| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
20,480 |
18,523 |
$3.76M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
9,659 |
8,552 |
$2.48M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
20,004 |
18,360 |
$2.26M |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,643 |
1,458 |
$1.25M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
743 |
678 |
$701K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
11,238 |
9,462 |
$675K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,675 |
1,473 |
$532K |
| 71045 |
Radiologic examination, chest; single view |
9,674 |
8,515 |
$405K |
| 58662 |
|
791 |
514 |
$394K |
| G0481 |
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; 8-14 drug class(es), including metabolite(s) if performed |
2,220 |
1,856 |
$247K |
| 87428 |
|
8,345 |
7,533 |
$246K |
| G0378 |
Hospital observation service, per hour |
915 |
713 |
$246K |
| 80053 |
Comprehensive metabolic panel |
30,164 |
25,359 |
$217K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
33,994 |
28,541 |
$180K |
| 80050 |
General health panel |
4,049 |
3,753 |
$164K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
421 |
391 |
$150K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,461 |
2,130 |
$134K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,238 |
4,759 |
$100K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
332 |
295 |
$82K |
| 93017 |
|
289 |
263 |
$81K |
| 80061 |
Lipid panel |
6,538 |
6,051 |
$77K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
719 |
623 |
$74K |
| 94060 |
|
269 |
257 |
$69K |
| 59025 |
Fetal non-stress test |
505 |
206 |
$64K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
998 |
905 |
$59K |
| 84484 |
|
7,637 |
5,981 |
$55K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
998 |
902 |
$50K |
| 83880 |
|
2,347 |
2,015 |
$49K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
738 |
683 |
$49K |
| 71046 |
Radiologic examination, chest; 2 views |
1,073 |
1,001 |
$48K |
| 88312 |
|
1,390 |
1,264 |
$46K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,373 |
1,215 |
$42K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,000 |
2,741 |
$42K |
| 81001 |
|
18,644 |
16,342 |
$42K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,276 |
1,152 |
$39K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,527 |
4,184 |
$39K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
923 |
749 |
$38K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
652 |
552 |
$38K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,525 |
1,379 |
$37K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
64 |
61 |
$36K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,199 |
1,089 |
$36K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,024 |
870 |
$36K |
| 81025 |
|
4,867 |
4,406 |
$34K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
9,013 |
8,080 |
$30K |
| 36415 |
Collection of venous blood by venipuncture |
16,498 |
13,664 |
$29K |
| 88142 |
|
1,630 |
1,509 |
$29K |
| 84439 |
|
3,710 |
3,379 |
$29K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
142 |
132 |
$26K |
| 82553 |
|
4,388 |
3,465 |
$26K |
| 94729 |
|
300 |
281 |
$24K |
| 94726 |
|
291 |
273 |
$23K |
| 85730 |
|
6,038 |
5,288 |
$23K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,511 |
3,087 |
$21K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
835 |
766 |
$21K |
| 82550 |
|
5,293 |
4,246 |
$20K |
| 83735 |
|
4,489 |
3,619 |
$20K |
| 83690 |
|
3,838 |
3,430 |
$20K |
| 93880 |
|
117 |
109 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
525 |
496 |
$19K |
| 73562 |
|
205 |
190 |
$19K |
| 83721 |
|
2,584 |
2,126 |
$18K |
| 93970 |
|
77 |
68 |
$18K |
| 85610 |
|
6,503 |
5,727 |
$17K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,663 |
2,389 |
$17K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
754 |
699 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,136 |
1,063 |
$15K |
| 72110 |
|
143 |
138 |
$15K |
| 93976 |
|
610 |
536 |
$15K |
| 84443 |
Thyroid stimulating hormone (TSH) |
987 |
918 |
$14K |
| 81514 |
|
70 |
63 |
$14K |
| 93925 |
|
46 |
40 |
$12K |
| 88112 |
|
469 |
401 |
$11K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
365 |
340 |
$11K |
| 64721 |
|
40 |
26 |
$11K |
| 73630 |
|
183 |
153 |
$10K |
| 73130 |
|
205 |
164 |
$9K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
212 |
199 |
$9K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
19 |
17 |
$9K |
| 72141 |
|
16 |
15 |
$9K |
| 94664 |
|
270 |
224 |
$9K |
| C1760 |
Closure device, vascular (implantable/insertable) |
90 |
66 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
33 |
28 |
$8K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
49 |
23 |
$8K |
| 87807 |
|
649 |
582 |
$7K |
| 29880 |
|
13 |
13 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
12 |
$7K |
| 76830 |
Ultrasound, transvaginal |
73 |
68 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
397 |
350 |
$7K |
| 49322 |
|
43 |
31 |
$7K |
| 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 |
387 |
362 |
$7K |
| 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 |
68 |
65 |
$7K |
| 82746 |
|
530 |
479 |
$7K |
| 87040 |
|
999 |
577 |
$6K |
| 80074 |
|
158 |
141 |
$6K |
| 82607 |
|
501 |
452 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
119 |
108 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,374 |
1,230 |
$5K |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
520 |
468 |
$5K |
| 85576 |
|
741 |
531 |
$5K |
| 85027 |
|
818 |
768 |
$5K |
| 94618 |
|
86 |
80 |
$4K |
| 72050 |
|
45 |
45 |
$4K |
| 71250 |
|
14 |
12 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
48 |
38 |
$4K |
| 93015 |
|
14 |
13 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,153 |
2,823 |
$3K |
| 45384 |
|
12 |
12 |
$3K |
| 87400 |
|
271 |
226 |
$3K |
| 84703 |
|
353 |
328 |
$3K |
| 73030 |
|
41 |
36 |
$3K |
| 72084 |
|
14 |
14 |
$3K |
| 87088 |
|
359 |
319 |
$3K |
| 86592 |
|
694 |
631 |
$3K |
| 84702 |
|
255 |
201 |
$3K |
| 86140 |
|
589 |
539 |
$3K |
| 96376 |
|
82 |
38 |
$3K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,810 |
5,111 |
$2K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
13 |
12 |
$2K |
| 82150 |
|
419 |
376 |
$2K |
| 73560 |
|
41 |
26 |
$2K |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
184 |
170 |
$2K |
| 76000 |
|
284 |
257 |
$2K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
19 |
17 |
$2K |
| 85379 |
|
282 |
253 |
$2K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
26 |
12 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
46 |
$2K |
| 86850 |
|
476 |
357 |
$2K |
| 83874 |
|
194 |
115 |
$2K |
| 87186 |
|
274 |
150 |
$2K |
| 87077 |
|
680 |
511 |
$2K |
| 86787 |
|
145 |
131 |
$2K |
| 83605 |
|
261 |
189 |
$2K |
| 87529 |
|
38 |
28 |
$1K |
| 73110 |
|
43 |
28 |
$1K |
| 85652 |
|
609 |
549 |
$1K |
| 82728 |
|
114 |
105 |
$1K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
71 |
66 |
$1K |
| J0500 |
Injection, dicyclomine hcl, up to 20 mg |
44 |
39 |
$1K |
| J1644 |
Injection, heparin sodium, per 1000 units |
299 |
104 |
$1K |
| 86900 |
|
530 |
426 |
$1K |
| 73564 |
|
15 |
13 |
$1K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
521 |
477 |
$1K |
| 84100 |
|
384 |
228 |
$982.84 |
| 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 |
15 |
15 |
$975.00 |
| 83550 |
|
134 |
120 |
$945.77 |
| 86901 |
|
431 |
345 |
$887.95 |
| 84481 |
|
69 |
68 |
$874.19 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
1,202 |
1,060 |
$815.87 |
| 94760 |
|
55 |
27 |
$811.62 |
| 87797 |
|
31 |
29 |
$791.41 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
20 |
19 |
$788.31 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
31 |
25 |
$763.80 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,031 |
839 |
$749.93 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
509 |
434 |
$704.92 |
| 83540 |
|
134 |
120 |
$700.15 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
31 |
25 |
$687.18 |
| 80069 |
|
83 |
78 |
$659.55 |
| 84134 |
|
102 |
93 |
$619.33 |
| 86703 |
|
43 |
39 |
$560.43 |
| 82677 |
|
26 |
25 |
$551.44 |
| 80305 |
|
47 |
46 |
$511.48 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
2,639 |
1,966 |
$503.41 |
| 73090 |
|
14 |
12 |
$479.10 |
| 85018 |
|
265 |
248 |
$417.79 |
| J0153 |
Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) |
31 |
27 |
$415.40 |
| J2704 |
Injection, propofol, 10 mg |
7,067 |
5,640 |
$388.75 |
| 82105 |
|
26 |
25 |
$382.45 |
| 86336 |
|
26 |
25 |
$355.54 |
| 86762 |
|
29 |
25 |
$346.99 |
| 84403 |
|
13 |
13 |
$283.91 |
| 84402 |
|
13 |
13 |
$280.17 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
529 |
415 |
$269.47 |
| 84270 |
|
13 |
13 |
$239.03 |
| 87340 |
|
28 |
25 |
$238.77 |
| 88304 |
|
755 |
702 |
$212.46 |
| 85378 |
|
43 |
40 |
$200.46 |
| 84153 |
|
12 |
12 |
$185.74 |
| C9113 |
Injection, pantoprazole sodium, per vial |
21 |
15 |
$183.26 |
| 87481 |
|
67 |
57 |
$182.47 |
| 87081 |
|
29 |
26 |
$179.01 |
| 86738 |
|
13 |
13 |
$161.52 |
| 83655 |
|
14 |
13 |
$158.64 |
| 90961 |
|
12 |
12 |
$156.58 |
| 80320 |
|
13 |
12 |
$156.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
100 |
95 |
$148.21 |
| 82950 |
|
33 |
29 |
$138.26 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
4,314 |
3,771 |
$137.67 |
| 87070 |
|
19 |
15 |
$137.41 |
| 86039 |
|
14 |
12 |
$136.16 |
| 76937 |
|
85 |
72 |
$113.11 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
4,848 |
4,157 |
$84.11 |
| 82948 |
|
47 |
41 |
$77.58 |
| 84550 |
|
28 |
27 |
$76.84 |
| 82043 |
|
17 |
15 |
$57.80 |
| 82947 |
|
18 |
12 |
$55.41 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
139 |
119 |
$52.11 |
| 82570 |
|
17 |
15 |
$51.80 |
| 82610 |
|
12 |
12 |
$50.48 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
45 |
39 |
$39.20 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
414 |
272 |
$38.78 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
2,093 |
1,687 |
$35.68 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
322 |
298 |
$27.09 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
411 |
351 |
$13.49 |
| J2060 |
Injection, lorazepam, 2 mg |
16 |
13 |
$7.05 |
| 74420 |
|
31 |
24 |
$0.00 |
| 00000 |
|
30 |
28 |
$0.00 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
54 |
50 |
$0.00 |
| Q0244 |
Injection, casirivimab and imdevimab, 1200 mg |
52 |
28 |
$0.00 |