| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
23,714 |
20,671 |
$3.26M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
19,732 |
17,384 |
$2.03M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
9,433 |
8,205 |
$337K |
| 59025 |
Fetal non-stress test |
3,760 |
2,943 |
$294K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,342 |
1,131 |
$224K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
3,230 |
1,244 |
$172K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,098 |
2,800 |
$101K |
| G0378 |
Hospital observation service, per hour |
415 |
333 |
$96K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
8,157 |
6,000 |
$79K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
748 |
685 |
$64K |
| 71045 |
Radiologic examination, chest; single view |
3,238 |
2,814 |
$40K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,718 |
1,593 |
$38K |
| 85027 |
|
18,067 |
15,349 |
$34K |
| 93976 |
|
892 |
778 |
$34K |
| 84484 |
|
4,057 |
3,256 |
$31K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
11,129 |
9,180 |
$28K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,844 |
1,590 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,556 |
6,457 |
$21K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14,606 |
12,490 |
$20K |
| 87480 |
|
1,755 |
1,566 |
$15K |
| 76801 |
|
569 |
488 |
$15K |
| 80053 |
Comprehensive metabolic panel |
6,428 |
5,453 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
941 |
809 |
$13K |
| 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 |
215 |
192 |
$12K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
70 |
63 |
$11K |
| 87510 |
|
1,179 |
1,051 |
$11K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
219 |
65 |
$10K |
| 85610 |
|
4,369 |
1,891 |
$10K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
720 |
581 |
$9K |
| 87660 |
|
1,179 |
1,051 |
$7K |
| 83690 |
|
2,218 |
1,921 |
$6K |
| 84702 |
|
783 |
628 |
$6K |
| 84112 |
|
262 |
242 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
566 |
483 |
$5K |
| 86850 |
|
1,159 |
1,012 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,064 |
961 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
398 |
376 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
398 |
376 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
3,828 |
3,185 |
$4K |
| 84703 |
|
987 |
907 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,178 |
1,018 |
$3K |
| 76830 |
Ultrasound, transvaginal |
146 |
130 |
$3K |
| 81001 |
|
7,320 |
6,245 |
$3K |
| 86900 |
|
1,260 |
1,102 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
42 |
39 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
779 |
668 |
$3K |
| 87799 |
|
1,731 |
1,188 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
58 |
52 |
$3K |
| 93017 |
|
115 |
102 |
$2K |
| 76857 |
|
106 |
97 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
57 |
52 |
$2K |
| 86901 |
|
1,260 |
1,102 |
$2K |
| 87497 |
|
1,396 |
1,133 |
$2K |
| 83880 |
|
346 |
283 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
61 |
24 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
121 |
110 |
$1K |
| 82570 |
|
439 |
386 |
$1K |
| 29581 |
|
31 |
12 |
$1K |
| 83735 |
|
2,698 |
2,076 |
$972.66 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
49 |
49 |
$917.85 |
| 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 |
49 |
45 |
$900.00 |
| 80197 |
|
2,249 |
1,712 |
$716.44 |
| 81025 |
|
335 |
314 |
$626.28 |
| 86832 |
|
39 |
37 |
$572.72 |
| 86833 |
|
39 |
37 |
$548.96 |
| 84156 |
|
452 |
387 |
$453.78 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
26 |
26 |
$290.10 |
| 80076 |
|
281 |
243 |
$280.59 |
| 80069 |
|
2,124 |
1,630 |
$280.12 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
85 |
82 |
$224.55 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
65 |
54 |
$81.42 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
193 |
166 |
$40.32 |
| 82150 |
|
13 |
12 |
$38.13 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
110 |
83 |
$29.64 |
| 87077 |
|
12 |
12 |
$27.21 |
| 81003 |
|
80 |
66 |
$25.06 |
| 85384 |
|
13 |
12 |
$22.50 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,205 |
1,068 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
388 |
247 |
$0.00 |
| A9270 |
Non-covered item or service |
1,320 |
726 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
50 |
39 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
70 |
51 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
71 |
54 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
47 |
38 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
36 |
25 |
$0.00 |
| C1769 |
Guide wire |
12 |
12 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
21 |
13 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
116 |
98 |
$0.00 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
12 |
12 |
$0.00 |