| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
59,579 |
53,769 |
$8.63M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,075 |
3,868 |
$5.95M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
20,808 |
18,476 |
$5.18M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
6,850 |
5,801 |
$3.66M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
22,156 |
20,455 |
$2.22M |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,877 |
1,764 |
$1.90M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,819 |
6,968 |
$1.38M |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,581 |
2,407 |
$1.23M |
| 71046 |
Radiologic examination, chest; 2 views |
7,864 |
7,482 |
$1.11M |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
4,890 |
3,837 |
$967K |
| 80305 |
|
14,427 |
11,266 |
$875K |
| 80053 |
Comprehensive metabolic panel |
37,508 |
33,777 |
$804K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
6,486 |
5,586 |
$748K |
| 84443 |
Thyroid stimulating hormone (TSH) |
13,396 |
12,960 |
$598K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
33,764 |
30,390 |
$595K |
| 71045 |
Radiologic examination, chest; single view |
6,008 |
5,363 |
$524K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
11,059 |
4,246 |
$518K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,735 |
4,077 |
$476K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,850 |
4,310 |
$454K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
265 |
250 |
$364K |
| 80061 |
Lipid panel |
9,595 |
9,392 |
$358K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,404 |
2,880 |
$357K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,576 |
5,782 |
$355K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
539 |
511 |
$347K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,522 |
1,467 |
$306K |
| 36415 |
Collection of venous blood by venipuncture |
37,494 |
33,216 |
$304K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,713 |
8,469 |
$291K |
| 73630 |
|
2,383 |
2,258 |
$287K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
584 |
554 |
$281K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
3,202 |
3,105 |
$278K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,931 |
1,385 |
$276K |
| 73610 |
|
1,993 |
1,912 |
$259K |
| 73560 |
|
2,210 |
1,904 |
$257K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
240 |
215 |
$253K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
274 |
257 |
$242K |
| 73130 |
|
1,870 |
1,748 |
$237K |
| 72100 |
|
1,648 |
1,585 |
$233K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
922 |
906 |
$226K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,647 |
1,634 |
$218K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
8,602 |
8,410 |
$216K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
8,986 |
8,200 |
$202K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
8,789 |
7,716 |
$197K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,121 |
1,047 |
$196K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
243 |
222 |
$191K |
| 73030 |
|
1,642 |
1,542 |
$189K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
6,495 |
2,728 |
$183K |
| 73110 |
|
1,257 |
1,195 |
$181K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
3,682 |
3,550 |
$165K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,673 |
3,538 |
$165K |
| 87428 |
|
4,246 |
4,074 |
$164K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,143 |
1,789 |
$158K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,536 |
2,470 |
$152K |
| 83880 |
|
2,798 |
2,493 |
$137K |
| 84484 |
|
7,357 |
5,821 |
$135K |
| 76830 |
Ultrasound, transvaginal |
481 |
476 |
$135K |
| 81025 |
|
10,217 |
9,600 |
$119K |
| G0378 |
Hospital observation service, per hour |
116 |
82 |
$116K |
| 83690 |
|
7,394 |
6,792 |
$116K |
| 83721 |
|
6,848 |
6,714 |
$113K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,417 |
3,242 |
$112K |
| 96376 |
|
1,653 |
1,417 |
$107K |
| 81001 |
|
13,230 |
12,008 |
$102K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,288 |
1,482 |
$101K |
| 76536 |
|
313 |
305 |
$87K |
| 84439 |
|
3,621 |
3,502 |
$85K |
| 85610 |
|
6,087 |
3,749 |
$84K |
| 87186 |
|
3,256 |
3,065 |
$80K |
| 71250 |
|
109 |
103 |
$79K |
| 73502 |
|
481 |
459 |
$77K |
| 10060 |
|
234 |
208 |
$72K |
| 81003 |
|
9,320 |
8,763 |
$67K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
66 |
64 |
$66K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
209 |
207 |
$63K |
| 83605 |
|
2,954 |
2,533 |
$62K |
| 74018 |
|
511 |
487 |
$61K |
| 84702 |
|
1,494 |
1,304 |
$59K |
| 82728 |
|
1,764 |
1,711 |
$58K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
405 |
400 |
$57K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,676 |
3,300 |
$57K |
| 72040 |
|
412 |
406 |
$57K |
| 87807 |
|
1,904 |
1,847 |
$56K |
| 87077 |
|
2,169 |
2,043 |
$51K |
| 85027 |
|
3,696 |
3,198 |
$51K |
| 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 |
683 |
604 |
$49K |
| 82043 |
|
2,460 |
2,408 |
$45K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,378 |
911 |
$45K |
| 86780 |
|
1,979 |
1,924 |
$45K |
| 84153 |
|
795 |
775 |
$44K |
| 86803 |
|
3,252 |
3,155 |
$44K |
| 87040 |
|
1,403 |
871 |
$44K |
| 97161 |
|
699 |
684 |
$42K |
| 76801 |
|
150 |
132 |
$41K |
| 97162 |
|
652 |
632 |
$38K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
635 |
241 |
$37K |
| 85379 |
|
1,680 |
1,591 |
$36K |
| 82570 |
|
2,447 |
2,366 |
$35K |
| 96367 |
|
259 |
217 |
$31K |
| 84403 |
|
605 |
586 |
$31K |
| 87070 |
|
1,155 |
1,102 |
$30K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,175 |
1,826 |
$30K |
| 83735 |
|
1,914 |
1,653 |
$30K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,108 |
2,064 |
$29K |
| 85007 |
|
3,274 |
2,802 |
$29K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,639 |
1,627 |
$28K |
| 86140 |
|
2,129 |
1,981 |
$28K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
839 |
479 |
$26K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,596 |
4,102 |
$25K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,180 |
4,182 |
$23K |
| 85652 |
|
2,166 |
2,045 |
$22K |
| 86703 |
|
1,788 |
1,727 |
$21K |
| 73140 |
|
152 |
144 |
$21K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,084 |
2,494 |
$21K |
| 36592 |
|
1,110 |
982 |
$19K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,414 |
1,390 |
$18K |
| 76642 |
|
84 |
82 |
$17K |
| 82607 |
|
1,771 |
1,723 |
$17K |
| 82805 |
|
362 |
278 |
$17K |
| 73070 |
|
159 |
145 |
$16K |
| 87340 |
|
1,237 |
1,197 |
$16K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
73 |
67 |
$16K |
| 83550 |
|
2,014 |
1,969 |
$16K |
| 84703 |
|
755 |
731 |
$14K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,255 |
2,197 |
$14K |
| 90715 |
|
344 |
335 |
$12K |
| 86364 |
|
302 |
294 |
$12K |
| 84481 |
|
1,268 |
1,237 |
$11K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,865 |
3,465 |
$11K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
522 |
513 |
$11K |
| 86704 |
|
991 |
953 |
$11K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
190 |
181 |
$11K |
| 73090 |
|
101 |
97 |
$10K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,631 |
1,134 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
339 |
332 |
$10K |
| 87210 |
|
792 |
767 |
$9K |
| 87522 |
Neg quan hep c or qual rna |
102 |
98 |
$9K |
| 82784 |
|
390 |
356 |
$9K |
| 94760 |
|
737 |
633 |
$9K |
| 86708 |
|
808 |
777 |
$9K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,417 |
858 |
$8K |
| 86258 |
|
130 |
127 |
$8K |
| 83516 |
|
113 |
112 |
$7K |
| 97803 |
|
159 |
131 |
$7K |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,243 |
850 |
$7K |
| 86706 |
|
646 |
627 |
$7K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
407 |
400 |
$7K |
| 73590 |
|
55 |
54 |
$6K |
| 86231 |
|
217 |
213 |
$6K |
| 72072 |
|
39 |
38 |
$6K |
| 93971 |
|
26 |
25 |
$6K |
| 86709 |
|
242 |
233 |
$6K |
| 82150 |
|
277 |
269 |
$5K |
| 86592 |
|
29 |
29 |
$5K |
| 84402 |
|
240 |
235 |
$5K |
| 83655 |
|
371 |
363 |
$5K |
| 93970 |
|
12 |
12 |
$5K |
| J2704 |
Injection, propofol, 10 mg |
432 |
416 |
$5K |
| 86038 |
|
392 |
384 |
$5K |
| 82962 |
|
499 |
399 |
$4K |
| 83540 |
|
617 |
596 |
$4K |
| 12001 |
|
16 |
15 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
628 |
610 |
$4K |
| 74019 |
|
28 |
27 |
$3K |
| 71101 |
|
26 |
25 |
$3K |
| 86431 |
|
252 |
241 |
$3K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
267 |
252 |
$3K |
| 97802 |
|
43 |
43 |
$3K |
| 85018 |
|
355 |
346 |
$3K |
| J2060 |
Injection, lorazepam, 2 mg |
768 |
524 |
$3K |
| 86255 |
|
72 |
71 |
$3K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
649 |
579 |
$3K |
| 83993 |
|
30 |
30 |
$3K |
| 80320 |
|
696 |
610 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
13 |
$3K |
| 86850 |
|
41 |
39 |
$3K |
| 86900 |
|
94 |
88 |
$2K |
| 85730 |
|
161 |
119 |
$2K |
| 86901 |
|
57 |
52 |
$2K |
| 36416 |
|
301 |
229 |
$2K |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
224 |
173 |
$2K |
| 86308 |
|
129 |
127 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
26 |
$2K |
| 00811 |
|
16 |
16 |
$2K |
| 86804 |
|
26 |
26 |
$2K |
| 80329 |
|
218 |
156 |
$2K |
| 00813 |
|
14 |
14 |
$2K |
| J3370 |
Injection, vancomycin hcl, 500 mg |
38 |
25 |
$2K |
| 80050 |
General health panel |
14 |
14 |
$2K |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
41 |
41 |
$2K |
| 82746 |
|
154 |
154 |
$2K |
| 83525 |
|
134 |
133 |
$2K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
149 |
134 |
$1K |
| 84154 |
|
109 |
105 |
$1K |
| 86003 |
|
12 |
12 |
$1K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
181 |
158 |
$1K |
| 51702 |
|
13 |
12 |
$1K |
| 86235 |
|
93 |
79 |
$1K |
| 96368 |
|
16 |
15 |
$1K |
| 84100 |
|
93 |
73 |
$1K |
| 84030 |
|
87 |
82 |
$977.57 |
| 86225 |
|
81 |
66 |
$949.36 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
164 |
157 |
$941.04 |
| 87177 |
|
13 |
12 |
$806.73 |
| 82247 |
|
33 |
28 |
$767.91 |
| 97535 |
Self-care/home management training, each 15 minutes |
19 |
12 |
$758.07 |
| 82653 |
|
14 |
14 |
$750.20 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
31 |
13 |
$711.24 |
| 87075 |
|
29 |
27 |
$691.68 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
158 |
142 |
$685.93 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
57 |
36 |
$636.16 |
| J0500 |
Injection, dicyclomine hcl, up to 20 mg |
13 |
13 |
$563.77 |
| 90756 |
|
30 |
30 |
$541.75 |
| J3480 |
Injection, potassium chloride, per 2 meq |
20 |
13 |
$504.28 |
| 87081 |
|
13 |
13 |
$498.64 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
856 |
645 |
$444.04 |
| 90686 |
|
23 |
23 |
$442.20 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
50 |
43 |
$430.10 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
62 |
62 |
$419.18 |
| 80076 |
|
32 |
29 |
$412.65 |
| 85008 |
|
305 |
283 |
$410.45 |
| 86317 |
|
51 |
50 |
$370.31 |
| J1790 |
Injection, droperidol, up to 5 mg |
30 |
26 |
$356.38 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
182 |
167 |
$341.59 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
56 |
48 |
$303.96 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
25 |
24 |
$297.75 |
| 80179 |
|
14 |
13 |
$292.30 |
| 80143 |
|
14 |
13 |
$292.30 |
| J3490 |
Unclassified drugs |
39 |
38 |
$262.85 |
| 82248 |
|
20 |
20 |
$232.00 |
| 86695 |
|
15 |
15 |
$230.52 |
| 82550 |
|
15 |
15 |
$217.79 |
| 87209 |
|
13 |
12 |
$204.29 |
| 86141 |
|
14 |
13 |
$144.55 |
| 80321 |
|
26 |
26 |
$134.16 |
| 86762 |
|
12 |
12 |
$113.40 |
| J1940 |
Injection, furosemide, up to 20 mg |
33 |
24 |
$90.20 |
| 84480 |
|
12 |
12 |
$84.62 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
22 |
13 |
$73.72 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
151 |
111 |
$66.82 |
| J7510 |
Prednisolone oral, per 5 mg |
15 |
15 |
$63.97 |
| J1815 |
Injection, insulin, per 5 units |
15 |
12 |
$34.77 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
16 |
12 |
$26.79 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
51 |
43 |
$3.71 |
| A9270 |
Non-covered item or service |
893 |
457 |
$2.53 |
| T1015 |
Clinic visit/encounter, all-inclusive |
58 |
58 |
$0.00 |