| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
18,280 |
15,381 |
$2.22M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
11,086 |
8,823 |
$2.06M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,504 |
1,122 |
$607K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,241 |
1,680 |
$552K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,132 |
4,434 |
$437K |
| 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 |
7,817 |
6,223 |
$402K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,592 |
4,368 |
$325K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,533 |
1,109 |
$317K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
569 |
413 |
$265K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
4,382 |
2,434 |
$230K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
360 |
89 |
$116K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,991 |
3,678 |
$115K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
350 |
264 |
$114K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
2,252 |
1,220 |
$109K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,227 |
932 |
$108K |
| 71045 |
Radiologic examination, chest; single view |
3,840 |
2,932 |
$106K |
| 80053 |
Comprehensive metabolic panel |
17,718 |
13,489 |
$104K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
574 |
450 |
$82K |
| 85027 |
|
20,158 |
15,080 |
$71K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,312 |
680 |
$70K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
494 |
418 |
$64K |
| 71046 |
Radiologic examination, chest; 2 views |
1,262 |
953 |
$62K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
74 |
65 |
$58K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,284 |
931 |
$54K |
| 76830 |
Ultrasound, transvaginal |
407 |
350 |
$53K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,016 |
1,413 |
$52K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,493 |
1,743 |
$51K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
123 |
93 |
$50K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,981 |
4,072 |
$49K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,619 |
526 |
$47K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,657 |
1,746 |
$47K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,470 |
1,116 |
$46K |
| A0425 |
Ground mileage, per statute mile |
7,403 |
4,048 |
$45K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
662 |
500 |
$44K |
| 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 |
1,307 |
970 |
$41K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
139 |
104 |
$38K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,373 |
1,152 |
$38K |
| G0378 |
Hospital observation service, per hour |
155 |
49 |
$37K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
838 |
621 |
$34K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
523 |
182 |
$27K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
194 |
159 |
$27K |
| 73610 |
|
422 |
334 |
$24K |
| 80061 |
Lipid panel |
2,605 |
2,216 |
$22K |
| 73630 |
|
380 |
291 |
$22K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
992 |
853 |
$20K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
991 |
852 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
20,230 |
14,369 |
$18K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
54 |
39 |
$15K |
| 84702 |
|
1,272 |
944 |
$14K |
| 73030 |
|
166 |
121 |
$13K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
795 |
663 |
$13K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,996 |
1,679 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,354 |
1,152 |
$12K |
| 84484 |
|
3,148 |
1,939 |
$12K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
491 |
424 |
$11K |
| 12001 |
|
32 |
28 |
$11K |
| 93971 |
|
104 |
68 |
$11K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,261 |
1,813 |
$11K |
| 97597 |
|
159 |
66 |
$10K |
| 76820 |
|
137 |
103 |
$10K |
| 83690 |
|
2,722 |
2,116 |
$10K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
152 |
56 |
$10K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
784 |
342 |
$9K |
| 73130 |
|
138 |
115 |
$9K |
| 87077 |
|
1,019 |
805 |
$8K |
| G0410 |
Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes |
173 |
24 |
$8K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
37 |
24 |
$8K |
| 81001 |
|
5,222 |
4,098 |
$8K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,869 |
1,484 |
$8K |
| 83735 |
|
2,694 |
1,926 |
$8K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
18 |
12 |
$7K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,224 |
1,861 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
119 |
36 |
$7K |
| 87040 |
|
1,077 |
576 |
$7K |
| 97535 |
Self-care/home management training, each 15 minutes |
529 |
346 |
$7K |
| 97161 |
|
188 |
145 |
$7K |
| 10060 |
|
15 |
12 |
$7K |
| 96376 |
|
485 |
292 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
727 |
607 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
160 |
148 |
$6K |
| 82728 |
|
647 |
472 |
$6K |
| 83880 |
|
475 |
324 |
$6K |
| 83550 |
|
755 |
573 |
$5K |
| 71250 |
|
30 |
25 |
$5K |
| 87186 |
|
843 |
677 |
$5K |
| 83605 |
|
1,000 |
693 |
$5K |
| 87400 |
|
411 |
396 |
$5K |
| 82550 |
|
1,677 |
1,043 |
$5K |
| 85379 |
|
788 |
596 |
$4K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
77 |
39 |
$4K |
| 86803 |
|
430 |
380 |
$4K |
| 82553 |
|
1,484 |
902 |
$4K |
| 86850 |
|
485 |
373 |
$4K |
| 82607 |
|
549 |
453 |
$4K |
| 76801 |
|
28 |
25 |
$4K |
| 83540 |
|
863 |
659 |
$4K |
| 74018 |
|
62 |
39 |
$4K |
| 87081 |
|
864 |
705 |
$4K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
15 |
13 |
$4K |
| 84439 |
|
618 |
484 |
$4K |
| 73110 |
|
81 |
65 |
$3K |
| 87905 |
|
254 |
218 |
$3K |
| 87808 |
|
224 |
188 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
62 |
37 |
$3K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,782 |
1,153 |
$3K |
| 86140 |
|
770 |
594 |
$3K |
| G0177 |
Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) |
76 |
13 |
$3K |
| 86780 |
|
251 |
224 |
$2K |
| 85610 |
|
1,166 |
810 |
$2K |
| 73564 |
|
36 |
26 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$2K |
| 82746 |
|
250 |
199 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
387 |
245 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
18 |
12 |
$2K |
| 87420 |
|
181 |
149 |
$2K |
| 76536 |
|
14 |
12 |
$2K |
| 80076 |
|
272 |
234 |
$2K |
| 80143 |
|
131 |
104 |
$1K |
| 73140 |
|
17 |
12 |
$1K |
| 76942 |
|
25 |
15 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
77 |
56 |
$1K |
| 87340 |
|
166 |
137 |
$1K |
| 85652 |
|
684 |
518 |
$1K |
| 80179 |
|
119 |
94 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
38 |
28 |
$1K |
| 76770 |
|
32 |
24 |
$1K |
| 82043 |
|
334 |
278 |
$990.21 |
| 82784 |
|
77 |
66 |
$940.49 |
| 72100 |
|
14 |
12 |
$850.33 |
| 85730 |
|
299 |
217 |
$775.95 |
| 82570 |
|
297 |
236 |
$762.93 |
| 87205 |
|
279 |
218 |
$754.76 |
| C1726 |
Catheter, balloon dilatation, non-vascular |
17 |
13 |
$726.54 |
| 81003 |
|
854 |
736 |
$640.25 |
| 97035 |
|
23 |
12 |
$580.23 |
| 97162 |
|
19 |
12 |
$547.71 |
| 86618 |
|
59 |
51 |
$507.30 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
543 |
378 |
$449.23 |
| 88342 |
|
26 |
13 |
$413.35 |
| 85007 |
|
258 |
171 |
$412.57 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
36 |
27 |
$397.56 |
| 83516 |
|
32 |
24 |
$390.29 |
| 81025 |
|
98 |
91 |
$368.85 |
| 84100 |
|
181 |
100 |
$368.16 |
| 87522 |
Neg quan hep c or qual rna |
17 |
15 |
$357.24 |
| J7050 |
Infusion, normal saline solution, 250 cc |
261 |
196 |
$335.87 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
964 |
655 |
$330.06 |
| 87807 |
|
27 |
27 |
$285.66 |
| 86762 |
|
26 |
24 |
$254.60 |
| 73502 |
|
15 |
13 |
$246.20 |
| 87070 |
|
47 |
42 |
$232.57 |
| A9270 |
Non-covered item or service |
2,389 |
1,054 |
$226.21 |
| 87140 |
|
61 |
48 |
$226.03 |
| 84460 |
|
43 |
26 |
$215.72 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
47 |
36 |
$201.17 |
| 84146 |
|
15 |
14 |
$146.34 |
| 86038 |
|
19 |
14 |
$135.23 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,046 |
483 |
$122.30 |
| J2704 |
Injection, propofol, 10 mg |
656 |
406 |
$111.20 |
| J3490 |
Unclassified drugs |
888 |
583 |
$102.92 |
| 86906 |
|
15 |
12 |
$94.23 |
| 86900 |
|
39 |
26 |
$81.78 |
| 84450 |
|
26 |
13 |
$67.89 |
| 86901 |
|
24 |
14 |
$50.93 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
43 |
26 |
$0.49 |
| 82077 |
|
81 |
69 |
$0.00 |
| 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 |
16 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
14 |
14 |
$0.00 |