| Code | Description | Claims | Beneficiaries | Total Paid |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
4,151 |
3,898 |
$492K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,937 |
2,694 |
$414K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,263 |
2,945 |
$294K |
| 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 |
3,122 |
2,739 |
$270K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13,406 |
11,124 |
$249K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
704 |
595 |
$156K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,022 |
935 |
$129K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
487 |
470 |
$114K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
10,152 |
8,564 |
$103K |
| 36415 |
Collection of venous blood by venipuncture |
19,811 |
16,782 |
$91K |
| 80053 |
Comprehensive metabolic panel |
4,552 |
4,005 |
$86K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,140 |
1,045 |
$77K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,156 |
1,054 |
$70K |
| 71046 |
Radiologic examination, chest; 2 views |
3,821 |
3,479 |
$68K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,328 |
8,073 |
$65K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,570 |
1,378 |
$62K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
609 |
547 |
$61K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
498 |
464 |
$57K |
| 85027 |
|
9,235 |
7,837 |
$57K |
| 80076 |
|
3,918 |
3,397 |
$48K |
| 81025 |
|
5,598 |
5,019 |
$48K |
| 87631 |
|
585 |
549 |
$47K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
961 |
916 |
$47K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,025 |
894 |
$44K |
| 71045 |
Radiologic examination, chest; single view |
4,882 |
4,343 |
$37K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,960 |
3,376 |
$36K |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,160 |
2,700 |
$34K |
| 84484 |
|
4,972 |
3,797 |
$33K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,652 |
2,088 |
$30K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,574 |
4,940 |
$30K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
158 |
146 |
$29K |
| 81001 |
|
7,396 |
6,582 |
$25K |
| 83690 |
|
3,591 |
3,196 |
$24K |
| 87486 |
|
487 |
470 |
$24K |
| 87581 |
|
487 |
470 |
$24K |
| 86901 |
|
1,110 |
927 |
$24K |
| 82962 |
|
2,896 |
1,850 |
$23K |
| 80305 |
|
1,479 |
1,315 |
$21K |
| 86900 |
|
1,094 |
915 |
$19K |
| 73630 |
|
640 |
590 |
$18K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
441 |
390 |
$17K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,340 |
2,837 |
$17K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,068 |
959 |
$17K |
| 87088 |
|
1,959 |
1,769 |
$16K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
9,205 |
7,130 |
$15K |
| 80061 |
Lipid panel |
1,130 |
947 |
$15K |
| 72100 |
|
646 |
579 |
$15K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
167 |
152 |
$14K |
| 83880 |
|
720 |
640 |
$14K |
| 82077 |
|
782 |
695 |
$14K |
| 83605 |
|
1,470 |
1,171 |
$13K |
| 80143 |
|
652 |
583 |
$13K |
| 80179 |
|
644 |
582 |
$12K |
| 93975 |
|
155 |
143 |
$12K |
| 80320 |
|
846 |
696 |
$12K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
7,663 |
6,884 |
$11K |
| 87040 |
|
1,010 |
653 |
$10K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,524 |
1,387 |
$10K |
| 81003 |
|
4,113 |
3,737 |
$10K |
| 80329 |
|
853 |
662 |
$10K |
| 96376 |
|
1,089 |
800 |
$10K |
| 82947 |
|
1,108 |
689 |
$10K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,410 |
3,009 |
$10K |
| 72141 |
|
44 |
39 |
$10K |
| 76000 |
|
194 |
183 |
$10K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,974 |
1,794 |
$9K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
31 |
24 |
$9K |
| 73130 |
|
318 |
278 |
$9K |
| 73560 |
|
337 |
307 |
$8K |
| 85610 |
|
2,975 |
2,473 |
$8K |
| 85730 |
|
2,019 |
1,667 |
$8K |
| 73610 |
|
416 |
375 |
$8K |
| 87077 |
|
695 |
619 |
$7K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,893 |
5,024 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,569 |
1,349 |
$7K |
| 84703 |
|
644 |
567 |
$7K |
| 85055 |
|
412 |
362 |
$7K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
47 |
42 |
$7K |
| 80051 |
|
279 |
215 |
$7K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
39 |
24 |
$6K |
| 73030 |
|
246 |
216 |
$6K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
639 |
582 |
$5K |
| 71020 |
|
388 |
361 |
$5K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,408 |
1,218 |
$5K |
| 80306 |
|
300 |
241 |
$5K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
128 |
121 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
100 |
93 |
$4K |
| 83735 |
|
669 |
547 |
$4K |
| 82550 |
|
685 |
588 |
$4K |
| 85379 |
|
419 |
387 |
$4K |
| 82248 |
|
711 |
645 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
307 |
285 |
$4K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
204 |
189 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
168 |
148 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$3K |
| 86850 |
|
890 |
736 |
$3K |
| 82565 |
|
663 |
562 |
$3K |
| 90715 |
|
199 |
174 |
$3K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
5,216 |
4,276 |
$3K |
| 12001 |
|
13 |
12 |
$2K |
| 71010 |
|
353 |
331 |
$2K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
4,045 |
3,348 |
$2K |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
115 |
98 |
$2K |
| 80050 |
General health panel |
69 |
58 |
$2K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
3,082 |
2,388 |
$2K |
| 87186 |
|
256 |
225 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
395 |
356 |
$1K |
| 93458 |
|
24 |
15 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
321 |
253 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
91 |
79 |
$1K |
| 94760 |
|
90 |
87 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
56 |
53 |
$1K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
2,440 |
1,929 |
$902.20 |
| 74018 |
|
53 |
49 |
$895.85 |
| 74019 |
|
44 |
39 |
$879.81 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
49 |
43 |
$822.91 |
| 72040 |
|
48 |
39 |
$744.95 |
| J2704 |
Injection, propofol, 10 mg |
3,324 |
2,948 |
$719.95 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
17 |
16 |
$708.70 |
| 0225U |
|
295 |
283 |
$682.89 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
16 |
16 |
$672.00 |
| 73110 |
|
46 |
36 |
$653.14 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
17 |
17 |
$636.46 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,108 |
493 |
$628.56 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
3,246 |
2,529 |
$614.21 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
3,152 |
2,419 |
$601.67 |
| 87070 |
|
27 |
24 |
$572.77 |
| 73502 |
|
32 |
28 |
$540.46 |
| 84520 |
|
183 |
144 |
$522.78 |
| 93017 |
|
24 |
24 |
$408.09 |
| 85007 |
|
125 |
110 |
$374.66 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
13 |
$360.00 |
| 86780 |
|
16 |
16 |
$325.58 |
| 73070 |
|
13 |
12 |
$314.10 |
| 84100 |
|
71 |
63 |
$298.96 |
| 84702 |
|
24 |
24 |
$290.31 |
| 87807 |
|
24 |
23 |
$273.21 |
| J1815 |
Injection, insulin, per 5 units |
282 |
143 |
$248.61 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
831 |
698 |
$217.26 |
| J2060 |
Injection, lorazepam, 2 mg |
282 |
221 |
$211.29 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
17 |
15 |
$182.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
584 |
507 |
$161.61 |
| 94729 |
|
12 |
12 |
$144.60 |
| 82247 |
|
23 |
14 |
$136.23 |
| 81015 |
|
117 |
99 |
$126.94 |
| 83615 |
|
14 |
12 |
$112.19 |
| 87205 |
|
27 |
24 |
$103.70 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
27 |
24 |
$95.91 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
30 |
27 |
$95.41 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
59 |
55 |
$87.57 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
292 |
240 |
$82.94 |
| 82570 |
|
14 |
12 |
$73.90 |
| 84156 |
|
17 |
13 |
$73.50 |
| 99152 |
|
225 |
165 |
$59.98 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
238 |
213 |
$55.78 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
109 |
98 |
$54.99 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
228 |
194 |
$37.05 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,350 |
1,813 |
$18.63 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
17 |
15 |
$12.15 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
38 |
36 |
$5.28 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
82 |
78 |
$4.98 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
753 |
570 |
$2.21 |
| J7050 |
Infusion, normal saline solution, 250 cc |
4,628 |
3,012 |
$1.82 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
642 |
548 |
$1.60 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
15 |
13 |
$1.10 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,548 |
2,047 |
$0.16 |
| A9270 |
Non-covered item or service |
4,587 |
1,210 |
$0.03 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
76 |
53 |
$0.00 |
| 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 |
2,339 |
2,084 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
18 |
14 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
29 |
26 |
$0.00 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
46 |
44 |
$0.00 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
16 |
13 |
$0.00 |
| J3490 |
Unclassified drugs |
22 |
14 |
$0.00 |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
1,268 |
1,225 |
$0.00 |
| 93356 |
|
109 |
107 |
$0.00 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
362 |
306 |
$0.00 |