| Code | Description | Claims | Beneficiaries | Total Paid |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
310 |
256 |
$21K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
730 |
578 |
$20K |
| 59025 |
Fetal non-stress test |
370 |
167 |
$14K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
269 |
251 |
$13K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,285 |
1,148 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
260 |
248 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,546 |
2,150 |
$8K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,650 |
1,373 |
$8K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
241 |
132 |
$8K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
772 |
246 |
$8K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
888 |
848 |
$6K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
140 |
135 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
110 |
107 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
234 |
210 |
$5K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
234 |
210 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,245 |
993 |
$5K |
| 80081 |
|
96 |
85 |
$4K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,713 |
893 |
$4K |
| 80053 |
Comprehensive metabolic panel |
768 |
697 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
32 |
32 |
$4K |
| 97161 |
|
130 |
124 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
726 |
667 |
$3K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
46 |
42 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
754 |
688 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
45 |
45 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
328 |
302 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
49 |
45 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
228 |
205 |
$2K |
| 84484 |
|
431 |
335 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
801 |
667 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
649 |
563 |
$2K |
| 87653 |
|
106 |
85 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
169 |
165 |
$1K |
| 82077 |
|
211 |
188 |
$1K |
| 83880 |
|
123 |
117 |
$1K |
| 87088 |
|
364 |
320 |
$1K |
| 71250 |
|
34 |
34 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
91 |
85 |
$1K |
| 86901 |
|
136 |
125 |
$1K |
| 82947 |
|
425 |
288 |
$1K |
| J2785 |
Injection, regadenoson, 0.1 mg |
42 |
41 |
$965.87 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
994 |
888 |
$925.64 |
| 84443 |
Thyroid stimulating hormone (TSH) |
128 |
117 |
$923.51 |
| 81025 |
|
442 |
398 |
$906.72 |
| 90715 |
|
74 |
72 |
$879.56 |
| 94726 |
|
58 |
56 |
$858.03 |
| 80047 |
|
69 |
64 |
$770.54 |
| 80143 |
|
95 |
90 |
$770.16 |
| 80179 |
|
94 |
89 |
$727.85 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
59 |
58 |
$713.61 |
| 90686 |
|
44 |
43 |
$711.90 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
98 |
94 |
$646.42 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
661 |
612 |
$645.48 |
| 83690 |
|
331 |
293 |
$645.46 |
| 82677 |
|
58 |
44 |
$633.83 |
| 86850 |
|
146 |
128 |
$625.46 |
| 94729 |
|
57 |
55 |
$610.42 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
36 |
36 |
$581.00 |
| 12002 |
|
12 |
12 |
$567.50 |
| G0008 |
Administration of influenza virus vaccine |
44 |
43 |
$564.54 |
| 80061 |
Lipid panel |
125 |
117 |
$549.12 |
| 86900 |
|
132 |
121 |
$544.47 |
| 81003 |
|
655 |
560 |
$521.14 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
82 |
80 |
$499.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
121 |
94 |
$477.65 |
| 82105 |
|
74 |
58 |
$463.45 |
| 80076 |
|
130 |
118 |
$439.41 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
31 |
29 |
$429.61 |
| 82803 |
|
70 |
67 |
$409.20 |
| 86336 |
|
58 |
44 |
$399.49 |
| 81001 |
|
427 |
396 |
$394.20 |
| 84702 |
|
151 |
112 |
$385.82 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
183 |
148 |
$371.82 |
| 80074 |
|
27 |
26 |
$354.93 |
| 85610 |
|
197 |
180 |
$315.89 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
297 |
213 |
$308.63 |
| 93017 |
|
51 |
47 |
$303.32 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
46 |
28 |
$300.27 |
| 83605 |
|
91 |
85 |
$286.86 |
| 86592 |
|
179 |
140 |
$286.17 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
88 |
70 |
$266.37 |
| 94760 |
|
29 |
27 |
$259.22 |
| 85730 |
|
65 |
63 |
$257.02 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
520 |
404 |
$246.26 |
| 74018 |
|
52 |
49 |
$239.27 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
34 |
34 |
$231.54 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
867 |
749 |
$230.95 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
90 |
69 |
$229.76 |
| 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 |
837 |
812 |
$227.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
64 |
61 |
$223.01 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
352 |
321 |
$222.04 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
27 |
13 |
$219.27 |
| 87077 |
|
198 |
178 |
$215.54 |
| 94761 |
|
71 |
69 |
$203.56 |
| 97016 |
|
32 |
14 |
$172.90 |
| 87186 |
|
203 |
182 |
$165.21 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
96 |
92 |
$149.30 |
| A9270 |
Non-covered item or service |
253 |
170 |
$143.46 |
| 73030 |
|
18 |
16 |
$142.57 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
46 |
42 |
$141.32 |
| 87070 |
|
93 |
84 |
$138.62 |
| 87081 |
|
111 |
103 |
$135.14 |
| 87040 |
|
15 |
12 |
$132.75 |
| J1644 |
Injection, heparin sodium, per 1000 units |
128 |
94 |
$131.66 |
| 36600 |
|
13 |
12 |
$126.09 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
38 |
$122.99 |
| 87210 |
|
74 |
69 |
$113.10 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
309 |
268 |
$113.00 |
| 85379 |
|
42 |
41 |
$105.63 |
| 84439 |
|
30 |
27 |
$100.60 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
298 |
241 |
$98.32 |
| J2704 |
Injection, propofol, 10 mg |
308 |
282 |
$94.84 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
21 |
17 |
$89.89 |
| 76642 |
|
12 |
12 |
$74.36 |
| 87147 |
|
32 |
28 |
$73.90 |
| 83735 |
|
85 |
72 |
$72.15 |
| 97014 |
|
26 |
14 |
$69.24 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
104 |
100 |
$67.62 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
175 |
157 |
$62.88 |
| 85027 |
|
69 |
60 |
$60.50 |
| J1815 |
Injection, insulin, per 5 units |
41 |
28 |
$58.33 |
| 84703 |
|
47 |
46 |
$53.65 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,291 |
1,261 |
$51.31 |
| 72170 |
|
15 |
15 |
$47.67 |
| 80164 |
|
12 |
12 |
$43.90 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
43 |
42 |
$43.01 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
31 |
29 |
$35.88 |
| 87205 |
|
34 |
30 |
$30.50 |
| S0028 |
Injection, famotidine, 20 mg |
263 |
245 |
$27.71 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
64 |
58 |
$27.13 |
| J2060 |
Injection, lorazepam, 2 mg |
76 |
66 |
$25.70 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
181 |
139 |
$23.52 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
26 |
25 |
$22.35 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
16 |
14 |
$17.70 |
| 86140 |
|
54 |
50 |
$16.78 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
32 |
26 |
$10.88 |
| 83721 |
|
33 |
33 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
197 |
169 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
100 |
90 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$0.00 |
| 72131 |
|
14 |
13 |
$0.00 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
15 |
13 |
$0.00 |
| 84156 |
|
23 |
13 |
$0.00 |
| 97116 |
|
33 |
12 |
$0.00 |
| 36416 |
|
54 |
52 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
129 |
60 |
$0.00 |
| 96376 |
|
96 |
77 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
35 |
33 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
468 |
305 |
$0.00 |
| 74420 |
|
32 |
28 |
$0.00 |
| 93458 |
|
13 |
12 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
92 |
90 |
$0.00 |
| 94762 |
|
40 |
30 |
$0.00 |
| 99406 |
|
16 |
14 |
$0.00 |
| 73560 |
|
15 |
13 |
$0.00 |
| 93971 |
|
17 |
17 |
$0.00 |
| C1769 |
Guide wire |
18 |
17 |
$0.00 |