| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
26,327 |
21,183 |
$4.61M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
25,800 |
21,863 |
$3.34M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
9,524 |
7,960 |
$1.79M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
14,397 |
11,439 |
$1.23M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,054 |
4,240 |
$728K |
| G0378 |
Hospital observation service, per hour |
4,635 |
3,384 |
$548K |
| 71046 |
Radiologic examination, chest; 2 views |
9,572 |
8,181 |
$363K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,551 |
3,885 |
$347K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,425 |
2,878 |
$290K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,861 |
2,577 |
$263K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,320 |
4,540 |
$246K |
| 71045 |
Radiologic examination, chest; single view |
7,939 |
6,616 |
$243K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
11,375 |
9,088 |
$240K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
8,856 |
6,968 |
$228K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,850 |
5,787 |
$226K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
6,332 |
5,154 |
$182K |
| 80053 |
Comprehensive metabolic panel |
27,975 |
22,167 |
$159K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
2,204 |
1,879 |
$157K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,685 |
2,057 |
$155K |
| 86900 |
|
2,895 |
2,010 |
$139K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,571 |
1,027 |
$138K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
32,881 |
25,196 |
$138K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,468 |
1,199 |
$137K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,263 |
1,949 |
$136K |
| 59025 |
Fetal non-stress test |
1,530 |
1,106 |
$133K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
626 |
436 |
$115K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,443 |
1,237 |
$111K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,073 |
895 |
$99K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,880 |
3,501 |
$93K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,388 |
2,756 |
$85K |
| 36415 |
Collection of venous blood by venipuncture |
39,596 |
27,925 |
$84K |
| 86850 |
|
2,844 |
1,964 |
$61K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,745 |
1,450 |
$61K |
| 87400 |
|
3,156 |
2,639 |
$61K |
| 84484 |
|
8,014 |
6,319 |
$57K |
| 73560 |
|
1,471 |
1,180 |
$49K |
| 74018 |
|
1,144 |
964 |
$47K |
| 73630 |
|
1,251 |
1,050 |
$47K |
| 94644 |
|
1,006 |
859 |
$46K |
| 93971 |
|
1,284 |
1,117 |
$44K |
| 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 |
817 |
637 |
$43K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,045 |
911 |
$43K |
| 86901 |
|
2,890 |
2,007 |
$43K |
| 93017 |
|
898 |
660 |
$41K |
| 84703 |
|
8,466 |
6,805 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,126 |
2,578 |
$35K |
| 83880 |
|
2,289 |
1,951 |
$34K |
| 72100 |
|
752 |
637 |
$34K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
527 |
461 |
$28K |
| 73130 |
|
744 |
612 |
$28K |
| 83690 |
|
6,861 |
5,699 |
$27K |
| 73610 |
|
729 |
593 |
$26K |
| 87081 |
|
4,614 |
3,958 |
$26K |
| 81001 |
|
13,700 |
11,347 |
$25K |
| 81025 |
|
4,905 |
4,103 |
$25K |
| 84702 |
|
2,426 |
1,866 |
$23K |
| 73030 |
|
659 |
565 |
$21K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,821 |
3,352 |
$20K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,876 |
2,632 |
$20K |
| 87040 |
|
2,177 |
1,824 |
$18K |
| 83605 |
|
3,114 |
2,471 |
$16K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,606 |
1,352 |
$16K |
| 87634 |
|
298 |
255 |
$16K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
265 |
207 |
$15K |
| 70486 |
|
303 |
249 |
$15K |
| 83735 |
|
4,678 |
3,788 |
$15K |
| 81003 |
|
7,585 |
6,350 |
$10K |
| 73110 |
|
269 |
200 |
$9K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,085 |
1,761 |
$9K |
| 87807 |
|
818 |
698 |
$9K |
| 85379 |
|
1,807 |
1,539 |
$9K |
| 71250 |
|
271 |
239 |
$8K |
| 85610 |
|
2,248 |
1,781 |
$8K |
| 72040 |
|
232 |
191 |
$8K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
346 |
299 |
$8K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
346 |
299 |
$8K |
| 70496 |
|
132 |
118 |
$6K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
8,699 |
7,264 |
$6K |
| 82962 |
|
3,263 |
2,566 |
$5K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
64 |
54 |
$5K |
| 70498 |
|
132 |
117 |
$5K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
95 |
88 |
$5K |
| 80061 |
Lipid panel |
778 |
652 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
76 |
65 |
$4K |
| 85730 |
|
1,242 |
979 |
$4K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,321 |
872 |
$4K |
| 87077 |
|
643 |
545 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
67 |
63 |
$3K |
| 84439 |
|
534 |
465 |
$3K |
| 76642 |
|
96 |
74 |
$3K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
71 |
63 |
$3K |
| 73502 |
|
102 |
91 |
$3K |
| 73090 |
|
61 |
52 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
45 |
26 |
$3K |
| 12001 |
|
40 |
26 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
43 |
40 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
609 |
517 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
52 |
$2K |
| 73070 |
|
42 |
38 |
$2K |
| 82570 |
|
626 |
515 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,897 |
1,678 |
$2K |
| 87088 |
|
258 |
217 |
$1K |
| 73590 |
|
30 |
24 |
$966.00 |
| 72131 |
|
25 |
24 |
$896.42 |
| 82550 |
|
218 |
180 |
$778.59 |
| 84156 |
|
400 |
307 |
$765.56 |
| 87186 |
|
142 |
119 |
$733.46 |
| 86140 |
|
257 |
224 |
$671.42 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
28 |
28 |
$662.05 |
| 76770 |
|
15 |
13 |
$613.25 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
13 |
12 |
$588.64 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,269 |
2,552 |
$490.75 |
| 87210 |
|
177 |
154 |
$479.66 |
| 77066 |
Tomosynthesis, mammo |
14 |
13 |
$439.51 |
| A9270 |
Non-covered item or service |
4,490 |
3,422 |
$367.61 |
| 82565 |
|
297 |
256 |
$277.30 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
14 |
$266.06 |
| 85027 |
|
79 |
58 |
$253.42 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
364 |
270 |
$173.60 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
29 |
27 |
$159.28 |
| 82248 |
|
36 |
28 |
$117.52 |
| 99490 |
Ccm add 20min |
25 |
24 |
$103.93 |
| 90686 |
|
13 |
13 |
$91.29 |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
691 |
491 |
$86.13 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
9,940 |
7,915 |
$68.08 |
| 85652 |
|
52 |
38 |
$61.97 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,663 |
1,085 |
$61.48 |
| 82247 |
|
15 |
12 |
$54.24 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
230 |
168 |
$48.03 |
| 80069 |
|
18 |
15 |
$46.86 |
| 85045 |
|
20 |
13 |
$46.67 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,827 |
3,074 |
$44.18 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
8,831 |
6,490 |
$35.56 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,491 |
1,140 |
$29.69 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
378 |
296 |
$23.52 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
2,281 |
1,941 |
$18.54 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,564 |
1,215 |
$10.33 |
| J2704 |
Injection, propofol, 10 mg |
947 |
647 |
$9.36 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
250 |
195 |
$6.88 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,293 |
853 |
$5.24 |
| J3490 |
Unclassified drugs |
554 |
374 |
$1.62 |
| 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 |
119 |
94 |
$0.76 |
| 96376 |
|
1,114 |
794 |
$0.03 |
| J1940 |
Injection, furosemide, up to 20 mg |
161 |
116 |
$0.00 |
| J2785 |
Injection, regadenoson, 0.1 mg |
525 |
373 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
74 |
52 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
592 |
483 |
$0.00 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
29 |
15 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
35 |
27 |
$0.00 |
| J1815 |
Injection, insulin, per 5 units |
20 |
12 |
$0.00 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
74 |
49 |
$0.00 |
| J2060 |
Injection, lorazepam, 2 mg |
46 |
37 |
$0.00 |
| 94760 |
|
17 |
12 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
20 |
19 |
$0.00 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
30 |
25 |
$0.00 |
| C1769 |
Guide wire |
13 |
12 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
104 |
42 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
734 |
588 |
$0.00 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
73 |
51 |
$0.00 |
| 90715 |
|
65 |
61 |
$0.00 |
| J1956 |
Injection, levofloxacin, 250 mg |
76 |
63 |
$0.00 |
| J1644 |
Injection, heparin sodium, per 1000 units |
311 |
140 |
$0.00 |
| 94664 |
|
167 |
151 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
14 |
13 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
79 |
63 |
$0.00 |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
14 |
12 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
80 |
54 |
$0.00 |
| A4649 |
Surgical supply; miscellaneous |
16 |
13 |
$0.00 |