| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
68,387 |
62,810 |
$6.15M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
42,600 |
36,354 |
$3.08M |
| 80053 |
Comprehensive metabolic panel |
46,802 |
38,305 |
$1.21M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
9,907 |
9,201 |
$822K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
6,148 |
1,785 |
$735K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,844 |
4,297 |
$731K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
5,116 |
4,832 |
$583K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,155 |
5,220 |
$539K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,757 |
1,418 |
$476K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
3,920 |
1,413 |
$419K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,448 |
2,161 |
$302K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,581 |
3,840 |
$294K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
2,489 |
2,179 |
$257K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,632 |
2,153 |
$222K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,982 |
1,689 |
$189K |
| 87430 |
|
17,545 |
16,717 |
$156K |
| 81001 |
|
26,173 |
22,610 |
$153K |
| 71046 |
Radiologic examination, chest; 2 views |
12,978 |
11,921 |
$144K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,447 |
3,724 |
$134K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
2,317 |
1,962 |
$99K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,320 |
835 |
$92K |
| J7050 |
Infusion, normal saline solution, 250 cc |
2,509 |
1,665 |
$88K |
| 97535 |
Self-care/home management training, each 15 minutes |
5,511 |
2,087 |
$87K |
| 93976 |
|
2,393 |
2,120 |
$72K |
| 85027 |
|
54,601 |
44,033 |
$72K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,022 |
926 |
$70K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,199 |
1,017 |
$69K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
384 |
336 |
$68K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,722 |
1,311 |
$62K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,818 |
6,075 |
$57K |
| 72131 |
|
1,162 |
999 |
$56K |
| 74018 |
|
2,282 |
2,060 |
$54K |
| 87420 |
|
2,183 |
2,091 |
$51K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
808 |
692 |
$49K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,673 |
1,534 |
$49K |
| G0378 |
Hospital observation service, per hour |
4,007 |
2,286 |
$47K |
| 73610 |
|
1,608 |
1,459 |
$46K |
| 76770 |
|
690 |
623 |
$45K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
6,589 |
5,705 |
$44K |
| 87088 |
|
6,952 |
6,126 |
$42K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
3,381 |
2,822 |
$41K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
21,154 |
17,704 |
$41K |
| 87077 |
|
5,252 |
4,606 |
$40K |
| 81003 |
|
10,998 |
9,959 |
$39K |
| A9270 |
Non-covered item or service |
11,860 |
3,016 |
$38K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
406 |
328 |
$38K |
| 97533 |
|
1,546 |
631 |
$37K |
| 87081 |
|
4,347 |
4,147 |
$35K |
| 36415 |
Collection of venous blood by venipuncture |
1,129 |
989 |
$33K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,460 |
3,102 |
$33K |
| 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 |
1,361 |
1,048 |
$33K |
| 54161 |
|
97 |
97 |
$33K |
| 81025 |
|
12,872 |
11,643 |
$33K |
| 73110 |
|
1,081 |
986 |
$32K |
| 73630 |
|
1,857 |
1,676 |
$32K |
| 71045 |
Radiologic examination, chest; single view |
12,043 |
10,101 |
$32K |
| 73564 |
|
1,597 |
1,335 |
$30K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,164 |
1,102 |
$27K |
| 80061 |
Lipid panel |
3,706 |
3,137 |
$25K |
| 73130 |
|
1,065 |
958 |
$25K |
| 73030 |
|
1,124 |
990 |
$22K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,413 |
594 |
$22K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
18,235 |
14,253 |
$21K |
| 76801 |
|
1,747 |
1,484 |
$21K |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
570 |
432 |
$21K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,695 |
3,079 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,645 |
8,165 |
$20K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
262 |
210 |
$20K |
| 84702 |
|
3,299 |
2,475 |
$19K |
| 12001 |
|
211 |
205 |
$17K |
| 72110 |
|
540 |
485 |
$15K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
3,295 |
2,508 |
$14K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
16,357 |
13,488 |
$13K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,231 |
1,664 |
$13K |
| 87070 |
|
908 |
707 |
$13K |
| J2704 |
Injection, propofol, 10 mg |
2,248 |
1,728 |
$12K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
459 |
422 |
$12K |
| 86850 |
|
949 |
816 |
$12K |
| 88304 |
|
784 |
741 |
$12K |
| 92523 |
|
298 |
272 |
$11K |
| 87040 |
|
5,373 |
4,026 |
$11K |
| 73080 |
|
441 |
403 |
$11K |
| 76642 |
|
163 |
143 |
$11K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
306 |
103 |
$11K |
| 82550 |
|
660 |
488 |
$10K |
| 84443 |
Thyroid stimulating hormone (TSH) |
6,145 |
5,366 |
$10K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
10,704 |
8,511 |
$10K |
| 85610 |
|
5,185 |
4,151 |
$9K |
| 76830 |
Ultrasound, transvaginal |
744 |
714 |
$9K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
7,275 |
5,553 |
$9K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
7,703 |
6,200 |
$9K |
| 93971 |
|
813 |
703 |
$9K |
| 84484 |
|
16,311 |
11,801 |
$9K |
| 70491 |
|
48 |
44 |
$9K |
| 10060 |
|
271 |
250 |
$8K |
| 82565 |
|
314 |
265 |
$8K |
| 85730 |
|
4,314 |
3,504 |
$7K |
| 73140 |
|
120 |
115 |
$7K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
26 |
25 |
$7K |
| C1769 |
Guide wire |
1,051 |
820 |
$6K |
| 86140 |
|
2,462 |
2,138 |
$6K |
| 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) |
43 |
42 |
$6K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
7,595 |
6,338 |
$6K |
| 73502 |
|
385 |
327 |
$6K |
| 73590 |
|
375 |
319 |
$5K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,345 |
1,108 |
$5K |
| 97032 |
|
94 |
38 |
$5K |
| 84439 |
|
3,798 |
3,358 |
$5K |
| 59025 |
Fetal non-stress test |
90 |
85 |
$5K |
| 83880 |
|
4,769 |
3,957 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,176 |
2,886 |
$4K |
| 93017 |
|
120 |
108 |
$4K |
| 93970 |
|
215 |
180 |
$4K |
| 82728 |
|
841 |
720 |
$4K |
| 83735 |
|
15,731 |
12,839 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
505 |
464 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,292 |
1,123 |
$4K |
| 83605 |
|
4,153 |
3,298 |
$4K |
| 80076 |
|
603 |
544 |
$4K |
| 76010 |
|
269 |
256 |
$4K |
| 70486 |
|
42 |
39 |
$4K |
| 73090 |
|
125 |
116 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,863 |
1,550 |
$3K |
| 86900 |
|
2,280 |
1,993 |
$3K |
| 12011 |
|
73 |
67 |
$3K |
| 87186 |
|
2,196 |
1,913 |
$3K |
| 72100 |
|
69 |
61 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,971 |
2,517 |
$3K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
205 |
154 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,261 |
4,558 |
$3K |
| 87210 |
|
258 |
236 |
$3K |
| 11043 |
|
59 |
25 |
$2K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
2,142 |
1,683 |
$2K |
| 76536 |
|
44 |
41 |
$2K |
| 76818 |
|
13 |
12 |
$2K |
| 83690 |
|
8,062 |
6,975 |
$2K |
| 97163 |
|
104 |
82 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
639 |
591 |
$2K |
| 87045 |
|
110 |
100 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
559 |
505 |
$2K |
| 82540 |
|
538 |
416 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
639 |
591 |
$2K |
| P9612 |
Catheterization for collection of specimen, single patient, all places of service |
15 |
15 |
$2K |
| 93458 |
|
16 |
12 |
$1K |
| 82607 |
|
1,176 |
969 |
$1K |
| 82247 |
|
81 |
55 |
$1K |
| 87275 |
|
43 |
31 |
$1K |
| 84703 |
|
1,883 |
1,770 |
$1K |
| 86901 |
|
2,278 |
1,992 |
$1K |
| 85651 |
|
1,684 |
1,469 |
$1K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
3,906 |
2,855 |
$1K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
582 |
501 |
$1K |
| 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 |
777 |
642 |
$1K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
961 |
928 |
$1K |
| 84550 |
|
736 |
613 |
$1K |
| 12002 |
|
14 |
12 |
$1K |
| 85378 |
|
1,034 |
931 |
$1K |
| 82731 |
|
13 |
13 |
$902.94 |
| 83540 |
|
960 |
831 |
$894.89 |
| 76870 |
|
85 |
80 |
$810.86 |
| 77080 |
|
28 |
26 |
$683.14 |
| J1644 |
Injection, heparin sodium, per 1000 units |
480 |
227 |
$661.69 |
| 74019 |
|
197 |
188 |
$637.43 |
| 88342 |
|
403 |
345 |
$621.79 |
| 87428 |
|
517 |
496 |
$574.02 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,976 |
5,743 |
$524.89 |
| 82077 |
|
357 |
308 |
$518.91 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
46 |
40 |
$505.35 |
| 73560 |
|
15 |
12 |
$476.50 |
| 90715 |
|
607 |
542 |
$458.05 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
573 |
503 |
$420.48 |
| 97162 |
|
13 |
12 |
$413.95 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
1,479 |
1,174 |
$401.75 |
| 84156 |
|
635 |
482 |
$345.04 |
| 73521 |
|
14 |
12 |
$335.54 |
| 82248 |
|
876 |
624 |
$325.92 |
| G1003 |
Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program |
377 |
274 |
$324.32 |
| J2060 |
Injection, lorazepam, 2 mg |
884 |
670 |
$307.12 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
68 |
40 |
$258.49 |
| 82805 |
|
38 |
27 |
$242.99 |
| 82140 |
|
97 |
78 |
$241.89 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
845 |
744 |
$221.97 |
| 29125 |
|
25 |
25 |
$209.64 |
| 83550 |
|
596 |
511 |
$207.54 |
| 82043 |
|
113 |
96 |
$155.48 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
1,839 |
1,761 |
$148.67 |
| 87400 |
|
2,921 |
2,808 |
$145.56 |
| 83655 |
|
89 |
87 |
$143.33 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
91 |
68 |
$141.61 |
| 86709 |
|
33 |
25 |
$139.49 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
17 |
13 |
$134.91 |
| 87340 |
|
167 |
139 |
$127.08 |
| 86803 |
|
145 |
115 |
$123.43 |
| 84481 |
|
393 |
332 |
$120.13 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
988 |
899 |
$100.50 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
209 |
191 |
$100.23 |
| 85379 |
|
136 |
132 |
$91.66 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
73 |
66 |
$90.25 |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
45 |
38 |
$90.00 |
| 71250 |
|
56 |
45 |
$89.89 |
| 84100 |
|
173 |
135 |
$77.11 |
| 82784 |
|
38 |
36 |
$65.83 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
284 |
268 |
$44.68 |
| 72072 |
|
31 |
27 |
$40.45 |
| J1815 |
Injection, insulin, per 5 units |
689 |
343 |
$33.69 |
| 82150 |
|
353 |
322 |
$31.89 |
| 82746 |
|
119 |
102 |
$30.20 |
| C9113 |
Injection, pantoprazole sodium, per vial |
98 |
70 |
$27.97 |
| 80320 |
|
100 |
91 |
$20.36 |
| 73620 |
|
13 |
13 |
$15.39 |
| 83615 |
|
490 |
417 |
$9.39 |
| 96376 |
|
471 |
415 |
$6.28 |
| J1956 |
Injection, levofloxacin, 250 mg |
184 |
149 |
$3.75 |
| 82009 |
|
84 |
66 |
$1.54 |
| 87276 |
|
43 |
31 |
$0.48 |
| 71101 |
|
39 |
36 |
$0.35 |
| C1726 |
Catheter, balloon dilatation, non-vascular |
63 |
52 |
$0.00 |
| 86308 |
|
13 |
13 |
$0.00 |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
22 |
20 |
$0.00 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
22 |
17 |
$0.00 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
53 |
40 |
$0.00 |
| 88307 |
|
13 |
13 |
$0.00 |
| 74021 |
|
15 |
14 |
$0.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
15 |
12 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
470 |
411 |
$0.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
152 |
139 |
$0.00 |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
33 |
27 |
$0.00 |
| C1758 |
Catheter, ureteral |
118 |
106 |
$0.00 |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
74 |
67 |
$0.00 |
| S0077 |
Injection, clindamycin phosphate, 300 mg |
16 |
12 |
$0.00 |
| 83516 |
|
13 |
12 |
$0.00 |
| 85045 |
|
15 |
14 |
$0.00 |
| S5000 |
Prescription drug, generic |
12 |
12 |
$0.00 |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
16 |
15 |
$0.00 |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
14 |
12 |
$0.00 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
13 |
13 |
$0.00 |
| 97116 |
|
37 |
13 |
$0.00 |
| 85049 |
|
18 |
12 |
$0.00 |