| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
51,266 |
42,669 |
$12.76M |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
31,084 |
27,246 |
$7.85M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,896 |
2,842 |
$2.03M |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,458 |
2,418 |
$1.63M |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,967 |
2,390 |
$1.01M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,914 |
7,053 |
$990K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
7,737 |
6,630 |
$776K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,518 |
2,478 |
$644K |
| 99201 |
|
3,016 |
1,754 |
$530K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
8,571 |
1,552 |
$520K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,919 |
2,483 |
$476K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
3,230 |
3,088 |
$459K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
7,415 |
6,919 |
$453K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
754 |
753 |
$451K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,861 |
1,857 |
$442K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
5,378 |
5,044 |
$398K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
307 |
305 |
$379K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,099 |
1,087 |
$377K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
557 |
547 |
$371K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,342 |
4,910 |
$336K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,617 |
3,856 |
$324K |
| 80053 |
Comprehensive metabolic panel |
24,924 |
22,066 |
$293K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,852 |
1,808 |
$239K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
27,704 |
24,120 |
$223K |
| 71045 |
Radiologic examination, chest; single view |
6,740 |
6,370 |
$217K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,435 |
1,416 |
$205K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,871 |
3,702 |
$195K |
| 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 |
2,133 |
2,051 |
$186K |
| J3490 |
Unclassified drugs |
31,038 |
19,482 |
$179K |
| 73610 |
|
1,656 |
1,559 |
$168K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,076 |
844 |
$156K |
| 76830 |
Ultrasound, transvaginal |
1,095 |
1,085 |
$155K |
| 71046 |
Radiologic examination, chest; 2 views |
3,327 |
3,276 |
$148K |
| 73110 |
|
1,288 |
1,138 |
$147K |
| 73030 |
|
1,622 |
1,573 |
$142K |
| 73562 |
|
1,603 |
1,583 |
$134K |
| 73630 |
|
1,576 |
1,517 |
$126K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
828 |
778 |
$116K |
| 73130 |
|
1,137 |
1,084 |
$115K |
| 97750 |
|
1,081 |
599 |
$114K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
9,601 |
8,312 |
$96K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
161 |
159 |
$91K |
| 59025 |
Fetal non-stress test |
1,786 |
971 |
$85K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
434 |
427 |
$85K |
| 76770 |
|
496 |
495 |
$84K |
| 84443 |
Thyroid stimulating hormone (TSH) |
5,534 |
5,447 |
$82K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,425 |
2,386 |
$82K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,369 |
2,335 |
$81K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
579 |
476 |
$81K |
| 97139 |
|
1,999 |
424 |
$79K |
| 83880 |
|
2,544 |
2,369 |
$75K |
| 82077 |
|
1,867 |
1,748 |
$72K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
5,475 |
4,567 |
$71K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
593 |
481 |
$68K |
| 84484 |
|
5,717 |
4,391 |
$65K |
| 83690 |
|
8,255 |
7,479 |
$61K |
| 76801 |
|
517 |
485 |
$60K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,691 |
1,677 |
$53K |
| 90715 |
|
769 |
767 |
$53K |
| 80061 |
Lipid panel |
4,505 |
4,477 |
$52K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
7,363 |
6,478 |
$51K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
4,660 |
3,765 |
$50K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,684 |
5,196 |
$49K |
| 72100 |
|
525 |
523 |
$49K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,534 |
4,475 |
$47K |
| 72141 |
|
87 |
87 |
$45K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
594 |
586 |
$43K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
4,716 |
4,478 |
$41K |
| 87040 |
|
3,020 |
1,848 |
$38K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
526 |
524 |
$37K |
| 73502 |
|
392 |
385 |
$36K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,463 |
1,426 |
$35K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
1,985 |
995 |
$35K |
| J2704 |
Injection, propofol, 10 mg |
2,950 |
1,984 |
$30K |
| 81003 |
|
11,063 |
10,308 |
$30K |
| 93971 |
|
106 |
105 |
$30K |
| 0450 |
Emergency room services |
352 |
315 |
$29K |
| 85610 |
|
4,737 |
4,345 |
$28K |
| 85730 |
|
2,948 |
2,799 |
$28K |
| 73221 |
|
44 |
44 |
$26K |
| 83605 |
|
2,460 |
1,911 |
$26K |
| 86703 |
|
2,004 |
1,994 |
$24K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,634 |
2,381 |
$24K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
703 |
687 |
$23K |
| 72110 |
|
213 |
212 |
$22K |
| 86803 |
|
1,237 |
1,233 |
$21K |
| 70486 |
|
24 |
24 |
$20K |
| 87186 |
|
1,837 |
1,712 |
$18K |
| 84439 |
|
2,142 |
2,112 |
$18K |
| 76536 |
|
132 |
131 |
$17K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
124 |
124 |
$16K |
| 87077 |
|
1,797 |
1,646 |
$16K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,049 |
1,872 |
$16K |
| 73080 |
|
120 |
104 |
$15K |
| 83735 |
|
2,395 |
2,108 |
$15K |
| 87081 |
|
2,122 |
2,084 |
$15K |
| 70498 |
|
26 |
26 |
$14K |
| 81001 |
|
2,994 |
2,836 |
$14K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,369 |
1,159 |
$14K |
| J2060 |
Injection, lorazepam, 2 mg |
2,124 |
1,777 |
$13K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
303 |
292 |
$12K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,449 |
1,298 |
$12K |
| 73140 |
|
197 |
187 |
$12K |
| 81025 |
|
2,883 |
2,812 |
$12K |
| 86140 |
|
2,209 |
2,013 |
$11K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
286 |
283 |
$11K |
| 87400 |
|
1,358 |
1,340 |
$11K |
| 76642 |
|
90 |
90 |
$10K |
| J7050 |
Infusion, normal saline solution, 250 cc |
268 |
227 |
$10K |
| 85379 |
|
1,158 |
1,129 |
$10K |
| 10060 |
|
200 |
196 |
$10K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$10K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,035 |
987 |
$10K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
15 |
15 |
$10K |
| 87430 |
|
895 |
887 |
$10K |
| 87899 |
|
1,947 |
1,933 |
$10K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,531 |
1,411 |
$9K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,459 |
1,420 |
$9K |
| 80179 |
|
293 |
271 |
$9K |
| 87634 |
|
142 |
140 |
$8K |
| 86900 |
|
1,610 |
1,302 |
$8K |
| 12001 |
|
42 |
42 |
$8K |
| 73564 |
|
99 |
98 |
$8K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
765 |
702 |
$8K |
| 80143 |
|
280 |
258 |
$7K |
| 82805 |
|
288 |
235 |
$7K |
| 82947 |
|
1,126 |
1,001 |
$7K |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
639 |
575 |
$7K |
| 86901 |
|
1,514 |
1,339 |
$7K |
| 86592 |
|
1,534 |
1,517 |
$7K |
| 82570 |
|
1,474 |
1,280 |
$6K |
| 72040 |
|
84 |
84 |
$6K |
| 71250 |
|
12 |
12 |
$6K |
| 86850 |
|
1,050 |
987 |
$6K |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
579 |
514 |
$6K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
782 |
717 |
$6K |
| 70496 |
|
12 |
12 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
49 |
45 |
$6K |
| 85027 |
|
804 |
765 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
133 |
60 |
$5K |
| 72050 |
|
51 |
51 |
$5K |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
26 |
26 |
$5K |
| 84702 |
|
383 |
290 |
$5K |
| 85652 |
|
1,938 |
1,820 |
$5K |
| 87799 |
|
71 |
39 |
$4K |
| 87420 |
|
1,286 |
1,211 |
$4K |
| 82550 |
|
484 |
461 |
$4K |
| Z7502 |
|
91 |
90 |
$3K |
| 88142 |
|
588 |
583 |
$3K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
444 |
411 |
$3K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
12 |
12 |
$3K |
| 87340 |
|
211 |
210 |
$3K |
| 82043 |
|
416 |
402 |
$2K |
| 29125 |
|
13 |
12 |
$2K |
| 80055 |
|
69 |
69 |
$2K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
215 |
206 |
$2K |
| 73090 |
|
15 |
14 |
$2K |
| 82552 |
|
134 |
132 |
$2K |
| 87070 |
|
146 |
143 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
25 |
25 |
$2K |
| 86696 |
|
542 |
540 |
$2K |
| 86695 |
|
543 |
541 |
$2K |
| 80074 |
|
42 |
39 |
$2K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
169 |
145 |
$2K |
| 72070 |
|
12 |
12 |
$1K |
| 81002 |
|
385 |
383 |
$1K |
| 84481 |
|
66 |
66 |
$1K |
| 73590 |
|
14 |
13 |
$1K |
| 83540 |
|
228 |
221 |
$1K |
| 74018 |
|
27 |
25 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
127 |
124 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
47 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
29 |
29 |
$1K |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
112 |
105 |
$1K |
| 99070 |
|
75 |
50 |
$1K |
| 51701 |
|
24 |
24 |
$1K |
| 86038 |
|
52 |
48 |
$859.18 |
| 84100 |
|
219 |
204 |
$728.97 |
| 84156 |
|
230 |
202 |
$677.51 |
| 83550 |
|
106 |
101 |
$674.66 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
65 |
61 |
$648.61 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
13 |
12 |
$642.56 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
14 |
$619.52 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
108 |
106 |
$617.37 |
| 83525 |
|
47 |
47 |
$570.98 |
| J3480 |
Injection, potassium chloride, per 2 meq |
35 |
31 |
$549.12 |
| 85007 |
|
156 |
147 |
$517.70 |
| 87481 |
|
16 |
13 |
$499.04 |
| 82746 |
|
14 |
14 |
$492.24 |
| 82248 |
|
74 |
59 |
$483.22 |
| 87512 |
|
13 |
13 |
$482.56 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$472.92 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
34 |
26 |
$457.03 |
| 82247 |
|
87 |
78 |
$402.51 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
13 |
13 |
$397.02 |
| S0028 |
Injection, famotidine, 20 mg |
77 |
72 |
$392.46 |
| 84450 |
|
83 |
75 |
$382.37 |
| 84075 |
|
84 |
75 |
$371.40 |
| 82040 |
|
83 |
75 |
$359.59 |
| J1815 |
Injection, insulin, per 5 units |
30 |
24 |
$336.30 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
13 |
12 |
$315.43 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
134 |
59 |
$314.87 |
| 87205 |
|
42 |
39 |
$293.12 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
66 |
64 |
$262.89 |
| 84155 |
|
84 |
76 |
$262.70 |
| 87147 |
|
45 |
30 |
$218.96 |
| 82607 |
|
17 |
17 |
$210.61 |
| 86308 |
|
30 |
30 |
$202.74 |
| 83001 |
|
12 |
12 |
$196.92 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
191 |
188 |
$195.60 |
| 86762 |
|
15 |
15 |
$193.95 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
15 |
15 |
$151.04 |
| 62323 |
|
13 |
13 |
$132.08 |
| 82950 |
|
38 |
38 |
$123.95 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
14 |
13 |
$118.94 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
22 |
21 |
$107.70 |
| 82728 |
|
12 |
12 |
$106.26 |
| 82553 |
|
12 |
12 |
$100.65 |
| 84550 |
|
13 |
13 |
$97.52 |
| 87088 |
|
16 |
15 |
$97.28 |
| J1940 |
Injection, furosemide, up to 20 mg |
16 |
14 |
$89.04 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
289 |
272 |
$82.85 |
| 87210 |
|
26 |
26 |
$74.10 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
409 |
401 |
$34.39 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
79 |
74 |
$8.51 |
| 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 |
29 |
29 |
$6.11 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
61 |
57 |
$4.80 |
| J7510 |
Prednisolone oral, per 5 mg |
13 |
13 |
$1.30 |