| Code | Description | Claims | Beneficiaries | Total Paid |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
38,718 |
27,719 |
$4.66M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
45,797 |
21,753 |
$3.91M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,151 |
15,355 |
$2.54M |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
4,380 |
4,147 |
$1.13M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,152 |
5,725 |
$948K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,843 |
2,786 |
$748K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,787 |
4,675 |
$678K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,399 |
4,162 |
$606K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,254 |
3,896 |
$606K |
| 80053 |
Comprehensive metabolic panel |
27,155 |
25,553 |
$581K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,925 |
3,916 |
$556K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,073 |
2,049 |
$525K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,982 |
2,976 |
$426K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
2,571 |
2,436 |
$380K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,448 |
1,427 |
$370K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
554 |
553 |
$370K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,444 |
2,439 |
$347K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
11,035 |
10,672 |
$309K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,409 |
1,395 |
$284K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
374 |
374 |
$269K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,929 |
1,702 |
$264K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
295 |
295 |
$227K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
568 |
568 |
$193K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,723 |
3,711 |
$190K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
4,558 |
4,482 |
$162K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
2,452 |
2,347 |
$140K |
| 86850 |
|
2,668 |
2,550 |
$100K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,507 |
1,638 |
$99K |
| 59025 |
Fetal non-stress test |
1,756 |
1,074 |
$98K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,906 |
674 |
$97K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,888 |
2,849 |
$93K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
349 |
346 |
$89K |
| 80061 |
Lipid panel |
7,522 |
7,471 |
$84K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,571 |
2,566 |
$78K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,029 |
1,991 |
$73K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
489 |
486 |
$71K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,199 |
4,883 |
$70K |
| 86901 |
|
2,668 |
2,550 |
$69K |
| 86480 |
|
1,021 |
1,015 |
$61K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,240 |
1,068 |
$60K |
| 83655 |
|
3,215 |
3,207 |
$56K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,277 |
5,904 |
$53K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,875 |
2,835 |
$52K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
321 |
305 |
$51K |
| 86900 |
|
2,669 |
2,550 |
$50K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
645 |
645 |
$50K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,228 |
1,201 |
$50K |
| 76801 |
|
548 |
524 |
$48K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
467 |
408 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,011 |
9,889 |
$40K |
| 99381 |
|
291 |
290 |
$36K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,200 |
472 |
$35K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,195 |
1,023 |
$35K |
| 99442 |
|
363 |
339 |
$32K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
12,420 |
11,912 |
$32K |
| 76641 |
|
888 |
705 |
$32K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
435 |
433 |
$31K |
| 83880 |
|
1,057 |
1,042 |
$29K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
82 |
82 |
$29K |
| 90686 |
|
2,293 |
2,283 |
$28K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,955 |
3,927 |
$24K |
| 99173 |
|
2,338 |
2,335 |
$24K |
| 90715 |
|
938 |
926 |
$24K |
| 85610 |
|
6,045 |
5,680 |
$22K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,643 |
3,618 |
$22K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
21,624 |
20,349 |
$22K |
| 76830 |
Ultrasound, transvaginal |
317 |
313 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
135 |
132 |
$19K |
| 76818 |
|
569 |
320 |
$19K |
| 99201 |
|
142 |
121 |
$19K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,177 |
1,159 |
$18K |
| 90671 |
|
923 |
922 |
$17K |
| 90832 |
Psychotherapy, 30 minutes with patient |
126 |
91 |
$17K |
| 97803 |
|
487 |
475 |
$16K |
| 99441 |
|
143 |
139 |
$16K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
280 |
225 |
$16K |
| 99443 |
|
149 |
137 |
$14K |
| 76376 |
|
2,343 |
2,319 |
$14K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
97 |
97 |
$14K |
| 80076 |
|
1,145 |
1,142 |
$13K |
| 12001 |
|
27 |
27 |
$13K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
102 |
101 |
$12K |
| 84439 |
|
1,959 |
1,952 |
$12K |
| 90670 |
|
709 |
707 |
$11K |
| 0001A |
|
333 |
333 |
$11K |
| 0002A |
|
301 |
301 |
$11K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,366 |
1,342 |
$11K |
| 88399 |
|
506 |
503 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
4,485 |
4,380 |
$10K |
| 90698 |
|
648 |
648 |
$9K |
| 82803 |
|
296 |
285 |
$8K |
| 90680 |
|
506 |
504 |
$8K |
| 81001 |
|
9,476 |
9,058 |
$8K |
| J3490 |
Unclassified drugs |
1,005 |
951 |
$8K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,037 |
4,742 |
$8K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
8,501 |
8,069 |
$8K |
| 90716 |
|
289 |
289 |
$8K |
| 90651 |
|
154 |
154 |
$7K |
| 90656 |
|
359 |
358 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
102 |
101 |
$7K |
| 90697 |
|
536 |
536 |
$7K |
| 90681 |
|
549 |
548 |
$7K |
| 88312 |
|
123 |
123 |
$6K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
895 |
889 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
2,444 |
2,357 |
$6K |
| 84702 |
|
2,028 |
1,820 |
$6K |
| 87088 |
|
2,885 |
2,799 |
$5K |
| 82607 |
|
641 |
638 |
$5K |
| 97802 |
|
115 |
114 |
$5K |
| 90633 |
|
476 |
475 |
$5K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
27 |
27 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
46 |
41 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,624 |
1,592 |
$4K |
| 86769 |
|
120 |
120 |
$4K |
| 90461 |
|
2,046 |
2,040 |
$4K |
| 88142 |
|
138 |
138 |
$4K |
| 90707 |
|
212 |
212 |
$4K |
| 0011A |
|
110 |
110 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,289 |
1,274 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
12 |
$4K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
444 |
432 |
$4K |
| 0012A |
|
82 |
82 |
$4K |
| 92551 |
|
126 |
126 |
$3K |
| 82728 |
|
470 |
469 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,119 |
4,871 |
$3K |
| 82043 |
|
761 |
755 |
$3K |
| 85730 |
|
2,146 |
2,088 |
$3K |
| 86803 |
|
520 |
519 |
$2K |
| 99384 |
|
18 |
18 |
$2K |
| 0071A |
|
117 |
117 |
$2K |
| 0072A |
|
99 |
98 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
131 |
121 |
$2K |
| 72131 |
|
13 |
13 |
$2K |
| 0003A |
|
45 |
45 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
938 |
868 |
$2K |
| 87340 |
|
377 |
375 |
$2K |
| 90734 |
|
67 |
67 |
$2K |
| 84484 |
|
2,774 |
2,663 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$2K |
| 81025 |
|
572 |
549 |
$2K |
| 90620 |
|
151 |
150 |
$2K |
| 91322 |
|
29 |
29 |
$2K |
| 86592 |
|
976 |
966 |
$2K |
| 72100 |
|
315 |
313 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,331 |
4,140 |
$1K |
| 73630 |
|
614 |
579 |
$1K |
| 83690 |
|
3,716 |
3,525 |
$1K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
655 |
640 |
$1K |
| 82550 |
|
1,896 |
1,840 |
$1K |
| 73610 |
|
319 |
293 |
$1K |
| 87536 |
|
12 |
12 |
$1K |
| 87420 |
|
215 |
208 |
$1K |
| 90474 |
|
1,408 |
1,408 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
807 |
791 |
$946.91 |
| 86580 |
|
153 |
150 |
$936.66 |
| J2704 |
Injection, propofol, 10 mg |
730 |
717 |
$924.36 |
| 96368 |
|
24 |
24 |
$757.24 |
| 90733 |
|
139 |
139 |
$745.55 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
445 |
442 |
$732.62 |
| 90480 |
|
77 |
72 |
$728.21 |
| 73130 |
|
313 |
288 |
$681.41 |
| 86140 |
|
213 |
210 |
$634.40 |
| 83540 |
|
167 |
167 |
$606.54 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
863 |
799 |
$582.61 |
| 82746 |
|
61 |
60 |
$562.63 |
| 73562 |
|
246 |
224 |
$555.76 |
| 70486 |
|
15 |
15 |
$553.84 |
| 84153 |
|
30 |
30 |
$541.34 |
| 85652 |
|
511 |
505 |
$500.91 |
| 80050 |
General health panel |
16 |
16 |
$480.00 |
| 90619 |
|
12 |
12 |
$450.27 |
| 90685 |
|
30 |
30 |
$440.28 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,181 |
2,988 |
$425.56 |
| 83735 |
|
406 |
397 |
$422.73 |
| 86762 |
|
55 |
55 |
$411.68 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
567 |
548 |
$379.21 |
| 73030 |
|
172 |
162 |
$374.86 |
| 87081 |
|
879 |
860 |
$309.82 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
911 |
888 |
$300.66 |
| 90710 |
|
16 |
14 |
$243.79 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
153 |
144 |
$239.77 |
| 73110 |
|
75 |
70 |
$238.91 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
12 |
12 |
$231.72 |
| 82570 |
|
78 |
76 |
$230.45 |
| J0134 |
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
82 |
78 |
$217.87 |
| 84480 |
|
69 |
68 |
$217.52 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
827 |
817 |
$178.79 |
| 73564 |
|
46 |
38 |
$172.05 |
| 86706 |
|
29 |
29 |
$169.67 |
| 84156 |
|
62 |
62 |
$165.74 |
| 83020 |
|
25 |
25 |
$160.67 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
671 |
640 |
$157.99 |
| 82150 |
|
264 |
263 |
$154.48 |
| 86787 |
|
38 |
38 |
$141.79 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
220 |
209 |
$140.16 |
| 96127 |
|
131 |
128 |
$138.92 |
| 94760 |
|
114 |
108 |
$134.09 |
| 82950 |
|
38 |
38 |
$131.36 |
| 96380 |
|
32 |
32 |
$122.36 |
| 96376 |
|
181 |
179 |
$120.97 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
171 |
169 |
$115.68 |
| 87040 |
|
279 |
270 |
$101.77 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
357 |
354 |
$94.10 |
| J7050 |
Infusion, normal saline solution, 250 cc |
357 |
343 |
$88.43 |
| 90657 |
|
26 |
26 |
$82.60 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
101 |
98 |
$78.32 |
| 87077 |
|
40 |
40 |
$74.22 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,058 |
1,050 |
$70.10 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
385 |
372 |
$63.08 |
| 83550 |
|
27 |
27 |
$60.92 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
62 |
62 |
$60.17 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
739 |
673 |
$55.82 |
| 87186 |
|
25 |
25 |
$52.14 |
| 90696 |
|
12 |
12 |
$50.20 |
| 80320 |
|
461 |
422 |
$39.68 |
| 86038 |
|
12 |
12 |
$33.02 |
| 83605 |
|
103 |
100 |
$31.87 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
26 |
24 |
$25.88 |
| 81002 |
|
17 |
13 |
$25.83 |
| J7510 |
Prednisolone oral, per 5 mg |
55 |
54 |
$10.18 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
72 |
62 |
$9.18 |
| J1644 |
Injection, heparin sodium, per 1000 units |
26 |
12 |
$9.01 |
| 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 |
341 |
334 |
$5.34 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
66 |
66 |
$4.88 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
105 |
95 |
$3.26 |
| J2060 |
Injection, lorazepam, 2 mg |
14 |
12 |
$2.58 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
26 |
25 |
$1.28 |
| 91300 |
|
74 |
64 |
$0.68 |
| 91301 |
|
73 |
73 |
$0.28 |
| 91307 |
|
30 |
29 |
$0.15 |
| 99080 |
|
1,673 |
411 |
$0.00 |