| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
90,616 |
85,369 |
$3.39M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
49,607 |
46,416 |
$3.12M |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
19,827 |
18,690 |
$2.04M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
7,548 |
7,009 |
$1.77M |
| 80053 |
Comprehensive metabolic panel |
61,655 |
53,945 |
$577K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
63,303 |
54,795 |
$477K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13,233 |
11,408 |
$355K |
| 11043 |
|
2,805 |
1,188 |
$296K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
7,973 |
7,532 |
$279K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12,781 |
12,352 |
$276K |
| D9420 |
|
1,000 |
966 |
$255K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
12,740 |
10,948 |
$254K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14,546 |
13,946 |
$205K |
| 71046 |
Radiologic examination, chest; 2 views |
17,101 |
16,152 |
$174K |
| 81001 |
|
43,126 |
40,200 |
$164K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,911 |
1,760 |
$163K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13,915 |
12,883 |
$150K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
56,099 |
41,428 |
$150K |
| G0330 |
Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room |
124 |
123 |
$147K |
| 87631 |
|
1,453 |
1,384 |
$108K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,710 |
2,544 |
$105K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,820 |
1,018 |
$100K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,289 |
3,148 |
$77K |
| 87081 |
|
7,815 |
7,481 |
$69K |
| 62323 |
|
746 |
507 |
$57K |
| 81025 |
|
17,673 |
16,411 |
$56K |
| 87634 |
|
952 |
892 |
$56K |
| 88142 |
|
2,235 |
2,174 |
$53K |
| 84466 |
|
5,549 |
5,015 |
$53K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
5,155 |
4,894 |
$52K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
2,233 |
2,103 |
$49K |
| 71045 |
Radiologic examination, chest; single view |
8,025 |
7,494 |
$45K |
| 83690 |
|
6,493 |
6,067 |
$43K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,277 |
1,190 |
$42K |
| 82607 |
|
4,216 |
3,750 |
$38K |
| J2505 |
Injection, pegfilgrastim, 6 mg |
15 |
12 |
$35K |
| 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 |
828 |
776 |
$33K |
| 84484 |
|
3,777 |
3,430 |
$33K |
| 80306 |
|
2,740 |
2,520 |
$33K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
725 |
363 |
$32K |
| 82553 |
|
2,049 |
1,853 |
$32K |
| 82728 |
|
5,532 |
4,999 |
$32K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
240 |
120 |
$30K |
| 82746 |
|
4,183 |
3,720 |
$28K |
| 87807 |
|
2,006 |
1,924 |
$23K |
| 86592 |
|
3,832 |
3,667 |
$23K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
694 |
621 |
$22K |
| 83540 |
|
5,550 |
5,016 |
$22K |
| 82550 |
|
2,474 |
2,222 |
$21K |
| 83735 |
|
3,352 |
2,948 |
$20K |
| 82077 |
|
1,824 |
1,629 |
$20K |
| 80055 |
|
369 |
228 |
$19K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
983 |
941 |
$19K |
| 83970 |
|
313 |
309 |
$16K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
631 |
601 |
$16K |
| 85027 |
|
3,589 |
3,310 |
$14K |
| 85045 |
|
4,592 |
4,125 |
$14K |
| 59025 |
Fetal non-stress test |
2,566 |
2,045 |
$13K |
| 85610 |
|
3,335 |
3,131 |
$12K |
| 59020 |
|
261 |
209 |
$12K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
6,666 |
6,266 |
$10K |
| 0001A |
|
357 |
346 |
$9K |
| 86703 |
|
537 |
510 |
$9K |
| 86850 |
|
1,241 |
1,161 |
$8K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,178 |
858 |
$8K |
| 80061 |
Lipid panel |
503 |
478 |
$8K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
9,211 |
8,207 |
$8K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
4,102 |
3,461 |
$8K |
| 86803 |
|
380 |
366 |
$8K |
| 96367 |
|
475 |
255 |
$7K |
| 86762 |
|
286 |
273 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
539 |
500 |
$7K |
| 87340 |
|
433 |
414 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
31,917 |
28,292 |
$7K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
12 |
12 |
$7K |
| 85730 |
|
3,291 |
3,092 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
433 |
412 |
$6K |
| 95811 |
|
29 |
25 |
$6K |
| 83655 |
|
283 |
277 |
$4K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
106 |
98 |
$4K |
| G0378 |
Hospital observation service, per hour |
73 |
52 |
$3K |
| 84100 |
|
994 |
953 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
401 |
390 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
16 |
15 |
$3K |
| 84702 |
|
262 |
235 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,660 |
1,782 |
$3K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
2,105 |
1,094 |
$3K |
| 95819 |
|
12 |
12 |
$3K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,258 |
1,149 |
$2K |
| 81003 |
|
1,032 |
970 |
$2K |
| 82150 |
|
421 |
396 |
$2K |
| 86900 |
|
690 |
644 |
$2K |
| 86901 |
|
691 |
644 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,824 |
3,158 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
7,761 |
6,866 |
$2K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
109 |
107 |
$2K |
| J7050 |
Infusion, normal saline solution, 250 cc |
9,800 |
3,180 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
29 |
24 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,553 |
2,882 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
28 |
27 |
$2K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
854 |
666 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
13,330 |
12,415 |
$1K |
| 86140 |
|
634 |
622 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
1,176 |
1,123 |
$1K |
| 83880 |
|
27 |
26 |
$978.60 |
| 74022 |
|
40 |
39 |
$860.99 |
| 76801 |
|
34 |
31 |
$806.30 |
| 80050 |
General health panel |
16 |
14 |
$766.50 |
| 84439 |
|
87 |
81 |
$756.75 |
| 83021 |
|
12 |
12 |
$585.84 |
| 84443 |
Thyroid stimulating hormone (TSH) |
27 |
27 |
$497.81 |
| 84156 |
|
69 |
50 |
$348.29 |
| 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 |
97 |
97 |
$332.50 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
50 |
50 |
$331.40 |
| 83020 |
|
12 |
12 |
$300.84 |
| 82570 |
|
32 |
24 |
$230.62 |
| 82803 |
|
12 |
12 |
$228.24 |
| 82105 |
|
14 |
13 |
$227.07 |
| 72100 |
|
12 |
12 |
$219.23 |
| 84481 |
|
14 |
12 |
$171.70 |
| 82378 |
|
15 |
12 |
$161.52 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
2,072 |
1,496 |
$155.87 |
| 83605 |
|
26 |
26 |
$145.73 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
93 |
85 |
$139.25 |
| 74018 |
|
12 |
12 |
$136.08 |
| 85660 |
|
12 |
12 |
$85.08 |
| J2800 |
Injection, methocarbamol, up to 10 ml |
1,855 |
1,328 |
$77.26 |
| 87210 |
|
12 |
12 |
$66.55 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,215 |
2,079 |
$60.88 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
18 |
12 |
$50.64 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
53 |
50 |
$40.39 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
12 |
12 |
$34.72 |
| 36415 |
Collection of venous blood by venipuncture |
9,333 |
7,837 |
$32.91 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
43 |
29 |
$10.50 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,847 |
1,808 |
$8.72 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
3,449 |
3,089 |
$3.87 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,277 |
1,190 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
49 |
29 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
14 |
12 |
$0.00 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
359 |
341 |
$0.00 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
150 |
132 |
$0.00 |
| C1889 |
Implantable/insertable device, not otherwise classified |
12 |
12 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
379 |
283 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
250 |
194 |
$0.00 |
| 11046 |
|
509 |
39 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
36 |
25 |
$0.00 |
| 94760 |
|
15 |
12 |
$0.00 |