| Code | Description | Claims | Beneficiaries | Total Paid |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,439 |
3,136 |
$966K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,744 |
5,252 |
$509K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
8,334 |
7,670 |
$438K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,894 |
5,525 |
$394K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,757 |
1,699 |
$250K |
| 90870 |
|
651 |
169 |
$245K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,020 |
1,902 |
$217K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,576 |
840 |
$170K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
799 |
786 |
$139K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,569 |
1,299 |
$129K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
3,199 |
2,062 |
$116K |
| 59025 |
Fetal non-stress test |
673 |
367 |
$114K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,523 |
1,855 |
$107K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,119 |
1,048 |
$107K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
565 |
545 |
$105K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
466 |
442 |
$93K |
| 80053 |
Comprehensive metabolic panel |
14,637 |
13,152 |
$91K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
643 |
613 |
$86K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
930 |
892 |
$85K |
| 93970 |
|
738 |
711 |
$64K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
3,095 |
1,353 |
$59K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
494 |
476 |
$59K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
209 |
207 |
$55K |
| 76830 |
Ultrasound, transvaginal |
637 |
616 |
$53K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
597 |
586 |
$47K |
| 10061 |
|
212 |
200 |
$41K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,942 |
3,492 |
$38K |
| 52356 |
|
26 |
26 |
$35K |
| 36415 |
Collection of venous blood by venipuncture |
21,747 |
18,152 |
$35K |
| 71250 |
|
631 |
618 |
$34K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
711 |
708 |
$32K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,058 |
639 |
$30K |
| 71046 |
Radiologic examination, chest; 2 views |
4,476 |
4,180 |
$29K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18,085 |
15,373 |
$28K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
192 |
187 |
$28K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
406 |
400 |
$28K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,575 |
3,900 |
$27K |
| 93017 |
|
319 |
316 |
$24K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,960 |
2,902 |
$24K |
| 93978 |
|
712 |
684 |
$24K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,528 |
1,493 |
$23K |
| 76770 |
|
296 |
292 |
$21K |
| 84484 |
|
3,872 |
3,351 |
$21K |
| 97165 |
|
487 |
474 |
$20K |
| 87631 |
|
1,546 |
1,483 |
$19K |
| 76801 |
|
282 |
259 |
$19K |
| G0378 |
Hospital observation service, per hour |
1,016 |
906 |
$17K |
| 97162 |
|
570 |
554 |
$17K |
| 93971 |
|
126 |
124 |
$11K |
| 87040 |
|
1,030 |
914 |
$11K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,044 |
1,033 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,620 |
1,600 |
$10K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
143 |
135 |
$9K |
| 83605 |
|
1,280 |
1,181 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
667 |
646 |
$9K |
| 85027 |
|
2,202 |
2,060 |
$9K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
75 |
72 |
$9K |
| 80061 |
Lipid panel |
2,001 |
1,966 |
$9K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
7,815 |
7,028 |
$8K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
4,211 |
3,883 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,062 |
861 |
$8K |
| 86141 |
|
1,797 |
1,676 |
$8K |
| 90715 |
|
459 |
441 |
$8K |
| 86780 |
|
789 |
780 |
$7K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
254 |
165 |
$7K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
91 |
89 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
100 |
93 |
$7K |
| 70544 |
|
95 |
95 |
$7K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
470 |
457 |
$6K |
| 73630 |
|
615 |
564 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,536 |
1,501 |
$6K |
| 76642 |
|
74 |
66 |
$6K |
| 82607 |
|
631 |
617 |
$6K |
| 84439 |
|
587 |
577 |
$6K |
| 86695 |
|
424 |
415 |
$5K |
| 74018 |
|
817 |
769 |
$5K |
| 87081 |
|
1,395 |
1,349 |
$5K |
| 72100 |
|
502 |
491 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
901 |
860 |
$5K |
| 85379 |
|
735 |
716 |
$5K |
| 82728 |
|
735 |
719 |
$4K |
| 80076 |
|
1,008 |
941 |
$4K |
| 84702 |
|
3,020 |
2,693 |
$4K |
| 70486 |
|
132 |
128 |
$4K |
| 73030 |
|
499 |
465 |
$4K |
| 86803 |
|
878 |
868 |
$4K |
| 83880 |
|
739 |
691 |
$4K |
| 73610 |
|
542 |
502 |
$4K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
13 |
13 |
$4K |
| 85652 |
|
1,534 |
1,444 |
$4K |
| 73562 |
|
585 |
532 |
$4K |
| 97166 |
|
99 |
96 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
95 |
88 |
$3K |
| 87340 |
|
834 |
806 |
$3K |
| 81001 |
|
7,635 |
7,010 |
$3K |
| 97035 |
|
560 |
237 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
809 |
800 |
$3K |
| 86696 |
|
424 |
415 |
$3K |
| 94729 |
|
285 |
278 |
$3K |
| 82105 |
|
254 |
249 |
$3K |
| 12011 |
|
12 |
12 |
$3K |
| 73502 |
|
295 |
282 |
$3K |
| 94727 |
|
266 |
260 |
$3K |
| 85610 |
|
4,111 |
3,459 |
$2K |
| 82570 |
|
399 |
378 |
$2K |
| 70549 |
|
44 |
43 |
$2K |
| 83540 |
|
635 |
623 |
$2K |
| 82746 |
|
434 |
427 |
$2K |
| 73130 |
|
353 |
319 |
$2K |
| 83735 |
|
1,495 |
1,223 |
$2K |
| 29581 |
|
34 |
12 |
$2K |
| 87800 |
|
519 |
511 |
$2K |
| 86900 |
|
729 |
675 |
$2K |
| 84466 |
|
600 |
588 |
$2K |
| 80164 |
|
258 |
238 |
$2K |
| 86850 |
|
747 |
698 |
$2K |
| 87147 |
|
1,685 |
1,348 |
$2K |
| 80047 |
|
348 |
334 |
$2K |
| 87070 |
|
1,072 |
1,004 |
$2K |
| 87522 |
Neg quan hep c or qual rna |
107 |
104 |
$2K |
| 94060 |
|
65 |
65 |
$2K |
| 86762 |
|
374 |
367 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
1,149 |
1,074 |
$2K |
| 76937 |
|
27 |
24 |
$2K |
| 93798 |
|
210 |
39 |
$1K |
| 97116 |
|
84 |
61 |
$1K |
| 97535 |
Self-care/home management training, each 15 minutes |
54 |
43 |
$1K |
| 82950 |
|
432 |
389 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,575 |
2,361 |
$1K |
| 96367 |
|
47 |
37 |
$1K |
| 86038 |
|
254 |
250 |
$1K |
| 73110 |
|
181 |
166 |
$1K |
| 87077 |
|
791 |
674 |
$1K |
| 87186 |
|
1,326 |
1,260 |
$1K |
| 86706 |
|
338 |
322 |
$1K |
| 82550 |
|
306 |
290 |
$1K |
| 83690 |
|
3,050 |
2,824 |
$1K |
| 97161 |
|
31 |
30 |
$1K |
| 93975 |
|
71 |
70 |
$1K |
| 86901 |
|
903 |
827 |
$977.45 |
| 12013 |
|
15 |
12 |
$925.24 |
| J3490 |
Unclassified drugs |
4,579 |
2,593 |
$890.33 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,359 |
3,016 |
$880.15 |
| 87205 |
|
1,114 |
1,040 |
$851.54 |
| 84153 |
|
130 |
129 |
$838.12 |
| 84403 |
|
55 |
52 |
$830.56 |
| 72040 |
|
82 |
82 |
$815.65 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,646 |
1,504 |
$796.49 |
| 80178 |
|
90 |
79 |
$712.87 |
| 93922 |
|
27 |
25 |
$709.06 |
| 76536 |
|
12 |
12 |
$708.14 |
| 83516 |
|
116 |
109 |
$651.23 |
| 84550 |
|
241 |
236 |
$642.18 |
| 86431 |
|
172 |
169 |
$640.97 |
| 83970 |
|
40 |
38 |
$633.77 |
| 82365 |
|
72 |
67 |
$631.69 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,178 |
767 |
$620.99 |
| 93976 |
|
13 |
13 |
$606.87 |
| 82962 |
|
2,851 |
1,817 |
$600.69 |
| 73140 |
|
44 |
42 |
$525.23 |
| 86200 |
|
117 |
114 |
$517.16 |
| 86704 |
|
107 |
107 |
$500.93 |
| 93041 |
|
6,705 |
6,063 |
$414.02 |
| 85007 |
|
245 |
207 |
$409.56 |
| 73080 |
|
52 |
49 |
$398.45 |
| 72110 |
|
13 |
13 |
$379.43 |
| 85014 |
|
638 |
544 |
$353.85 |
| 87088 |
|
325 |
305 |
$328.51 |
| 73090 |
|
41 |
40 |
$325.22 |
| 82977 |
|
109 |
97 |
$320.30 |
| 88307 |
|
18 |
14 |
$313.98 |
| 86480 |
|
27 |
27 |
$297.20 |
| 94761 |
|
4,802 |
4,412 |
$284.73 |
| 82043 |
|
112 |
108 |
$266.38 |
| 73590 |
|
32 |
26 |
$262.69 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
716 |
713 |
$237.78 |
| 85730 |
|
1,241 |
1,166 |
$232.92 |
| 77066 |
Tomosynthesis, mammo |
13 |
12 |
$224.99 |
| 87075 |
|
451 |
424 |
$224.50 |
| 81025 |
|
1,265 |
1,215 |
$218.49 |
| 84100 |
|
285 |
250 |
$197.46 |
| 81003 |
|
117 |
116 |
$184.23 |
| 90632 |
|
16 |
16 |
$182.88 |
| 71101 |
|
30 |
27 |
$182.68 |
| C9399 |
Unclassified drugs or biologicals |
381 |
185 |
$179.67 |
| 82150 |
|
65 |
62 |
$178.21 |
| 84481 |
|
30 |
30 |
$170.46 |
| 84156 |
|
49 |
42 |
$155.62 |
| 83520 |
|
31 |
27 |
$148.39 |
| 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 |
12 |
12 |
$141.41 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,801 |
1,422 |
$137.41 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,647 |
3,096 |
$130.21 |
| J2704 |
Injection, propofol, 10 mg |
3,421 |
2,642 |
$126.67 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,521 |
2,157 |
$121.08 |
| 86481 |
|
12 |
12 |
$120.58 |
| 80069 |
|
14 |
12 |
$118.26 |
| 86160 |
|
26 |
25 |
$110.21 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
188 |
178 |
$109.39 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
423 |
410 |
$107.63 |
| 82947 |
|
39 |
37 |
$106.38 |
| 85018 |
|
717 |
676 |
$100.44 |
| 90686 |
|
13 |
13 |
$98.32 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$88.11 |
| 82565 |
|
118 |
113 |
$79.91 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,452 |
4,288 |
$77.71 |
| 82948 |
|
560 |
401 |
$66.32 |
| C1781 |
Mesh (implantable) |
30 |
29 |
$58.99 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,813 |
1,530 |
$55.83 |
| 86765 |
|
12 |
12 |
$51.56 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,701 |
2,546 |
$50.31 |
| 87015 |
|
29 |
26 |
$49.91 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
560 |
538 |
$47.62 |
| 84165 |
|
12 |
12 |
$44.05 |
| 87493 |
|
39 |
36 |
$42.27 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
667 |
646 |
$42.20 |
| 86225 |
|
12 |
12 |
$40.96 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,140 |
2,006 |
$40.44 |
| 85004 |
|
12 |
12 |
$38.67 |
| 94760 |
|
560 |
517 |
$37.48 |
| 87427 |
|
21 |
12 |
$33.47 |
| 88304 |
|
178 |
150 |
$31.71 |
| 86308 |
|
14 |
13 |
$29.81 |
| 87045 |
|
12 |
12 |
$27.59 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
285 |
266 |
$25.10 |
| 82803 |
|
61 |
57 |
$23.68 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
982 |
845 |
$21.79 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
1,638 |
883 |
$20.58 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
583 |
376 |
$20.28 |
| 87184 |
|
12 |
12 |
$18.81 |
| 87102 |
|
13 |
12 |
$15.63 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
803 |
383 |
$14.90 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
315 |
281 |
$14.17 |
| 87046 |
|
12 |
12 |
$13.76 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
1,217 |
803 |
$13.56 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
532 |
515 |
$12.64 |
| 88342 |
|
29 |
28 |
$11.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
825 |
464 |
$10.15 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
288 |
270 |
$8.52 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,179 |
3,028 |
$7.78 |
| 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 |
1,101 |
1,049 |
$7.73 |
| J2060 |
Injection, lorazepam, 2 mg |
949 |
805 |
$7.45 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
489 |
424 |
$6.18 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
377 |
321 |
$6.13 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
555 |
499 |
$5.07 |
| 87806 |
|
529 |
521 |
$4.18 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,247 |
1,065 |
$3.60 |
| 84520 |
|
49 |
48 |
$3.57 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
307 |
301 |
$1.29 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
449 |
353 |
$1.22 |
| 96376 |
|
750 |
708 |
$0.76 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
141 |
128 |
$0.29 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
528 |
391 |
$0.26 |
| C1769 |
Guide wire |
742 |
682 |
$0.00 |
| J3411 |
Injection, thiamine hcl, 100 mg |
153 |
114 |
$0.00 |
| J8501 |
Aprepitant, oral, 5 mg |
156 |
149 |
$0.00 |
| A9270 |
Non-covered item or service |
2,518 |
935 |
$0.00 |
| J2785 |
Injection, regadenoson, 0.1 mg |
55 |
53 |
$0.00 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
473 |
331 |
$0.00 |
| C2617 |
Stent, non-coronary, temporary, without delivery system |
118 |
113 |
$0.00 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
26 |
25 |
$0.00 |
| 72147 |
|
13 |
13 |
$0.00 |
| J1815 |
Injection, insulin, per 5 units |
466 |
275 |
$0.00 |
| 87176 |
|
25 |
25 |
$0.00 |
| 72142 |
|
74 |
72 |
$0.00 |
| G8980 |
Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting |
14 |
13 |
$0.00 |
| C9290 |
Injection, bupivacaine liposome, 1 mg |
13 |
13 |
$0.00 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
563 |
401 |
$0.00 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
946 |
904 |
$0.00 |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
209 |
207 |
$0.00 |
| C1758 |
Catheter, ureteral |
197 |
179 |
$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 |
247 |
224 |
$0.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
66 |
65 |
$0.00 |
| 51701 |
|
29 |
26 |
$0.00 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
203 |
187 |
$0.00 |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
55 |
44 |
$0.00 |
| 82010 |
|
12 |
12 |
$0.00 |
| G8985 |
Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
13 |
12 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
38 |
30 |
$0.00 |
| Q9960 |
High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml |
15 |
14 |
$0.00 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
13 |
13 |
$0.00 |