| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,521 |
13,520 |
$5.05M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,028 |
6,469 |
$3.34M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
10,153 |
9,533 |
$2.31M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,489 |
2,285 |
$1.50M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,521 |
1,429 |
$1.13M |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,403 |
2,820 |
$798K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,790 |
1,664 |
$772K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,787 |
2,664 |
$687K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,461 |
3,933 |
$602K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,370 |
3,698 |
$533K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,307 |
3,776 |
$525K |
| J3490 |
Unclassified drugs |
8,183 |
4,154 |
$489K |
| 71045 |
Radiologic examination, chest; single view |
3,465 |
3,216 |
$431K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,422 |
1,109 |
$421K |
| 80053 |
Comprehensive metabolic panel |
17,973 |
15,538 |
$416K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,630 |
4,194 |
$404K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
573 |
531 |
$340K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
2,835 |
2,683 |
$329K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,413 |
3,029 |
$302K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18,541 |
16,002 |
$291K |
| 71046 |
Radiologic examination, chest; 2 views |
2,167 |
2,061 |
$282K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,150 |
3,718 |
$272K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,161 |
926 |
$266K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,379 |
4,623 |
$239K |
| 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 |
1,895 |
1,811 |
$229K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,166 |
1,111 |
$210K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,493 |
3,311 |
$173K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
496 |
494 |
$162K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
728 |
456 |
$153K |
| 36415 |
Collection of venous blood by venipuncture |
19,562 |
16,152 |
$149K |
| 73562 |
|
702 |
609 |
$147K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,551 |
1,483 |
$132K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
747 |
622 |
$113K |
| 73610 |
|
447 |
408 |
$103K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
121 |
100 |
$100K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
249 |
76 |
$99K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,884 |
3,733 |
$96K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,197 |
2,054 |
$93K |
| 87430 |
|
2,801 |
2,670 |
$91K |
| 84484 |
|
3,250 |
2,641 |
$88K |
| 73630 |
|
492 |
436 |
$80K |
| 73030 |
|
371 |
333 |
$75K |
| 83690 |
|
3,679 |
3,329 |
$74K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
595 |
567 |
$66K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
254 |
251 |
$65K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
4,211 |
3,921 |
$64K |
| 82077 |
|
1,417 |
1,223 |
$61K |
| 59025 |
Fetal non-stress test |
191 |
111 |
$59K |
| 76801 |
|
220 |
191 |
$57K |
| 73130 |
|
343 |
297 |
$57K |
| 87800 |
|
717 |
687 |
$55K |
| G0378 |
Hospital observation service, per hour |
112 |
96 |
$55K |
| 83605 |
|
2,053 |
1,788 |
$54K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
588 |
409 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
656 |
558 |
$52K |
| 87400 |
|
1,797 |
1,728 |
$50K |
| 80061 |
Lipid panel |
2,233 |
2,175 |
$49K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
198 |
196 |
$49K |
| 76830 |
Ultrasound, transvaginal |
194 |
192 |
$47K |
| 90837 |
Psychotherapy, 53 minutes with patient |
462 |
328 |
$45K |
| 83880 |
|
958 |
885 |
$43K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,124 |
3,026 |
$43K |
| 94761 |
|
1,399 |
1,044 |
$38K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
187 |
178 |
$36K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
482 |
480 |
$35K |
| 84703 |
|
1,798 |
1,667 |
$33K |
| 81015 |
|
5,238 |
4,775 |
$32K |
| 88160 |
|
372 |
360 |
$32K |
| 81001 |
|
3,377 |
3,090 |
$31K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
6,049 |
4,074 |
$30K |
| 73110 |
|
170 |
158 |
$29K |
| 87040 |
|
939 |
760 |
$29K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
59 |
57 |
$28K |
| 81025 |
|
1,795 |
1,664 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,251 |
1,167 |
$27K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
6,414 |
3,965 |
$25K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
130 |
113 |
$25K |
| 83735 |
|
2,031 |
1,736 |
$24K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,499 |
3,121 |
$24K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,853 |
3,287 |
$24K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,147 |
907 |
$21K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,131 |
1,015 |
$21K |
| 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 |
1,024 |
967 |
$20K |
| 97161 |
|
302 |
283 |
$19K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
67 |
66 |
$19K |
| 86850 |
|
656 |
622 |
$19K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
548 |
529 |
$19K |
| 84702 |
|
589 |
471 |
$19K |
| 85027 |
|
1,640 |
1,534 |
$19K |
| 80143 |
|
339 |
305 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
206 |
190 |
$16K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
13 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
406 |
396 |
$15K |
| 85610 |
|
2,317 |
1,989 |
$15K |
| 86140 |
|
1,422 |
1,286 |
$15K |
| 85379 |
|
590 |
570 |
$15K |
| 80179 |
|
290 |
263 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
153 |
153 |
$14K |
| J2704 |
Injection, propofol, 10 mg |
1,212 |
946 |
$14K |
| 72100 |
|
62 |
62 |
$13K |
| 87070 |
|
799 |
768 |
$13K |
| 87088 |
|
756 |
694 |
$13K |
| 85730 |
|
1,082 |
1,001 |
$13K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
424 |
412 |
$12K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,018 |
1,619 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
126 |
123 |
$11K |
| 86900 |
|
1,063 |
997 |
$11K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
54 |
13 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
214 |
189 |
$11K |
| 84439 |
|
712 |
696 |
$11K |
| 96376 |
|
291 |
246 |
$11K |
| 96367 |
|
116 |
104 |
$9K |
| 87081 |
|
1,206 |
1,170 |
$9K |
| 86803 |
|
389 |
377 |
$9K |
| 87807 |
|
442 |
416 |
$9K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
26 |
13 |
$9K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
424 |
374 |
$9K |
| 99222 |
Initial hospital care, per day, moderate complexity |
84 |
73 |
$8K |
| 74018 |
|
42 |
40 |
$8K |
| 86592 |
|
884 |
867 |
$8K |
| 87340 |
|
382 |
372 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
156 |
143 |
$7K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,302 |
857 |
$7K |
| 82150 |
|
559 |
521 |
$7K |
| 95800 |
|
13 |
13 |
$7K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
88 |
48 |
$7K |
| 90832 |
Psychotherapy, 30 minutes with patient |
81 |
76 |
$7K |
| 70486 |
|
12 |
12 |
$7K |
| 82962 |
|
2,111 |
1,141 |
$7K |
| 83655 |
|
290 |
288 |
$6K |
| 82803 |
|
132 |
111 |
$6K |
| 85007 |
|
794 |
745 |
$6K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,501 |
1,252 |
$6K |
| 86769 |
|
98 |
97 |
$6K |
| 87186 |
|
360 |
339 |
$6K |
| 87590 |
|
190 |
185 |
$5K |
| 36600 |
|
133 |
111 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
189 |
168 |
$5K |
| 87490 |
|
189 |
184 |
$5K |
| 90715 |
|
190 |
181 |
$5K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
783 |
695 |
$5K |
| G0432 |
Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening |
208 |
203 |
$5K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
15 |
14 |
$5K |
| 82570 |
|
543 |
512 |
$5K |
| 81513 |
|
72 |
71 |
$5K |
| A9270 |
Non-covered item or service |
1,851 |
1,254 |
$5K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,195 |
983 |
$4K |
| 86885 |
|
244 |
225 |
$4K |
| 97032 |
|
203 |
54 |
$4K |
| 74019 |
|
28 |
26 |
$4K |
| 82550 |
|
402 |
376 |
$4K |
| 73564 |
|
20 |
13 |
$4K |
| 87481 |
|
73 |
71 |
$4K |
| 90839 |
|
43 |
40 |
$4K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
72 |
71 |
$4K |
| 82746 |
|
144 |
143 |
$4K |
| 81002 |
|
720 |
664 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
248 |
243 |
$4K |
| 82607 |
|
146 |
144 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
108 |
47 |
$4K |
| 84100 |
|
338 |
299 |
$4K |
| 86762 |
|
161 |
154 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
39 |
$4K |
| 73502 |
|
28 |
25 |
$4K |
| 83550 |
|
244 |
231 |
$4K |
| 80320 |
|
114 |
100 |
$4K |
| 76641 |
|
15 |
14 |
$4K |
| 86695 |
|
147 |
146 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
55 |
41 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
60 |
23 |
$3K |
| 82043 |
|
340 |
325 |
$3K |
| 82728 |
|
144 |
135 |
$3K |
| 74022 |
|
13 |
13 |
$3K |
| 83540 |
|
269 |
255 |
$3K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
44 |
42 |
$3K |
| 86787 |
|
101 |
100 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$2K |
| 86901 |
|
300 |
280 |
$2K |
| 90461 |
|
87 |
86 |
$2K |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
1,035 |
823 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
179 |
177 |
$2K |
| 90670 |
|
37 |
37 |
$2K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
258 |
219 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
149 |
148 |
$2K |
| A9150 |
Non-prescription drugs |
1,331 |
1,103 |
$2K |
| J2060 |
Injection, lorazepam, 2 mg |
534 |
459 |
$2K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
33 |
28 |
$2K |
| 90686 |
|
166 |
158 |
$1K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
530 |
473 |
$1K |
| P9612 |
Catheterization for collection of specimen, single patient, all places of service |
128 |
121 |
$1K |
| 20610 |
|
50 |
42 |
$1K |
| 82951 |
|
49 |
46 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$1K |
| 85018 |
|
210 |
207 |
$1K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
15 |
13 |
$1K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
12 |
12 |
$1K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
27 |
26 |
$1K |
| 97162 |
|
13 |
13 |
$999.01 |
| 85014 |
|
184 |
182 |
$968.25 |
| 87205 |
|
127 |
120 |
$966.20 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
268 |
215 |
$710.92 |
| 85651 |
|
83 |
83 |
$695.04 |
| J3480 |
Injection, potassium chloride, per 2 meq |
109 |
85 |
$661.54 |
| 82553 |
|
33 |
32 |
$654.84 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
236 |
201 |
$635.19 |
| 99173 |
|
18 |
18 |
$510.00 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
269 |
239 |
$481.17 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
15 |
13 |
$462.99 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
15 |
13 |
$441.18 |
| 99000 |
|
79 |
76 |
$439.08 |
| J3360 |
Injection, diazepam, up to 5 mg |
16 |
13 |
$414.48 |
| 86308 |
|
27 |
27 |
$345.90 |
| 82105 |
|
13 |
12 |
$335.96 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
42 |
40 |
$330.51 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
99 |
81 |
$316.21 |
| 80305 |
|
19 |
14 |
$296.18 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
12 |
12 |
$295.09 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
113 |
81 |
$242.93 |
| 92552 |
|
17 |
17 |
$213.85 |
| 86709 |
|
14 |
14 |
$209.76 |
| 86705 |
|
13 |
13 |
$197.56 |
| 81000 |
|
104 |
97 |
$194.94 |
| J1815 |
Injection, insulin, per 5 units |
94 |
72 |
$181.80 |
| 83615 |
|
13 |
13 |
$170.57 |
| 82248 |
|
18 |
14 |
$158.95 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
92 |
80 |
$156.51 |
| 82010 |
|
12 |
12 |
$153.44 |
| J3411 |
Injection, thiamine hcl, 100 mg |
19 |
15 |
$94.55 |
| 96161 |
|
33 |
33 |
$90.09 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
24 |
24 |
$80.84 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
16 |
12 |
$45.39 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
13 |
13 |
$45.38 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
13 |
12 |
$43.84 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
27 |
24 |
$13.80 |