| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
22,140 |
20,486 |
$7.33M |
| OP710 |
|
9,354 |
8,444 |
$1.94M |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,473 |
1,354 |
$1.15M |
| OP379 |
|
6,567 |
6,073 |
$967K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,005 |
2,811 |
$929K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,924 |
2,747 |
$749K |
| C1776 |
Joint device (implantable) |
448 |
375 |
$694K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
3,827 |
3,250 |
$543K |
| G0378 |
Hospital observation service, per hour |
1,093 |
632 |
$521K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,078 |
1,051 |
$499K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
402 |
374 |
$471K |
| 64483 |
|
1,071 |
1,014 |
$466K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
842 |
765 |
$455K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
550 |
498 |
$416K |
| 20553 |
|
1,549 |
1,396 |
$269K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
11,080 |
2,631 |
$268K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
924 |
841 |
$266K |
| 64450 |
|
1,365 |
1,058 |
$264K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,555 |
1,503 |
$249K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,598 |
2,462 |
$221K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,104 |
4,534 |
$217K |
| 93458 |
|
163 |
154 |
$207K |
| OP278 |
|
1,030 |
974 |
$207K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
245 |
235 |
$193K |
| 76000 |
|
3,918 |
3,584 |
$178K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,229 |
4,915 |
$147K |
| A4641 |
Radiopharmaceutical, diagnostic, not otherwise classified |
828 |
750 |
$139K |
| OP279 |
|
6,016 |
5,592 |
$136K |
| 27447 |
|
209 |
179 |
$128K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
3,898 |
1,118 |
$127K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,388 |
1,316 |
$125K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
14,088 |
3,083 |
$110K |
| 72020 |
|
3,168 |
2,895 |
$106K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,542 |
6,073 |
$92K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,092 |
13,685 |
$83K |
| 64493 |
|
158 |
138 |
$77K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
44 |
42 |
$76K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
158 |
140 |
$74K |
| 80053 |
Comprehensive metabolic panel |
13,316 |
12,204 |
$68K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,093 |
1,942 |
$66K |
| 64494 |
|
149 |
125 |
$60K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
10,394 |
2,310 |
$60K |
| 93975 |
|
449 |
432 |
$60K |
| 64484 |
|
402 |
350 |
$54K |
| 71046 |
Radiologic examination, chest; 2 views |
2,613 |
2,534 |
$53K |
| 71045 |
Radiologic examination, chest; single view |
3,445 |
3,228 |
$51K |
| 64495 |
|
111 |
95 |
$49K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
175 |
166 |
$47K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,821 |
2,671 |
$44K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
231 |
229 |
$42K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
143 |
135 |
$41K |
| 64635 |
|
48 |
41 |
$37K |
| A0425 |
Ground mileage, per statute mile |
4,415 |
3,522 |
$33K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,706 |
3,486 |
$32K |
| OP259 |
|
23,353 |
12,488 |
$31K |
| 64451 |
|
385 |
355 |
$31K |
| 86900 |
|
2,456 |
2,156 |
$30K |
| 95811 |
|
12 |
12 |
$29K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,459 |
1,376 |
$28K |
| 88342 |
|
800 |
773 |
$27K |
| 97161 |
|
624 |
600 |
$25K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
801 |
771 |
$24K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,478 |
2,342 |
$24K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
787 |
759 |
$23K |
| 73221 |
|
76 |
75 |
$23K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,238 |
2,091 |
$23K |
| 88313 |
|
798 |
770 |
$19K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,491 |
1,435 |
$19K |
| 64636 |
|
51 |
40 |
$18K |
| 80061 |
Lipid panel |
1,225 |
1,175 |
$18K |
| 73564 |
|
802 |
743 |
$17K |
| 84484 |
|
4,333 |
3,936 |
$15K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
202 |
199 |
$15K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
463 |
455 |
$14K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
767 |
766 |
$14K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,295 |
1,037 |
$14K |
| 84703 |
|
10,119 |
9,469 |
$13K |
| 85610 |
|
6,056 |
5,656 |
$13K |
| 73700 |
|
166 |
153 |
$13K |
| 72110 |
|
455 |
434 |
$13K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
400 |
391 |
$12K |
| 85730 |
|
5,130 |
4,799 |
$11K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
529 |
520 |
$11K |
| 73565 |
|
562 |
527 |
$11K |
| J2785 |
Injection, regadenoson, 0.1 mg |
450 |
430 |
$10K |
| J2704 |
Injection, propofol, 10 mg |
4,403 |
4,031 |
$10K |
| 81001 |
|
9,818 |
9,219 |
$10K |
| 86769 |
|
162 |
162 |
$9K |
| 97162 |
|
254 |
236 |
$9K |
| 87070 |
|
2,663 |
2,578 |
$9K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,135 |
2,035 |
$8K |
| 87802 |
|
2,570 |
2,486 |
$8K |
| 82948 |
|
4,168 |
3,389 |
$8K |
| 86850 |
|
2,369 |
2,117 |
$8K |
| 73610 |
|
461 |
436 |
$8K |
| 62321 |
|
27 |
27 |
$7K |
| 86780 |
|
584 |
577 |
$7K |
| 83690 |
|
3,607 |
3,409 |
$7K |
| 86803 |
|
441 |
440 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
278 |
260 |
$7K |
| 87400 |
|
3,982 |
3,825 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
71 |
66 |
$7K |
| 62323 |
|
12 |
12 |
$7K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
6,243 |
5,139 |
$6K |
| 97014 |
|
659 |
189 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,737 |
1,609 |
$6K |
| 86901 |
|
2,509 |
2,161 |
$5K |
| J3490 |
Unclassified drugs |
2,263 |
1,534 |
$5K |
| 73630 |
|
418 |
394 |
$5K |
| 87340 |
|
480 |
477 |
$5K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
3,995 |
3,283 |
$5K |
| 73030 |
|
337 |
311 |
$5K |
| 73502 |
|
255 |
233 |
$4K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
860 |
808 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
4,049 |
3,299 |
$4K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
1,621 |
1,431 |
$4K |
| L2280 |
Addition to lower extremity, molded inner boot |
947 |
857 |
$3K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,124 |
2,921 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
44 |
41 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,108 |
998 |
$3K |
| 76830 |
Ultrasound, transvaginal |
65 |
63 |
$3K |
| 84702 |
|
657 |
609 |
$3K |
| 76641 |
|
52 |
50 |
$3K |
| 73560 |
|
382 |
323 |
$3K |
| G0483 |
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; 22 or more drug class(es), including metabolite(s) if performed |
160 |
152 |
$3K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
4,006 |
3,657 |
$2K |
| 88304 |
|
303 |
268 |
$2K |
| 87040 |
|
295 |
272 |
$2K |
| 71250 |
|
26 |
25 |
$2K |
| 82150 |
|
434 |
425 |
$2K |
| 86756 |
|
299 |
294 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
14 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
84 |
79 |
$2K |
| 64418 |
|
13 |
13 |
$2K |
| 64405 |
|
13 |
13 |
$2K |
| OP250 |
|
2,451 |
1,595 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
30 |
29 |
$2K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,696 |
2,488 |
$2K |
| 73130 |
|
121 |
111 |
$2K |
| OP270 |
|
267 |
236 |
$2K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
160 |
118 |
$2K |
| 83605 |
|
443 |
382 |
$1K |
| 87420 |
|
500 |
474 |
$1K |
| A4649 |
Surgical supply; miscellaneous |
544 |
457 |
$1K |
| 85378 |
|
852 |
810 |
$1K |
| 72131 |
|
13 |
13 |
$1K |
| 87270 |
|
145 |
145 |
$1K |
| 86706 |
|
122 |
122 |
$1K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,129 |
962 |
$1K |
| 0011A |
|
42 |
41 |
$1K |
| 76770 |
|
12 |
12 |
$1K |
| 84439 |
|
148 |
148 |
$1K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,956 |
1,556 |
$1K |
| A4930 |
Gloves, sterile, per pair |
1,249 |
1,136 |
$1K |
| 87081 |
|
155 |
155 |
$1K |
| 82550 |
|
361 |
343 |
$994.66 |
| 97535 |
Self-care/home management training, each 15 minutes |
456 |
418 |
$964.51 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
424 |
389 |
$945.13 |
| 80305 |
|
72 |
70 |
$888.79 |
| 83735 |
|
810 |
755 |
$868.60 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
718 |
386 |
$811.35 |
| 76536 |
|
15 |
15 |
$807.31 |
| 76870 |
|
12 |
12 |
$804.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,491 |
1,357 |
$801.79 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$739.62 |
| 80320 |
|
194 |
182 |
$723.64 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,002 |
933 |
$672.16 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
31 |
27 |
$669.73 |
| 87641 |
|
166 |
127 |
$609.56 |
| 86704 |
|
42 |
42 |
$564.01 |
| S2900 |
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) |
16 |
12 |
$479.51 |
| 86762 |
|
72 |
71 |
$428.52 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
629 |
535 |
$421.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
92 |
80 |
$399.24 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
456 |
447 |
$359.57 |
| 82607 |
|
36 |
35 |
$335.92 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
197 |
185 |
$324.63 |
| 86787 |
|
25 |
25 |
$286.40 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
337 |
306 |
$261.30 |
| 84153 |
|
12 |
12 |
$237.50 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
33 |
32 |
$235.43 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
116 |
111 |
$214.81 |
| 82728 |
|
17 |
16 |
$207.21 |
| 84481 |
|
17 |
17 |
$199.20 |
| C9113 |
Injection, pantoprazole sodium, per vial |
304 |
265 |
$198.09 |
| 82746 |
|
17 |
16 |
$176.27 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
72 |
66 |
$169.76 |
| 88311 |
|
75 |
64 |
$151.53 |
| 87186 |
|
14 |
14 |
$150.91 |
| 86701 |
|
25 |
25 |
$144.00 |
| 90714 |
|
37 |
36 |
$141.42 |
| 87077 |
|
14 |
14 |
$131.65 |
| C9290 |
Injection, bupivacaine liposome, 1 mg |
221 |
219 |
$122.09 |
| 83540 |
|
31 |
30 |
$113.00 |
| J7643 |
Glycopyrrolate, inhalation solution, compounded product, administered through dme, unit dose form, per milligram |
116 |
115 |
$109.91 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
96 |
76 |
$109.87 |
| 97164 |
|
43 |
42 |
$106.14 |
| 84100 |
|
102 |
97 |
$90.75 |
| 82043 |
|
51 |
50 |
$84.13 |
| 83880 |
|
12 |
12 |
$77.02 |
| 88300 |
|
15 |
15 |
$64.10 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
159 |
155 |
$60.47 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
216 |
156 |
$52.90 |
| S0028 |
Injection, famotidine, 20 mg |
324 |
299 |
$48.37 |
| 83550 |
|
17 |
16 |
$47.49 |
| 82950 |
|
14 |
14 |
$46.05 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
246 |
230 |
$45.94 |
| 86140 |
|
26 |
26 |
$43.41 |
| A4600 |
Sleeve for intermittent limb compression device, replacement only, each |
51 |
51 |
$39.12 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
16 |
16 |
$33.84 |
| 84436 |
|
15 |
15 |
$33.51 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
95 |
83 |
$31.89 |
| 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 |
267 |
248 |
$21.65 |
| 72170 |
|
27 |
27 |
$21.45 |
| OP290 |
|
148 |
147 |
$20.87 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
86 |
81 |
$19.48 |
| 85651 |
|
12 |
12 |
$18.25 |
| E0769 |
Electrical stimulation or electromagnetic wound treatment device, not otherwise classified |
30 |
27 |
$16.21 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
27 |
26 |
$16.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
27 |
18 |
$8.35 |
| J3260 |
Injection, tobramycin sulfate, up to 80 mg |
93 |
66 |
$4.00 |
| 91301 |
|
43 |
42 |
$2.00 |
| 20985 |
|
46 |
37 |
$0.00 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
48 |
26 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
13 |
12 |
$0.00 |
| 99152 |
|
14 |
12 |
$0.00 |