| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12,444 |
11,485 |
$942K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,075 |
2,680 |
$641K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,036 |
2,706 |
$279K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
28,457 |
22,290 |
$244K |
| 80053 |
Comprehensive metabolic panel |
18,170 |
15,538 |
$235K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,985 |
4,618 |
$225K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
7,029 |
1,923 |
$192K |
| 36415 |
Collection of venous blood by venipuncture |
34,278 |
24,303 |
$191K |
| 80061 |
Lipid panel |
8,417 |
7,908 |
$113K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
11,419 |
8,533 |
$108K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,995 |
3,591 |
$107K |
| 84443 |
Thyroid stimulating hormone (TSH) |
7,415 |
6,836 |
$104K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,803 |
1,503 |
$103K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
4,490 |
3,865 |
$99K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,709 |
465 |
$94K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,495 |
1,833 |
$93K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
913 |
859 |
$86K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,720 |
1,530 |
$84K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
643 |
583 |
$73K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
862 |
775 |
$71K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,470 |
3,189 |
$69K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,214 |
4,356 |
$65K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,869 |
886 |
$64K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,536 |
2,813 |
$64K |
| 71046 |
Radiologic examination, chest; 2 views |
3,158 |
2,872 |
$63K |
| 84484 |
|
3,612 |
2,584 |
$62K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,771 |
2,525 |
$59K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,082 |
5,668 |
$57K |
| 83735 |
|
5,541 |
4,401 |
$57K |
| 82550 |
|
2,087 |
1,722 |
$54K |
| 71045 |
Radiologic examination, chest; single view |
4,364 |
3,775 |
$52K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
2,501 |
755 |
$52K |
| 82553 |
|
1,596 |
1,304 |
$51K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
2,178 |
2,049 |
$50K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,604 |
2,249 |
$49K |
| 81001 |
|
5,693 |
5,032 |
$48K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,685 |
2,056 |
$48K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
5,684 |
4,634 |
$48K |
| 83874 |
|
1,574 |
1,283 |
$47K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
243 |
216 |
$46K |
| 80076 |
|
2,687 |
2,447 |
$41K |
| 83690 |
|
2,766 |
2,453 |
$40K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
438 |
373 |
$38K |
| 84439 |
|
3,257 |
3,046 |
$37K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,330 |
446 |
$37K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,033 |
976 |
$37K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
672 |
604 |
$36K |
| 82150 |
|
1,516 |
1,351 |
$34K |
| 80348 |
|
3,027 |
2,586 |
$31K |
| 85610 |
|
3,367 |
2,411 |
$30K |
| 81003 |
|
2,685 |
2,442 |
$30K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,932 |
2,616 |
$29K |
| 80074 |
|
511 |
475 |
$28K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
94 |
85 |
$27K |
| 81025 |
|
994 |
910 |
$27K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
398 |
378 |
$24K |
| 83605 |
|
2,178 |
1,819 |
$23K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
110 |
98 |
$23K |
| 83880 |
|
1,066 |
905 |
$23K |
| 85730 |
|
1,483 |
1,323 |
$22K |
| 82607 |
|
1,731 |
1,618 |
$22K |
| G0482 |
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; 15-21 drug class(es), including metabolite(s) if performed |
645 |
630 |
$21K |
| 93017 |
|
114 |
100 |
$19K |
| 94761 |
|
410 |
344 |
$19K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
985 |
934 |
$18K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
481 |
443 |
$18K |
| 87186 |
|
1,729 |
1,563 |
$17K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
678 |
560 |
$17K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
459 |
426 |
$17K |
| J2785 |
Injection, regadenoson, 0.1 mg |
79 |
70 |
$15K |
| 85027 |
|
1,252 |
1,020 |
$15K |
| 97162 |
|
435 |
400 |
$15K |
| G0378 |
Hospital observation service, per hour |
352 |
282 |
$15K |
| 87807 |
|
1,083 |
1,018 |
$14K |
| 73630 |
|
399 |
363 |
$14K |
| 85007 |
|
1,216 |
994 |
$14K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
222 |
211 |
$14K |
| 83992 |
|
876 |
838 |
$14K |
| 80346 |
|
907 |
866 |
$13K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
176 |
158 |
$13K |
| 84145 |
|
1,165 |
1,001 |
$12K |
| 82248 |
|
390 |
340 |
$12K |
| 87486 |
|
161 |
144 |
$11K |
| 87581 |
|
161 |
144 |
$11K |
| 80305 |
|
575 |
504 |
$11K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
326 |
289 |
$10K |
| 74022 |
|
411 |
377 |
$10K |
| 73610 |
|
244 |
218 |
$10K |
| 87040 |
|
826 |
673 |
$10K |
| 80361 |
|
896 |
854 |
$10K |
| 87088 |
|
649 |
592 |
$9K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
55 |
42 |
$9K |
| 96376 |
|
406 |
232 |
$9K |
| 87522 |
Neg quan hep c or qual rna |
209 |
138 |
$8K |
| P9603 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
8,407 |
4,982 |
$8K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
13 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
579 |
444 |
$8K |
| 83540 |
|
1,275 |
1,188 |
$8K |
| 73562 |
|
249 |
230 |
$8K |
| 80326 |
|
894 |
853 |
$8K |
| 84481 |
|
633 |
594 |
$8K |
| 72110 |
|
214 |
203 |
$8K |
| 86886 |
|
364 |
351 |
$7K |
| 80360 |
|
899 |
855 |
$7K |
| 82947 |
|
945 |
890 |
$7K |
| 87205 |
|
317 |
275 |
$6K |
| 82948 |
|
186 |
86 |
$6K |
| 80373 |
|
894 |
853 |
$6K |
| 87070 |
|
293 |
257 |
$6K |
| 80354 |
|
877 |
839 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
293 |
177 |
$6K |
| 82565 |
|
693 |
618 |
$6K |
| 73130 |
|
99 |
93 |
$6K |
| 83550 |
|
864 |
807 |
$6K |
| 86780 |
|
423 |
367 |
$5K |
| 87517 |
|
148 |
97 |
$5K |
| 94664 |
|
216 |
154 |
$5K |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
338 |
296 |
$5K |
| 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 |
84 |
77 |
$5K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
93 |
88 |
$5K |
| A9270 |
Non-covered item or service |
2,640 |
1,348 |
$5K |
| 87081 |
|
555 |
524 |
$5K |
| 73030 |
|
149 |
138 |
$5K |
| 86592 |
|
126 |
106 |
$4K |
| 86480 |
|
77 |
56 |
$4K |
| 85651 |
|
530 |
448 |
$4K |
| 76536 |
|
65 |
64 |
$4K |
| 84550 |
|
98 |
90 |
$4K |
| 82043 |
|
379 |
352 |
$4K |
| 80355 |
|
907 |
866 |
$4K |
| 80358 |
|
895 |
853 |
$4K |
| 80371 |
|
894 |
853 |
$4K |
| 80367 |
|
894 |
853 |
$4K |
| 80372 |
|
894 |
853 |
$4K |
| 80370 |
|
894 |
853 |
$4K |
| 80365 |
|
894 |
853 |
$4K |
| 80368 |
|
894 |
853 |
$4K |
| 80364 |
|
877 |
839 |
$4K |
| 80359 |
|
877 |
839 |
$4K |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
273 |
242 |
$4K |
| 82746 |
|
331 |
314 |
$4K |
| 97161 |
|
116 |
105 |
$4K |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
2,116 |
1,424 |
$4K |
| 82728 |
|
445 |
404 |
$4K |
| 87077 |
|
131 |
115 |
$4K |
| 84460 |
|
398 |
379 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
29 |
25 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
105 |
92 |
$3K |
| 84132 |
|
424 |
400 |
$3K |
| 86803 |
|
82 |
77 |
$3K |
| 88142 |
|
53 |
48 |
$3K |
| 73110 |
|
31 |
24 |
$3K |
| 86140 |
|
533 |
435 |
$3K |
| 80353 |
|
520 |
493 |
$2K |
| 80366 |
|
513 |
488 |
$2K |
| 80321 |
|
141 |
120 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
122 |
115 |
$2K |
| 86704 |
|
192 |
120 |
$2K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
18 |
12 |
$2K |
| 86705 |
|
17 |
17 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
109 |
104 |
$1K |
| 86706 |
|
156 |
101 |
$1K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
55 |
25 |
$1K |
| 80349 |
|
121 |
100 |
$1K |
| 83525 |
|
98 |
96 |
$1K |
| 87340 |
|
137 |
87 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
13 |
$1K |
| 84295 |
|
280 |
265 |
$1K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
56 |
51 |
$1K |
| 84520 |
|
176 |
164 |
$1K |
| 97165 |
|
26 |
26 |
$1K |
| 85379 |
|
100 |
95 |
$907.49 |
| 97116 |
|
53 |
25 |
$889.34 |
| 94760 |
|
77 |
56 |
$860.06 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
24 |
22 |
$842.75 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
40 |
$759.62 |
| 86708 |
|
62 |
44 |
$673.81 |
| 82172 |
|
42 |
24 |
$632.99 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$627.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
990 |
897 |
$590.68 |
| 80164 |
|
13 |
13 |
$562.76 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
27 |
24 |
$499.06 |
| 80050 |
General health panel |
14 |
14 |
$459.22 |
| 83883 |
|
42 |
24 |
$447.85 |
| 83010 |
|
42 |
24 |
$414.24 |
| 85018 |
|
18 |
17 |
$396.87 |
| 85014 |
|
18 |
17 |
$396.87 |
| 87350 |
|
20 |
13 |
$332.16 |
| 93880 |
|
13 |
12 |
$301.94 |
| J3490 |
Unclassified drugs |
931 |
391 |
$274.39 |
| G8985 |
Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
20 |
14 |
$273.79 |
| G8984 |
Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals |
20 |
14 |
$273.79 |
| 82977 |
|
42 |
24 |
$237.08 |
| 72100 |
|
20 |
12 |
$227.59 |
| 84153 |
|
14 |
14 |
$224.92 |
| 97597 |
|
22 |
12 |
$213.30 |
| 86901 |
|
26 |
24 |
$210.18 |
| 86900 |
|
26 |
24 |
$210.18 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
15 |
13 |
$177.36 |
| 86141 |
|
13 |
12 |
$137.53 |
| 71101 |
|
13 |
13 |
$127.38 |
| 90686 |
|
58 |
55 |
$121.44 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
457 |
335 |
$117.22 |
| 86850 |
|
13 |
12 |
$112.82 |
| 83615 |
|
18 |
13 |
$59.29 |
| 84450 |
|
13 |
13 |
$53.97 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
704 |
488 |
$47.61 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
257 |
143 |
$39.10 |
| J2704 |
Injection, propofol, 10 mg |
84 |
63 |
$28.69 |
| G0008 |
Administration of influenza virus vaccine |
77 |
75 |
$21.11 |
| 84100 |
|
14 |
12 |
$15.89 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
193 |
114 |
$10.51 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
54 |
24 |
$6.51 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
1,313 |
403 |
$2.77 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
15 |
13 |
$0.76 |