Code by code · CPT 99284
ER visit, moderate complexity
Emergency department visits
What arbiters awarded for one service: how often the provider won, the award against the payer's rate, and the dollars from the payer's first payment to the award, by period, state and metro area.
- 1,006,568
- line items decided603,194 disputes · Latest four quarters (2025 Q1 to 2025 Q4) · national
- 85%
- of contested disputes won by the provider472,552 contested · 22% decided by default
- 3.3×
- the payer's rate: the median awardmiddle half 1.97× to 5.6× · 924,949 line items
- 1.01×
- the payer's rate: what payers themselves offered, medianproviders asked 3.7× · 761,966 offers
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01From first payment to award
From what the payer paid first to what the arbiter awarded
Medians in dollars for this code, Latest four quarters (2025 Q1 to 2025 Q4), national. The payer's rate is its qualifying payment amount as the filer reported it; the award is the offer the arbiter chose.
Arbiters awarded a median $587 per line more than the payer first paid.
Medians, in dollars. 1,006,021 line items · 927,443 with a usable payer's rate · 498,176 with a first payment. 95,869 line items had a first payment of $0.
The award as a multiple of the payer's rate
Each rung says how many awards fell below it: one in ten, one in four, half, three in four, nine in ten.
924,949 line items with a reported payer's rate; 476 above 100× (nominal or unit-price rates) sit in the tail and are not drawn.
The award in dollars
The same rungs, in dollars, from the anonymised file.
997,047 line items. When the payer won, the median award was $312; when the provider won, $696.
02Over time and by place
Line items decided per quarter, and the share providers won
National, every quarter this code appears with 11 or more line items.
By state
The state where the service was given. Choose one to filter the page.
| 354,953 | 80% | 4.5× | |
| 75,060 | 89% | 1.93× | |
| 68,800 | 86% | 2.7× | |
| 56,510 | 89% | 2.5× | |
| 46,137 | 86% | 2.9× | |
| 30,461 | 88% | 3.1× | |
| 30,342 | 83% | 3.8× | |
| 29,279 | 88% | 3.1× | |
| 27,850 | 91% | 4.0× | |
| 27,816 | 89% | 2.5× | |
| 22,516 | 92% | 2.3× | |
| 22,269 | 92% | 2.7× | |
| 20,069 | 89% | 3.8× | |
| 18,099 | 88% | 5.3× | |
| 17,584 | 91% | 3.0× | |
| 16,719 | 91% | 2.5× | |
| 15,909 | 90% | 4.0× | |
| 15,755 | 93% | 5.2× | |
| 15,067 | 88% | 2.1× | |
| 15,003 | 89% | 2.6× |
By metro area, in dollars
From the anonymised dollar file, which carries the metro area but not the state or the payer.
| 65,150 | $243 | $183 | $1,413 | 4.7× | |
| 53,936 | $190 | $173 | $608 | 2.2× | |
| 42,407 | $342 | $177 | $1,468 | 3.4× | |
| 38,236 | $233 | $186 | $626 | 2.3× | |
| 31,353 | $293 | $172 | $2,070 | 4.5× | |
| 26,406 | $396 | $366 | $685 | 1.73× | |
| 24,610 | $322 | $187 | $1,500 | 3.8× | |
| 20,338 | $328 | $266 | $651 | 2.1× | |
| 19,927 | $216 | $177 | $1,413 | 5.2× | |
| 18,364 | $220 | $168 | $642 | 2.9× | |
| 14,859 | $182 | $209 | $569 | 2.7× | |
| 13,776 | $192 | $153 | $578 | 3.1× | |
| 12,784 | $232 | $202 | $698 | 2.9× | |
| 12,779 | $289 | $182 | $3,191 | 4.9× | |
| 12,447 | $221 | $182 | $1,413 | 4.2× | |
| 10,815 | $171 | $136 | $664 | 4.0× | |
| 10,412 | $163 | $159 | $640 | 3.9× | |
| 10,180 | $180 | $131 | $685 | 2.8× | |
| 9,503 | $392 | $180 | $824 | 3.8× | |
| 8,336 | $213 | $171 | $834 | 2.7× |
03Payers, modifiers and Medicare
By payer
National. "Provider won" here is the share of contested line items, not disputes; dollar figures cannot be split by payer.
| UnitedHealthcare | 294,794 | 86% | 2.7× | 1.08× |
| Blue Cross and Blue Shield of Texas | 171,600 | 86% | 6.6× | 1.00× |
| Aetna | 97,667 | 87% | 3.0× | 1.00× |
| Anthem | 73,250 | 89% | 3.4× | 1.00× |
| Claritev (formerly MultiPlan) | 70,235 | 77% | 4.1× | 2.9× |
| Cigna Healthcare | 60,852 | 80% | 2.7× | 1.25× |
| Blue Cross Blue Shield of Arizona | 28,978 | 83% | 3.7× | 1.00× |
| Blue Cross and Blue Shield of Illinois | 24,650 | 91% | 2.7× | 1.00× |
| Florida Blue | 23,260 | 95% | 2.7× | 1.00× |
| Centene | 19,658 | 96% | 3.2× | 1.00× |
| Blue Cross and Blue Shield of New Mexico | 10,852 | 99% | 5.2× | 1.00× |
| Zelis | 6,378 | 75% | 3.6× | 1.25× |
| Blue Cross and Blue Shield of Louisiana | 4,541 | 50% | 3.0× | 1.20× |
| bcbst.com | 3,060 | 73% | 4.4× | 1.05× |
| Blue Cross and Blue Shield of Oklahoma | 3,037 | 99% | 17× | 1.42× |
What Medicare would pay, for context only
The 2026 physician fee schedule amount for this code, computed from CMS's relative value units, geographic indices and the $33.4009 conversion factor. Federal law bars an arbiter from considering Medicare rates, so this is a unit practices know, not a factor in any decision.
| Setting | National (indices of 1.0) |
|---|---|
| Facility (hospital, ASC) | $118.24 |
Source: Centers for Medicare & Medicaid Services. Federal IDR Public Use File [Data file and data dictionary]. Retrieved from https://www.cms.gov/nosurprises/policies-and-resources/reports. Spectare Health's reading; national public data about federal disputes, not Spectare's results, and not a prediction for any claim. Cells with fewer than 11 line items are not published. Code labels are Spectare's own plain-English descriptions, not CPT descriptors; CPT is a registered trademark of the American Medical Association. Medicare amounts from the CMS physician fee schedule relative value files. Data version 2025Q4-166d8d. How we count.
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04Every code
The most disputed codes, Latest four quarters (2025 Q1 to 2025 Q4)
The forty most disputed of three hundred codes, national. Type in the box above or pick a code here; filter or sort by any column, or show all three hundred.
| 99284 | ER visit, moderate complexity · Emergency department visits | 1,006,568 | 85% | 3.3× | $216 | $664 |
| 99285 | ER visit, high complexity · Emergency department visits | 585,991 | 87% | 2.9× | $292 | $871 |
| 99283 | ER visit, low complexity · Emergency department visits | 269,363 | 81% | 3.8× | $187 | $1,250 |
| 71045 | Chest X-ray, one view · Radiology | 112,842 | 89% | 5.9× | $12 | $99 |
| 85025 | Complete blood count with differential · Pathology and laboratory | 95,520 | 80% | 4.4× | $47 | $268 |
| 74177 | CT abdomen and pelvis, with contrast · Radiology | 95,225 | 87% | 6.3× | $146 | $1,030 |
| 77067 | Screening mammogram · Radiology | 79,904 | 95% | 2.9× | $65 | $192 |
| 99291 | Critical care, first 30 to 74 minutes · Critical care | 76,600 | 88% | 3.4× | $315 | $1,041 |
| 80053 | Comprehensive metabolic panel · Pathology and laboratory | 75,389 | 81% | 5.1× | $74 | $582 |
| 77063 | Screening 3D mammogram (tomosynthesis) · Radiology | 74,611 | 95% | 2.5× | $50 | $130 |
| 71046 | Chest X-ray, two views · Radiology | 69,519 | 85% | 7.2× | $15 | $130 |
| 70450 | CT head, without contrast · Radiology | 67,744 | 89% | 4.7× | $69 | $388 |
| 95938 | Somatosensory evoked potentials, arms and legs · Neurology and neuromonitoring | 58,697 | 85% | 37× | $58 | $2,560 |
| 00812 | Anesthesia for screening colonoscopy · Anesthesia | 50,969 | 83% | 4.2× | $247 | $1,130 |
| 96375 | IV push, each additional drug · Hydration, injections and infusions | 49,534 | 82% | 4.9× | $94 | $533 |
| 81003 | Urinalysis, automated, without microscopy · Pathology and laboratory | 48,622 | 78% | 6.4× | $26 | $194 |
| 74176 | CT abdomen and pelvis, without contrast · Radiology | 44,867 | 86% | 6.2× | $132 | $1,030 |
| 96374 | IV push, single drug · Hydration, injections and infusions | 44,672 | 81% | 3.4× | $127 | $454 |
| 96361 | IV hydration, each additional hour · Hydration, injections and infusions | 43,483 | 81% | 4.4× | $95 | $354 |
| 93005 | ECG, tracing only · Cardiovascular | 40,910 | 82% | 3.4× | $111 | $464 |
| 95941 | Remote intraoperative neuromonitoring, per hour · Neurology and neuromonitoring | 39,398 | 85% | 13× | $372 | $4,963 |
| 93010 | ECG, interpretation and report · Cardiovascular | 36,621 | 86% | 6.3× | $13 | $55 |
| 84484 | Troponin test · Pathology and laboratory | 36,437 | 81% | 3.8× | $80 | $344 |
| 96372 | Injection under the skin or into muscle · Hydration, injections and infusions | 35,195 | 78% | 4.1× | $87 | $335 |
| 95939 | Motor evoked potentials, arms and legs · Neurology and neuromonitoring | 32,652 | 84% | 17× | $150 | $2,861 |
| 99232 | Hospital follow-up visit, moderate complexity · Hospital inpatient and observation care | 31,471 | 86% | 3.6× | $85 | $278 |
| 36415 | Blood draw · Surgery | 31,263 | 84% | 3.3× | $11 | $32 |
| 87880 | Rapid strep test · Pathology and laboratory | 28,988 | 77% | 3.8× | $61 | $217 |
| 71275 | CT angiography, chest · Radiology | 28,577 | 90% | 5.7× | $135 | $941 |
| J7030 | Normal saline, 1,000 ml · Other HCPCS items and services | 28,288 | 77% | 3.6× | $15 | $60 |
| 99233 | Hospital follow-up visit, high complexity · Hospital inpatient and observation care | 28,091 | 84% | 3.2× | $126 | $398 |
| J1885 | Ketorolac injection, per 15 mg · Other HCPCS items and services | 27,246 | 75% | 3.6× | $9 | $36 |
| 87804 | Rapid flu test · Pathology and laboratory | 25,531 | 84% | 3.4× | $75 | $222 |
| 95861 | Needle EMG, two limbs · Neurology and neuromonitoring | 24,147 | 85% | 17× | $104 | $2,027 |
| 00731 | Anesthesia for upper GI endoscopy · Anesthesia | 23,962 | 83% | 3.5× | $289 | $1,200 |
| 96365 | IV infusion for treatment, first hour · Hydration, injections and infusions | 23,867 | 83% | 3.5× | $170 | $476 |
| Q9967 | Contrast material, low osmolar, per ml · Other HCPCS items and services | 23,843 | 80% | 5.0× | $78 | $371 |
| 76705 | Ultrasound, abdomen, limited · Radiology | 23,701 | 90% | 5.8× | $41 | $300 |
| 81025 | Urine pregnancy test · Pathology and laboratory | 21,472 | 80% | 4.2× | $34 | $143 |
| J2405 | Ondansetron injection, per 1 mg · Other HCPCS items and services | 19,671 | 76% | 3.4× | $8 | $28 |
| 82150 | Amylase test · Pathology and laboratory | 19,137 | 77% | 6.4× | $43 | $318 |
| 99223 | Hospital admission, high complexity · Hospital inpatient and observation care | 18,821 | 86% | 3.1× | $238 | $714 |
| 72125 | CT cervical spine, without contrast · Radiology | 18,557 | 88% | 4.7× | $93 | $469 |
| 95870 | Needle EMG, limited study · Neurology and neuromonitoring | 17,707 | 83% | 66× | $43 | $4,561 |
| 00813 | Anesthesia for combined upper and lower GI endoscopy · Anesthesia | 17,702 | 83% | 4.0× | $317 | $1,395 |
| 84703 | hCG pregnancy hormone test, qualitative · Pathology and laboratory | 17,585 | 77% | 4.8× | $54 | $279 |
| 95955 | EEG during surgery · Neurology and neuromonitoring | 17,531 | 87% | 34× | $60 | $3,900 |
| 00840 | Anesthesia for a lower abdominal procedure · Anesthesia | 17,167 | 84% | 3.0× | $568 | $1,865 |
| 74018 | Abdominal X-ray, one view · Radiology | 16,622 | 91% | 6.5× | $12 | $99 |
| 95937 | Neuromuscular junction testing · Neurology and neuromonitoring | 16,526 | 87% | 61× | $72 | $3,113 |
| 82977 | GGT liver enzyme test · Pathology and laboratory | 15,720 | 77% | 5.3× | $25 | $117 |
| G0378 | Hospital observation, per hour · Other HCPCS items and services | 15,585 | 80% | 6.8× | $1,056 | $9,811 |
| 82550 | CK enzyme test, total · Pathology and laboratory | 15,447 | 75% | 5.6× | $42 | $258 |
| 83690 | Lipase test · Pathology and laboratory | 15,157 | 82% | 3.9× | $48 | $203 |
| 80048 | Basic metabolic panel · Pathology and laboratory | 15,110 | 85% | 3.9× | $68 | $408 |
| 87426 | COVID-19 antigen test, immunoassay · Pathology and laboratory | 15,054 | 86% | 3.1× | $49 | $120 |
| 00811 | Anesthesia for lower GI endoscopy · Anesthesia | 15,045 | 80% | 3.5× | $271 | $1,076 |
| G0453 | Remote intraoperative neuromonitoring, each 15 minutes · Other HCPCS items and services | 14,321 | 78% | 13× | $188 | $2,875 |
| 83735 | Magnesium test · Pathology and laboratory | 14,172 | 80% | 4.9× | $31 | $201 |
| 76830 | Transvaginal ultrasound · Radiology | 14,082 | 91% | 5.0× | $47 | $296 |
| 83605 | Lactic acid test · Pathology and laboratory | 13,524 | 80% | 4.8× | $30 | $120 |
| 81001 | Urinalysis, automated, with microscopy · Pathology and laboratory | 13,258 | 82% | 3.6× | $30 | $134 |
| 70498 | CT angiography, neck · Radiology | 12,984 | 91% | 5.4× | $133 | $878 |
| 82947 | Blood glucose test · Pathology and laboratory | 12,870 | 74% | 5.8× | $26 | $167 |
| 70496 | CT angiography, head · Radiology | 12,722 | 91% | 4.6× | $129 | $730 |
| S5001 | Brand-name prescription drug · Other HCPCS items and services | 12,620 | 92% | 3.1× | $5 | $19 |
| 01967 | Labor epidural, planned vaginal delivery · Anesthesia | 12,598 | 81% | 2.6× | $1,419 | $3,698 |
| 87428 | COVID-19 and flu combined antigen test · Pathology and laboratory | 12,485 | 75% | 5.2× | $96 | $750 |
| 85379 | D-dimer test, quantitative · Pathology and laboratory | 12,477 | 80% | 5.4× | $62 | $478 |
| 76641 | Breast ultrasound, complete · Radiology | 12,395 | 93% | 5.8× | $52 | $313 |
| 73630 | Foot X-ray, three or more views · Radiology | 12,128 | 83% | 5.4× | $15 | $85 |
| 82565 | Creatinine test · Pathology and laboratory | 12,010 | 73% | 6.2× | $33 | $221 |
| 71260 | CT chest, with contrast · Radiology | 12,004 | 91% | 4.6× | $91 | $504 |
| 76856 | Pelvic ultrasound, complete · Radiology | 11,938 | 89% | 5.5× | $45 | $302 |
| 80051 | Electrolyte panel · Pathology and laboratory | 11,855 | 73% | 6.9× | $56 | $428 |
| 84520 | Blood urea nitrogen (BUN) test · Pathology and laboratory | 11,627 | 73% | 6.3× | $29 | $207 |
| 00790 | Anesthesia for an upper abdominal procedure · Anesthesia | 11,499 | 85% | 2.9× | $620 | $2,018 |
| 99239 | Hospital discharge, more than 30 minutes · Hospital inpatient and observation care | 11,471 | 84% | 3.0× | $128 | $401 |
| 93971 | Venous ultrasound, one limb · Non-invasive vascular studies | 11,463 | 89% | 7.9× | $33 | $272 |
| 71250 | CT chest, without contrast · Radiology | 11,416 | 90% | 4.7× | $91 | $452 |
| 85027 | Complete blood count, automated · Pathology and laboratory | 11,258 | 82% | 5.7× | $29 | $225 |
| 73610 | Ankle X-ray, three or more views · Radiology | 10,904 | 84% | 5.7× | $15 | $102 |
| J1100 | Dexamethasone injection, per 1 mg · Other HCPCS items and services | 10,827 | 71% | 5.0× | $25 | $189 |
| 250 | MS-DRG 250: heart catheter procedure without stent, major complications · Hospital stays (MS-DRG) | 10,683 | 87% | 2.5× | $10 | $17 |
| 76642 | Breast ultrasound, limited · Radiology | 10,496 | 92% | 5.4× | $51 | $306 |
| 82553 | CK-MB cardiac enzyme test · Pathology and laboratory | 10,493 | 76% | 6.5× | $60 | $398 |
| 87086 | Urine culture, colony count · Pathology and laboratory | 10,276 | 82% | 4.4× | $45 | $246 |
| 72131 | CT lumbar spine, without contrast · Radiology | 10,229 | 88% | 4.5× | $88 | $443 |
| 73030 | Shoulder X-ray, two or more views · Radiology | 10,185 | 86% | 5.9× | $14 | $99 |
| 01400 | Anesthesia for knee arthroscopy · Anesthesia | 10,160 | 82% | 3.4× | $390 | $1,576 |
| S5000 | Generic prescription drug · Other HCPCS items and services | 9,925 | 92% | 3.1× | $3 | $3 |
| 70553 | MRI brain, with and without contrast · Radiology | 9,922 | 94% | 4.2× | $222 | $861 |
| 94640 | Nebulizer treatment · Pulmonary | 9,917 | 81% | 4.2× | $104 | $438 |
| 96376 | IV push, each additional dose of the same drug · Hydration, injections and infusions | 9,779 | 82% | 4.8× | $75 | $334 |
| 73562 | Knee X-ray, three views · Radiology | 9,760 | 86% | 5.5× | $15 | $91 |
| 70551 | MRI brain, without contrast · Radiology | 9,724 | 92% | 3.9× | $144 | $616 |
| 73130 | Hand X-ray, three or more views · Radiology | 9,723 | 85% | 5.8× | $14 | $94 |
| 83880 | BNP heart failure marker test · Pathology and laboratory | 9,376 | 81% | 4.0× | $82 | $421 |
| 94761 | Pulse oximetry, multiple readings · Pulmonary | 9,312 | 67% | 5.5× | $73 | $749 |
| 80076 | Liver function panel · Pathology and laboratory | 9,094 | 82% | 5.4× | $61 | $430 |
| 96360 | IV hydration, first hour · Hydration, injections and infusions | 8,548 | 80% | 2.8× | $188 | $538 |
| 77066 | Diagnostic mammogram, both breasts · Radiology | 8,386 | 95% | 3.1× | $82 | $261 |
| 70486 | CT face, without contrast · Radiology | 8,264 | 90% | 5.1× | $81 | $475 |
| 83874 | Myoglobin test · Pathology and laboratory | 8,249 | 74% | 5.5× | $52 | $376 |
| 77065 | Diagnostic mammogram, one breast · Radiology | 8,189 | 95% | 3.2× | $64 | $207 |
| 76815 | Pregnancy ultrasound, limited · Radiology | 8,112 | 94% | 5.1× | $42 | $269 |
| 99282 | ER visit, straightforward · Emergency department visits | 7,997 | 79% | 5.1× | $285 | $1,581 |
| 01480 | Anesthesia for a lower leg, ankle or foot bone procedure · Anesthesia | 7,965 | 82% | 3.5× | $371 | $1,700 |
| J0696 | Ceftriaxone injection, per 250 mg · Other HCPCS items and services | 7,954 | 74% | 3.9× | $17 | $114 |
| 00142 | Anesthesia for cataract or lens surgery · Anesthesia | 7,858 | 80% | 4.8× | $312 | $1,530 |
| J2270 | Morphine injection, up to 10 mg · Other HCPCS items and services | 7,817 | 79% | 3.3× | $8 | $28 |
| 76817 | Transvaginal ultrasound in pregnancy · Radiology | 7,780 | 91% | 6.8× | $52 | $395 |
| A4670 | Automatic blood pressure monitor · Other HCPCS items and services | 7,685 | 67% | 4.0× | $12 | $54 |
| 73110 | Wrist X-ray, three or more views · Radiology | 7,495 | 85% | 5.9× | $15 | $97 |
| 87633 | Respiratory virus PCR panel, 12 to 25 targets · Pathology and laboratory | 7,396 | 70% | 4.4× | $277 | $1,350 |
| 01961 | Anesthesia for cesarean delivery · Anesthesia | 7,289 | 86% | 2.6× | $556 | $1,668 |
| 73721 | MRI leg joint, without contrast · Radiology | 7,205 | 93% | 3.7× | $169 | $560 |
| 72148 | MRI lumbar spine, without contrast · Radiology | 7,118 | 92% | 3.9× | $157 | $616 |
| 76700 | Ultrasound, abdomen, complete · Radiology | 7,109 | 93% | 4.8× | $55 | $343 |
| 12001 | Simple wound repair, 2.5 cm or less, body or limbs · Surgery | 6,976 | 80% | 5.1× | $96 | $644 |
| 00400 | Anesthesia for a skin procedure on the limbs or front of the body · Anesthesia | 6,928 | 83% | 3.2× | $314 | $1,139 |
| 01630 | Anesthesia for a shoulder joint or upper arm bone procedure · Anesthesia | 6,919 | 83% | 3.6× | $468 | $2,161 |
| 00170 | Anesthesia for a mouth procedure · Anesthesia | 6,702 | 78% | 3.3× | $349 | $1,329 |
| 01810 | Anesthesia for a forearm, wrist or hand soft-tissue procedure · Anesthesia | 6,679 | 82% | 3.7× | $246 | $1,150 |
| 76536 | Ultrasound, head and neck soft tissue · Radiology | 6,466 | 94% | 5.2× | $39 | $248 |
| 82040 | Albumin test · Pathology and laboratory | 6,343 | 73% | 5.6× | $15 | $132 |
| 01402 | Anesthesia for total knee replacement · Anesthesia | 6,325 | 84% | 3.1× | $599 | $2,246 |
| J8499 | Oral prescription drug, non-chemotherapy · Other HCPCS items and services | 6,322 | 71% | 4.5× | $9 | $50 |
| 72100 | Lumbar spine X-ray, two or three views · Radiology | 6,204 | 87% | 5.6× | $16 | $121 |
| G0279 | Diagnostic 3D mammogram add-on · Other HCPCS items and services | 6,201 | 95% | 4.9× | $31 | $155 |
| 392 | MS-DRG 392: digestive disorders, no major complications · Hospital stays (MS-DRG) | 6,182 | 74% | 3.1× | $3,121 | $10,251 |
| 93976 | Doppler ultrasound, abdomen or pelvis, limited · Non-invasive vascular studies | 6,138 | 91% | 5.7× | $82 | $492 |
| 82247 | Bilirubin test, total · Pathology and laboratory | 6,086 | 72% | 6.5× | $24 | $197 |
| 87635 | COVID-19 PCR test · Pathology and laboratory | 6,080 | 77% | 2.1× | $64 | $140 |
| 84075 | Alkaline phosphatase test · Pathology and laboratory | 6,074 | 71% | 6.0× | $19 | $171 |
| 84450 | AST liver enzyme test · Pathology and laboratory | 6,053 | 71% | 6.3× | $31 | $239 |
| 85610 | Prothrombin time (clotting) test · Pathology and laboratory | 6,027 | 81% | 4.8× | $30 | $156 |
| 99222 | Hospital admission, moderate complexity · Hospital inpatient and observation care | 5,997 | 86% | 7.2× | $163 | $1,208 |
| 84460 | ALT liver enzyme test · Pathology and laboratory | 5,996 | 71% | 6.5× | $28 | $209 |
| 00952 | Anesthesia for hysteroscopy · Anesthesia | 5,982 | 84% | 3.1× | $316 | $1,052 |
| 76770 | Ultrasound, retroperitoneum, complete · Radiology | 5,976 | 94% | 5.3× | $49 | $335 |
| 87637 | COVID-19, flu and RSV combined PCR test · Pathology and laboratory | 5,947 | 79% | 3.1× | $198 | $750 |
| 84155 | Total protein test · Pathology and laboratory | 5,929 | 71% | 6.0× | $19 | $185 |
| 00160 | Anesthesia for a nose or sinus procedure · Anesthesia | 5,757 | 79% | 3.3× | $461 | $1,698 |
| 87798 | Pathogen PCR test, not otherwise specified · Pathology and laboratory | 5,705 | 67% | 4.9× | $124 | $561 |
| 74174 | CT angiography, abdomen and pelvis · Radiology | 5,601 | 91% | 5.8× | $164 | $1,171 |
| A4657 | Syringe · Other HCPCS items and services | 5,572 | 68% | 5.1× | $53 | $232 |
| 86140 | C-reactive protein test · Pathology and laboratory | 5,489 | 86% | 3.9× | $10 | $29 |
| 00670 | Anesthesia for extensive spine surgery · Anesthesia | 5,426 | 84% | 2.8× | $985 | $3,528 |
| 77080 | Bone density scan (DXA), hip or spine · Radiology | 5,393 | 95% | 7.0× | $18 | $126 |
| 87081 | Screening culture for pathogens · Pathology and laboratory | 5,353 | 88% | 4.6× | $56 | $265 |
| 70491 | CT neck soft tissue, with contrast · Radiology | 5,226 | 90% | 4.5× | $120 | $560 |
| 01992 | Anesthesia for a nerve block or injection, face down · Anesthesia | 5,219 | 82% | 21× | $327 | $6,965 |
| 87040 | Blood culture · Pathology and laboratory | 5,216 | 80% | 4.4× | $84 | $366 |
| 22853 | Spine fusion cage or mesh insertion · Surgery | 5,013 | 85% | 90× | $113 | $19,350 |
| 76870 | Scrotal ultrasound · Radiology | 4,905 | 89% | 5.2× | $45 | $287 |
| A4216 | Saline or sterile water flush, 10 ml · Other HCPCS items and services | 4,899 | 73% | 4.4× | $8 | $28 |
| 72141 | MRI cervical spine, without contrast · Radiology | 4,878 | 93% | 3.9× | $158 | $616 |
| 00300 | Anesthesia for a head, neck or upper back soft-tissue procedure · Anesthesia | 4,838 | 81% | 3.1× | $412 | $1,500 |
| 93975 | Doppler ultrasound, abdomen or pelvis, complete · Non-invasive vascular studies | 4,820 | 83% | 6.4× | $120 | $826 |
| 90471 | Vaccine administration, first vaccine · Immunization administration | 4,742 | 79% | 3.8× | $63 | $263 |
| 00902 | Anesthesia for an anorectal procedure · Anesthesia | 4,701 | 83% | 3.2× | $363 | $1,307 |
| 73590 | Lower leg X-ray, two views · Radiology | 4,678 | 89% | 6.2× | $12 | $83 |
| 96366 | IV infusion for treatment, each additional hour · Hydration, injections and infusions | 4,625 | 82% | 4.8× | $95 | $445 |
| 80305 | Drug screen, visual read · Pathology and laboratory | 4,517 | 78% | 4.7× | $42 | $320 |
| J3490 | Unclassified drug · Other HCPCS items and services | 4,472 | 80% | 2.8× | $13 | $41 |
| 0202U | Respiratory pathogen panel (proprietary lab test) · Pathology and laboratory | 4,426 | 69% | 9.3× | $458 | $6,809 |
| A4215 | Sterile needle · Other HCPCS items and services | 4,381 | 70% | 4.5× | $8 | $50 |
| 84702 | hCG pregnancy hormone test, quantitative · Pathology and laboratory | 4,378 | 86% | 4.0× | $79 | $274 |
| 96367 | IV infusion, additional sequential drug · Hydration, injections and infusions | 4,289 | 82% | 4.7× | $87 | $344 |
| 73502 | Hip X-ray, two or three views · Radiology | 4,277 | 89% | 7.7× | $15 | $145 |
| J1200 | Diphenhydramine injection, up to 50 mg · Other HCPCS items and services | 4,199 | 77% | 2.8× | $6 | $19 |
| 12011 | Simple wound repair, 2.5 cm or less, face · Surgery | 4,189 | 81% | 5.1× | $106 | $576 |
| 74183 | MRI abdomen, with and without contrast · Radiology | 4,187 | 94% | 4.7× | $194 | $1,078 |
| 00918 | Anesthesia for kidney stone removal with an endoscope · Anesthesia | 4,171 | 84% | 3.0× | $387 | $1,435 |
| 0250 | Revenue code 0250: pharmacy, general · Other | 4,152 | 87% | 2.7× | $9 | $15 |
| 95868 | Needle EMG, cranial nerve muscles, both sides · Neurology and neuromonitoring | 4,105 | 85% | 62× | $91 | $5,634 |
| 73090 | Forearm X-ray, two views · Radiology | 4,102 | 86% | 5.4× | $11 | $79 |
| 95940 | In-room intraoperative neuromonitoring, each 15 minutes · Neurology and neuromonitoring | 4,088 | 78% | 22× | $300 | $5,800 |
| 73080 | Elbow X-ray, three or more views · Radiology | 4,074 | 86% | 5.8× | $13 | $89 |
| 12002 | Simple wound repair, 2.6 to 7.5 cm, body or limbs · Surgery | 3,968 | 84% | 5.1× | $115 | $652 |
| 90715 | Tdap vaccine · Vaccines and toxoids | 3,963 | 79% | 3.5× | $73 | $223 |
| 93970 | Venous ultrasound, both limbs · Non-invasive vascular studies | 3,957 | 90% | 7.5× | $52 | $424 |
| 36000 | IV line placement · Surgery | 3,954 | 69% | 5.0× | $82 | $321 |
| 01830 | Anesthesia for a forearm, wrist or hand bone procedure · Anesthesia | 3,950 | 80% | 3.3× | $336 | $1,376 |
| 87631 | Respiratory virus PCR panel, 3 to 5 targets · Pathology and laboratory | 3,927 | 72% | 2.4× | $310 | $713 |
| 01214 | Anesthesia for total hip replacement · Anesthesia | 3,880 | 84% | 2.9× | $638 | $2,202 |
| 73560 | Knee X-ray, one or two views · Radiology | 3,844 | 89% | 6.3× | $12 | $92 |
| 76801 | Pregnancy ultrasound, first trimester · Radiology | 3,844 | 88% | 4.8× | $74 | $537 |
| 81420 | Fetal aneuploidy genomic sequencing panel · Pathology and laboratory | 3,841 | 83% | 1.00× | $649 | $650 |
| 99236 | Same-day hospital admission and discharge, high complexity · Hospital inpatient and observation care | 3,819 | 81% | 9.7× | $369 | $4,275 |
| 64415 | Brachial plexus nerve block · Surgery | 3,754 | 84% | 14× | $98 | $1,788 |
| 00910 | Anesthesia for a bladder or urethra procedure through the urethra · Anesthesia | 3,739 | 85% | 3.3× | $271 | $952 |
| 99479 | Intensive care of a low birth weight infant, per day · Care management | 3,706 | 85% | 2.5× | $261 | $616 |
| 73140 | Finger X-ray · Radiology | 3,705 | 82% | 6.0× | $13 | $166 |
| 73700 | CT lower leg, without contrast · Radiology | 3,698 | 90% | 4.7× | $87 | $422 |
| A6413 | Adhesive bandage · Other HCPCS items and services | 3,685 | 68% | 4.2× | $5 | $26 |
| 64447 | Femoral nerve block · Surgery | 3,683 | 85% | 17× | $88 | $2,063 |
| 80069 | Kidney function panel · Pathology and laboratory | 3,683 | 81% | 7.3× | $18 | $123 |
| 85730 | Partial thromboplastin time (clotting) test · Pathology and laboratory | 3,673 | 83% | 3.3× | $36 | $131 |
| 80307 | Drug screen, laboratory analyzer · Pathology and laboratory | 3,667 | 83% | 1.87× | $119 | $249 |
| A4649 | Miscellaneous surgical supply · Other HCPCS items and services | 3,666 | 76% | 3.7× | $15 | $19 |
| Q0144 | Azithromycin, oral, 1 gram · Other HCPCS items and services | 3,661 | 87% | 5.7× | $35 | $211 |
| 74178 | CT abdomen and pelvis, with and without contrast · Radiology | 3,635 | 93% | 6.2× | $129 | $1,009 |
| 153 | MS-DRG 153: ear or upper respiratory infection, no major complications · Hospital stays (MS-DRG) | 3,592 | 72% | 5.0× | $1,056 | $4,180 |
| 99238 | Hospital discharge, 30 minutes or less · Hospital inpatient and observation care | 3,590 | 85% | 4.7× | $93 | $434 |
| 272 | MS-DRG 272: other major cardiovascular procedure, no complications · Hospital stays (MS-DRG) | 3,573 | 89% | 2.2× | $45 | $89 |
| 29584 | Compression bandaging, arm and hand · Surgery | 3,565 | 70% | 8.3× | $45 | $603 |
| 01938 | Anesthesia for a lumbar spine injection or drainage · Anesthesia | 3,528 | 81% | 5.4× | $252 | $2,205 |
| 73221 | MRI arm joint, without contrast · Radiology | 3,526 | 93% | 4.0× | $141 | $560 |
| A4223 | Infusion supplies, per bag or cassette · Other HCPCS items and services | 3,468 | 72% | 6.9× | $25 | $385 |
| 72128 | CT thoracic spine, without contrast · Radiology | 3,467 | 89% | 4.7× | $83 | $450 |
| S0028 | Famotidine injection, 20 mg · Other HCPCS items and services | 3,428 | 82% | 6.4× | $15 | $92 |
| 00126 | Anesthesia for an eardrum incision · Anesthesia | 3,380 | 78% | 3.8× | $201 | $938 |
| 01922 | Anesthesia for imaging or radiation therapy · Anesthesia | 3,364 | 83% | 2.8× | $507 | $1,483 |
| J7120 | Lactated Ringer's solution, up to 1,000 ml · Other HCPCS items and services | 3,343 | 77% | 2.8× | $19 | $87 |
| J0131 | Acetaminophen injection, per 10 mg · Other HCPCS items and services | 3,297 | 73% | 6.7× | $116 | $800 |
| 84100 | Phosphate test · Pathology and laboratory | 3,296 | 78% | 5.4× | $26 | $161 |
| A4770 | Blood collection tubes, per 50 · Other HCPCS items and services | 3,272 | 71% | 9.1× | $48 | $751 |
| 76819 | Fetal biophysical profile · Radiology | 3,257 | 94% | 4.9× | $50 | $206 |
| 72040 | Cervical spine X-ray, two or three views · Radiology | 3,239 | 90% | 5.7× | $15 | $113 |
| 95886 | Needle EMG, complete study, each limb · Neurology and neuromonitoring | 3,167 | 82% | 35× | $127 | $4,458 |
| A6454 | Self-adherent elastic bandage, 3 to 5 inches wide · Other HCPCS items and services | 3,109 | 69% | 5.8× | $3 | $24 |
| J2919 | Methylprednisolone injection, per 5 mg · Other HCPCS items and services | 3,090 | 74% | 3.0× | $58 | $295 |
| S1015 | IV tubing extension set · Other HCPCS items and services | 3,061 | 80% | 5.7× | $8 | $60 |
| 19318 | Breast reduction · Surgery | 3,028 | 84% | 42× | $1,430 | $72,000 |
| 86308 | Mononucleosis test · Pathology and laboratory | 2,969 | 84% | 4.0× | $37 | $139 |
| 99469 | Neonatal critical care, each following day · Care management | 2,965 | 86% | 2.1× | $887 | $1,937 |
| A4305 | Disposable infusion pump, 50 ml per hour or more · Other HCPCS items and services | 2,962 | 70% | 6.5× | $9 | $75 |
| 10061 | Abscess drainage, complicated or multiple · Surgery | 2,936 | 81% | 3.8× | $264 | $1,229 |
| 00320 | Anesthesia for a neck procedure · Anesthesia | 2,919 | 81% | 2.7× | $562 | $1,659 |
| 84443 | TSH thyroid test · Pathology and laboratory | 2,900 | 82% | 3.2× | $57 | $223 |
| 96368 | IV infusion, concurrent drug · Hydration, injections and infusions | 2,834 | 88% | 3.7× | $83 | $329 |
| 00402 | Anesthesia for breast reconstruction · Anesthesia | 2,829 | 80% | 2.7× | $764 | $2,197 |
| 87486 | Chlamydia pneumoniae PCR test · Pathology and laboratory | 2,804 | 71% | 5.5× | $12 | $414 |
| 87581 | Mycoplasma pneumoniae PCR test · Pathology and laboratory | 2,743 | 69% | 4.1× | $50 | $478 |
| 72197 | MRI pelvis, with and without contrast · Radiology | 2,730 | 96% | 4.5× | $199 | $546 |
| 00537 | Anesthesia for a cardiac electrophysiology study · Anesthesia | 2,708 | 81% | 2.5× | $856 | $2,621 |
| 63047 | Lumbar decompression, one segment · Surgery | 2,701 | 84% | 51× | $292 | $23,594 |
| A9150 | Non-prescription drug · Other HCPCS items and services | 2,684 | 70% | 3.7× | $8 | $17 |
| 87591 | Gonorrhea PCR test · Pathology and laboratory | 2,668 | 77% | 3.6× | $83 | $314 |
| E1399 | Durable medical equipment, miscellaneous · Other HCPCS items and services | 2,655 | 70% | 7.3× | $3 | $20 |
| 64483 | Lumbar epidural steroid injection, single level · Surgery | 2,647 | 86% | 37× | $236 | $10,000 |
| J2765 | Metoclopramide injection, up to 10 mg · Other HCPCS items and services | 2,639 | 78% | 3.0× | $6 | $21 |
| 00630 | Anesthesia for a lumbar spine procedure · Anesthesia | 2,627 | 84% | 3.1× | $636 | $2,512 |
| 87491 | Chlamydia PCR test · Pathology and laboratory | 2,608 | 77% | 3.7× | $89 | $317 |
| A4550 | Surgical tray · Other HCPCS items and services | 2,604 | 73% | 5.1× | $17 | $106 |
| 44970 | Laparoscopic appendix removal · Surgery | 2,601 | 86% | 25× | $803 | $18,500 |
| 313 | MS-DRG 313: chest pain · Hospital stays (MS-DRG) | 2,591 | 75% | 3.5× | $2,782 | $11,226 |
| 76882 | Ultrasound, joint or limb soft tissue, limited · Radiology | 2,589 | 91% | 6.8× | $33 | $260 |
| 74019 | Abdominal X-ray, two views · Radiology | 2,521 | 89% | 8.6× | $14 | $125 |
| 77049 | MRI both breasts · Radiology | 2,518 | 93% | 3.6× | $170 | $628 |
| 22551 | Cervical spine fusion with disc removal, one level · Surgery | 2,492 | 85% | 27× | $406 | $14,766 |
| 87811 | Rapid COVID-19 antigen test · Pathology and laboratory | 2,473 | 66% | 6.0× | $19 | $111 |
| 99480 | Intensive care of a recovering infant, per day · Care management | 2,468 | 88% | 2.4× | $251 | $593 |
| 00940 | Anesthesia for a vaginal procedure · Anesthesia | 2,444 | 86% | 3.1× | $271 | $945 |
| 72170 | Pelvis X-ray, one or two views · Radiology | 2,429 | 92% | 6.8× | $11 | $91 |
| 36475 | Radiofrequency vein ablation, first vein · Surgery | 2,426 | 82% | 58× | $571 | $43,500 |
| 95865 | Needle EMG, larynx · Neurology and neuromonitoring | 2,403 | 84% | 29× | $120 | $4,561 |
| 99231 | Hospital follow-up visit, low complexity · Hospital inpatient and observation care | 2,374 | 83% | 41× | $49 | $3,426 |
| 73564 | Knee X-ray, four or more views · Radiology | 2,345 | 89% | 5.9× | $15 | $113 |
| 47562 | Laparoscopic gallbladder removal · Surgery | 2,340 | 85% | 30× | $769 | $23,000 |
| 94760 | Pulse oximetry, single reading · Pulmonary | 2,331 | 76% | 3.9× | $54 | $267 |
| 64484 | Lumbar epidural steroid injection, each additional level · Surgery | 2,314 | 86% | 69× | $115 | $7,000 |
| A4930 | Sterile gloves, pair · Other HCPCS items and services | 2,301 | 70% | 5.0× | $9 | $9 |
| 96523 | Flush of an implanted port · Hydration, injections and infusions | 2,283 | 72% | 4.3× | $97 | $420 |
| 63048 | Spinal decompression, each additional segment · Surgery | 2,187 | 85% | 64× | $143 | $13,832 |
| 563 | MS-DRG 563: fracture, sprain or dislocation, no major complications · Hospital stays (MS-DRG) | 2,185 | 76% | 4.8× | $1,056 | $5,300 |
| 29125 | Forearm splint, static · Surgery | 2,163 | 79% | 4.3× | $75 | $323 |
| 95908 | Nerve conduction study, three or four nerves · Neurology and neuromonitoring | 2,143 | 87% | 23× | $75 | $2,293 |
| 74181 | MRI abdomen, without contrast · Radiology | 2,139 | 92% | 3.6× | $145 | $588 |
| 58662 | Laparoscopic removal of an ovarian or pelvic lesion · Surgery | 2,131 | 88% | 46× | $534 | $35,000 |
| J2543 | Piperacillin and tazobactam injection, 1.125 g · Other HCPCS items and services | 2,119 | 75% | 3.8× | $26 | $97 |
| 64493 | Lumbar facet joint injection, single level · Surgery | 2,112 | 84% | 56× | $216 | $13,000 |
| 71101 | Rib X-ray, one side · Radiology | 2,104 | 88% | 4.6× | $18 | $99 |
| 73552 | Femur X-ray, two or more views · Radiology | 2,082 | 90% | 8.4× | $12 | $111 |
| 99292 | Critical care, each additional 30 minutes · Critical care | 2,069 | 83% | 6.0× | $232 | $1,922 |
| 00873 | Anesthesia for kidney stone shock-wave therapy · Anesthesia | 2,033 | 84% | 4.2× | $372 | $1,782 |
| 82803 | Blood gas test · Pathology and laboratory | 2,026 | 80% | 4.9× | $68 | $426 |
| 01968 | Anesthesia for cesarean delivery after a labor epidural · Anesthesia | 2,011 | 82% | 2.8× | $375 | $1,045 |
| J7620 | Albuterol and ipratropium, inhalation · Other HCPCS items and services | 2,010 | 71% | 5.3× | $7 | $33 |
| J1171 | Hydromorphone injection, per 0.1 mg · Other HCPCS items and services | 2,005 | 75% | 4.3× | $27 | $149 |
| 605 | MS-DRG 605: skin or breast trauma, no major complications · Hospital stays (MS-DRG) | 2,004 | 72% | 4.7× | $1,056 | $4,299 |
| 22845 | Anterior spine instrumentation, two or three segments · Surgery | 2,003 | 85% | 41× | $181 | $14,202 |
| 64494 | Lumbar facet joint injection, second level · Surgery | 1,988 | 84% | 88× | $124 | $13,000 |
| 01470 | Anesthesia for a lower leg, ankle or foot soft-tissue procedure · Anesthesia | 1,980 | 82% | 4.1× | $329 | $1,800 |
| 01610 | Anesthesia for a shoulder soft-tissue procedure · Anesthesia | 1,977 | 83% | 2.6× | $630 | $2,032 |
| J2550 | Promethazine injection, up to 50 mg · Other HCPCS items and services | 1,973 | 73% | 6.0× | $4 | $33 |
| 64636 | Lumbar facet nerve ablation, each additional joint · Surgery | 1,966 | 86% | 75× | $126 | $12,750 |
| J2003 | Lidocaine injection, per 1 mg · Other HCPCS items and services | 1,964 | 73% | 3.9× | $79 | $285 |
| 14301 | Skin flap repair, 30 to 60 square cm · Surgery | 1,961 | 86% | 18× | $779 | $17,923 |
| J2060 | Lorazepam injection, 2 mg · Other HCPCS items and services | 1,956 | 79% | 2.9× | $7 | $29 |
| 78815 | PET/CT scan, skull base to mid-thigh · Radiology | 1,955 | 93% | 3.2× | $237 | $751 |
| 29826 | Shoulder arthroscopy with bone shaving and ligament release · Surgery | 1,949 | 84% | 41× | $39 | $4,573 |
| 76857 | Pelvic ultrasound, limited · Radiology | 1,937 | 89% | 5.3× | $30 | $179 |
| 00732 | Anesthesia for ERCP · Anesthesia | 1,931 | 85% | 3.1× | $429 | $1,426 |
| 82962 | Blood glucose test, handheld meter · Pathology and laboratory | 1,909 | 79% | 4.3× | $15 | $83 |
| 86901 | Rh blood typing · Pathology and laboratory | 1,903 | 83% | 3.6× | $37 | $138 |
| 00920 | Anesthesia for a male genital procedure · Anesthesia | 1,898 | 82% | 3.2× | $375 | $1,353 |
| E0114 | Underarm crutches, pair · Other HCPCS items and services | 1,897 | 80% | 3.5× | $34 | $88 |