| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
11,966 |
10,764 |
$2.84M |
| G0378 |
Hospital observation service, per hour |
3,220 |
2,841 |
$2.41M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,088 |
5,619 |
$937K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
11,150 |
9,591 |
$685K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,852 |
1,693 |
$511K |
| 80053 |
Comprehensive metabolic panel |
14,828 |
12,746 |
$237K |
| 84484 |
|
8,318 |
6,193 |
$192K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,000 |
1,862 |
$189K |
| 71046 |
Radiologic examination, chest; 2 views |
4,088 |
3,756 |
$176K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17,064 |
13,640 |
$160K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,149 |
739 |
$141K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
921 |
870 |
$136K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
854 |
787 |
$119K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
4,694 |
4,247 |
$115K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,180 |
4,395 |
$88K |
| 81001 |
|
7,308 |
6,620 |
$73K |
| 87400 |
|
725 |
638 |
$71K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,337 |
2,147 |
$71K |
| 71045 |
Radiologic examination, chest; single view |
3,969 |
3,569 |
$67K |
| 74178 |
|
752 |
716 |
$66K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
90 |
77 |
$48K |
| 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 |
1,190 |
1,059 |
$40K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,631 |
2,652 |
$36K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
455 |
418 |
$35K |
| 84703 |
|
1,888 |
1,676 |
$33K |
| 36415 |
Collection of venous blood by venipuncture |
4,210 |
2,638 |
$29K |
| 83690 |
|
3,271 |
2,920 |
$28K |
| 87040 |
|
391 |
360 |
$27K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
249 |
222 |
$24K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
103 |
85 |
$23K |
| 84702 |
|
324 |
264 |
$17K |
| 80306 |
|
136 |
123 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
420 |
366 |
$14K |
| 87070 |
|
302 |
271 |
$14K |
| 83880 |
|
971 |
830 |
$12K |
| 81003 |
|
2,436 |
2,217 |
$12K |
| 81025 |
|
716 |
653 |
$11K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
146 |
131 |
$10K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
138 |
127 |
$9K |
| 87077 |
|
649 |
608 |
$9K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,081 |
805 |
$8K |
| 85027 |
|
1,302 |
1,001 |
$8K |
| 93971 |
|
45 |
39 |
$8K |
| J1815 |
Injection, insulin, per 5 units |
853 |
605 |
$6K |
| 85379 |
|
305 |
282 |
$6K |
| 87430 |
|
171 |
155 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
94 |
87 |
$6K |
| P9016 |
Red blood cells, leukocytes reduced, each unit |
30 |
24 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,090 |
2,646 |
$5K |
| 73562 |
|
60 |
57 |
$5K |
| 86850 |
|
482 |
428 |
$5K |
| 82948 |
|
2,099 |
1,309 |
$5K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
16 |
14 |
$5K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,527 |
890 |
$4K |
| 85730 |
|
975 |
865 |
$4K |
| 85610 |
|
1,342 |
1,142 |
$4K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
16 |
14 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
236 |
176 |
$3K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
16 |
12 |
$3K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
58 |
56 |
$3K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
296 |
185 |
$3K |
| 80305 |
|
17 |
16 |
$3K |
| 87186 |
|
416 |
398 |
$3K |
| 83605 |
|
182 |
161 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$2K |
| 87210 |
|
114 |
104 |
$2K |
| 76000 |
|
17 |
15 |
$2K |
| 87581 |
|
16 |
14 |
$2K |
| 87486 |
|
16 |
14 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
13 |
$2K |
| 86900 |
|
559 |
507 |
$2K |
| 86901 |
|
517 |
462 |
$2K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,231 |
916 |
$2K |
| G0257 |
Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility |
15 |
12 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
12 |
12 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,000 |
2,324 |
$1K |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
437 |
252 |
$1K |
| 85014 |
|
336 |
295 |
$1K |
| 73130 |
|
19 |
15 |
$1K |
| 73630 |
|
19 |
19 |
$981.95 |
| 80320 |
|
32 |
26 |
$972.78 |
| 94760 |
|
174 |
112 |
$748.96 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
43 |
37 |
$676.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$643.20 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
209 |
120 |
$631.16 |
| J3490 |
Unclassified drugs |
214 |
155 |
$624.95 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
268 |
194 |
$618.77 |
| 85018 |
|
270 |
234 |
$478.83 |
| 72100 |
|
12 |
12 |
$457.16 |
| J1644 |
Injection, heparin sodium, per 1000 units |
432 |
204 |
$444.71 |
| 94664 |
|
249 |
167 |
$425.42 |
| 83735 |
|
161 |
125 |
$411.43 |
| 84443 |
Thyroid stimulating hormone (TSH) |
43 |
37 |
$411.01 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
333 |
238 |
$366.18 |
| 84132 |
|
204 |
179 |
$363.85 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
234 |
199 |
$339.08 |
| 82077 |
|
13 |
13 |
$283.52 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
528 |
457 |
$173.94 |
| 81015 |
|
44 |
40 |
$169.19 |
| 80061 |
Lipid panel |
17 |
17 |
$164.88 |
| 82435 |
|
104 |
94 |
$150.67 |
| J7510 |
Prednisolone oral, per 5 mg |
268 |
217 |
$146.14 |
| 84520 |
|
103 |
93 |
$124.07 |
| 87088 |
|
12 |
12 |
$116.81 |
| 84295 |
|
102 |
92 |
$91.21 |
| J1940 |
Injection, furosemide, up to 20 mg |
64 |
37 |
$61.97 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
644 |
489 |
$23.41 |
| J2060 |
Injection, lorazepam, 2 mg |
19 |
12 |
$12.20 |
| 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 |
29 |
27 |
$10.76 |
| 82565 |
|
13 |
13 |
$0.00 |
| 82248 |
|
14 |
14 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
338 |
290 |
$0.00 |
| 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 |
39 |
29 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
72 |
53 |
$0.00 |