| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
29,267 |
27,070 |
$4.03M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
26,697 |
24,256 |
$3.72M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
13,973 |
12,567 |
$2.21M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
7,091 |
6,002 |
$2.17M |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
15,868 |
4,582 |
$863K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
6,155 |
5,854 |
$783K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,764 |
5,493 |
$755K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
940 |
908 |
$733K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,225 |
4,903 |
$644K |
| S9485 |
Crisis intervention mental health services, per diem |
1,105 |
776 |
$537K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
7,177 |
6,448 |
$433K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,034 |
1,969 |
$429K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,569 |
3,002 |
$309K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,992 |
1,901 |
$237K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
6,364 |
5,600 |
$197K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
36,096 |
30,887 |
$161K |
| 93971 |
|
1,092 |
1,034 |
$157K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,872 |
1,793 |
$155K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,088 |
3,799 |
$145K |
| 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 |
2,458 |
2,236 |
$140K |
| 97161 |
|
2,560 |
2,410 |
$139K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,410 |
2,365 |
$133K |
| 71046 |
Radiologic examination, chest; 2 views |
14,298 |
13,227 |
$133K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
7,103 |
6,417 |
$131K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,967 |
1,766 |
$130K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
744 |
733 |
$114K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
818 |
798 |
$112K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,033 |
2,981 |
$101K |
| 87631 |
|
1,431 |
1,376 |
$101K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,973 |
1,317 |
$100K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
14,519 |
13,049 |
$82K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
425 |
361 |
$80K |
| 76830 |
Ultrasound, transvaginal |
774 |
764 |
$78K |
| 84484 |
|
10,982 |
9,274 |
$71K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
72 |
71 |
$68K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
243 |
233 |
$67K |
| G0378 |
Hospital observation service, per hour |
1,861 |
1,688 |
$66K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
309 |
298 |
$59K |
| 83605 |
|
8,575 |
7,607 |
$58K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
81 |
81 |
$52K |
| 83880 |
|
2,829 |
2,595 |
$51K |
| J0248 |
Injection, remdesivir, 1 mg |
142 |
51 |
$48K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14,603 |
12,398 |
$47K |
| 83690 |
|
11,017 |
9,914 |
$47K |
| Q0222 |
Injection, bebtelovimab, 175 mg |
96 |
80 |
$47K |
| 80053 |
Comprehensive metabolic panel |
8,606 |
7,780 |
$42K |
| 93975 |
|
415 |
409 |
$42K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
383 |
360 |
$42K |
| 81025 |
|
7,387 |
6,894 |
$40K |
| M0247 |
Intravenous infusion, sotrovimab, includes infusion and post administration monitoring |
162 |
147 |
$38K |
| 76770 |
|
283 |
274 |
$34K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
6,341 |
5,887 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,537 |
2,433 |
$27K |
| 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 |
908 |
810 |
$25K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,640 |
2,514 |
$25K |
| 97014 |
|
937 |
312 |
$24K |
| 72100 |
|
1,167 |
1,115 |
$23K |
| 80051 |
|
13,094 |
11,420 |
$23K |
| 87088 |
|
2,992 |
2,170 |
$23K |
| 73030 |
|
1,303 |
1,263 |
$23K |
| 73630 |
|
1,544 |
1,487 |
$21K |
| 85379 |
|
3,405 |
3,176 |
$21K |
| 81001 |
|
10,442 |
9,644 |
$20K |
| 73562 |
|
544 |
501 |
$19K |
| 73560 |
|
1,311 |
1,270 |
$19K |
| 87040 |
|
2,922 |
1,695 |
$18K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
10,850 |
9,315 |
$18K |
| 73610 |
|
1,507 |
1,427 |
$18K |
| ATP14 |
|
1,970 |
1,573 |
$17K |
| G0121 |
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk |
13 |
13 |
$16K |
| 83735 |
|
4,345 |
3,747 |
$16K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
94 |
91 |
$16K |
| ATP08 |
|
2,386 |
1,877 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
3,778 |
3,495 |
$14K |
| 84703 |
|
2,492 |
2,365 |
$14K |
| 82947 |
|
12,301 |
11,021 |
$13K |
| 85610 |
|
6,828 |
5,570 |
$12K |
| 82565 |
|
12,836 |
11,288 |
$12K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
18,883 |
16,613 |
$12K |
| 87081 |
|
1,981 |
1,903 |
$11K |
| ATP07 |
|
1,587 |
1,274 |
$11K |
| 84520 |
|
12,775 |
11,266 |
$10K |
| 70496 |
|
64 |
62 |
$9K |
| 73130 |
|
699 |
670 |
$9K |
| M0222 |
Intravenous injection, bebtelovimab, includes injection and post administration monitoring |
92 |
89 |
$9K |
| 86140 |
|
2,411 |
2,152 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,565 |
4,436 |
$7K |
| 80076 |
|
2,654 |
2,324 |
$7K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
125 |
124 |
$7K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
60 |
57 |
$6K |
| 81000 |
|
3,126 |
2,845 |
$6K |
| 73110 |
|
396 |
375 |
$6K |
| ATP11 |
|
838 |
673 |
$6K |
| 81003 |
|
4,231 |
3,984 |
$6K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,961 |
2,731 |
$5K |
| 90715 |
|
235 |
233 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
770 |
724 |
$5K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
159 |
126 |
$5K |
| M0239 |
Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring |
29 |
28 |
$5K |
| 84450 |
|
5,496 |
5,044 |
$5K |
| 94060 |
|
71 |
66 |
$5K |
| 84460 |
|
5,409 |
4,967 |
$5K |
| 84075 |
|
5,085 |
4,676 |
$4K |
| 82247 |
|
5,053 |
4,653 |
$4K |
| 76642 |
|
53 |
50 |
$4K |
| 71250 |
|
56 |
56 |
$4K |
| ATP15 |
|
502 |
423 |
$4K |
| 76536 |
|
39 |
39 |
$4K |
| 87186 |
|
724 |
682 |
$4K |
| 85027 |
|
951 |
778 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
9,499 |
8,101 |
$4K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
7,677 |
6,986 |
$3K |
| 96376 |
|
3,858 |
2,608 |
$3K |
| 87070 |
|
351 |
331 |
$2K |
| 12001 |
|
12 |
12 |
$2K |
| 94729 |
|
70 |
65 |
$2K |
| 73502 |
|
136 |
129 |
$2K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
2,428 |
1,637 |
$2K |
| 94726 |
|
57 |
53 |
$2K |
| 82962 |
|
4,310 |
2,849 |
$1K |
| 87147 |
|
331 |
315 |
$1K |
| J3490 |
Unclassified drugs |
946 |
731 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
5,064 |
4,748 |
$1K |
| 70491 |
|
13 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
448 |
402 |
$1K |
| 81002 |
|
782 |
728 |
$1K |
| 84100 |
|
963 |
798 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
38 |
38 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
39 |
39 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,105 |
1,046 |
$1K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
995 |
897 |
$1K |
| 85730 |
|
352 |
336 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
5,859 |
5,095 |
$966.90 |
| 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 |
41 |
$720.94 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
368 |
325 |
$712.95 |
| 36415 |
Collection of venous blood by venipuncture |
6,831 |
5,923 |
$633.09 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,952 |
2,313 |
$555.44 |
| 87103 |
|
92 |
84 |
$508.73 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,461 |
1,190 |
$500.74 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
106 |
58 |
$452.25 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
14 |
13 |
$395.96 |
| 87476 |
|
14 |
13 |
$393.04 |
| 73140 |
|
47 |
45 |
$334.28 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,637 |
2,413 |
$213.92 |
| 84702 |
|
13 |
12 |
$172.51 |
| 86618 |
|
12 |
12 |
$165.22 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
294 |
222 |
$150.21 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
43 |
41 |
$141.47 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
162 |
162 |
$141.47 |
| 73590 |
|
12 |
12 |
$132.74 |
| 87077 |
|
30 |
29 |
$126.68 |
| ATP09 |
|
23 |
16 |
$125.44 |
| 82550 |
|
70 |
63 |
$112.77 |
| 82010 |
|
15 |
14 |
$82.06 |
| 96367 |
|
17 |
16 |
$56.57 |
| J2060 |
Injection, lorazepam, 2 mg |
986 |
860 |
$54.92 |
| 86308 |
|
12 |
12 |
$54.84 |
| 73080 |
|
15 |
13 |
$50.65 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
622 |
568 |
$44.39 |
| J1630 |
Injection, haloperidol, up to 5 mg |
161 |
148 |
$1.25 |
| Q0247 |
Injection, sotrovimab, 500 mg |
81 |
67 |
$0.08 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
341 |
288 |
$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 |
51 |
50 |
$0.00 |
| 80061 |
Lipid panel |
27 |
26 |
$0.00 |
| Q0244 |
Injection, casirivimab and imdevimab, 1200 mg |
49 |
48 |
$0.00 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
51 |
50 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
15 |
13 |
$0.00 |
| 94664 |
|
27 |
27 |
$0.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
14 |
12 |
$0.00 |
| Q0245 |
Injection, bamlanivimab and etesevimab, 2100 mg |
13 |
12 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
12 |
12 |
$0.00 |
| 94760 |
|
574 |
328 |
$0.00 |
| 36416 |
|
553 |
439 |
$0.00 |
| G8980 |
Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting |
15 |
14 |
$0.00 |
| 70498 |
|
24 |
24 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| C9285 |
Lidocaine 70 mg/tetracaine 70 mg, per patch |
15 |
12 |
$0.00 |