| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
16,806 |
14,579 |
$5.53M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,504 |
5,303 |
$2.33M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
6,018 |
5,828 |
$1.48M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,786 |
1,697 |
$1.44M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,568 |
2,526 |
$947K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
4,742 |
4,596 |
$619K |
| G0378 |
Hospital observation service, per hour |
1,296 |
836 |
$558K |
| 36415 |
Collection of venous blood by venipuncture |
48,354 |
42,042 |
$401K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,012 |
2,903 |
$371K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,731 |
2,725 |
$300K |
| 71046 |
Radiologic examination, chest; 2 views |
4,206 |
4,114 |
$287K |
| 71045 |
Radiologic examination, chest; single view |
4,657 |
4,406 |
$276K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
373 |
372 |
$265K |
| 84443 |
Thyroid stimulating hormone (TSH) |
13,239 |
13,060 |
$214K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
789 |
786 |
$170K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,887 |
2,841 |
$169K |
| 80061 |
Lipid panel |
10,825 |
10,777 |
$160K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,544 |
1,531 |
$159K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17,444 |
17,329 |
$152K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
604 |
595 |
$136K |
| 76830 |
Ultrasound, transvaginal |
1,033 |
1,028 |
$132K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
3,426 |
3,076 |
$128K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,426 |
3,076 |
$128K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
25,579 |
21,595 |
$113K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
3,813 |
3,794 |
$113K |
| 73630 |
|
1,268 |
1,108 |
$109K |
| 82565 |
|
32,244 |
28,661 |
$105K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
850 |
846 |
$102K |
| 82728 |
|
6,809 |
6,723 |
$96K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,068 |
1,896 |
$94K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
351 |
349 |
$92K |
| 0450 |
Emergency room services |
2,238 |
1,975 |
$85K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
3,369 |
3,340 |
$84K |
| 80051 |
|
15,653 |
13,406 |
$81K |
| 84460 |
|
21,813 |
20,038 |
$79K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,532 |
3,362 |
$78K |
| 73610 |
|
835 |
779 |
$77K |
| 86900 |
|
1,685 |
1,589 |
$77K |
| 85027 |
|
12,870 |
12,558 |
$74K |
| 73030 |
|
767 |
709 |
$68K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,203 |
3,873 |
$68K |
| 99070 |
|
4,066 |
1,323 |
$65K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,860 |
6,287 |
$60K |
| 73560 |
|
699 |
610 |
$59K |
| 93976 |
|
172 |
172 |
$52K |
| 0270 |
|
2,398 |
1,877 |
$50K |
| 86780 |
|
3,250 |
3,218 |
$49K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
187 |
187 |
$46K |
| 99199 |
Unlisted special service, procedure or report |
894 |
721 |
$46K |
| 86850 |
|
1,369 |
1,290 |
$42K |
| 73130 |
|
502 |
422 |
$42K |
| 73110 |
|
405 |
370 |
$41K |
| 86803 |
|
3,007 |
2,986 |
$41K |
| 84450 |
|
12,789 |
11,419 |
$40K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,237 |
3,038 |
$39K |
| 84132 |
|
9,408 |
8,852 |
$38K |
| 82947 |
|
18,520 |
16,113 |
$34K |
| 73564 |
|
280 |
197 |
$33K |
| 82247 |
|
11,124 |
9,559 |
$33K |
| 72100 |
|
318 |
317 |
$33K |
| 86480 |
|
608 |
607 |
$31K |
| 77080 |
|
454 |
454 |
$30K |
| 82607 |
|
2,193 |
2,179 |
$29K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,472 |
1,402 |
$28K |
| 87340 |
|
2,651 |
2,635 |
$28K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,986 |
2,855 |
$27K |
| 84153 |
|
1,367 |
1,351 |
$27K |
| 87088 |
|
4,476 |
4,247 |
$26K |
| 86901 |
|
1,684 |
1,588 |
$25K |
| 83735 |
|
6,713 |
5,337 |
$25K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
266 |
265 |
$25K |
| 84075 |
|
9,777 |
8,688 |
$24K |
| 83880 |
|
1,926 |
1,785 |
$24K |
| 84520 |
|
15,735 |
13,460 |
$24K |
| 83550 |
|
2,932 |
2,878 |
$23K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
7,793 |
6,590 |
$21K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
25 |
24 |
$21K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
77 |
77 |
$21K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,075 |
2,800 |
$20K |
| 84702 |
|
1,943 |
1,671 |
$20K |
| 84484 |
|
4,421 |
3,772 |
$19K |
| 83690 |
|
6,846 |
6,339 |
$19K |
| 82043 |
|
3,457 |
3,415 |
$18K |
| 81001 |
|
8,126 |
7,626 |
$18K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,238 |
1,227 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,621 |
1,540 |
$17K |
| 84439 |
|
1,953 |
1,880 |
$17K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
880 |
839 |
$17K |
| 84295 |
|
3,940 |
3,651 |
$16K |
| 83540 |
|
2,962 |
2,908 |
$16K |
| 82310 |
|
3,750 |
3,361 |
$16K |
| 73140 |
|
166 |
159 |
$16K |
| 86235 |
|
104 |
104 |
$15K |
| 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 |
460 |
456 |
$15K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,499 |
2,448 |
$14K |
| 82040 |
|
2,950 |
2,617 |
$13K |
| 84703 |
|
3,112 |
2,989 |
$12K |
| 86706 |
|
1,210 |
1,204 |
$12K |
| 85610 |
|
5,471 |
4,777 |
$12K |
| 73502 |
|
194 |
190 |
$12K |
| 86140 |
|
2,678 |
2,576 |
$11K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
312 |
307 |
$11K |
| 83516 |
|
415 |
412 |
$11K |
| 74018 |
|
118 |
109 |
$11K |
| 87506 |
|
54 |
53 |
$10K |
| 73080 |
|
107 |
101 |
$10K |
| 82570 |
|
2,131 |
1,936 |
$10K |
| 83655 |
|
711 |
709 |
$10K |
| 72141 |
|
37 |
37 |
$10K |
| 87040 |
|
1,844 |
1,760 |
$9K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
609 |
603 |
$9K |
| 71250 |
|
95 |
95 |
$9K |
| 84100 |
|
2,882 |
2,520 |
$9K |
| 83970 |
|
327 |
324 |
$9K |
| 85652 |
|
3,047 |
2,934 |
$8K |
| 80306 |
|
1,242 |
1,145 |
$8K |
| 81003 |
|
4,713 |
4,555 |
$8K |
| 83605 |
|
2,053 |
1,832 |
$7K |
| 82248 |
|
1,445 |
1,180 |
$7K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,252 |
2,940 |
$7K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
13 |
$6K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,084 |
2,862 |
$6K |
| 0637 |
|
27,507 |
8,195 |
$6K |
| 72040 |
|
55 |
55 |
$6K |
| 93971 |
|
56 |
56 |
$5K |
| 84403 |
|
176 |
176 |
$5K |
| 0250 |
|
4,515 |
2,603 |
$5K |
| 84156 |
|
1,479 |
1,310 |
$5K |
| 86762 |
|
331 |
331 |
$5K |
| 82077 |
|
740 |
655 |
$5K |
| 82962 |
|
2,834 |
2,046 |
$5K |
| 84550 |
|
971 |
943 |
$5K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,623 |
2,285 |
$4K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,560 |
1,341 |
$4K |
| 76770 |
|
38 |
38 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
28 |
28 |
$4K |
| J3490 |
Unclassified drugs |
2,181 |
1,605 |
$4K |
| 87631 |
|
147 |
135 |
$4K |
| 0710 |
|
899 |
895 |
$4K |
| J0136 |
Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg |
562 |
530 |
$3K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
803 |
739 |
$3K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
951 |
802 |
$3K |
| 86704 |
|
213 |
211 |
$3K |
| 87517 |
|
90 |
88 |
$3K |
| 86225 |
|
179 |
179 |
$3K |
| 73590 |
|
27 |
26 |
$3K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
139 |
135 |
$2K |
| 82105 |
|
163 |
162 |
$2K |
| 83001 |
|
78 |
78 |
$2K |
| 73562 |
|
66 |
47 |
$2K |
| J0137 |
Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg |
141 |
132 |
$2K |
| J1815 |
Injection, insulin, per 5 units |
707 |
273 |
$2K |
| 86003 |
|
37 |
37 |
$2K |
| 82550 |
|
442 |
412 |
$2K |
| 85014 |
|
828 |
778 |
$2K |
| 84146 |
|
79 |
78 |
$2K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
12 |
12 |
$2K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,017 |
943 |
$2K |
| 85379 |
|
609 |
600 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$2K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,035 |
978 |
$1K |
| 85018 |
|
700 |
660 |
$1K |
| 84165 |
|
163 |
157 |
$1K |
| 70486 |
|
13 |
13 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
49 |
49 |
$1K |
| 86038 |
|
104 |
104 |
$1K |
| J1644 |
Injection, heparin sodium, per 1000 units |
161 |
79 |
$1K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
693 |
631 |
$996.43 |
| 82803 |
|
54 |
51 |
$972.89 |
| 80179 |
|
228 |
217 |
$967.19 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
449 |
389 |
$927.84 |
| 0301 |
|
590 |
343 |
$917.27 |
| 87449 |
|
72 |
69 |
$788.80 |
| J2060 |
Injection, lorazepam, 2 mg |
309 |
283 |
$684.93 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
270 |
239 |
$683.83 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
107 |
105 |
$653.27 |
| 0370 |
|
825 |
821 |
$649.16 |
| 82950 |
|
102 |
93 |
$640.17 |
| 87324 |
|
58 |
56 |
$615.17 |
| 83020 |
|
12 |
12 |
$552.93 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
879 |
850 |
$542.09 |
| 0300 |
|
39 |
38 |
$505.63 |
| 80069 |
|
81 |
71 |
$379.80 |
| 83993 |
|
14 |
14 |
$361.00 |
| 81025 |
|
37 |
37 |
$334.40 |
| 85378 |
|
111 |
108 |
$326.69 |
| Z7502 |
|
111 |
99 |
$286.90 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
12 |
12 |
$270.80 |
| 87209 |
|
12 |
12 |
$236.00 |
| J2785 |
Injection, regadenoson, 0.1 mg |
12 |
12 |
$204.00 |
| 87081 |
|
129 |
126 |
$194.21 |
| 86787 |
|
12 |
12 |
$194.00 |
| 87329 |
|
12 |
12 |
$171.00 |
| 82272 |
|
27 |
26 |
$157.00 |
| 86160 |
|
12 |
12 |
$156.00 |
| 96376 |
|
423 |
387 |
$151.91 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
47 |
$144.28 |
| 82985 |
|
12 |
12 |
$144.00 |
| 82746 |
|
15 |
15 |
$135.00 |
| 86200 |
|
12 |
12 |
$131.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
486 |
472 |
$126.50 |
| 83615 |
|
25 |
24 |
$116.21 |
| 87338 |
|
12 |
12 |
$112.20 |
| 82374 |
|
36 |
31 |
$90.00 |
| J0134 |
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
12 |
12 |
$88.20 |
| 90686 |
|
35 |
35 |
$77.80 |
| J1630 |
Injection, haloperidol, up to 5 mg |
18 |
14 |
$68.40 |
| G0008 |
Administration of influenza virus vaccine |
34 |
34 |
$55.01 |
| J1940 |
Injection, furosemide, up to 20 mg |
18 |
13 |
$49.87 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
14 |
13 |
$36.55 |
| 85007 |
|
14 |
12 |
$10.84 |
| 85008 |
|
108 |
98 |
$7.56 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
49 |
40 |
$1.60 |
| 0258 |
|
210 |
184 |
$0.00 |
| 80320 |
|
20 |
16 |
$0.00 |
| 3044F |
|
88 |
88 |
$0.00 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
12 |
12 |
$0.00 |
| 82435 |
|
15 |
12 |
$0.00 |
| 76376 |
|
87 |
86 |
$0.00 |
| 86765 |
|
24 |
24 |
$0.00 |
| 83721 |
|
17 |
15 |
$0.00 |
| 3046F |
|
12 |
12 |
$0.00 |
| 3051F |
|
14 |
14 |
$0.00 |
| 97161 |
|
13 |
13 |
$0.00 |