| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,446 |
5,048 |
$1.51M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,882 |
3,442 |
$1.04M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,123 |
755 |
$756K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,887 |
1,939 |
$583K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,895 |
1,680 |
$468K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,577 |
1,360 |
$430K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,545 |
1,351 |
$340K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
889 |
664 |
$300K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,049 |
863 |
$189K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
604 |
567 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
475 |
405 |
$97K |
| A0390 |
Als mileage (per mile) |
166 |
149 |
$95K |
| 71046 |
Radiologic examination, chest; 2 views |
3,448 |
3,022 |
$93K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,016 |
780 |
$92K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,399 |
1,240 |
$60K |
| 80053 |
Comprehensive metabolic panel |
8,058 |
6,483 |
$54K |
| 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 |
652 |
584 |
$50K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
607 |
560 |
$43K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,517 |
7,397 |
$43K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,222 |
776 |
$41K |
| A0425 |
Ground mileage, per statute mile |
387 |
322 |
$33K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
141 |
129 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
136 |
113 |
$30K |
| 80061 |
Lipid panel |
2,576 |
2,288 |
$30K |
| A0434 |
Specialty care transport (sct) |
62 |
57 |
$30K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,146 |
695 |
$30K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,889 |
1,670 |
$26K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,086 |
935 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
871 |
676 |
$24K |
| 87634 |
|
451 |
417 |
$22K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
256 |
220 |
$22K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
715 |
628 |
$21K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,570 |
2,215 |
$15K |
| 73630 |
|
297 |
240 |
$15K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,525 |
1,357 |
$14K |
| 84484 |
|
3,024 |
1,995 |
$14K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
313 |
231 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
3,730 |
3,203 |
$11K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
99 |
84 |
$10K |
| 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 |
568 |
514 |
$9K |
| 83605 |
|
2,075 |
1,601 |
$9K |
| 80050 |
General health panel |
769 |
653 |
$9K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,654 |
2,829 |
$8K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,538 |
1,320 |
$8K |
| 81001 |
|
4,048 |
3,342 |
$8K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
12 |
12 |
$8K |
| 83735 |
|
2,192 |
1,691 |
$7K |
| 83880 |
|
597 |
478 |
$6K |
| 82077 |
|
229 |
168 |
$6K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,046 |
841 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
345 |
306 |
$5K |
| 73562 |
|
138 |
109 |
$5K |
| 86140 |
|
1,877 |
1,594 |
$5K |
| 83690 |
|
1,289 |
1,059 |
$5K |
| 81025 |
|
662 |
579 |
$5K |
| 85610 |
|
1,880 |
1,355 |
$5K |
| G0380 |
Level 1 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) |
30 |
25 |
$5K |
| 84145 |
|
511 |
422 |
$5K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
17 |
15 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
20 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
11,804 |
9,260 |
$4K |
| 80306 |
|
238 |
210 |
$3K |
| A0380 |
Bls mileage (per mile) |
120 |
105 |
$3K |
| 97035 |
|
347 |
137 |
$3K |
| 87040 |
|
1,004 |
485 |
$3K |
| 73610 |
|
96 |
80 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
84 |
75 |
$2K |
| 73130 |
|
45 |
39 |
$2K |
| 81003 |
|
551 |
507 |
$2K |
| 74018 |
|
179 |
158 |
$2K |
| 85379 |
|
400 |
350 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
37 |
36 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
56 |
52 |
$2K |
| 87081 |
|
156 |
150 |
$2K |
| 97161 |
|
44 |
40 |
$1K |
| 73110 |
|
40 |
37 |
$1K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,066 |
813 |
$1K |
| 97162 |
|
43 |
38 |
$1K |
| 82728 |
|
79 |
72 |
$957.44 |
| 73030 |
|
27 |
24 |
$921.09 |
| 82962 |
|
677 |
340 |
$727.12 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
25 |
24 |
$588.42 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
29 |
13 |
$585.19 |
| 87186 |
|
79 |
73 |
$516.76 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
31 |
28 |
$491.97 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14 |
14 |
$471.38 |
| 84153 |
|
30 |
27 |
$419.71 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$398.86 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
13 |
12 |
$376.74 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
20 |
16 |
$357.72 |
| 82150 |
|
96 |
77 |
$317.35 |
| 82803 |
|
31 |
26 |
$299.04 |
| 83540 |
|
49 |
43 |
$274.29 |
| 85652 |
|
99 |
89 |
$262.21 |
| 83550 |
|
48 |
42 |
$234.78 |
| 84460 |
|
58 |
55 |
$178.73 |
| 82310 |
|
82 |
66 |
$178.48 |
| 84075 |
|
60 |
55 |
$168.03 |
| 84450 |
|
56 |
53 |
$162.09 |
| 82040 |
|
57 |
54 |
$160.66 |
| 86618 |
|
12 |
12 |
$158.40 |
| 84520 |
|
81 |
65 |
$132.25 |
| 84155 |
|
56 |
53 |
$114.42 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,697 |
1,429 |
$97.28 |
| 85730 |
|
47 |
40 |
$93.15 |
| 87088 |
|
13 |
12 |
$84.43 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,325 |
1,082 |
$72.30 |
| 85027 |
|
15 |
13 |
$60.21 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
735 |
633 |
$41.22 |
| 82948 |
|
12 |
12 |
$26.70 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,475 |
1,195 |
$25.32 |
| 36592 |
|
18 |
13 |
$24.35 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
265 |
247 |
$24.26 |
| A9270 |
Non-covered item or service |
1,583 |
1,109 |
$17.22 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
95 |
82 |
$8.33 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
46 |
41 |
$3.22 |
| J3490 |
Unclassified drugs |
129 |
91 |
$1.37 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
41 |
36 |
$0.84 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
932 |
676 |
$0.01 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
411 |
318 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
131 |
105 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
44 |
37 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
387 |
337 |
$0.00 |
| 96376 |
|
148 |
107 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
13 |
13 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
94 |
75 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
14 |
14 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
27 |
25 |
$0.00 |