| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
19,155 |
17,109 |
$781K |
| 0915 |
|
1,532 |
134 |
$319K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
6,463 |
5,983 |
$266K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,033 |
1,964 |
$159K |
| 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 |
2,949 |
2,681 |
$128K |
| 0360 |
|
815 |
784 |
$96K |
| 80053 |
Comprehensive metabolic panel |
12,014 |
10,732 |
$92K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,118 |
2,020 |
$90K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,936 |
4,567 |
$88K |
| 0270 |
|
5,078 |
4,464 |
$81K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,046 |
1,009 |
$79K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,992 |
2,785 |
$78K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
739 |
696 |
$77K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,119 |
1,933 |
$75K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,185 |
1,110 |
$73K |
| 0301 |
|
1,423 |
1,213 |
$72K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
917 |
787 |
$72K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12,870 |
11,359 |
$63K |
| 99199 |
Unlisted special service, procedure or report |
1,251 |
941 |
$53K |
| 71045 |
Radiologic examination, chest; single view |
4,185 |
3,936 |
$40K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
729 |
706 |
$37K |
| 83880 |
|
1,618 |
1,531 |
$33K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,506 |
1,437 |
$28K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,669 |
1,562 |
$25K |
| 84484 |
|
3,725 |
3,353 |
$25K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
700 |
653 |
$24K |
| 0250 |
|
2,188 |
1,818 |
$23K |
| 0710 |
|
1,001 |
967 |
$20K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
401 |
386 |
$19K |
| 83690 |
|
3,516 |
3,296 |
$16K |
| Z7502 |
|
436 |
428 |
$15K |
| J3490 |
Unclassified drugs |
1,662 |
1,494 |
$15K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,995 |
1,746 |
$12K |
| 83605 |
|
1,550 |
1,439 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
1,458 |
1,240 |
$10K |
| 87040 |
|
1,074 |
1,036 |
$10K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
626 |
605 |
$9K |
| 85730 |
|
1,823 |
1,735 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
56 |
56 |
$7K |
| 85610 |
|
2,526 |
2,399 |
$7K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
18,267 |
1,923 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,193 |
1,132 |
$6K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
152 |
144 |
$5K |
| 84703 |
|
965 |
921 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,049 |
981 |
$4K |
| 82962 |
|
2,536 |
2,144 |
$4K |
| 81001 |
|
1,606 |
1,532 |
$4K |
| A4217 |
Sterile water/saline, 500 ml |
713 |
692 |
$4K |
| 76377 |
|
37 |
37 |
$4K |
| 0914 |
|
89 |
45 |
$4K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
904 |
851 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
297 |
284 |
$3K |
| 83735 |
|
650 |
547 |
$3K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
384 |
333 |
$2K |
| 81003 |
|
1,179 |
1,117 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
179 |
169 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
44 |
36 |
$2K |
| J2060 |
Injection, lorazepam, 2 mg |
494 |
458 |
$2K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
66 |
44 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
13 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
187 |
54 |
$2K |
| 94644 |
|
109 |
95 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
332 |
299 |
$2K |
| Z7506 |
|
12 |
12 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
154 |
43 |
$1K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
39 |
39 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
239 |
220 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
76 |
63 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$969.83 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
52 |
40 |
$902.61 |
| 87077 |
|
243 |
241 |
$896.98 |
| 82550 |
|
208 |
199 |
$869.96 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
138 |
135 |
$790.98 |
| 81025 |
|
220 |
216 |
$680.57 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
123 |
116 |
$646.74 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
131 |
123 |
$643.57 |
| 87186 |
|
150 |
148 |
$632.86 |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
25 |
25 |
$630.00 |
| 80320 |
|
165 |
151 |
$623.50 |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$600.00 |
| 0320 |
|
53 |
50 |
$592.45 |
| 81015 |
|
236 |
212 |
$590.17 |
| 82150 |
|
101 |
99 |
$548.61 |
| 85378 |
|
116 |
110 |
$541.87 |
| 88312 |
|
52 |
52 |
$444.07 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
117 |
111 |
$388.47 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
26 |
25 |
$343.28 |
| 82553 |
|
43 |
40 |
$330.85 |
| Z7512 |
|
12 |
12 |
$313.56 |
| 90715 |
|
13 |
13 |
$243.25 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
41 |
38 |
$200.92 |
| J1644 |
Injection, heparin sodium, per 1000 units |
42 |
38 |
$195.05 |
| 73562 |
|
16 |
16 |
$185.20 |
| 36410 |
|
150 |
131 |
$175.42 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
14 |
12 |
$83.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
131 |
66 |
$52.87 |
| 80329 |
|
38 |
34 |
$40.29 |
| 86901 |
|
26 |
26 |
$39.24 |
| 86900 |
|
27 |
27 |
$34.46 |
| 0760 |
|
32 |
27 |
$34.10 |
| 0258 |
|
27 |
26 |
$27.80 |
| 0305 |
|
21 |
12 |
$0.00 |