| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
10,354 |
9,844 |
$2.02M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
6,141 |
5,797 |
$1.90M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13,245 |
12,745 |
$1.54M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,964 |
6,461 |
$542K |
| G0378 |
Hospital observation service, per hour |
1,340 |
1,272 |
$456K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
6,589 |
5,841 |
$393K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,828 |
1,791 |
$225K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,434 |
1,499 |
$217K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,599 |
2,517 |
$196K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,890 |
3,567 |
$165K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,774 |
4,834 |
$160K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
826 |
795 |
$123K |
| 71045 |
Radiologic examination, chest; single view |
3,675 |
3,547 |
$113K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
493 |
490 |
$106K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,078 |
2,075 |
$100K |
| 71046 |
Radiologic examination, chest; 2 views |
3,216 |
3,139 |
$95K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,469 |
1,431 |
$84K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
1,426 |
1,392 |
$82K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,424 |
1,397 |
$76K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
849 |
497 |
$71K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
697 |
690 |
$66K |
| 86900 |
|
2,161 |
2,029 |
$64K |
| 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 |
1,598 |
1,558 |
$58K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
469 |
454 |
$58K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
803 |
797 |
$37K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
801 |
761 |
$35K |
| 76830 |
Ultrasound, transvaginal |
632 |
625 |
$33K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
234 |
232 |
$30K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,208 |
3,482 |
$29K |
| 59025 |
Fetal non-stress test |
324 |
156 |
$28K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
145 |
145 |
$19K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
334 |
328 |
$18K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
262 |
260 |
$18K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
677 |
669 |
$15K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
614 |
594 |
$13K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
369 |
289 |
$13K |
| 93017 |
|
496 |
489 |
$12K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
129 |
127 |
$12K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
618 |
618 |
$8K |
| 83735 |
|
8,925 |
7,495 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
959 |
944 |
$7K |
| 80053 |
Comprehensive metabolic panel |
4,714 |
4,037 |
$7K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,411 |
1,387 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,016 |
6,891 |
$6K |
| 93971 |
|
129 |
126 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
10,320 |
9,048 |
$6K |
| 76642 |
|
160 |
140 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,322 |
4,827 |
$5K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
6,265 |
5,357 |
$4K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,219 |
1,895 |
$4K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,395 |
2,246 |
$4K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
23 |
13 |
$4K |
| 81003 |
|
2,995 |
2,890 |
$3K |
| 76770 |
|
49 |
49 |
$3K |
| 82962 |
|
1,078 |
996 |
$3K |
| 0012A |
|
63 |
63 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,243 |
3,066 |
$2K |
| 0011A |
|
57 |
57 |
$2K |
| 73630 |
|
418 |
403 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
897 |
830 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
107 |
94 |
$2K |
| 85027 |
|
9,019 |
7,864 |
$1K |
| 73130 |
|
225 |
206 |
$1K |
| 81025 |
|
2,736 |
2,666 |
$1K |
| 76536 |
|
26 |
26 |
$1K |
| 76801 |
|
26 |
26 |
$1K |
| 81001 |
|
3,800 |
3,616 |
$1K |
| 82728 |
|
289 |
280 |
$1K |
| 84484 |
|
3,488 |
3,079 |
$1K |
| 84703 |
|
2,354 |
2,294 |
$999.24 |
| 73030 |
|
133 |
125 |
$972.48 |
| 86850 |
|
2,142 |
2,010 |
$858.12 |
| 73610 |
|
245 |
230 |
$788.98 |
| J2704 |
Injection, propofol, 10 mg |
4,869 |
4,757 |
$739.25 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
6,230 |
5,716 |
$707.47 |
| 36415 |
Collection of venous blood by venipuncture |
1,456 |
1,260 |
$625.21 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
2,465 |
2,296 |
$592.42 |
| 83550 |
|
201 |
197 |
$522.69 |
| 71250 |
|
12 |
12 |
$486.66 |
| 83690 |
|
3,361 |
3,155 |
$468.05 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
30 |
30 |
$431.16 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
24 |
24 |
$424.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
24 |
24 |
$424.00 |
| 85610 |
|
2,367 |
2,221 |
$403.08 |
| 83540 |
|
203 |
198 |
$391.85 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
273 |
265 |
$363.37 |
| 72100 |
|
25 |
25 |
$330.21 |
| 73564 |
|
57 |
55 |
$314.37 |
| 86901 |
|
2,144 |
2,012 |
$303.23 |
| 82565 |
|
879 |
806 |
$296.05 |
| 85730 |
|
2,236 |
2,145 |
$282.65 |
| 84460 |
|
1,894 |
1,794 |
$278.41 |
| 84450 |
|
1,899 |
1,801 |
$273.45 |
| 82607 |
|
69 |
66 |
$253.43 |
| 80051 |
|
561 |
513 |
$246.45 |
| 87631 |
|
684 |
680 |
$224.08 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
191 |
177 |
$198.26 |
| 84443 |
Thyroid stimulating hormone (TSH) |
68 |
64 |
$192.61 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
3,026 |
2,527 |
$190.46 |
| J7050 |
Infusion, normal saline solution, 250 cc |
3,092 |
2,101 |
$180.96 |
| 73110 |
|
38 |
37 |
$164.59 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
7,961 |
7,052 |
$164.33 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
488 |
415 |
$161.38 |
| 82247 |
|
1,230 |
1,168 |
$141.64 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
6,895 |
6,140 |
$118.93 |
| 90674 |
|
17 |
17 |
$117.86 |
| A9270 |
Non-covered item or service |
18,740 |
14,537 |
$114.84 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,957 |
2,656 |
$114.19 |
| 82248 |
|
1,202 |
1,134 |
$108.60 |
| 74018 |
|
12 |
12 |
$97.62 |
| 83880 |
|
350 |
337 |
$94.60 |
| 84702 |
|
223 |
214 |
$94.11 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
496 |
490 |
$92.84 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
299 |
207 |
$74.57 |
| 82746 |
|
13 |
13 |
$69.82 |
| J1644 |
Injection, heparin sodium, per 1000 units |
973 |
505 |
$68.35 |
| 72170 |
|
13 |
13 |
$60.83 |
| 84520 |
|
369 |
332 |
$55.10 |
| G0008 |
Administration of influenza virus vaccine |
16 |
16 |
$53.68 |
| 73590 |
|
13 |
12 |
$48.57 |
| 84075 |
|
909 |
875 |
$36.99 |
| 82947 |
|
25 |
25 |
$36.15 |
| 84100 |
|
354 |
296 |
$27.78 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
564 |
519 |
$27.68 |
| 90715 |
|
877 |
874 |
$25.95 |
| 85379 |
|
241 |
235 |
$24.67 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
72 |
71 |
$23.64 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,768 |
1,675 |
$21.18 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
578 |
314 |
$19.04 |
| J2060 |
Injection, lorazepam, 2 mg |
187 |
158 |
$15.31 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
282 |
229 |
$12.02 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
384 |
376 |
$11.93 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
727 |
712 |
$8.47 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
136 |
120 |
$6.68 |
| 83605 |
|
115 |
108 |
$6.46 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
3,340 |
3,259 |
$2.61 |
| J1630 |
Injection, haloperidol, up to 5 mg |
13 |
12 |
$1.04 |
| 96376 |
|
1,306 |
953 |
$0.00 |
| 87807 |
|
108 |
107 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
879 |
863 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
775 |
767 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
66 |
65 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
114 |
113 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
196 |
194 |
$0.00 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
15 |
15 |
$0.00 |
| 94760 |
|
14 |
12 |
$0.00 |
| 12001 |
|
14 |
14 |
$0.00 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
15 |
13 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
451 |
440 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
218 |
204 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$0.00 |
| A9576 |
Injection, gadoteridol, (prohance multipack), per ml |
120 |
118 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
112 |
111 |
$0.00 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
13 |
13 |
$0.00 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
72 |
57 |
$0.00 |
| C1729 |
Catheter, drainage |
33 |
30 |
$0.00 |
| 64447 |
|
15 |
13 |
$0.00 |