| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,350 |
10,877 |
$1.50M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,560 |
12,373 |
$1.35M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
10,877 |
10,185 |
$1.32M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
9,140 |
8,796 |
$1.18M |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,656 |
4,146 |
$991K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,757 |
3,657 |
$980K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,867 |
8,297 |
$948K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,752 |
6,334 |
$619K |
| 80053 |
Comprehensive metabolic panel |
31,730 |
28,530 |
$562K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,121 |
1,115 |
$559K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,821 |
1,795 |
$505K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
7,522 |
2,165 |
$453K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
680 |
675 |
$440K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,501 |
1,467 |
$412K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,214 |
519 |
$339K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
6,732 |
6,557 |
$334K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13,087 |
11,694 |
$291K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,373 |
1,884 |
$288K |
| 59025 |
Fetal non-stress test |
1,338 |
859 |
$218K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
995 |
947 |
$170K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,252 |
1,230 |
$168K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
106 |
106 |
$161K |
| 36415 |
Collection of venous blood by venipuncture |
29,402 |
23,977 |
$158K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
4,306 |
4,273 |
$131K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
417 |
413 |
$125K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,047 |
2,040 |
$106K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
4,111 |
4,048 |
$104K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,029 |
2,975 |
$99K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,722 |
991 |
$95K |
| 97161 |
|
1,125 |
1,111 |
$93K |
| 84443 |
Thyroid stimulating hormone (TSH) |
11,168 |
10,943 |
$89K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
4,116 |
4,051 |
$85K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
116 |
115 |
$81K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,241 |
2,220 |
$78K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,654 |
4,377 |
$65K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30,089 |
26,998 |
$60K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
2,844 |
2,312 |
$60K |
| 80061 |
Lipid panel |
8,557 |
8,502 |
$59K |
| 88142 |
|
2,584 |
2,576 |
$54K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
6,247 |
6,192 |
$53K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
208 |
208 |
$52K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,667 |
1,645 |
$51K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
6,586 |
6,017 |
$49K |
| 87088 |
|
9,886 |
9,210 |
$48K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
604 |
436 |
$48K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,906 |
2,161 |
$47K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,553 |
2,926 |
$46K |
| 87660 |
|
3,846 |
3,750 |
$45K |
| 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 |
510 |
449 |
$43K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
401 |
401 |
$43K |
| 99201 |
|
409 |
395 |
$42K |
| 88342 |
|
853 |
846 |
$42K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
317 |
314 |
$42K |
| 84439 |
|
4,734 |
4,666 |
$41K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
1,482 |
1,467 |
$40K |
| 86850 |
|
2,303 |
2,245 |
$40K |
| 87480 |
|
3,526 |
3,440 |
$40K |
| 87510 |
|
3,320 |
3,240 |
$37K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
303 |
234 |
$35K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
103 |
101 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
368 |
363 |
$35K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,572 |
1,233 |
$35K |
| 83880 |
|
1,091 |
1,053 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
299 |
299 |
$33K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
703 |
638 |
$32K |
| 86901 |
|
2,450 |
2,365 |
$31K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,888 |
1,877 |
$30K |
| 83655 |
|
2,291 |
2,285 |
$29K |
| 99215 |
Prolong outpt/office vis |
251 |
211 |
$29K |
| 82607 |
|
2,521 |
2,491 |
$28K |
| 76641 |
|
1,362 |
1,334 |
$28K |
| 86900 |
|
2,451 |
2,365 |
$28K |
| 71046 |
Radiologic examination, chest; 2 views |
5,837 |
5,665 |
$25K |
| 82728 |
|
2,038 |
1,987 |
$25K |
| 90686 |
|
1,040 |
1,039 |
$24K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
170 |
167 |
$23K |
| 87634 |
|
2,077 |
2,036 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
205 |
205 |
$23K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
199 |
197 |
$22K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
534 |
484 |
$22K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
212 |
211 |
$21K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
469 |
373 |
$20K |
| 87077 |
|
3,560 |
3,454 |
$20K |
| 94060 |
|
238 |
237 |
$20K |
| 86141 |
|
2,616 |
2,445 |
$19K |
| 73564 |
|
1,757 |
1,616 |
$19K |
| 93971 |
|
301 |
299 |
$18K |
| 87070 |
|
2,682 |
2,618 |
$17K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
12 |
12 |
$17K |
| 81025 |
|
5,388 |
5,130 |
$17K |
| 84153 |
|
957 |
946 |
$16K |
| 84403 |
|
643 |
624 |
$16K |
| 71250 |
|
211 |
207 |
$15K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
100 |
94 |
$15K |
| 86803 |
|
1,656 |
1,646 |
$14K |
| 87186 |
|
3,201 |
3,104 |
$14K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
123 |
123 |
$14K |
| 87340 |
|
1,503 |
1,491 |
$14K |
| 84702 |
|
1,751 |
1,417 |
$13K |
| 85027 |
|
5,221 |
4,866 |
$13K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
57 |
57 |
$13K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
122 |
121 |
$13K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
37 |
37 |
$13K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,936 |
1,931 |
$12K |
| 80076 |
|
1,200 |
1,164 |
$11K |
| 76536 |
|
576 |
568 |
$11K |
| 90715 |
|
519 |
518 |
$11K |
| 86762 |
|
829 |
819 |
$11K |
| 86618 |
|
778 |
762 |
$11K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
258 |
250 |
$11K |
| 83540 |
|
2,350 |
2,293 |
$10K |
| 99441 |
|
96 |
93 |
$10K |
| 87081 |
|
2,213 |
2,180 |
$10K |
| 73630 |
|
1,754 |
1,672 |
$9K |
| 88304 |
|
271 |
271 |
$9K |
| 99292 |
|
167 |
158 |
$9K |
| 73610 |
|
1,796 |
1,596 |
$8K |
| 72110 |
|
590 |
588 |
$8K |
| 96415 |
|
13 |
12 |
$8K |
| 73110 |
|
1,452 |
1,227 |
$8K |
| 81001 |
|
8,117 |
7,553 |
$8K |
| 90682 |
|
328 |
327 |
$8K |
| 73030 |
|
1,288 |
1,198 |
$8K |
| 82784 |
|
720 |
712 |
$7K |
| 81003 |
|
12,305 |
11,390 |
$7K |
| 83735 |
|
3,902 |
3,373 |
$7K |
| 73130 |
|
1,382 |
1,234 |
$7K |
| 76801 |
|
126 |
125 |
$7K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,592 |
4,373 |
$7K |
| 83550 |
|
1,505 |
1,472 |
$6K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
7,550 |
6,712 |
$6K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
474 |
469 |
$6K |
| H0049 |
Alcohol and/or drug screening |
183 |
182 |
$6K |
| 85610 |
|
2,693 |
2,319 |
$6K |
| 74018 |
|
1,298 |
1,247 |
$6K |
| 86665 |
|
296 |
175 |
$6K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,397 |
2,166 |
$6K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
360 |
282 |
$6K |
| 86592 |
|
1,869 |
1,840 |
$6K |
| 84466 |
|
534 |
523 |
$6K |
| 85007 |
|
3,488 |
3,270 |
$5K |
| 82746 |
|
456 |
454 |
$5K |
| 12001 |
|
12 |
12 |
$5K |
| 12002 |
|
12 |
12 |
$5K |
| 85652 |
|
2,449 |
2,353 |
$4K |
| 84480 |
|
704 |
695 |
$4K |
| 83690 |
|
5,098 |
4,746 |
$4K |
| 72141 |
|
12 |
12 |
$3K |
| H1000 |
Prenatal care, at-risk assessment |
113 |
113 |
$3K |
| 85730 |
|
1,804 |
1,686 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
74 |
74 |
$3K |
| 86003 |
|
52 |
50 |
$3K |
| 94726 |
|
45 |
45 |
$3K |
| 70486 |
|
25 |
25 |
$3K |
| 82043 |
|
629 |
620 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,869 |
3,333 |
$3K |
| 76830 |
Ultrasound, transvaginal |
67 |
66 |
$3K |
| 86703 |
|
183 |
181 |
$3K |
| 82248 |
|
571 |
547 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$3K |
| 71271 |
|
100 |
100 |
$2K |
| 86664 |
|
169 |
169 |
$2K |
| 86038 |
|
511 |
451 |
$2K |
| 90734 |
|
66 |
66 |
$2K |
| 84550 |
|
672 |
616 |
$2K |
| 86663 |
|
170 |
170 |
$2K |
| 86431 |
|
447 |
443 |
$2K |
| 86039 |
|
421 |
419 |
$2K |
| 83001 |
|
105 |
105 |
$2K |
| 84146 |
|
110 |
105 |
$2K |
| 96367 |
|
35 |
27 |
$2K |
| 86617 |
|
120 |
66 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
374 |
361 |
$2K |
| 94729 |
|
45 |
45 |
$2K |
| J1756 |
Injection, iron sucrose, 1 mg |
29 |
14 |
$2K |
| 86706 |
|
184 |
181 |
$2K |
| 87045 |
|
220 |
219 |
$2K |
| 90673 |
|
78 |
78 |
$2K |
| 84703 |
|
1,661 |
1,629 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
638 |
511 |
$2K |
| 87631 |
|
25 |
25 |
$2K |
| 82950 |
|
538 |
536 |
$2K |
| 86308 |
|
490 |
484 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,467 |
4,154 |
$1K |
| 85018 |
|
798 |
790 |
$1K |
| 87899 |
|
207 |
206 |
$1K |
| 84100 |
|
885 |
773 |
$1K |
| 85379 |
|
1,035 |
1,003 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| A6010 |
Collagen based wound filler, dry form, sterile, per gram of collagen |
42 |
12 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
1,545 |
1,476 |
$1K |
| 73080 |
|
253 |
223 |
$1K |
| 87040 |
|
1,660 |
1,077 |
$1K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
28 |
28 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
132 |
132 |
$1K |
| 73562 |
|
109 |
107 |
$1K |
| 86709 |
|
140 |
139 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
27 |
27 |
$981.72 |
| 82550 |
|
417 |
385 |
$967.80 |
| 85014 |
|
455 |
448 |
$940.94 |
| 86705 |
|
126 |
126 |
$923.87 |
| 99173 |
|
12 |
12 |
$835.08 |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$763.56 |
| 73502 |
|
153 |
147 |
$716.84 |
| 86480 |
|
12 |
12 |
$645.94 |
| 0012A |
|
45 |
45 |
$595.35 |
| 82105 |
|
94 |
92 |
$593.86 |
| 82150 |
|
159 |
153 |
$560.65 |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
21 |
21 |
$558.81 |
| 84484 |
|
3,865 |
3,375 |
$548.83 |
| 87328 |
|
37 |
37 |
$462.82 |
| G0123 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision |
29 |
29 |
$448.55 |
| 86235 |
|
14 |
14 |
$440.66 |
| 87329 |
|
37 |
37 |
$389.87 |
| 87177 |
|
51 |
50 |
$379.89 |
| 83615 |
|
90 |
87 |
$335.10 |
| 81002 |
|
3,010 |
1,742 |
$328.99 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,032 |
747 |
$303.11 |
| 82962 |
|
2,888 |
2,218 |
$289.12 |
| A4213 |
Syringe, sterile, 20 cc or greater, each |
1,613 |
1,567 |
$282.94 |
| 90651 |
|
12 |
12 |
$255.85 |
| 87209 |
|
51 |
50 |
$252.64 |
| 83993 |
|
26 |
25 |
$239.19 |
| 83605 |
|
1,414 |
1,261 |
$228.98 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
957 |
953 |
$228.56 |
| A9576 |
Injection, gadoteridol, (prohance multipack), per ml |
31 |
31 |
$206.03 |
| 76882 |
|
13 |
13 |
$202.11 |
| 73590 |
|
40 |
38 |
$192.48 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
13 |
13 |
$180.88 |
| 0011A |
|
13 |
13 |
$175.70 |
| 73140 |
|
70 |
67 |
$153.60 |
| 82977 |
|
42 |
40 |
$150.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,282 |
1,268 |
$150.31 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,648 |
2,396 |
$129.50 |
| 82565 |
|
29 |
29 |
$125.75 |
| 80305 |
|
516 |
464 |
$125.45 |
| 87420 |
|
17 |
16 |
$99.41 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,398 |
1,272 |
$96.51 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,364 |
1,138 |
$80.17 |
| 87101 |
|
12 |
12 |
$69.39 |
| 86225 |
|
16 |
15 |
$63.01 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
4,202 |
3,799 |
$62.44 |
| 84460 |
|
12 |
12 |
$50.80 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
772 |
678 |
$50.21 |
| 84520 |
|
12 |
12 |
$47.40 |
| 96376 |
|
353 |
286 |
$45.05 |
| 89055 |
|
12 |
12 |
$34.03 |
| 71101 |
|
12 |
12 |
$31.83 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
21 |
20 |
$27.90 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
86 |
85 |
$24.83 |
| J2704 |
Injection, propofol, 10 mg |
1,926 |
1,876 |
$16.06 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,084 |
3,783 |
$13.51 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
476 |
449 |
$8.53 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
366 |
332 |
$6.80 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,558 |
2,481 |
$3.61 |
| J7050 |
Infusion, normal saline solution, 250 cc |
88 |
73 |
$2.70 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,896 |
1,853 |
$2.20 |
| J1644 |
Injection, heparin sodium, per 1000 units |
189 |
147 |
$1.43 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
323 |
294 |
$0.60 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
12 |
12 |
$0.00 |
| A4615 |
Cannula, nasal |
17 |
17 |
$0.00 |
| 95806 |
|
26 |
26 |
$0.00 |
| 88300 |
|
14 |
14 |
$0.00 |
| 96127 |
|
40 |
39 |
$0.00 |
| L8699 |
Prosthetic implant, not otherwise specified |
12 |
12 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
52 |
52 |
$0.00 |
| 87430 |
|
49 |
48 |
$0.00 |
| J1790 |
Injection, droperidol, up to 5 mg |
14 |
14 |
$0.00 |
| 59430 |
|
13 |
13 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
12 |
12 |
$0.00 |
| 90461 |
|
90 |
90 |
$0.00 |
| C9113 |
Injection, pantoprazole sodium, per vial |
16 |
12 |
$0.00 |