| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,305 |
3,163 |
$2.05M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,381 |
7,743 |
$1.79M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
7,497 |
6,356 |
$1.47M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,225 |
5,639 |
$1.27M |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,647 |
1,897 |
$762K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,739 |
2,918 |
$641K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,340 |
2,033 |
$520K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,666 |
1,479 |
$497K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,700 |
1,499 |
$474K |
| 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 |
3,278 |
2,999 |
$275K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,634 |
4,504 |
$231K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
765 |
651 |
$217K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,634 |
2,063 |
$215K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
8,914 |
3,156 |
$210K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
3,960 |
1,179 |
$161K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,202 |
877 |
$140K |
| 80053 |
Comprehensive metabolic panel |
14,131 |
11,901 |
$136K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
348 |
267 |
$135K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
733 |
668 |
$128K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,356 |
1,258 |
$119K |
| 87632 |
|
733 |
677 |
$117K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,442 |
1,309 |
$113K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
467 |
416 |
$93K |
| 73630 |
|
2,111 |
1,828 |
$81K |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,072 |
4,665 |
$75K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13,631 |
10,813 |
$72K |
| 59025 |
Fetal non-stress test |
276 |
144 |
$71K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
182 |
110 |
$68K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,836 |
1,601 |
$61K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
172 |
148 |
$56K |
| 80061 |
Lipid panel |
4,323 |
4,009 |
$54K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
422 |
372 |
$54K |
| 71046 |
Radiologic examination, chest; 2 views |
2,764 |
2,484 |
$52K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,559 |
1,409 |
$49K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,525 |
1,382 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,741 |
1,006 |
$46K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,675 |
1,512 |
$41K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,050 |
954 |
$40K |
| 73610 |
|
975 |
855 |
$37K |
| G0378 |
Hospital observation service, per hour |
624 |
539 |
$37K |
| 76830 |
Ultrasound, transvaginal |
222 |
207 |
$36K |
| 76801 |
|
290 |
269 |
$34K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,456 |
488 |
$33K |
| 97162 |
|
976 |
878 |
$32K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,625 |
3,380 |
$32K |
| 85027 |
|
5,637 |
4,891 |
$31K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,817 |
3,879 |
$31K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,928 |
3,372 |
$27K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
187 |
171 |
$26K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
7,047 |
5,698 |
$24K |
| 84484 |
|
4,003 |
2,835 |
$24K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
732 |
685 |
$22K |
| 73562 |
|
600 |
533 |
$21K |
| 82728 |
|
1,622 |
1,452 |
$20K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
297 |
278 |
$20K |
| 83880 |
|
1,255 |
1,108 |
$20K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
281 |
205 |
$19K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
395 |
225 |
$18K |
| 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 |
356 |
209 |
$18K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
865 |
794 |
$18K |
| 11721 |
|
3,837 |
1,923 |
$17K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
284 |
240 |
$17K |
| 83690 |
|
3,396 |
2,867 |
$16K |
| 81025 |
|
2,242 |
1,970 |
$16K |
| 80050 |
General health panel |
1,014 |
950 |
$16K |
| 93356 |
|
44 |
39 |
$16K |
| 81000 |
|
4,767 |
4,016 |
$15K |
| 83605 |
|
2,778 |
2,175 |
$15K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
56 |
49 |
$15K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
713 |
289 |
$14K |
| 82962 |
|
2,627 |
1,290 |
$13K |
| 87077 |
|
2,091 |
1,742 |
$13K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
783 |
347 |
$13K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
42 |
37 |
$12K |
| 87081 |
|
1,628 |
1,502 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
21,398 |
16,720 |
$12K |
| 85610 |
|
2,830 |
2,027 |
$11K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
218 |
201 |
$11K |
| 87186 |
|
1,827 |
1,555 |
$11K |
| 83735 |
|
2,575 |
2,094 |
$10K |
| 86850 |
|
1,316 |
1,182 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
343 |
224 |
$10K |
| 87808 |
|
764 |
658 |
$10K |
| 84702 |
|
645 |
419 |
$9K |
| 73030 |
|
273 |
243 |
$9K |
| 80306 |
|
619 |
521 |
$8K |
| 87070 |
|
908 |
785 |
$7K |
| 87905 |
|
767 |
660 |
$7K |
| 86803 |
|
596 |
556 |
$7K |
| 84703 |
|
820 |
740 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
71 |
60 |
$7K |
| 82077 |
|
733 |
628 |
$6K |
| 84145 |
|
536 |
466 |
$6K |
| 86618 |
|
226 |
169 |
$6K |
| 86780 |
|
576 |
532 |
$5K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
705 |
489 |
$5K |
| 83550 |
|
736 |
679 |
$5K |
| 87040 |
|
1,025 |
613 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
2,957 |
2,600 |
$5K |
| 82607 |
|
392 |
363 |
$5K |
| 84439 |
|
561 |
504 |
$5K |
| 83540 |
|
810 |
743 |
$5K |
| 97535 |
Self-care/home management training, each 15 minutes |
356 |
130 |
$4K |
| 82570 |
|
934 |
841 |
$4K |
| 86140 |
|
1,062 |
849 |
$4K |
| 87220 |
|
867 |
749 |
$4K |
| 87653 |
|
101 |
92 |
$4K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,963 |
4,189 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
28 |
25 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,834 |
2,134 |
$3K |
| 0352U |
|
320 |
290 |
$3K |
| 85379 |
|
525 |
483 |
$3K |
| 87340 |
|
326 |
305 |
$3K |
| 81001 |
|
1,350 |
1,144 |
$3K |
| 86900 |
|
1,086 |
981 |
$3K |
| 92567 |
|
57 |
55 |
$3K |
| 86901 |
|
1,087 |
982 |
$2K |
| 73502 |
|
67 |
57 |
$2K |
| 73130 |
|
74 |
64 |
$2K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,336 |
3,511 |
$2K |
| 81003 |
|
1,316 |
1,144 |
$2K |
| 93017 |
|
17 |
13 |
$2K |
| 86762 |
|
150 |
138 |
$2K |
| 80076 |
|
249 |
226 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
12 |
$2K |
| 73110 |
|
46 |
36 |
$1K |
| 82043 |
|
306 |
288 |
$1K |
| 85730 |
|
409 |
375 |
$1K |
| 97166 |
|
37 |
34 |
$1K |
| 80179 |
|
108 |
88 |
$885.13 |
| 85651 |
|
330 |
277 |
$878.70 |
| 80143 |
|
111 |
89 |
$874.10 |
| 82803 |
|
66 |
49 |
$808.20 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
17 |
15 |
$658.06 |
| 97163 |
|
18 |
16 |
$641.12 |
| 87205 |
|
237 |
205 |
$601.98 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,489 |
3,649 |
$551.35 |
| 97161 |
|
15 |
12 |
$528.48 |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
17 |
15 |
$502.74 |
| 84153 |
|
30 |
24 |
$447.92 |
| 82950 |
|
76 |
68 |
$446.93 |
| 84481 |
|
28 |
24 |
$415.50 |
| 36000 |
|
102 |
99 |
$395.22 |
| J2704 |
Injection, propofol, 10 mg |
1,965 |
1,744 |
$328.43 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,584 |
2,260 |
$325.53 |
| 85652 |
|
208 |
165 |
$317.80 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,699 |
2,381 |
$308.69 |
| 86787 |
|
42 |
38 |
$277.78 |
| 87185 |
|
96 |
80 |
$268.92 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,437 |
1,203 |
$230.13 |
| 93041 |
|
464 |
431 |
$212.38 |
| 81002 |
|
64 |
54 |
$190.47 |
| 83655 |
|
13 |
12 |
$182.12 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,808 |
2,105 |
$180.92 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
48 |
25 |
$178.24 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
4,405 |
3,592 |
$160.01 |
| J3490 |
Unclassified drugs |
12 |
12 |
$150.64 |
| 84460 |
|
14 |
12 |
$139.05 |
| 96376 |
|
862 |
639 |
$137.04 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
993 |
743 |
$76.63 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,224 |
1,899 |
$76.39 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,732 |
1,501 |
$52.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
83 |
61 |
$51.74 |
| 80320 |
|
221 |
194 |
$25.80 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
965 |
729 |
$24.61 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
545 |
478 |
$18.87 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
293 |
256 |
$9.10 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
318 |
274 |
$5.14 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
513 |
238 |
$4.07 |
| Q9962 |
High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml |
15 |
12 |
$2.16 |
| A9270 |
Non-covered item or service |
6,041 |
1,192 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
60 |
49 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
26 |
18 |
$0.00 |
| J1790 |
Injection, droperidol, up to 5 mg |
28 |
27 |
$0.00 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
13 |
12 |
$0.00 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
15 |
12 |
$0.00 |
| C9290 |
Injection, bupivacaine liposome, 1 mg |
13 |
12 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
79 |
70 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$0.00 |
| A9578 |
Injection, gadobenate dimeglumine (multihance multipack), per ml |
17 |
17 |
$0.00 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
12 |
12 |
$0.00 |