| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
48,495 |
43,854 |
$4.16M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
46,080 |
37,896 |
$3.50M |
| 80053 |
Comprehensive metabolic panel |
30,823 |
23,788 |
$856K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
9,938 |
9,304 |
$816K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
9,002 |
7,078 |
$653K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,385 |
3,649 |
$596K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,234 |
3,994 |
$371K |
| 87070 |
|
8,811 |
8,320 |
$274K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,472 |
2,009 |
$269K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
9,526 |
7,277 |
$241K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
2,800 |
2,519 |
$232K |
| 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 |
7,274 |
6,696 |
$208K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,900 |
3,461 |
$156K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,394 |
1,951 |
$146K |
| G0378 |
Hospital observation service, per hour |
10,367 |
5,306 |
$139K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,433 |
4,562 |
$136K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,549 |
1,363 |
$122K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
9,346 |
8,213 |
$115K |
| 97535 |
Self-care/home management training, each 15 minutes |
4,802 |
3,230 |
$114K |
| 87275 |
|
15,731 |
14,649 |
$86K |
| 76830 |
Ultrasound, transvaginal |
3,157 |
2,654 |
$84K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
3,299 |
3,181 |
$81K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
816 |
664 |
$75K |
| 80047 |
|
3,329 |
2,644 |
$73K |
| 81001 |
|
13,262 |
11,438 |
$70K |
| 71046 |
Radiologic examination, chest; 2 views |
5,974 |
5,385 |
$67K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,851 |
2,321 |
$64K |
| 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 |
1,766 |
1,446 |
$64K |
| 81003 |
|
8,506 |
7,417 |
$60K |
| A9270 |
Non-covered item or service |
14,757 |
3,196 |
$52K |
| 71045 |
Radiologic examination, chest; single view |
12,771 |
9,837 |
$51K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
4,179 |
3,275 |
$51K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,431 |
1,118 |
$48K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
8,029 |
7,366 |
$44K |
| 84112 |
|
424 |
383 |
$43K |
| 85027 |
|
45,191 |
32,420 |
$43K |
| 73630 |
|
1,068 |
928 |
$41K |
| 84702 |
|
5,773 |
4,793 |
$39K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
18,856 |
15,712 |
$38K |
| 87088 |
|
4,497 |
4,022 |
$36K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
17,822 |
13,663 |
$36K |
| 97167 |
|
1,667 |
1,413 |
$35K |
| 86850 |
|
4,649 |
3,963 |
$35K |
| S0028 |
Injection, famotidine, 20 mg |
2,540 |
2,065 |
$34K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,563 |
1,395 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,625 |
9,144 |
$34K |
| 72131 |
|
1,026 |
799 |
$30K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,588 |
775 |
$29K |
| 73110 |
|
827 |
634 |
$27K |
| 81025 |
|
4,130 |
3,806 |
$27K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
9,991 |
7,797 |
$24K |
| 97163 |
|
1,376 |
1,112 |
$24K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,470 |
1,114 |
$22K |
| 73610 |
|
1,198 |
1,055 |
$22K |
| 84484 |
|
13,487 |
8,566 |
$22K |
| 73130 |
|
1,148 |
915 |
$21K |
| 84703 |
|
1,355 |
1,233 |
$19K |
| 47562 |
|
12 |
12 |
$19K |
| 93970 |
|
492 |
364 |
$17K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,841 |
1,349 |
$17K |
| 12011 |
|
198 |
175 |
$17K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12,374 |
9,722 |
$17K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,505 |
2,129 |
$16K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
382 |
356 |
$16K |
| 73564 |
|
965 |
741 |
$15K |
| 73030 |
|
763 |
559 |
$15K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
671 |
637 |
$14K |
| 80076 |
|
1,819 |
1,472 |
$14K |
| 87077 |
|
1,577 |
1,383 |
$13K |
| J2704 |
Injection, propofol, 10 mg |
1,201 |
808 |
$12K |
| 87081 |
|
1,236 |
997 |
$12K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
886 |
620 |
$10K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,598 |
1,910 |
$10K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
342 |
279 |
$10K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,723 |
1,265 |
$9K |
| 85730 |
|
8,313 |
6,363 |
$9K |
| 86780 |
|
207 |
185 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,214 |
969 |
$9K |
| 74018 |
|
983 |
906 |
$8K |
| 00400 |
|
116 |
110 |
$7K |
| 87210 |
|
1,527 |
1,441 |
$7K |
| 85610 |
|
8,563 |
6,534 |
$7K |
| 71250 |
|
447 |
304 |
$7K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,296 |
2,549 |
$7K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
6,743 |
5,612 |
$7K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,277 |
4,906 |
$7K |
| 76857 |
|
670 |
619 |
$6K |
| 87276 |
|
15,726 |
14,646 |
$6K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,574 |
2,112 |
$6K |
| 82565 |
|
181 |
144 |
$6K |
| 76801 |
|
797 |
698 |
$6K |
| 73140 |
|
136 |
130 |
$6K |
| 00840 |
|
355 |
302 |
$6K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
160 |
127 |
$5K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,985 |
1,496 |
$5K |
| 86900 |
|
6,479 |
5,557 |
$5K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,292 |
447 |
$5K |
| 86901 |
|
4,643 |
3,963 |
$5K |
| 88307 |
|
260 |
206 |
$5K |
| 29125 |
|
83 |
70 |
$5K |
| 70486 |
|
125 |
107 |
$5K |
| 83690 |
|
8,833 |
7,376 |
$4K |
| 12001 |
|
52 |
52 |
$4K |
| 93971 |
|
373 |
305 |
$4K |
| 76770 |
|
220 |
196 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
143 |
137 |
$4K |
| 83735 |
|
4,059 |
2,874 |
$4K |
| 87807 |
|
3,756 |
3,574 |
$3K |
| 72128 |
|
278 |
215 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
12 |
$3K |
| 97760 |
|
278 |
187 |
$3K |
| 83880 |
|
1,786 |
1,285 |
$2K |
| 87040 |
|
3,362 |
2,120 |
$2K |
| 00300 |
|
169 |
159 |
$2K |
| 73590 |
|
280 |
223 |
$2K |
| 83605 |
|
3,327 |
2,511 |
$2K |
| 12002 |
|
40 |
38 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,293 |
2,356 |
$2K |
| 73090 |
|
180 |
132 |
$2K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,657 |
1,562 |
$2K |
| 76536 |
|
69 |
62 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,657 |
1,562 |
$2K |
| 15004 |
|
18 |
14 |
$2K |
| A6209 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
27 |
24 |
$2K |
| J1644 |
Injection, heparin sodium, per 1000 units |
336 |
144 |
$1K |
| J3490 |
Unclassified drugs |
644 |
371 |
$1K |
| 90714 |
|
1,320 |
1,082 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,407 |
1,905 |
$1K |
| J2791 |
Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu |
36 |
34 |
$1K |
| 73502 |
|
73 |
62 |
$1K |
| J1815 |
Injection, insulin, per 5 units |
286 |
109 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
56 |
53 |
$1K |
| 82657 |
|
35 |
34 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
973 |
772 |
$1K |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
1,331 |
1,102 |
$1K |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
1,176 |
624 |
$1K |
| 84100 |
|
2,558 |
1,810 |
$929.39 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
28 |
16 |
$907.82 |
| 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 |
1,479 |
1,317 |
$906.58 |
| 80061 |
Lipid panel |
958 |
760 |
$891.39 |
| 82575 |
|
64 |
55 |
$883.71 |
| 88342 |
|
401 |
320 |
$861.07 |
| 72170 |
|
158 |
119 |
$854.92 |
| 86308 |
|
117 |
114 |
$850.71 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
25 |
$796.75 |
| 73080 |
|
96 |
83 |
$770.99 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
2,007 |
1,740 |
$739.68 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,950 |
1,545 |
$716.01 |
| 88304 |
|
655 |
576 |
$684.81 |
| 76870 |
|
14 |
13 |
$657.29 |
| 82550 |
|
2,095 |
1,694 |
$655.70 |
| 87045 |
|
14 |
13 |
$591.43 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
201 |
151 |
$589.72 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,614 |
1,805 |
$562.10 |
| 72100 |
|
92 |
74 |
$553.43 |
| 85379 |
|
733 |
632 |
$519.70 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
621 |
335 |
$506.92 |
| 76818 |
|
15 |
14 |
$495.32 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,135 |
638 |
$479.89 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
26 |
13 |
$463.92 |
| 82270 |
|
31 |
27 |
$445.86 |
| 82247 |
|
591 |
509 |
$433.68 |
| 83615 |
|
842 |
553 |
$407.75 |
| 10060 |
|
12 |
12 |
$405.09 |
| 86738 |
|
174 |
167 |
$377.51 |
| J2060 |
Injection, lorazepam, 2 mg |
1,603 |
1,152 |
$369.11 |
| 85384 |
|
907 |
610 |
$343.89 |
| 87400 |
|
516 |
478 |
$335.67 |
| 82040 |
|
566 |
488 |
$321.87 |
| 00731 |
|
96 |
87 |
$315.07 |
| 84155 |
|
566 |
488 |
$314.26 |
| 84450 |
|
562 |
485 |
$314.26 |
| 84460 |
|
562 |
485 |
$314.26 |
| 84075 |
|
563 |
486 |
$314.26 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
540 |
485 |
$310.64 |
| 73562 |
|
30 |
27 |
$281.82 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
385 |
290 |
$270.81 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
42 |
14 |
$260.26 |
| 85049 |
|
35 |
15 |
$235.56 |
| C1769 |
Guide wire |
184 |
141 |
$230.54 |
| 97116 |
|
147 |
101 |
$211.89 |
| 85651 |
|
686 |
608 |
$152.24 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
199 |
137 |
$78.16 |
| 86140 |
|
755 |
689 |
$15.66 |
| 96376 |
|
263 |
203 |
$14.56 |
| 82248 |
|
292 |
200 |
$11.94 |
| 84550 |
|
713 |
452 |
$10.92 |
| 85007 |
|
229 |
210 |
$3.54 |
| 87340 |
|
136 |
119 |
$3.31 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
19 |
15 |
$2.50 |
| 85014 |
|
50 |
32 |
$2.17 |
| 85018 |
|
53 |
32 |
$2.17 |
| 87186 |
|
177 |
160 |
$1.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
141 |
107 |
$0.90 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
110 |
105 |
$0.90 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
280 |
174 |
$0.50 |
| 84156 |
|
129 |
105 |
$0.20 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
56 |
30 |
$0.10 |
| 87205 |
|
13 |
13 |
$0.10 |
| G1003 |
Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program |
344 |
232 |
$0.00 |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
17 |
13 |
$0.00 |
| 58558 |
|
12 |
12 |
$0.00 |
| 87420 |
|
28 |
27 |
$0.00 |
| S0077 |
Injection, clindamycin phosphate, 300 mg |
21 |
12 |
$0.00 |
| C1758 |
Catheter, ureteral |
15 |
14 |
$0.00 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
13 |
12 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
28 |
26 |
$0.00 |
| 88341 |
|
14 |
14 |
$0.00 |
| J0456 |
Injection, azithromycin, 500 mg |
27 |
13 |
$0.00 |
| 87430 |
|
25 |
23 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
19 |
12 |
$0.00 |
| 82150 |
|
13 |
12 |
$0.00 |
| 97165 |
|
13 |
12 |
$0.00 |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
16 |
12 |
$0.00 |