| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12,349 |
11,879 |
$2.51M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
6,887 |
6,557 |
$1.64M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,385 |
10,993 |
$1.56M |
| 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 |
4,549 |
4,377 |
$387K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,620 |
1,588 |
$238K |
| 80053 |
Comprehensive metabolic panel |
25,449 |
24,083 |
$237K |
| G0378 |
Hospital observation service, per hour |
416 |
364 |
$234K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,747 |
2,517 |
$225K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,206 |
1,153 |
$202K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,696 |
1,639 |
$135K |
| 80061 |
Lipid panel |
8,251 |
8,126 |
$119K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
1,166 |
1,124 |
$114K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
21,057 |
20,008 |
$106K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,114 |
5,723 |
$100K |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,039 |
4,926 |
$98K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,385 |
1,306 |
$70K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,172 |
1,108 |
$68K |
| 71045 |
Radiologic examination, chest; single view |
4,122 |
3,891 |
$67K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
340 |
329 |
$66K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
127 |
126 |
$65K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,893 |
1,841 |
$63K |
| 87481 |
|
1,267 |
910 |
$61K |
| 84702 |
|
4,465 |
4,093 |
$59K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
681 |
674 |
$57K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
568 |
546 |
$47K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,313 |
622 |
$46K |
| 36415 |
Collection of venous blood by venipuncture |
13,990 |
13,006 |
$42K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
186 |
177 |
$42K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,690 |
5,576 |
$42K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
479 |
473 |
$40K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
626 |
572 |
$36K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
996 |
971 |
$36K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,456 |
1,417 |
$36K |
| 76830 |
Ultrasound, transvaginal |
691 |
655 |
$34K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
385 |
368 |
$32K |
| 71046 |
Radiologic examination, chest; 2 views |
1,235 |
1,187 |
$32K |
| 82607 |
|
2,363 |
2,326 |
$31K |
| 85027 |
|
4,680 |
4,195 |
$30K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,308 |
1,271 |
$30K |
| 84484 |
|
2,994 |
2,690 |
$29K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,652 |
1,532 |
$27K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,393 |
3,052 |
$27K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
450 |
424 |
$25K |
| 83880 |
|
871 |
823 |
$25K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,281 |
1,167 |
$25K |
| 80050 |
General health panel |
452 |
440 |
$24K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,809 |
3,539 |
$24K |
| 93971 |
|
344 |
321 |
$23K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
801 |
787 |
$21K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
517 |
502 |
$21K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
505 |
498 |
$21K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
516 |
508 |
$19K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,387 |
2,262 |
$19K |
| 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 |
355 |
330 |
$18K |
| 86803 |
|
916 |
902 |
$18K |
| 87150 |
|
368 |
365 |
$17K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
330 |
325 |
$17K |
| 71250 |
|
294 |
277 |
$17K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
358 |
346 |
$16K |
| 83605 |
|
2,252 |
2,057 |
$16K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
526 |
378 |
$15K |
| 88142 |
|
868 |
853 |
$15K |
| 83690 |
|
3,204 |
3,002 |
$15K |
| 76536 |
|
278 |
275 |
$14K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
226 |
215 |
$14K |
| 86900 |
|
1,360 |
1,267 |
$14K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
791 |
735 |
$13K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
95 |
86 |
$13K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
243 |
234 |
$13K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,176 |
869 |
$13K |
| 77066 |
Tomosynthesis, mammo |
138 |
137 |
$13K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
280 |
268 |
$13K |
| 81001 |
|
4,477 |
4,285 |
$11K |
| 76801 |
|
274 |
249 |
$11K |
| 84439 |
|
1,339 |
1,307 |
$11K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
61 |
58 |
$10K |
| 87631 |
|
69 |
66 |
$10K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
56 |
52 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
234 |
229 |
$10K |
| 86850 |
|
1,275 |
1,211 |
$10K |
| 76642 |
|
241 |
210 |
$10K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
55 |
55 |
$9K |
| 82570 |
|
1,351 |
1,318 |
$9K |
| 83735 |
|
1,675 |
1,466 |
$9K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
62 |
40 |
$9K |
| 82728 |
|
732 |
701 |
$8K |
| 93970 |
|
92 |
89 |
$8K |
| 82805 |
|
263 |
251 |
$8K |
| 76770 |
|
192 |
186 |
$8K |
| 82043 |
|
995 |
982 |
$8K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
138 |
84 |
$7K |
| 93976 |
|
94 |
87 |
$7K |
| 87340 |
|
549 |
539 |
$7K |
| 84145 |
|
384 |
359 |
$7K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
322 |
307 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
206 |
200 |
$7K |
| 87511 |
|
717 |
696 |
$6K |
| 84144 |
|
335 |
269 |
$6K |
| 86618 |
|
251 |
246 |
$6K |
| 85610 |
|
2,169 |
1,835 |
$6K |
| 87040 |
|
335 |
308 |
$6K |
| 82077 |
|
845 |
791 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
259 |
258 |
$6K |
| 93017 |
|
227 |
192 |
$6K |
| 90715 |
|
335 |
324 |
$6K |
| 95811 |
|
13 |
13 |
$6K |
| 70486 |
|
78 |
76 |
$5K |
| 73610 |
|
285 |
262 |
$5K |
| 85379 |
|
529 |
498 |
$5K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
446 |
418 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
117 |
117 |
$5K |
| 83540 |
|
582 |
564 |
$5K |
| 86901 |
|
1,252 |
1,160 |
$5K |
| 73030 |
|
324 |
286 |
$4K |
| 80081 |
|
48 |
46 |
$4K |
| 83655 |
|
378 |
368 |
$4K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
4,960 |
4,328 |
$4K |
| 84146 |
|
169 |
165 |
$4K |
| 84481 |
|
167 |
164 |
$4K |
| 59899 |
|
95 |
82 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
13 |
$4K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
118 |
78 |
$4K |
| 84403 |
|
153 |
148 |
$4K |
| 87109 |
|
246 |
240 |
$4K |
| 94729 |
|
168 |
164 |
$4K |
| 83001 |
|
216 |
212 |
$4K |
| 86762 |
|
245 |
241 |
$4K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
169 |
162 |
$4K |
| 82652 |
|
76 |
76 |
$4K |
| 87186 |
|
465 |
452 |
$4K |
| 87430 |
|
552 |
537 |
$4K |
| 73560 |
|
256 |
208 |
$4K |
| 73630 |
|
311 |
272 |
$4K |
| 94664 |
|
380 |
346 |
$3K |
| 83970 |
|
89 |
87 |
$3K |
| 72100 |
|
173 |
161 |
$3K |
| 82670 |
|
153 |
137 |
$3K |
| 94726 |
|
149 |
145 |
$3K |
| G0399 |
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
31 |
30 |
$3K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
161 |
158 |
$3K |
| 82950 |
|
428 |
422 |
$3K |
| 83002 |
|
175 |
171 |
$3K |
| 86140 |
|
1,017 |
939 |
$3K |
| 86317 |
|
136 |
135 |
$3K |
| 87070 |
|
452 |
422 |
$3K |
| 73130 |
|
258 |
235 |
$3K |
| 86038 |
|
184 |
178 |
$3K |
| 80143 |
|
351 |
334 |
$3K |
| 82550 |
|
428 |
396 |
$3K |
| 70498 |
|
17 |
17 |
$3K |
| 87077 |
|
342 |
332 |
$3K |
| 80179 |
|
343 |
328 |
$3K |
| 85652 |
|
903 |
846 |
$2K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
28 |
27 |
$2K |
| 97161 |
|
97 |
86 |
$2K |
| 85730 |
|
526 |
487 |
$2K |
| 88342 |
|
91 |
84 |
$2K |
| 80076 |
|
250 |
243 |
$2K |
| 97597 |
|
42 |
26 |
$2K |
| 74018 |
|
181 |
170 |
$2K |
| 81003 |
|
880 |
840 |
$2K |
| 73502 |
|
132 |
125 |
$2K |
| 94060 |
|
186 |
182 |
$2K |
| 82962 |
|
1,494 |
796 |
$2K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
61 |
58 |
$2K |
| 83550 |
|
469 |
454 |
$2K |
| 83525 |
|
166 |
161 |
$2K |
| 70496 |
|
15 |
15 |
$2K |
| 77065 |
Tomosynthesis, mammo |
28 |
28 |
$2K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,265 |
898 |
$2K |
| 86592 |
|
578 |
564 |
$2K |
| 93975 |
|
15 |
14 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
168 |
74 |
$2K |
| 97162 |
|
140 |
128 |
$2K |
| 82746 |
|
200 |
195 |
$2K |
| 72110 |
|
80 |
79 |
$2K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,242 |
966 |
$2K |
| 84100 |
|
444 |
362 |
$2K |
| 81025 |
|
502 |
484 |
$2K |
| 84156 |
|
364 |
324 |
$1K |
| 84153 |
|
58 |
57 |
$1K |
| 93880 |
|
31 |
29 |
$1K |
| 84550 |
|
222 |
205 |
$1K |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
468 |
443 |
$1K |
| 82375 |
|
282 |
268 |
$1K |
| 82947 |
|
298 |
294 |
$1K |
| 84270 |
|
41 |
41 |
$1K |
| 86431 |
|
146 |
141 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,302 |
3,875 |
$1K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,625 |
1,327 |
$1K |
| 73564 |
|
49 |
40 |
$964.76 |
| J2785 |
Injection, regadenoson, 0.1 mg |
17 |
12 |
$958.88 |
| 87088 |
|
123 |
120 |
$953.28 |
| 85018 |
|
331 |
311 |
$914.08 |
| 72170 |
|
136 |
129 |
$899.30 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
854 |
621 |
$895.02 |
| Q3014 |
Telehealth originating site facility fee |
147 |
123 |
$894.63 |
| 76857 |
|
45 |
43 |
$846.05 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
335 |
313 |
$843.68 |
| 73590 |
|
58 |
54 |
$840.27 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,696 |
2,397 |
$761.40 |
| 96376 |
|
170 |
140 |
$750.84 |
| 73110 |
|
68 |
65 |
$705.87 |
| 82565 |
|
117 |
112 |
$657.96 |
| 83050 |
|
263 |
251 |
$614.45 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,993 |
2,415 |
$537.35 |
| 80320 |
|
56 |
54 |
$518.60 |
| 73090 |
|
46 |
44 |
$505.41 |
| 87522 |
Neg quan hep c or qual rna |
12 |
12 |
$483.26 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
72 |
69 |
$462.73 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,097 |
4,203 |
$453.84 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
14 |
$435.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
118 |
113 |
$376.50 |
| 88304 |
|
45 |
43 |
$341.20 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
26 |
25 |
$332.00 |
| 86800 |
|
16 |
16 |
$331.90 |
| 86696 |
|
13 |
13 |
$322.50 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
88 |
64 |
$322.13 |
| 80329 |
|
28 |
26 |
$317.73 |
| C8929 |
Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography |
50 |
47 |
$306.00 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
35 |
26 |
$292.16 |
| 87075 |
|
44 |
42 |
$282.83 |
| 86695 |
|
13 |
13 |
$274.54 |
| 86694 |
|
12 |
12 |
$271.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
53 |
53 |
$269.06 |
| 82040 |
|
68 |
68 |
$228.55 |
| 3044F |
|
588 |
574 |
$206.41 |
| 80164 |
|
14 |
14 |
$206.37 |
| 73562 |
|
15 |
12 |
$199.30 |
| 84520 |
|
41 |
39 |
$191.98 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
806 |
707 |
$191.83 |
| S0028 |
Injection, famotidine, 20 mg |
113 |
97 |
$186.51 |
| 74230 |
|
12 |
12 |
$186.30 |
| J1815 |
Injection, insulin, per 5 units |
181 |
72 |
$176.82 |
| 87205 |
|
49 |
47 |
$157.46 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
229 |
159 |
$154.92 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,174 |
1,836 |
$144.00 |
| 73070 |
|
14 |
13 |
$143.92 |
| 86376 |
|
16 |
16 |
$142.31 |
| J2060 |
Injection, lorazepam, 2 mg |
305 |
241 |
$132.53 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
206 |
186 |
$122.89 |
| C1769 |
Guide wire |
12 |
12 |
$108.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
385 |
198 |
$101.50 |
| 85007 |
|
26 |
26 |
$100.67 |
| J1644 |
Injection, heparin sodium, per 1000 units |
402 |
239 |
$98.29 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
127 |
112 |
$90.62 |
| 94618 |
|
16 |
15 |
$72.49 |
| C1729 |
Catheter, drainage |
14 |
13 |
$72.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
155 |
81 |
$68.06 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
896 |
808 |
$52.68 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
224 |
171 |
$51.10 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
41 |
40 |
$49.25 |
| J1630 |
Injection, haloperidol, up to 5 mg |
13 |
12 |
$15.37 |
| 90834 |
Psychotherapy, 45 minutes with patient |
117 |
61 |
$13.48 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
42 |
26 |
$4.13 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
209 |
202 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
35 |
27 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
57 |
46 |
$0.00 |
| J1756 |
Injection, iron sucrose, 1 mg |
135 |
55 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
47 |
46 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
16 |
14 |
$0.00 |
| J3490 |
Unclassified drugs |
251 |
242 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
1,334 |
1,145 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
42 |
40 |
$0.00 |