| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
31,131 |
28,002 |
$1.34M |
| 0206 |
|
210 |
199 |
$479K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,059 |
3,008 |
$461K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
12,158 |
10,742 |
$447K |
| 0121 |
|
128 |
122 |
$397K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
8,195 |
7,682 |
$387K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,958 |
3,825 |
$341K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
10,132 |
9,224 |
$328K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,724 |
3,589 |
$317K |
| 0360 |
|
2,517 |
1,876 |
$231K |
| 0120 |
|
81 |
74 |
$217K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
11,352 |
10,609 |
$197K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
3,286 |
2,886 |
$170K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,574 |
4,293 |
$145K |
| 80053 |
Comprehensive metabolic panel |
17,539 |
16,083 |
$142K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
25,509 |
22,953 |
$133K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
889 |
878 |
$109K |
| 71045 |
Radiologic examination, chest; single view |
10,226 |
9,669 |
$107K |
| J2785 |
Injection, regadenoson, 0.1 mg |
853 |
845 |
$105K |
| 0516 |
|
4,925 |
4,521 |
$101K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,765 |
4,569 |
$98K |
| 0750 |
|
673 |
668 |
$94K |
| J3490 |
Unclassified drugs |
11,314 |
8,705 |
$87K |
| 0710 |
|
3,668 |
3,580 |
$86K |
| 78454 |
|
662 |
654 |
$83K |
| 93017 |
|
1,876 |
1,847 |
$74K |
| 99199 |
Unlisted special service, procedure or report |
1,973 |
1,763 |
$74K |
| 0250 |
|
12,311 |
9,596 |
$73K |
| 0760 |
|
2,166 |
1,607 |
$72K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
9,902 |
9,166 |
$72K |
| 99221 |
|
2,136 |
1,964 |
$67K |
| 83880 |
|
3,329 |
3,120 |
$66K |
| 84484 |
|
9,435 |
8,719 |
$65K |
| Z7502 |
|
1,698 |
1,672 |
$64K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,561 |
1,448 |
$49K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
7,921 |
7,409 |
$45K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
453 |
449 |
$45K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,616 |
1,470 |
$44K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
757 |
721 |
$43K |
| 83690 |
|
6,992 |
6,516 |
$34K |
| 78466 |
|
448 |
446 |
$33K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,171 |
4,727 |
$31K |
| 82550 |
|
6,788 |
6,397 |
$29K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,621 |
2,369 |
$28K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,321 |
4,130 |
$28K |
| 85730 |
|
6,158 |
5,872 |
$27K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
841 |
837 |
$24K |
| 87040 |
|
2,203 |
1,761 |
$19K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
265 |
259 |
$19K |
| 90715 |
|
598 |
594 |
$18K |
| 85610 |
|
6,547 |
6,220 |
$18K |
| 81003 |
|
12,870 |
12,060 |
$18K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
93 |
93 |
$18K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
351 |
335 |
$16K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
447 |
425 |
$16K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,157 |
1,078 |
$16K |
| J2704 |
Injection, propofol, 10 mg |
2,453 |
2,379 |
$15K |
| 93880 |
|
126 |
123 |
$15K |
| 84703 |
|
3,037 |
2,897 |
$15K |
| 80076 |
|
1,901 |
1,833 |
$14K |
| 0761 |
|
670 |
610 |
$14K |
| 83605 |
|
2,009 |
1,891 |
$13K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
820 |
812 |
$13K |
| 93970 |
|
83 |
82 |
$12K |
| 0270 |
|
3,774 |
3,204 |
$12K |
| 81001 |
|
6,180 |
5,894 |
$11K |
| 86328 |
|
365 |
344 |
$11K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
236 |
226 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
16,916 |
14,888 |
$11K |
| 81025 |
|
2,379 |
2,298 |
$11K |
| 0370 |
|
226 |
211 |
$10K |
| 82553 |
|
1,224 |
1,126 |
$10K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,576 |
1,393 |
$10K |
| 87088 |
|
2,086 |
2,026 |
$9K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
638 |
633 |
$9K |
| J2060 |
Injection, lorazepam, 2 mg |
1,706 |
1,559 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,323 |
1,291 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
518 |
503 |
$8K |
| 83735 |
|
1,594 |
1,466 |
$8K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,474 |
1,396 |
$8K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
550 |
525 |
$8K |
| 94644 |
|
541 |
515 |
$7K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
901 |
815 |
$7K |
| 73030 |
|
406 |
377 |
$7K |
| 73610 |
|
384 |
360 |
$7K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
46 |
44 |
$7K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,263 |
1,222 |
$7K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
40 |
39 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
467 |
426 |
$7K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,429 |
1,328 |
$6K |
| 99406 |
|
606 |
577 |
$6K |
| 82948 |
|
1,470 |
1,259 |
$6K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
909 |
870 |
$6K |
| 70486 |
|
67 |
67 |
$5K |
| 73630 |
|
276 |
258 |
$5K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
933 |
895 |
$5K |
| Z7500 |
|
140 |
136 |
$5K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
856 |
846 |
$4K |
| 93225 |
|
168 |
168 |
$4K |
| 82150 |
|
1,092 |
1,041 |
$4K |
| 80061 |
Lipid panel |
466 |
449 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
388 |
364 |
$4K |
| 93924 |
|
41 |
40 |
$4K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
75 |
74 |
$3K |
| 93226 |
|
77 |
77 |
$3K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
24 |
21 |
$3K |
| 87186 |
|
585 |
564 |
$3K |
| 72131 |
|
40 |
40 |
$3K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,242 |
1,191 |
$3K |
| 87077 |
|
591 |
574 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
342 |
320 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
520 |
517 |
$2K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
14 |
12 |
$2K |
| 73130 |
|
116 |
109 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
39 |
38 |
$2K |
| 0258 |
|
281 |
278 |
$2K |
| 73560 |
|
162 |
156 |
$2K |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
27 |
24 |
$2K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
104 |
103 |
$2K |
| 74247 |
|
44 |
43 |
$2K |
| 72100 |
|
83 |
82 |
$2K |
| 82140 |
|
239 |
221 |
$2K |
| G0378 |
Hospital observation service, per hour |
53 |
49 |
$1K |
| 0320 |
|
549 |
513 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
31 |
29 |
$1K |
| 0300 |
|
910 |
826 |
$1K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
168 |
159 |
$1K |
| 0762 |
|
22 |
14 |
$1K |
| 94645 |
|
66 |
63 |
$1K |
| A4649 |
Surgical supply; miscellaneous |
1,862 |
1,454 |
$1K |
| 85379 |
|
135 |
134 |
$1K |
| 87420 |
|
150 |
142 |
$798.04 |
| 84702 |
|
70 |
67 |
$784.07 |
| 73590 |
|
53 |
51 |
$778.63 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
52,547 |
5,574 |
$757.44 |
| 73110 |
|
32 |
25 |
$633.63 |
| 86901 |
|
245 |
233 |
$615.93 |
| 90832 |
Psychotherapy, 30 minutes with patient |
2,143 |
566 |
$588.06 |
| 87081 |
|
130 |
128 |
$576.11 |
| Z7610 |
|
38 |
37 |
$527.53 |
| 80164 |
|
89 |
88 |
$498.42 |
| 86900 |
|
232 |
220 |
$493.87 |
| A9150 |
Non-prescription drugs |
226 |
220 |
$449.61 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
191 |
184 |
$405.10 |
| 73562 |
|
15 |
12 |
$378.96 |
| 88304 |
|
45 |
45 |
$375.64 |
| J3486 |
Injection, ziprasidone mesylate, 10 mg |
13 |
12 |
$346.45 |
| 0636 |
|
737 |
672 |
$335.23 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
19 |
14 |
$248.28 |
| 84100 |
|
82 |
62 |
$242.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
45 |
39 |
$208.49 |
| 0306 |
|
640 |
590 |
$203.18 |
| 73502 |
|
12 |
12 |
$189.74 |
| 86850 |
|
43 |
40 |
$184.71 |
| 74018 |
|
14 |
14 |
$142.48 |
| 94760 |
|
27 |
26 |
$138.25 |
| J3360 |
Injection, diazepam, up to 5 mg |
13 |
13 |
$126.97 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
17 |
16 |
$91.06 |
| 86140 |
|
42 |
42 |
$85.32 |
| 87070 |
|
12 |
12 |
$66.98 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
13 |
13 |
$66.68 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
14 |
14 |
$52.19 |
| 84439 |
|
14 |
13 |
$48.17 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
14 |
14 |
$45.40 |
| 88300 |
|
15 |
13 |
$41.65 |
| 84550 |
|
12 |
12 |
$32.25 |
| 85651 |
|
12 |
12 |
$16.89 |
| 0730 |
|
432 |
401 |
$0.00 |
| 0424 |
|
163 |
149 |
$0.00 |
| 0430 |
|
97 |
88 |
$0.00 |
| 0483 |
|
177 |
170 |
$0.00 |
| A0425 |
Ground mileage, per statute mile |
172 |
135 |
$0.00 |
| 0402 |
|
106 |
101 |
$0.00 |
| 0302 |
|
39 |
39 |
$0.00 |
| 0305 |
|
97 |
93 |
$0.00 |
| 0307 |
|
368 |
346 |
$0.00 |
| 0420 |
|
265 |
242 |
$0.00 |
| 0324 |
|
30 |
29 |
$0.00 |
| 0350 |
|
71 |
65 |
$0.00 |
| 0301 |
|
305 |
287 |
$0.00 |
| 0259 |
|
15 |
13 |
$0.00 |
| 0434 |
|
110 |
100 |
$0.00 |