| Code | Description | Claims | Beneficiaries | Total Paid |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
30,640 |
26,947 |
$4.22M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
34,702 |
30,194 |
$3.20M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,830 |
2,739 |
$1.41M |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,256 |
3,160 |
$948K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,692 |
6,978 |
$891K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,404 |
2,314 |
$773K |
| 0450 |
Emergency room services |
7,575 |
6,766 |
$600K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
6,898 |
6,016 |
$596K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
9,115 |
8,448 |
$523K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,160 |
2,736 |
$470K |
| 99201 |
|
2,543 |
1,690 |
$433K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,918 |
2,687 |
$431K |
| 71046 |
Radiologic examination, chest; 2 views |
7,757 |
7,437 |
$340K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,410 |
5,121 |
$288K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,756 |
3,482 |
$265K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,056 |
1,022 |
$263K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,131 |
3,589 |
$249K |
| 99199 |
Unlisted special service, procedure or report |
2,470 |
2,149 |
$243K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,327 |
3,856 |
$231K |
| J3490 |
Unclassified drugs |
38,706 |
21,839 |
$226K |
| 80053 |
Comprehensive metabolic panel |
19,741 |
17,963 |
$207K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,698 |
2,591 |
$173K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
23,000 |
20,447 |
$165K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,223 |
1,186 |
$161K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,128 |
1,041 |
$149K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
271 |
265 |
$145K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
793 |
772 |
$120K |
| Z7502 |
|
2,923 |
2,882 |
$109K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
730 |
704 |
$101K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
4,697 |
2,351 |
$93K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
8,235 |
7,785 |
$74K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
139 |
135 |
$70K |
| 84484 |
|
6,878 |
5,376 |
$66K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
7,082 |
6,089 |
$64K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
7,194 |
4,006 |
$64K |
| 83690 |
|
8,896 |
8,237 |
$59K |
| 73610 |
|
932 |
906 |
$58K |
| 71045 |
Radiologic examination, chest; single view |
2,162 |
2,064 |
$57K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,213 |
1,114 |
$51K |
| 93971 |
|
183 |
180 |
$49K |
| 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 |
558 |
548 |
$49K |
| 82077 |
|
1,440 |
1,319 |
$47K |
| 83880 |
|
1,446 |
1,353 |
$44K |
| 73630 |
|
732 |
714 |
$43K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,252 |
5,323 |
$40K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,044 |
1,014 |
$39K |
| 81025 |
|
8,854 |
8,372 |
$39K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
4,684 |
4,105 |
$39K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,034 |
1,005 |
$39K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,330 |
1,286 |
$38K |
| 76801 |
|
291 |
266 |
$36K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
80 |
70 |
$35K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,197 |
4,921 |
$34K |
| 87040 |
|
2,646 |
1,654 |
$33K |
| 81001 |
|
6,744 |
6,313 |
$33K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
72 |
70 |
$32K |
| 76830 |
Ultrasound, transvaginal |
191 |
187 |
$28K |
| 82803 |
|
1,892 |
1,749 |
$27K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
174 |
149 |
$27K |
| 80143 |
|
597 |
563 |
$25K |
| 0270 |
|
954 |
579 |
$23K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,433 |
1,394 |
$23K |
| 73130 |
|
375 |
364 |
$23K |
| 80179 |
|
590 |
558 |
$23K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,910 |
1,634 |
$22K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,038 |
2,426 |
$21K |
| 83605 |
|
2,250 |
1,849 |
$21K |
| 73030 |
|
325 |
318 |
$21K |
| 85379 |
|
2,028 |
1,990 |
$21K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,136 |
2,841 |
$20K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
1,003 |
579 |
$19K |
| 83735 |
|
3,090 |
2,804 |
$19K |
| 73110 |
|
293 |
280 |
$18K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,273 |
2,128 |
$17K |
| 81015 |
|
4,301 |
4,067 |
$17K |
| 70486 |
|
39 |
39 |
$17K |
| 81003 |
|
6,471 |
6,149 |
$16K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,816 |
1,702 |
$15K |
| 59025 |
Fetal non-stress test |
262 |
168 |
$15K |
| 87077 |
|
1,679 |
1,518 |
$14K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,272 |
1,922 |
$14K |
| 87186 |
|
1,584 |
1,466 |
$14K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
176 |
148 |
$12K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,738 |
1,647 |
$12K |
| 99499 |
|
151 |
140 |
$11K |
| 87430 |
|
1,047 |
1,029 |
$11K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,217 |
1,066 |
$11K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,712 |
1,589 |
$11K |
| 82330 |
|
597 |
572 |
$10K |
| 87400 |
|
1,088 |
1,063 |
$10K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
16 |
16 |
$10K |
| 74018 |
|
210 |
203 |
$10K |
| 85730 |
|
1,912 |
1,827 |
$10K |
| 73560 |
|
235 |
229 |
$10K |
| 87081 |
|
1,121 |
1,103 |
$10K |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,595 |
873 |
$10K |
| 72100 |
|
129 |
127 |
$9K |
| J2704 |
Injection, propofol, 10 mg |
1,138 |
1,008 |
$9K |
| 85610 |
|
2,502 |
2,371 |
$9K |
| 0250 |
|
361 |
217 |
$8K |
| J2060 |
Injection, lorazepam, 2 mg |
1,213 |
1,062 |
$8K |
| 82947 |
|
1,793 |
1,643 |
$7K |
| 82550 |
|
767 |
719 |
$5K |
| 86140 |
|
1,061 |
991 |
$5K |
| 73562 |
|
48 |
48 |
$4K |
| Z9725 |
|
77 |
76 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
31 |
26 |
$3K |
| 82552 |
|
200 |
190 |
$3K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
349 |
325 |
$3K |
| 74019 |
|
37 |
37 |
$3K |
| 99070 |
|
259 |
188 |
$3K |
| 86901 |
|
856 |
793 |
$3K |
| 87581 |
|
72 |
70 |
$3K |
| 87486 |
|
72 |
70 |
$3K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
72 |
70 |
$2K |
| 84702 |
|
178 |
147 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
270 |
229 |
$2K |
| 87420 |
|
472 |
446 |
$2K |
| 86900 |
|
638 |
552 |
$2K |
| 73140 |
|
51 |
50 |
$2K |
| Z7610 |
|
180 |
101 |
$2K |
| S0028 |
Injection, famotidine, 20 mg |
278 |
256 |
$2K |
| 12001 |
|
36 |
36 |
$2K |
| 90715 |
|
39 |
39 |
$1K |
| 73590 |
|
24 |
24 |
$1K |
| 73080 |
|
13 |
12 |
$1K |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
82 |
78 |
$1K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
82 |
77 |
$947.31 |
| 96367 |
|
13 |
13 |
$943.01 |
| 84132 |
|
211 |
203 |
$867.08 |
| 10060 |
|
14 |
14 |
$822.21 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
63 |
60 |
$805.62 |
| 36415 |
Collection of venous blood by venipuncture |
707 |
656 |
$755.04 |
| 84295 |
|
196 |
189 |
$732.34 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
87 |
85 |
$625.00 |
| 84703 |
|
58 |
58 |
$541.15 |
| 87210 |
|
135 |
130 |
$539.91 |
| 87147 |
|
47 |
26 |
$489.60 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
46 |
43 |
$394.27 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
471 |
423 |
$352.03 |
| 86850 |
|
122 |
116 |
$350.81 |
| J1815 |
Injection, insulin, per 5 units |
54 |
26 |
$339.82 |
| 85652 |
|
159 |
148 |
$338.01 |
| 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 |
50 |
49 |
$285.35 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
44 |
24 |
$270.80 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
473 |
455 |
$219.76 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
18 |
15 |
$211.86 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
448 |
410 |
$194.21 |
| 87205 |
|
42 |
26 |
$180.48 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
155 |
149 |
$177.31 |
| 29125 |
|
15 |
14 |
$172.51 |
| 87088 |
|
25 |
25 |
$147.85 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
19 |
16 |
$139.81 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
22 |
19 |
$104.64 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
12 |
12 |
$103.09 |
| 87070 |
|
12 |
12 |
$95.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$50.84 |
| 86308 |
|
13 |
13 |
$50.25 |