| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
8,553 |
7,034 |
$302K |
| 0450 |
Emergency room services |
31,863 |
27,158 |
$301K |
| 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 |
6,130 |
5,065 |
$293K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
5,739 |
4,900 |
$226K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,306 |
1,102 |
$197K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,624 |
3,233 |
$174K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
5,324 |
3,824 |
$173K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,728 |
1,499 |
$124K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,541 |
4,438 |
$124K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
9,942 |
8,219 |
$123K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,211 |
3,682 |
$108K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,685 |
4,572 |
$107K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
6,177 |
5,029 |
$87K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,960 |
1,625 |
$84K |
| J3490 |
Unclassified drugs |
18,420 |
7,969 |
$82K |
| 80053 |
Comprehensive metabolic panel |
13,577 |
11,363 |
$75K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18,137 |
15,203 |
$75K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,948 |
1,677 |
$68K |
| G0411 |
Interactive group psychotherapy, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes |
22,154 |
1,445 |
$61K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
9,811 |
7,711 |
$58K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
672 |
607 |
$56K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
2,646 |
2,270 |
$48K |
| 71045 |
Radiologic examination, chest; single view |
6,328 |
5,535 |
$47K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
11,238 |
1,659 |
$47K |
| Z7502 |
|
1,202 |
1,168 |
$45K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,187 |
1,039 |
$38K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
8,850 |
4,894 |
$36K |
| 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 |
578 |
494 |
$35K |
| 99199 |
Unlisted special service, procedure or report |
688 |
654 |
$35K |
| 0270 |
|
24,150 |
11,418 |
$29K |
| 83690 |
|
7,361 |
6,192 |
$27K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
939 |
880 |
$26K |
| 84484 |
|
5,006 |
3,822 |
$26K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
889 |
767 |
$25K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
958 |
871 |
$25K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,595 |
4,001 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,698 |
1,696 |
$17K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,766 |
2,168 |
$17K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,086 |
1,680 |
$16K |
| 90715 |
|
709 |
598 |
$16K |
| 81025 |
|
7,019 |
6,116 |
$16K |
| 81001 |
|
11,155 |
9,545 |
$16K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
4,008 |
3,290 |
$15K |
| 83880 |
|
923 |
796 |
$15K |
| S9484 |
Crisis intervention mental health services, per hour |
305 |
170 |
$14K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,420 |
2,999 |
$14K |
| J2060 |
Injection, lorazepam, 2 mg |
2,632 |
2,007 |
$11K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,040 |
798 |
$11K |
| 87040 |
|
2,328 |
1,000 |
$11K |
| 83605 |
|
1,852 |
1,403 |
$9K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,877 |
1,468 |
$9K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,262 |
1,074 |
$6K |
| Z7610 |
|
540 |
336 |
$6K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
123 |
107 |
$5K |
| 85730 |
|
1,614 |
1,387 |
$5K |
| 82962 |
|
2,877 |
1,912 |
$4K |
| 70486 |
|
60 |
52 |
$4K |
| 73562 |
|
280 |
249 |
$4K |
| 87186 |
|
973 |
804 |
$4K |
| 85610 |
|
2,050 |
1,754 |
$4K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
823 |
661 |
$4K |
| G0176 |
Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) |
6,092 |
1,304 |
$4K |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
685 |
517 |
$3K |
| 73610 |
|
199 |
184 |
$3K |
| 99406 |
|
599 |
544 |
$3K |
| 73130 |
|
183 |
164 |
$3K |
| 0250 |
|
2,693 |
1,770 |
$2K |
| 85379 |
|
335 |
287 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
547 |
503 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
282 |
245 |
$2K |
| 73630 |
|
139 |
132 |
$2K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
553 |
477 |
$2K |
| 87070 |
|
960 |
841 |
$2K |
| 73030 |
|
144 |
130 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
394 |
363 |
$1K |
| 0272 |
|
1,951 |
1,742 |
$1K |
| 72131 |
|
15 |
12 |
$1K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
183 |
150 |
$780.34 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
181 |
134 |
$759.76 |
| 87088 |
|
177 |
150 |
$705.27 |
| 85027 |
|
905 |
787 |
$650.87 |
| 0012A |
|
16 |
16 |
$640.00 |
| J2704 |
Injection, propofol, 10 mg |
183 |
91 |
$625.81 |
| 96376 |
|
569 |
493 |
$616.51 |
| 0001A |
|
12 |
12 |
$480.00 |
| 73110 |
|
27 |
26 |
$416.86 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$407.54 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
59 |
50 |
$394.80 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
132 |
83 |
$376.04 |
| 94762 |
|
95 |
83 |
$356.48 |
| 36415 |
Collection of venous blood by venipuncture |
3,884 |
3,409 |
$340.86 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
12 |
12 |
$331.99 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
82 |
70 |
$312.30 |
| 87205 |
|
217 |
197 |
$300.16 |
| 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 |
328 |
295 |
$230.75 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
47 |
40 |
$223.31 |
| 0301 |
|
483 |
169 |
$191.85 |
| 82550 |
|
45 |
41 |
$184.60 |
| 10060 |
|
16 |
15 |
$180.00 |
| 71010 |
|
26 |
26 |
$178.68 |
| J1630 |
Injection, haloperidol, up to 5 mg |
411 |
317 |
$173.93 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
14 |
14 |
$166.03 |
| 29125 |
|
65 |
64 |
$164.34 |
| 82947 |
|
66 |
57 |
$132.20 |
| 87184 |
|
27 |
24 |
$87.00 |
| 87077 |
|
18 |
17 |
$80.96 |
| A4217 |
Sterile water/saline, 500 ml |
19 |
19 |
$78.00 |
| 83735 |
|
26 |
26 |
$77.12 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
34 |
24 |
$70.00 |
| 99070 |
|
18 |
14 |
$65.24 |
| 87081 |
|
14 |
14 |
$60.91 |
| 86901 |
|
33 |
32 |
$53.26 |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
15 |
12 |
$52.06 |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
13 |
12 |
$47.79 |
| 86900 |
|
33 |
32 |
$47.70 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
129 |
72 |
$41.67 |
| A4606 |
Oxygen probe for use with oximeter device, replacement |
17 |
15 |
$36.75 |
| 86850 |
|
12 |
12 |
$25.02 |
| 87420 |
|
12 |
12 |
$18.97 |
| 0271 |
|
210 |
179 |
$16.22 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
28 |
26 |
$9.05 |
| 0636 |
|
435 |
318 |
$8.32 |
| 81003 |
|
29 |
28 |
$0.50 |
| 0320 |
|
45 |
34 |
$0.00 |
| 99152 |
|
23 |
13 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
21 |
13 |
$0.00 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
13 |
12 |
$0.00 |
| 0351 |
|
17 |
16 |
$0.00 |
| 90840 |
|
70 |
29 |
$0.00 |
| 0762 |
|
32 |
17 |
$0.00 |
| 0305 |
|
200 |
159 |
$0.00 |
| 0710 |
|
373 |
304 |
$0.00 |
| 0306 |
|
168 |
78 |
$0.00 |
| G0410 |
Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes |
1,290 |
90 |
$0.00 |
| 0307 |
|
71 |
68 |
$0.00 |
| A4615 |
Cannula, nasal |
28 |
16 |
$0.00 |
| 0324 |
|
57 |
57 |
$0.00 |
| 0352 |
|
47 |
41 |
$0.00 |
| 90839 |
|
30 |
28 |
$0.00 |