| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,186 |
10,896 |
$2.10M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
6,159 |
5,191 |
$1.27M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,458 |
18,815 |
$1.25M |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
3,704 |
3,216 |
$632K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,099 |
6,831 |
$540K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,076 |
785 |
$437K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,535 |
752 |
$300K |
| 87631 |
|
3,766 |
3,262 |
$271K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,005 |
776 |
$246K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,332 |
3,585 |
$210K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
8,359 |
2,820 |
$183K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
693 |
548 |
$158K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,398 |
2,704 |
$113K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,343 |
3,701 |
$107K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,562 |
2,209 |
$82K |
| 80053 |
Comprehensive metabolic panel |
10,683 |
8,250 |
$80K |
| G0378 |
Hospital observation service, per hour |
426 |
351 |
$73K |
| 99215 |
Prolong outpt/office vis |
806 |
470 |
$70K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13,706 |
9,742 |
$56K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,468 |
1,396 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
312 |
252 |
$41K |
| 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 |
506 |
443 |
$41K |
| 80306 |
|
2,583 |
2,054 |
$40K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
95 |
83 |
$39K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,448 |
2,088 |
$32K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,063 |
2,574 |
$31K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,595 |
1,615 |
$31K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,624 |
3,573 |
$30K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,796 |
779 |
$29K |
| 71046 |
Radiologic examination, chest; 2 views |
1,756 |
1,423 |
$26K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
892 |
740 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
156 |
148 |
$25K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
377 |
200 |
$24K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,441 |
623 |
$24K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
300 |
248 |
$23K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
827 |
697 |
$23K |
| 83880 |
|
2,378 |
1,858 |
$22K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
80 |
55 |
$22K |
| 90670 |
|
138 |
121 |
$21K |
| 80061 |
Lipid panel |
2,464 |
2,092 |
$20K |
| 81001 |
|
6,332 |
5,165 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
4,297 |
3,155 |
$19K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
298 |
267 |
$18K |
| 84484 |
|
3,726 |
2,694 |
$16K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,518 |
4,437 |
$15K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,697 |
2,288 |
$14K |
| 90686 |
|
982 |
840 |
$14K |
| 11721 |
|
2,203 |
774 |
$13K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
195 |
24 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,650 |
1,429 |
$10K |
| 73630 |
|
612 |
421 |
$10K |
| 84145 |
|
1,503 |
1,091 |
$10K |
| 20610 |
|
38 |
24 |
$9K |
| 81025 |
|
1,296 |
1,038 |
$9K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
43 |
24 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
76 |
71 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
22,486 |
14,175 |
$9K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,727 |
1,473 |
$8K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,439 |
3,136 |
$8K |
| 0002A |
|
288 |
203 |
$8K |
| 97162 |
|
243 |
217 |
$8K |
| 83690 |
|
1,945 |
1,615 |
$8K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
431 |
378 |
$7K |
| 83605 |
|
1,840 |
1,438 |
$7K |
| 93356 |
|
14 |
14 |
$7K |
| 87077 |
|
1,440 |
1,199 |
$7K |
| 85610 |
|
2,743 |
1,971 |
$6K |
| 0001A |
|
264 |
187 |
$6K |
| 87186 |
|
1,145 |
969 |
$6K |
| 73562 |
|
312 |
223 |
$6K |
| 99307 |
|
1,093 |
561 |
$5K |
| 11056 |
|
195 |
114 |
$5K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
31 |
26 |
$5K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
271 |
229 |
$5K |
| 85027 |
|
999 |
863 |
$5K |
| 83735 |
|
1,718 |
1,327 |
$4K |
| 87205 |
|
1,560 |
1,260 |
$4K |
| 87503 |
|
216 |
200 |
$4K |
| 82728 |
|
363 |
315 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
265 |
150 |
$3K |
| 82803 |
|
442 |
335 |
$3K |
| 86140 |
|
1,246 |
909 |
$3K |
| 84703 |
|
367 |
316 |
$3K |
| 82962 |
|
1,659 |
594 |
$3K |
| 90723 |
|
117 |
102 |
$3K |
| 91320 |
|
55 |
52 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
140 |
124 |
$3K |
| 90647 |
|
70 |
61 |
$3K |
| 86850 |
|
159 |
139 |
$2K |
| 90715 |
|
57 |
51 |
$2K |
| 87806 |
|
94 |
79 |
$2K |
| 87040 |
|
403 |
316 |
$2K |
| G0127 |
Trimming of dystrophic nails, any number |
197 |
117 |
$2K |
| 82570 |
|
417 |
329 |
$2K |
| 90680 |
|
30 |
25 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
349 |
314 |
$2K |
| 85379 |
|
382 |
302 |
$2K |
| 87420 |
|
96 |
88 |
$2K |
| 86803 |
|
139 |
124 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
25 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
23 |
12 |
$1K |
| 87634 |
|
23 |
21 |
$1K |
| 80050 |
General health panel |
106 |
94 |
$1K |
| 87070 |
|
163 |
141 |
$1K |
| 86780 |
|
129 |
109 |
$1K |
| 85730 |
|
513 |
424 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,585 |
1,918 |
$929.20 |
| 82607 |
|
92 |
83 |
$797.92 |
| 0124A |
|
84 |
80 |
$793.34 |
| 72100 |
|
14 |
13 |
$732.59 |
| 11720 |
|
180 |
112 |
$697.15 |
| 73030 |
|
86 |
65 |
$677.18 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
386 |
327 |
$619.68 |
| 74018 |
|
46 |
37 |
$606.10 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
37 |
25 |
$550.13 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,777 |
1,403 |
$547.72 |
| 0003A |
|
17 |
16 |
$547.12 |
| 87340 |
|
75 |
64 |
$512.16 |
| 73610 |
|
78 |
64 |
$491.74 |
| 99310 |
Prolong nursin fac eval 15m |
29 |
26 |
$434.55 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
178 |
146 |
$421.96 |
| 82565 |
|
164 |
122 |
$418.33 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,467 |
1,881 |
$398.82 |
| 80329 |
|
81 |
53 |
$385.47 |
| 99335 |
|
25 |
13 |
$340.92 |
| 85651 |
|
129 |
101 |
$334.62 |
| G0008 |
Administration of influenza virus vaccine |
267 |
199 |
$304.02 |
| 87220 |
|
75 |
65 |
$299.51 |
| 83540 |
|
57 |
54 |
$272.87 |
| 99334 |
|
30 |
14 |
$266.54 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
31 |
$249.78 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
21 |
21 |
$248.28 |
| 86900 |
|
121 |
104 |
$244.41 |
| 73502 |
|
15 |
14 |
$240.78 |
| 86901 |
|
121 |
105 |
$234.84 |
| 88142 |
|
16 |
13 |
$203.95 |
| 80320 |
|
356 |
274 |
$192.70 |
| 73110 |
|
16 |
12 |
$188.40 |
| 86762 |
|
15 |
13 |
$163.57 |
| 85018 |
|
51 |
43 |
$153.51 |
| 87905 |
|
15 |
13 |
$151.96 |
| 84460 |
|
48 |
39 |
$127.66 |
| 84153 |
|
14 |
12 |
$125.28 |
| 96376 |
|
227 |
145 |
$125.18 |
| 97161 |
|
12 |
12 |
$113.49 |
| 90662 |
|
62 |
46 |
$111.77 |
| 99441 |
|
26 |
13 |
$103.95 |
| 87081 |
|
35 |
28 |
$81.58 |
| 82043 |
|
16 |
12 |
$78.09 |
| J2704 |
Injection, propofol, 10 mg |
865 |
506 |
$76.68 |
| 85652 |
|
42 |
37 |
$75.33 |
| 94664 |
|
65 |
57 |
$69.63 |
| 82150 |
|
14 |
13 |
$60.30 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
610 |
341 |
$56.08 |
| 84439 |
|
17 |
12 |
$37.28 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,168 |
895 |
$36.28 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,691 |
1,277 |
$31.77 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
635 |
478 |
$23.80 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
308 |
185 |
$17.41 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
242 |
183 |
$8.58 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
233 |
189 |
$8.53 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
72 |
40 |
$8.15 |
| A9270 |
Non-covered item or service |
232 |
72 |
$6.21 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
33 |
24 |
$3.46 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
51 |
31 |
$2.80 |
| A4217 |
Sterile water/saline, 500 ml |
89 |
68 |
$0.00 |
| 91300 |
|
184 |
103 |
$0.00 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
14 |
14 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
13 |
13 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
17 |
12 |
$0.00 |