| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
45,887 |
38,463 |
$4.16M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
42,744 |
37,169 |
$2.37M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
20,639 |
16,175 |
$1.84M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
6,973 |
6,024 |
$1.82M |
| 70450 |
Computed tomography, head or brain; without contrast material |
10,648 |
9,221 |
$1.28M |
| G0378 |
Hospital observation service, per hour |
10,158 |
6,667 |
$995K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
19,963 |
3,687 |
$907K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
17,460 |
12,991 |
$460K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
814 |
631 |
$402K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
2,111 |
1,779 |
$391K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,091 |
1,845 |
$388K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
7,996 |
7,415 |
$252K |
| 93975 |
|
4,128 |
3,504 |
$144K |
| 70486 |
|
615 |
541 |
$131K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
622 |
553 |
$113K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
23,513 |
18,711 |
$90K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
335 |
269 |
$86K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
3,879 |
3,362 |
$85K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
7,353 |
2,222 |
$68K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,110 |
1,843 |
$67K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,797 |
1,685 |
$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 |
5,833 |
4,738 |
$53K |
| 76770 |
|
910 |
819 |
$51K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
3,248 |
2,869 |
$42K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
14,175 |
11,622 |
$38K |
| 71046 |
Radiologic examination, chest; 2 views |
9,677 |
8,671 |
$37K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,856 |
3,244 |
$35K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
6,732 |
5,465 |
$34K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,985 |
1,133 |
$30K |
| 80053 |
Comprehensive metabolic panel |
41,055 |
31,218 |
$29K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13,806 |
8,950 |
$29K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
5,921 |
5,146 |
$28K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
39,595 |
31,131 |
$28K |
| 71045 |
Radiologic examination, chest; single view |
24,716 |
19,966 |
$28K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
15,753 |
11,038 |
$27K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,133 |
1,736 |
$26K |
| 87186 |
|
1,445 |
1,249 |
$24K |
| 76830 |
Ultrasound, transvaginal |
1,374 |
1,217 |
$22K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,574 |
1,394 |
$21K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
521 |
475 |
$21K |
| 70498 |
|
49 |
39 |
$21K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,037 |
762 |
$20K |
| 85027 |
|
65,474 |
46,314 |
$19K |
| 99153 |
Mod sedat endo service >5yrs |
1,408 |
1,148 |
$17K |
| 73564 |
|
2,458 |
2,114 |
$14K |
| 95819 |
|
157 |
143 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
405 |
279 |
$14K |
| 74018 |
|
3,052 |
2,725 |
$13K |
| 87040 |
|
9,668 |
7,025 |
$11K |
| 83880 |
|
8,833 |
7,407 |
$11K |
| 84484 |
|
30,710 |
20,004 |
$11K |
| 93971 |
|
1,378 |
1,196 |
$10K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
1,254 |
1,071 |
$10K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
18,756 |
14,325 |
$9K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
71 |
69 |
$9K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
172 |
80 |
$9K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
4,585 |
3,845 |
$8K |
| 97163 |
|
372 |
307 |
$8K |
| 73130 |
|
1,698 |
1,496 |
$8K |
| 84703 |
|
14,739 |
12,091 |
$8K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
26,627 |
19,885 |
$8K |
| 73610 |
|
1,471 |
1,334 |
$7K |
| 93458 |
|
18 |
17 |
$7K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,562 |
2,321 |
$7K |
| 83690 |
|
18,062 |
14,449 |
$7K |
| 73630 |
|
1,783 |
1,598 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,565 |
2,325 |
$6K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
216 |
187 |
$6K |
| 96376 |
|
7,308 |
3,234 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
6,548 |
5,914 |
$6K |
| 81001 |
|
23,397 |
19,897 |
$6K |
| 72100 |
|
1,796 |
1,593 |
$6K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
322 |
182 |
$5K |
| 73502 |
|
631 |
560 |
$5K |
| 86923 |
|
592 |
472 |
$5K |
| 93970 |
|
641 |
530 |
$5K |
| 74019 |
|
1,124 |
1,048 |
$5K |
| 87486 |
|
1,158 |
1,060 |
$5K |
| 87581 |
|
1,159 |
1,060 |
$5K |
| 70491 |
|
13 |
12 |
$5K |
| 87430 |
|
2,451 |
2,336 |
$5K |
| 84702 |
|
4,274 |
3,529 |
$5K |
| 87070 |
|
2,517 |
2,303 |
$4K |
| 73030 |
|
1,630 |
1,385 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
11,018 |
5,004 |
$4K |
| 71250 |
|
16 |
14 |
$4K |
| 73110 |
|
442 |
389 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,448 |
2,617 |
$3K |
| 12011 |
|
141 |
127 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,528 |
1,308 |
$3K |
| 76870 |
|
57 |
51 |
$3K |
| 70496 |
|
15 |
13 |
$3K |
| 87400 |
|
2,768 |
2,131 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
476 |
332 |
$3K |
| 83605 |
|
4,980 |
3,632 |
$3K |
| 73080 |
|
296 |
258 |
$2K |
| 73090 |
|
352 |
311 |
$2K |
| 81025 |
|
5,516 |
4,792 |
$2K |
| 73590 |
|
366 |
330 |
$2K |
| 80076 |
|
11,745 |
9,262 |
$2K |
| 72131 |
|
14 |
12 |
$2K |
| 92523 |
|
15 |
13 |
$2K |
| 12001 |
|
124 |
113 |
$2K |
| 80047 |
|
14,148 |
11,082 |
$2K |
| 85730 |
|
15,291 |
12,291 |
$2K |
| 96368 |
|
847 |
731 |
$2K |
| 83735 |
|
8,528 |
6,316 |
$2K |
| 72072 |
|
359 |
316 |
$2K |
| 87077 |
|
1,840 |
1,645 |
$2K |
| 85610 |
|
22,184 |
17,429 |
$2K |
| 82805 |
|
1,198 |
939 |
$2K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
815 |
632 |
$2K |
| 12002 |
|
57 |
50 |
$2K |
| C1769 |
Guide wire |
1,254 |
957 |
$1K |
| 80061 |
Lipid panel |
2,358 |
1,713 |
$1K |
| 82550 |
|
12,969 |
10,458 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,757 |
2,145 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
5,737 |
4,383 |
$1K |
| 86140 |
|
3,256 |
2,811 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
342 |
281 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
5,329 |
3,516 |
$1K |
| 97162 |
|
130 |
98 |
$1K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
10,948 |
7,147 |
$1K |
| 36430 |
|
216 |
179 |
$1K |
| 84112 |
|
180 |
152 |
$1K |
| 82077 |
|
6,214 |
4,907 |
$1K |
| 86901 |
|
7,775 |
6,500 |
$1K |
| 86900 |
|
7,775 |
6,500 |
$1K |
| 10060 |
|
41 |
37 |
$1K |
| 85379 |
|
1,368 |
1,191 |
$1K |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
1,023 |
776 |
$958.58 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
14,450 |
10,709 |
$874.72 |
| 87808 |
|
395 |
361 |
$867.08 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
7,959 |
5,877 |
$859.49 |
| 82728 |
|
133 |
106 |
$832.83 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
10,080 |
5,777 |
$759.83 |
| 81003 |
|
6,733 |
5,810 |
$729.86 |
| 97167 |
|
17 |
15 |
$714.76 |
| 86850 |
|
4,959 |
4,120 |
$686.31 |
| 72050 |
|
107 |
101 |
$664.07 |
| J7050 |
Infusion, normal saline solution, 250 cc |
8,675 |
4,950 |
$647.42 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,644 |
1,937 |
$615.66 |
| 87205 |
|
2,256 |
1,901 |
$578.78 |
| 87420 |
|
474 |
456 |
$556.24 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,080 |
956 |
$555.37 |
| 84100 |
|
3,143 |
2,254 |
$529.72 |
| 29125 |
|
27 |
24 |
$527.80 |
| 71101 |
|
89 |
77 |
$515.82 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
141 |
124 |
$513.10 |
| 93017 |
|
837 |
648 |
$455.39 |
| 99152 |
|
748 |
614 |
$453.70 |
| P9016 |
Red blood cells, leukocytes reduced, each unit |
15 |
14 |
$450.91 |
| S0028 |
Injection, famotidine, 20 mg |
1,097 |
943 |
$403.08 |
| 97116 |
|
36 |
14 |
$387.32 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,302 |
931 |
$376.84 |
| 82330 |
|
659 |
500 |
$357.45 |
| 96367 |
|
40 |
29 |
$346.97 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
463 |
447 |
$343.11 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
1,634 |
1,084 |
$315.93 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
1,097 |
976 |
$307.11 |
| 82140 |
|
610 |
461 |
$298.20 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
1,075 |
681 |
$293.93 |
| 82248 |
|
2,232 |
1,763 |
$287.28 |
| 97161 |
|
41 |
34 |
$282.20 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
79 |
70 |
$262.88 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
833 |
714 |
$248.34 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
3,832 |
2,192 |
$238.33 |
| 73552 |
|
14 |
12 |
$237.17 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
991 |
864 |
$224.87 |
| 86920 |
|
54 |
43 |
$219.26 |
| J0456 |
Injection, azithromycin, 500 mg |
1,092 |
833 |
$213.55 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
1,059 |
644 |
$204.32 |
| 87088 |
|
756 |
648 |
$199.91 |
| 85651 |
|
942 |
782 |
$193.08 |
| 97168 |
|
16 |
14 |
$183.62 |
| J1644 |
Injection, heparin sodium, per 1000 units |
995 |
406 |
$173.98 |
| 80329 |
|
513 |
433 |
$172.20 |
| J1630 |
Injection, haloperidol, up to 5 mg |
3,670 |
2,669 |
$171.03 |
| J2060 |
Injection, lorazepam, 2 mg |
6,396 |
4,450 |
$166.98 |
| 84439 |
|
305 |
243 |
$166.05 |
| J1953 |
Injection, levetiracetam, 10 mg |
280 |
210 |
$140.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
2,428 |
2,041 |
$139.22 |
| 80069 |
|
48 |
28 |
$130.06 |
| 80074 |
|
59 |
30 |
$130.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
686 |
563 |
$108.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
984 |
747 |
$97.43 |
| J2704 |
Injection, propofol, 10 mg |
1,420 |
1,232 |
$94.80 |
| J1815 |
Injection, insulin, per 5 units |
2,948 |
1,203 |
$89.94 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
350 |
226 |
$78.10 |
| 74021 |
|
97 |
79 |
$77.46 |
| 84132 |
|
475 |
320 |
$75.28 |
| 92610 |
|
24 |
12 |
$64.15 |
| 73060 |
|
18 |
16 |
$62.16 |
| 95700 |
|
31 |
25 |
$55.39 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
383 |
132 |
$53.52 |
| 93320 |
|
43 |
37 |
$48.56 |
| J0692 |
Injection, cefepime hydrochloride, 500 mg |
55 |
41 |
$45.96 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
86 |
48 |
$35.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
374 |
315 |
$33.07 |
| J1790 |
Injection, droperidol, up to 5 mg |
133 |
118 |
$31.02 |
| J0295 |
Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm |
14 |
12 |
$27.36 |
| 93325 |
|
44 |
38 |
$23.37 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
31 |
28 |
$22.44 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
374 |
321 |
$15.24 |
| 82310 |
|
291 |
237 |
$14.08 |
| J0500 |
Injection, dicyclomine hcl, up to 20 mg |
15 |
13 |
$8.80 |
| 85045 |
|
147 |
111 |
$8.19 |
| 82553 |
|
607 |
399 |
$8.10 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,670 |
1,407 |
$6.73 |
| J1940 |
Injection, furosemide, up to 20 mg |
303 |
142 |
$6.16 |
| 85384 |
|
27 |
13 |
$5.79 |
| 83550 |
|
50 |
37 |
$4.78 |
| 83540 |
|
66 |
50 |
$3.89 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
439 |
363 |
$2.92 |
| 85007 |
|
328 |
285 |
$2.35 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,154 |
863 |
$1.78 |
| J3490 |
Unclassified drugs |
652 |
465 |
$0.17 |
| J3486 |
Injection, ziprasidone mesylate, 10 mg |
154 |
63 |
$0.00 |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
294 |
227 |
$0.00 |
| 87631 |
|
972 |
906 |
$0.00 |
| 90715 |
|
424 |
379 |
$0.00 |
| 99151 |
|
153 |
116 |
$0.00 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
168 |
136 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
113 |
68 |
$0.00 |
| 87150 |
|
29 |
24 |
$0.00 |
| G0383 |
Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) |
640 |
523 |
$0.00 |
| J1956 |
Injection, levofloxacin, 250 mg |
27 |
12 |
$0.00 |
| 90714 |
|
252 |
237 |
$0.00 |
| 82009 |
|
123 |
113 |
$0.00 |
| J0670 |
Injection, mepivacaine hydrochloride, per 10 ml |
15 |
13 |
$0.00 |
| 80320 |
|
4,711 |
3,693 |
$0.00 |
| A9270 |
Non-covered item or service |
13,571 |
4,691 |
$0.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
21 |
14 |
$0.00 |
| 86945 |
|
100 |
64 |
$0.00 |
| 86905 |
|
30 |
25 |
$0.00 |
| C1725 |
Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) |
28 |
24 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
24 |
14 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
222 |
126 |
$0.00 |
| 85660 |
|
13 |
12 |
$0.00 |
| J2785 |
Injection, regadenoson, 0.1 mg |
20 |
15 |
$0.00 |