| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
34,888 |
30,861 |
$7.22M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
14,627 |
13,390 |
$3.75M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
21,527 |
19,326 |
$3.13M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,953 |
2,775 |
$1.36M |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,611 |
3,359 |
$1.08M |
| G0378 |
Hospital observation service, per hour |
843 |
762 |
$833K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
9,238 |
8,258 |
$693K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
5,706 |
4,820 |
$644K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
8,454 |
7,198 |
$538K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,764 |
3,608 |
$510K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
9,256 |
8,769 |
$482K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
5,907 |
3,981 |
$440K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
7,944 |
7,025 |
$381K |
| 71045 |
Radiologic examination, chest; single view |
5,720 |
5,175 |
$376K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,140 |
1,074 |
$367K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
8,661 |
2,903 |
$355K |
| 80053 |
Comprehensive metabolic panel |
26,595 |
23,743 |
$328K |
| 71046 |
Radiologic examination, chest; 2 views |
4,010 |
3,730 |
$318K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
8,891 |
3,026 |
$296K |
| 97597 |
|
5,273 |
1,823 |
$293K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
31,558 |
27,051 |
$284K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,570 |
1,462 |
$279K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
4,244 |
3,711 |
$264K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,340 |
6,740 |
$263K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
782 |
738 |
$249K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
1,016 |
966 |
$247K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
7,400 |
6,995 |
$225K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,195 |
1,172 |
$222K |
| 36415 |
Collection of venous blood by venipuncture |
42,411 |
35,178 |
$210K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,123 |
4,125 |
$196K |
| 84484 |
|
5,699 |
4,906 |
$166K |
| 73564 |
|
1,152 |
1,099 |
$153K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
354 |
334 |
$149K |
| 84443 |
Thyroid stimulating hormone (TSH) |
7,580 |
7,248 |
$145K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
3,314 |
3,198 |
$140K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,324 |
3,204 |
$139K |
| 73610 |
|
915 |
863 |
$118K |
| 0002A |
|
2,063 |
2,057 |
$111K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
299 |
286 |
$109K |
| 76830 |
Ultrasound, transvaginal |
730 |
708 |
$104K |
| 73030 |
|
847 |
807 |
$103K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
198 |
193 |
$98K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,300 |
1,191 |
$97K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
160 |
154 |
$96K |
| 0001A |
|
2,107 |
2,083 |
$95K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
728 |
702 |
$86K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
215 |
205 |
$85K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
902 |
687 |
$83K |
| 81001 |
|
9,185 |
8,395 |
$81K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
559 |
539 |
$80K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,759 |
1,669 |
$79K |
| 80061 |
Lipid panel |
5,534 |
5,329 |
$78K |
| 87800 |
|
1,596 |
1,525 |
$77K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
760 |
602 |
$76K |
| 70486 |
|
259 |
241 |
$76K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,438 |
2,360 |
$75K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,185 |
1,003 |
$74K |
| 83690 |
|
6,639 |
6,015 |
$71K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
441 |
431 |
$65K |
| 73630 |
|
765 |
730 |
$65K |
| 80306 |
|
1,366 |
1,285 |
$62K |
| 83880 |
|
2,702 |
2,386 |
$59K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
9,636 |
8,156 |
$58K |
| 73130 |
|
620 |
589 |
$57K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
6,199 |
5,312 |
$57K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,107 |
4,889 |
$52K |
| 83605 |
|
2,573 |
2,247 |
$47K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
305 |
291 |
$47K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,329 |
565 |
$46K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,363 |
724 |
$46K |
| 73110 |
|
521 |
495 |
$45K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
4,674 |
4,339 |
$45K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
307 |
296 |
$43K |
| 99233 |
Prolong inpt eval add15 m |
678 |
363 |
$42K |
| 85610 |
|
7,414 |
5,516 |
$41K |
| 84439 |
|
2,167 |
2,095 |
$35K |
| 96367 |
|
874 |
781 |
$35K |
| 81025 |
|
2,500 |
2,354 |
$35K |
| 87040 |
|
1,943 |
1,786 |
$35K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
78 |
73 |
$35K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
835 |
820 |
$31K |
| 84703 |
|
1,961 |
1,842 |
$31K |
| 83735 |
|
3,779 |
3,139 |
$28K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
685 |
672 |
$27K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
110 |
108 |
$27K |
| 87077 |
|
2,341 |
2,208 |
$26K |
| 87186 |
|
2,388 |
2,250 |
$25K |
| 81003 |
|
3,975 |
3,706 |
$24K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,132 |
2,900 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
830 |
798 |
$24K |
| 86140 |
|
2,515 |
2,276 |
$23K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,146 |
3,863 |
$23K |
| 86803 |
|
1,486 |
1,444 |
$22K |
| M0245 |
Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring |
33 |
31 |
$21K |
| 73502 |
|
285 |
269 |
$21K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,905 |
5,209 |
$20K |
| 80076 |
|
1,971 |
1,834 |
$20K |
| 74018 |
|
232 |
218 |
$20K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
198 |
173 |
$20K |
| 93971 |
|
145 |
138 |
$19K |
| 96376 |
|
2,738 |
1,872 |
$19K |
| 0003A |
|
307 |
306 |
$18K |
| 97162 |
|
273 |
269 |
$17K |
| G0433 |
Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening |
824 |
802 |
$17K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
38 |
37 |
$16K |
| 86850 |
|
1,020 |
950 |
$16K |
| 82728 |
|
1,046 |
1,007 |
$15K |
| 86900 |
|
1,101 |
1,020 |
$15K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
650 |
632 |
$14K |
| 85730 |
|
2,222 |
2,035 |
$14K |
| 73140 |
|
153 |
148 |
$14K |
| 85379 |
|
1,228 |
1,168 |
$14K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,555 |
4,095 |
$13K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,155 |
1,608 |
$13K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
752 |
285 |
$13K |
| 72100 |
|
111 |
109 |
$13K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
263 |
145 |
$12K |
| 73221 |
|
26 |
26 |
$12K |
| 72110 |
|
88 |
87 |
$12K |
| 88142 |
|
507 |
486 |
$11K |
| 87070 |
|
1,044 |
993 |
$11K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,488 |
2,019 |
$11K |
| 80055 |
|
123 |
119 |
$11K |
| 97161 |
|
295 |
284 |
$11K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
128 |
122 |
$11K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
152 |
150 |
$11K |
| 71250 |
|
40 |
38 |
$10K |
| 90715 |
|
673 |
648 |
$10K |
| D1120 |
Prophylaxis - child |
39 |
39 |
$10K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,020 |
1,925 |
$9K |
| 76801 |
|
60 |
58 |
$9K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,762 |
1,691 |
$9K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
812 |
720 |
$9K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
2,347 |
2,161 |
$9K |
| 86901 |
|
1,180 |
1,094 |
$9K |
| 93017 |
|
33 |
33 |
$9K |
| 83550 |
|
1,026 |
986 |
$9K |
| 84702 |
|
309 |
230 |
$8K |
| 85652 |
|
2,142 |
1,972 |
$8K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$8K |
| 82043 |
|
799 |
745 |
$8K |
| 12001 |
|
54 |
53 |
$7K |
| 85027 |
|
1,009 |
928 |
$7K |
| 76536 |
|
50 |
50 |
$7K |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
893 |
816 |
$7K |
| 82607 |
|
474 |
462 |
$7K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
55 |
55 |
$7K |
| 83540 |
|
1,098 |
1,056 |
$7K |
| 59025 |
Fetal non-stress test |
41 |
27 |
$7K |
| 87653 |
|
115 |
113 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
296 |
197 |
$6K |
| 82570 |
|
1,213 |
1,118 |
$6K |
| 72072 |
|
42 |
42 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
24 |
24 |
$6K |
| 73080 |
|
71 |
68 |
$6K |
| J3490 |
Unclassified drugs |
822 |
725 |
$6K |
| 73590 |
|
66 |
61 |
$6K |
| 80074 |
|
64 |
64 |
$5K |
| 97803 |
|
204 |
189 |
$5K |
| 85007 |
|
738 |
672 |
$5K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
25 |
25 |
$5K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
586 |
573 |
$5K |
| 0064A |
|
60 |
60 |
$5K |
| 82140 |
|
332 |
284 |
$5K |
| 73560 |
|
55 |
52 |
$4K |
| 86592 |
|
491 |
481 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
27 |
25 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
15 |
$4K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
12 |
12 |
$4K |
| 51702 |
|
39 |
37 |
$3K |
| 82803 |
|
111 |
102 |
$3K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
12 |
12 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
78 |
78 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
12 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
18 |
17 |
$3K |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$2K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
866 |
782 |
$2K |
| 82746 |
|
166 |
161 |
$2K |
| 82947 |
|
298 |
290 |
$2K |
| J2060 |
Injection, lorazepam, 2 mg |
685 |
583 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
74 |
68 |
$2K |
| 87081 |
|
125 |
119 |
$2K |
| 86038 |
|
100 |
98 |
$1K |
| 0031A |
|
25 |
25 |
$1K |
| 87634 |
|
15 |
14 |
$1K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
18 |
18 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$1K |
| 87581 |
|
15 |
15 |
$1K |
| 76857 |
|
12 |
12 |
$1K |
| 73552 |
|
13 |
13 |
$1K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
25 |
25 |
$879.58 |
| 87075 |
|
83 |
75 |
$877.50 |
| 73090 |
|
12 |
12 |
$819.25 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
76 |
30 |
$818.72 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
285 |
169 |
$807.77 |
| H0049 |
Alcohol and/or drug screening |
177 |
169 |
$802.90 |
| 84481 |
|
38 |
38 |
$778.07 |
| J3360 |
Injection, diazepam, up to 5 mg |
54 |
50 |
$754.42 |
| 84100 |
|
153 |
131 |
$657.60 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
13 |
13 |
$549.56 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
215 |
203 |
$548.54 |
| 80069 |
|
12 |
12 |
$526.92 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
129 |
100 |
$503.92 |
| J1630 |
Injection, haloperidol, up to 5 mg |
242 |
222 |
$491.25 |
| 86141 |
|
51 |
46 |
$483.69 |
| 93016 |
|
33 |
32 |
$390.35 |
| 85014 |
|
85 |
71 |
$357.48 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
177 |
152 |
$325.51 |
| 82550 |
|
45 |
38 |
$323.39 |
| 87205 |
|
49 |
48 |
$308.11 |
| 87088 |
|
22 |
21 |
$298.38 |
| A9270 |
Non-covered item or service |
513 |
403 |
$287.88 |
| 93018 |
|
33 |
32 |
$256.73 |
| 85018 |
|
65 |
56 |
$248.13 |
| 83525 |
|
12 |
12 |
$240.40 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
13 |
13 |
$228.13 |
| 82272 |
|
43 |
43 |
$222.50 |
| 82950 |
|
39 |
38 |
$221.05 |
| 87340 |
|
13 |
12 |
$201.98 |
| 82962 |
|
23 |
15 |
$198.78 |
| 82784 |
|
13 |
12 |
$184.20 |
| J3480 |
Injection, potassium chloride, per 2 meq |
17 |
15 |
$176.53 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
26 |
26 |
$162.18 |
| 84156 |
|
49 |
37 |
$150.82 |
| 86308 |
|
12 |
12 |
$106.60 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
15 |
12 |
$97.13 |
| C9113 |
Injection, pantoprazole sodium, per vial |
40 |
37 |
$86.28 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
26 |
26 |
$84.35 |
| 83615 |
|
12 |
12 |
$53.38 |
| 84550 |
|
12 |
12 |
$34.60 |
| J3411 |
Injection, thiamine hcl, 100 mg |
16 |
14 |
$30.35 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
12 |
12 |
$25.92 |
| 91300 |
|
1,069 |
969 |
$5.61 |
| 80050 |
General health panel |
21 |
21 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
19 |
12 |
$0.00 |