| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
45,988 |
40,893 |
$3.53M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
24,113 |
19,605 |
$1.30M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
11,679 |
10,797 |
$949K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
11,645 |
2,308 |
$675K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,079 |
2,689 |
$381K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
3,703 |
3,447 |
$358K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,762 |
3,064 |
$274K |
| 80053 |
Comprehensive metabolic panel |
18,655 |
14,474 |
$248K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
11,429 |
8,805 |
$221K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
5,113 |
4,224 |
$194K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,930 |
3,994 |
$184K |
| C1729 |
Catheter, drainage |
9,848 |
8,331 |
$161K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
7,998 |
7,470 |
$139K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
948 |
789 |
$109K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
6,871 |
6,441 |
$100K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
5,232 |
1,282 |
$92K |
| 81003 |
|
22,181 |
18,405 |
$78K |
| 36415 |
Collection of venous blood by venipuncture |
3,729 |
2,959 |
$77K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
671 |
583 |
$68K |
| 71046 |
Radiologic examination, chest; 2 views |
6,786 |
6,015 |
$65K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,655 |
1,301 |
$52K |
| 76801 |
|
1,014 |
842 |
$51K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,575 |
5,545 |
$50K |
| 93976 |
|
1,328 |
1,138 |
$44K |
| 97602 |
|
654 |
132 |
$43K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,493 |
1,294 |
$42K |
| 59025 |
Fetal non-stress test |
1,482 |
1,117 |
$42K |
| G0378 |
Hospital observation service, per hour |
2,370 |
1,732 |
$39K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
289 |
265 |
$36K |
| J7050 |
Infusion, normal saline solution, 250 cc |
2,097 |
1,194 |
$34K |
| A9270 |
Non-covered item or service |
9,768 |
2,716 |
$30K |
| 81025 |
|
8,354 |
7,239 |
$28K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
5,015 |
4,371 |
$26K |
| 87040 |
|
2,508 |
1,758 |
$25K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,231 |
3,004 |
$24K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
15,325 |
11,511 |
$23K |
| 71045 |
Radiologic examination, chest; single view |
7,124 |
5,701 |
$23K |
| 85027 |
|
32,840 |
24,408 |
$22K |
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
1,184 |
518 |
$22K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
2,095 |
1,994 |
$22K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
710 |
655 |
$21K |
| 84702 |
|
1,633 |
1,232 |
$20K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
500 |
141 |
$19K |
| 87070 |
|
1,012 |
905 |
$18K |
| 73610 |
|
985 |
915 |
$17K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
552 |
442 |
$17K |
| 74018 |
|
868 |
812 |
$17K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
10,821 |
7,909 |
$16K |
| 73630 |
|
1,198 |
1,097 |
$16K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
423 |
135 |
$15K |
| 73564 |
|
950 |
842 |
$15K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
766 |
484 |
$13K |
| 73130 |
|
713 |
656 |
$13K |
| 97162 |
|
402 |
341 |
$12K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
1,173 |
897 |
$10K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
538 |
491 |
$10K |
| 97161 |
|
374 |
339 |
$8K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
794 |
663 |
$8K |
| 85610 |
|
3,694 |
2,867 |
$7K |
| 73030 |
|
600 |
508 |
$7K |
| 73110 |
|
501 |
458 |
$7K |
| 85730 |
|
3,166 |
2,508 |
$7K |
| 80076 |
|
5,072 |
4,335 |
$7K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
147 |
111 |
$6K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
9,532 |
7,355 |
$6K |
| C1769 |
Guide wire |
107 |
80 |
$5K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,164 |
893 |
$5K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,144 |
2,431 |
$5K |
| 83735 |
|
8,600 |
6,501 |
$4K |
| 86850 |
|
1,292 |
1,113 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,365 |
3,633 |
$4K |
| 97164 |
|
179 |
141 |
$4K |
| 73080 |
|
159 |
149 |
$4K |
| J1644 |
Injection, heparin sodium, per 1000 units |
256 |
108 |
$4K |
| 12001 |
|
75 |
69 |
$3K |
| G0382 |
Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
129 |
110 |
$3K |
| 84484 |
|
4,383 |
3,089 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
6,005 |
4,778 |
$3K |
| 93971 |
|
137 |
121 |
$3K |
| 87210 |
|
357 |
336 |
$3K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,604 |
5,146 |
$3K |
| 83880 |
|
2,447 |
1,926 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
610 |
512 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,105 |
1,053 |
$2K |
| 86900 |
|
1,788 |
1,550 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,839 |
2,292 |
$2K |
| 84703 |
|
1,953 |
1,773 |
$2K |
| 87081 |
|
906 |
835 |
$2K |
| J1815 |
Injection, insulin, per 5 units |
269 |
124 |
$2K |
| 12011 |
|
60 |
57 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
6,352 |
4,886 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,361 |
2,772 |
$2K |
| 83605 |
|
1,507 |
1,203 |
$2K |
| 82962 |
|
52 |
42 |
$1K |
| 80061 |
Lipid panel |
1,478 |
1,192 |
$1K |
| 86901 |
|
1,839 |
1,594 |
$1K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,293 |
1,702 |
$1K |
| 83690 |
|
6,414 |
5,234 |
$1K |
| 87077 |
|
553 |
490 |
$1K |
| 74019 |
|
81 |
80 |
$1K |
| 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 |
592 |
519 |
$1K |
| 86140 |
|
367 |
304 |
$1K |
| J2060 |
Injection, lorazepam, 2 mg |
767 |
615 |
$955.86 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,429 |
1,133 |
$938.20 |
| 72100 |
|
156 |
140 |
$924.91 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
1,391 |
1,113 |
$900.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
778 |
649 |
$836.32 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
49 |
38 |
$817.84 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,127 |
898 |
$812.69 |
| 76830 |
Ultrasound, transvaginal |
14 |
13 |
$811.10 |
| 84439 |
|
639 |
531 |
$782.13 |
| 90715 |
|
554 |
481 |
$760.54 |
| 73090 |
|
27 |
24 |
$740.46 |
| 72170 |
|
22 |
16 |
$739.76 |
| 86769 |
|
1,483 |
1,411 |
$735.29 |
| 85378 |
|
1,025 |
921 |
$701.81 |
| 84100 |
|
779 |
574 |
$682.82 |
| 87045 |
|
50 |
39 |
$655.00 |
| 82950 |
|
59 |
53 |
$616.41 |
| 70486 |
|
42 |
37 |
$591.11 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,105 |
1,053 |
$565.35 |
| 80047 |
|
424 |
371 |
$418.03 |
| J2704 |
Injection, propofol, 10 mg |
58 |
43 |
$401.40 |
| 82270 |
|
28 |
26 |
$390.37 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
2,274 |
1,462 |
$348.27 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
698 |
547 |
$340.50 |
| G1003 |
Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program |
283 |
209 |
$330.60 |
| 82248 |
|
1,459 |
1,068 |
$329.84 |
| 86592 |
|
171 |
158 |
$320.21 |
| 86703 |
|
184 |
168 |
$300.72 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
18 |
13 |
$297.36 |
| 87088 |
|
1,612 |
1,366 |
$297.18 |
| 86762 |
|
91 |
86 |
$295.73 |
| 87186 |
|
1,755 |
1,509 |
$293.72 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
264 |
252 |
$230.86 |
| 73502 |
|
69 |
53 |
$210.58 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
12 |
$209.70 |
| 10060 |
|
13 |
12 |
$197.36 |
| 87340 |
|
176 |
157 |
$159.67 |
| 82550 |
|
278 |
200 |
$155.57 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
1,876 |
1,779 |
$138.28 |
| 96376 |
|
1,006 |
761 |
$134.35 |
| 87205 |
|
406 |
360 |
$77.70 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
12 |
$74.78 |
| 82570 |
|
100 |
83 |
$68.83 |
| 83020 |
|
16 |
14 |
$43.12 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
248 |
192 |
$37.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
224 |
152 |
$25.07 |
| S0028 |
Injection, famotidine, 20 mg |
103 |
83 |
$21.73 |
| 72131 |
|
15 |
14 |
$20.73 |
| 82105 |
|
13 |
12 |
$19.86 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
20 |
15 |
$11.40 |
| 82150 |
|
14 |
13 |
$6.97 |
| 84157 |
|
95 |
81 |
$6.09 |
| 85651 |
|
64 |
57 |
$1.98 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
612 |
516 |
$0.00 |
| 85018 |
|
14 |
12 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
75 |
67 |
$0.00 |
| 81001 |
|
192 |
168 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
14 |
12 |
$0.00 |
| 87449 |
|
15 |
12 |
$0.00 |
| 82803 |
|
28 |
26 |
$0.00 |
| 84132 |
|
15 |
14 |
$0.00 |
| J0500 |
Injection, dicyclomine hcl, up to 20 mg |
16 |
14 |
$0.00 |
| 82435 |
|
13 |
12 |
$0.00 |
| 82330 |
|
13 |
12 |
$0.00 |
| 88304 |
|
12 |
12 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
182 |
156 |
$0.00 |
| 73140 |
|
15 |
15 |
$0.00 |
| J0558 |
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units |
161 |
148 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
82 |
76 |
$0.00 |
| 87899 |
|
60 |
39 |
$0.00 |
| 84520 |
|
18 |
17 |
$0.00 |
| 82947 |
|
13 |
12 |
$0.00 |
| 82140 |
|
13 |
12 |
$0.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
14 |
13 |
$0.00 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
18 |
16 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
12 |
12 |
$0.00 |
| 84295 |
|
13 |
12 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
57 |
25 |
$0.00 |
| 82565 |
|
17 |
16 |
$0.00 |
| 73590 |
|
15 |
13 |
$0.00 |