| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
23,081 |
21,220 |
$3.45M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
29,540 |
26,897 |
$3.12M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
32,832 |
30,774 |
$2.40M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,193 |
25,930 |
$1.00M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
13,754 |
11,415 |
$673K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
5,294 |
4,769 |
$408K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
16,294 |
14,752 |
$362K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
12,923 |
4,426 |
$328K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,238 |
1,035 |
$312K |
| 80053 |
Comprehensive metabolic panel |
44,173 |
39,745 |
$307K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,283 |
4,737 |
$265K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,319 |
4,972 |
$238K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,836 |
5,273 |
$232K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
44,830 |
40,077 |
$228K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,842 |
3,908 |
$198K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
249 |
218 |
$159K |
| G0481 |
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; 8-14 drug class(es), including metabolite(s) if performed |
1,336 |
1,207 |
$152K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,358 |
1,177 |
$144K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,746 |
4,215 |
$134K |
| 99223 |
Prolong inpt eval add15 m |
1,986 |
1,639 |
$125K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
366 |
200 |
$96K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,672 |
1,511 |
$93K |
| 99233 |
Prolong inpt eval add15 m |
2,254 |
808 |
$90K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,346 |
3,420 |
$84K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
200 |
169 |
$84K |
| 81025 |
|
14,103 |
12,668 |
$80K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,507 |
2,296 |
$80K |
| 42830 |
|
128 |
123 |
$75K |
| 25600 |
|
646 |
600 |
$70K |
| 20610 |
|
1,842 |
1,414 |
$69K |
| 73100 |
|
2,178 |
1,766 |
$67K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,323 |
2,148 |
$66K |
| 71045 |
Radiologic examination, chest; single view |
3,591 |
3,253 |
$64K |
| 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 |
893 |
780 |
$62K |
| 73610 |
|
1,931 |
1,677 |
$59K |
| 70450 |
Computed tomography, head or brain; without contrast material |
376 |
336 |
$57K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
950 |
810 |
$57K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
138 |
125 |
$56K |
| 84484 |
|
6,440 |
4,348 |
$46K |
| 71046 |
Radiologic examination, chest; 2 views |
2,548 |
2,354 |
$46K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,581 |
459 |
$43K |
| 73630 |
|
1,172 |
1,037 |
$42K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
300 |
285 |
$41K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
634 |
459 |
$40K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
999 |
873 |
$38K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,857 |
1,476 |
$37K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
708 |
639 |
$37K |
| G0378 |
Hospital observation service, per hour |
698 |
361 |
$35K |
| G0330 |
Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room |
60 |
57 |
$33K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,212 |
897 |
$29K |
| 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 |
337 |
308 |
$27K |
| 73564 |
|
518 |
471 |
$26K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
74 |
73 |
$26K |
| 73110 |
|
647 |
570 |
$23K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,458 |
4,786 |
$22K |
| 81001 |
|
9,639 |
8,646 |
$21K |
| 0240U |
|
232 |
216 |
$21K |
| 73030 |
|
682 |
594 |
$21K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
805 |
713 |
$17K |
| 73140 |
|
431 |
376 |
$16K |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
610 |
546 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
7,252 |
6,002 |
$14K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
119 |
114 |
$12K |
| 73080 |
|
373 |
336 |
$11K |
| 83880 |
|
525 |
498 |
$11K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
26 |
24 |
$11K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,496 |
5,440 |
$11K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
292 |
286 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
120 |
117 |
$10K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
170 |
132 |
$10K |
| 99220 |
|
227 |
194 |
$9K |
| 80050 |
General health panel |
233 |
224 |
$9K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
149 |
101 |
$8K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
203 |
186 |
$8K |
| 59025 |
Fetal non-stress test |
919 |
737 |
$8K |
| 73521 |
|
189 |
171 |
$8K |
| 73130 |
|
220 |
179 |
$8K |
| 83735 |
|
1,754 |
1,551 |
$7K |
| 73560 |
|
320 |
280 |
$7K |
| 93017 |
|
104 |
99 |
$7K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
149 |
146 |
$7K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,490 |
1,298 |
$6K |
| 81003 |
|
3,990 |
3,616 |
$6K |
| 87634 |
|
90 |
84 |
$6K |
| 93271 |
|
267 |
187 |
$6K |
| 80061 |
Lipid panel |
703 |
586 |
$5K |
| 83690 |
|
1,092 |
996 |
$5K |
| 27786 |
|
25 |
15 |
$5K |
| 77073 |
|
116 |
103 |
$5K |
| 73562 |
|
159 |
134 |
$4K |
| 73590 |
|
157 |
119 |
$4K |
| 94729 |
|
92 |
88 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
302 |
282 |
$4K |
| 29085 |
|
124 |
100 |
$4K |
| 99222 |
Initial hospital care, per day, moderate complexity |
145 |
63 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
63 |
54 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$3K |
| 93270 |
|
261 |
187 |
$3K |
| 99215 |
Prolong outpt/office vis |
61 |
55 |
$3K |
| 76830 |
Ultrasound, transvaginal |
27 |
27 |
$3K |
| 86003 |
|
159 |
25 |
$3K |
| 86803 |
|
183 |
176 |
$3K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
76 |
26 |
$3K |
| C1769 |
Guide wire |
12 |
12 |
$3K |
| 86703 |
|
225 |
216 |
$3K |
| 84439 |
|
219 |
212 |
$2K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
260 |
247 |
$2K |
| 94799 |
|
85 |
71 |
$2K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
3,572 |
2,513 |
$2K |
| 94010 |
|
58 |
54 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
27 |
26 |
$2K |
| 94726 |
|
26 |
26 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,992 |
2,259 |
$2K |
| 95806 |
|
31 |
30 |
$1K |
| 96376 |
|
49 |
26 |
$1K |
| 73090 |
|
51 |
38 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
169 |
156 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
255 |
216 |
$1K |
| 84481 |
|
115 |
111 |
$1K |
| 72082 |
|
37 |
25 |
$1K |
| 90670 |
|
39 |
39 |
$1K |
| 94727 |
|
27 |
26 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,993 |
1,748 |
$1K |
| 90686 |
|
349 |
295 |
$955.31 |
| 86850 |
|
388 |
318 |
$931.52 |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
12 |
12 |
$857.53 |
| 87070 |
|
86 |
82 |
$746.78 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
25 |
25 |
$733.60 |
| 26720 |
|
12 |
12 |
$728.41 |
| 72170 |
|
28 |
26 |
$710.25 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
12 |
12 |
$668.00 |
| C1729 |
Catheter, drainage |
13 |
13 |
$662.72 |
| J2704 |
Injection, propofol, 10 mg |
2,698 |
2,068 |
$642.59 |
| 99152 |
|
12 |
12 |
$616.74 |
| 99219 |
|
13 |
12 |
$577.60 |
| 0072A |
|
21 |
13 |
$562.04 |
| 82785 |
|
30 |
25 |
$549.11 |
| 85027 |
|
142 |
128 |
$537.33 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
63 |
54 |
$475.58 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
29 |
27 |
$473.22 |
| 73000 |
|
12 |
12 |
$446.28 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
153 |
107 |
$435.22 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
14 |
14 |
$427.57 |
| 86900 |
|
387 |
320 |
$423.63 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
86 |
79 |
$423.38 |
| 86901 |
|
384 |
320 |
$419.33 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
45 |
42 |
$379.34 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
783 |
534 |
$373.00 |
| 0002A |
|
56 |
41 |
$370.80 |
| 82607 |
|
21 |
21 |
$351.75 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
17 |
16 |
$313.04 |
| 0225U |
|
15 |
15 |
$312.59 |
| 82746 |
|
19 |
19 |
$310.46 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
106 |
79 |
$284.16 |
| 82947 |
|
100 |
50 |
$282.96 |
| 72081 |
|
14 |
13 |
$280.50 |
| 82728 |
|
17 |
17 |
$257.55 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
49 |
37 |
$212.28 |
| 83550 |
|
18 |
18 |
$174.78 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
593 |
439 |
$174.68 |
| 80179 |
|
13 |
12 |
$139.80 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,280 |
1,106 |
$129.51 |
| 90647 |
|
24 |
24 |
$128.52 |
| 83540 |
|
18 |
18 |
$114.12 |
| 83605 |
|
22 |
12 |
$92.56 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
29 |
25 |
$69.80 |
| A4217 |
Sterile water/saline, 500 ml |
275 |
235 |
$67.88 |
| 82150 |
|
12 |
12 |
$64.80 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
66 |
54 |
$64.48 |
| 82550 |
|
26 |
12 |
$22.81 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
1,863 |
1,611 |
$17.01 |
| 99442 |
|
23 |
18 |
$11.70 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
1,955 |
1,614 |
$9.43 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
3,777 |
2,254 |
$0.00 |
| 1111F |
|
90 |
70 |
$0.00 |
| 3008F |
|
117 |
87 |
$0.00 |
| 91307 |
|
14 |
14 |
$0.00 |
| 0001A |
|
16 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
24 |
12 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
12 |
12 |
$0.00 |
| J3490 |
Unclassified drugs |
28 |
12 |
$0.00 |
| 1160F |
|
367 |
325 |
$0.00 |
| 99490 |
Ccm add 20min |
497 |
488 |
$0.00 |
| 1159F |
|
370 |
328 |
$0.00 |
| 1124F |
|
14 |
13 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
36 |
27 |
$0.00 |
| G0483 |
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; 22 or more drug class(es), including metabolite(s) if performed |
23 |
22 |
$0.00 |