| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
21,917 |
20,384 |
$2.17M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
23,750 |
22,419 |
$1.90M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
9,764 |
8,898 |
$1.12M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
6,457 |
5,891 |
$293K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
9,418 |
8,066 |
$236K |
| 80053 |
Comprehensive metabolic panel |
30,678 |
26,692 |
$208K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
27,158 |
23,761 |
$128K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,992 |
1,928 |
$121K |
| 97597 |
|
6,552 |
3,296 |
$120K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,002 |
2,263 |
$115K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,124 |
4,214 |
$98K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
812 |
735 |
$89K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,116 |
1,069 |
$85K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
9,512 |
8,660 |
$83K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,625 |
2,245 |
$79K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,399 |
2,052 |
$79K |
| 70450 |
Computed tomography, head or brain; without contrast material |
757 |
676 |
$76K |
| 71045 |
Radiologic examination, chest; single view |
4,703 |
4,292 |
$70K |
| 36415 |
Collection of venous blood by venipuncture |
33,195 |
28,371 |
$65K |
| 71046 |
Radiologic examination, chest; 2 views |
3,138 |
2,804 |
$65K |
| 0240U |
|
667 |
575 |
$63K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
554 |
533 |
$62K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,446 |
1,593 |
$62K |
| 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 |
1,040 |
857 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,216 |
1,368 |
$59K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
509 |
476 |
$57K |
| J3490 |
Unclassified drugs |
16,801 |
7,244 |
$51K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,206 |
644 |
$50K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,314 |
2,168 |
$50K |
| 81025 |
|
7,197 |
6,727 |
$49K |
| 80050 |
General health panel |
1,005 |
969 |
$41K |
| 80061 |
Lipid panel |
3,130 |
2,970 |
$37K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,639 |
2,418 |
$35K |
| 83880 |
|
1,809 |
1,643 |
$31K |
| 84484 |
|
5,063 |
4,305 |
$31K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
124 |
116 |
$29K |
| 81001 |
|
13,677 |
12,063 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
581 |
452 |
$24K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,350 |
4,963 |
$22K |
| 74019 |
|
725 |
675 |
$19K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
287 |
240 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
737 |
507 |
$15K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
404 |
391 |
$15K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
404 |
391 |
$15K |
| 87088 |
|
2,437 |
2,253 |
$15K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
59 |
47 |
$14K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
59 |
53 |
$14K |
| 85027 |
|
2,264 |
2,125 |
$14K |
| 85730 |
|
4,372 |
3,837 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
221 |
207 |
$12K |
| 83690 |
|
2,405 |
2,206 |
$11K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
303 |
292 |
$11K |
| 85610 |
|
4,935 |
4,379 |
$10K |
| 87631 |
|
189 |
184 |
$10K |
| J2469 |
Injection, palonosetron hcl, 25 mcg |
261 |
127 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
798 |
441 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,120 |
1,044 |
$9K |
| 82553 |
|
1,438 |
1,296 |
$9K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,372 |
1,255 |
$7K |
| 83735 |
|
1,966 |
1,580 |
$7K |
| 99215 |
Prolong outpt/office vis |
145 |
108 |
$7K |
| 82550 |
|
1,906 |
1,715 |
$7K |
| 84439 |
|
833 |
786 |
$7K |
| 87449 |
|
511 |
474 |
$6K |
| 87400 |
|
982 |
486 |
$6K |
| 81003 |
|
4,299 |
3,719 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
109 |
91 |
$5K |
| 83605 |
|
755 |
607 |
$5K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
1,640 |
966 |
$4K |
| 82077 |
|
417 |
371 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
173 |
157 |
$3K |
| 96367 |
|
255 |
149 |
$3K |
| 82150 |
|
632 |
572 |
$3K |
| 87081 |
|
448 |
412 |
$3K |
| G0378 |
Hospital observation service, per hour |
37 |
14 |
$3K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
1,499 |
1,009 |
$3K |
| 80320 |
|
764 |
489 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
369 |
351 |
$2K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
912 |
455 |
$2K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,054 |
1,696 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
61 |
60 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
111 |
91 |
$2K |
| 96417 |
|
53 |
28 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
72 |
66 |
$2K |
| 80143 |
|
196 |
160 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
346 |
313 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
85 |
79 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
896 |
627 |
$2K |
| 84100 |
|
531 |
388 |
$1K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
972 |
784 |
$1K |
| 80179 |
|
117 |
106 |
$1K |
| 85651 |
|
296 |
276 |
$1K |
| 82728 |
|
120 |
106 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$1K |
| 87581 |
|
32 |
29 |
$982.52 |
| J2704 |
Injection, propofol, 10 mg |
3,100 |
2,539 |
$979.52 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
12 |
$893.60 |
| 72100 |
|
39 |
37 |
$851.40 |
| 83615 |
|
131 |
124 |
$830.86 |
| 85007 |
|
404 |
363 |
$791.52 |
| 74240 |
|
15 |
15 |
$741.40 |
| 82785 |
|
41 |
40 |
$736.00 |
| J1453 |
Injection, fosaprepitant, 1 mg |
41 |
25 |
$694.96 |
| 86803 |
|
57 |
51 |
$627.88 |
| 84550 |
|
130 |
124 |
$617.76 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
30 |
27 |
$537.51 |
| 80074 |
|
13 |
13 |
$523.93 |
| 17250 |
|
45 |
28 |
$508.32 |
| 87040 |
|
119 |
62 |
$507.01 |
| 82607 |
|
45 |
42 |
$497.36 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
15 |
13 |
$463.75 |
| A9150 |
Non-prescription drugs |
247 |
212 |
$433.77 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,490 |
1,265 |
$393.65 |
| 83540 |
|
93 |
79 |
$354.92 |
| 83550 |
|
64 |
54 |
$349.60 |
| 87077 |
|
63 |
49 |
$312.09 |
| 80329 |
|
147 |
68 |
$294.67 |
| 87070 |
|
77 |
65 |
$250.16 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
882 |
617 |
$248.21 |
| J7050 |
Infusion, normal saline solution, 250 cc |
28 |
24 |
$211.73 |
| 90715 |
|
12 |
12 |
$196.40 |
| 72070 |
|
12 |
12 |
$189.80 |
| 84436 |
|
33 |
33 |
$181.66 |
| 84479 |
|
33 |
33 |
$176.39 |
| 87075 |
|
45 |
41 |
$174.07 |
| 94761 |
|
28 |
13 |
$164.32 |
| 86140 |
|
26 |
25 |
$126.43 |
| 74248 |
|
15 |
15 |
$126.28 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
15 |
14 |
$119.68 |
| 87184 |
|
31 |
25 |
$115.35 |
| 84481 |
|
12 |
12 |
$114.84 |
| 80069 |
|
12 |
12 |
$95.48 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
13 |
12 |
$94.74 |
| A9698 |
Non-radioactive contrast imaging material, not otherwise classified, per study |
41 |
39 |
$89.36 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14 |
14 |
$88.77 |
| 82962 |
|
14 |
14 |
$74.98 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
191 |
91 |
$73.74 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
961 |
727 |
$62.01 |
| 82570 |
|
13 |
12 |
$56.98 |
| 82270 |
|
14 |
14 |
$38.76 |
| 84156 |
|
12 |
12 |
$36.70 |
| 87205 |
|
12 |
12 |
$21.35 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
76 |
67 |
$16.34 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
120 |
100 |
$16.03 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
54 |
45 |
$13.61 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
22 |
12 |
$0.00 |
| 02414 |
|
12 |
12 |
$0.00 |
| 02404 |
|
15 |
12 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,373 |
721 |
$0.00 |
| A9270 |
Non-covered item or service |
183 |
106 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
13 |
12 |
$0.00 |