| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
26,238 |
23,123 |
$3.74M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
18,550 |
15,849 |
$3.29M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
7,177 |
5,981 |
$2.44M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,121 |
4,786 |
$896K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,578 |
2,315 |
$519K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
6,387 |
5,401 |
$410K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,625 |
3,280 |
$410K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,673 |
883 |
$320K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,665 |
1,227 |
$312K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,804 |
3,588 |
$276K |
| 90832 |
Psychotherapy, 30 minutes with patient |
9,721 |
4,842 |
$265K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,337 |
3,702 |
$255K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,466 |
2,256 |
$242K |
| 71046 |
Radiologic examination, chest; 2 views |
4,270 |
3,772 |
$237K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,598 |
3,187 |
$223K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,167 |
1,929 |
$195K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,782 |
1,713 |
$193K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
549 |
502 |
$157K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
919 |
646 |
$119K |
| 71045 |
Radiologic examination, chest; single view |
1,971 |
1,713 |
$99K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,108 |
1,201 |
$84K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,234 |
1,983 |
$80K |
| 76641 |
|
726 |
686 |
$67K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
599 |
565 |
$59K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
294 |
269 |
$44K |
| 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 |
699 |
631 |
$43K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
44 |
43 |
$39K |
| 71250 |
|
518 |
492 |
$33K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
169 |
168 |
$28K |
| 82947 |
|
10,473 |
8,487 |
$25K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
275 |
253 |
$20K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,272 |
1,223 |
$18K |
| 93975 |
|
75 |
66 |
$17K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
45 |
40 |
$16K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,646 |
4,621 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,715 |
2,602 |
$13K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
159 |
112 |
$12K |
| 72100 |
|
365 |
343 |
$12K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
69 |
63 |
$11K |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
397 |
353 |
$8K |
| 76536 |
|
97 |
81 |
$7K |
| 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 |
92 |
90 |
$7K |
| 74018 |
|
219 |
173 |
$6K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
41 |
41 |
$6K |
| 94060 |
|
29 |
26 |
$5K |
| 73610 |
|
481 |
440 |
$5K |
| 73030 |
|
357 |
316 |
$5K |
| 73630 |
|
374 |
344 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$4K |
| 98968 |
|
119 |
62 |
$4K |
| 76830 |
Ultrasound, transvaginal |
43 |
37 |
$4K |
| 73564 |
|
170 |
152 |
$3K |
| 80051 |
|
7,971 |
6,379 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
16 |
16 |
$3K |
| 36592 |
|
1,163 |
629 |
$3K |
| 96367 |
|
44 |
24 |
$2K |
| 73130 |
|
73 |
65 |
$2K |
| 73502 |
|
78 |
69 |
$2K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
46 |
24 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13,749 |
10,174 |
$2K |
| 76770 |
|
17 |
14 |
$2K |
| 72141 |
|
12 |
12 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
17 |
13 |
$1K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
105 |
41 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
28 |
25 |
$983.65 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
638 |
454 |
$802.41 |
| 73110 |
|
39 |
39 |
$572.06 |
| 80053 |
Comprehensive metabolic panel |
1,323 |
769 |
$521.90 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
961 |
875 |
$446.38 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,324 |
872 |
$401.18 |
| 87400 |
|
1,294 |
1,129 |
$366.40 |
| 94726 |
|
17 |
15 |
$331.78 |
| 96376 |
|
699 |
570 |
$319.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
4,495 |
3,203 |
$310.90 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
618 |
508 |
$276.12 |
| 87468 |
|
219 |
188 |
$264.68 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,983 |
2,581 |
$206.71 |
| 36415 |
Collection of venous blood by venipuncture |
3,472 |
2,452 |
$203.34 |
| 82247 |
|
6,185 |
5,150 |
$196.60 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
247 |
211 |
$128.77 |
| 84460 |
|
6,182 |
5,139 |
$119.60 |
| 84075 |
|
6,176 |
5,142 |
$105.49 |
| 84450 |
|
6,187 |
5,141 |
$101.23 |
| 82565 |
|
11,023 |
8,783 |
$99.71 |
| 86618 |
|
531 |
460 |
$98.90 |
| 84484 |
|
2,882 |
2,211 |
$96.79 |
| J3490 |
Unclassified drugs |
6,200 |
3,307 |
$92.50 |
| 84520 |
|
10,988 |
8,768 |
$89.68 |
| 87081 |
|
387 |
342 |
$87.85 |
| 87420 |
|
87 |
84 |
$81.45 |
| 87469 |
|
219 |
188 |
$77.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
455 |
414 |
$73.58 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,060 |
3,633 |
$69.94 |
| 83690 |
|
3,691 |
3,130 |
$54.65 |
| 84132 |
|
3,040 |
2,441 |
$50.32 |
| 83735 |
|
3,156 |
2,533 |
$48.84 |
| 84295 |
|
3,035 |
2,440 |
$45.93 |
| 82374 |
|
3,034 |
2,440 |
$45.93 |
| 82435 |
|
3,035 |
2,440 |
$45.93 |
| 81001 |
|
3,465 |
3,002 |
$39.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
176 |
132 |
$35.25 |
| 83880 |
|
104 |
84 |
$33.89 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,266 |
1,511 |
$22.05 |
| 84703 |
|
2,636 |
2,242 |
$16.34 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,170 |
1,802 |
$15.64 |
| 76377 |
|
634 |
559 |
$15.05 |
| 83605 |
|
959 |
787 |
$12.15 |
| 82310 |
|
1,667 |
1,418 |
$10.73 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,121 |
3,916 |
$9.34 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,170 |
3,512 |
$6.53 |
| 81003 |
|
2,633 |
2,322 |
$5.60 |
| 82962 |
|
1,151 |
749 |
$5.26 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,742 |
1,552 |
$3.84 |
| 84100 |
|
279 |
243 |
$3.23 |
| 84443 |
Thyroid stimulating hormone (TSH) |
622 |
499 |
$2.29 |
| 87186 |
|
201 |
177 |
$1.37 |
| 87077 |
|
252 |
220 |
$1.29 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
197 |
158 |
$0.60 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
1,579 |
1,368 |
$0.00 |
| 81025 |
|
75 |
70 |
$0.00 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
766 |
683 |
$0.00 |
| 85380 |
|
214 |
189 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
203 |
154 |
$0.00 |
| 85610 |
|
482 |
402 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
71 |
54 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
583 |
376 |
$0.00 |
| 82977 |
|
132 |
108 |
$0.00 |
| 90714 |
|
14 |
14 |
$0.00 |
| 86900 |
|
14 |
14 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
30 |
26 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
48 |
43 |
$0.00 |
| 94729 |
|
58 |
54 |
$0.00 |
| 73140 |
|
13 |
12 |
$0.00 |
| 94727 |
|
16 |
15 |
$0.00 |
| 82077 |
|
616 |
498 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,923 |
1,355 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,690 |
839 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
260 |
194 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
1,798 |
1,636 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,258 |
1,107 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
264 |
176 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
14 |
14 |
$0.00 |
| G0378 |
Hospital observation service, per hour |
33 |
24 |
$0.00 |
| 85730 |
|
33 |
27 |
$0.00 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
77 |
64 |
$0.00 |
| 12001 |
|
42 |
38 |
$0.00 |
| 99443 |
|
16 |
15 |
$0.00 |
| 86850 |
|
14 |
14 |
$0.00 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
50 |
47 |
$0.00 |
| 87040 |
|
21 |
12 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
57 |
37 |
$0.00 |
| 82150 |
|
12 |
12 |
$0.00 |
| 86901 |
|
14 |
14 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
16 |
14 |
$0.00 |