| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
36,430 |
30,342 |
$4.85M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,311 |
6,714 |
$1.15M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
11,865 |
3,881 |
$1.15M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,522 |
4,143 |
$657K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,678 |
1,471 |
$430K |
| 80053 |
Comprehensive metabolic panel |
13,118 |
11,659 |
$425K |
| 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 |
4,603 |
3,911 |
$331K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,520 |
1,442 |
$277K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
395 |
393 |
$238K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,407 |
3,836 |
$209K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,574 |
1,472 |
$205K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
7,851 |
6,668 |
$189K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
662 |
647 |
$179K |
| 36415 |
Collection of venous blood by venipuncture |
13,322 |
11,619 |
$147K |
| 87581 |
|
1,613 |
1,585 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,226 |
1,154 |
$120K |
| 97161 |
|
1,266 |
1,253 |
$120K |
| 70450 |
Computed tomography, head or brain; without contrast material |
400 |
384 |
$117K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
5,405 |
1,941 |
$116K |
| D0120 |
Periodic oral evaluation - established patient |
3,149 |
2,436 |
$111K |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
4,558 |
3,894 |
$109K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
885 |
831 |
$105K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
581 |
495 |
$91K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,874 |
1,721 |
$86K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
117 |
115 |
$82K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
849 |
843 |
$79K |
| 90686 |
|
1,909 |
1,905 |
$78K |
| D1110 |
Prophylaxis - adult |
1,358 |
1,354 |
$74K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,193 |
1,167 |
$72K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,404 |
2,396 |
$65K |
| 36416 |
|
295 |
249 |
$65K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,416 |
1,393 |
$64K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,852 |
1,455 |
$63K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,650 |
1,623 |
$63K |
| 71046 |
Radiologic examination, chest; 2 views |
1,971 |
1,919 |
$60K |
| 97597 |
|
209 |
103 |
$54K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,753 |
1,582 |
$49K |
| 76830 |
Ultrasound, transvaginal |
487 |
473 |
$46K |
| 90834 |
Psychotherapy, 45 minutes with patient |
223 |
189 |
$45K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17,048 |
14,543 |
$40K |
| 80061 |
Lipid panel |
4,412 |
4,367 |
$38K |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,440 |
5,311 |
$37K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
429 |
429 |
$35K |
| 86900 |
|
666 |
641 |
$34K |
| 87800 |
|
1,608 |
1,580 |
$32K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,644 |
1,617 |
$30K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
1,049 |
1,046 |
$28K |
| 90715 |
|
726 |
725 |
$26K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,415 |
3,377 |
$24K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
70 |
67 |
$20K |
| 73560 |
|
376 |
360 |
$20K |
| 90836 |
|
216 |
184 |
$19K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
586 |
538 |
$18K |
| 90648 |
|
433 |
432 |
$18K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,586 |
1,391 |
$17K |
| 84703 |
|
1,928 |
1,808 |
$15K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
254 |
251 |
$15K |
| 84439 |
|
2,074 |
2,026 |
$14K |
| 82607 |
|
1,681 |
1,670 |
$13K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
921 |
916 |
$13K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
319 |
317 |
$12K |
| 73610 |
|
387 |
347 |
$12K |
| 97803 |
|
133 |
131 |
$11K |
| 73030 |
|
294 |
279 |
$11K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,272 |
1,223 |
$11K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
110 |
109 |
$10K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
113 |
106 |
$10K |
| 90670 |
|
465 |
464 |
$10K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
611 |
437 |
$10K |
| 82728 |
|
1,315 |
1,301 |
$10K |
| 97162 |
|
90 |
90 |
$9K |
| 90791 |
Psychiatric diagnostic evaluation |
54 |
50 |
$9K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
43 |
37 |
$9K |
| 59025 |
Fetal non-stress test |
43 |
25 |
$9K |
| 73630 |
|
266 |
242 |
$9K |
| 90734 |
|
258 |
257 |
$8K |
| 90651 |
|
191 |
191 |
$8K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,300 |
2,158 |
$8K |
| 85610 |
|
2,282 |
2,015 |
$8K |
| D0274 |
Bitewings - four radiographic images |
270 |
262 |
$8K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
357 |
357 |
$8K |
| 86901 |
|
665 |
640 |
$7K |
| 90685 |
|
284 |
284 |
$7K |
| 86769 |
|
218 |
215 |
$7K |
| G0378 |
Hospital observation service, per hour |
34 |
12 |
$7K |
| 84702 |
|
1,043 |
925 |
$7K |
| 81001 |
|
6,012 |
5,511 |
$7K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
124 |
111 |
$7K |
| 82746 |
|
1,092 |
1,088 |
$6K |
| 86141 |
|
1,264 |
1,177 |
$6K |
| 99441 |
|
55 |
45 |
$5K |
| 86803 |
|
649 |
642 |
$5K |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
176 |
176 |
$5K |
| 83655 |
|
423 |
422 |
$5K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,692 |
3,347 |
$5K |
| 87070 |
|
1,011 |
983 |
$4K |
| 90723 |
|
247 |
247 |
$4K |
| 83735 |
|
3,000 |
2,694 |
$4K |
| 0071A |
|
102 |
102 |
$4K |
| 73564 |
|
71 |
70 |
$4K |
| 97010 |
|
207 |
82 |
$4K |
| 99443 |
|
45 |
43 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
99 |
83 |
$4K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
56 |
53 |
$4K |
| 0002A |
|
93 |
93 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,613 |
1,584 |
$4K |
| 87809 |
|
1,612 |
1,583 |
$4K |
| 83540 |
|
1,257 |
1,239 |
$3K |
| 0072A |
|
81 |
81 |
$3K |
| 87807 |
|
1,612 |
1,584 |
$3K |
| 0001A |
|
85 |
85 |
$3K |
| 83550 |
|
1,225 |
1,209 |
$3K |
| 80076 |
|
293 |
275 |
$3K |
| 81025 |
|
106 |
105 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
765 |
728 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
24 |
24 |
$3K |
| 0004A |
|
69 |
69 |
$3K |
| 90633 |
|
53 |
53 |
$3K |
| 83880 |
|
98 |
92 |
$2K |
| 85730 |
|
1,451 |
1,377 |
$2K |
| 99442 |
|
27 |
25 |
$2K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,315 |
2,146 |
$2K |
| 90700 |
|
15 |
14 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
36 |
36 |
$2K |
| 87340 |
|
245 |
240 |
$2K |
| 84153 |
|
131 |
130 |
$2K |
| 73562 |
|
70 |
68 |
$2K |
| 74018 |
|
47 |
42 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,899 |
1,704 |
$2K |
| 76641 |
|
15 |
14 |
$2K |
| 87186 |
|
635 |
614 |
$2K |
| 80164 |
|
147 |
137 |
$2K |
| 93971 |
|
25 |
25 |
$1K |
| 93923 |
|
25 |
25 |
$1K |
| 86592 |
|
391 |
387 |
$1K |
| 85651 |
|
1,282 |
1,204 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
14 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$1K |
| 87210 |
|
540 |
531 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,116 |
3,085 |
$1K |
| 86885 |
|
72 |
70 |
$1K |
| 87081 |
|
733 |
727 |
$1K |
| 90680 |
|
64 |
64 |
$1K |
| 83605 |
|
1,848 |
1,694 |
$1K |
| 83690 |
|
1,957 |
1,808 |
$1K |
| 84425 |
|
307 |
307 |
$934.29 |
| 84484 |
|
1,266 |
1,136 |
$933.26 |
| 90710 |
|
16 |
16 |
$885.60 |
| D0140 |
Limited oral evaluation - problem focused |
21 |
12 |
$851.43 |
| 97802 |
|
15 |
14 |
$790.03 |
| 73110 |
|
28 |
24 |
$766.53 |
| 72110 |
|
24 |
24 |
$707.76 |
| 73590 |
|
13 |
12 |
$700.56 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
901 |
689 |
$676.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,894 |
1,855 |
$646.15 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
889 |
833 |
$598.54 |
| 73130 |
|
27 |
27 |
$591.51 |
| 84550 |
|
311 |
293 |
$569.39 |
| 85018 |
|
30 |
25 |
$536.05 |
| 87205 |
|
318 |
305 |
$533.15 |
| 0012A |
|
13 |
13 |
$493.23 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$473.00 |
| 90461 |
|
1,240 |
1,235 |
$472.03 |
| 84590 |
|
250 |
250 |
$471.33 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
109 |
104 |
$460.00 |
| 91320 |
|
16 |
16 |
$368.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
30 |
$360.00 |
| 82248 |
|
109 |
101 |
$333.05 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$313.96 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
12 |
12 |
$304.11 |
| 0124A |
|
27 |
25 |
$297.85 |
| J2704 |
Injection, propofol, 10 mg |
2,740 |
2,641 |
$294.48 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
198 |
178 |
$290.51 |
| 81002 |
|
243 |
240 |
$286.75 |
| 82962 |
|
330 |
257 |
$259.35 |
| 0011A |
|
19 |
19 |
$251.37 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,879 |
1,966 |
$250.46 |
| 90713 |
|
14 |
13 |
$249.90 |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
15 |
$210.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,651 |
1,385 |
$208.69 |
| 86618 |
|
13 |
13 |
$201.54 |
| 73140 |
|
14 |
13 |
$199.16 |
| 87077 |
|
69 |
65 |
$193.92 |
| 84460 |
|
60 |
58 |
$188.54 |
| 81003 |
|
231 |
223 |
$169.08 |
| 0100U |
|
13 |
13 |
$162.80 |
| 90480 |
|
74 |
74 |
$160.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$157.92 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,413 |
2,158 |
$156.74 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,797 |
1,611 |
$137.36 |
| 80305 |
|
672 |
618 |
$131.42 |
| 87040 |
|
58 |
52 |
$125.11 |
| 85379 |
|
165 |
164 |
$123.45 |
| 84481 |
|
16 |
13 |
$117.00 |
| 82150 |
|
106 |
106 |
$100.16 |
| 73565 |
|
12 |
12 |
$87.57 |
| 80354 |
|
29 |
29 |
$76.91 |
| 86580 |
|
14 |
12 |
$75.91 |
| 80361 |
|
28 |
28 |
$70.60 |
| 80367 |
|
28 |
28 |
$65.55 |
| 80353 |
|
28 |
28 |
$65.55 |
| J7050 |
Infusion, normal saline solution, 250 cc |
95 |
83 |
$60.62 |
| 80358 |
|
27 |
27 |
$60.50 |
| 80348 |
|
27 |
27 |
$60.50 |
| 80365 |
|
27 |
27 |
$60.50 |
| 84450 |
|
30 |
29 |
$60.36 |
| 82950 |
|
12 |
12 |
$57.00 |
| 84100 |
|
26 |
24 |
$56.88 |
| 80329 |
|
32 |
30 |
$54.00 |
| 82043 |
|
12 |
12 |
$51.91 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,671 |
1,433 |
$51.07 |
| 83615 |
|
14 |
12 |
$50.25 |
| 82040 |
|
28 |
26 |
$49.58 |
| 80320 |
|
193 |
155 |
$46.40 |
| 82525 |
|
21 |
21 |
$45.96 |
| 82247 |
|
27 |
26 |
$45.19 |
| 84520 |
|
36 |
26 |
$42.00 |
| 84075 |
|
26 |
25 |
$40.24 |
| 84155 |
|
28 |
26 |
$37.56 |
| 84630 |
|
22 |
22 |
$31.60 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
81 |
68 |
$28.47 |
| 80359 |
|
14 |
14 |
$25.20 |
| 80337 |
|
14 |
14 |
$25.20 |
| 80326 |
|
14 |
14 |
$25.20 |
| 80364 |
|
14 |
14 |
$25.20 |
| 80347 |
|
14 |
14 |
$25.20 |
| 82805 |
|
27 |
26 |
$24.13 |
| 80306 |
|
37 |
29 |
$16.19 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
13 |
$13.76 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$7.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
13 |
12 |
$6.02 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
77 |
58 |
$4.12 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
194 |
189 |
$2.78 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
14 |
13 |
$0.21 |
| C1727 |
Catheter, balloon tissue dissector, non-vascular (insertable) |
185 |
184 |
$0.00 |
| 96127 |
|
359 |
358 |
$0.00 |
| 81000 |
|
44 |
43 |
$0.00 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
36 |
35 |
$0.00 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
12 |
12 |
$0.00 |
| 80179 |
|
18 |
17 |
$0.00 |