| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
73,849 |
68,067 |
$6.48M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
43,421 |
38,159 |
$3.27M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
14,879 |
14,028 |
$1.22M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,195 |
3,827 |
$667K |
| 80053 |
Comprehensive metabolic panel |
30,040 |
25,550 |
$598K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,550 |
5,530 |
$525K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
8,582 |
7,285 |
$518K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,576 |
3,235 |
$444K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
16,782 |
13,691 |
$435K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
3,695 |
3,487 |
$364K |
| 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 |
6,367 |
5,975 |
$311K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,129 |
2,821 |
$216K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,601 |
1,434 |
$211K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,784 |
1,250 |
$206K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
21,969 |
19,479 |
$174K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,553 |
1,444 |
$164K |
| 97597 |
|
4,435 |
1,785 |
$134K |
| 80306 |
|
7,180 |
6,154 |
$129K |
| 87070 |
|
8,259 |
7,880 |
$124K |
| G0378 |
Hospital observation service, per hour |
9,479 |
5,161 |
$114K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
2,634 |
2,062 |
$114K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
10,898 |
8,791 |
$112K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17,424 |
16,641 |
$106K |
| 71046 |
Radiologic examination, chest; 2 views |
6,645 |
6,154 |
$88K |
| 71045 |
Radiologic examination, chest; single view |
15,456 |
13,518 |
$81K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,421 |
1,244 |
$81K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
438 |
364 |
$64K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
948 |
761 |
$59K |
| 84702 |
|
5,992 |
4,856 |
$56K |
| 81025 |
|
10,528 |
9,772 |
$50K |
| 81003 |
|
18,103 |
16,012 |
$48K |
| 85027 |
|
51,284 |
41,249 |
$48K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
4,985 |
4,536 |
$45K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,903 |
1,522 |
$41K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
161 |
70 |
$41K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,168 |
2,046 |
$40K |
| 76818 |
|
1,553 |
1,151 |
$39K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,803 |
1,695 |
$38K |
| 76801 |
|
2,664 |
2,249 |
$35K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
869 |
452 |
$35K |
| 97163 |
|
1,046 |
896 |
$33K |
| 76830 |
Ultrasound, transvaginal |
1,831 |
1,713 |
$32K |
| 87210 |
|
5,167 |
4,744 |
$32K |
| 74018 |
|
1,267 |
1,165 |
$31K |
| 58661 |
|
103 |
94 |
$31K |
| 12001 |
|
548 |
508 |
$29K |
| 73610 |
|
1,545 |
1,460 |
$28K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,406 |
1,303 |
$27K |
| A9270 |
Non-covered item or service |
9,800 |
2,034 |
$27K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
16,128 |
13,473 |
$27K |
| 73130 |
|
1,559 |
1,425 |
$26K |
| 73562 |
|
1,624 |
1,458 |
$25K |
| 72131 |
|
1,270 |
1,054 |
$22K |
| 73030 |
|
1,423 |
1,226 |
$20K |
| 81001 |
|
5,215 |
4,675 |
$19K |
| 80047 |
|
1,503 |
1,297 |
$19K |
| 12011 |
|
302 |
287 |
$19K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,523 |
1,346 |
$19K |
| 73630 |
|
1,573 |
1,488 |
$18K |
| 84484 |
|
12,228 |
8,912 |
$17K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
7,816 |
7,408 |
$17K |
| C1769 |
Guide wire |
590 |
480 |
$16K |
| 87430 |
|
9,009 |
8,692 |
$15K |
| 84703 |
|
9,764 |
8,939 |
$14K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
8,723 |
8,022 |
$14K |
| 73110 |
|
853 |
807 |
$14K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
866 |
582 |
$13K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,922 |
560 |
$13K |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
571 |
480 |
$13K |
| 70486 |
|
361 |
321 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,636 |
2,160 |
$12K |
| 85610 |
|
6,710 |
5,553 |
$11K |
| 93017 |
|
521 |
436 |
$11K |
| 86850 |
|
2,323 |
1,992 |
$10K |
| 93971 |
|
687 |
633 |
$10K |
| 87040 |
|
1,681 |
1,290 |
$10K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,062 |
619 |
$10K |
| 85730 |
|
5,307 |
4,449 |
$9K |
| 83735 |
|
6,511 |
5,101 |
$8K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,327 |
4,077 |
$8K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,550 |
1,228 |
$8K |
| 72100 |
|
912 |
811 |
$8K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
16,476 |
13,792 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,415 |
1,229 |
$8K |
| 10060 |
|
121 |
117 |
$7K |
| 87807 |
|
1,770 |
1,706 |
$7K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
11,592 |
9,374 |
$6K |
| 80076 |
|
1,946 |
1,753 |
$6K |
| 72128 |
|
567 |
465 |
$6K |
| 73080 |
|
330 |
313 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,617 |
1,248 |
$5K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
7,668 |
6,580 |
$5K |
| J1644 |
Injection, heparin sodium, per 1000 units |
452 |
240 |
$5K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
576 |
443 |
$5K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,337 |
4,087 |
$5K |
| 73090 |
|
558 |
501 |
$5K |
| 00840 |
|
569 |
485 |
$5K |
| 76775 |
|
172 |
161 |
$4K |
| 97116 |
|
983 |
547 |
$4K |
| 86900 |
|
3,703 |
3,238 |
$4K |
| 97035 |
|
25 |
13 |
$4K |
| J1815 |
Injection, insulin, per 5 units |
2,030 |
936 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
6,373 |
4,741 |
$4K |
| 83880 |
|
2,847 |
2,465 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
8,107 |
6,898 |
$3K |
| 84112 |
|
231 |
205 |
$3K |
| 80061 |
Lipid panel |
2,124 |
1,775 |
$3K |
| J7050 |
Infusion, normal saline solution, 250 cc |
304 |
195 |
$3K |
| 80320 |
|
543 |
493 |
$3K |
| 73590 |
|
438 |
380 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,992 |
2,637 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,357 |
2,004 |
$3K |
| 70496 |
|
29 |
29 |
$3K |
| 12002 |
|
52 |
50 |
$3K |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
1,909 |
898 |
$3K |
| 85379 |
|
2,326 |
2,137 |
$3K |
| 29125 |
|
101 |
93 |
$3K |
| 99152 |
|
288 |
230 |
$2K |
| J2704 |
Injection, propofol, 10 mg |
453 |
365 |
$2K |
| 93458 |
|
16 |
13 |
$2K |
| 74022 |
|
72 |
70 |
$2K |
| 82550 |
|
1,685 |
1,224 |
$2K |
| 82731 |
|
113 |
103 |
$2K |
| 83690 |
|
9,899 |
8,974 |
$2K |
| 82553 |
|
852 |
575 |
$2K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,735 |
1,486 |
$2K |
| 73502 |
|
140 |
121 |
$2K |
| 82247 |
|
235 |
168 |
$2K |
| 72040 |
|
135 |
113 |
$2K |
| C1729 |
Catheter, drainage |
29 |
28 |
$2K |
| 58558 |
|
17 |
16 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
72 |
66 |
$1K |
| 96376 |
|
2,087 |
1,310 |
$1K |
| 72170 |
|
224 |
172 |
$1K |
| 74021 |
|
53 |
52 |
$1K |
| 88304 |
|
150 |
142 |
$1K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
4,952 |
3,744 |
$1K |
| 93970 |
|
146 |
123 |
$1K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
2,315 |
2,084 |
$1K |
| 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 |
147 |
122 |
$1K |
| C1725 |
Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) |
17 |
13 |
$1K |
| 83605 |
|
1,846 |
1,537 |
$1K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
463 |
386 |
$986.50 |
| 86140 |
|
893 |
800 |
$985.50 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
187 |
127 |
$868.57 |
| 85014 |
|
34 |
28 |
$844.03 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
4,229 |
3,640 |
$837.62 |
| 97162 |
|
63 |
55 |
$829.82 |
| 84132 |
|
499 |
387 |
$827.71 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
139 |
83 |
$820.27 |
| 82248 |
|
1,761 |
1,471 |
$816.06 |
| J2785 |
Injection, regadenoson, 0.1 mg |
288 |
245 |
$762.70 |
| 86901 |
|
3,679 |
3,214 |
$676.89 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
20 |
20 |
$676.06 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
1,035 |
894 |
$675.29 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
28 |
25 |
$626.71 |
| 82330 |
|
46 |
42 |
$610.74 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,808 |
1,327 |
$582.94 |
| 71250 |
|
30 |
24 |
$540.12 |
| 84100 |
|
633 |
505 |
$507.57 |
| J2060 |
Injection, lorazepam, 2 mg |
647 |
537 |
$503.02 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
65 |
47 |
$491.98 |
| 82077 |
|
1,297 |
1,088 |
$488.29 |
| 82570 |
|
317 |
280 |
$442.76 |
| 87147 |
|
173 |
171 |
$375.32 |
| 73060 |
|
63 |
52 |
$356.45 |
| 85651 |
|
651 |
575 |
$341.21 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
3,518 |
3,079 |
$340.43 |
| 82272 |
|
28 |
27 |
$287.26 |
| 70498 |
|
32 |
28 |
$283.53 |
| 82803 |
|
121 |
108 |
$277.18 |
| 84145 |
|
197 |
158 |
$275.64 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
12 |
12 |
$274.29 |
| 86308 |
|
14 |
14 |
$271.69 |
| 72190 |
|
110 |
78 |
$231.26 |
| 75574 |
|
14 |
14 |
$206.21 |
| J0500 |
Injection, dicyclomine hcl, up to 20 mg |
27 |
26 |
$180.00 |
| 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 |
1,799 |
1,598 |
$173.56 |
| 97166 |
|
22 |
12 |
$148.39 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
451 |
405 |
$96.47 |
| 84439 |
|
25 |
25 |
$90.15 |
| 00731 |
|
12 |
12 |
$90.00 |
| 88307 |
|
112 |
100 |
$69.94 |
| 90715 |
|
64 |
57 |
$39.71 |
| 97535 |
Self-care/home management training, each 15 minutes |
94 |
70 |
$26.31 |
| Q0177 |
Hydroxyzine pamoate, 25 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 |
224 |
179 |
$24.21 |
| G1003 |
Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program |
228 |
172 |
$21.65 |
| 82947 |
|
30 |
26 |
$10.29 |
| 84295 |
|
27 |
24 |
$7.35 |
| 84156 |
|
266 |
227 |
$6.49 |
| J2800 |
Injection, methocarbamol, up to 10 ml |
512 |
446 |
$6.48 |
| 83615 |
|
424 |
364 |
$2.95 |
| 84550 |
|
333 |
280 |
$1.48 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
2,802 |
2,681 |
$1.36 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
166 |
157 |
$0.00 |
| 73552 |
|
13 |
12 |
$0.00 |
| 88342 |
|
34 |
25 |
$0.00 |
| A6257 |
Transparent film, sterile, 16 sq. in. or less, each dressing |
19 |
12 |
$0.00 |
| 72072 |
|
13 |
12 |
$0.00 |
| 00952 |
|
43 |
42 |
$0.00 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
14 |
12 |
$0.00 |
| J0456 |
Injection, azithromycin, 500 mg |
14 |
12 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
41 |
36 |
$0.00 |
| 97167 |
|
66 |
54 |
$0.00 |
| L0140 |
Cervical, semi-rigid, adjustable (plastic collar) |
13 |
12 |
$0.00 |
| 90714 |
|
71 |
65 |
$0.00 |
| 85396 |
|
14 |
12 |
$0.00 |
| 73140 |
|
56 |
52 |
$0.00 |
| 88302 |
|
83 |
74 |
$0.00 |
| C1758 |
Catheter, ureteral |
28 |
28 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
53 |
40 |
$0.00 |
| 86703 |
|
13 |
12 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
29 |
29 |
$0.00 |