| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
153,775 |
131,636 |
$61.48M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
74,353 |
66,348 |
$36.37M |
| Z7502 |
|
40,681 |
39,554 |
$1.53M |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
17,620 |
16,229 |
$914K |
| 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 |
9,234 |
8,873 |
$798K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,240 |
6,676 |
$790K |
| 0360 |
|
5,394 |
2,916 |
$765K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
4,657 |
4,602 |
$582K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
1,734 |
1,720 |
$575K |
| 99499 |
|
8,233 |
6,834 |
$458K |
| G0378 |
Hospital observation service, per hour |
3,469 |
2,519 |
$417K |
| 0762 |
|
4,844 |
3,463 |
$402K |
| 99221 |
|
1,894 |
1,873 |
$363K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,680 |
3,342 |
$359K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
5,652 |
5,393 |
$349K |
| 80053 |
Comprehensive metabolic panel |
85,473 |
79,121 |
$341K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
3,608 |
3,339 |
$293K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
24,933 |
23,344 |
$279K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
1,535 |
1,450 |
$277K |
| J3490 |
Unclassified drugs |
77,151 |
40,312 |
$273K |
| 70450 |
Computed tomography, head or brain; without contrast material |
10,419 |
10,172 |
$272K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
34,546 |
32,284 |
$271K |
| 0720 |
|
6,905 |
4,805 |
$270K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
7,087 |
6,916 |
$240K |
| 99070 |
|
89,526 |
54,387 |
$227K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
89,903 |
82,314 |
$209K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
31,217 |
29,369 |
$205K |
| V5008 |
Hearing screening |
3,555 |
3,460 |
$188K |
| 97802 |
|
1,573 |
1,226 |
$175K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,798 |
1,631 |
$166K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
7,962 |
7,778 |
$150K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
20,666 |
19,070 |
$143K |
| 47562 |
|
451 |
444 |
$136K |
| 59025 |
Fetal non-stress test |
5,765 |
4,475 |
$129K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
8,743 |
8,345 |
$123K |
| 71045 |
Radiologic examination, chest; single view |
30,741 |
29,306 |
$122K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
4,067 |
373 |
$122K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,705 |
2,085 |
$119K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,445 |
1,431 |
$112K |
| 0710 |
|
3,115 |
2,988 |
$109K |
| 76801 |
|
5,858 |
5,064 |
$100K |
| 92588 |
|
1,658 |
1,570 |
$91K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,202 |
1,014 |
$88K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
2,812 |
2,572 |
$88K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
26,318 |
24,162 |
$86K |
| 71046 |
Radiologic examination, chest; 2 views |
18,982 |
18,121 |
$81K |
| Z9725 |
|
1,854 |
1,822 |
$78K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
6,417 |
6,221 |
$76K |
| Z7610 |
|
14,083 |
9,363 |
$75K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,570 |
2,291 |
$74K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
7,384 |
6,708 |
$72K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
36,474 |
33,597 |
$67K |
| 99218 |
|
366 |
361 |
$67K |
| 81001 |
|
54,524 |
50,775 |
$65K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,829 |
1,810 |
$65K |
| 97803 |
|
911 |
673 |
$65K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
2,051 |
2,022 |
$63K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
11,427 |
10,023 |
$58K |
| 81025 |
|
35,431 |
33,470 |
$56K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
4,053 |
3,947 |
$49K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
796 |
776 |
$48K |
| 36415 |
Collection of venous blood by venipuncture |
15,672 |
13,682 |
$45K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,883 |
1,731 |
$40K |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
1,802 |
1,755 |
$39K |
| 85730 |
|
8,754 |
8,303 |
$39K |
| 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 |
3,807 |
3,576 |
$39K |
| 84484 |
|
20,693 |
18,965 |
$37K |
| 84703 |
|
8,832 |
8,144 |
$37K |
| 83690 |
|
28,702 |
27,071 |
$36K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
434 |
429 |
$35K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
943 |
917 |
$34K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
972 |
902 |
$33K |
| 93971 |
|
1,976 |
1,933 |
$31K |
| 70486 |
|
1,243 |
1,220 |
$29K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
191 |
186 |
$27K |
| 85610 |
|
9,924 |
9,351 |
$26K |
| 82962 |
|
23,190 |
19,406 |
$25K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
28,985 |
27,535 |
$25K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
69 |
63 |
$24K |
| 88304 |
|
1,966 |
1,903 |
$24K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
591 |
553 |
$23K |
| 93976 |
|
1,003 |
977 |
$22K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
9,252 |
9,004 |
$22K |
| 84702 |
|
8,136 |
6,824 |
$22K |
| L8699 |
Prosthetic implant, not otherwise specified |
40 |
39 |
$22K |
| 83880 |
|
4,916 |
4,615 |
$22K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
6,680 |
6,068 |
$21K |
| 0250 |
|
4,033 |
2,502 |
$21K |
| 85027 |
|
5,750 |
5,477 |
$19K |
| 76830 |
Ultrasound, transvaginal |
1,332 |
1,302 |
$19K |
| 0949 |
|
276 |
204 |
$18K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
26,129 |
24,179 |
$17K |
| 87040 |
|
5,570 |
5,073 |
$16K |
| 99224 |
|
210 |
207 |
$16K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
14,548 |
13,061 |
$15K |
| 73610 |
|
3,451 |
3,382 |
$15K |
| 72131 |
|
273 |
269 |
$14K |
| 93975 |
|
502 |
496 |
$14K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
6,855 |
5,636 |
$13K |
| 73562 |
|
3,751 |
3,661 |
$13K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12,852 |
12,424 |
$13K |
| 73030 |
|
2,418 |
2,367 |
$12K |
| 73630 |
|
3,686 |
3,607 |
$12K |
| 73130 |
|
3,432 |
3,363 |
$12K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
1,346 |
1,297 |
$12K |
| 99217 |
|
345 |
340 |
$12K |
| J2704 |
Injection, propofol, 10 mg |
4,919 |
4,772 |
$11K |
| 87077 |
|
5,466 |
5,222 |
$11K |
| 74018 |
|
2,940 |
2,856 |
$11K |
| 83605 |
|
6,393 |
5,928 |
$11K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
10,524 |
9,977 |
$11K |
| 97804 |
|
226 |
217 |
$11K |
| 87186 |
|
4,939 |
4,704 |
$10K |
| 81003 |
|
16,309 |
15,645 |
$10K |
| 82248 |
|
2,685 |
1,799 |
$10K |
| J1815 |
Injection, insulin, per 5 units |
1,725 |
1,452 |
$10K |
| 93970 |
|
287 |
282 |
$10K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
3,354 |
2,970 |
$10K |
| 90715 |
|
2,610 |
2,576 |
$9K |
| 73110 |
|
2,237 |
2,189 |
$9K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
69 |
68 |
$9K |
| C1889 |
Implantable/insertable device, not otherwise classified |
46 |
45 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,089 |
2,999 |
$9K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
877 |
841 |
$9K |
| 72100 |
|
1,930 |
1,902 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
652 |
622 |
$8K |
| 86850 |
|
2,639 |
2,506 |
$8K |
| C1781 |
Mesh (implantable) |
13 |
13 |
$8K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
2,549 |
2,253 |
$8K |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
493 |
481 |
$7K |
| 71020 |
|
463 |
371 |
$7K |
| A9270 |
Non-covered item or service |
4,950 |
2,578 |
$7K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
70 |
67 |
$7K |
| 73080 |
|
1,522 |
1,490 |
$7K |
| 12001 |
|
1,706 |
1,681 |
$7K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
3,050 |
2,911 |
$7K |
| Z7500 |
|
192 |
172 |
$7K |
| 88342 |
|
302 |
291 |
$7K |
| 29125 |
|
1,487 |
1,450 |
$6K |
| 36821 |
|
25 |
25 |
$6K |
| 87210 |
|
2,331 |
2,257 |
$6K |
| 88341 |
|
28 |
25 |
$6K |
| 0270 |
|
1,346 |
845 |
$6K |
| 72040 |
|
954 |
933 |
$6K |
| 10060 |
|
1,330 |
1,277 |
$6K |
| 86900 |
|
2,728 |
2,589 |
$6K |
| 82550 |
|
4,770 |
4,427 |
$6K |
| Q3014 |
Telehealth originating site facility fee |
1,337 |
1,242 |
$6K |
| 84145 |
|
1,758 |
1,696 |
$5K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
79 |
71 |
$5K |
| 82247 |
|
2,850 |
1,834 |
$5K |
| 86901 |
|
4,925 |
4,660 |
$5K |
| 83735 |
|
4,756 |
4,341 |
$5K |
| 12011 |
|
1,163 |
1,148 |
$5K |
| 87147 |
|
996 |
939 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
343 |
333 |
$4K |
| 29515 |
|
1,352 |
1,307 |
$4K |
| 87581 |
|
2,108 |
2,031 |
$4K |
| 87486 |
|
2,108 |
2,030 |
$4K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
2,127 |
2,046 |
$4K |
| 85379 |
|
2,589 |
2,518 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
177 |
168 |
$3K |
| S0077 |
Injection, clindamycin phosphate, 300 mg |
809 |
772 |
$3K |
| 96367 |
|
436 |
416 |
$3K |
| 0750 |
|
28 |
28 |
$3K |
| 82731 |
|
47 |
38 |
$3K |
| 85384 |
|
284 |
238 |
$3K |
| 82803 |
|
593 |
560 |
$3K |
| 73140 |
|
940 |
919 |
$3K |
| 88307 |
|
64 |
60 |
$3K |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
724 |
713 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
473 |
460 |
$2K |
| 73590 |
|
686 |
670 |
$2K |
| 94729 |
|
50 |
50 |
$2K |
| 87400 |
|
633 |
555 |
$2K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
4,811 |
4,583 |
$2K |
| 83615 |
|
355 |
299 |
$2K |
| 74019 |
|
546 |
536 |
$2K |
| 73090 |
|
676 |
651 |
$2K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
5,432 |
5,225 |
$2K |
| 88302 |
|
154 |
151 |
$2K |
| 70491 |
|
59 |
59 |
$2K |
| 73502 |
|
502 |
486 |
$2K |
| 94060 |
|
55 |
55 |
$2K |
| 76870 |
|
346 |
333 |
$2K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
2,490 |
2,323 |
$2K |
| 72128 |
|
25 |
25 |
$2K |
| 94727 |
|
38 |
38 |
$2K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
2,076 |
1,982 |
$1K |
| 74021 |
|
373 |
371 |
$1K |
| J7050 |
Infusion, normal saline solution, 250 cc |
2,065 |
1,947 |
$1K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
3,981 |
3,748 |
$1K |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
219 |
213 |
$1K |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
14 |
12 |
$1K |
| 30520 |
|
12 |
12 |
$1K |
| 86780 |
|
177 |
168 |
$1K |
| J1335 |
Injection, ertapenem sodium, 500 mg |
26 |
26 |
$1K |
| 71101 |
|
318 |
308 |
$1K |
| 12002 |
|
358 |
353 |
$1K |
| 74022 |
|
385 |
381 |
$983.20 |
| 29530 |
|
244 |
242 |
$982.89 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
358 |
342 |
$972.45 |
| 82570 |
|
147 |
124 |
$802.78 |
| J2060 |
Injection, lorazepam, 2 mg |
2,099 |
1,903 |
$781.49 |
| J1644 |
Injection, heparin sodium, per 1000 units |
415 |
306 |
$770.44 |
| J3105 |
Injection, terbutaline sulfate, up to 1 mg |
207 |
160 |
$731.75 |
| 71010 |
|
94 |
82 |
$685.21 |
| 10061 |
|
190 |
182 |
$678.02 |
| 71250 |
|
13 |
13 |
$677.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,736 |
2,688 |
$651.94 |
| 85007 |
|
1,943 |
1,864 |
$637.76 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
72 |
68 |
$589.51 |
| 82553 |
|
623 |
585 |
$582.59 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
371 |
331 |
$576.73 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
627 |
578 |
$536.14 |
| 86141 |
|
391 |
378 |
$518.99 |
| 96376 |
|
1,113 |
1,000 |
$468.53 |
| 84439 |
|
408 |
401 |
$437.69 |
| J2440 |
Injection, papaverine hcl, up to 60 mg |
16 |
16 |
$433.18 |
| 87081 |
|
261 |
255 |
$416.77 |
| 74000 |
|
33 |
26 |
$406.80 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
12 |
12 |
$399.09 |
| 84156 |
|
104 |
87 |
$374.35 |
| 99001 |
|
60 |
59 |
$368.00 |
| 84550 |
|
216 |
205 |
$346.55 |
| 0370 |
|
12 |
12 |
$329.70 |
| 87070 |
|
92 |
89 |
$326.29 |
| 0001A |
|
19 |
19 |
$321.86 |
| J1953 |
Injection, levetiracetam, 10 mg |
42 |
39 |
$292.48 |
| 99153 |
Mod sedat endo service >5yrs |
20 |
20 |
$282.52 |
| 82140 |
|
179 |
177 |
$268.22 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
42 |
41 |
$253.00 |
| 80061 |
Lipid panel |
258 |
248 |
$219.56 |
| 0272 |
|
12 |
12 |
$218.49 |
| 88313 |
|
13 |
13 |
$200.50 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
51 |
41 |
$192.88 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
42 |
42 |
$158.40 |
| 87205 |
|
148 |
140 |
$146.44 |
| 99152 |
|
14 |
13 |
$145.54 |
| 84100 |
|
408 |
352 |
$139.28 |
| 72072 |
|
43 |
43 |
$137.75 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
13 |
13 |
$113.15 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
13 |
12 |
$88.00 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
136 |
126 |
$77.56 |
| J2720 |
Injection, protamine sulfate, per 10 mg |
26 |
26 |
$75.85 |
| 85380 |
|
65 |
64 |
$68.60 |
| 85652 |
|
183 |
174 |
$55.25 |
| 73552 |
|
13 |
13 |
$48.70 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
40 |
39 |
$45.51 |
| 70360 |
|
25 |
25 |
$37.79 |
| 29105 |
|
90 |
82 |
$34.68 |
| J1805 |
Injection, esmolol hydrochloride, 10 mg |
14 |
14 |
$30.00 |
| 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 |
41 |
40 |
$25.00 |
| J0456 |
Injection, azithromycin, 500 mg |
27 |
24 |
$23.76 |
| J1940 |
Injection, furosemide, up to 20 mg |
44 |
39 |
$21.04 |
| 80076 |
|
12 |
12 |
$20.42 |
| 73060 |
|
14 |
14 |
$19.38 |
| 29130 |
|
28 |
28 |
$18.72 |
| 85014 |
|
44 |
44 |
$2.68 |
| 85018 |
|
44 |
44 |
$2.59 |
| 82009 |
|
17 |
17 |
$0.00 |
| Q4051 |
Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) |
80 |
45 |
$0.00 |
| J1630 |
Injection, haloperidol, up to 5 mg |
13 |
13 |
$0.00 |
| 76377 |
|
17 |
17 |
$0.00 |