
|
2,271 |
1,768 |
$11K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,020 |
998 |
$10K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
104 |
104 |
$10K |
| 86803 |
|
2,137 |
2,110 |
$10K |
| 64483 |
|
25 |
24 |
$9K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
83 |
29 |
$9K |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
678 |
678 |
$8K |
| 01480 |
|
111 |
101 |
$8K |
| 73630 |
|
987 |
972 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,394 |
4,578 |
$7K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
750 |
747 |
$7K |
| 87088 |
|
2,926 |
2,799 |
$6K |
| 87340 |
|
2,039 |
2,022 |
$6K |
| 87625 |
|
264 |
262 |
$6K |
| 85027 |
|
2,986 |
2,914 |
$5K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
12 |
12 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,782 |
2,690 |
$5K |
| 88142 |
|
494 |
493 |
$5K |
| 82728 |
|
774 |
762 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,943 |
3,381 |
$5K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
65 |
64 |
$5K |
| 73610 |
|
717 |
703 |
$4K |
| 81001 |
|
13,540 |
12,585 |
$4K |
| 95851 |
|
494 |
426 |
$4K |
| 82043 |
|
1,292 |
1,280 |
$4K |
| 93975 |
|
39 |
38 |
$4K |
| 87077 |
|
1,141 |
1,122 |
$4K |
| 73030 |
|
324 |
315 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
363 |
346 |
$4K |
| 83880 |
|
1,065 |
975 |
$3K |
| 82950 |
|
1,193 |
1,188 |
$3K |
| 83735 |
|
5,025 |
4,327 |
$3K |
| 82607 |
|
441 |
435 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
25 |
25 |
$3K |
| 93971 |
|
53 |
52 |
$3K |
| 73130 |
|
543 |
525 |
$3K |
| 85610 |
|
2,693 |
2,204 |
$3K |
| 87070 |
|
817 |
794 |
$3K |
| 73562 |
|
226 |
224 |
$2K |
| 54150 |
|
36 |
36 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
14 |
14 |
$2K |
| 70486 |
|
37 |
37 |
$2K |
| 87210 |
|
1,284 |
1,248 |
$2K |
| 87150 |
|
163 |
160 |
$2K |
| 73110 |
|
307 |
301 |
$2K |
| 76770 |
|
26 |
26 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,533 |
1,504 |
$1K |
| 85651 |
|
957 |
870 |
$1K |
| 87186 |
|
466 |
462 |
$1K |
| 83540 |
|
386 |
378 |
$1K |
| 83690 |
|
4,373 |
4,030 |
$1K |
| 83550 |
|
268 |
260 |
$1K |
| 99217 |
|
30 |
27 |
$1K |
| 86317 |
|
866 |
856 |
$926.51 |
| 74018 |
|
48 |
46 |
$872.96 |
| 86140 |
|
561 |
513 |
$854.59 |
| 76536 |
|
12 |
12 |
$781.25 |
| 76641 |
|
12 |
12 |
$779.55 |
| 76642 |
|
15 |
15 |
$682.69 |
| 80306 |
|
797 |
762 |
$634.42 |
| 86850 |
|
1,752 |
1,698 |
$605.81 |
| 73502 |
|
28 |
28 |
$562.26 |
| 86677 |
|
143 |
141 |
$550.32 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
25 |
12 |
$509.74 |
| 84550 |
|
281 |
261 |
$450.20 |
| 86769 |
|
13 |
13 |
$433.86 |
| 81025 |
|
5,999 |
5,745 |
$432.78 |
| 87081 |
|
163 |
160 |
$428.29 |
| 86038 |
|
91 |
89 |
$400.07 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
25 |
25 |
$349.41 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
813 |
584 |
$341.48 |
| 85730 |
|
1,300 |
1,198 |
$339.45 |
| 88304 |
|
115 |
114 |
$310.08 |
| 74019 |
|
263 |
253 |
$288.86 |
| 86694 |
|
20 |
15 |
$279.08 |
| 36591 |
|
17 |
12 |
$273.35 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
29 |
28 |
$257.96 |
| 82746 |
|
25 |
25 |
$196.55 |
| 85379 |
|
879 |
852 |
$189.42 |
| 83721 |
|
55 |
55 |
$164.40 |
| 86592 |
|
70 |
70 |
$161.79 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
14 |
14 |
$155.92 |
| 83605 |
|
3,945 |
3,482 |
$154.55 |
| 85652 |
|
177 |
166 |
$124.71 |
| 82105 |
|
12 |
12 |
$94.24 |
| 86704 |
|
25 |
25 |
$90.31 |
| 84484 |
|
4,075 |
3,170 |
$88.64 |
| 82570 |
|
35 |
35 |
$78.73 |
| 87040 |
|
835 |
521 |
$66.62 |
| 82550 |
|
119 |
112 |
$60.96 |
| 73564 |
|
15 |
15 |
$59.64 |
| 82784 |
|
27 |
27 |
$57.45 |
| 84703 |
|
226 |
218 |
$50.59 |
| 86756 |
|
486 |
482 |
$39.84 |
| 84403 |
|
13 |
13 |
$29.40 |
| 87807 |
|
373 |
366 |
$29.17 |
| 87430 |
|
313 |
310 |
$28.59 |
| 80076 |
|
15 |
15 |
$26.82 |
| 86431 |
|
12 |
12 |
$25.52 |
| 86709 |
|
12 |
12 |
$25.26 |
| 82150 |
|
26 |
25 |
$24.42 |
| 87205 |
|
12 |
12 |
$23.40 |
| 84146 |
|
13 |
13 |
$12.74 |
| 84132 |
|
13 |
13 |
$2.78 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,426 |
1,361 |
$0.00 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
190 |
187 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,496 |
4,359 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,350 |
3,233 |
$0.00 |
| 86901 |
|
2,029 |
1,905 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,154 |
2,953 |
$0.00 |
| 96376 |
|
1,578 |
1,090 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
2,534 |
2,173 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
851 |
841 |
$0.00 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
201 |
199 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,170 |
856 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
29 |
26 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
518 |
440 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
322 |
306 |
$0.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
27 |
24 |
$0.00 |
| 82376 |
|
15 |
12 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
591 |
550 |
$0.00 |
| 12001 |
|
61 |
61 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
60 |
60 |
$0.00 |
| 64494 |
|
91 |
68 |
$0.00 |
| 94760 |
|
31 |
29 |
$0.00 |
| 96368 |
|
15 |
13 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
14 |
13 |
$0.00 |
| 82962 |
|
54 |
48 |
$0.00 |
| J3490 |
Unclassified drugs |
37 |
36 |
$0.00 |
| 97750 |
|
14 |
14 |
$0.00 |
| 95831 |
|
34 |
29 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,808 |
3,421 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,307 |
1,129 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
109 |
107 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,247 |
1,139 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
372 |
352 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,385 |
4,218 |
$0.00 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
169 |
164 |
$0.00 |
| 90715 |
|
212 |
211 |
$0.00 |
| 82948 |
|
304 |
225 |
$0.00 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
66 |
65 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
59 |
54 |
$0.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
34 |
28 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
12 |
12 |
$0.00 |
| 93041 |
|
56 |
53 |
$0.00 |
| 73140 |
|
12 |
12 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
14 |
13 |
$0.00 |