| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
32,243 |
28,425 |
$2.55M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
51,752 |
46,130 |
$2.43M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
19,097 |
17,099 |
$2.18M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,607 |
4,216 |
$1.12M |
| 87428 |
|
15,528 |
14,447 |
$593K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,874 |
3,545 |
$354K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,337 |
2,153 |
$350K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
15,713 |
13,769 |
$336K |
| 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 |
4,839 |
4,550 |
$287K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
7,737 |
7,349 |
$269K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
837 |
766 |
$223K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
12,768 |
10,872 |
$213K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
31,805 |
27,209 |
$121K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
4,609 |
4,181 |
$119K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
11,190 |
9,181 |
$115K |
| 76801 |
|
1,552 |
1,342 |
$112K |
| 71045 |
Radiologic examination, chest; single view |
11,893 |
10,825 |
$111K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
9,520 |
8,250 |
$106K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,194 |
1,098 |
$89K |
| 71046 |
Radiologic examination, chest; 2 views |
5,970 |
5,431 |
$88K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,310 |
1,203 |
$86K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,785 |
3,412 |
$69K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
3,788 |
3,414 |
$68K |
| 81025 |
|
19,847 |
17,710 |
$66K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
637 |
592 |
$66K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12,577 |
11,021 |
$65K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,584 |
4,774 |
$63K |
| 80051 |
|
18,818 |
16,638 |
$63K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,257 |
8,568 |
$60K |
| 80053 |
Comprehensive metabolic panel |
12,252 |
10,702 |
$60K |
| 82550 |
|
19,024 |
16,783 |
$60K |
| G0378 |
Hospital observation service, per hour |
570 |
357 |
$58K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
4,317 |
3,594 |
$50K |
| 84484 |
|
10,948 |
9,092 |
$50K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,886 |
1,755 |
$50K |
| 82977 |
|
14,326 |
12,806 |
$49K |
| 76830 |
Ultrasound, transvaginal |
514 |
482 |
$47K |
| 83880 |
|
3,137 |
2,844 |
$46K |
| 82565 |
|
18,821 |
16,639 |
$46K |
| 82150 |
|
14,522 |
12,980 |
$45K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
656 |
575 |
$43K |
| 73562 |
|
1,577 |
1,432 |
$42K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,612 |
1,505 |
$41K |
| 73610 |
|
1,602 |
1,461 |
$40K |
| 82947 |
|
20,385 |
17,227 |
$38K |
| 84520 |
|
18,830 |
16,647 |
$37K |
| 73630 |
|
1,783 |
1,627 |
$35K |
| 93971 |
|
622 |
556 |
$34K |
| 84460 |
|
13,686 |
12,278 |
$34K |
| 84450 |
|
13,692 |
12,284 |
$33K |
| 84075 |
|
13,687 |
12,279 |
$32K |
| 81003 |
|
29,120 |
25,936 |
$32K |
| 73130 |
|
1,483 |
1,362 |
$32K |
| 82247 |
|
13,686 |
12,278 |
$31K |
| 82040 |
|
13,686 |
12,278 |
$31K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,828 |
1,746 |
$31K |
| 80305 |
|
5,437 |
4,948 |
$31K |
| 73110 |
|
907 |
837 |
$27K |
| 84155 |
|
13,689 |
12,281 |
$23K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
109 |
105 |
$22K |
| 73030 |
|
1,136 |
1,035 |
$21K |
| 96376 |
|
2,210 |
1,485 |
$21K |
| 83605 |
|
3,873 |
3,239 |
$20K |
| 74018 |
|
1,198 |
1,097 |
$19K |
| 84702 |
|
2,429 |
2,080 |
$18K |
| 85379 |
|
3,245 |
3,008 |
$17K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
907 |
752 |
$16K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,680 |
3,434 |
$16K |
| 87420 |
|
2,288 |
2,143 |
$15K |
| 90715 |
|
626 |
552 |
$15K |
| 12001 |
|
446 |
403 |
$14K |
| 87040 |
|
2,258 |
1,419 |
$13K |
| 82805 |
|
1,096 |
854 |
$13K |
| 87400 |
|
1,514 |
732 |
$11K |
| 70486 |
|
66 |
64 |
$10K |
| 72131 |
|
107 |
99 |
$10K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
6,149 |
5,340 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
883 |
772 |
$10K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,749 |
2,301 |
$8K |
| 0450 |
Emergency room services |
195 |
190 |
$7K |
| 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 |
2,295 |
2,196 |
$6K |
| 12011 |
|
143 |
129 |
$6K |
| 72100 |
|
277 |
255 |
$5K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,418 |
4,704 |
$5K |
| 87210 |
|
2,280 |
2,034 |
$5K |
| 73140 |
|
181 |
171 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
42 |
40 |
$4K |
| 82803 |
|
428 |
392 |
$4K |
| 73080 |
|
148 |
136 |
$4K |
| 87807 |
|
549 |
493 |
$3K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,317 |
3,838 |
$3K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,183 |
1,813 |
$3K |
| 85610 |
|
1,750 |
1,560 |
$3K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
73 |
63 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,527 |
2,173 |
$2K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,142 |
1,007 |
$2K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
397 |
312 |
$2K |
| 10060 |
|
26 |
24 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
5,860 |
5,315 |
$2K |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
174 |
155 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
13 |
$2K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
725 |
529 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,047 |
981 |
$1K |
| 96368 |
|
146 |
111 |
$866.40 |
| J0500 |
Injection, dicyclomine hcl, up to 20 mg |
26 |
25 |
$831.89 |
| 86901 |
|
448 |
417 |
$763.11 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
906 |
861 |
$599.86 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
153 |
122 |
$534.63 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
1,188 |
1,040 |
$491.13 |
| 73090 |
|
24 |
24 |
$459.55 |
| 96367 |
|
49 |
39 |
$453.73 |
| 72040 |
|
15 |
15 |
$363.12 |
| 71101 |
|
12 |
12 |
$314.10 |
| J2060 |
Injection, lorazepam, 2 mg |
227 |
198 |
$266.12 |
| 73590 |
|
13 |
13 |
$250.03 |
| 82948 |
|
200 |
103 |
$235.85 |
| 73502 |
|
14 |
13 |
$201.32 |
| 99406 |
|
33 |
31 |
$144.42 |
| 86900 |
|
68 |
67 |
$126.63 |
| 0250 |
|
308 |
166 |
$76.80 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
37 |
25 |
$73.38 |
| C9113 |
Injection, pantoprazole sodium, per vial |
105 |
89 |
$70.39 |
| 87070 |
|
13 |
13 |
$64.68 |
| J1790 |
Injection, droperidol, up to 5 mg |
15 |
13 |
$50.35 |
| 82553 |
|
82 |
78 |
$33.10 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
44 |
44 |
$32.92 |
| J1815 |
Injection, insulin, per 5 units |
19 |
13 |
$8.25 |