| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14,084 |
12,292 |
$2.52M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
7,243 |
5,068 |
$2.30M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,139 |
10,041 |
$1.63M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,629 |
2,970 |
$685K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,072 |
1,733 |
$565K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,280 |
1,036 |
$323K |
| G0378 |
Hospital observation service, per hour |
3,334 |
1,284 |
$293K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,279 |
1,157 |
$275K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,140 |
939 |
$247K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
859 |
721 |
$239K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
860 |
695 |
$229K |
| 59025 |
Fetal non-stress test |
1,135 |
570 |
$204K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
823 |
771 |
$165K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
924 |
461 |
$163K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,376 |
1,194 |
$153K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,186 |
881 |
$144K |
| 70496 |
|
382 |
318 |
$134K |
| 93976 |
|
824 |
668 |
$112K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
531 |
436 |
$89K |
| 80053 |
Comprehensive metabolic panel |
8,435 |
6,893 |
$86K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
603 |
448 |
$71K |
| 76642 |
|
427 |
386 |
$68K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
321 |
267 |
$58K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
8,901 |
7,404 |
$53K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,994 |
4,397 |
$50K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
483 |
413 |
$50K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
2,374 |
1,967 |
$47K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
7,171 |
5,426 |
$46K |
| 36415 |
Collection of venous blood by venipuncture |
21,682 |
16,396 |
$43K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
707 |
645 |
$40K |
| 71046 |
Radiologic examination, chest; 2 views |
1,612 |
1,411 |
$35K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
623 |
494 |
$35K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
7,390 |
6,138 |
$31K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,270 |
1,214 |
$24K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
22,054 |
18,222 |
$22K |
| J3490 |
Unclassified drugs |
2,275 |
1,254 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
3,358 |
2,784 |
$22K |
| 93971 |
|
262 |
213 |
$22K |
| 82805 |
|
764 |
592 |
$21K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
765 |
564 |
$20K |
| 76830 |
Ultrasound, transvaginal |
537 |
451 |
$20K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
550 |
459 |
$20K |
| 86900 |
|
863 |
682 |
$19K |
| 96376 |
|
1,707 |
867 |
$18K |
| 70498 |
|
368 |
313 |
$18K |
| 76536 |
|
127 |
120 |
$17K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
63 |
49 |
$17K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
989 |
785 |
$15K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
67 |
63 |
$14K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
164 |
124 |
$12K |
| 81001 |
|
11,780 |
10,169 |
$10K |
| 84484 |
|
3,109 |
2,382 |
$10K |
| 80051 |
|
2,778 |
2,347 |
$10K |
| 76801 |
|
254 |
209 |
$9K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
6,413 |
4,599 |
$9K |
| 86850 |
|
840 |
662 |
$9K |
| 72100 |
|
235 |
198 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
720 |
658 |
$8K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
257 |
94 |
$8K |
| 71250 |
|
96 |
88 |
$7K |
| 70486 |
|
62 |
47 |
$7K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
48 |
37 |
$7K |
| 83605 |
|
2,175 |
1,715 |
$7K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
22 |
16 |
$7K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,802 |
1,897 |
$6K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,314 |
841 |
$6K |
| 82248 |
|
4,504 |
3,771 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,104 |
904 |
$6K |
| 73560 |
|
455 |
380 |
$6K |
| 73030 |
|
238 |
192 |
$5K |
| 84703 |
|
5,442 |
4,568 |
$5K |
| 77062 |
|
98 |
87 |
$5K |
| 82077 |
|
1,014 |
793 |
$5K |
| 85610 |
|
1,830 |
1,331 |
$5K |
| C8929 |
Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography |
34 |
28 |
$5K |
| 83690 |
|
3,780 |
3,098 |
$5K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,797 |
3,900 |
$5K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,895 |
1,602 |
$5K |
| 85027 |
|
1,779 |
1,154 |
$5K |
| 73630 |
|
299 |
258 |
$5K |
| 74018 |
|
122 |
86 |
$4K |
| 86901 |
|
863 |
682 |
$4K |
| 76770 |
|
26 |
26 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
152 |
124 |
$4K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
2,463 |
1,492 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,518 |
1,226 |
$3K |
| 96367 |
|
96 |
52 |
$3K |
| 88307 |
|
17 |
12 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,406 |
2,363 |
$3K |
| 81025 |
|
522 |
378 |
$3K |
| 73130 |
|
142 |
119 |
$3K |
| 97116 |
|
113 |
73 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
784 |
661 |
$2K |
| J2704 |
Injection, propofol, 10 mg |
2,294 |
1,463 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,410 |
3,653 |
$2K |
| 83880 |
|
782 |
644 |
$2K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,044 |
1,400 |
$2K |
| 83735 |
|
1,129 |
747 |
$2K |
| 85730 |
|
871 |
683 |
$2K |
| 72131 |
|
18 |
16 |
$2K |
| 88304 |
|
88 |
50 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
274 |
215 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
79 |
67 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,765 |
1,271 |
$2K |
| 82375 |
|
690 |
536 |
$2K |
| 85379 |
|
587 |
489 |
$2K |
| 73610 |
|
105 |
93 |
$2K |
| 97163 |
|
49 |
39 |
$1K |
| 80076 |
|
1,105 |
908 |
$1K |
| 82330 |
|
803 |
613 |
$1K |
| 77066 |
Tomosynthesis, mammo |
125 |
113 |
$1K |
| C1769 |
Guide wire |
99 |
68 |
$1K |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
1,045 |
427 |
$1K |
| 76820 |
|
18 |
12 |
$1K |
| 87040 |
|
142 |
110 |
$1K |
| J1756 |
Injection, iron sucrose, 1 mg |
32 |
13 |
$1K |
| J1815 |
Injection, insulin, per 5 units |
353 |
166 |
$1K |
| 87077 |
|
250 |
206 |
$989.56 |
| 83050 |
|
690 |
536 |
$955.68 |
| 82947 |
|
3,549 |
2,945 |
$947.17 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,009 |
704 |
$947.01 |
| 84702 |
|
590 |
452 |
$928.27 |
| 82565 |
|
2,861 |
2,385 |
$856.51 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
193 |
154 |
$826.67 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
208 |
175 |
$818.36 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
231 |
175 |
$800.98 |
| 84520 |
|
2,843 |
2,390 |
$758.76 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
774 |
592 |
$754.46 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
193 |
154 |
$748.40 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
241 |
173 |
$729.17 |
| J3535 |
Drug administered through a metered dose inhaler |
88 |
71 |
$719.85 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,018 |
763 |
$685.76 |
| 87081 |
|
44 |
41 |
$583.70 |
| 80143 |
|
129 |
101 |
$565.65 |
| 80179 |
|
109 |
88 |
$510.66 |
| 76942 |
|
20 |
13 |
$481.68 |
| 86140 |
|
69 |
54 |
$386.69 |
| 97167 |
|
17 |
12 |
$378.78 |
| 85018 |
|
832 |
613 |
$359.39 |
| 85652 |
|
133 |
96 |
$327.17 |
| 87186 |
|
175 |
146 |
$320.21 |
| 73110 |
|
15 |
13 |
$257.21 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
379 |
233 |
$249.90 |
| 82570 |
|
107 |
78 |
$248.64 |
| C9113 |
Injection, pantoprazole sodium, per vial |
88 |
45 |
$247.94 |
| 80061 |
Lipid panel |
54 |
44 |
$247.01 |
| 84100 |
|
160 |
129 |
$228.80 |
| 84132 |
|
807 |
603 |
$213.08 |
| 84295 |
|
730 |
558 |
$200.12 |
| 82435 |
|
722 |
553 |
$195.26 |
| 85384 |
|
48 |
37 |
$174.22 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
89 |
66 |
$170.52 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
63 |
37 |
$166.26 |
| 87210 |
|
60 |
47 |
$163.08 |
| J2060 |
Injection, lorazepam, 2 mg |
77 |
49 |
$150.34 |
| J7050 |
Infusion, normal saline solution, 250 cc |
178 |
98 |
$134.04 |
| J3360 |
Injection, diazepam, up to 5 mg |
70 |
54 |
$132.47 |
| 73502 |
|
31 |
28 |
$126.33 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
321 |
268 |
$118.88 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
169 |
102 |
$118.51 |
| 83615 |
|
190 |
138 |
$109.70 |
| 82607 |
|
46 |
31 |
$106.37 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
129 |
105 |
$100.65 |
| 84550 |
|
178 |
126 |
$99.50 |
| 84156 |
|
76 |
49 |
$90.44 |
| 82746 |
|
42 |
29 |
$80.40 |
| 87420 |
|
13 |
13 |
$76.27 |
| 82040 |
|
14 |
14 |
$69.31 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
59 |
39 |
$67.68 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
49 |
32 |
$56.46 |
| J1644 |
Injection, heparin sodium, per 1000 units |
150 |
40 |
$44.07 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
55 |
41 |
$42.14 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
411 |
267 |
$35.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
15 |
$33.67 |
| J1790 |
Injection, droperidol, up to 5 mg |
20 |
13 |
$28.11 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
58 |
41 |
$23.15 |
| 85007 |
|
51 |
39 |
$21.97 |
| C9399 |
Unclassified drugs or biologicals |
15 |
14 |
$0.00 |
| 83550 |
|
16 |
12 |
$0.00 |
| J0173 |
Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg |
16 |
12 |
$0.00 |
| 36416 |
|
14 |
12 |
$0.00 |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
71 |
56 |
$0.00 |
| 83540 |
|
16 |
12 |
$0.00 |
| 20985 |
|
14 |
12 |
$0.00 |