| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
32,724 |
31,086 |
$3.00M |
| G0378 |
Hospital observation service, per hour |
2,876 |
1,518 |
$1.45M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19,138 |
18,353 |
$1.21M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
8,813 |
8,345 |
$952K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,441 |
2,365 |
$384K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
14,723 |
13,916 |
$348K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
550 |
537 |
$235K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,433 |
3,060 |
$180K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
8,829 |
8,072 |
$151K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,241 |
520 |
$150K |
| 80053 |
Comprehensive metabolic panel |
14,436 |
13,574 |
$136K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
28,845 |
26,042 |
$135K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,371 |
2,263 |
$133K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
861 |
395 |
$105K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12,105 |
11,372 |
$104K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13,950 |
12,491 |
$97K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
987 |
946 |
$72K |
| 84484 |
|
8,452 |
7,736 |
$68K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
384 |
371 |
$62K |
| 84703 |
|
5,380 |
5,163 |
$53K |
| 71045 |
Radiologic examination, chest; single view |
6,477 |
6,163 |
$41K |
| 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 |
643 |
618 |
$41K |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,081 |
889 |
$34K |
| 83690 |
|
8,010 |
7,551 |
$34K |
| 81001 |
|
13,067 |
12,319 |
$31K |
| 83605 |
|
4,239 |
3,972 |
$29K |
| 71046 |
Radiologic examination, chest; 2 views |
2,088 |
2,005 |
$26K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
440 |
419 |
$25K |
| 85730 |
|
4,346 |
4,131 |
$22K |
| 83735 |
|
4,377 |
3,926 |
$22K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,308 |
3,101 |
$21K |
| 83880 |
|
993 |
892 |
$21K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,032 |
1,002 |
$21K |
| 80076 |
|
2,980 |
2,755 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,876 |
1,662 |
$19K |
| 93971 |
|
309 |
293 |
$17K |
| 85610 |
|
5,931 |
5,545 |
$17K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
531 |
515 |
$14K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
385 |
362 |
$11K |
| 71250 |
|
213 |
202 |
$10K |
| 80329 |
|
744 |
693 |
$9K |
| 76830 |
Ultrasound, transvaginal |
182 |
174 |
$8K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
528 |
478 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
2,754 |
1,775 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
537 |
514 |
$7K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
920 |
714 |
$7K |
| 87040 |
|
518 |
439 |
$7K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
18 |
18 |
$7K |
| 73564 |
|
341 |
321 |
$6K |
| 82803 |
|
355 |
333 |
$6K |
| 84702 |
|
378 |
333 |
$6K |
| 90715 |
|
729 |
719 |
$6K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,656 |
2,516 |
$5K |
| 73610 |
|
375 |
351 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
254 |
244 |
$5K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
255 |
245 |
$5K |
| 80050 |
General health panel |
124 |
119 |
$5K |
| 70486 |
|
74 |
73 |
$4K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
8,295 |
7,535 |
$4K |
| 73130 |
|
375 |
356 |
$4K |
| 87077 |
|
763 |
687 |
$3K |
| 87186 |
|
648 |
583 |
$3K |
| 73630 |
|
398 |
379 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
55 |
47 |
$3K |
| 93970 |
|
45 |
41 |
$3K |
| 86850 |
|
488 |
460 |
$3K |
| 73030 |
|
270 |
254 |
$3K |
| J3490 |
Unclassified drugs |
1,087 |
778 |
$2K |
| 87081 |
|
516 |
504 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
31 |
31 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
130 |
124 |
$2K |
| 73110 |
|
198 |
186 |
$2K |
| 82330 |
|
323 |
302 |
$2K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,019 |
1,618 |
$2K |
| 86901 |
|
566 |
534 |
$2K |
| 86900 |
|
566 |
534 |
$2K |
| J1815 |
Injection, insulin, per 5 units |
333 |
210 |
$2K |
| 85379 |
|
199 |
196 |
$2K |
| 85027 |
|
673 |
510 |
$1K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
77 |
69 |
$1K |
| 80061 |
Lipid panel |
295 |
288 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
6,527 |
5,909 |
$1K |
| 70498 |
|
13 |
13 |
$1K |
| 82962 |
|
1,392 |
852 |
$1K |
| 82550 |
|
260 |
236 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
32 |
25 |
$1K |
| 74018 |
|
138 |
131 |
$1K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
65 |
60 |
$1K |
| 70496 |
|
12 |
12 |
$1K |
| 82375 |
|
298 |
281 |
$1K |
| 72100 |
|
95 |
91 |
$967.50 |
| 73502 |
|
122 |
109 |
$944.18 |
| 86140 |
|
416 |
379 |
$904.12 |
| 72131 |
|
14 |
13 |
$881.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,625 |
2,386 |
$810.14 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
602 |
565 |
$733.29 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
68 |
41 |
$686.40 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
75 |
72 |
$613.74 |
| 83050 |
|
298 |
281 |
$553.86 |
| 85652 |
|
251 |
237 |
$480.54 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,655 |
1,403 |
$474.98 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
534 |
329 |
$444.78 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,888 |
2,565 |
$443.21 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
65 |
42 |
$437.87 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
4,768 |
4,043 |
$422.72 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
294 |
284 |
$406.11 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
269 |
241 |
$402.54 |
| 73590 |
|
45 |
39 |
$401.60 |
| 84100 |
|
226 |
160 |
$375.36 |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
58 |
54 |
$368.27 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,823 |
1,657 |
$366.12 |
| J2060 |
Injection, lorazepam, 2 mg |
2,357 |
1,943 |
$347.12 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
82 |
75 |
$280.48 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
890 |
808 |
$261.13 |
| 87210 |
|
46 |
46 |
$260.08 |
| 82947 |
|
186 |
166 |
$246.71 |
| 81025 |
|
106 |
98 |
$244.58 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,767 |
1,439 |
$220.53 |
| 85018 |
|
263 |
204 |
$207.10 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
567 |
533 |
$203.51 |
| 87070 |
|
81 |
78 |
$195.37 |
| 94644 |
|
16 |
12 |
$182.67 |
| 86618 |
|
12 |
12 |
$181.23 |
| 84145 |
|
13 |
12 |
$173.23 |
| J1630 |
Injection, haloperidol, up to 5 mg |
413 |
350 |
$168.88 |
| 76937 |
|
49 |
40 |
$166.32 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
16 |
12 |
$163.44 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
297 |
249 |
$163.09 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,846 |
1,290 |
$152.96 |
| 97162 |
|
40 |
38 |
$152.66 |
| 81003 |
|
57 |
56 |
$143.24 |
| 87205 |
|
70 |
67 |
$116.75 |
| 73080 |
|
12 |
12 |
$116.15 |
| 96367 |
|
54 |
42 |
$115.03 |
| 87430 |
|
12 |
12 |
$114.16 |
| J3480 |
Injection, potassium chloride, per 2 meq |
170 |
124 |
$107.47 |
| 97165 |
|
25 |
24 |
$95.30 |
| 87400 |
|
14 |
14 |
$81.00 |
| 84439 |
|
28 |
27 |
$80.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
456 |
186 |
$77.41 |
| 73562 |
|
13 |
12 |
$75.90 |
| 82140 |
|
28 |
24 |
$47.47 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
238 |
207 |
$44.26 |
| 84550 |
|
12 |
12 |
$40.54 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
51 |
36 |
$38.48 |
| S0028 |
Injection, famotidine, 20 mg |
117 |
91 |
$37.18 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
891 |
670 |
$36.15 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
82 |
78 |
$35.46 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
71 |
43 |
$21.32 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
1,018 |
786 |
$21.31 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
32 |
13 |
$7.86 |
| 94760 |
|
53 |
28 |
$5.33 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
160 |
139 |
$4.62 |
| J3360 |
Injection, diazepam, up to 5 mg |
17 |
12 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
26 |
25 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
79 |
62 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
2,165 |
2,021 |
$0.00 |
| J7999 |
Compounded drug, not otherwise classified |
17 |
12 |
$0.00 |
| 88342 |
|
29 |
24 |
$0.00 |
| 96376 |
|
119 |
55 |
$0.00 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
13 |
12 |
$0.00 |
| 93922 |
|
18 |
15 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
31 |
29 |
$0.00 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
20 |
13 |
$0.00 |
| J0692 |
Injection, cefepime hydrochloride, 500 mg |
49 |
40 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
18 |
12 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
31 |
29 |
$0.00 |
| J0134 |
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
23 |
20 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
18 |
12 |
$0.00 |