| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
22,216 |
18,932 |
$4.32M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
18,210 |
14,821 |
$3.35M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
8,103 |
5,877 |
$2.64M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
9,051 |
7,407 |
$2.23M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,026 |
3,426 |
$1.00M |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,977 |
3,372 |
$883K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
5,876 |
4,085 |
$637K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,321 |
2,993 |
$514K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,737 |
1,186 |
$475K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,242 |
1,862 |
$418K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,476 |
1,356 |
$347K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
870 |
778 |
$346K |
| G0378 |
Hospital observation service, per hour |
1,262 |
904 |
$342K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,060 |
942 |
$324K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,381 |
1,781 |
$282K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
2,031 |
1,528 |
$230K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,148 |
589 |
$166K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,381 |
2,011 |
$158K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,935 |
1,459 |
$119K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
8,672 |
6,394 |
$115K |
| 97161 |
|
666 |
596 |
$108K |
| 80053 |
Comprehensive metabolic panel |
22,775 |
17,237 |
$107K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,092 |
1,907 |
$102K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,420 |
1,667 |
$93K |
| 71046 |
Radiologic examination, chest; 2 views |
6,862 |
6,039 |
$88K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
6,565 |
5,922 |
$66K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
6,915 |
5,723 |
$65K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
561 |
502 |
$65K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,142 |
515 |
$53K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
10,362 |
8,123 |
$46K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,417 |
1,258 |
$46K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,196 |
1,049 |
$40K |
| 73630 |
|
1,580 |
1,306 |
$38K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
555 |
451 |
$37K |
| 71250 |
|
459 |
409 |
$36K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,530 |
2,155 |
$32K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
27,092 |
19,395 |
$26K |
| 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 |
1,692 |
1,505 |
$24K |
| 70498 |
|
96 |
88 |
$23K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
320 |
276 |
$23K |
| 73030 |
|
1,345 |
1,115 |
$22K |
| 84484 |
|
12,952 |
8,402 |
$21K |
| 73610 |
|
1,183 |
1,009 |
$21K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
5,491 |
3,957 |
$21K |
| 73130 |
|
875 |
724 |
$19K |
| 20610 |
|
235 |
137 |
$19K |
| 73564 |
|
562 |
433 |
$18K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
31 |
26 |
$17K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,180 |
4,254 |
$17K |
| 83880 |
|
2,394 |
1,898 |
$16K |
| 87040 |
|
2,728 |
1,640 |
$16K |
| 72100 |
|
681 |
597 |
$15K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
15,477 |
11,507 |
$15K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,062 |
1,824 |
$15K |
| 93017 |
|
120 |
106 |
$14K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
14 |
13 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
8,522 |
6,762 |
$13K |
| 83605 |
|
9,966 |
7,278 |
$13K |
| 73562 |
|
793 |
681 |
$12K |
| 96367 |
|
272 |
184 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
6,932 |
4,846 |
$12K |
| 76642 |
|
102 |
93 |
$12K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
4,233 |
3,127 |
$12K |
| 87081 |
|
4,944 |
4,537 |
$10K |
| 97162 |
|
53 |
46 |
$10K |
| 73502 |
|
630 |
493 |
$9K |
| 73110 |
|
410 |
315 |
$9K |
| 90715 |
|
256 |
236 |
$8K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
5,560 |
4,619 |
$7K |
| 85379 |
|
1,559 |
1,366 |
$7K |
| 80047 |
|
1,440 |
1,126 |
$7K |
| 80061 |
Lipid panel |
1,091 |
1,048 |
$6K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,911 |
1,566 |
$6K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
294 |
288 |
$6K |
| 82948 |
|
2,383 |
1,439 |
$6K |
| 74018 |
|
254 |
217 |
$6K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
322 |
121 |
$5K |
| 81025 |
|
4,299 |
3,706 |
$5K |
| J3490 |
Unclassified drugs |
7,288 |
3,600 |
$5K |
| 87632 |
|
95 |
92 |
$5K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
97 |
93 |
$5K |
| 83735 |
|
9,791 |
7,095 |
$5K |
| 86756 |
|
339 |
326 |
$5K |
| 93971 |
|
63 |
48 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
883 |
851 |
$4K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,125 |
930 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
7,132 |
5,417 |
$4K |
| 82248 |
|
1,078 |
672 |
$3K |
| 85027 |
|
874 |
705 |
$3K |
| 84466 |
|
243 |
231 |
$3K |
| 80143 |
|
543 |
455 |
$3K |
| 82728 |
|
403 |
370 |
$3K |
| 96376 |
|
3,106 |
1,982 |
$3K |
| 81001 |
|
11,910 |
9,726 |
$3K |
| 87581 |
|
97 |
93 |
$3K |
| 87486 |
|
97 |
93 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
356 |
312 |
$2K |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
58 |
57 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
6,997 |
5,076 |
$2K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
166 |
145 |
$2K |
| 73140 |
|
115 |
97 |
$2K |
| 84702 |
|
1,383 |
1,242 |
$2K |
| 76830 |
Ultrasound, transvaginal |
14 |
14 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,086 |
2,699 |
$2K |
| 73560 |
|
154 |
136 |
$2K |
| 85610 |
|
2,247 |
1,641 |
$2K |
| 83540 |
|
326 |
311 |
$2K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
325 |
283 |
$1K |
| 82607 |
|
143 |
142 |
$1K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,568 |
1,882 |
$1K |
| 80179 |
|
499 |
418 |
$1K |
| 83690 |
|
5,954 |
4,816 |
$1K |
| 84439 |
|
172 |
168 |
$1K |
| 86140 |
|
346 |
300 |
$1K |
| 83655 |
|
44 |
41 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
4,176 |
2,167 |
$973.54 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,853 |
1,423 |
$970.85 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
514 |
389 |
$968.22 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
29 |
25 |
$924.12 |
| 81003 |
|
3,328 |
2,865 |
$892.48 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,855 |
1,709 |
$866.67 |
| 87077 |
|
2,290 |
1,791 |
$845.18 |
| 82553 |
|
204 |
128 |
$834.63 |
| 77062 |
|
31 |
26 |
$813.02 |
| 76942 |
|
19 |
12 |
$803.11 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
478 |
340 |
$764.65 |
| 82947 |
|
3,104 |
1,546 |
$678.97 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
4,563 |
3,479 |
$662.94 |
| 87430 |
|
2,431 |
2,206 |
$524.22 |
| 82077 |
|
701 |
585 |
$501.38 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,920 |
1,273 |
$470.05 |
| 86900 |
|
465 |
374 |
$431.56 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
965 |
724 |
$418.49 |
| 72110 |
|
12 |
12 |
$411.70 |
| 80320 |
|
378 |
323 |
$366.44 |
| Q9963 |
High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml |
160 |
135 |
$365.47 |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
54 |
37 |
$344.37 |
| 87147 |
|
223 |
210 |
$344.24 |
| 84100 |
|
400 |
223 |
$339.63 |
| 82550 |
|
521 |
365 |
$315.65 |
| 84703 |
|
948 |
809 |
$291.59 |
| 80076 |
|
92 |
76 |
$285.23 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
1,205 |
885 |
$271.55 |
| J7050 |
Infusion, normal saline solution, 250 cc |
3,130 |
1,558 |
$236.15 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
1,118 |
403 |
$233.86 |
| 74022 |
|
41 |
31 |
$229.68 |
| 82565 |
|
344 |
292 |
$228.92 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,737 |
816 |
$219.94 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
720 |
301 |
$219.78 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
315 |
270 |
$218.60 |
| 86901 |
|
465 |
374 |
$210.32 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
697 |
517 |
$204.45 |
| 87186 |
|
1,211 |
871 |
$180.40 |
| 72070 |
|
13 |
13 |
$176.66 |
| 85730 |
|
798 |
667 |
$168.45 |
| 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 |
55 |
38 |
$165.75 |
| A9150 |
Non-prescription drugs |
7,682 |
3,143 |
$153.88 |
| 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 |
30 |
25 |
$152.23 |
| 82746 |
|
29 |
27 |
$151.59 |
| 73080 |
|
13 |
12 |
$149.08 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
466 |
346 |
$148.40 |
| 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 |
678 |
536 |
$144.14 |
| 85014 |
|
1,455 |
1,132 |
$133.72 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,705 |
1,066 |
$126.81 |
| 87070 |
|
12 |
12 |
$123.38 |
| 82150 |
|
355 |
297 |
$117.65 |
| 86850 |
|
191 |
159 |
$117.37 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
14 |
12 |
$115.79 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
228 |
186 |
$104.64 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
451 |
359 |
$102.06 |
| 86885 |
|
75 |
57 |
$100.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
382 |
231 |
$96.80 |
| 85652 |
|
34 |
26 |
$92.73 |
| 87184 |
|
251 |
214 |
$84.61 |
| 36592 |
|
278 |
224 |
$82.19 |
| 82805 |
|
40 |
38 |
$64.28 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
1,669 |
1,233 |
$56.58 |
| J2060 |
Injection, lorazepam, 2 mg |
481 |
361 |
$53.47 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
158 |
124 |
$37.69 |
| 82803 |
|
218 |
136 |
$33.99 |
| 87205 |
|
13 |
12 |
$33.08 |
| 82043 |
|
12 |
12 |
$30.78 |
| 87210 |
|
79 |
64 |
$26.27 |
| 81002 |
|
390 |
320 |
$24.81 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
350 |
272 |
$24.11 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
248 |
176 |
$11.18 |
| J1815 |
Injection, insulin, per 5 units |
41 |
13 |
$3.30 |
| J3480 |
Injection, potassium chloride, per 2 meq |
44 |
25 |
$3.12 |
| J1630 |
Injection, haloperidol, up to 5 mg |
47 |
37 |
$2.38 |
| J7510 |
Prednisolone oral, per 5 mg |
49 |
41 |
$2.21 |
| J1940 |
Injection, furosemide, up to 20 mg |
24 |
12 |
$1.70 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
32 |
28 |
$1.44 |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
63 |
55 |
$0.21 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
118 |
51 |
$0.00 |
| A9270 |
Non-covered item or service |
4,402 |
1,281 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
73 |
72 |
$0.00 |
| 94760 |
|
111 |
70 |
$0.00 |
| 96368 |
|
12 |
12 |
$0.00 |
| J2785 |
Injection, regadenoson, 0.1 mg |
16 |
13 |
$0.00 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
17 |
14 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
125 |
108 |
$0.00 |
| 73590 |
|
18 |
13 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
34 |
24 |
$0.00 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
18 |
15 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
195 |
131 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
17 |
12 |
$0.00 |