| Code | Description | Claims | Beneficiaries | Total Paid |
| G0378 |
Hospital observation service, per hour |
1,143 |
1,085 |
$1.14M |
| 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 |
10,798 |
10,297 |
$922K |
| T1015 |
Clinic visit/encounter, all-inclusive |
9,045 |
3,166 |
$345K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
887 |
869 |
$79K |
| 80050 |
General health panel |
1,693 |
1,641 |
$78K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,736 |
546 |
$75K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
281 |
276 |
$62K |
| 80053 |
Comprehensive metabolic panel |
5,980 |
5,410 |
$60K |
| 80061 |
Lipid panel |
4,344 |
4,267 |
$60K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,379 |
1,345 |
$54K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,233 |
2,179 |
$49K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
379 |
374 |
$46K |
| 95800 |
|
471 |
451 |
$46K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
518 |
510 |
$40K |
| 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 |
4,225 |
4,035 |
$40K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
129 |
123 |
$36K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
171 |
166 |
$32K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,250 |
1,217 |
$32K |
| 36415 |
Collection of venous blood by venipuncture |
10,821 |
8,470 |
$31K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,872 |
4,959 |
$29K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
696 |
691 |
$29K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
25 |
24 |
$29K |
| 76830 |
Ultrasound, transvaginal |
575 |
561 |
$29K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,100 |
1,069 |
$26K |
| 97161 |
|
427 |
415 |
$25K |
| 81513 |
|
254 |
248 |
$24K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,658 |
3,585 |
$24K |
| 88142 |
|
1,375 |
1,358 |
$24K |
| 80081 |
|
255 |
255 |
$23K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
548 |
208 |
$22K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
440 |
407 |
$20K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
841 |
825 |
$20K |
| 87653 |
|
477 |
466 |
$20K |
| 97162 |
|
370 |
360 |
$19K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,667 |
1,546 |
$19K |
| 76641 |
|
318 |
313 |
$18K |
| 29580 |
|
197 |
75 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
453 |
379 |
$17K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
96 |
92 |
$17K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,112 |
2,012 |
$17K |
| 59025 |
Fetal non-stress test |
426 |
275 |
$17K |
| 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 |
375 |
342 |
$17K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
449 |
438 |
$16K |
| 84466 |
|
914 |
894 |
$16K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
446 |
432 |
$16K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,308 |
1,922 |
$14K |
| 86803 |
|
720 |
709 |
$14K |
| 87481 |
|
134 |
125 |
$14K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
826 |
802 |
$13K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
455 |
441 |
$13K |
| 82607 |
|
988 |
961 |
$13K |
| 84702 |
|
821 |
687 |
$12K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
817 |
794 |
$11K |
| 76536 |
|
213 |
206 |
$11K |
| 82728 |
|
878 |
859 |
$10K |
| 83970 |
|
257 |
248 |
$10K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,539 |
1,465 |
$10K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
299 |
292 |
$10K |
| 84439 |
|
1,154 |
1,119 |
$9K |
| 82570 |
|
1,284 |
1,176 |
$9K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
543 |
400 |
$8K |
| 83540 |
|
949 |
928 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
269 |
205 |
$8K |
| 87077 |
|
1,025 |
984 |
$8K |
| 72110 |
|
369 |
362 |
$8K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
264 |
158 |
$8K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
85 |
80 |
$8K |
| 93971 |
|
108 |
106 |
$8K |
| 85027 |
|
1,671 |
1,360 |
$7K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,290 |
1,185 |
$7K |
| 87186 |
|
858 |
823 |
$7K |
| 97597 |
|
289 |
190 |
$7K |
| 94729 |
|
244 |
241 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
530 |
522 |
$7K |
| 93017 |
|
196 |
187 |
$7K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
871 |
825 |
$7K |
| 83735 |
|
1,777 |
1,332 |
$7K |
| 77065 |
Tomosynthesis, mammo |
90 |
88 |
$7K |
| 77066 |
Tomosynthesis, mammo |
68 |
68 |
$6K |
| 86618 |
|
244 |
241 |
$6K |
| 82043 |
|
787 |
772 |
$6K |
| 94726 |
|
220 |
217 |
$6K |
| 87522 |
Neg quan hep c or qual rna |
140 |
129 |
$6K |
| 71250 |
|
87 |
87 |
$5K |
| 97164 |
|
140 |
137 |
$5K |
| 93226 |
|
131 |
130 |
$5K |
| 84146 |
|
200 |
195 |
$5K |
| 76770 |
|
122 |
120 |
$5K |
| 88304 |
|
631 |
622 |
$5K |
| 85610 |
|
1,731 |
1,343 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
600 |
455 |
$5K |
| 82746 |
|
396 |
384 |
$5K |
| 73221 |
|
16 |
16 |
$5K |
| 87340 |
|
308 |
301 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
75 |
74 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
60 |
60 |
$4K |
| 84403 |
|
157 |
151 |
$4K |
| 93296 |
|
407 |
399 |
$4K |
| 81001 |
|
1,743 |
1,662 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
56 |
52 |
$4K |
| 72050 |
|
149 |
144 |
$4K |
| 84481 |
|
169 |
160 |
$4K |
| 86038 |
|
228 |
227 |
$4K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
15 |
15 |
$4K |
| 84550 |
|
588 |
497 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
142 |
137 |
$3K |
| 86787 |
|
179 |
179 |
$3K |
| 80076 |
|
434 |
393 |
$3K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
60 |
59 |
$3K |
| 86592 |
|
773 |
751 |
$3K |
| 76801 |
|
77 |
74 |
$3K |
| 88342 |
|
70 |
70 |
$3K |
| 72141 |
|
13 |
13 |
$3K |
| 96376 |
|
865 |
431 |
$3K |
| 83721 |
|
271 |
265 |
$3K |
| 83001 |
|
163 |
163 |
$3K |
| 86850 |
|
419 |
384 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
260 |
242 |
$3K |
| 82784 |
|
158 |
154 |
$3K |
| 82248 |
|
586 |
506 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
51 |
47 |
$3K |
| 84153 |
|
126 |
125 |
$3K |
| 83615 |
|
394 |
312 |
$3K |
| 82950 |
|
361 |
347 |
$2K |
| 84156 |
|
610 |
492 |
$2K |
| 93225 |
|
131 |
130 |
$2K |
| 87070 |
|
365 |
348 |
$2K |
| 82565 |
|
495 |
430 |
$2K |
| 94060 |
|
240 |
237 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
90 |
89 |
$2K |
| 87512 |
|
52 |
50 |
$2K |
| 82947 |
|
1,057 |
604 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
951 |
499 |
$2K |
| 83880 |
|
130 |
120 |
$2K |
| 87799 |
|
23 |
22 |
$2K |
| 84134 |
|
119 |
111 |
$2K |
| 87081 |
|
350 |
340 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
716 |
500 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
24 |
24 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
42 |
41 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
149 |
142 |
$2K |
| J2785 |
Injection, regadenoson, 0.1 mg |
70 |
69 |
$2K |
| 86003 |
|
13 |
13 |
$2K |
| 85652 |
|
564 |
504 |
$2K |
| 86140 |
|
636 |
565 |
$2K |
| 84402 |
|
54 |
52 |
$2K |
| 87536 |
|
13 |
13 |
$2K |
| 77062 |
|
65 |
65 |
$1K |
| 93975 |
|
13 |
12 |
$1K |
| 85730 |
|
588 |
542 |
$1K |
| 83690 |
|
514 |
461 |
$1K |
| 73564 |
|
76 |
67 |
$1K |
| 82951 |
|
104 |
102 |
$1K |
| 86901 |
|
405 |
368 |
$1K |
| 84100 |
|
396 |
315 |
$1K |
| 86900 |
|
409 |
371 |
$1K |
| 80069 |
|
192 |
148 |
$1K |
| 86762 |
|
73 |
72 |
$1K |
| 87205 |
|
320 |
306 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
34 |
34 |
$1K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
273 |
174 |
$1K |
| 86431 |
|
154 |
153 |
$1K |
| 93970 |
|
16 |
16 |
$1K |
| 85018 |
|
369 |
355 |
$1K |
| 85014 |
|
361 |
349 |
$1K |
| 87150 |
|
29 |
29 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
25 |
$1K |
| 87493 |
|
27 |
26 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
508 |
395 |
$985.95 |
| 84520 |
|
289 |
236 |
$968.55 |
| 86480 |
|
13 |
13 |
$944.59 |
| 82550 |
|
198 |
162 |
$865.49 |
| 87147 |
|
187 |
183 |
$863.85 |
| 87427 |
|
65 |
65 |
$806.42 |
| 83655 |
|
72 |
68 |
$799.50 |
| 87040 |
|
233 |
213 |
$797.28 |
| 84484 |
|
753 |
567 |
$793.38 |
| 73502 |
|
43 |
39 |
$790.37 |
| 84112 |
|
15 |
12 |
$744.34 |
| 97014 |
|
36 |
14 |
$715.32 |
| 80055 |
|
53 |
53 |
$694.20 |
| 74018 |
|
51 |
48 |
$671.95 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$643.75 |
| 72040 |
|
40 |
39 |
$615.76 |
| 77061 |
|
25 |
25 |
$589.05 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$519.65 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
30 |
30 |
$513.60 |
| 82150 |
|
103 |
97 |
$497.68 |
| 87045 |
|
66 |
66 |
$456.90 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
12 |
12 |
$454.21 |
| 82247 |
|
59 |
37 |
$433.70 |
| 84425 |
|
61 |
54 |
$424.85 |
| 73030 |
|
27 |
26 |
$410.20 |
| 71045 |
Radiologic examination, chest; single view |
560 |
505 |
$395.49 |
| 85379 |
|
57 |
56 |
$366.62 |
| 82952 |
|
94 |
93 |
$331.55 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
322 |
202 |
$328.86 |
| 83516 |
|
13 |
13 |
$328.13 |
| 87046 |
|
66 |
66 |
$327.39 |
| 84478 |
|
71 |
53 |
$320.02 |
| 82670 |
|
13 |
13 |
$318.23 |
| 86376 |
|
41 |
41 |
$312.19 |
| 93000 |
|
37 |
32 |
$283.47 |
| 83002 |
|
17 |
17 |
$273.70 |
| J1644 |
Injection, heparin sodium, per 1000 units |
232 |
109 |
$269.17 |
| 80051 |
|
85 |
82 |
$259.98 |
| 83605 |
|
281 |
233 |
$249.21 |
| 84144 |
|
12 |
12 |
$238.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,404 |
928 |
$195.42 |
| 95819 |
|
14 |
14 |
$193.12 |
| 84460 |
|
24 |
13 |
$182.16 |
| 83525 |
|
15 |
12 |
$165.55 |
| 84450 |
|
20 |
12 |
$151.86 |
| 73630 |
|
12 |
12 |
$135.59 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
935 |
428 |
$133.06 |
| G0471 |
Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) |
42 |
29 |
$130.58 |
| 80178 |
|
12 |
12 |
$106.00 |
| 81003 |
|
39 |
39 |
$99.64 |
| 84145 |
|
24 |
13 |
$83.28 |
| 85049 |
|
24 |
24 |
$69.54 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
294 |
234 |
$66.70 |
| 84132 |
|
19 |
14 |
$55.80 |
| J1815 |
Injection, insulin, per 5 units |
375 |
147 |
$36.35 |
| A9270 |
Non-covered item or service |
85 |
24 |
$33.39 |
| J2704 |
Injection, propofol, 10 mg |
28 |
25 |
$26.70 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
175 |
160 |
$22.01 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
490 |
268 |
$21.57 |
| 96367 |
|
20 |
15 |
$5.82 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
868 |
543 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
86 |
62 |
$0.00 |
| 82805 |
|
31 |
13 |
$0.00 |
| G1010 |
Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program |
43 |
41 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
20 |
15 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
60 |
51 |
$0.00 |
| J3490 |
Unclassified drugs |
1,465 |
515 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
93 |
53 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
67 |
43 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
17 |
12 |
$0.00 |