| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,375 |
5,185 |
$1.97M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,254 |
4,856 |
$1.52M |
| G0378 |
Hospital observation service, per hour |
1,575 |
1,260 |
$1.07M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,322 |
1,249 |
$465K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,409 |
1,371 |
$286K |
| S9480 |
Intensive outpatient psychiatric services, per diem |
325 |
310 |
$260K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,500 |
602 |
$206K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
363 |
357 |
$193K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
117 |
117 |
$129K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
120 |
120 |
$129K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,916 |
492 |
$125K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
835 |
835 |
$117K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
958 |
365 |
$91K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
960 |
555 |
$74K |
| 97010 |
|
2,251 |
548 |
$71K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
423 |
422 |
$62K |
| 97014 |
|
1,553 |
379 |
$61K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
483 |
472 |
$52K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
217 |
217 |
$50K |
| 70450 |
Computed tomography, head or brain; without contrast material |
841 |
818 |
$48K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
450 |
446 |
$48K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,029 |
2,612 |
$47K |
| 76830 |
Ultrasound, transvaginal |
391 |
388 |
$45K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
278 |
269 |
$43K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,964 |
5,164 |
$41K |
| 93017 |
|
176 |
175 |
$37K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
422 |
352 |
$37K |
| 71046 |
Radiologic examination, chest; 2 views |
2,327 |
2,280 |
$36K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
253 |
251 |
$35K |
| 80053 |
Comprehensive metabolic panel |
5,003 |
4,498 |
$33K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
146 |
146 |
$31K |
| 76642 |
|
252 |
252 |
$29K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
550 |
498 |
$29K |
| 93970 |
|
89 |
89 |
$27K |
| OP250 |
|
3,599 |
1,713 |
$26K |
| 76801 |
|
221 |
215 |
$23K |
| 77080 |
|
172 |
172 |
$23K |
| 58558 |
|
15 |
15 |
$22K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
192 |
192 |
$21K |
| 77065 |
Tomosynthesis, mammo |
164 |
164 |
$20K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
739 |
690 |
$19K |
| A0425 |
Ground mileage, per statute mile |
439 |
430 |
$19K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
171 |
167 |
$19K |
| 76813 |
|
191 |
191 |
$18K |
| 72110 |
|
369 |
369 |
$18K |
| 93971 |
|
151 |
148 |
$17K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
80 |
80 |
$16K |
| 76536 |
|
124 |
124 |
$16K |
| 97161 |
|
286 |
282 |
$16K |
| 73564 |
|
381 |
380 |
$15K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
366 |
163 |
$15K |
| S9484 |
Crisis intervention mental health services, per hour |
13 |
12 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
989 |
950 |
$14K |
| 82962 |
|
1,541 |
1,041 |
$13K |
| 76820 |
|
192 |
171 |
$12K |
| 84484 |
|
1,740 |
1,501 |
$11K |
| OP270 |
|
1,704 |
1,447 |
$11K |
| 76770 |
|
122 |
122 |
$11K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
241 |
239 |
$10K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
178 |
78 |
$10K |
| 73630 |
|
385 |
381 |
$10K |
| 90791 |
Psychiatric diagnostic evaluation |
416 |
376 |
$10K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
984 |
885 |
$10K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
128 |
127 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
344 |
305 |
$10K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
763 |
708 |
$10K |
| 72052 |
|
116 |
116 |
$10K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,476 |
1,331 |
$10K |
| 81001 |
|
3,282 |
3,136 |
$10K |
| 73030 |
|
304 |
300 |
$9K |
| J3490 |
Unclassified drugs |
1,173 |
919 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
566 |
555 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
859 |
828 |
$9K |
| 97035 |
|
222 |
84 |
$8K |
| 85610 |
|
1,207 |
1,122 |
$8K |
| 95886 |
|
42 |
42 |
$7K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,201 |
1,096 |
$7K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
416 |
366 |
$7K |
| 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 |
101 |
76 |
$7K |
| 85730 |
|
994 |
946 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,557 |
1,472 |
$7K |
| 95911 |
|
21 |
21 |
$6K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
14 |
$6K |
| 70486 |
|
33 |
33 |
$6K |
| 80061 |
Lipid panel |
505 |
501 |
$6K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
147 |
146 |
$6K |
| 97116 |
|
176 |
104 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
482 |
443 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
77 |
77 |
$6K |
| 97162 |
|
128 |
128 |
$6K |
| 73130 |
|
261 |
256 |
$6K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
170 |
169 |
$5K |
| OP710 |
|
443 |
440 |
$5K |
| J2704 |
Injection, propofol, 10 mg |
448 |
444 |
$5K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
321 |
316 |
$5K |
| 77066 |
Tomosynthesis, mammo |
28 |
28 |
$4K |
| 87040 |
|
593 |
564 |
$4K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
251 |
71 |
$4K |
| OP258 |
|
599 |
243 |
$4K |
| 83880 |
|
447 |
432 |
$4K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
12 |
12 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
759 |
741 |
$4K |
| 83735 |
|
769 |
646 |
$4K |
| 73110 |
|
203 |
199 |
$4K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,252 |
1,141 |
$4K |
| 84439 |
|
314 |
310 |
$4K |
| 82550 |
|
387 |
350 |
$4K |
| 74018 |
|
217 |
213 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
388 |
381 |
$4K |
| 73610 |
|
313 |
308 |
$4K |
| 93226 |
|
54 |
54 |
$3K |
| 82553 |
|
286 |
271 |
$3K |
| C9113 |
Injection, pantoprazole sodium, per vial |
33 |
18 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
48 |
43 |
$3K |
| 85027 |
|
681 |
655 |
$3K |
| 73502 |
|
118 |
117 |
$3K |
| OP278 |
|
37 |
35 |
$3K |
| 83605 |
|
272 |
251 |
$3K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
61 |
16 |
$3K |
| 83690 |
|
1,627 |
1,536 |
$3K |
| OP272 |
|
607 |
589 |
$3K |
| J1644 |
Injection, heparin sodium, per 1000 units |
139 |
71 |
$3K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
229 |
226 |
$3K |
| 82607 |
|
183 |
183 |
$3K |
| 93880 |
|
54 |
54 |
$3K |
| 88342 |
|
164 |
164 |
$3K |
| 86850 |
|
438 |
384 |
$3K |
| 86901 |
|
441 |
387 |
$2K |
| 86900 |
|
442 |
388 |
$2K |
| OP370 |
|
444 |
441 |
$2K |
| 72081 |
|
38 |
38 |
$2K |
| 97032 |
|
85 |
26 |
$2K |
| 93225 |
|
55 |
55 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
734 |
541 |
$2K |
| 87400 |
|
1,214 |
1,194 |
$2K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
391 |
92 |
$2K |
| 36430 |
|
23 |
12 |
$2K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
57 |
52 |
$2K |
| 72070 |
|
41 |
41 |
$2K |
| 85651 |
|
205 |
200 |
$1K |
| 86738 |
|
73 |
73 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
142 |
102 |
$1K |
| 73140 |
|
131 |
130 |
$1K |
| 73080 |
|
94 |
92 |
$1K |
| J1245 |
Injection, dipyridamole, per 10 mg |
36 |
35 |
$1K |
| C1769 |
Guide wire |
25 |
24 |
$1K |
| 84702 |
|
350 |
311 |
$1K |
| 88304 |
|
120 |
120 |
$1K |
| 84163 |
|
49 |
49 |
$1K |
| 84132 |
|
24 |
24 |
$1K |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
22 |
13 |
$1K |
| 81025 |
|
285 |
276 |
$1K |
| 82397 |
|
49 |
49 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
93 |
93 |
$909.60 |
| 74019 |
|
115 |
115 |
$901.27 |
| J1815 |
Injection, insulin, per 5 units |
114 |
100 |
$848.12 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
93 |
93 |
$846.32 |
| 80320 |
|
596 |
561 |
$831.21 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
157 |
157 |
$821.66 |
| 82728 |
|
33 |
33 |
$805.10 |
| 82746 |
|
32 |
30 |
$798.59 |
| 83550 |
|
37 |
37 |
$765.22 |
| 83615 |
|
41 |
29 |
$760.01 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
84 |
77 |
$749.66 |
| 82800 |
|
66 |
59 |
$731.74 |
| 82803 |
|
27 |
27 |
$726.50 |
| J1630 |
Injection, haloperidol, up to 5 mg |
38 |
28 |
$725.87 |
| 74021 |
|
109 |
107 |
$720.20 |
| 83540 |
|
37 |
37 |
$707.27 |
| 71100 |
|
45 |
45 |
$693.40 |
| 86140 |
|
68 |
67 |
$671.24 |
| 82248 |
|
77 |
67 |
$640.51 |
| 81003 |
|
277 |
276 |
$610.76 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
184 |
138 |
$609.59 |
| 86920 |
|
20 |
12 |
$596.17 |
| 90715 |
|
158 |
158 |
$583.87 |
| 73590 |
|
32 |
29 |
$564.81 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
741 |
735 |
$552.74 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
13 |
13 |
$552.10 |
| 84480 |
|
60 |
58 |
$533.18 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
206 |
195 |
$379.68 |
| 83930 |
|
15 |
14 |
$367.22 |
| 82010 |
|
112 |
105 |
$349.51 |
| 84100 |
|
272 |
237 |
$344.37 |
| 82150 |
|
261 |
249 |
$333.59 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
249 |
226 |
$319.56 |
| 70360 |
|
12 |
12 |
$302.22 |
| 97166 |
|
12 |
12 |
$300.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
150 |
138 |
$247.39 |
| 82570 |
|
60 |
60 |
$247.22 |
| 73090 |
|
44 |
44 |
$234.82 |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
45 |
45 |
$220.00 |
| 72050 |
|
32 |
32 |
$214.79 |
| 84550 |
|
44 |
32 |
$196.95 |
| G0008 |
Administration of influenza virus vaccine |
31 |
30 |
$181.56 |
| 85379 |
|
230 |
227 |
$171.34 |
| 82247 |
|
23 |
17 |
$166.89 |
| 12001 |
|
14 |
14 |
$161.27 |
| 87420 |
|
206 |
200 |
$146.16 |
| 80329 |
|
96 |
94 |
$145.04 |
| 80076 |
|
30 |
28 |
$101.65 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
30 |
26 |
$94.22 |
| 96376 |
|
44 |
43 |
$85.93 |
| 87070 |
|
53 |
53 |
$75.86 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
58 |
37 |
$67.56 |
| 82565 |
|
25 |
25 |
$62.39 |
| 90656 |
|
12 |
12 |
$61.86 |
| 82043 |
|
14 |
14 |
$56.64 |
| 87449 |
|
12 |
12 |
$48.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
241 |
224 |
$44.81 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
31 |
30 |
$29.73 |
| Q0163 |
Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen |
17 |
13 |
$8.00 |
| J0280 |
Injection, aminophyllin, up to 250 mg |
15 |
15 |
$7.00 |
| 36600 |
|
12 |
12 |
$6.42 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
19 |
19 |
$2.00 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
20 |
20 |
$2.00 |
| S0028 |
Injection, famotidine, 20 mg |
20 |
20 |
$0.00 |