| Code | Description | Claims | Beneficiaries | Total Paid |
| 96361 |
Intravenous infusion, hydration; each additional hour |
5,297 |
2,843 |
$1.48M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,113 |
4,698 |
$1.02M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,287 |
5,339 |
$984K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
5,038 |
4,045 |
$704K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,224 |
5,670 |
$536K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,091 |
4,547 |
$450K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,539 |
1,490 |
$435K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
880 |
793 |
$240K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
7,415 |
2,261 |
$188K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,176 |
1,202 |
$173K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,379 |
3,759 |
$163K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
522 |
230 |
$155K |
| 70450 |
Computed tomography, head or brain; without contrast material |
751 |
637 |
$152K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
701 |
603 |
$142K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
868 |
656 |
$92K |
| 80053 |
Comprehensive metabolic panel |
8,455 |
6,392 |
$73K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
527 |
109 |
$66K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
334 |
253 |
$65K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,884 |
1,631 |
$58K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
734 |
651 |
$55K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,482 |
7,628 |
$49K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,957 |
2,693 |
$49K |
| 71046 |
Radiologic examination, chest; 2 views |
2,560 |
2,187 |
$48K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,543 |
1,364 |
$47K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
152 |
119 |
$47K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,543 |
1,364 |
$46K |
| A0390 |
Als mileage (per mile) |
551 |
378 |
$31K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
212 |
164 |
$31K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,759 |
1,547 |
$30K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
359 |
208 |
$27K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
835 |
750 |
$27K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,114 |
1,860 |
$26K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,021 |
354 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
310 |
190 |
$23K |
| 80061 |
Lipid panel |
1,952 |
1,714 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,850 |
1,901 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
344 |
152 |
$20K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
315 |
281 |
$18K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,610 |
2,200 |
$17K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
186 |
147 |
$17K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
724 |
650 |
$17K |
| 87806 |
|
773 |
687 |
$16K |
| 81025 |
|
2,247 |
1,791 |
$16K |
| 87070 |
|
1,519 |
1,333 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
9,584 |
6,798 |
$15K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,725 |
1,515 |
$14K |
| 81001 |
|
5,178 |
4,209 |
$14K |
| G0378 |
Hospital observation service, per hour |
1,022 |
410 |
$13K |
| 97162 |
|
178 |
131 |
$13K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
393 |
262 |
$13K |
| 80050 |
General health panel |
1,196 |
1,038 |
$12K |
| 87430 |
|
799 |
699 |
$12K |
| 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 |
316 |
280 |
$11K |
| 84484 |
|
2,140 |
1,517 |
$10K |
| 85027 |
|
2,165 |
1,638 |
$10K |
| 80306 |
|
674 |
550 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
60 |
53 |
$9K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
717 |
600 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
58 |
47 |
$8K |
| 83690 |
|
1,866 |
1,386 |
$7K |
| 93356 |
|
29 |
25 |
$7K |
| 92567 |
|
238 |
223 |
$7K |
| 59025 |
Fetal non-stress test |
42 |
28 |
$7K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,238 |
2,577 |
$7K |
| 87506 |
|
35 |
28 |
$6K |
| 87186 |
|
1,014 |
878 |
$6K |
| 88142 |
|
329 |
286 |
$5K |
| 73630 |
|
199 |
166 |
$5K |
| 0011A |
|
199 |
153 |
$5K |
| 86803 |
|
416 |
367 |
$5K |
| 73610 |
|
168 |
141 |
$5K |
| 76830 |
Ultrasound, transvaginal |
58 |
51 |
$4K |
| 83605 |
|
838 |
646 |
$4K |
| 83880 |
|
337 |
263 |
$4K |
| 0012A |
|
167 |
118 |
$4K |
| 81003 |
|
1,625 |
1,379 |
$4K |
| 86140 |
|
1,207 |
918 |
$4K |
| M0247 |
Intravenous infusion, sotrovimab, includes infusion and post administration monitoring |
15 |
13 |
$4K |
| 80305 |
|
412 |
304 |
$3K |
| 82962 |
|
1,698 |
666 |
$3K |
| 82947 |
|
750 |
609 |
$3K |
| 86850 |
|
679 |
556 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,400 |
2,496 |
$3K |
| 82728 |
|
257 |
235 |
$3K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
179 |
80 |
$3K |
| 87905 |
|
271 |
238 |
$3K |
| 87507 |
|
13 |
13 |
$3K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
60 |
53 |
$3K |
| A0380 |
Bls mileage (per mile) |
40 |
33 |
$3K |
| 82565 |
|
643 |
498 |
$2K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
54 |
40 |
$2K |
| 73110 |
|
65 |
54 |
$2K |
| 82077 |
|
269 |
201 |
$2K |
| 84460 |
|
575 |
445 |
$2K |
| 86780 |
|
217 |
195 |
$2K |
| 84450 |
|
547 |
429 |
$2K |
| 87808 |
|
149 |
136 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,371 |
1,160 |
$2K |
| 82607 |
|
154 |
136 |
$2K |
| 84466 |
|
216 |
185 |
$2K |
| 83540 |
|
385 |
341 |
$2K |
| 82746 |
|
153 |
133 |
$2K |
| 82247 |
|
523 |
390 |
$2K |
| 85610 |
|
404 |
262 |
$2K |
| 82310 |
|
488 |
375 |
$2K |
| 73030 |
|
67 |
58 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
12 |
$2K |
| 84075 |
|
488 |
376 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
37 |
37 |
$2K |
| 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 |
196 |
153 |
$2K |
| 82040 |
|
487 |
374 |
$2K |
| 83735 |
|
507 |
344 |
$2K |
| 84132 |
|
500 |
380 |
$2K |
| 73502 |
|
67 |
61 |
$2K |
| 82374 |
|
479 |
367 |
$2K |
| 84295 |
|
480 |
368 |
$2K |
| 82435 |
|
479 |
367 |
$1K |
| 87486 |
|
58 |
51 |
$1K |
| 74019 |
|
46 |
38 |
$1K |
| 87210 |
|
225 |
202 |
$1K |
| 85379 |
|
214 |
189 |
$1K |
| 87581 |
|
58 |
51 |
$1K |
| 84520 |
|
481 |
369 |
$1K |
| 84155 |
|
481 |
371 |
$1K |
| 73562 |
|
58 |
50 |
$1K |
| 86900 |
|
564 |
460 |
$1K |
| 86901 |
|
559 |
464 |
$1K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
47 |
38 |
$1K |
| A0425 |
Ground mileage, per statute mile |
832 |
598 |
$946.04 |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,341 |
2,232 |
$920.67 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
37 |
37 |
$811.71 |
| 74018 |
|
25 |
24 |
$666.52 |
| 0064A |
|
48 |
40 |
$659.68 |
| 73130 |
|
34 |
29 |
$594.87 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$585.87 |
| 86762 |
|
27 |
24 |
$567.29 |
| 87340 |
|
72 |
64 |
$544.17 |
| 83718 |
|
75 |
62 |
$501.58 |
| 84439 |
|
64 |
50 |
$456.43 |
| 73564 |
|
18 |
14 |
$391.91 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
22 |
13 |
$380.56 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
342 |
290 |
$337.05 |
| 72100 |
|
17 |
14 |
$316.96 |
| 87077 |
|
43 |
41 |
$277.07 |
| 97116 |
|
32 |
14 |
$193.38 |
| 71045 |
Radiologic examination, chest; single view |
766 |
602 |
$178.79 |
| 82043 |
|
28 |
24 |
$146.93 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
562 |
480 |
$134.05 |
| 87088 |
|
13 |
13 |
$91.96 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,819 |
1,925 |
$77.30 |
| 87040 |
|
17 |
12 |
$63.96 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,033 |
2,220 |
$50.04 |
| 85651 |
|
13 |
13 |
$36.09 |
| 93000 |
|
14 |
12 |
$35.89 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,971 |
1,495 |
$35.84 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,645 |
1,293 |
$18.59 |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,876 |
1,235 |
$14.66 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,236 |
990 |
$5.65 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,030 |
797 |
$5.62 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
156 |
123 |
$3.11 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
67 |
53 |
$2.84 |
| 96376 |
|
234 |
123 |
$0.29 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
84 |
65 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
115 |
89 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
134 |
81 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
79 |
54 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
163 |
124 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
42 |
36 |
$0.00 |
| 91301 |
|
107 |
99 |
$0.00 |
| 91306 |
|
15 |
13 |
$0.00 |
| J0136 |
Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg |
54 |
45 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
19 |
15 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
83 |
69 |
$0.00 |