| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
38,296 |
35,638 |
$4.53M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
42,433 |
39,060 |
$4.50M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
12,984 |
11,908 |
$3.83M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
22,226 |
20,664 |
$2.49M |
| S9480 |
Intensive outpatient psychiatric services, per diem |
2,472 |
316 |
$529K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
8,991 |
6,357 |
$448K |
| 80053 |
Comprehensive metabolic panel |
30,001 |
26,311 |
$410K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
6,808 |
5,686 |
$403K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
4,018 |
3,827 |
$332K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
2,761 |
830 |
$288K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
7,797 |
2,227 |
$284K |
| 0002A |
|
2,331 |
2,240 |
$206K |
| A0433 |
Advanced life support, level 2 (als 2) |
3,393 |
2,775 |
$174K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13,569 |
12,484 |
$167K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
4,482 |
3,417 |
$155K |
| 0001A |
|
1,470 |
1,411 |
$124K |
| A0425 |
Ground mileage, per statute mile |
27,388 |
19,174 |
$116K |
| 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 |
1,136 |
1,023 |
$75K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
501 |
225 |
$75K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
58,206 |
52,624 |
$53K |
| 80348 |
|
486 |
364 |
$49K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
973 |
796 |
$48K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,907 |
1,809 |
$45K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,750 |
3,973 |
$41K |
| 97597 |
|
418 |
241 |
$33K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
80 |
75 |
$25K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
255 |
248 |
$25K |
| 97535 |
Self-care/home management training, each 15 minutes |
1,224 |
545 |
$24K |
| 86780 |
|
1,262 |
1,217 |
$23K |
| 84484 |
|
1,303 |
1,131 |
$23K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,277 |
1,201 |
$22K |
| 36415 |
Collection of venous blood by venipuncture |
9,073 |
6,947 |
$21K |
| 80061 |
Lipid panel |
1,113 |
952 |
$20K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
302 |
281 |
$19K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
203 |
160 |
$18K |
| 80361 |
|
154 |
149 |
$17K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
577 |
544 |
$16K |
| 86850 |
|
675 |
652 |
$15K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
846 |
816 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
255 |
228 |
$15K |
| 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 |
1,075 |
982 |
$14K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
577 |
544 |
$13K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
24,220 |
22,439 |
$12K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
51 |
48 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
40 |
39 |
$10K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
119 |
89 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
43 |
39 |
$9K |
| 80365 |
|
154 |
149 |
$9K |
| 86762 |
|
577 |
556 |
$8K |
| 87150 |
|
246 |
245 |
$8K |
| 87510 |
|
245 |
217 |
$8K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
199 |
155 |
$8K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
670 |
527 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
310 |
309 |
$7K |
| C1776 |
Joint device (implantable) |
19 |
15 |
$7K |
| 87081 |
|
206 |
195 |
$7K |
| 80055 |
|
192 |
188 |
$7K |
| 87480 |
|
245 |
217 |
$5K |
| 80320 |
|
167 |
131 |
$5K |
| 85027 |
|
970 |
747 |
$5K |
| 86140 |
|
233 |
226 |
$5K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
182 |
97 |
$5K |
| 80306 |
|
3,337 |
2,803 |
$5K |
| J3490 |
Unclassified drugs |
35,688 |
20,630 |
$4K |
| 86769 |
|
94 |
92 |
$4K |
| 80349 |
|
93 |
87 |
$4K |
| 87660 |
|
245 |
217 |
$4K |
| 87340 |
|
558 |
542 |
$4K |
| 94625 |
|
162 |
24 |
$4K |
| 87653 |
|
53 |
53 |
$4K |
| 0352U |
|
132 |
129 |
$3K |
| A4649 |
Surgical supply; miscellaneous |
170 |
154 |
$3K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
126 |
54 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
7,835 |
6,972 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
4,701 |
4,360 |
$3K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
241 |
99 |
$3K |
| A0434 |
Specialty care transport (sct) |
206 |
105 |
$2K |
| 86901 |
|
573 |
552 |
$2K |
| 97161 |
|
20 |
16 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
7,531 |
6,888 |
$2K |
| 85652 |
|
211 |
204 |
$1K |
| 84481 |
|
96 |
83 |
$1K |
| 82950 |
|
249 |
247 |
$1K |
| 84439 |
|
176 |
124 |
$981.95 |
| 86900 |
|
573 |
552 |
$968.97 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
265 |
156 |
$902.29 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,708 |
2,655 |
$901.52 |
| 71046 |
Radiologic examination, chest; 2 views |
25 |
24 |
$860.93 |
| 86803 |
|
279 |
271 |
$741.04 |
| 80324 |
|
14 |
14 |
$638.22 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
316 |
269 |
$635.83 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
58 |
24 |
$543.03 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$495.00 |
| G0378 |
Hospital observation service, per hour |
21 |
12 |
$461.99 |
| 80359 |
|
14 |
14 |
$426.16 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
772 |
618 |
$362.48 |
| 87077 |
|
26 |
25 |
$348.95 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
178 |
157 |
$290.29 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
16 |
14 |
$273.20 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
491 |
453 |
$245.75 |
| 83690 |
|
2,308 |
2,150 |
$228.71 |
| 97116 |
|
32 |
15 |
$201.10 |
| 84466 |
|
12 |
12 |
$193.32 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
25 |
25 |
$158.75 |
| 82077 |
|
576 |
505 |
$137.56 |
| J2704 |
Injection, propofol, 10 mg |
2,428 |
1,420 |
$128.94 |
| 81001 |
|
1,583 |
1,475 |
$124.01 |
| 85014 |
|
42 |
26 |
$73.12 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
538 |
324 |
$70.66 |
| 81003 |
|
1,136 |
1,061 |
$56.99 |
| 82728 |
|
12 |
12 |
$55.11 |
| 83735 |
|
12 |
12 |
$52.36 |
| 83540 |
|
12 |
12 |
$45.01 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
891 |
833 |
$38.39 |
| 83615 |
|
15 |
12 |
$35.28 |
| 81025 |
|
233 |
221 |
$32.20 |
| 82607 |
|
14 |
12 |
$23.34 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
316 |
173 |
$18.77 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,887 |
2,482 |
$14.83 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
382 |
237 |
$13.08 |
| Q3014 |
Telehealth originating site facility fee |
12 |
12 |
$5.40 |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
2,773 |
1,535 |
$3.68 |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
50 |
26 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
53 |
40 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
16 |
12 |
$0.00 |
| 97802 |
|
125 |
122 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
44 |
12 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
88 |
40 |
$0.00 |
| J7999 |
Compounded drug, not otherwise classified |
26 |
13 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
38 |
36 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
21 |
18 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
14 |
13 |
$0.00 |
| A4217 |
Sterile water/saline, 500 ml |
12 |
12 |
$0.00 |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
46 |
20 |
$0.00 |
| 96376 |
|
15 |
13 |
$0.00 |
| 84703 |
|
14 |
12 |
$0.00 |