| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13,984 |
13,560 |
$3.77M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
8,545 |
8,209 |
$2.38M |
| G0378 |
Hospital observation service, per hour |
718 |
678 |
$1.27M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,522 |
3,362 |
$978K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,620 |
2,570 |
$666K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
3,182 |
2,985 |
$249K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,882 |
1,410 |
$137K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
667 |
660 |
$91K |
| 59025 |
Fetal non-stress test |
2,118 |
1,122 |
$79K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
429 |
421 |
$71K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
152 |
151 |
$63K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
794 |
719 |
$51K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
498 |
479 |
$47K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,635 |
417 |
$47K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
290 |
273 |
$46K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
489 |
481 |
$41K |
| 76830 |
Ultrasound, transvaginal |
557 |
544 |
$39K |
| 76801 |
|
546 |
532 |
$38K |
| 76813 |
|
405 |
399 |
$35K |
| 77066 |
Tomosynthesis, mammo |
207 |
202 |
$35K |
| 76818 |
|
289 |
186 |
$30K |
| 76642 |
|
411 |
331 |
$29K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
318 |
281 |
$25K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
396 |
391 |
$24K |
| 62323 |
|
37 |
36 |
$22K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
56 |
55 |
$18K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
190 |
185 |
$18K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
373 |
133 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
198 |
179 |
$17K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
440 |
437 |
$16K |
| 76536 |
|
179 |
175 |
$16K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
343 |
321 |
$15K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
877 |
836 |
$15K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
204 |
198 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
819 |
778 |
$14K |
| 77065 |
Tomosynthesis, mammo |
122 |
113 |
$13K |
| 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 |
217 |
204 |
$13K |
| 97803 |
|
321 |
306 |
$12K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
29 |
29 |
$11K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
40 |
39 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
495 |
455 |
$9K |
| 71250 |
|
134 |
128 |
$9K |
| 76770 |
|
122 |
119 |
$9K |
| 73564 |
|
249 |
195 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,251 |
4,557 |
$8K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
41 |
41 |
$8K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
120 |
94 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
230 |
229 |
$8K |
| 93017 |
|
97 |
95 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
517 |
515 |
$7K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
43 |
42 |
$7K |
| 0002A |
|
126 |
123 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
576 |
526 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,194 |
1,135 |
$6K |
| 80053 |
Comprehensive metabolic panel |
1,923 |
1,752 |
$6K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
29 |
27 |
$6K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
283 |
266 |
$5K |
| 77062 |
|
106 |
103 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,918 |
1,585 |
$5K |
| J2785 |
Injection, regadenoson, 0.1 mg |
42 |
41 |
$5K |
| 90686 |
|
663 |
662 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,718 |
1,597 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
111 |
109 |
$5K |
| 0001A |
|
118 |
114 |
$4K |
| C1769 |
Guide wire |
41 |
38 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,216 |
1,041 |
$4K |
| 93971 |
|
61 |
61 |
$4K |
| 90670 |
|
462 |
461 |
$4K |
| 97161 |
|
28 |
28 |
$4K |
| 87486 |
|
576 |
521 |
$4K |
| 73630 |
|
201 |
171 |
$3K |
| 72110 |
|
73 |
70 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
181 |
180 |
$3K |
| A9270 |
Non-covered item or service |
2,803 |
2,104 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
233 |
204 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
735 |
644 |
$3K |
| 82248 |
|
400 |
313 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
31 |
28 |
$3K |
| 86900 |
|
313 |
279 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
76 |
76 |
$3K |
| 77061 |
|
57 |
54 |
$2K |
| 73030 |
|
108 |
100 |
$2K |
| 82247 |
|
277 |
206 |
$2K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
62 |
41 |
$2K |
| 90698 |
|
304 |
303 |
$2K |
| 77080 |
|
24 |
24 |
$2K |
| 85730 |
|
1,181 |
1,090 |
$2K |
| 90680 |
|
313 |
312 |
$2K |
| 90633 |
|
280 |
277 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
4,087 |
3,468 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
158 |
155 |
$2K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
39 |
13 |
$2K |
| 90707 |
|
233 |
233 |
$2K |
| 90716 |
|
232 |
232 |
$2K |
| 85610 |
|
1,322 |
1,218 |
$1K |
| 72100 |
|
45 |
40 |
$1K |
| 83735 |
|
1,160 |
892 |
$1K |
| 86850 |
|
228 |
202 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
577 |
545 |
$1K |
| 90744 |
|
170 |
170 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
455 |
423 |
$1K |
| 76775 |
|
12 |
12 |
$1K |
| 73130 |
|
58 |
54 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
149 |
142 |
$1K |
| 81001 |
|
661 |
610 |
$957.80 |
| 84702 |
|
129 |
116 |
$929.62 |
| 90672 |
|
128 |
128 |
$896.00 |
| 80076 |
|
417 |
386 |
$887.29 |
| 90651 |
|
134 |
134 |
$868.00 |
| 73610 |
|
42 |
36 |
$857.29 |
| 72052 |
|
15 |
14 |
$822.60 |
| 86901 |
|
256 |
229 |
$790.16 |
| 90734 |
|
100 |
100 |
$700.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
452 |
430 |
$686.36 |
| 85027 |
|
179 |
169 |
$646.95 |
| 90715 |
|
94 |
92 |
$642.98 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
61 |
56 |
$618.20 |
| 84484 |
|
595 |
438 |
$596.87 |
| 73110 |
|
44 |
40 |
$590.88 |
| 90700 |
|
84 |
84 |
$588.00 |
| 90648 |
|
82 |
82 |
$574.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
234 |
217 |
$533.06 |
| 83690 |
|
516 |
485 |
$484.00 |
| 87581 |
|
558 |
507 |
$478.80 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
383 |
367 |
$453.71 |
| 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 |
45 |
41 |
$436.00 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
37 |
37 |
$410.32 |
| 83880 |
|
129 |
124 |
$382.46 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
164 |
160 |
$365.92 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
41 |
38 |
$349.00 |
| 81025 |
|
373 |
355 |
$345.35 |
| 94761 |
|
297 |
267 |
$309.39 |
| 99188 |
|
17 |
17 |
$306.00 |
| J2704 |
Injection, propofol, 10 mg |
920 |
884 |
$294.80 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
697 |
507 |
$277.64 |
| 90696 |
|
39 |
39 |
$273.00 |
| 87040 |
|
164 |
118 |
$257.60 |
| 83605 |
|
222 |
205 |
$255.60 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
29 |
28 |
$242.94 |
| 81003 |
|
346 |
329 |
$218.46 |
| 80061 |
Lipid panel |
32 |
29 |
$212.24 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
34 |
32 |
$200.39 |
| 85379 |
|
143 |
136 |
$190.80 |
| 96376 |
|
28 |
25 |
$136.15 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,700 |
1,532 |
$116.40 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
140 |
127 |
$106.89 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
93 |
84 |
$88.79 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,023 |
931 |
$71.23 |
| 90685 |
|
409 |
408 |
$63.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,995 |
1,682 |
$57.25 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
683 |
651 |
$50.73 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
790 |
715 |
$44.88 |
| 86140 |
|
75 |
72 |
$27.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
501 |
378 |
$22.49 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
319 |
303 |
$22.30 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,742 |
2,385 |
$21.70 |
| 87186 |
|
16 |
12 |
$19.60 |
| 87077 |
|
17 |
13 |
$17.40 |
| J1644 |
Injection, heparin sodium, per 1000 units |
76 |
36 |
$15.46 |
| 87070 |
|
83 |
79 |
$14.80 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
496 |
395 |
$7.01 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
281 |
120 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
48 |
14 |
$0.00 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
151 |
148 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
165 |
140 |
$0.00 |
| 99173 |
|
114 |
113 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
137 |
95 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
127 |
125 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
24 |
16 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
14 |
13 |
$0.00 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
14 |
14 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
13 |
13 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
15 |
15 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
160 |
153 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
170 |
154 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
66 |
53 |
$0.00 |
| 92551 |
|
53 |
53 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
35 |
26 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
12 |
12 |
$0.00 |