| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19,663 |
19,069 |
$1.96M |
| G0378 |
Hospital observation service, per hour |
2,118 |
1,963 |
$1.71M |
| T1015 |
Clinic visit/encounter, all-inclusive |
28,372 |
6,290 |
$1.12M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,170 |
3,817 |
$580K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,403 |
4,211 |
$529K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,089 |
6,774 |
$385K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,564 |
5,471 |
$342K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
6,234 |
1,415 |
$259K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,200 |
1,162 |
$186K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,524 |
4,410 |
$160K |
| 80050 |
General health panel |
3,059 |
2,990 |
$133K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
5,302 |
5,201 |
$121K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
5,334 |
5,232 |
$118K |
| 80053 |
Comprehensive metabolic panel |
16,558 |
15,445 |
$116K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
31,181 |
26,993 |
$106K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
3,073 |
3,057 |
$103K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,898 |
2,711 |
$103K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,662 |
4,422 |
$100K |
| 59025 |
Fetal non-stress test |
1,589 |
1,156 |
$98K |
| 71045 |
Radiologic examination, chest; single view |
4,231 |
4,063 |
$83K |
| 87481 |
|
2,056 |
1,772 |
$76K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,347 |
1,296 |
$72K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,465 |
2,441 |
$62K |
| 80061 |
Lipid panel |
4,618 |
4,545 |
$60K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
11,896 |
9,839 |
$59K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
352 |
341 |
$59K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
223 |
221 |
$58K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
382 |
378 |
$57K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
10,350 |
9,731 |
$56K |
| 71046 |
Radiologic examination, chest; 2 views |
3,415 |
3,253 |
$55K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,873 |
2,809 |
$53K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
653 |
651 |
$52K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
253 |
242 |
$52K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,843 |
3,674 |
$51K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
333 |
327 |
$50K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,491 |
1,338 |
$49K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
5,245 |
5,135 |
$47K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
1,136 |
1,110 |
$46K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,214 |
996 |
$44K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,539 |
637 |
$43K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
700 |
686 |
$42K |
| 84484 |
|
5,935 |
5,305 |
$42K |
| 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 |
536 |
526 |
$41K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
540 |
523 |
$40K |
| 77066 |
Tomosynthesis, mammo |
504 |
496 |
$40K |
| 72141 |
|
179 |
178 |
$39K |
| 76641 |
|
714 |
705 |
$37K |
| 88142 |
|
2,204 |
2,196 |
$37K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
4,838 |
4,579 |
$34K |
| 88342 |
|
956 |
923 |
$33K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
178 |
177 |
$33K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,034 |
1,013 |
$32K |
| 82607 |
|
2,488 |
2,471 |
$29K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
592 |
590 |
$27K |
| 93976 |
|
370 |
360 |
$26K |
| 97161 |
|
776 |
738 |
$26K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,016 |
1,006 |
$26K |
| 76830 |
Ultrasound, transvaginal |
584 |
577 |
$26K |
| 71250 |
|
444 |
442 |
$25K |
| 86780 |
|
1,742 |
1,717 |
$25K |
| X0621 |
|
113 |
94 |
$25K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
503 |
498 |
$24K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,857 |
1,811 |
$24K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,519 |
2,441 |
$24K |
| 83735 |
|
6,261 |
5,536 |
$24K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,569 |
3,510 |
$24K |
| 87081 |
|
4,175 |
4,077 |
$23K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
239 |
227 |
$22K |
| 76801 |
|
499 |
454 |
$22K |
| 81514 |
|
129 |
126 |
$21K |
| 93971 |
|
376 |
359 |
$21K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
438 |
429 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
17,834 |
15,974 |
$20K |
| 83880 |
|
825 |
764 |
$20K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
124 |
121 |
$19K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
355 |
342 |
$19K |
| 87428 |
|
622 |
614 |
$18K |
| C1769 |
Guide wire |
145 |
130 |
$18K |
| 87150 |
|
429 |
419 |
$18K |
| 81513 |
|
574 |
570 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
310 |
277 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
831 |
808 |
$17K |
| 83690 |
|
5,858 |
5,602 |
$16K |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
1,146 |
1,144 |
$15K |
| 84466 |
|
884 |
869 |
$15K |
| 85730 |
|
3,363 |
3,075 |
$15K |
| 93970 |
|
181 |
178 |
$14K |
| 84702 |
|
767 |
584 |
$13K |
| 81001 |
|
6,852 |
6,497 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,026 |
976 |
$13K |
| 86900 |
|
1,096 |
1,057 |
$12K |
| 80074 |
|
217 |
216 |
$12K |
| 76536 |
|
278 |
277 |
$12K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,628 |
3,442 |
$12K |
| 85610 |
|
4,617 |
3,936 |
$11K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
478 |
465 |
$11K |
| 82746 |
|
958 |
950 |
$11K |
| 87040 |
|
629 |
579 |
$11K |
| 93017 |
|
379 |
373 |
$10K |
| 83970 |
|
273 |
257 |
$10K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
148 |
146 |
$10K |
| 97597 |
|
430 |
319 |
$10K |
| 86762 |
|
507 |
500 |
$10K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
507 |
499 |
$10K |
| 84145 |
|
667 |
585 |
$9K |
| 87186 |
|
1,148 |
1,079 |
$9K |
| 86803 |
|
527 |
522 |
$9K |
| 97165 |
|
392 |
372 |
$9K |
| 80076 |
|
1,088 |
1,013 |
$8K |
| 87340 |
|
617 |
609 |
$8K |
| 82043 |
|
1,069 |
1,056 |
$8K |
| 94729 |
|
290 |
290 |
$8K |
| 76775 |
|
233 |
231 |
$8K |
| 84439 |
|
921 |
901 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
334 |
334 |
$7K |
| 83540 |
|
884 |
869 |
$7K |
| 81025 |
|
2,564 |
2,441 |
$7K |
| 86850 |
|
1,070 |
1,034 |
$7K |
| 73564 |
|
360 |
352 |
$7K |
| 72110 |
|
370 |
362 |
$7K |
| 81003 |
|
2,942 |
2,822 |
$7K |
| 94726 |
|
258 |
258 |
$7K |
| 86618 |
|
278 |
272 |
$6K |
| 84403 |
|
226 |
218 |
$6K |
| 84436 |
|
660 |
653 |
$6K |
| 84146 |
|
267 |
264 |
$6K |
| 73610 |
|
354 |
347 |
$6K |
| 82728 |
|
510 |
485 |
$6K |
| 82248 |
|
936 |
893 |
$6K |
| 73630 |
|
590 |
581 |
$6K |
| J1815 |
Injection, insulin, per 5 units |
430 |
350 |
$6K |
| 85379 |
|
625 |
611 |
$6K |
| 77065 |
Tomosynthesis, mammo |
104 |
103 |
$6K |
| 84479 |
|
595 |
590 |
$6K |
| 88360 |
|
328 |
306 |
$6K |
| 84480 |
|
644 |
636 |
$5K |
| 83605 |
|
835 |
706 |
$5K |
| 74183 |
|
14 |
14 |
$5K |
| 73221 |
|
25 |
24 |
$5K |
| 82550 |
|
856 |
751 |
$5K |
| 82553 |
|
619 |
549 |
$5K |
| 85027 |
|
779 |
655 |
$5K |
| 72100 |
|
254 |
252 |
$5K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
12 |
12 |
$5K |
| 73030 |
|
314 |
309 |
$5K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
397 |
340 |
$5K |
| 84703 |
|
516 |
506 |
$4K |
| 86038 |
|
293 |
289 |
$4K |
| 82565 |
|
823 |
738 |
$4K |
| 72050 |
|
179 |
173 |
$4K |
| 74018 |
|
388 |
369 |
$4K |
| 72072 |
|
221 |
217 |
$4K |
| 83001 |
|
214 |
212 |
$4K |
| 73502 |
|
247 |
237 |
$4K |
| 84481 |
|
161 |
156 |
$4K |
| 86901 |
|
1,088 |
1,051 |
$4K |
| 90715 |
|
121 |
120 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
67 |
66 |
$3K |
| 80164 |
|
179 |
164 |
$3K |
| J3490 |
Unclassified drugs |
924 |
659 |
$3K |
| 73130 |
|
290 |
285 |
$3K |
| 82784 |
|
166 |
164 |
$3K |
| 88341 |
|
68 |
65 |
$3K |
| 82948 |
|
2,688 |
1,812 |
$3K |
| 85007 |
|
776 |
652 |
$3K |
| 77049 |
|
16 |
15 |
$3K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
581 |
547 |
$3K |
| 82570 |
|
396 |
365 |
$3K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
313 |
309 |
$3K |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
112 |
104 |
$3K |
| 84100 |
|
476 |
349 |
$3K |
| 84153 |
|
119 |
114 |
$3K |
| 84160 |
|
356 |
327 |
$3K |
| 84550 |
|
393 |
345 |
$2K |
| 86800 |
|
130 |
128 |
$2K |
| 85651 |
|
885 |
819 |
$2K |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
111 |
111 |
$2K |
| 82803 |
|
132 |
110 |
$2K |
| 86140 |
|
826 |
740 |
$2K |
| 82947 |
|
574 |
558 |
$2K |
| 80320 |
|
168 |
160 |
$2K |
| 87070 |
|
391 |
370 |
$2K |
| 84520 |
|
424 |
377 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
6,455 |
5,332 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
13 |
13 |
$2K |
| 86617 |
|
45 |
44 |
$2K |
| 84450 |
|
245 |
212 |
$2K |
| 87807 |
|
197 |
196 |
$2K |
| 86431 |
|
216 |
212 |
$2K |
| 74022 |
|
95 |
89 |
$2K |
| 72158 |
|
12 |
12 |
$2K |
| 96376 |
|
407 |
390 |
$1K |
| 87522 |
Neg quan hep c or qual rna |
36 |
36 |
$1K |
| 94060 |
|
163 |
163 |
$1K |
| 73110 |
|
136 |
135 |
$1K |
| 70486 |
|
26 |
25 |
$1K |
| 87430 |
|
212 |
212 |
$1K |
| 72040 |
|
83 |
82 |
$1K |
| 77002 |
|
44 |
42 |
$1K |
| 82330 |
|
175 |
150 |
$1K |
| 85014 |
|
466 |
404 |
$1K |
| 73562 |
|
57 |
57 |
$928.01 |
| 73590 |
|
75 |
72 |
$919.38 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,654 |
1,285 |
$906.67 |
| 80178 |
|
112 |
106 |
$901.70 |
| 94664 |
|
270 |
196 |
$874.22 |
| 88304 |
|
224 |
220 |
$863.74 |
| 83655 |
|
77 |
75 |
$852.50 |
| 85018 |
|
363 |
314 |
$852.05 |
| 84402 |
|
29 |
28 |
$845.10 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
26 |
$805.17 |
| 74021 |
|
63 |
60 |
$799.66 |
| 86376 |
|
100 |
97 |
$797.92 |
| 82533 |
|
59 |
58 |
$749.08 |
| 80069 |
|
81 |
78 |
$733.30 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,591 |
3,159 |
$690.47 |
| 82977 |
|
79 |
53 |
$668.88 |
| 82150 |
|
146 |
141 |
$664.49 |
| 77080 |
|
15 |
14 |
$638.83 |
| 84460 |
|
87 |
77 |
$627.48 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
94 |
91 |
$601.14 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$569.40 |
| 88307 |
|
77 |
73 |
$554.37 |
| 97602 |
|
14 |
12 |
$551.22 |
| 82077 |
|
138 |
128 |
$539.14 |
| J2785 |
Injection, regadenoson, 0.1 mg |
68 |
68 |
$534.09 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
18 |
13 |
$533.53 |
| 73080 |
|
46 |
46 |
$510.09 |
| 83002 |
|
29 |
28 |
$470.05 |
| 73521 |
|
28 |
28 |
$468.45 |
| 80051 |
|
91 |
74 |
$447.77 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
508 |
450 |
$414.36 |
| 71101 |
|
28 |
27 |
$410.06 |
| 76870 |
|
12 |
12 |
$401.60 |
| 83516 |
|
167 |
166 |
$392.31 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
16 |
16 |
$376.95 |
| 84132 |
|
85 |
77 |
$344.97 |
| 88344 |
|
12 |
12 |
$339.04 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
805 |
724 |
$338.96 |
| 82670 |
|
14 |
14 |
$294.57 |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
27 |
27 |
$290.54 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,131 |
1,790 |
$276.77 |
| 82105 |
|
12 |
12 |
$244.82 |
| 82010 |
|
58 |
49 |
$238.75 |
| 94010 |
|
33 |
32 |
$230.85 |
| 76770 |
|
12 |
12 |
$222.95 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
525 |
410 |
$213.08 |
| 94799 |
|
31 |
16 |
$212.82 |
| 83615 |
|
32 |
27 |
$207.30 |
| 36600 |
|
34 |
29 |
$204.85 |
| 86200 |
|
14 |
13 |
$201.89 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
4,470 |
3,702 |
$192.83 |
| 73090 |
|
15 |
14 |
$158.14 |
| 73140 |
|
12 |
12 |
$129.15 |
| J2060 |
Injection, lorazepam, 2 mg |
618 |
543 |
$126.23 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
657 |
578 |
$122.63 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
634 |
507 |
$122.01 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,813 |
1,612 |
$109.11 |
| 95819 |
|
13 |
13 |
$104.63 |
| 76000 |
|
76 |
70 |
$103.50 |
| 76937 |
|
43 |
42 |
$93.85 |
| 89060 |
|
12 |
12 |
$92.64 |
| 82140 |
|
32 |
26 |
$84.90 |
| 82310 |
|
30 |
27 |
$79.99 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
34 |
31 |
$71.53 |
| 94760 |
|
140 |
113 |
$65.79 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
517 |
445 |
$60.27 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
14 |
14 |
$58.92 |
| 87077 |
|
12 |
12 |
$58.76 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
248 |
217 |
$57.48 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
28 |
15 |
$56.35 |
| 99153 |
Mod sedat endo service >5yrs |
26 |
26 |
$55.38 |
| A9698 |
Non-radioactive contrast imaging material, not otherwise classified, per study |
75 |
70 |
$49.60 |
| 84295 |
|
19 |
18 |
$42.25 |
| J2704 |
Injection, propofol, 10 mg |
1,867 |
1,685 |
$31.75 |
| J7050 |
Infusion, normal saline solution, 250 cc |
382 |
331 |
$30.46 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
51 |
43 |
$26.69 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,355 |
768 |
$24.49 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,717 |
1,534 |
$22.84 |
| 99152 |
|
14 |
14 |
$22.28 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
226 |
185 |
$18.01 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
29 |
27 |
$16.18 |
| 94761 |
|
13 |
13 |
$12.75 |
| J0295 |
Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm |
21 |
12 |
$8.25 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
204 |
156 |
$2.22 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
255 |
151 |
$2.20 |
| J1940 |
Injection, furosemide, up to 20 mg |
36 |
25 |
$0.65 |
| Q0243 |
Injection, casirivimab and imdevimab, 2400 mg |
12 |
12 |
$0.12 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
46 |
44 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
111 |
108 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
26 |
26 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
96 |
82 |
$0.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
17 |
12 |
$0.00 |
| C9290 |
Injection, bupivacaine liposome, 1 mg |
14 |
14 |
$0.00 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
18 |
12 |
$0.00 |