| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
22,328 |
20,071 |
$3.74M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
11,819 |
10,068 |
$2.10M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
10,623 |
9,887 |
$1.03M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,561 |
3,945 |
$777K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,567 |
3,847 |
$325K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,409 |
2,178 |
$314K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
4,567 |
4,361 |
$282K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,095 |
1,847 |
$214K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,134 |
2,740 |
$192K |
| G0378 |
Hospital observation service, per hour |
2,065 |
1,640 |
$182K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
7,281 |
4,861 |
$135K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
7,364 |
5,660 |
$125K |
| 80053 |
Comprehensive metabolic panel |
22,402 |
17,265 |
$122K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
8,929 |
7,613 |
$120K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
10,288 |
8,137 |
$117K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,721 |
2,819 |
$113K |
| 71045 |
Radiologic examination, chest; single view |
7,796 |
6,654 |
$102K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,601 |
1,087 |
$101K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,453 |
2,736 |
$98K |
| 59025 |
Fetal non-stress test |
1,719 |
1,188 |
$93K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
6,722 |
5,591 |
$90K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
23,114 |
17,394 |
$89K |
| 71046 |
Radiologic examination, chest; 2 views |
4,052 |
3,594 |
$81K |
| 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 |
1,530 |
1,358 |
$71K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
777 |
718 |
$57K |
| 84484 |
|
9,326 |
6,758 |
$57K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
648 |
560 |
$46K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
515 |
415 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,833 |
5,332 |
$38K |
| 82553 |
|
6,035 |
4,878 |
$36K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
4,659 |
1,163 |
$36K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,283 |
1,484 |
$36K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,656 |
1,505 |
$34K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,457 |
1,250 |
$33K |
| 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 |
505 |
459 |
$24K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,472 |
768 |
$24K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
174 |
158 |
$24K |
| 84703 |
|
7,019 |
6,212 |
$23K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
918 |
851 |
$22K |
| 96376 |
|
2,817 |
1,449 |
$22K |
| 83690 |
|
6,252 |
5,360 |
$21K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,785 |
1,544 |
$19K |
| 73564 |
|
788 |
712 |
$19K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
358 |
321 |
$19K |
| 73610 |
|
773 |
707 |
$18K |
| 87040 |
|
2,912 |
1,914 |
$18K |
| 83880 |
|
1,212 |
914 |
$18K |
| 81001 |
|
10,120 |
8,543 |
$17K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,864 |
3,173 |
$17K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
326 |
305 |
$16K |
| 83605 |
|
2,600 |
2,032 |
$15K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,941 |
1,857 |
$15K |
| 73630 |
|
804 |
729 |
$14K |
| 83735 |
|
4,553 |
3,634 |
$14K |
| 82550 |
|
6,379 |
5,152 |
$13K |
| APT15 |
|
1,209 |
975 |
$13K |
| S9123 |
Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) |
262 |
106 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
698 |
518 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
169 |
165 |
$12K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,989 |
1,686 |
$11K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,917 |
1,514 |
$11K |
| 80061 |
Lipid panel |
1,216 |
1,061 |
$11K |
| 93970 |
|
205 |
176 |
$9K |
| 82805 |
|
471 |
350 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
129 |
118 |
$9K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,161 |
1,453 |
$8K |
| 85379 |
|
1,791 |
1,578 |
$8K |
| 87186 |
|
1,762 |
1,542 |
$8K |
| 73030 |
|
292 |
248 |
$8K |
| 76801 |
|
123 |
104 |
$8K |
| 73130 |
|
344 |
314 |
$7K |
| 86140 |
|
2,268 |
1,889 |
$7K |
| 85730 |
|
2,890 |
2,368 |
$7K |
| 81003 |
|
6,033 |
5,309 |
$7K |
| 87077 |
|
1,622 |
1,422 |
$7K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
6,939 |
5,435 |
$7K |
| 85027 |
|
1,637 |
1,314 |
$6K |
| 73110 |
|
282 |
257 |
$6K |
| 85610 |
|
3,331 |
2,706 |
$6K |
| 84439 |
|
838 |
753 |
$6K |
| 82962 |
|
4,255 |
1,712 |
$6K |
| A0425 |
Ground mileage, per statute mile |
274 |
223 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
169 |
136 |
$6K |
| 36600 |
|
499 |
387 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
121 |
101 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
75 |
72 |
$5K |
| 97161 |
|
82 |
65 |
$5K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
614 |
176 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
825 |
680 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
6,252 |
4,163 |
$4K |
| 84702 |
|
1,078 |
838 |
$4K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
103 |
94 |
$4K |
| 74018 |
|
354 |
330 |
$4K |
| 97162 |
|
246 |
201 |
$4K |
| Q3014 |
Telehealth originating site facility fee |
139 |
111 |
$4K |
| 87634 |
|
165 |
154 |
$4K |
| S9124 |
Nursing care, in the home; by licensed practical nurse, per hour |
68 |
25 |
$4K |
| 82150 |
|
679 |
560 |
$3K |
| 86901 |
|
872 |
696 |
$3K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
29 |
28 |
$3K |
| 94664 |
|
333 |
190 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
83 |
$3K |
| 96367 |
|
387 |
305 |
$3K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,959 |
1,525 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
434 |
400 |
$3K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,027 |
1,476 |
$3K |
| J2704 |
Injection, propofol, 10 mg |
1,250 |
1,082 |
$3K |
| 96368 |
|
176 |
147 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,935 |
1,285 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
35 |
27 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
133 |
118 |
$2K |
| 82803 |
|
110 |
99 |
$2K |
| 87430 |
|
459 |
453 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
36 |
26 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
132 |
118 |
$1K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,460 |
5,279 |
$1K |
| 73590 |
|
19 |
14 |
$1K |
| 87070 |
|
464 |
438 |
$1K |
| 76770 |
|
15 |
15 |
$1K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
14 |
14 |
$1K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,513 |
1,258 |
$1K |
| 76813 |
|
12 |
12 |
$1K |
| 76820 |
|
14 |
12 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,021 |
1,734 |
$988.13 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
578 |
483 |
$954.36 |
| 29125 |
|
76 |
64 |
$952.63 |
| 84100 |
|
585 |
504 |
$942.87 |
| 72081 |
|
12 |
12 |
$914.23 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
82 |
27 |
$908.52 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
143 |
92 |
$875.58 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
606 |
218 |
$867.72 |
| 51702 |
|
87 |
80 |
$847.58 |
| 72110 |
|
25 |
25 |
$836.66 |
| 82608 |
|
88 |
80 |
$796.47 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
820 |
625 |
$774.09 |
| 71250 |
|
14 |
12 |
$723.05 |
| 85652 |
|
358 |
281 |
$722.87 |
| 73090 |
|
44 |
38 |
$702.22 |
| 74022 |
|
29 |
27 |
$700.73 |
| 82375 |
|
321 |
246 |
$670.41 |
| 90714 |
|
79 |
72 |
$655.89 |
| 87420 |
|
81 |
75 |
$649.02 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
634 |
471 |
$632.77 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
241 |
212 |
$596.68 |
| 86900 |
|
455 |
346 |
$596.30 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
28 |
27 |
$409.53 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
192 |
163 |
$409.22 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
18 |
14 |
$400.30 |
| 73560 |
|
33 |
28 |
$376.86 |
| 73502 |
|
14 |
12 |
$369.23 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,195 |
1,094 |
$320.39 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
47 |
13 |
$298.68 |
| 94760 |
|
517 |
196 |
$282.12 |
| 73140 |
|
25 |
24 |
$259.68 |
| 12001 |
|
13 |
13 |
$257.68 |
| 82746 |
|
30 |
27 |
$216.04 |
| 87088 |
|
65 |
61 |
$197.54 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
15 |
14 |
$182.70 |
| APT16 |
|
13 |
12 |
$159.39 |
| 82077 |
|
17 |
15 |
$139.46 |
| J7050 |
Infusion, normal saline solution, 250 cc |
465 |
245 |
$134.42 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
718 |
614 |
$133.73 |
| 82330 |
|
111 |
100 |
$127.95 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
339 |
293 |
$123.69 |
| 73080 |
|
14 |
14 |
$111.58 |
| C9113 |
Injection, pantoprazole sodium, per vial |
309 |
189 |
$101.75 |
| 82565 |
|
112 |
104 |
$91.30 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
29 |
27 |
$90.44 |
| 82247 |
|
20 |
14 |
$89.55 |
| J2060 |
Injection, lorazepam, 2 mg |
262 |
218 |
$77.67 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
177 |
146 |
$76.74 |
| 86885 |
|
13 |
13 |
$76.37 |
| 82728 |
|
14 |
13 |
$66.36 |
| Q0111 |
Wet mounts, including preparations of vaginal, cervical or skin specimens |
19 |
16 |
$55.44 |
| 86677 |
|
12 |
12 |
$54.54 |
| 84132 |
|
137 |
120 |
$51.28 |
| 83540 |
|
13 |
12 |
$40.84 |
| 82270 |
|
15 |
12 |
$40.00 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
50 |
43 |
$32.99 |
| 84295 |
|
113 |
99 |
$28.23 |
| 82947 |
|
112 |
99 |
$26.98 |
| 82435 |
|
96 |
86 |
$25.00 |
| 83615 |
|
16 |
14 |
$22.37 |
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
60 |
13 |
$14.23 |
| 1111F |
|
86 |
84 |
$0.22 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
57 |
52 |
$0.00 |
| 3078F |
|
42 |
31 |
$0.00 |
| 84145 |
|
106 |
84 |
$0.00 |
| 1160F |
|
18 |
17 |
$0.00 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
60 |
53 |
$0.00 |
| 85384 |
|
13 |
12 |
$0.00 |
| 1159F |
|
18 |
17 |
$0.00 |
| 3074F |
|
48 |
38 |
$0.00 |
| 3008F |
|
44 |
34 |
$0.00 |
| J3490 |
Unclassified drugs |
14 |
12 |
$0.00 |