| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
63,935 |
58,548 |
$13.95M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
90,102 |
85,859 |
$13.56M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
20,559 |
18,326 |
$6.20M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
31,321 |
29,894 |
$2.55M |
| 41899 |
Unlisted procedure, dentoalveolar structures |
4,510 |
4,432 |
$2.08M |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
1,755 |
1,647 |
$1.79M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
20,225 |
17,550 |
$846K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
8,618 |
8,349 |
$681K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
502 |
477 |
$679K |
| G0378 |
Hospital observation service, per hour |
1,153 |
1,030 |
$634K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,314 |
1,127 |
$631K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
1,614 |
1,549 |
$554K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
904 |
795 |
$498K |
| 93304 |
|
1,919 |
1,822 |
$481K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
16,646 |
14,504 |
$435K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
9,983 |
9,488 |
$428K |
| 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 |
5,244 |
5,051 |
$371K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
45,427 |
37,522 |
$344K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
1,538 |
1,455 |
$321K |
| 93325 |
|
3,171 |
3,009 |
$289K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
8,256 |
8,075 |
$253K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
4,343 |
3,975 |
$252K |
| 71046 |
Radiologic examination, chest; 2 views |
7,364 |
6,995 |
$236K |
| 87076 |
|
6,057 |
5,810 |
$209K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
9,106 |
7,625 |
$197K |
| 80047 |
|
19,195 |
16,469 |
$194K |
| 59025 |
Fetal non-stress test |
7,135 |
5,276 |
$193K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,596 |
672 |
$193K |
| 93321 |
|
2,396 |
2,287 |
$173K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
908 |
804 |
$165K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
575 |
562 |
$155K |
| 80053 |
Comprehensive metabolic panel |
21,421 |
17,786 |
$148K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
160 |
158 |
$144K |
| 76770 |
|
870 |
847 |
$137K |
| 85027 |
|
19,329 |
15,957 |
$120K |
| 95812 |
|
444 |
440 |
$118K |
| 87581 |
|
1,621 |
1,551 |
$118K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
3,710 |
2,002 |
$118K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
276 |
253 |
$117K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12,478 |
10,592 |
$116K |
| 87486 |
|
1,621 |
1,551 |
$111K |
| 84484 |
|
6,363 |
4,123 |
$108K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
3,480 |
2,264 |
$75K |
| 70450 |
Computed tomography, head or brain; without contrast material |
902 |
805 |
$67K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
126 |
101 |
$59K |
| 74018 |
|
1,020 |
973 |
$59K |
| 52356 |
|
29 |
25 |
$52K |
| 83690 |
|
7,655 |
6,769 |
$51K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
100 |
91 |
$49K |
| 81025 |
|
9,150 |
8,434 |
$46K |
| 86141 |
|
2,453 |
2,337 |
$45K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,432 |
2,210 |
$44K |
| 42830 |
|
78 |
65 |
$42K |
| 81001 |
|
23,515 |
20,836 |
$39K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
466 |
441 |
$39K |
| 87430 |
|
3,078 |
2,977 |
$38K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,302 |
1,104 |
$38K |
| 71045 |
Radiologic examination, chest; single view |
2,704 |
2,369 |
$35K |
| 74019 |
|
1,313 |
1,264 |
$34K |
| 84702 |
|
1,634 |
1,419 |
$34K |
| 40830 |
|
16 |
16 |
$34K |
| 80076 |
|
7,900 |
6,918 |
$33K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
56 |
52 |
$32K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,189 |
2,825 |
$32K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,099 |
949 |
$31K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
9,263 |
7,283 |
$31K |
| 72082 |
|
250 |
239 |
$27K |
| 72081 |
|
383 |
373 |
$22K |
| 81003 |
|
11,865 |
10,798 |
$19K |
| 83735 |
|
3,028 |
2,533 |
$17K |
| 77336 |
|
369 |
144 |
$16K |
| L8699 |
Prosthetic implant, not otherwise specified |
847 |
826 |
$14K |
| 72170 |
|
254 |
248 |
$14K |
| 86900 |
|
2,327 |
1,950 |
$13K |
| 86850 |
|
1,339 |
1,094 |
$13K |
| 87634 |
|
293 |
292 |
$13K |
| 54161 |
|
12 |
12 |
$13K |
| 87081 |
|
1,269 |
1,238 |
$12K |
| 83605 |
|
1,277 |
1,074 |
$12K |
| 73100 |
|
203 |
174 |
$11K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
11,322 |
10,673 |
$11K |
| 74246 |
|
132 |
120 |
$11K |
| 86901 |
|
2,300 |
1,950 |
$10K |
| 77077 |
|
128 |
124 |
$10K |
| C1776 |
Joint device (implantable) |
20 |
13 |
$8K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
12 |
12 |
$8K |
| 77412 |
|
80 |
12 |
$8K |
| 83615 |
|
1,130 |
899 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
90 |
82 |
$8K |
| 73130 |
|
214 |
196 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
2,953 |
2,689 |
$7K |
| 54360 |
|
13 |
12 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
143 |
132 |
$6K |
| 82947 |
|
748 |
464 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
143 |
132 |
$6K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,754 |
3,301 |
$6K |
| 87800 |
|
224 |
202 |
$6K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
12 |
12 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,081 |
1,020 |
$5K |
| 85730 |
|
1,072 |
862 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
100 |
97 |
$5K |
| 93976 |
|
45 |
44 |
$5K |
| 96367 |
|
194 |
63 |
$5K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
31 |
12 |
$5K |
| 94010 |
|
90 |
90 |
$5K |
| 84550 |
|
1,016 |
820 |
$4K |
| 73610 |
|
82 |
77 |
$4K |
| 85610 |
|
1,166 |
942 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
40 |
38 |
$4K |
| 82570 |
|
911 |
767 |
$3K |
| 72100 |
|
106 |
99 |
$3K |
| 85014 |
|
1,549 |
1,362 |
$3K |
| 82731 |
|
123 |
118 |
$3K |
| C2625 |
Stent, non-coronary, temporary, with delivery system |
47 |
39 |
$3K |
| 84112 |
|
47 |
42 |
$3K |
| 85384 |
|
412 |
310 |
$3K |
| 76830 |
Ultrasound, transvaginal |
31 |
30 |
$3K |
| 73630 |
|
53 |
51 |
$3K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
36 |
36 |
$3K |
| 80061 |
Lipid panel |
465 |
440 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
15,858 |
14,335 |
$2K |
| 92611 |
|
13 |
13 |
$2K |
| J3490 |
Unclassified drugs |
17,215 |
9,847 |
$2K |
| 85007 |
|
1,120 |
710 |
$2K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
20 |
12 |
$2K |
| 95806 |
|
12 |
12 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
29 |
24 |
$2K |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
2,254 |
1,735 |
$2K |
| 36416 |
|
197 |
175 |
$2K |
| 84156 |
|
909 |
743 |
$1K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
4,008 |
3,400 |
$1K |
| 74247 |
|
13 |
13 |
$1K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
24 |
24 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
43 |
36 |
$1K |
| 87186 |
|
225 |
216 |
$1K |
| 73090 |
|
33 |
32 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
193 |
182 |
$1K |
| 87807 |
|
49 |
49 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
407 |
385 |
$1K |
| 87088 |
|
231 |
221 |
$1K |
| 77072 |
|
18 |
17 |
$923.66 |
| 82248 |
|
59 |
37 |
$910.19 |
| A9576 |
Injection, gadoteridol, (prohance multipack), per ml |
333 |
330 |
$886.62 |
| J2704 |
Injection, propofol, 10 mg |
17,572 |
15,821 |
$869.84 |
| 95816 |
|
15 |
12 |
$841.04 |
| 69210 |
|
24 |
24 |
$807.80 |
| 84100 |
|
166 |
144 |
$612.91 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
4,281 |
3,757 |
$577.85 |
| 87040 |
|
29 |
25 |
$576.87 |
| 80050 |
General health panel |
36 |
33 |
$576.75 |
| 72110 |
|
13 |
12 |
$573.76 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
6,254 |
5,948 |
$550.48 |
| 96523 |
|
52 |
37 |
$544.91 |
| 82962 |
|
151 |
91 |
$494.36 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
105 |
86 |
$441.74 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
437 |
188 |
$374.49 |
| 73080 |
|
12 |
12 |
$367.68 |
| 76801 |
|
13 |
12 |
$330.46 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
1,727 |
869 |
$318.61 |
| J7050 |
Infusion, normal saline solution, 250 cc |
15 |
13 |
$282.27 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,202 |
1,041 |
$273.05 |
| 96376 |
|
18 |
12 |
$268.92 |
| 94729 |
|
13 |
12 |
$232.95 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,618 |
2,334 |
$221.84 |
| 82728 |
|
64 |
56 |
$183.62 |
| 83550 |
|
73 |
67 |
$173.90 |
| 85652 |
|
68 |
65 |
$171.68 |
| 87070 |
|
282 |
255 |
$152.86 |
| 99406 |
|
16 |
14 |
$115.46 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
102 |
87 |
$110.56 |
| 85045 |
|
65 |
62 |
$105.33 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
474 |
430 |
$81.81 |
| 82565 |
|
17 |
12 |
$79.76 |
| 82607 |
|
13 |
12 |
$77.16 |
| 84439 |
|
13 |
13 |
$74.74 |
| 87075 |
|
132 |
123 |
$73.56 |
| 88304 |
|
189 |
189 |
$69.40 |
| 87205 |
|
213 |
188 |
$67.98 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
145 |
120 |
$64.23 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
102 |
74 |
$36.35 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
6,601 |
5,411 |
$26.81 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
428 |
350 |
$17.08 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
46 |
39 |
$14.97 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
12 |
12 |
$14.69 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
69 |
66 |
$2.97 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
15 |
13 |
$0.06 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
103 |
84 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
73 |
69 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
250 |
230 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
20 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,104 |
1,029 |
$0.00 |
| C9290 |
Injection, bupivacaine liposome, 1 mg |
31 |
26 |
$0.00 |
| C1769 |
Guide wire |
92 |
79 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12 |
12 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
64 |
63 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
29 |
28 |
$0.00 |
| 85018 |
|
42 |
42 |
$0.00 |
| 88342 |
|
13 |
13 |
$0.00 |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
91 |
90 |
$0.00 |
| J0694 |
Injection, cefoxitin sodium, 1 gm |
54 |
37 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
741 |
609 |
$0.00 |
| C1758 |
Catheter, ureteral |
50 |
41 |
$0.00 |
| 82365 |
|
14 |
12 |
$0.00 |
| J2800 |
Injection, methocarbamol, up to 10 ml |
20 |
13 |
$0.00 |
| 99152 |
|
197 |
165 |
$0.00 |
| J0136 |
Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg |
19 |
12 |
$0.00 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
42 |
14 |
$0.00 |