| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,278 |
13,873 |
$975K |
| G0378 |
Hospital observation service, per hour |
337 |
320 |
$404K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,542 |
3,407 |
$313K |
| 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 |
3,664 |
3,526 |
$309K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
7,126 |
6,964 |
$281K |
| 80053 |
Comprehensive metabolic panel |
16,525 |
15,529 |
$177K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,036 |
1,000 |
$161K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,252 |
1,190 |
$141K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,775 |
4,551 |
$126K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19,284 |
17,809 |
$101K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,233 |
1,182 |
$71K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,914 |
6,550 |
$62K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,326 |
3,014 |
$60K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
318 |
313 |
$54K |
| T1015 |
Clinic visit/encounter, all-inclusive |
894 |
766 |
$48K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,544 |
2,484 |
$48K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
836 |
781 |
$47K |
| 71045 |
Radiologic examination, chest; single view |
5,405 |
5,209 |
$38K |
| 80050 |
General health panel |
792 |
758 |
$37K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,263 |
1,127 |
$35K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
143 |
142 |
$30K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,076 |
1,041 |
$30K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
776 |
771 |
$29K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
410 |
404 |
$29K |
| 84484 |
|
3,088 |
2,862 |
$26K |
| 80061 |
Lipid panel |
1,855 |
1,836 |
$24K |
| 83690 |
|
5,112 |
4,903 |
$23K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
1,509 |
385 |
$22K |
| 86618 |
|
468 |
463 |
$21K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
242 |
242 |
$20K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
32 |
25 |
$20K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
542 |
536 |
$18K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
718 |
695 |
$17K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
270 |
265 |
$16K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,990 |
1,850 |
$14K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
156 |
154 |
$14K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
593 |
560 |
$14K |
| 93971 |
|
229 |
225 |
$14K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,082 |
1,829 |
$14K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
585 |
552 |
$14K |
| 97597 |
|
911 |
429 |
$13K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
108 |
107 |
$13K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
358 |
347 |
$11K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
275 |
270 |
$11K |
| 83735 |
|
2,044 |
1,757 |
$11K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
13 |
12 |
$9K |
| 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 |
182 |
170 |
$9K |
| 81001 |
|
3,343 |
3,177 |
$9K |
| 84703 |
|
933 |
890 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,330 |
1,315 |
$8K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
276 |
275 |
$8K |
| 82077 |
|
272 |
246 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
541 |
479 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
183 |
173 |
$7K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
730 |
713 |
$7K |
| 87634 |
|
95 |
95 |
$7K |
| 450 |
Pov group 1 hd 301-450 lbs |
19 |
15 |
$6K |
| 76830 |
Ultrasound, transvaginal |
140 |
136 |
$6K |
| 87088 |
|
751 |
716 |
$6K |
| 85610 |
|
1,898 |
1,673 |
$6K |
| 71250 |
|
107 |
106 |
$6K |
| 80143 |
|
218 |
197 |
$6K |
| 84702 |
|
358 |
275 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
529 |
517 |
$6K |
| 80179 |
|
212 |
193 |
$6K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
86 |
85 |
$6K |
| 76770 |
|
140 |
139 |
$5K |
| 82607 |
|
406 |
405 |
$5K |
| 74018 |
|
483 |
433 |
$5K |
| 73610 |
|
311 |
292 |
$5K |
| 81003 |
|
1,837 |
1,768 |
$5K |
| 84439 |
|
679 |
668 |
$5K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
479 |
462 |
$5K |
| 87186 |
|
637 |
605 |
$4K |
| 82728 |
|
403 |
397 |
$4K |
| 88342 |
|
147 |
141 |
$4K |
| 83970 |
|
116 |
115 |
$4K |
| 0001A |
|
96 |
96 |
$4K |
| 85378 |
|
471 |
460 |
$4K |
| 85027 |
|
715 |
644 |
$4K |
| 87040 |
|
271 |
258 |
$4K |
| 81025 |
|
1,152 |
1,092 |
$4K |
| 73630 |
|
378 |
358 |
$4K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
147 |
141 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
169 |
169 |
$4K |
| 83880 |
|
152 |
145 |
$4K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
16 |
16 |
$3K |
| 86885 |
|
531 |
514 |
$3K |
| 82784 |
|
145 |
144 |
$3K |
| 87340 |
|
215 |
215 |
$3K |
| 73030 |
|
231 |
218 |
$3K |
| 86762 |
|
159 |
158 |
$3K |
| 87070 |
|
598 |
550 |
$3K |
| 76642 |
|
76 |
66 |
$3K |
| 82950 |
|
417 |
416 |
$3K |
| 80076 |
|
353 |
338 |
$3K |
| 70486 |
|
43 |
43 |
$3K |
| 73562 |
|
189 |
175 |
$3K |
| 86617 |
|
62 |
62 |
$3K |
| 83540 |
|
334 |
330 |
$3K |
| 86803 |
|
128 |
126 |
$2K |
| 87077 |
|
351 |
337 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
59 |
58 |
$2K |
| 82570 |
|
349 |
342 |
$2K |
| 70496 |
|
14 |
14 |
$2K |
| 80349 |
|
169 |
162 |
$2K |
| 84153 |
|
86 |
86 |
$2K |
| 85730 |
|
569 |
536 |
$2K |
| 0002A |
|
46 |
46 |
$2K |
| 96367 |
|
153 |
145 |
$2K |
| 82043 |
|
252 |
250 |
$2K |
| 86901 |
|
562 |
541 |
$2K |
| 86900 |
|
561 |
540 |
$2K |
| 84145 |
|
144 |
139 |
$2K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
237 |
170 |
$2K |
| 94664 |
|
206 |
192 |
$2K |
| 82550 |
|
333 |
295 |
$2K |
| 76536 |
|
38 |
38 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
13 |
$2K |
| 84100 |
|
374 |
338 |
$2K |
| 73130 |
|
160 |
149 |
$2K |
| 86038 |
|
96 |
96 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
57 |
57 |
$1K |
| 73560 |
|
113 |
100 |
$1K |
| 85652 |
|
546 |
506 |
$1K |
| 29515 |
|
50 |
50 |
$1K |
| 0003A |
|
32 |
32 |
$1K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,525 |
1,194 |
$1K |
| 83605 |
|
266 |
247 |
$1K |
| 74022 |
|
73 |
73 |
$1K |
| 73110 |
|
133 |
127 |
$1K |
| 86592 |
|
305 |
303 |
$1K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
33 |
30 |
$1K |
| 72110 |
|
60 |
60 |
$1K |
| 86140 |
|
486 |
447 |
$1K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
72 |
68 |
$1K |
| 73502 |
|
77 |
74 |
$1K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
26 |
24 |
$1K |
| 12001 |
|
44 |
44 |
$1K |
| 82248 |
|
198 |
183 |
$1K |
| 82962 |
|
804 |
536 |
$1K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
584 |
440 |
$938.33 |
| 70491 |
|
13 |
12 |
$923.85 |
| 12011 |
|
12 |
12 |
$851.11 |
| 90715 |
|
40 |
39 |
$775.58 |
| 36415 |
Collection of venous blood by venipuncture |
1,564 |
1,228 |
$765.07 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,605 |
3,193 |
$758.74 |
| 72131 |
|
13 |
12 |
$715.81 |
| J2704 |
Injection, propofol, 10 mg |
2,058 |
1,970 |
$709.12 |
| 85018 |
|
243 |
239 |
$708.58 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
32 |
32 |
$695.24 |
| 85014 |
|
236 |
232 |
$683.85 |
| 84146 |
|
26 |
26 |
$671.28 |
| 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 |
67 |
66 |
$658.00 |
| 87081 |
|
125 |
124 |
$656.93 |
| 83550 |
|
128 |
128 |
$612.19 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
169 |
159 |
$600.26 |
| 73590 |
|
41 |
38 |
$571.29 |
| 87427 |
|
42 |
24 |
$569.18 |
| 96376 |
|
114 |
76 |
$563.76 |
| J3490 |
Unclassified drugs |
342 |
238 |
$555.95 |
| 87075 |
|
78 |
76 |
$552.79 |
| 83615 |
|
95 |
79 |
$545.07 |
| 80069 |
|
58 |
52 |
$525.28 |
| 97598 |
|
25 |
13 |
$508.48 |
| 84481 |
|
26 |
26 |
$501.61 |
| 84460 |
|
77 |
75 |
$490.77 |
| 86308 |
|
65 |
64 |
$444.05 |
| 82010 |
|
111 |
104 |
$394.50 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
570 |
476 |
$388.46 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,220 |
2,095 |
$380.82 |
| 80164 |
|
27 |
25 |
$357.02 |
| 82565 |
|
75 |
71 |
$349.97 |
| 76801 |
|
12 |
12 |
$334.38 |
| 84403 |
|
12 |
12 |
$328.59 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,329 |
1,953 |
$322.47 |
| 84466 |
|
26 |
26 |
$318.75 |
| 84550 |
|
58 |
57 |
$313.29 |
| 72100 |
|
16 |
16 |
$299.19 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
749 |
629 |
$294.34 |
| 82746 |
|
25 |
25 |
$281.64 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
120 |
110 |
$275.70 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
33 |
26 |
$248.37 |
| 29125 |
|
14 |
14 |
$238.54 |
| 80047 |
|
25 |
24 |
$223.67 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
861 |
785 |
$221.93 |
| 73140 |
|
25 |
24 |
$216.15 |
| 80324 |
|
12 |
12 |
$208.84 |
| 84156 |
|
61 |
55 |
$207.11 |
| 83001 |
|
13 |
12 |
$199.43 |
| J2060 |
Injection, lorazepam, 2 mg |
578 |
463 |
$164.05 |
| 87045 |
|
24 |
24 |
$161.28 |
| 86431 |
|
18 |
18 |
$155.97 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
4,802 |
4,254 |
$151.10 |
| 87207 |
|
37 |
37 |
$140.18 |
| 73080 |
|
16 |
16 |
$115.58 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
81 |
68 |
$105.42 |
| 86376 |
|
13 |
13 |
$90.83 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,783 |
1,688 |
$70.38 |
| S0028 |
Injection, famotidine, 20 mg |
15 |
14 |
$70.20 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
152 |
142 |
$62.78 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
32 |
26 |
$61.44 |
| 87046 |
|
24 |
24 |
$60.99 |
| 82947 |
|
16 |
15 |
$53.80 |
| 81002 |
|
16 |
16 |
$51.64 |
| 88304 |
|
15 |
15 |
$47.63 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
142 |
131 |
$32.65 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
18 |
18 |
$14.32 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
38 |
38 |
$7.65 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
111 |
105 |
$0.08 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
195 |
178 |
$0.00 |
| J0136 |
Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg |
96 |
90 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
69 |
57 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
12 |
12 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
14 |
14 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
12 |
12 |
$0.00 |