| Code | Description | Claims | Beneficiaries | Total Paid |
| G0378 |
Hospital observation service, per hour |
5,671 |
3,878 |
$3.30M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
21,190 |
19,014 |
$3.28M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12,821 |
11,683 |
$2.41M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
9,362 |
8,300 |
$1.65M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
10,378 |
9,194 |
$1.06M |
| OP250 |
|
40,638 |
27,995 |
$732K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,098 |
1,876 |
$276K |
| 93017 |
|
1,910 |
1,743 |
$266K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,377 |
4,845 |
$265K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
3,606 |
3,262 |
$234K |
| 80053 |
Comprehensive metabolic panel |
31,190 |
21,958 |
$227K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,749 |
1,590 |
$225K |
| 71045 |
Radiologic examination, chest; single view |
11,490 |
10,051 |
$219K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,766 |
1,629 |
$170K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
15,143 |
12,634 |
$165K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,710 |
2,662 |
$155K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,590 |
3,262 |
$152K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
28,843 |
21,009 |
$150K |
| 81025 |
|
11,038 |
10,178 |
$110K |
| 71046 |
Radiologic examination, chest; 2 views |
4,018 |
3,815 |
$103K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,563 |
1,459 |
$100K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
9,329 |
8,001 |
$91K |
| 76830 |
Ultrasound, transvaginal |
1,072 |
1,018 |
$81K |
| 82948 |
|
8,430 |
3,966 |
$75K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,053 |
1,866 |
$63K |
| OP251 |
|
8,504 |
6,877 |
$62K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,258 |
3,696 |
$59K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,070 |
2,404 |
$57K |
| 93970 |
|
578 |
545 |
$55K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
6,805 |
5,086 |
$54K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,931 |
3,306 |
$49K |
| 84484 |
|
11,297 |
8,440 |
$49K |
| OP272 |
|
17,144 |
8,215 |
$49K |
| 73630 |
|
1,500 |
1,380 |
$48K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
9,144 |
5,492 |
$47K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
155 |
147 |
$47K |
| 83735 |
|
16,595 |
11,540 |
$46K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
1,576 |
1,394 |
$44K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,477 |
1,741 |
$44K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,570 |
4,767 |
$42K |
| 36415 |
Collection of venous blood by venipuncture |
13,023 |
7,394 |
$40K |
| 90791 |
Psychiatric diagnostic evaluation |
1,405 |
1,209 |
$34K |
| 83880 |
|
3,087 |
2,686 |
$31K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,504 |
2,969 |
$31K |
| 85610 |
|
11,327 |
9,806 |
$31K |
| 85730 |
|
10,731 |
9,371 |
$28K |
| 80061 |
Lipid panel |
3,126 |
2,702 |
$27K |
| 73610 |
|
1,026 |
965 |
$26K |
| 93971 |
|
378 |
368 |
$26K |
| 82550 |
|
6,778 |
5,689 |
$24K |
| 96376 |
|
3,619 |
1,869 |
$24K |
| 86850 |
|
2,898 |
2,375 |
$24K |
| OP710 |
|
1,815 |
1,455 |
$23K |
| 73560 |
|
918 |
821 |
$23K |
| 83615 |
|
6,545 |
5,142 |
$22K |
| 0012A |
|
749 |
739 |
$22K |
| 73030 |
|
1,025 |
934 |
$22K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,339 |
878 |
$19K |
| 0011A |
|
773 |
765 |
$19K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
661 |
586 |
$19K |
| 83992 |
|
2,010 |
1,833 |
$19K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
779 |
649 |
$19K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
408 |
373 |
$18K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,837 |
2,255 |
$18K |
| OP270 |
|
12,631 |
6,278 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,152 |
2,984 |
$17K |
| 72110 |
|
592 |
577 |
$16K |
| 85027 |
|
4,311 |
3,407 |
$16K |
| 82803 |
|
2,824 |
2,328 |
$15K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
6,591 |
5,950 |
$15K |
| 86900 |
|
2,905 |
2,377 |
$14K |
| 77080 |
|
303 |
295 |
$14K |
| 87040 |
|
3,308 |
2,160 |
$13K |
| 80361 |
|
1,995 |
1,820 |
$13K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
173 |
157 |
$13K |
| 84100 |
|
7,223 |
4,801 |
$13K |
| 81001 |
|
4,831 |
4,596 |
$12K |
| 80345 |
|
1,993 |
1,818 |
$12K |
| 80349 |
|
1,987 |
1,815 |
$12K |
| 80353 |
|
1,991 |
1,816 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,598 |
2,284 |
$11K |
| 80346 |
|
1,988 |
1,815 |
$11K |
| 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 |
2,744 |
2,356 |
$11K |
| 83690 |
|
7,033 |
6,215 |
$11K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
86 |
83 |
$11K |
| 80324 |
|
2,000 |
1,827 |
$11K |
| 73130 |
|
634 |
603 |
$11K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
180 |
156 |
$11K |
| 80358 |
|
1,990 |
1,816 |
$10K |
| 70486 |
|
143 |
140 |
$10K |
| 93458 |
|
42 |
30 |
$10K |
| 87070 |
|
3,352 |
3,025 |
$10K |
| 81003 |
|
10,475 |
9,226 |
$10K |
| 80320 |
|
1,664 |
1,488 |
$10K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,024 |
1,329 |
$9K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
625 |
598 |
$9K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
51 |
46 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,194 |
1,007 |
$8K |
| 76641 |
|
113 |
103 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
960 |
386 |
$8K |
| 87430 |
|
2,273 |
2,191 |
$8K |
| OP370 |
|
2,088 |
1,697 |
$8K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
8,295 |
2,694 |
$7K |
| 84702 |
|
1,431 |
1,282 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
447 |
215 |
$7K |
| 96367 |
|
296 |
181 |
$7K |
| 29581 |
|
886 |
259 |
$6K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
434 |
386 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
625 |
598 |
$6K |
| 82607 |
|
712 |
621 |
$6K |
| 83550 |
|
1,770 |
1,108 |
$6K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,151 |
3,126 |
$6K |
| 87181 |
|
1,813 |
1,543 |
$5K |
| 82728 |
|
1,635 |
1,023 |
$5K |
| 83540 |
|
1,967 |
1,255 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
95 |
91 |
$5K |
| OP258 |
|
3,392 |
1,897 |
$5K |
| 97161 |
|
552 |
436 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,707 |
4,016 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
89 |
87 |
$4K |
| 80329 |
|
696 |
454 |
$4K |
| 84439 |
|
584 |
545 |
$4K |
| 99152 |
|
477 |
394 |
$4K |
| 84703 |
|
2,408 |
2,194 |
$4K |
| 76770 |
|
70 |
69 |
$4K |
| 71250 |
|
74 |
66 |
$4K |
| C1769 |
Guide wire |
448 |
357 |
$3K |
| 29580 |
|
1,163 |
337 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
248 |
218 |
$3K |
| 90715 |
|
853 |
821 |
$3K |
| 82746 |
|
443 |
371 |
$3K |
| 73562 |
|
238 |
235 |
$3K |
| 85378 |
|
1,985 |
1,790 |
$3K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
144 |
135 |
$3K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
445 |
220 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$2K |
| 73110 |
|
170 |
160 |
$2K |
| 0031A |
|
79 |
79 |
$2K |
| C9113 |
Injection, pantoprazole sodium, per vial |
1,691 |
969 |
$2K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
855 |
498 |
$2K |
| M0222 |
Intravenous injection, bebtelovimab, includes injection and post administration monitoring |
17 |
14 |
$2K |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
250 |
241 |
$2K |
| 93880 |
|
29 |
29 |
$2K |
| 82553 |
|
524 |
447 |
$2K |
| 97802 |
|
17 |
17 |
$2K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,816 |
875 |
$2K |
| 87807 |
|
555 |
500 |
$2K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,918 |
928 |
$2K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
637 |
510 |
$1K |
| 77065 |
Tomosynthesis, mammo |
27 |
25 |
$1K |
| 76536 |
|
14 |
14 |
$1K |
| 73590 |
|
25 |
24 |
$1K |
| J2785 |
Injection, regadenoson, 0.1 mg |
289 |
174 |
$1K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
12 |
12 |
$1K |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
241 |
232 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
78 |
75 |
$1K |
| 73502 |
|
77 |
74 |
$994.04 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
839 |
755 |
$901.88 |
| 88342 |
|
49 |
45 |
$884.28 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
321 |
177 |
$817.66 |
| 73140 |
|
63 |
60 |
$798.62 |
| 93226 |
|
26 |
26 |
$734.61 |
| 97116 |
|
364 |
221 |
$676.74 |
| 97803 |
|
13 |
13 |
$655.92 |
| J2704 |
Injection, propofol, 10 mg |
1,474 |
720 |
$646.62 |
| 84550 |
|
673 |
375 |
$640.71 |
| 93225 |
|
26 |
26 |
$607.93 |
| 77066 |
Tomosynthesis, mammo |
15 |
12 |
$581.56 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
776 |
278 |
$559.89 |
| 76642 |
|
12 |
12 |
$527.98 |
| 72050 |
|
16 |
16 |
$417.85 |
| 0064A |
|
12 |
12 |
$401.60 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,576 |
731 |
$392.92 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
1,171 |
328 |
$330.53 |
| 74018 |
|
12 |
12 |
$322.83 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
920 |
237 |
$321.24 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
16 |
15 |
$309.62 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
605 |
182 |
$289.81 |
| 86703 |
|
45 |
41 |
$271.96 |
| 84145 |
|
75 |
57 |
$269.01 |
| 83605 |
|
156 |
106 |
$242.73 |
| 82150 |
|
218 |
194 |
$242.23 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
41 |
38 |
$241.63 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
195 |
134 |
$237.75 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
971 |
621 |
$231.76 |
| 85651 |
|
401 |
342 |
$188.72 |
| 82248 |
|
134 |
114 |
$155.01 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,308 |
362 |
$142.96 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
13 |
13 |
$139.84 |
| 73080 |
|
16 |
16 |
$133.77 |
| J1756 |
Injection, iron sucrose, 1 mg |
96 |
26 |
$133.69 |
| C1760 |
Closure device, vascular (implantable/insertable) |
40 |
31 |
$130.12 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,346 |
725 |
$118.89 |
| OP271 |
|
133 |
128 |
$92.39 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,014 |
623 |
$66.75 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,015 |
426 |
$66.50 |
| 72100 |
|
14 |
13 |
$44.00 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
36 |
27 |
$41.82 |
| 86140 |
|
125 |
90 |
$40.32 |
| J2060 |
Injection, lorazepam, 2 mg |
596 |
265 |
$37.54 |
| 86592 |
|
13 |
12 |
$36.12 |
| 82570 |
|
12 |
12 |
$29.82 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
91 |
65 |
$14.42 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
36 |
16 |
$12.12 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
176 |
79 |
$12.02 |
| 99153 |
Mod sedat endo service >5yrs |
28 |
26 |
$10.12 |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
12 |
12 |
$7.98 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
54 |
31 |
$6.60 |
| J7510 |
Prednisolone oral, per 5 mg |
31 |
27 |
$0.00 |
| 91303 |
|
27 |
27 |
$0.00 |
| G8980 |
Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting |
15 |
15 |
$0.00 |