| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
8,985 |
8,324 |
$1.14M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,925 |
14,303 |
$1.03M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
10,455 |
9,970 |
$972K |
| T1015 |
Clinic visit/encounter, all-inclusive |
8,412 |
5,318 |
$682K |
| G0378 |
Hospital observation service, per hour |
458 |
264 |
$157K |
| 80053 |
Comprehensive metabolic panel |
14,544 |
13,245 |
$119K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,545 |
5,123 |
$107K |
| 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 |
1,381 |
1,271 |
$106K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,808 |
2,580 |
$104K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
515 |
498 |
$85K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,138 |
1,083 |
$79K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,487 |
826 |
$68K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
742 |
704 |
$65K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,247 |
13,650 |
$62K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,317 |
1,229 |
$58K |
| 80050 |
General health panel |
1,171 |
1,136 |
$51K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
7,000 |
6,388 |
$47K |
| 84484 |
|
6,652 |
4,401 |
$44K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,856 |
2,531 |
$36K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
512 |
501 |
$35K |
| 83880 |
|
1,453 |
1,333 |
$33K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,088 |
1,053 |
$27K |
| 80061 |
Lipid panel |
2,224 |
2,158 |
$25K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
685 |
662 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,308 |
2,080 |
$23K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
967 |
943 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
1,695 |
1,608 |
$22K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
955 |
931 |
$22K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,281 |
1,221 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
3,166 |
2,929 |
$18K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,436 |
351 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
525 |
508 |
$18K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
206 |
202 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
563 |
540 |
$16K |
| 81001 |
|
6,965 |
6,570 |
$15K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
187 |
164 |
$15K |
| 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 |
1,011 |
983 |
$15K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,687 |
1,447 |
$12K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
44 |
43 |
$11K |
| 93971 |
|
183 |
178 |
$11K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,591 |
1,499 |
$10K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
80 |
77 |
$10K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
59 |
58 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,442 |
1,381 |
$10K |
| 83735 |
|
2,175 |
1,822 |
$10K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
237 |
233 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
979 |
520 |
$9K |
| 87081 |
|
1,705 |
1,664 |
$9K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
283 |
266 |
$9K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
234 |
228 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
219 |
212 |
$8K |
| 83690 |
|
2,266 |
2,062 |
$8K |
| 83605 |
|
1,530 |
1,320 |
$8K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
372 |
356 |
$8K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
127 |
125 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
141 |
137 |
$8K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
427 |
417 |
$8K |
| 93017 |
|
258 |
247 |
$7K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
346 |
342 |
$7K |
| 84703 |
|
880 |
843 |
$7K |
| 94729 |
|
273 |
273 |
$7K |
| 85610 |
|
2,294 |
1,797 |
$7K |
| 88342 |
|
143 |
139 |
$6K |
| 94726 |
|
259 |
259 |
$6K |
| 76830 |
Ultrasound, transvaginal |
159 |
153 |
$6K |
| 82607 |
|
525 |
508 |
$5K |
| 84439 |
|
754 |
728 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
206 |
202 |
$5K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
850 |
202 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
172 |
167 |
$5K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
106 |
100 |
$5K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
62 |
62 |
$5K |
| 81025 |
|
1,622 |
1,555 |
$5K |
| 87481 |
|
136 |
123 |
$5K |
| 73610 |
|
302 |
295 |
$5K |
| 97113 |
|
247 |
69 |
$4K |
| 85379 |
|
553 |
527 |
$4K |
| 86803 |
|
227 |
223 |
$4K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
141 |
140 |
$4K |
| 97161 |
|
246 |
227 |
$4K |
| 84702 |
|
248 |
212 |
$4K |
| 87040 |
|
396 |
231 |
$4K |
| 85027 |
|
664 |
574 |
$4K |
| 82728 |
|
361 |
356 |
$4K |
| 93975 |
|
30 |
30 |
$4K |
| 73630 |
|
316 |
308 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
60 |
53 |
$3K |
| 86780 |
|
198 |
194 |
$3K |
| 96376 |
|
258 |
222 |
$3K |
| 83540 |
|
446 |
438 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
7,271 |
5,592 |
$3K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
192 |
106 |
$3K |
| 97010 |
|
643 |
196 |
$3K |
| 76801 |
|
74 |
70 |
$3K |
| 82570 |
|
434 |
395 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
682 |
647 |
$3K |
| 84466 |
|
191 |
187 |
$2K |
| 80074 |
|
48 |
48 |
$2K |
| 82043 |
|
343 |
335 |
$2K |
| 86038 |
|
173 |
166 |
$2K |
| 73130 |
|
237 |
227 |
$2K |
| 73030 |
|
197 |
190 |
$2K |
| 87186 |
|
308 |
295 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
263 |
203 |
$2K |
| 84460 |
|
331 |
300 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
352 |
346 |
$2K |
| 85730 |
|
371 |
347 |
$2K |
| 84450 |
|
329 |
298 |
$2K |
| 86850 |
|
314 |
292 |
$2K |
| 93970 |
|
27 |
26 |
$2K |
| 85007 |
|
534 |
458 |
$2K |
| 76775 |
|
44 |
44 |
$2K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
379 |
81 |
$2K |
| 84481 |
|
77 |
74 |
$2K |
| 84145 |
|
122 |
117 |
$2K |
| 80076 |
|
196 |
178 |
$2K |
| 82947 |
|
551 |
377 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
4,672 |
3,956 |
$2K |
| 85652 |
|
527 |
501 |
$1K |
| 94010 |
|
139 |
139 |
$1K |
| 82565 |
|
260 |
241 |
$1K |
| 87077 |
|
238 |
230 |
$1K |
| 73564 |
|
85 |
81 |
$1K |
| 81003 |
|
553 |
542 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
13 |
$1K |
| 83970 |
|
41 |
41 |
$1K |
| 82150 |
|
250 |
246 |
$1K |
| 76536 |
|
29 |
28 |
$1K |
| 86900 |
|
362 |
340 |
$1K |
| 73110 |
|
119 |
117 |
$1K |
| 86901 |
|
362 |
340 |
$1K |
| 72131 |
|
12 |
12 |
$1K |
| 84100 |
|
187 |
135 |
$1K |
| 73562 |
|
69 |
66 |
$1K |
| 86140 |
|
341 |
318 |
$967.27 |
| 82784 |
|
38 |
37 |
$908.73 |
| 97162 |
|
41 |
41 |
$904.69 |
| 87340 |
|
60 |
60 |
$842.82 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
747 |
557 |
$810.03 |
| 86762 |
|
39 |
39 |
$800.11 |
| 90715 |
|
48 |
44 |
$772.46 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
221 |
218 |
$762.63 |
| 72100 |
|
41 |
41 |
$753.75 |
| 88142 |
|
56 |
56 |
$734.40 |
| J2785 |
Injection, regadenoson, 0.1 mg |
27 |
24 |
$712.44 |
| 82746 |
|
81 |
80 |
$698.69 |
| 93226 |
|
25 |
25 |
$682.37 |
| 87070 |
|
148 |
134 |
$657.08 |
| 83550 |
|
148 |
146 |
$647.97 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$630.48 |
| 72110 |
|
37 |
37 |
$614.88 |
| 12001 |
|
28 |
25 |
$612.50 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$562.65 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
13 |
$525.12 |
| 76642 |
|
17 |
17 |
$506.28 |
| 76770 |
|
12 |
12 |
$493.20 |
| 73502 |
|
26 |
26 |
$470.71 |
| 87205 |
|
157 |
140 |
$458.34 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
299 |
182 |
$448.80 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,112 |
2,789 |
$435.98 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
217 |
118 |
$435.80 |
| J2704 |
Injection, propofol, 10 mg |
1,334 |
995 |
$423.83 |
| 97750 |
|
52 |
44 |
$412.10 |
| 86430 |
|
58 |
56 |
$401.67 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
18 |
$370.00 |
| 86618 |
|
15 |
13 |
$336.58 |
| 10060 |
|
13 |
13 |
$313.85 |
| 82962 |
|
313 |
193 |
$309.40 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
13 |
12 |
$309.00 |
| 87147 |
|
84 |
83 |
$306.60 |
| 93225 |
|
25 |
25 |
$283.93 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
45 |
44 |
$283.50 |
| 82550 |
|
47 |
44 |
$280.44 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,196 |
958 |
$268.71 |
| 73080 |
|
28 |
25 |
$261.94 |
| 84436 |
|
28 |
27 |
$261.58 |
| 83516 |
|
17 |
12 |
$243.17 |
| 72050 |
|
12 |
12 |
$229.55 |
| 97597 |
|
47 |
25 |
$208.14 |
| 84550 |
|
46 |
42 |
$205.46 |
| 97035 |
|
38 |
12 |
$204.06 |
| 84520 |
|
45 |
38 |
$167.33 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
14 |
14 |
$167.15 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,555 |
2,122 |
$164.97 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
758 |
671 |
$140.46 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
269 |
253 |
$138.41 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
357 |
315 |
$125.39 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
36 |
36 |
$124.20 |
| 87075 |
|
16 |
13 |
$121.00 |
| 88304 |
|
40 |
39 |
$117.24 |
| 87088 |
|
16 |
14 |
$112.80 |
| 82077 |
|
131 |
116 |
$110.97 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
68 |
62 |
$105.67 |
| 83721 |
|
24 |
24 |
$93.30 |
| 82248 |
|
14 |
14 |
$92.49 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
68 |
51 |
$63.81 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
942 |
735 |
$62.77 |
| 80179 |
|
48 |
44 |
$53.36 |
| 80143 |
|
49 |
45 |
$53.36 |
| J2060 |
Injection, lorazepam, 2 mg |
174 |
138 |
$51.02 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
212 |
192 |
$47.35 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
56 |
39 |
$44.82 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
63 |
56 |
$37.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
335 |
263 |
$30.44 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
193 |
184 |
$28.96 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
25 |
$22.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
93 |
51 |
$21.53 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
800 |
691 |
$13.37 |
| J7050 |
Infusion, normal saline solution, 250 cc |
77 |
52 |
$7.23 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
255 |
242 |
$1.52 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
12 |
12 |
$0.00 |
| 00731 |
|
14 |
13 |
$0.00 |
| 92552 |
|
16 |
16 |
$0.00 |