| Code | Description | Claims | Beneficiaries | Total Paid |
| 96361 |
Intravenous infusion, hydration; each additional hour |
7,158 |
6,391 |
$1.85M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
5,000 |
458 |
$1.54M |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13,084 |
12,021 |
$1.47M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
11,283 |
10,594 |
$1.37M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
11,571 |
10,568 |
$1.28M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,860 |
2,714 |
$682K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,295 |
3,146 |
$327K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,242 |
2,102 |
$318K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
11,131 |
3,730 |
$249K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,604 |
1,453 |
$231K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,067 |
2,730 |
$218K |
| 80053 |
Comprehensive metabolic panel |
17,694 |
14,705 |
$107K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
6,092 |
2,195 |
$106K |
| 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 |
1,463 |
1,337 |
$83K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
418 |
397 |
$82K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
434 |
414 |
$78K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
22,365 |
17,956 |
$71K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,302 |
898 |
$71K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
7,986 |
7,234 |
$57K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
600 |
577 |
$55K |
| 84484 |
|
7,405 |
5,487 |
$52K |
| G0378 |
Hospital observation service, per hour |
807 |
636 |
$46K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
7,229 |
6,416 |
$45K |
| 97161 |
|
861 |
840 |
$38K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
8,455 |
7,563 |
$37K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
3,042 |
2,588 |
$34K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,091 |
3,167 |
$32K |
| 71045 |
Radiologic examination, chest; single view |
4,182 |
3,878 |
$30K |
| 71046 |
Radiologic examination, chest; 2 views |
2,381 |
2,277 |
$30K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,570 |
4,281 |
$29K |
| 36415 |
Collection of venous blood by venipuncture |
14,591 |
11,264 |
$24K |
| 83690 |
|
7,300 |
6,618 |
$24K |
| 83605 |
|
4,018 |
3,443 |
$23K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
983 |
852 |
$23K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
141 |
126 |
$23K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
349 |
337 |
$23K |
| 96164 |
|
1,169 |
202 |
$22K |
| 83880 |
|
2,282 |
2,056 |
$22K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,180 |
3,580 |
$21K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
118 |
64 |
$20K |
| 96165 |
|
1,169 |
202 |
$20K |
| 76830 |
Ultrasound, transvaginal |
216 |
208 |
$19K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,150 |
916 |
$19K |
| 80305 |
|
3,780 |
3,501 |
$17K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
4,222 |
3,960 |
$16K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,589 |
1,765 |
$15K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
130 |
122 |
$15K |
| 81001 |
|
11,446 |
10,463 |
$15K |
| 70496 |
|
60 |
59 |
$14K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
428 |
403 |
$13K |
| 80061 |
Lipid panel |
1,715 |
932 |
$12K |
| 96376 |
|
2,211 |
2,022 |
$11K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
581 |
565 |
$10K |
| 84703 |
|
2,625 |
2,482 |
$10K |
| 87040 |
|
1,007 |
527 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,402 |
1,291 |
$8K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
644 |
534 |
$8K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
74 |
70 |
$7K |
| 76801 |
|
148 |
129 |
$7K |
| 82077 |
|
1,137 |
970 |
$7K |
| 83735 |
|
3,910 |
3,151 |
$7K |
| 70498 |
|
59 |
58 |
$7K |
| 73610 |
|
362 |
346 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
594 |
555 |
$6K |
| 90715 |
|
366 |
352 |
$6K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
24 |
24 |
$6K |
| 84702 |
|
842 |
700 |
$6K |
| 73630 |
|
330 |
318 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
581 |
565 |
$6K |
| 85378 |
|
520 |
507 |
$5K |
| 85610 |
|
2,658 |
2,206 |
$5K |
| 87077 |
|
1,400 |
1,342 |
$5K |
| 87186 |
|
1,245 |
1,182 |
$4K |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,307 |
853 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
660 |
641 |
$4K |
| 81025 |
|
2,079 |
1,970 |
$4K |
| 93971 |
|
41 |
38 |
$4K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,912 |
1,532 |
$4K |
| 82728 |
|
295 |
285 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,644 |
1,342 |
$3K |
| 93975 |
|
27 |
24 |
$3K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,944 |
4,441 |
$3K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
2,764 |
2,051 |
$3K |
| 86803 |
|
253 |
242 |
$3K |
| 73564 |
|
190 |
187 |
$3K |
| 85027 |
|
436 |
425 |
$3K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,731 |
5,697 |
$3K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
312 |
298 |
$3K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,174 |
1,883 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
102 |
69 |
$2K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,943 |
2,489 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
394 |
380 |
$2K |
| 73030 |
|
128 |
117 |
$2K |
| 85379 |
|
458 |
443 |
$2K |
| 12001 |
|
12 |
12 |
$2K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
19 |
16 |
$2K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
682 |
541 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
440 |
405 |
$2K |
| 80047 |
|
364 |
342 |
$2K |
| 84439 |
|
275 |
252 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
26 |
25 |
$2K |
| 86900 |
|
397 |
332 |
$1K |
| 86901 |
|
564 |
492 |
$1K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,327 |
1,075 |
$1K |
| 86850 |
|
347 |
327 |
$1K |
| 86592 |
|
217 |
204 |
$1K |
| 73130 |
|
77 |
77 |
$1K |
| 73110 |
|
78 |
75 |
$1K |
| 81003 |
|
806 |
774 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,571 |
1,499 |
$912.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
373 |
353 |
$904.57 |
| J2060 |
Injection, lorazepam, 2 mg |
1,580 |
1,357 |
$865.81 |
| 85730 |
|
1,056 |
979 |
$814.97 |
| 86140 |
|
236 |
220 |
$752.79 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,577 |
1,364 |
$738.52 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
26 |
25 |
$692.86 |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
12 |
$672.39 |
| 82805 |
|
81 |
73 |
$637.70 |
| 82948 |
|
1,158 |
751 |
$637.13 |
| 82962 |
|
945 |
382 |
$609.95 |
| 87634 |
|
286 |
257 |
$604.48 |
| 85652 |
|
236 |
224 |
$594.99 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
12 |
$577.16 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
16 |
16 |
$561.37 |
| 96368 |
|
24 |
24 |
$556.89 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
897 |
840 |
$543.47 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
27 |
12 |
$508.95 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,137 |
1,042 |
$498.34 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
12 |
$475.14 |
| 0240U |
|
572 |
558 |
$463.70 |
| 87070 |
|
92 |
86 |
$460.34 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
374 |
326 |
$425.18 |
| 97162 |
|
12 |
12 |
$386.08 |
| 85651 |
|
160 |
153 |
$378.97 |
| 80076 |
|
60 |
58 |
$346.74 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
1,921 |
1,821 |
$338.61 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
13 |
$315.51 |
| 72131 |
|
17 |
16 |
$304.11 |
| 82553 |
|
36 |
33 |
$292.39 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
287 |
267 |
$288.45 |
| 72128 |
|
13 |
12 |
$270.23 |
| 82565 |
|
327 |
314 |
$224.74 |
| 82550 |
|
150 |
137 |
$212.13 |
| 87075 |
|
27 |
25 |
$207.41 |
| J2704 |
Injection, propofol, 10 mg |
216 |
197 |
$199.84 |
| 80050 |
General health panel |
31 |
29 |
$173.60 |
| 82803 |
|
63 |
60 |
$165.91 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
322 |
301 |
$161.33 |
| 87340 |
|
52 |
52 |
$144.41 |
| 87088 |
|
40 |
39 |
$142.64 |
| 87205 |
|
55 |
52 |
$124.41 |
| 83540 |
|
14 |
14 |
$117.95 |
| 83550 |
|
13 |
13 |
$115.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
40 |
$106.86 |
| 85014 |
|
93 |
89 |
$95.45 |
| 86780 |
|
15 |
15 |
$92.09 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
12 |
12 |
$88.37 |
| 86762 |
|
27 |
27 |
$83.99 |
| 85018 |
|
119 |
114 |
$78.53 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
59 |
41 |
$73.26 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
12 |
$70.57 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
43 |
37 |
$64.76 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
31 |
30 |
$57.47 |
| 94760 |
|
279 |
248 |
$53.15 |
| 84100 |
|
47 |
36 |
$49.37 |
| 82248 |
|
27 |
27 |
$40.09 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
89 |
73 |
$36.55 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
54 |
43 |
$33.82 |
| A9270 |
Non-covered item or service |
12,772 |
10,055 |
$22.47 |
| 82009 |
|
12 |
12 |
$22.14 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
26 |
13 |
$21.23 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
54 |
43 |
$17.42 |
| 36000 |
|
369 |
358 |
$17.07 |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
659 |
576 |
$9.20 |
| J1630 |
Injection, haloperidol, up to 5 mg |
13 |
13 |
$6.60 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
28 |
27 |
$1.93 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
26 |
23 |
$0.00 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
24 |
23 |
$0.00 |
| 94761 |
|
228 |
217 |
$0.00 |
| 87154 |
|
78 |
76 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
52 |
40 |
$0.00 |