| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,584 |
9,225 |
$3.12M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
22,377 |
21,692 |
$2.03M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,716 |
3,482 |
$786K |
| G0378 |
Hospital observation service, per hour |
1,780 |
1,681 |
$723K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
10,071 |
9,326 |
$703K |
| 59025 |
Fetal non-stress test |
4,365 |
3,916 |
$653K |
| 87428 |
|
8,732 |
8,503 |
$470K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,763 |
4,652 |
$439K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,581 |
1,540 |
$324K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,532 |
1,452 |
$296K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,362 |
11,075 |
$266K |
| 76770 |
|
1,484 |
1,459 |
$262K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
9,797 |
9,601 |
$257K |
| 41899 |
Unlisted procedure, dentoalveolar structures |
232 |
231 |
$231K |
| 80053 |
Comprehensive metabolic panel |
30,340 |
24,761 |
$226K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
2,086 |
1,808 |
$216K |
| 87400 |
|
15,020 |
7,517 |
$193K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
32,484 |
27,076 |
$193K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,622 |
1,322 |
$143K |
| 86703 |
|
7,288 |
7,103 |
$139K |
| 86780 |
|
7,130 |
6,939 |
$135K |
| 72082 |
|
1,090 |
1,076 |
$133K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
846 |
819 |
$129K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,512 |
2,300 |
$128K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,885 |
4,378 |
$119K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,364 |
837 |
$102K |
| 71045 |
Radiologic examination, chest; single view |
4,070 |
3,557 |
$83K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,190 |
1,141 |
$82K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,802 |
1,847 |
$78K |
| 86850 |
|
5,322 |
5,034 |
$78K |
| 54161 |
|
29 |
29 |
$69K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
7,044 |
6,697 |
$68K |
| 83880 |
|
2,629 |
2,134 |
$62K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
210 |
209 |
$60K |
| 86762 |
|
2,921 |
2,833 |
$55K |
| 72170 |
|
1,195 |
1,145 |
$54K |
| 87420 |
|
3,330 |
3,282 |
$49K |
| 76801 |
|
209 |
200 |
$44K |
| 86900 |
|
5,838 |
5,199 |
$42K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,654 |
4,348 |
$41K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,383 |
1,990 |
$41K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
93 |
92 |
$39K |
| 80050 |
General health panel |
831 |
747 |
$38K |
| 87340 |
|
3,154 |
3,064 |
$37K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
196 |
186 |
$36K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
539 |
405 |
$31K |
| 81001 |
|
9,887 |
9,226 |
$30K |
| 84439 |
|
4,139 |
3,814 |
$28K |
| 86901 |
|
5,835 |
5,197 |
$25K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,021 |
977 |
$25K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,022 |
1,900 |
$25K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,022 |
978 |
$25K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
771 |
438 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
885 |
860 |
$24K |
| 87081 |
|
2,348 |
2,315 |
$24K |
| 80061 |
Lipid panel |
2,886 |
2,836 |
$24K |
| 85027 |
|
6,684 |
4,880 |
$23K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
1,465 |
1,411 |
$22K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
53 |
52 |
$22K |
| 84481 |
|
1,508 |
1,269 |
$22K |
| 73110 |
|
338 |
303 |
$21K |
| J2704 |
Injection, propofol, 10 mg |
3,488 |
3,378 |
$19K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
336 |
318 |
$18K |
| 73090 |
|
345 |
273 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
981 |
750 |
$17K |
| 83735 |
|
4,280 |
2,963 |
$16K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,999 |
2,699 |
$15K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
40 |
37 |
$14K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
963 |
705 |
$14K |
| 84703 |
|
2,414 |
2,256 |
$14K |
| 85730 |
|
3,689 |
3,299 |
$13K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,797 |
2,740 |
$13K |
| 85610 |
|
4,925 |
4,204 |
$13K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
7,382 |
5,657 |
$13K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,163 |
901 |
$12K |
| 86140 |
|
1,997 |
1,811 |
$12K |
| 82950 |
|
1,550 |
1,528 |
$12K |
| 84484 |
|
2,715 |
1,410 |
$12K |
| 73590 |
|
270 |
239 |
$12K |
| 73630 |
|
248 |
209 |
$10K |
| 83690 |
|
2,534 |
2,302 |
$10K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
897 |
885 |
$10K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
58 |
57 |
$9K |
| 84702 |
|
1,097 |
921 |
$9K |
| 88342 |
|
360 |
339 |
$9K |
| 85651 |
|
1,710 |
1,568 |
$8K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,655 |
3,154 |
$8K |
| 73030 |
|
249 |
235 |
$8K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
3,649 |
3,234 |
$7K |
| 86803 |
|
575 |
559 |
$7K |
| 73562 |
|
157 |
151 |
$7K |
| Q9950 |
Injection, sulfur hexafluoride lipid microspheres, per ml |
140 |
138 |
$7K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
1,454 |
760 |
$7K |
| 73080 |
|
119 |
93 |
$6K |
| 87077 |
|
1,427 |
1,289 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
75 |
68 |
$6K |
| 85014 |
|
1,998 |
1,930 |
$6K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,211 |
1,782 |
$5K |
| A0425 |
Ground mileage, per statute mile |
3,983 |
3,201 |
$5K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
2,337 |
1,998 |
$5K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
65 |
24 |
$5K |
| 85018 |
|
1,252 |
1,231 |
$5K |
| 82728 |
|
927 |
883 |
$5K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
166 |
166 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
42 |
39 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
56 |
51 |
$4K |
| 82607 |
|
644 |
638 |
$4K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
14 |
14 |
$4K |
| 82962 |
|
3,493 |
1,247 |
$4K |
| 73560 |
|
64 |
58 |
$4K |
| 81025 |
|
480 |
452 |
$4K |
| 74018 |
|
111 |
106 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
39 |
38 |
$3K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
184 |
171 |
$3K |
| 83605 |
|
993 |
687 |
$3K |
| 73610 |
|
89 |
79 |
$3K |
| 73552 |
|
107 |
99 |
$3K |
| 83615 |
|
729 |
618 |
$3K |
| 87186 |
|
980 |
923 |
$3K |
| J1644 |
Injection, heparin sodium, per 1000 units |
516 |
382 |
$3K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
21 |
12 |
$3K |
| 73130 |
|
50 |
39 |
$3K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
4,625 |
4,375 |
$3K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,520 |
1,215 |
$3K |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
346 |
157 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
6,504 |
5,106 |
$3K |
| 83516 |
|
160 |
101 |
$3K |
| C1769 |
Guide wire |
250 |
241 |
$2K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,281 |
1,243 |
$2K |
| 84466 |
|
415 |
404 |
$2K |
| 83540 |
|
671 |
643 |
$2K |
| 82784 |
|
150 |
141 |
$2K |
| 73564 |
|
26 |
26 |
$2K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,057 |
758 |
$2K |
| 84145 |
|
148 |
130 |
$2K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
152 |
142 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
82 |
82 |
$2K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,494 |
2,393 |
$2K |
| 73521 |
|
23 |
22 |
$2K |
| 87070 |
|
310 |
283 |
$2K |
| 73502 |
|
54 |
53 |
$1K |
| 87581 |
|
28 |
28 |
$1K |
| 87486 |
|
28 |
28 |
$1K |
| 82533 |
|
191 |
149 |
$1K |
| 93017 |
|
14 |
14 |
$1K |
| 82746 |
|
117 |
117 |
$1K |
| 82570 |
|
562 |
484 |
$956.71 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
162 |
155 |
$952.90 |
| J2785 |
Injection, regadenoson, 0.1 mg |
14 |
14 |
$945.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
723 |
558 |
$885.15 |
| 80047 |
|
277 |
275 |
$883.26 |
| 84100 |
|
906 |
658 |
$873.76 |
| 87205 |
|
184 |
169 |
$850.80 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
83 |
80 |
$790.45 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
136 |
127 |
$736.60 |
| 97162 |
|
25 |
24 |
$697.44 |
| 82140 |
|
168 |
137 |
$646.69 |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
14 |
14 |
$637.95 |
| 97161 |
|
14 |
14 |
$625.93 |
| 80074 |
|
82 |
81 |
$589.57 |
| 87040 |
|
79 |
51 |
$556.14 |
| 96417 |
|
17 |
12 |
$532.66 |
| 71250 |
|
15 |
14 |
$530.86 |
| 82043 |
|
242 |
239 |
$512.67 |
| 36416 |
|
137 |
54 |
$507.60 |
| 84425 |
|
14 |
14 |
$490.86 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
156 |
44 |
$484.92 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,102 |
761 |
$462.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
516 |
448 |
$461.50 |
| 82378 |
|
113 |
99 |
$447.85 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
65 |
39 |
$413.13 |
| 74019 |
|
13 |
13 |
$378.23 |
| 88341 |
|
56 |
38 |
$369.85 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
31 |
29 |
$357.05 |
| 86038 |
|
64 |
64 |
$354.80 |
| 85055 |
|
22 |
17 |
$349.93 |
| J7050 |
Infusion, normal saline solution, 250 cc |
323 |
182 |
$348.77 |
| 87210 |
|
70 |
69 |
$332.03 |
| 96367 |
|
17 |
12 |
$315.12 |
| 76937 |
|
12 |
12 |
$294.23 |
| 85007 |
|
52 |
42 |
$263.39 |
| C9399 |
Unclassified drugs or biologicals |
13 |
12 |
$258.93 |
| 90686 |
|
15 |
14 |
$223.90 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
74 |
52 |
$193.44 |
| 82550 |
|
110 |
76 |
$191.56 |
| 82777 |
|
26 |
24 |
$183.57 |
| J1940 |
Injection, furosemide, up to 20 mg |
28 |
12 |
$171.95 |
| 82803 |
|
31 |
29 |
$154.37 |
| 80320 |
|
28 |
25 |
$135.54 |
| 82150 |
|
27 |
25 |
$135.12 |
| 87147 |
|
44 |
25 |
$126.96 |
| 82040 |
|
15 |
15 |
$123.92 |
| 81003 |
|
29 |
28 |
$122.19 |
| 82330 |
|
26 |
25 |
$107.14 |
| J2800 |
Injection, methocarbamol, up to 10 ml |
16 |
12 |
$106.07 |
| 83970 |
|
14 |
13 |
$99.80 |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
28 |
28 |
$98.90 |
| 80164 |
|
17 |
13 |
$92.07 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$84.02 |
| 84156 |
|
12 |
12 |
$79.53 |
| 86706 |
|
12 |
12 |
$68.66 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
60 |
37 |
$60.11 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
38 |
38 |
$58.07 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
14 |
14 |
$52.72 |
| 36591 |
|
80 |
65 |
$45.46 |
| 84132 |
|
32 |
27 |
$38.94 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
14 |
14 |
$23.17 |
| 82375 |
|
13 |
12 |
$23.16 |
| 82565 |
|
15 |
13 |
$9.08 |
| 84520 |
|
15 |
13 |
$7.24 |