| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
311,508 |
280,696 |
$27.60M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
12,044 |
11,133 |
$4.57M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
25,194 |
23,528 |
$4.39M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,449 |
5,134 |
$1.55M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14,435 |
14,184 |
$1.28M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,328 |
4,956 |
$720K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,405 |
7,113 |
$655K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,738 |
4,483 |
$421K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
1,768 |
1,651 |
$392K |
| 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 |
4,552 |
4,337 |
$342K |
| 20611 |
|
1,482 |
1,353 |
$312K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
4,132 |
4,034 |
$281K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,204 |
4,107 |
$259K |
| 71045 |
Radiologic examination, chest; single view |
4,330 |
4,020 |
$229K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,771 |
3,516 |
$214K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,624 |
1,150 |
$188K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
4,634 |
1,785 |
$181K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
954 |
718 |
$180K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
781 |
527 |
$173K |
| 59025 |
Fetal non-stress test |
1,043 |
675 |
$153K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
8,547 |
7,705 |
$152K |
| D7140 |
Extraction, erupted tooth or exposed root |
122 |
115 |
$143K |
| D0240 |
|
174 |
163 |
$138K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,626 |
2,374 |
$133K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
781 |
613 |
$107K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,459 |
1,343 |
$106K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
721 |
288 |
$104K |
| 92587 |
|
521 |
490 |
$102K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,493 |
9,114 |
$100K |
| D0120 |
Periodic oral evaluation - established patient |
174 |
163 |
$100K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
315 |
307 |
$97K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,511 |
1,355 |
$94K |
| 36415 |
Collection of venous blood by venipuncture |
67,054 |
60,430 |
$83K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,107 |
1,081 |
$75K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,322 |
3,214 |
$72K |
| 70450 |
Computed tomography, head or brain; without contrast material |
689 |
637 |
$65K |
| 92557 |
|
980 |
937 |
$63K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
182 |
171 |
$62K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
36 |
25 |
$57K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
430 |
419 |
$57K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,943 |
1,714 |
$55K |
| 90834 |
Psychotherapy, 45 minutes with patient |
779 |
486 |
$55K |
| 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 |
2,557 |
2,435 |
$52K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14,417 |
14,122 |
$51K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
2,868 |
2,758 |
$51K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
13 |
12 |
$50K |
| 80053 |
Comprehensive metabolic panel |
30,820 |
27,900 |
$45K |
| J0178 |
Injection, aflibercept, 1 mg |
39 |
36 |
$39K |
| 0240U |
|
751 |
740 |
$38K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,003 |
938 |
$38K |
| 90686 |
|
5,695 |
5,520 |
$37K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
147 |
134 |
$35K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
421 |
157 |
$33K |
| 92060 |
|
836 |
788 |
$30K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
37,311 |
33,459 |
$29K |
| 86780 |
|
2,076 |
1,981 |
$27K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
88 |
85 |
$26K |
| 71046 |
Radiologic examination, chest; 2 views |
447 |
420 |
$26K |
| 80061 |
Lipid panel |
2,994 |
2,861 |
$25K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
286 |
186 |
$23K |
| 93296 |
|
920 |
901 |
$22K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
424 |
134 |
$21K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
93 |
85 |
$21K |
| 0002A |
|
751 |
734 |
$20K |
| 0001A |
|
820 |
791 |
$20K |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
719 |
491 |
$19K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
606 |
594 |
$18K |
| 92567 |
|
2,017 |
1,934 |
$17K |
| J3490 |
Unclassified drugs |
20,062 |
10,402 |
$16K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
718 |
276 |
$16K |
| Q3014 |
Telehealth originating site facility fee |
1,302 |
1,217 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
599 |
586 |
$15K |
| 73630 |
|
890 |
701 |
$15K |
| 51798 |
|
802 |
770 |
$14K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
67 |
67 |
$14K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
27 |
26 |
$13K |
| 97802 |
|
201 |
196 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
177 |
176 |
$13K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
944 |
903 |
$12K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
26 |
26 |
$10K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
381 |
330 |
$10K |
| 11102 |
|
54 |
53 |
$10K |
| 92134 |
|
2,696 |
2,521 |
$9K |
| G0378 |
Hospital observation service, per hour |
66 |
41 |
$9K |
| 0012A |
|
320 |
316 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
81 |
79 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
299 |
299 |
$9K |
| D1120 |
Prophylaxis - child |
173 |
162 |
$8K |
| D1206 |
Topical application of fluoride varnish |
172 |
161 |
$7K |
| G0260 |
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography |
15 |
12 |
$7K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
622 |
586 |
$7K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
377 |
368 |
$7K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,199 |
2,063 |
$7K |
| 86850 |
|
600 |
566 |
$6K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
169 |
81 |
$6K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
45 |
40 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,446 |
1,364 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
361 |
352 |
$6K |
| 76801 |
|
65 |
63 |
$6K |
| 20610 |
|
109 |
107 |
$6K |
| 98940 |
|
269 |
184 |
$5K |
| 90671 |
|
24 |
24 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
40 |
39 |
$5K |
| 84484 |
|
3,189 |
2,751 |
$5K |
| 80306 |
|
1,482 |
1,301 |
$5K |
| 85018 |
|
2,211 |
2,030 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,322 |
3,209 |
$5K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$5K |
| 11900 |
|
31 |
27 |
$5K |
| 0071A |
|
138 |
125 |
$5K |
| 29075 |
|
19 |
12 |
$5K |
| 81025 |
|
282 |
261 |
$5K |
| 86900 |
|
521 |
487 |
$4K |
| 91320 |
|
127 |
126 |
$4K |
| 85027 |
|
1,787 |
1,694 |
$4K |
| 0011A |
|
327 |
323 |
$4K |
| 17110 |
|
39 |
38 |
$4K |
| 0124A |
|
228 |
222 |
$4K |
| 97597 |
|
44 |
28 |
$4K |
| 29065 |
|
18 |
12 |
$4K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
157 |
154 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,483 |
1,415 |
$4K |
| 0072A |
|
101 |
94 |
$4K |
| 99381 |
|
53 |
49 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,536 |
2,334 |
$4K |
| 99406 |
|
175 |
170 |
$4K |
| 80050 |
General health panel |
134 |
119 |
$3K |
| 90670 |
|
387 |
373 |
$3K |
| 90480 |
|
213 |
210 |
$3K |
| 73565 |
|
201 |
197 |
$3K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
521 |
448 |
$3K |
| 81001 |
|
6,379 |
6,026 |
$3K |
| 99495 |
|
44 |
41 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
824 |
801 |
$3K |
| J2704 |
Injection, propofol, 10 mg |
3,763 |
3,464 |
$3K |
| 82077 |
|
1,238 |
1,117 |
$3K |
| 90739 |
|
25 |
25 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
116 |
107 |
$3K |
| 83605 |
|
2,058 |
1,863 |
$3K |
| 96130 |
|
16 |
12 |
$3K |
| 90651 |
|
144 |
140 |
$2K |
| 86803 |
|
333 |
324 |
$2K |
| 93298 |
|
87 |
84 |
$2K |
| 86901 |
|
521 |
487 |
$2K |
| 0004A |
|
83 |
83 |
$2K |
| 90732 |
|
27 |
26 |
$2K |
| 84145 |
|
1,265 |
1,210 |
$2K |
| 86762 |
|
230 |
224 |
$2K |
| 0054A |
|
78 |
74 |
$2K |
| 99173 |
|
599 |
576 |
$2K |
| 97803 |
|
43 |
40 |
$2K |
| 96161 |
|
72 |
68 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
175 |
160 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
15 |
12 |
$2K |
| 87631 |
|
386 |
355 |
$2K |
| 87340 |
|
267 |
252 |
$2K |
| 86140 |
|
3,547 |
3,322 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
18 |
17 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
305 |
301 |
$1K |
| 73610 |
|
51 |
39 |
$1K |
| 90656 |
|
135 |
131 |
$1K |
| 73560 |
|
238 |
181 |
$1K |
| 83690 |
|
2,650 |
2,427 |
$1K |
| 90785 |
|
254 |
159 |
$1K |
| D2940 |
|
25 |
25 |
$1K |
| 96415 |
|
14 |
12 |
$1K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
55 |
51 |
$1K |
| 99383 |
|
14 |
14 |
$1K |
| 87081 |
|
201 |
196 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,241 |
1,990 |
$983.73 |
| D0220 |
Intraoral - periapical first radiographic image |
174 |
163 |
$845.36 |
| 85610 |
|
2,296 |
2,092 |
$838.77 |
| 84439 |
|
238 |
219 |
$835.86 |
| 0064A |
|
42 |
37 |
$770.83 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,839 |
1,672 |
$759.71 |
| 82950 |
|
153 |
148 |
$736.50 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
15 |
13 |
$700.90 |
| 81003 |
|
292 |
270 |
$670.61 |
| 73030 |
|
45 |
39 |
$651.41 |
| 87150 |
|
29 |
27 |
$636.78 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
149 |
143 |
$567.24 |
| 90474 |
|
111 |
106 |
$524.61 |
| 95819 |
|
12 |
12 |
$511.91 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$491.05 |
| 82607 |
|
138 |
124 |
$462.08 |
| 93325 |
|
26 |
26 |
$454.43 |
| 84702 |
|
42 |
37 |
$403.20 |
| 82728 |
|
100 |
92 |
$377.39 |
| 73110 |
|
35 |
24 |
$376.53 |
| 87210 |
|
270 |
258 |
$369.87 |
| 83735 |
|
1,003 |
924 |
$354.32 |
| 73140 |
|
39 |
26 |
$352.32 |
| 99459 |
|
62 |
60 |
$336.60 |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
180 |
86 |
$317.39 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
52 |
47 |
$316.40 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
169 |
130 |
$310.49 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
763 |
621 |
$305.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
413 |
398 |
$292.56 |
| 83550 |
|
131 |
119 |
$282.90 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
947 |
847 |
$230.47 |
| 83540 |
|
131 |
119 |
$215.86 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,193 |
1,039 |
$209.75 |
| 80076 |
|
206 |
203 |
$175.78 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
120 |
114 |
$166.39 |
| 86592 |
|
141 |
124 |
$163.52 |
| 82803 |
|
12 |
12 |
$153.46 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
33 |
25 |
$130.41 |
| 85652 |
|
144 |
138 |
$121.90 |
| 96381 |
|
12 |
12 |
$116.84 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
29 |
27 |
$112.65 |
| 90715 |
|
82 |
77 |
$93.97 |
| C9257 |
Injection, bevacizumab, 0.25 mg |
15 |
12 |
$93.17 |
| J1644 |
Injection, heparin sodium, per 1000 units |
53 |
40 |
$91.46 |
| 82947 |
|
68 |
51 |
$88.08 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$74.12 |
| 84703 |
|
267 |
256 |
$68.20 |
| 88300 |
|
38 |
37 |
$68.10 |
| 92555 |
|
15 |
14 |
$67.50 |
| 90662 |
|
26 |
26 |
$65.91 |
| J1790 |
Injection, droperidol, up to 5 mg |
12 |
12 |
$62.55 |
| 85730 |
|
273 |
249 |
$59.63 |
| 73130 |
|
21 |
12 |
$58.54 |
| 83970 |
|
15 |
14 |
$50.92 |
| 99188 |
|
175 |
173 |
$41.99 |
| 91300 |
|
1,327 |
1,195 |
$40.18 |
| 91307 |
|
356 |
324 |
$40.18 |
| 88720 |
|
35 |
26 |
$35.03 |
| 82570 |
|
115 |
68 |
$31.90 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
88 |
75 |
$31.25 |
| 82040 |
|
67 |
58 |
$28.54 |
| 85651 |
|
64 |
61 |
$22.10 |
| 82785 |
|
18 |
15 |
$20.31 |
| 84153 |
|
14 |
14 |
$18.37 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
37 |
25 |
$17.30 |
| 87186 |
|
69 |
64 |
$17.22 |
| 87077 |
|
26 |
25 |
$16.10 |
| 84478 |
|
12 |
12 |
$14.62 |
| 82043 |
|
41 |
37 |
$14.26 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
55 |
38 |
$12.22 |
| 91305 |
|
60 |
56 |
$10.79 |
| 84156 |
|
56 |
52 |
$9.06 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
13 |
$2.28 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
2,956 |
2,446 |
$0.00 |
| 90734 |
|
67 |
64 |
$0.00 |
| 91312 |
|
85 |
81 |
$0.00 |
| 90685 |
|
54 |
53 |
$0.00 |
| 90710 |
|
57 |
54 |
$0.00 |
| 90633 |
|
71 |
69 |
$0.00 |
| Q0244 |
Injection, casirivimab and imdevimab, 1200 mg |
18 |
17 |
$0.00 |
| 84100 |
|
60 |
54 |
$0.00 |
| 85379 |
|
38 |
38 |
$0.00 |
| 90723 |
|
223 |
213 |
$0.00 |
| 83880 |
|
46 |
43 |
$0.00 |
| 90647 |
|
249 |
239 |
$0.00 |
| 80069 |
|
14 |
12 |
$0.00 |
| 91301 |
|
439 |
435 |
$0.00 |
| 87040 |
|
18 |
12 |
$0.00 |
| 90680 |
|
109 |
105 |
$0.00 |
| V2632 |
Posterior chamber intraocular lens |
35 |
24 |
$0.00 |
| 91319 |
|
12 |
12 |
$0.00 |
| 92136 |
|
13 |
12 |
$0.00 |
| A9270 |
Non-covered item or service |
21 |
12 |
$0.00 |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
14 |
14 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |