| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
19,218 |
17,034 |
$2.40M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15,622 |
14,615 |
$1.82M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
5,762 |
4,526 |
$1.75M |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
9,272 |
8,191 |
$594K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,656 |
3,405 |
$379K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,892 |
1,973 |
$360K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,141 |
955 |
$334K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,304 |
1,102 |
$282K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
2,252 |
1,096 |
$246K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,063 |
2,816 |
$222K |
| 80053 |
Comprehensive metabolic panel |
26,350 |
21,330 |
$212K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,655 |
1,420 |
$196K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
838 |
722 |
$195K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,169 |
583 |
$185K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
831 |
504 |
$173K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
455 |
384 |
$164K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,291 |
621 |
$159K |
| 95886 |
|
706 |
611 |
$159K |
| 87081 |
|
4,830 |
4,489 |
$115K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
276 |
237 |
$86K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
899 |
550 |
$77K |
| 96367 |
|
740 |
458 |
$75K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,159 |
1,964 |
$58K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
31,763 |
25,050 |
$58K |
| 74018 |
|
1,006 |
880 |
$54K |
| 76830 |
Ultrasound, transvaginal |
395 |
362 |
$52K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,584 |
1,489 |
$52K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
190 |
164 |
$47K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
478 |
430 |
$46K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
205 |
183 |
$46K |
| G0378 |
Hospital observation service, per hour |
548 |
455 |
$40K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
61 |
50 |
$38K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,100 |
2,694 |
$38K |
| 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 |
216 |
214 |
$37K |
| 71046 |
Radiologic examination, chest; 2 views |
2,047 |
1,798 |
$37K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
821 |
756 |
$35K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,783 |
2,427 |
$34K |
| 80061 |
Lipid panel |
2,503 |
2,292 |
$31K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
325 |
300 |
$29K |
| H2020 |
Therapeutic behavioral services, per diem |
245 |
36 |
$28K |
| 82607 |
|
1,869 |
1,690 |
$25K |
| 36415 |
Collection of venous blood by venipuncture |
39,078 |
27,284 |
$25K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
85 |
80 |
$23K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,362 |
1,199 |
$23K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,965 |
2,247 |
$23K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
982 |
900 |
$22K |
| 82728 |
|
2,586 |
2,275 |
$22K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
125 |
108 |
$21K |
| J1756 |
Injection, iron sucrose, 1 mg |
622 |
259 |
$19K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
20 |
13 |
$19K |
| 97597 |
|
331 |
160 |
$19K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
10,037 |
8,554 |
$17K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,512 |
1,376 |
$17K |
| 81003 |
|
13,120 |
11,656 |
$17K |
| 84439 |
|
676 |
616 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
4,994 |
4,412 |
$15K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
58 |
54 |
$15K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
865 |
702 |
$14K |
| 83540 |
|
2,576 |
2,257 |
$13K |
| 97116 |
|
709 |
244 |
$13K |
| 97161 |
|
265 |
222 |
$12K |
| 71250 |
|
130 |
115 |
$11K |
| 84484 |
|
4,649 |
3,690 |
$11K |
| 97162 |
|
118 |
102 |
$11K |
| 97165 |
|
171 |
142 |
$10K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,497 |
5,670 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
49 |
37 |
$9K |
| 86140 |
|
649 |
530 |
$9K |
| 73630 |
|
444 |
389 |
$9K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,018 |
2,711 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
822 |
759 |
$9K |
| 36591 |
|
2,149 |
1,186 |
$8K |
| 85027 |
|
994 |
890 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
313 |
272 |
$8K |
| 84466 |
|
2,040 |
1,802 |
$8K |
| 86038 |
|
332 |
305 |
$8K |
| 76641 |
|
48 |
44 |
$8K |
| 84153 |
|
478 |
443 |
$8K |
| 74178 |
|
43 |
37 |
$7K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
14 |
12 |
$7K |
| 71271 |
|
44 |
40 |
$7K |
| 73030 |
|
365 |
303 |
$7K |
| 84145 |
|
1,246 |
1,058 |
$7K |
| 83735 |
|
3,318 |
2,359 |
$7K |
| 73130 |
|
310 |
260 |
$6K |
| 73610 |
|
429 |
379 |
$6K |
| 73564 |
|
312 |
274 |
$6K |
| 93971 |
|
66 |
58 |
$6K |
| 59025 |
Fetal non-stress test |
92 |
27 |
$6K |
| 82746 |
|
834 |
748 |
$5K |
| Q3014 |
Telehealth originating site facility fee |
378 |
359 |
$5K |
| 83550 |
|
484 |
419 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
222 |
211 |
$4K |
| 73110 |
|
278 |
231 |
$4K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,204 |
1,001 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
209 |
199 |
$3K |
| 83615 |
|
1,823 |
1,261 |
$3K |
| 83605 |
|
1,066 |
853 |
$3K |
| 82570 |
|
349 |
330 |
$3K |
| 72110 |
|
95 |
87 |
$3K |
| 85610 |
|
1,252 |
1,036 |
$3K |
| 87186 |
|
739 |
664 |
$3K |
| 85651 |
|
628 |
534 |
$3K |
| 84703 |
|
4,133 |
3,598 |
$3K |
| 82140 |
|
335 |
275 |
$3K |
| 82784 |
|
409 |
342 |
$3K |
| 80076 |
|
201 |
181 |
$3K |
| 87088 |
|
628 |
544 |
$3K |
| 76391 |
|
15 |
13 |
$3K |
| 86850 |
|
192 |
120 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,499 |
3,892 |
$3K |
| 73502 |
|
176 |
157 |
$3K |
| 82962 |
|
1,666 |
1,041 |
$3K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
3,862 |
1,668 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
12 |
$2K |
| 95819 |
|
18 |
15 |
$2K |
| 72100 |
|
59 |
56 |
$2K |
| 82378 |
|
614 |
439 |
$2K |
| 83880 |
|
748 |
593 |
$2K |
| 86900 |
|
277 |
175 |
$2K |
| 88142 |
|
154 |
148 |
$2K |
| 87510 |
|
89 |
86 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
23 |
12 |
$2K |
| 82043 |
|
325 |
307 |
$2K |
| 95912 |
|
246 |
227 |
$2K |
| H2012 |
Behavioral health day treatment, per hour |
50 |
13 |
$2K |
| 84550 |
|
298 |
263 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
514 |
449 |
$2K |
| 96417 |
|
63 |
37 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
12 |
$2K |
| 83690 |
|
1,758 |
1,465 |
$2K |
| 87480 |
|
89 |
86 |
$2K |
| 76536 |
|
14 |
14 |
$1K |
| 87040 |
|
582 |
421 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
15 |
$1K |
| 82077 |
|
516 |
413 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$1K |
| 82565 |
|
210 |
188 |
$1K |
| 82553 |
|
411 |
334 |
$1K |
| 96376 |
|
668 |
370 |
$1K |
| 87660 |
|
89 |
86 |
$1K |
| 94060 |
|
13 |
13 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
59 |
52 |
$1K |
| 85379 |
|
590 |
481 |
$990.03 |
| 87070 |
|
163 |
136 |
$901.20 |
| 82248 |
|
81 |
61 |
$806.65 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
646 |
478 |
$786.25 |
| 85730 |
|
555 |
479 |
$747.65 |
| 86901 |
|
277 |
175 |
$724.52 |
| 84100 |
|
174 |
155 |
$693.42 |
| 82550 |
|
509 |
408 |
$585.39 |
| 86706 |
|
28 |
24 |
$557.98 |
| 94727 |
|
12 |
12 |
$522.42 |
| 87205 |
|
160 |
133 |
$466.48 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,874 |
3,245 |
$459.34 |
| 83921 |
|
132 |
116 |
$421.28 |
| 86431 |
|
27 |
26 |
$410.50 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
6,622 |
5,345 |
$409.47 |
| 80143 |
|
155 |
133 |
$407.01 |
| 00731 |
|
124 |
107 |
$356.64 |
| 73080 |
|
18 |
12 |
$333.93 |
| 86592 |
|
30 |
28 |
$321.54 |
| 86364 |
|
17 |
15 |
$305.73 |
| 84436 |
|
41 |
38 |
$287.80 |
| 84403 |
|
24 |
24 |
$281.66 |
| 86003 |
|
21 |
13 |
$272.47 |
| 94729 |
|
12 |
12 |
$261.18 |
| 87077 |
|
22 |
13 |
$254.52 |
| 86231 |
|
15 |
13 |
$254.22 |
| 82525 |
|
13 |
13 |
$234.98 |
| 82785 |
|
15 |
13 |
$219.61 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
17 |
12 |
$210.08 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,069 |
2,223 |
$207.11 |
| 82105 |
|
14 |
13 |
$198.59 |
| 85014 |
|
40 |
16 |
$197.11 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
217 |
100 |
$188.79 |
| 88312 |
|
367 |
315 |
$186.41 |
| 80074 |
|
14 |
12 |
$177.39 |
| 80179 |
|
134 |
106 |
$177.10 |
| J2704 |
Injection, propofol, 10 mg |
1,973 |
1,647 |
$157.47 |
| 82803 |
|
331 |
264 |
$153.39 |
| 85045 |
|
153 |
127 |
$152.93 |
| 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 |
30 |
29 |
$125.00 |
| 90473 |
|
48 |
42 |
$116.67 |
| 85018 |
|
42 |
16 |
$115.63 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,023 |
1,166 |
$92.28 |
| 84702 |
|
15 |
12 |
$89.44 |
| 88313 |
|
488 |
402 |
$89.23 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
301 |
278 |
$88.10 |
| 84479 |
|
27 |
26 |
$80.04 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
119 |
75 |
$79.59 |
| 84156 |
|
20 |
12 |
$74.65 |
| 84165 |
|
33 |
26 |
$70.89 |
| 84155 |
|
35 |
28 |
$64.39 |
| A9270 |
Non-covered item or service |
2,862 |
529 |
$62.95 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
557 |
360 |
$57.45 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,948 |
1,410 |
$56.67 |
| 84520 |
|
14 |
12 |
$37.32 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
333 |
256 |
$31.67 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,173 |
577 |
$31.30 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
186 |
146 |
$28.81 |
| 86334 |
|
14 |
13 |
$28.40 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,173 |
1,882 |
$19.38 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
446 |
401 |
$16.50 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
398 |
250 |
$12.97 |
| 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 |
175 |
141 |
$12.09 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
31 |
24 |
$10.49 |
| 87075 |
|
27 |
25 |
$10.09 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
948 |
740 |
$5.11 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
289 |
201 |
$4.32 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
60 |
41 |
$3.27 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
95 |
55 |
$2.52 |
| 00811 |
|
103 |
82 |
$0.00 |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
21 |
14 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
15 |
12 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
13 |
12 |
$0.00 |
| 00813 |
|
174 |
154 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
45 |
27 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
39 |
26 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
31 |
30 |
$0.00 |
| 00126 |
|
14 |
12 |
$0.00 |