| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
10,637 |
10,276 |
$1.57M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,335 |
9,041 |
$995K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,189 |
8,002 |
$578K |
| G0378 |
Hospital observation service, per hour |
452 |
414 |
$322K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
3,543 |
2,304 |
$228K |
| 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 |
3,023 |
1,960 |
$192K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,009 |
986 |
$156K |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,629 |
973 |
$139K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,236 |
5,023 |
$139K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
16,935 |
15,486 |
$128K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
24,500 |
22,233 |
$112K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,642 |
1,467 |
$85K |
| 80050 |
General health panel |
1,655 |
1,639 |
$79K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,488 |
2,454 |
$74K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,452 |
739 |
$74K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,170 |
1,114 |
$69K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,274 |
4,167 |
$58K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,788 |
6,340 |
$58K |
| 80053 |
Comprehensive metabolic panel |
7,527 |
6,961 |
$57K |
| 80061 |
Lipid panel |
4,461 |
4,398 |
$56K |
| 95811 |
|
117 |
115 |
$50K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
188 |
182 |
$46K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
585 |
583 |
$46K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,799 |
2,489 |
$45K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
273 |
266 |
$42K |
| 80076 |
|
4,966 |
4,740 |
$39K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,118 |
1,067 |
$37K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,195 |
1,158 |
$35K |
| 87081 |
|
5,458 |
5,366 |
$32K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
168 |
165 |
$32K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
454 |
438 |
$30K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
423 |
411 |
$29K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,593 |
3,294 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
649 |
597 |
$27K |
| 71045 |
Radiologic examination, chest; single view |
3,709 |
3,515 |
$27K |
| 72141 |
|
129 |
128 |
$26K |
| 84484 |
|
3,118 |
2,814 |
$25K |
| 71046 |
Radiologic examination, chest; 2 views |
1,733 |
1,680 |
$24K |
| 81001 |
|
8,824 |
8,392 |
$22K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
797 |
735 |
$21K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
102 |
101 |
$21K |
| 76830 |
Ultrasound, transvaginal |
470 |
458 |
$19K |
| 0011A |
|
544 |
526 |
$19K |
| 0012A |
|
451 |
451 |
$19K |
| 87428 |
|
848 |
842 |
$18K |
| 83690 |
|
4,040 |
3,831 |
$18K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,690 |
2,527 |
$17K |
| 84466 |
|
1,135 |
1,105 |
$17K |
| 93971 |
|
259 |
246 |
$17K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
270 |
256 |
$16K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
304 |
270 |
$16K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
494 |
476 |
$16K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
334 |
332 |
$15K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
872 |
679 |
$15K |
| 82607 |
|
1,304 |
1,269 |
$14K |
| 73221 |
|
59 |
55 |
$14K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
433 |
425 |
$14K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
583 |
581 |
$14K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
151 |
146 |
$13K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,223 |
2,182 |
$13K |
| 86618 |
|
564 |
282 |
$13K |
| 59025 |
Fetal non-stress test |
1,435 |
947 |
$13K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
194 |
188 |
$13K |
| 97162 |
|
277 |
273 |
$13K |
| 77066 |
Tomosynthesis, mammo |
152 |
151 |
$12K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
109 |
109 |
$12K |
| 83735 |
|
2,236 |
1,964 |
$12K |
| 82728 |
|
1,110 |
1,068 |
$12K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
256 |
249 |
$11K |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
2,771 |
1,577 |
$11K |
| 97597 |
|
773 |
488 |
$10K |
| 93296 |
|
1,068 |
1,022 |
$10K |
| 76642 |
|
254 |
253 |
$10K |
| 84702 |
|
590 |
489 |
$9K |
| 76536 |
|
209 |
206 |
$9K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
426 |
422 |
$9K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,560 |
416 |
$9K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
50 |
48 |
$9K |
| 83540 |
|
1,159 |
1,125 |
$9K |
| 85730 |
|
1,687 |
1,554 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
843 |
642 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
189 |
180 |
$8K |
| 71250 |
|
154 |
149 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
155 |
152 |
$8K |
| 95806 |
|
119 |
119 |
$8K |
| 84153 |
|
318 |
316 |
$8K |
| 85027 |
|
1,321 |
1,210 |
$8K |
| 87150 |
|
181 |
181 |
$8K |
| 97164 |
|
207 |
201 |
$7K |
| 76775 |
|
206 |
202 |
$7K |
| 85610 |
|
2,891 |
2,217 |
$7K |
| 88342 |
|
240 |
227 |
$7K |
| 93017 |
|
260 |
254 |
$7K |
| 83970 |
|
205 |
200 |
$7K |
| 86803 |
|
337 |
335 |
$6K |
| 83880 |
|
266 |
252 |
$6K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
592 |
555 |
$6K |
| 97161 |
|
278 |
262 |
$6K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
1,541 |
1,438 |
$6K |
| 97010 |
|
719 |
207 |
$6K |
| 84439 |
|
742 |
733 |
$6K |
| 82746 |
|
509 |
488 |
$6K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
125 |
70 |
$5K |
| 87522 |
Neg quan hep c or qual rna |
134 |
131 |
$5K |
| 82043 |
|
682 |
674 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
18,456 |
15,250 |
$5K |
| 87040 |
|
655 |
335 |
$5K |
| 82570 |
|
745 |
716 |
$5K |
| 73610 |
|
265 |
259 |
$5K |
| 73564 |
|
248 |
238 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
325 |
296 |
$5K |
| 87186 |
|
788 |
740 |
$5K |
| 86038 |
|
315 |
309 |
$5K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
259 |
256 |
$4K |
| 93970 |
|
59 |
59 |
$4K |
| 77065 |
Tomosynthesis, mammo |
94 |
91 |
$4K |
| 96376 |
|
733 |
467 |
$4K |
| 74019 |
|
307 |
300 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
182 |
180 |
$4K |
| 84403 |
|
138 |
137 |
$4K |
| 86255 |
|
219 |
215 |
$4K |
| 80081 |
|
43 |
43 |
$4K |
| 82784 |
|
259 |
256 |
$4K |
| 0013A |
|
90 |
90 |
$4K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
393 |
116 |
$4K |
| 73030 |
|
278 |
273 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
182 |
180 |
$4K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
485 |
425 |
$4K |
| 73630 |
|
380 |
370 |
$4K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
356 |
129 |
$4K |
| 87340 |
|
245 |
242 |
$3K |
| 84481 |
|
143 |
143 |
$3K |
| 85379 |
|
358 |
348 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
92 |
87 |
$3K |
| 82550 |
|
512 |
500 |
$3K |
| 76801 |
|
75 |
71 |
$3K |
| 83615 |
|
446 |
381 |
$3K |
| 73130 |
|
256 |
249 |
$3K |
| 72110 |
|
147 |
145 |
$3K |
| 85652 |
|
1,042 |
909 |
$3K |
| 84146 |
|
128 |
124 |
$3K |
| 72100 |
|
139 |
138 |
$3K |
| 86762 |
|
194 |
194 |
$3K |
| A9576 |
Injection, gadoteridol, (prohance multipack), per ml |
347 |
230 |
$2K |
| 87077 |
|
497 |
467 |
$2K |
| 74018 |
|
226 |
209 |
$2K |
| 86140 |
|
1,032 |
850 |
$2K |
| 84436 |
|
301 |
299 |
$2K |
| 86850 |
|
366 |
344 |
$2K |
| 73502 |
|
144 |
143 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39 |
38 |
$2K |
| 86617 |
|
53 |
53 |
$2K |
| 84703 |
|
211 |
205 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
41 |
40 |
$2K |
| 87088 |
|
316 |
302 |
$2K |
| 82805 |
|
60 |
53 |
$2K |
| 86706 |
|
143 |
142 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
14 |
14 |
$2K |
| 83655 |
|
151 |
146 |
$2K |
| 83605 |
|
354 |
328 |
$2K |
| 86592 |
|
400 |
398 |
$2K |
| 82565 |
|
301 |
283 |
$2K |
| 82950 |
|
215 |
215 |
$2K |
| 82248 |
|
239 |
217 |
$1K |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
88 |
88 |
$1K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
98 |
96 |
$1K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
103 |
103 |
$1K |
| 87070 |
|
317 |
303 |
$1K |
| 84550 |
|
292 |
261 |
$1K |
| 84100 |
|
315 |
266 |
$1K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
71 |
69 |
$1K |
| 80164 |
|
102 |
92 |
$1K |
| 77080 |
|
27 |
27 |
$1K |
| 86431 |
|
163 |
161 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
538 |
462 |
$1K |
| J2785 |
Injection, regadenoson, 0.1 mg |
30 |
30 |
$1K |
| 73110 |
|
116 |
113 |
$1K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$1K |
| 85018 |
|
424 |
384 |
$1K |
| 85014 |
|
416 |
378 |
$1K |
| 86901 |
|
347 |
324 |
$1K |
| 86787 |
|
63 |
63 |
$1K |
| 86900 |
|
346 |
323 |
$1K |
| 82105 |
|
57 |
57 |
$1K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
30 |
29 |
$1K |
| 84520 |
|
231 |
224 |
$1K |
| 84480 |
|
137 |
136 |
$998.70 |
| 81025 |
|
457 |
442 |
$964.80 |
| 86480 |
|
15 |
15 |
$963.35 |
| 70486 |
|
15 |
15 |
$947.05 |
| 83001 |
|
52 |
52 |
$885.15 |
| 82948 |
|
1,204 |
585 |
$845.98 |
| 87147 |
|
253 |
245 |
$801.77 |
| 86800 |
|
39 |
39 |
$769.23 |
| 84425 |
|
104 |
100 |
$729.35 |
| 84402 |
|
25 |
25 |
$724.14 |
| 82525 |
|
59 |
57 |
$706.44 |
| 80055 |
|
130 |
130 |
$686.16 |
| 80177 |
|
58 |
57 |
$644.64 |
| 82140 |
|
173 |
143 |
$631.05 |
| 86225 |
|
44 |
44 |
$630.95 |
| 94729 |
|
24 |
24 |
$602.68 |
| 29125 |
|
26 |
25 |
$578.76 |
| 83921 |
|
43 |
43 |
$577.73 |
| 73562 |
|
42 |
42 |
$571.88 |
| 76870 |
|
14 |
13 |
$570.11 |
| 83516 |
|
226 |
223 |
$560.22 |
| 80069 |
|
85 |
73 |
$534.72 |
| 84590 |
|
43 |
41 |
$517.19 |
| 73590 |
|
35 |
35 |
$511.74 |
| 73080 |
|
45 |
42 |
$479.07 |
| 84460 |
|
81 |
78 |
$471.58 |
| 82977 |
|
59 |
55 |
$469.01 |
| 86665 |
|
21 |
16 |
$454.28 |
| 87075 |
|
91 |
86 |
$452.90 |
| 86376 |
|
52 |
52 |
$436.56 |
| 82274 |
|
155 |
155 |
$435.90 |
| 82947 |
|
139 |
135 |
$432.96 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,027 |
2,764 |
$409.14 |
| 86235 |
|
13 |
13 |
$406.44 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,364 |
1,040 |
$394.42 |
| 84165 |
|
26 |
26 |
$391.84 |
| A9270 |
Non-covered item or service |
1,329 |
734 |
$371.27 |
| 87205 |
|
167 |
157 |
$369.55 |
| Q3014 |
Telehealth originating site facility fee |
154 |
121 |
$369.29 |
| 84156 |
|
107 |
92 |
$352.65 |
| 87505 |
|
12 |
12 |
$338.91 |
| 72050 |
|
13 |
13 |
$323.97 |
| J3490 |
Unclassified drugs |
1,085 |
815 |
$320.86 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
12 |
$318.24 |
| 97165 |
|
31 |
29 |
$305.43 |
| 94726 |
|
12 |
12 |
$276.75 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
259 |
243 |
$273.66 |
| 83002 |
|
15 |
15 |
$266.22 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
42 |
28 |
$265.21 |
| 90715 |
|
25 |
24 |
$245.91 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
130 |
113 |
$224.99 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
4,342 |
3,801 |
$223.83 |
| 94060 |
|
25 |
25 |
$220.54 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,056 |
955 |
$205.79 |
| 84145 |
|
32 |
26 |
$191.45 |
| 86039 |
|
14 |
14 |
$186.27 |
| 96367 |
|
13 |
12 |
$173.90 |
| 86708 |
|
13 |
13 |
$170.93 |
| 84630 |
|
13 |
12 |
$166.34 |
| 82150 |
|
37 |
37 |
$157.50 |
| 93246 |
|
12 |
12 |
$155.98 |
| J1790 |
Injection, droperidol, up to 5 mg |
53 |
46 |
$153.13 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
61 |
59 |
$136.68 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
232 |
192 |
$127.54 |
| 84446 |
|
13 |
12 |
$125.10 |
| J3411 |
Injection, thiamine hcl, 100 mg |
51 |
40 |
$124.86 |
| J2060 |
Injection, lorazepam, 2 mg |
635 |
550 |
$119.15 |
| 80175 |
|
12 |
12 |
$110.28 |
| 84450 |
|
14 |
13 |
$89.14 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
790 |
728 |
$78.12 |
| S0028 |
Injection, famotidine, 20 mg |
17 |
12 |
$57.45 |
| 84132 |
|
28 |
25 |
$50.32 |
| 88304 |
|
60 |
59 |
$44.46 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
201 |
179 |
$42.52 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,157 |
1,110 |
$40.82 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
179 |
158 |
$38.95 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
142 |
133 |
$37.63 |
| J1644 |
Injection, heparin sodium, per 1000 units |
183 |
102 |
$32.99 |
| C9113 |
Injection, pantoprazole sodium, per vial |
74 |
56 |
$23.90 |
| J2704 |
Injection, propofol, 10 mg |
1,403 |
1,334 |
$21.29 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
406 |
338 |
$20.73 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
42 |
40 |
$17.19 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,098 |
997 |
$11.37 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
13 |
$11.00 |
| J3480 |
Injection, potassium chloride, per 2 meq |
15 |
14 |
$10.85 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
43 |
29 |
$7.92 |
| 3044F |
|
382 |
374 |
$4.83 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,027 |
977 |
$3.76 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
43 |
40 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
228 |
226 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
16 |
16 |
$0.00 |
| 3046F |
|
33 |
32 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
18 |
17 |
$0.00 |
| J0136 |
Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg |
585 |
555 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
57 |
52 |
$0.00 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
62 |
48 |
$0.00 |
| 3051F |
|
58 |
54 |
$0.00 |
| 93325 |
|
13 |
12 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
14 |
13 |
$0.00 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
197 |
190 |
$0.00 |
| 88341 |
|
28 |
24 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
443 |
429 |
$0.00 |
| 3052F |
|
13 |
13 |
$0.00 |
| J1815 |
Injection, insulin, per 5 units |
14 |
12 |
$0.00 |