| Code | Description | Claims | Beneficiaries | Total Paid |
| J9035 |
Injection, bevacizumab, 10 mg |
4,942 |
4,677 |
$9.29M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57,377 |
53,367 |
$6.84M |
| J0178 |
Injection, aflibercept, 1 mg |
7,483 |
7,102 |
$4.26M |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
6,849 |
6,444 |
$4.21M |
| 67028 |
Intravitreal injection of a pharmacologic agent |
23,587 |
22,234 |
$3.12M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28,042 |
26,078 |
$3.10M |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
2,129 |
2,102 |
$2.70M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
45,635 |
44,199 |
$2.53M |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
1,445 |
1,408 |
$2.22M |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
90,858 |
78,171 |
$1.86M |
| 31575 |
|
10,483 |
9,897 |
$1.74M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
17,406 |
16,455 |
$1.66M |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13,906 |
10,241 |
$1.47M |
| 31231 |
|
8,318 |
7,959 |
$1.42M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
10,109 |
9,839 |
$1.20M |
| 92557 |
|
18,624 |
18,005 |
$1.17M |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
2,507 |
1,938 |
$1.11M |
| V5261 |
Hearing aid, digital, binaural, bte |
1,278 |
1,217 |
$952K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
8,939 |
8,580 |
$868K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
7,926 |
7,689 |
$861K |
| 31237 |
|
1,028 |
909 |
$832K |
| 66982 |
|
1,443 |
1,370 |
$790K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
10,778 |
10,504 |
$740K |
| V5160 |
Dispensing fee, binaural |
1,446 |
1,408 |
$724K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,100 |
6,766 |
$712K |
| 92567 |
|
20,343 |
19,799 |
$653K |
| 31579 |
|
1,184 |
1,138 |
$552K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
2,892 |
2,793 |
$552K |
| 64612 |
|
1,773 |
1,709 |
$540K |
| 67228 |
|
798 |
736 |
$495K |
| 92134 |
|
51,281 |
47,924 |
$478K |
| J2778 |
Injection, ranibizumab, 0.1 mg |
1,028 |
969 |
$448K |
| 42830 |
|
240 |
239 |
$434K |
| 76512 |
|
6,628 |
5,678 |
$426K |
| 99215 |
Prolong outpt/office vis |
3,547 |
3,339 |
$370K |
| 70491 |
|
3,316 |
3,186 |
$358K |
| 68761 |
|
2,396 |
2,273 |
$341K |
| 70543 |
|
1,387 |
1,334 |
$315K |
| 92235 |
|
2,161 |
2,083 |
$252K |
| 70486 |
|
2,638 |
2,558 |
$250K |
| 92083 |
|
25,318 |
24,457 |
$236K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,927 |
1,829 |
$233K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
2,456 |
1,588 |
$222K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
2,710 |
2,530 |
$218K |
| C9257 |
Injection, bevacizumab, 0.25 mg |
6,137 |
5,776 |
$193K |
| 30520 |
|
221 |
214 |
$186K |
| 70480 |
|
2,043 |
1,946 |
$182K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,180 |
3,031 |
$181K |
| 92020 |
|
5,870 |
5,681 |
$172K |
| 92579 |
|
4,630 |
4,514 |
$167K |
| 69210 |
|
5,479 |
5,233 |
$166K |
| 92133 |
|
23,302 |
22,663 |
$155K |
| 92250 |
|
12,378 |
11,566 |
$153K |
| 74230 |
|
1,224 |
1,192 |
$141K |
| 92025 |
|
5,594 |
5,436 |
$136K |
| 92504 |
|
5,183 |
4,855 |
$132K |
| 30140 |
|
54 |
54 |
$118K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,219 |
1,147 |
$115K |
| 76536 |
|
1,594 |
1,532 |
$112K |
| 92555 |
|
1,605 |
1,567 |
$110K |
| V5266 |
Battery for use in hearing device |
2,913 |
2,861 |
$104K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,549 |
3,478 |
$95K |
| V5264 |
Ear mold/insert, not disposable, any type |
1,250 |
1,173 |
$91K |
| 92587 |
|
657 |
641 |
$90K |
| 92593 |
|
2,848 |
2,016 |
$85K |
| 99205 |
Prolong outpt/office vis |
766 |
746 |
$75K |
| 67113 |
|
41 |
39 |
$74K |
| V5020 |
Conformity evaluation |
1,679 |
1,139 |
$73K |
| 92582 |
|
2,311 |
2,259 |
$63K |
| 66821 |
|
200 |
194 |
$62K |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
11,991 |
10,829 |
$62K |
| 92585 |
|
227 |
211 |
$59K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
24,936 |
18,998 |
$57K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,739 |
1,214 |
$50K |
| 92285 |
|
5,386 |
5,136 |
$49K |
| 76514 |
|
3,830 |
3,715 |
$47K |
| 92595 |
|
1,331 |
860 |
$39K |
| 92524 |
|
449 |
442 |
$38K |
| 87070 |
|
4,368 |
3,993 |
$31K |
| 92136 |
|
6,023 |
5,816 |
$31K |
| 67108 |
|
12 |
12 |
$31K |
| J2704 |
Injection, propofol, 10 mg |
15,853 |
13,502 |
$30K |
| 92226 |
|
3,549 |
3,351 |
$27K |
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
466 |
424 |
$27K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
22,269 |
19,744 |
$27K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,208 |
4,651 |
$26K |
| V5011 |
Fitting/orientation/checking of hearing aid |
311 |
185 |
$26K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
16,259 |
14,217 |
$26K |
| J3473 |
Injection, hyaluronidase, recombinant, 1 usp unit |
648 |
602 |
$26K |
| G0378 |
Hospital observation service, per hour |
621 |
329 |
$25K |
| 92537 |
|
249 |
237 |
$25K |
| 92591 |
|
501 |
490 |
$21K |
| J7999 |
Compounded drug, not otherwise classified |
3,315 |
2,610 |
$21K |
| 65426 |
|
12 |
12 |
$20K |
| 92060 |
|
1,372 |
1,223 |
$20K |
| 66761 |
|
34 |
30 |
$18K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
975 |
937 |
$18K |
| 92201 |
|
2,549 |
2,468 |
$17K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
17,248 |
15,031 |
$16K |
| 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 |
268 |
253 |
$13K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
9,881 |
8,899 |
$13K |
| 69220 |
|
98 |
91 |
$13K |
| 87102 |
|
1,455 |
1,337 |
$13K |
| 92592 |
|
736 |
478 |
$13K |
| 88300 |
|
1,772 |
1,741 |
$13K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
247 |
157 |
$12K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,637 |
2,287 |
$10K |
| 92604 |
|
416 |
381 |
$10K |
| J7050 |
Infusion, normal saline solution, 250 cc |
890 |
603 |
$10K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
4,577 |
4,212 |
$10K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,202 |
3,965 |
$9K |
| 92540 |
|
357 |
344 |
$9K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
4,153 |
3,985 |
$9K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
75 |
69 |
$9K |
| 86480 |
|
285 |
273 |
$9K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
9,715 |
8,868 |
$9K |
| 87081 |
|
803 |
754 |
$9K |
| 92202 |
|
892 |
862 |
$8K |
| 87205 |
|
2,847 |
2,605 |
$8K |
| 66710 |
|
12 |
12 |
$7K |
| 92225 |
|
1,088 |
1,006 |
$7K |
| V5014 |
Repair/modification of a hearing aid |
295 |
289 |
$7K |
| 92652 |
|
104 |
104 |
$6K |
| 10005 |
|
15 |
15 |
$5K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
174 |
137 |
$5K |
| 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 |
255 |
241 |
$5K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
4,711 |
3,913 |
$4K |
| 92594 |
|
174 |
122 |
$4K |
| 87077 |
|
712 |
679 |
$4K |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
4,417 |
4,125 |
$4K |
| V2632 |
Posterior chamber intraocular lens |
4,789 |
4,520 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
25 |
$4K |
| 76516 |
|
174 |
157 |
$4K |
| 87186 |
|
596 |
563 |
$4K |
| V5241 |
Dispensing fee, monaural hearing aid, any type |
14 |
13 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,356 |
1,289 |
$3K |
| 92590 |
|
23 |
23 |
$3K |
| 86140 |
|
1,133 |
1,057 |
$3K |
| 92081 |
|
487 |
474 |
$3K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
149 |
146 |
$3K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
3,964 |
3,566 |
$3K |
| J0697 |
Injection, sterile cefuroxime sodium, per 750 mg |
995 |
926 |
$2K |
| 82164 |
|
315 |
299 |
$2K |
| 86617 |
|
261 |
248 |
$2K |
| 85652 |
|
1,651 |
1,537 |
$2K |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
1,455 |
1,404 |
$2K |
| 87075 |
|
377 |
358 |
$2K |
| J0173 |
Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg |
1,847 |
1,738 |
$2K |
| 92511 |
|
12 |
12 |
$2K |
| 88304 |
|
291 |
229 |
$1K |
| 92597 |
|
33 |
26 |
$1K |
| 92546 |
|
110 |
106 |
$1K |
| 86780 |
|
160 |
153 |
$1K |
| 85549 |
|
126 |
118 |
$1K |
| 86039 |
|
253 |
239 |
$1K |
| J1097 |
Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml |
40 |
37 |
$1K |
| L8699 |
Prosthetic implant, not otherwise specified |
281 |
270 |
$1K |
| 86592 |
|
436 |
416 |
$1K |
| 92015 |
Determination of refractive state |
2,327 |
2,112 |
$1K |
| ATP08 |
|
142 |
119 |
$1K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
45 |
26 |
$968.29 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
650 |
566 |
$830.53 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
27 |
24 |
$820.96 |
| 92626 |
|
12 |
12 |
$648.89 |
| 65222 |
|
14 |
13 |
$605.25 |
| 86481 |
|
14 |
12 |
$529.14 |
| 92553 |
|
13 |
13 |
$484.80 |
| 84443 |
Thyroid stimulating hormone (TSH) |
38 |
37 |
$363.45 |
| 36415 |
Collection of venous blood by venipuncture |
1,008 |
882 |
$341.59 |
| 85027 |
|
96 |
88 |
$327.75 |
| V5010 |
Assessment for hearing aid |
1,071 |
924 |
$322.50 |
| V2630 |
Anterior chamber intraocular lens |
1,049 |
985 |
$300.10 |
| 87206 |
|
100 |
94 |
$289.16 |
| 71250 |
|
44 |
44 |
$261.88 |
| 88342 |
|
40 |
39 |
$169.14 |
| 67820 |
|
69 |
63 |
$151.39 |
| 87285 |
|
13 |
12 |
$120.34 |
| Q3014 |
Telehealth originating site facility fee |
112 |
105 |
$107.61 |
| 82962 |
|
790 |
683 |
$102.82 |
| 88313 |
|
40 |
40 |
$93.23 |
| 80053 |
Comprehensive metabolic panel |
92 |
84 |
$88.40 |
| A4217 |
Sterile water/saline, 500 ml |
42 |
40 |
$78.69 |
| 85610 |
|
27 |
26 |
$77.14 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
14 |
12 |
$69.96 |
| A4263 |
Permanent, long term, non-dissolvable lacrimal duct implant, each |
28 |
27 |
$68.85 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
677 |
555 |
$66.22 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
384 |
370 |
$60.50 |
| 81025 |
|
13 |
12 |
$57.24 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
21 |
12 |
$51.74 |
| V2785 |
Processing, preserving and transporting corneal tissue |
26 |
25 |
$36.46 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
70 |
64 |
$27.02 |
| 82565 |
|
13 |
13 |
$5.29 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
78 |
50 |
$1.60 |
| J0688 |
Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg |
575 |
536 |
$0.00 |
| 80076 |
|
14 |
13 |
$0.00 |
| J2004 |
Injection, lidocaine hcl with epinephrine, 1 mg |
16 |
16 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
45 |
45 |
$0.00 |
| J3260 |
Injection, tobramycin sulfate, up to 80 mg |
20 |
15 |
$0.00 |
| C9447 |
Injection, phenylephrine and ketorolac, 4 ml vial |
12 |
12 |
$0.00 |
| J9999 |
Not otherwise classified, antineoplastic drugs |
41 |
39 |
$0.00 |
| L8509 |
Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type |
15 |
12 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
22 |
21 |
$0.00 |
| A4262 |
Temporary, absorbable lacrimal duct implant, each |
475 |
466 |
$0.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
41 |
38 |
$0.00 |
| G0268 |
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing |
219 |
219 |
$0.00 |
| 00142 |
|
13 |
13 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
12 |
12 |
$0.00 |
| 92082 |
|
16 |
13 |
$0.00 |