| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
10,890 |
10,429 |
$1.33M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
10,325 |
9,696 |
$1.28M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
8,736 |
8,350 |
$1.06M |
| G0378 |
Hospital observation service, per hour |
381 |
369 |
$576K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
5,782 |
5,116 |
$554K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
9,904 |
8,323 |
$493K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
981 |
979 |
$433K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
4,393 |
4,268 |
$401K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,481 |
2,424 |
$384K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
2,682 |
2,616 |
$361K |
| 80053 |
Comprehensive metabolic panel |
27,192 |
24,499 |
$357K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
756 |
745 |
$316K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,215 |
2,366 |
$264K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,866 |
1,820 |
$240K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,094 |
1,081 |
$172K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
1,564 |
1,549 |
$161K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,744 |
1,662 |
$160K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
270 |
270 |
$154K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
984 |
975 |
$149K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,386 |
4,299 |
$148K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
637 |
608 |
$143K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
4,207 |
4,186 |
$138K |
| 84443 |
Thyroid stimulating hormone (TSH) |
13,129 |
12,900 |
$136K |
| 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 |
1,603 |
1,571 |
$124K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,567 |
1,567 |
$123K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
900 |
833 |
$113K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,405 |
4,315 |
$111K |
| 80061 |
Lipid panel |
11,463 |
11,378 |
$109K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
815 |
798 |
$105K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,779 |
645 |
$101K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,504 |
1,199 |
$97K |
| 87486 |
|
2,078 |
2,058 |
$94K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
29,442 |
26,689 |
$87K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
8,689 |
7,990 |
$83K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,468 |
1,428 |
$82K |
| 71046 |
Radiologic examination, chest; 2 views |
3,255 |
3,199 |
$64K |
| 88142 |
|
2,304 |
2,296 |
$62K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,997 |
6,932 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
474 |
466 |
$59K |
| 84439 |
|
5,760 |
5,650 |
$53K |
| 76770 |
|
527 |
522 |
$51K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
786 |
774 |
$50K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,267 |
1,248 |
$48K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
377 |
369 |
$48K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
333 |
332 |
$47K |
| 82607 |
|
3,659 |
3,636 |
$46K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
2,599 |
2,573 |
$46K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,605 |
5,097 |
$43K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,436 |
1,420 |
$41K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,803 |
1,730 |
$41K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
7,113 |
6,710 |
$41K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
6,913 |
6,424 |
$39K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
2,068 |
2,047 |
$38K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
32 |
32 |
$33K |
| 87581 |
|
2,080 |
2,060 |
$32K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,063 |
1,061 |
$31K |
| 74018 |
|
970 |
947 |
$31K |
| 87507 |
|
179 |
177 |
$30K |
| 87631 |
|
564 |
552 |
$29K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
396 |
394 |
$29K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,568 |
1,568 |
$27K |
| 36415 |
Collection of venous blood by venipuncture |
15,725 |
14,333 |
$25K |
| 86780 |
|
2,236 |
2,202 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,808 |
2,299 |
$21K |
| 82728 |
|
1,598 |
1,577 |
$20K |
| 93971 |
|
353 |
347 |
$20K |
| 82746 |
|
1,512 |
1,496 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
3,318 |
3,172 |
$18K |
| 86803 |
|
1,439 |
1,423 |
$17K |
| 83735 |
|
5,067 |
4,690 |
$17K |
| 87070 |
|
1,935 |
1,913 |
$17K |
| 83550 |
|
2,167 |
2,135 |
$16K |
| 80076 |
|
2,510 |
2,460 |
$16K |
| 81003 |
|
9,493 |
8,979 |
$16K |
| 86900 |
|
915 |
866 |
$15K |
| 82043 |
|
1,632 |
1,625 |
$14K |
| 87186 |
|
2,462 |
2,361 |
$13K |
| 84702 |
|
1,275 |
1,035 |
$13K |
| 76830 |
Ultrasound, transvaginal |
193 |
193 |
$13K |
| 84146 |
|
743 |
732 |
$13K |
| 83540 |
|
2,387 |
2,352 |
$12K |
| 99215 |
Prolong outpt/office vis |
93 |
88 |
$12K |
| 87340 |
|
1,107 |
1,099 |
$11K |
| 87210 |
|
2,954 |
2,888 |
$11K |
| 83655 |
|
788 |
783 |
$11K |
| 86850 |
|
803 |
771 |
$11K |
| 86140 |
|
1,703 |
1,599 |
$10K |
| 83880 |
|
511 |
489 |
$10K |
| 84403 |
|
339 |
330 |
$10K |
| 82948 |
|
2,106 |
1,530 |
$10K |
| 72100 |
|
298 |
295 |
$10K |
| 82570 |
|
1,841 |
1,812 |
$9K |
| 84703 |
|
3,618 |
3,472 |
$9K |
| 85027 |
|
2,370 |
2,280 |
$9K |
| 73630 |
|
555 |
543 |
$9K |
| 99490 |
Ccm add 20min |
437 |
375 |
$8K |
| 81025 |
|
3,457 |
3,332 |
$8K |
| 86901 |
|
911 |
863 |
$8K |
| 85610 |
|
3,329 |
2,555 |
$8K |
| 76536 |
|
134 |
133 |
$8K |
| 73610 |
|
551 |
536 |
$7K |
| 12001 |
|
39 |
39 |
$7K |
| 76642 |
|
139 |
138 |
$7K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,599 |
3,118 |
$7K |
| 73562 |
|
330 |
315 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
842 |
712 |
$6K |
| 73130 |
|
317 |
304 |
$6K |
| 0012A |
|
180 |
180 |
$5K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,996 |
3,688 |
$5K |
| 86038 |
|
569 |
569 |
$5K |
| 85652 |
|
2,347 |
2,251 |
$5K |
| 83690 |
|
4,343 |
4,018 |
$5K |
| 73030 |
|
296 |
288 |
$4K |
| 81001 |
|
1,361 |
1,329 |
$4K |
| 86762 |
|
300 |
296 |
$4K |
| 82784 |
|
337 |
314 |
$4K |
| 82248 |
|
882 |
868 |
$3K |
| 97162 |
|
42 |
41 |
$3K |
| 86376 |
|
174 |
169 |
$3K |
| 0011A |
|
174 |
174 |
$3K |
| 73110 |
|
159 |
152 |
$3K |
| 90715 |
|
213 |
213 |
$2K |
| 84484 |
|
3,032 |
2,559 |
$2K |
| 94727 |
|
25 |
25 |
$2K |
| 76801 |
|
46 |
43 |
$2K |
| 82150 |
|
967 |
940 |
$2K |
| 94060 |
|
13 |
13 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
14 |
14 |
$2K |
| 82105 |
|
182 |
180 |
$2K |
| 83516 |
|
146 |
136 |
$2K |
| 86618 |
|
104 |
104 |
$2K |
| 93017 |
|
13 |
13 |
$2K |
| 86255 |
|
174 |
174 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
39 |
14 |
$2K |
| 96367 |
|
33 |
24 |
$2K |
| 86787 |
|
163 |
163 |
$2K |
| 82550 |
|
623 |
600 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 85730 |
|
1,342 |
1,304 |
$1K |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
96 |
95 |
$1K |
| 83001 |
|
79 |
79 |
$1K |
| 88304 |
|
56 |
38 |
$1K |
| 84153 |
|
65 |
63 |
$1K |
| 76870 |
|
24 |
24 |
$1K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
19 |
13 |
$1K |
| 86364 |
|
152 |
132 |
$1K |
| 73502 |
|
39 |
39 |
$1K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
480 |
460 |
$1K |
| 83525 |
|
105 |
105 |
$1K |
| 82077 |
|
33 |
31 |
$1K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,315 |
2,269 |
$982.66 |
| 86431 |
|
167 |
167 |
$897.15 |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$817.32 |
| 83605 |
|
1,419 |
1,310 |
$811.56 |
| 85379 |
|
928 |
917 |
$804.07 |
| 87040 |
|
554 |
422 |
$785.46 |
| 80074 |
|
34 |
32 |
$779.73 |
| 86480 |
|
12 |
12 |
$639.06 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,163 |
2,124 |
$604.63 |
| 0352U |
|
12 |
12 |
$584.06 |
| 84402 |
|
14 |
13 |
$536.73 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
25 |
25 |
$504.68 |
| 82950 |
|
107 |
107 |
$480.71 |
| 71271 |
|
12 |
12 |
$443.28 |
| 87625 |
|
13 |
13 |
$389.19 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,056 |
1,031 |
$376.25 |
| J2704 |
Injection, propofol, 10 mg |
95 |
94 |
$371.35 |
| 84481 |
|
27 |
27 |
$371.01 |
| 82652 |
|
14 |
14 |
$360.58 |
| 0002A |
|
13 |
13 |
$352.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
324 |
320 |
$345.86 |
| 86256 |
|
29 |
25 |
$316.48 |
| 84436 |
|
77 |
75 |
$311.85 |
| 99000 |
|
64 |
63 |
$300.64 |
| 82681 |
|
13 |
13 |
$293.96 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
970 |
789 |
$287.23 |
| 87641 |
|
13 |
12 |
$279.77 |
| 86336 |
|
25 |
25 |
$276.15 |
| 86765 |
|
12 |
12 |
$270.08 |
| J3490 |
Unclassified drugs |
133 |
130 |
$270.07 |
| 82670 |
|
13 |
13 |
$268.44 |
| 84550 |
|
64 |
61 |
$253.04 |
| 82677 |
|
12 |
12 |
$243.80 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,939 |
3,618 |
$228.95 |
| 86665 |
|
12 |
12 |
$227.66 |
| 86308 |
|
64 |
64 |
$221.58 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,280 |
3,993 |
$192.25 |
| 74019 |
|
12 |
12 |
$182.54 |
| 0001A |
|
12 |
12 |
$145.23 |
| 73140 |
|
14 |
13 |
$137.44 |
| 73590 |
|
12 |
12 |
$135.58 |
| 96376 |
|
309 |
258 |
$120.55 |
| 94729 |
|
12 |
12 |
$106.79 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
15 |
14 |
$90.09 |
| 85014 |
|
28 |
26 |
$89.02 |
| 84100 |
|
59 |
54 |
$88.71 |
| 80178 |
|
14 |
13 |
$76.34 |
| 84460 |
|
13 |
13 |
$69.32 |
| 85018 |
|
30 |
28 |
$63.26 |
| 80143 |
|
13 |
12 |
$51.69 |
| 80179 |
|
12 |
12 |
$51.69 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
480 |
431 |
$43.31 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
389 |
376 |
$35.61 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
134 |
117 |
$19.05 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
310 |
296 |
$16.55 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
341 |
313 |
$5.68 |
| J2060 |
Injection, lorazepam, 2 mg |
17 |
13 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
17 |
14 |
$0.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
44 |
44 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
78 |
68 |
$0.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
28 |
24 |
$0.00 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
26 |
26 |
$0.00 |