| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
100,119 |
83,928 |
$10.83M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
73,293 |
62,170 |
$8.81M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
24,022 |
20,546 |
$2.43M |
| 01999 |
|
2,391 |
2,183 |
$941K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
15,607 |
13,713 |
$848K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
5,343 |
1,488 |
$664K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
1,232 |
655 |
$596K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
3,223 |
246 |
$455K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
13,046 |
11,942 |
$429K |
| G0378 |
Hospital observation service, per hour |
2,800 |
2,348 |
$427K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,276 |
2,094 |
$255K |
| 92587 |
|
4,681 |
4,328 |
$217K |
| D7140 |
Extraction, erupted tooth or exposed root |
704 |
494 |
$165K |
| 54161 |
|
143 |
141 |
$164K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
9,152 |
2,380 |
$129K |
| 59025 |
Fetal non-stress test |
1,309 |
1,069 |
$95K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
318 |
291 |
$77K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
242 |
133 |
$72K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
12,033 |
9,696 |
$71K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
5,682 |
1,659 |
$64K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,111 |
930 |
$56K |
| D2932 |
|
92 |
58 |
$51K |
| 97161 |
|
556 |
508 |
$48K |
| J0885 |
Injection, epoetin alfa, (for non-esrd use), 1000 units |
1,593 |
123 |
$37K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
52 |
38 |
$32K |
| D1120 |
Prophylaxis - child |
959 |
868 |
$25K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
274 |
234 |
$25K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
67 |
60 |
$22K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
425 |
374 |
$15K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,724 |
544 |
$14K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
28,014 |
24,150 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
137 |
127 |
$13K |
| Q5106 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units |
1,493 |
134 |
$12K |
| D2740 |
Crown - porcelain/ceramic |
30 |
16 |
$11K |
| J0136 |
Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg |
648 |
602 |
$11K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
166 |
91 |
$10K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
524 |
269 |
$10K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
15 |
14 |
$10K |
| 97164 |
|
86 |
81 |
$9K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
14,309 |
12,143 |
$8K |
| 80053 |
Comprehensive metabolic panel |
65,570 |
53,552 |
$8K |
| D0272 |
Bitewings - two radiographic images |
73 |
67 |
$7K |
| 97602 |
|
60 |
29 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
72,293 |
58,312 |
$6K |
| 83970 |
|
611 |
439 |
$6K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,628 |
596 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12,177 |
9,616 |
$6K |
| 92650 |
|
97 |
79 |
$4K |
| 97116 |
|
365 |
144 |
$4K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,140 |
2,001 |
$3K |
| 96367 |
|
70 |
36 |
$3K |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
479 |
463 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
12 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
7,897 |
6,802 |
$3K |
| D2940 |
|
400 |
343 |
$2K |
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
932 |
400 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
46 |
24 |
$1K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
30 |
30 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
8,578 |
8,024 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
573 |
115 |
$1K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,999 |
1,715 |
$926.08 |
| D1330 |
|
633 |
577 |
$862.23 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
4,318 |
3,764 |
$830.97 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,731 |
1,391 |
$822.70 |
| 71046 |
Radiologic examination, chest; 2 views |
810 |
752 |
$812.34 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,171 |
931 |
$756.58 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,700 |
1,362 |
$635.47 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
116 |
107 |
$597.91 |
| 96409 |
|
14 |
12 |
$555.26 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,968 |
1,568 |
$500.46 |
| D1310 |
|
618 |
571 |
$490.51 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,089 |
1,783 |
$490.07 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
6,025 |
5,205 |
$460.45 |
| 87070 |
|
267 |
221 |
$432.25 |
| 81513 |
|
16 |
12 |
$380.16 |
| 81001 |
|
20,301 |
17,433 |
$303.73 |
| 80061 |
Lipid panel |
2,650 |
2,122 |
$296.99 |
| D0220 |
Intraoral - periapical first radiographic image |
66 |
55 |
$276.27 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
4,212 |
3,616 |
$276.27 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
790 |
710 |
$276.27 |
| D1208 |
Topical application of fluoride, excluding varnish |
372 |
344 |
$268.24 |
| 84466 |
|
1,472 |
1,160 |
$265.88 |
| 84484 |
|
4,326 |
2,578 |
$264.02 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,255 |
1,960 |
$263.29 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
945 |
727 |
$254.69 |
| 82728 |
|
1,471 |
1,161 |
$240.29 |
| 86850 |
|
274 |
210 |
$237.45 |
| 83735 |
|
3,674 |
2,915 |
$236.43 |
| 83880 |
|
544 |
435 |
$235.01 |
| 82607 |
|
999 |
807 |
$233.57 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,989 |
1,595 |
$217.05 |
| 86901 |
|
495 |
342 |
$207.60 |
| 83615 |
|
420 |
308 |
$206.96 |
| 84703 |
|
3,002 |
2,574 |
$196.90 |
| 86900 |
|
492 |
340 |
$191.36 |
| 86592 |
|
718 |
540 |
$191.09 |
| 86803 |
|
689 |
512 |
$185.33 |
| J0137 |
Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg |
96 |
92 |
$184.18 |
| 86300 |
|
167 |
75 |
$178.87 |
| 85027 |
|
2,181 |
1,604 |
$176.52 |
| 81025 |
|
12,959 |
11,248 |
$159.04 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
283 |
215 |
$156.46 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
928 |
277 |
$154.65 |
| D1206 |
Topical application of fluoride varnish |
344 |
294 |
$152.64 |
| 87481 |
|
16 |
12 |
$152.24 |
| 87340 |
|
630 |
437 |
$142.24 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,368 |
1,934 |
$135.23 |
| 83540 |
|
1,584 |
1,243 |
$133.77 |
| 82746 |
|
572 |
473 |
$132.64 |
| 83020 |
|
82 |
71 |
$131.91 |
| 84100 |
|
1,911 |
1,316 |
$129.72 |
| 84439 |
|
1,179 |
962 |
$128.11 |
| 80197 |
|
636 |
287 |
$127.83 |
| 82784 |
|
432 |
244 |
$115.49 |
| J2704 |
Injection, propofol, 10 mg |
1,794 |
1,562 |
$100.69 |
| 87186 |
|
471 |
379 |
$98.33 |
| 74018 |
|
115 |
111 |
$92.09 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
297 |
260 |
$92.09 |
| 87077 |
|
573 |
429 |
$83.99 |
| 82570 |
|
836 |
579 |
$66.32 |
| 85610 |
|
1,679 |
1,192 |
$65.78 |
| 83690 |
|
5,602 |
4,917 |
$63.58 |
| 86140 |
|
1,188 |
846 |
$57.60 |
| 84481 |
|
292 |
241 |
$55.14 |
| 83525 |
|
253 |
203 |
$45.42 |
| A0425 |
Ground mileage, per statute mile |
57 |
27 |
$44.93 |
| 84403 |
|
125 |
90 |
$44.46 |
| 82977 |
|
18 |
12 |
$37.38 |
| 86762 |
|
27 |
25 |
$28.65 |
| 81003 |
|
2,003 |
1,737 |
$25.68 |
| 84270 |
|
51 |
40 |
$25.17 |
| 85007 |
|
493 |
342 |
$25.05 |
| 36415 |
Collection of venous blood by venipuncture |
921 |
566 |
$22.78 |
| 85652 |
|
684 |
544 |
$22.60 |
| 86706 |
|
84 |
49 |
$19.46 |
| 84156 |
|
238 |
185 |
$18.60 |
| 86038 |
|
88 |
69 |
$16.46 |
| 82043 |
|
366 |
285 |
$16.20 |
| 86376 |
|
43 |
38 |
$15.78 |
| 82378 |
|
18 |
12 |
$15.75 |
| 84550 |
|
71 |
56 |
$15.41 |
| 84146 |
|
49 |
26 |
$12.85 |
| 82950 |
|
85 |
52 |
$8.19 |
| 82248 |
|
597 |
507 |
$7.08 |
| 82947 |
|
1,126 |
559 |
$6.26 |
| 82550 |
|
329 |
290 |
$5.25 |
| 85730 |
|
600 |
507 |
$4.73 |
| 87210 |
|
268 |
245 |
$3.15 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
678 |
615 |
$0.97 |
| J2501 |
Injection, paricalcitol, 1 mcg |
1,671 |
113 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
2,390 |
1,097 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
291 |
266 |
$0.00 |
| J1790 |
Injection, droperidol, up to 5 mg |
68 |
61 |
$0.00 |
| 85018 |
|
116 |
95 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
308 |
276 |
$0.00 |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
42 |
13 |
$0.00 |
| 97010 |
|
27 |
12 |
$0.00 |
| 84153 |
|
54 |
50 |
$0.00 |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
33 |
27 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
181 |
159 |
$0.00 |
| 85379 |
|
40 |
37 |
$0.00 |
| 96376 |
|
68 |
48 |
$0.00 |
| 83002 |
|
12 |
12 |
$0.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
46 |
43 |
$0.00 |
| 83001 |
|
64 |
49 |
$0.00 |
| 76801 |
|
18 |
17 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
59 |
37 |
$0.00 |
| 87205 |
|
15 |
13 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
15 |
12 |
$0.00 |
| 87040 |
|
14 |
14 |
$0.00 |
| 86364 |
|
26 |
14 |
$0.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
19 |
16 |
$0.00 |
| 82657 |
|
12 |
12 |
$0.00 |
| 99406 |
|
17 |
14 |
$0.00 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
17 |
14 |
$0.00 |
| J0736 |
Injection, clindamycin phosphate, 300 mg |
309 |
290 |
$0.00 |
| 84702 |
|
290 |
224 |
$0.00 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
291 |
258 |
$0.00 |
| 87497 |
|
98 |
42 |
$0.00 |
| 86787 |
|
15 |
12 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
382 |
177 |
$0.00 |
| J0134 |
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
36 |
33 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
2,182 |
151 |
$0.00 |
| 82010 |
|
27 |
26 |
$0.00 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
61 |
36 |
$0.00 |
| 85014 |
|
16 |
14 |
$0.00 |
| 87799 |
|
40 |
12 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
87 |
79 |
$0.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
25 |
$0.00 |
| 84520 |
|
41 |
38 |
$0.00 |
| 82108 |
|
35 |
17 |
$0.00 |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
14 |
12 |
$0.00 |
| 84145 |
|
18 |
17 |
$0.00 |
| 80074 |
|
17 |
14 |
$0.00 |
| 86003 |
|
15 |
12 |
$0.00 |