| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
Emergency room services |
14,741 |
13,390 |
$653K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
3,244 |
2,977 |
$218K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
4,164 |
3,573 |
$137K |
| 74174 |
|
514 |
469 |
$126K |
| 99205 |
Prolong outpt/office vis |
607 |
559 |
$83K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,357 |
3,012 |
$74K |
| 70450 |
Computed tomography, head or brain; without contrast material |
474 |
437 |
$52K |
| 0510 |
|
2,110 |
1,767 |
$49K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
5,290 |
4,618 |
$37K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
139 |
128 |
$34K |
| 0250 |
|
6,929 |
5,675 |
$31K |
| 99215 |
Prolong outpt/office vis |
215 |
199 |
$29K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,204 |
4,617 |
$28K |
| 71046 |
Radiologic examination, chest; 2 views |
1,717 |
1,545 |
$27K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
641 |
618 |
$24K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
712 |
628 |
$20K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
836 |
780 |
$19K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
679 |
609 |
$16K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
685 |
615 |
$16K |
| 59025 |
Fetal non-stress test |
716 |
260 |
$15K |
| 99221 |
|
2,822 |
2,413 |
$13K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
348 |
335 |
$13K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
969 |
832 |
$12K |
| 80076 |
|
1,710 |
1,540 |
$11K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,634 |
1,398 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
1,150 |
1,060 |
$10K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
435 |
389 |
$9K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
518 |
425 |
$9K |
| 81001 |
|
3,380 |
3,013 |
$9K |
| 84484 |
|
1,250 |
1,093 |
$9K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,231 |
1,092 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
181 |
156 |
$8K |
| 83690 |
|
1,298 |
1,157 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
112 |
95 |
$6K |
| 87088 |
|
1,210 |
1,101 |
$5K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
743 |
635 |
$5K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
420 |
373 |
$5K |
| 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 |
552 |
492 |
$5K |
| 99199 |
Unlisted special service, procedure or report |
588 |
494 |
$5K |
| 80306 |
|
137 |
128 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
205 |
187 |
$4K |
| 81025 |
|
1,365 |
1,204 |
$4K |
| 73130 |
|
148 |
129 |
$3K |
| 73610 |
|
159 |
140 |
$3K |
| 83880 |
|
144 |
130 |
$3K |
| 80053 |
Comprehensive metabolic panel |
332 |
315 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
4,752 |
4,146 |
$3K |
| 73110 |
|
146 |
132 |
$3K |
| 85027 |
|
690 |
614 |
$2K |
| 73630 |
|
139 |
129 |
$2K |
| 85610 |
|
838 |
760 |
$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 |
105 |
104 |
$2K |
| 73030 |
|
108 |
94 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
16 |
13 |
$2K |
| 86901 |
|
452 |
415 |
$2K |
| 86900 |
|
467 |
428 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
299 |
149 |
$2K |
| 0516 |
|
64 |
62 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
79 |
79 |
$2K |
| 83605 |
|
204 |
180 |
$1K |
| 86850 |
|
399 |
370 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
54 |
43 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
149 |
129 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
17 |
13 |
$1K |
| 73564 |
|
56 |
50 |
$1K |
| 81015 |
|
1,015 |
818 |
$1K |
| J2060 |
Injection, lorazepam, 2 mg |
225 |
187 |
$1K |
| 87186 |
|
161 |
141 |
$1K |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
434 |
347 |
$1K |
| 97161 |
|
29 |
29 |
$1K |
| 94760 |
|
179 |
145 |
$1K |
| 86141 |
|
148 |
136 |
$1K |
| 84703 |
|
133 |
111 |
$1K |
| 80305 |
|
170 |
133 |
$1K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
266 |
238 |
$971.75 |
| 86703 |
|
102 |
102 |
$952.65 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
137 |
133 |
$911.79 |
| 87210 |
|
303 |
277 |
$869.69 |
| 83735 |
|
143 |
127 |
$851.68 |
| 81000 |
|
486 |
324 |
$730.26 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
260 |
209 |
$715.17 |
| 85730 |
|
194 |
175 |
$681.92 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
116 |
101 |
$672.78 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
165 |
139 |
$652.44 |
| 82962 |
|
413 |
357 |
$623.55 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12 |
12 |
$617.20 |
| 0761 |
|
219 |
195 |
$610.19 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
45 |
41 |
$562.59 |
| 97010 |
|
150 |
77 |
$551.60 |
| 87040 |
|
46 |
41 |
$391.26 |
| 0760 |
|
73 |
59 |
$367.11 |
| 86592 |
|
114 |
109 |
$349.02 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
67 |
67 |
$321.29 |
| 73562 |
|
14 |
13 |
$304.12 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
13 |
12 |
$278.40 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
14 |
$272.63 |
| 85652 |
|
135 |
123 |
$242.35 |
| J7510 |
Prednisolone oral, per 5 mg |
46 |
37 |
$240.89 |
| 87070 |
|
43 |
37 |
$222.56 |
| S5102 |
Day care services, adult; per diem |
43 |
41 |
$192.50 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
28 |
26 |
$183.09 |
| 86765 |
|
20 |
20 |
$174.24 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
13 |
$159.17 |
| 99441 |
|
15 |
14 |
$152.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$108.83 |
| 0320 |
|
70 |
63 |
$108.61 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
17 |
12 |
$91.09 |
| Q0163 |
Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen |
88 |
69 |
$64.86 |
| J7050 |
Infusion, normal saline solution, 250 cc |
27 |
24 |
$51.07 |
| 80329 |
|
41 |
35 |
$25.65 |
| 88142 |
|
17 |
14 |
$23.06 |
| 81003 |
|
12 |
12 |
$15.82 |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
24 |
15 |
$0.00 |