| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
448 |
398 |
$11K |
| 99201 |
|
134 |
125 |
$7K |
| 0121 |
|
1,179 |
1,102 |
$5K |
| 0360 |
|
696 |
688 |
$5K |
| 0450 |
Emergency room services |
10,498 |
9,701 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,050 |
1,966 |
$4K |
| 82077 |
|
483 |
469 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,053 |
1,970 |
$4K |
| 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 |
3,036 |
2,935 |
$3K |
| 86481 |
|
314 |
311 |
$2K |
| Z7502 |
|
41 |
40 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
617 |
587 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,053 |
2,002 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,794 |
3,579 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,932 |
1,844 |
$1K |
| Z9725 |
|
26 |
24 |
$1K |
| 0710 |
|
605 |
589 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,195 |
2,164 |
$951.94 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,092 |
1,064 |
$797.30 |
| 88341 |
|
386 |
367 |
$773.86 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,878 |
1,841 |
$695.27 |
| 80053 |
Comprehensive metabolic panel |
15,817 |
14,341 |
$685.04 |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
7,591 |
4,591 |
$676.92 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
224 |
216 |
$641.76 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16,644 |
14,787 |
$593.64 |
| 70450 |
Computed tomography, head or brain; without contrast material |
915 |
897 |
$517.34 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,842 |
1,817 |
$421.30 |
| J3490 |
Unclassified drugs |
1,080 |
686 |
$405.16 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
7,065 |
6,449 |
$340.06 |
| 71045 |
Radiologic examination, chest; single view |
1,757 |
1,684 |
$329.38 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
871 |
796 |
$271.94 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
665 |
661 |
$269.18 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,348 |
1,133 |
$262.46 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
159 |
159 |
$218.64 |
| 84484 |
|
2,657 |
2,014 |
$207.88 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
972 |
914 |
$206.95 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,120 |
4,084 |
$196.93 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,045 |
1,856 |
$191.77 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,327 |
1,136 |
$188.84 |
| 97750 |
|
1,934 |
1,621 |
$178.02 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,038 |
1,842 |
$159.19 |
| 71046 |
Radiologic examination, chest; 2 views |
2,527 |
2,469 |
$158.61 |
| Q3014 |
Telehealth originating site facility fee |
2,584 |
2,506 |
$150.60 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
6,089 |
5,335 |
$150.21 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,360 |
1,354 |
$137.20 |
| 0301 |
|
4,025 |
3,641 |
$126.76 |
| 0306 |
|
2,216 |
2,058 |
$125.44 |
| 76830 |
Ultrasound, transvaginal |
852 |
835 |
$118.51 |
| J2704 |
Injection, propofol, 10 mg |
1,330 |
1,032 |
$118.36 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
931 |
915 |
$113.66 |
| 0320 |
|
257 |
250 |
$110.64 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,268 |
2,255 |
$104.94 |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,910 |
3,841 |
$102.56 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
7,001 |
5,807 |
$86.51 |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
208 |
184 |
$79.39 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,957 |
2,724 |
$79.10 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,030 |
2,928 |
$76.96 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,483 |
2,449 |
$76.65 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
166 |
147 |
$74.24 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
634 |
573 |
$72.91 |
| 0370 |
|
976 |
958 |
$71.72 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,024 |
1,932 |
$70.26 |
| 93350 |
|
403 |
396 |
$68.94 |
| 85610 |
|
3,073 |
2,861 |
$67.46 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
55 |
53 |
$66.74 |
| 0949 |
|
240 |
232 |
$63.71 |
| 73630 |
|
139 |
135 |
$62.32 |
| 93017 |
|
1,107 |
1,090 |
$60.25 |
| 0730 |
|
1,279 |
1,210 |
$59.67 |
| 83690 |
|
2,138 |
2,044 |
$58.77 |
| 81001 |
|
4,238 |
4,024 |
$49.80 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
1,845 |
1,760 |
$49.76 |
| 87040 |
|
492 |
335 |
$47.88 |
| 97165 |
|
95 |
93 |
$45.60 |
| 81025 |
|
1,291 |
1,267 |
$45.37 |
| 87186 |
|
144 |
120 |
$42.97 |
| 73610 |
|
61 |
59 |
$42.36 |
| 84702 |
|
1,044 |
949 |
$41.70 |
| 0250 |
|
5,369 |
4,657 |
$41.41 |
| 87400 |
|
765 |
749 |
$39.77 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,702 |
2,640 |
$38.64 |
| 86592 |
|
996 |
987 |
$38.23 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
444 |
410 |
$37.33 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
46 |
41 |
$37.15 |
| 0310 |
|
438 |
430 |
$35.29 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
182 |
180 |
$34.93 |
| 0510 |
|
2,002 |
1,856 |
$34.10 |
| 83880 |
|
339 |
313 |
$33.77 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,143 |
1,743 |
$32.55 |
| 71250 |
|
1,419 |
1,383 |
$32.35 |
| 83735 |
|
1,643 |
1,360 |
$27.52 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
3,052 |
2,096 |
$27.27 |
| 77080 |
|
311 |
308 |
$25.78 |
| 87340 |
|
895 |
893 |
$25.64 |
| 82105 |
|
1,548 |
1,504 |
$24.06 |
| 85730 |
|
1,464 |
1,395 |
$23.29 |
| 81003 |
|
2,223 |
2,167 |
$22.78 |
| 82728 |
|
1,305 |
1,291 |
$22.63 |
| 86901 |
|
1,137 |
956 |
$21.72 |
| 86900 |
|
1,268 |
961 |
$21.22 |
| 80061 |
Lipid panel |
4,466 |
4,429 |
$20.67 |
| 87420 |
|
363 |
357 |
$20.00 |
| 88342 |
|
2,054 |
1,994 |
$19.91 |
| 86140 |
|
1,124 |
1,070 |
$14.36 |
| 83550 |
|
610 |
601 |
$14.26 |
| 86850 |
|
724 |
682 |
$12.66 |
| 83540 |
|
851 |
838 |
$10.74 |
| 0305 |
|
3,446 |
3,173 |
$9.94 |
| 0324 |
|
1,169 |
1,105 |
$9.71 |
| 86704 |
|
119 |
119 |
$9.64 |
| 86803 |
|
1,048 |
1,041 |
$9.13 |
| 85652 |
|
1,152 |
1,102 |
$7.07 |
| 87081 |
|
111 |
110 |
$4.50 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
64 |
53 |
$2.09 |
| 0307 |
|
1,222 |
1,149 |
$2.03 |
| 36415 |
Collection of venous blood by venipuncture |
3,803 |
3,497 |
$0.55 |
| 85027 |
|
690 |
671 |
$0.39 |
| 77066 |
Tomosynthesis, mammo |
430 |
426 |
$0.00 |
| 0430 |
|
475 |
443 |
$0.00 |
| 0302 |
|
2,481 |
2,228 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,759 |
2,586 |
$0.00 |
| 84100 |
|
42 |
40 |
$0.00 |
| 93226 |
|
88 |
86 |
$0.00 |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
898 |
888 |
$0.00 |
| 0300 |
|
1,541 |
1,478 |
$0.00 |
| 97039 |
|
16,673 |
4,334 |
$0.00 |
| 76642 |
|
581 |
573 |
$0.00 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
780 |
775 |
$0.00 |
| 82570 |
|
1,120 |
1,069 |
$0.00 |
| 71271 |
|
559 |
553 |
$0.00 |
| 80076 |
|
477 |
465 |
$0.00 |
| 77334 |
|
65 |
53 |
$0.00 |
| 0122 |
|
968 |
947 |
$0.00 |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
883 |
870 |
$0.00 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
165 |
96 |
$0.00 |
| 0111 |
|
44 |
42 |
$0.00 |
| 93225 |
|
88 |
86 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
128 |
108 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
13 |
12 |
$0.00 |
| 59025 |
Fetal non-stress test |
2,464 |
999 |
$0.00 |
| 0272 |
|
1,828 |
1,759 |
$0.00 |
| 82977 |
|
213 |
196 |
$0.00 |
| 0750 |
|
196 |
196 |
$0.00 |
| 84439 |
|
1,373 |
1,350 |
$0.00 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
136 |
134 |
$0.00 |
| 0402 |
|
236 |
231 |
$0.00 |
| 77336 |
|
241 |
112 |
$0.00 |
| 74170 |
|
39 |
39 |
$0.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
193 |
191 |
$0.00 |
| 76770 |
|
104 |
104 |
$0.00 |
| 94729 |
|
24 |
24 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
557 |
556 |
$0.00 |
| 77065 |
Tomosynthesis, mammo |
54 |
54 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
30 |
28 |
$0.00 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
88 |
87 |
$0.00 |
| 93325 |
|
66 |
64 |
$0.00 |
| 84156 |
|
59 |
52 |
$0.00 |
| 0351 |
|
52 |
51 |
$0.00 |
| 74178 |
|
39 |
39 |
$0.00 |
| 94726 |
|
24 |
24 |
$0.00 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
58 |
49 |
$0.00 |
| 0460 |
|
101 |
101 |
$0.00 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
62 |
60 |
$0.00 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
42 |
42 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
31 |
26 |
$0.00 |
| 94060 |
|
12 |
12 |
$0.00 |
| 59426 |
|
47 |
45 |
$0.00 |
| 86038 |
|
12 |
12 |
$0.00 |
| 0762 |
|
37 |
26 |
$0.00 |
| 72141 |
|
28 |
28 |
$0.00 |
| 71010 |
|
17 |
16 |
$0.00 |
| 84550 |
|
40 |
39 |
$0.00 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
107 |
104 |
$0.00 |
| 82947 |
|
13 |
13 |
$0.00 |
| 87634 |
|
14 |
13 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
14 |
12 |
$0.00 |
| 0424 |
|
12 |
12 |
$0.00 |
| 73030 |
|
13 |
12 |
$0.00 |
| 0309 |
|
32 |
29 |
$0.00 |
| 0361 |
|
42 |
42 |
$0.00 |
| 85045 |
|
12 |
12 |
$0.00 |
| 84460 |
|
13 |
13 |
$0.00 |
| 0278 |
|
13 |
13 |
$0.00 |
| 82043 |
|
667 |
659 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
801 |
759 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,039 |
860 |
$0.00 |
| 96040 |
|
14 |
14 |
$0.00 |
| 85379 |
|
24 |
24 |
$0.00 |
| 82607 |
|
304 |
300 |
$0.00 |
| 0258 |
|
2,592 |
2,478 |
$0.00 |
| 86706 |
|
222 |
220 |
$0.00 |
| 76536 |
|
630 |
621 |
$0.00 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,235 |
566 |
$0.00 |
| 0171 |
Inj, epinephrine (belcher) |
1,214 |
1,207 |
$0.00 |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
2,249 |
862 |
$0.00 |
| 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 |
2,291 |
2,222 |
$0.00 |
| 0255 |
|
645 |
619 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
606 |
600 |
$0.00 |
| 87486 |
|
131 |
130 |
$0.00 |
| 0420 |
|
748 |
695 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,441 |
2,879 |
$0.00 |
| 0214 |
|
250 |
237 |
$0.00 |
| 87581 |
|
131 |
130 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
493 |
492 |
$0.00 |
| 87517 |
|
1,055 |
1,040 |
$0.00 |
| 93246 |
|
390 |
390 |
$0.00 |
| 0409 |
|
14 |
13 |
$0.00 |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
265 |
262 |
$0.00 |
| 0721 |
|
724 |
721 |
$0.00 |
| 88307 |
|
15 |
15 |
$0.00 |
| 88142 |
|
1,251 |
1,246 |
$0.00 |
| 73560 |
|
29 |
28 |
$0.00 |
| 87070 |
|
135 |
121 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
851 |
834 |
$0.00 |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
657 |
657 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
52 |
45 |
$0.00 |
| 87430 |
|
62 |
62 |
$0.00 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
211 |
205 |
$0.00 |
| 87077 |
|
29 |
29 |
$0.00 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
78 |
78 |
$0.00 |
| 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 |
133 |
127 |
$0.00 |
| 74183 |
|
122 |
122 |
$0.00 |
| 97162 |
|
17 |
16 |
$0.00 |
| 97166 |
|
25 |
25 |
$0.00 |
| 0352 |
|
303 |
292 |
$0.00 |
| 92523 |
|
508 |
194 |
$0.00 |
| 93351 |
|
55 |
53 |
$0.00 |
| 86762 |
|
12 |
12 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
42 |
41 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
16 |
15 |
$0.00 |
| 83605 |
|
213 |
171 |
$0.00 |
| 82378 |
|
26 |
24 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
39 |
35 |
$0.00 |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
33 |
27 |
$0.00 |
| 93799 |
|
12 |
12 |
$0.00 |
| 80197 |
|
49 |
37 |
$0.00 |
| 82784 |
|
86 |
66 |
$0.00 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
15 |
15 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
12 |
12 |
$0.00 |
| 88304 |
|
12 |
12 |
$0.00 |
| 91200 |
|
25 |
25 |
$0.00 |
| 83615 |
|
19 |
14 |
$0.00 |
| 83789 |
|
14 |
12 |
$0.00 |
| 92526 |
|
26 |
12 |
$0.00 |
| 0270 |
|
732 |
472 |
$0.00 |
| 82550 |
|
13 |
12 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
12 |
12 |
$0.00 |
| 0410 |
|
16 |
15 |
$0.00 |
| 71020 |
|
27 |
25 |
$0.00 |
| 0206 |
|
16 |
13 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
14 |
13 |
$0.00 |
| 73502 |
|
13 |
12 |
$0.00 |
| 84153 |
|
27 |
27 |
$0.00 |