| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
29,464 |
27,109 |
$1.19M |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,217 |
3,044 |
$314K |
| Z7502 |
|
8,382 |
8,162 |
$311K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
5,689 |
5,398 |
$278K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,328 |
2,217 |
$236K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
6,542 |
5,927 |
$235K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
3,508 |
3,163 |
$162K |
| 80053 |
Comprehensive metabolic panel |
15,670 |
14,679 |
$139K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
7,325 |
6,980 |
$138K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,302 |
4,091 |
$132K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,091 |
2,000 |
$118K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,524 |
1,449 |
$109K |
| 99199 |
Unlisted special service, procedure or report |
2,570 |
2,318 |
$101K |
| 0206 |
|
25 |
25 |
$101K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,516 |
3,301 |
$98K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,126 |
3,887 |
$95K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
628 |
604 |
$93K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15,676 |
14,598 |
$91K |
| 71045 |
Radiologic examination, chest; single view |
6,586 |
6,328 |
$84K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,417 |
1,358 |
$76K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,258 |
1,193 |
$70K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,131 |
1,936 |
$66K |
| 0360 |
|
1,112 |
967 |
$66K |
| 94642 |
|
650 |
623 |
$58K |
| J3490 |
Unclassified drugs |
8,425 |
5,540 |
$54K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,088 |
1,069 |
$46K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
434 |
428 |
$44K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
843 |
827 |
$38K |
| Z7610 |
|
2,912 |
2,497 |
$38K |
| 0270 |
|
4,367 |
3,500 |
$36K |
| 83880 |
|
1,818 |
1,729 |
$34K |
| 84484 |
|
4,380 |
4,057 |
$32K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
969 |
935 |
$31K |
| 0720 |
|
843 |
639 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,771 |
1,685 |
$31K |
| 0250 |
|
7,480 |
6,819 |
$30K |
| 0272 |
|
2,573 |
2,446 |
$28K |
| 83690 |
|
5,287 |
5,054 |
$27K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
4,548 |
4,407 |
$26K |
| 0636 |
|
2,794 |
2,549 |
$26K |
| 59025 |
Fetal non-stress test |
1,613 |
1,171 |
$26K |
| 0710 |
|
1,680 |
1,616 |
$25K |
| 84703 |
|
4,792 |
4,646 |
$24K |
| 83605 |
|
2,499 |
2,347 |
$23K |
| 81001 |
|
9,334 |
8,994 |
$23K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
356 |
352 |
$23K |
| 87040 |
|
1,763 |
1,705 |
$23K |
| J7050 |
Infusion, normal saline solution, 250 cc |
4,327 |
4,002 |
$21K |
| 85730 |
|
4,100 |
3,966 |
$17K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
613 |
430 |
$17K |
| 0510 |
|
647 |
571 |
$17K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
379 |
350 |
$16K |
| 85610 |
|
4,426 |
4,272 |
$14K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,872 |
3,660 |
$14K |
| 0750 |
|
83 |
82 |
$13K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,949 |
2,709 |
$13K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
331 |
302 |
$10K |
| 96368 |
|
414 |
399 |
$8K |
| Z7514 |
|
128 |
94 |
$7K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,625 |
1,524 |
$7K |
| 82948 |
|
2,283 |
1,849 |
$7K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,127 |
1,030 |
$7K |
| 87807 |
|
1,222 |
1,200 |
$7K |
| 76801 |
|
158 |
143 |
$7K |
| 87186 |
|
997 |
961 |
$6K |
| 80320 |
|
2,438 |
2,309 |
$6K |
| 82140 |
|
624 |
596 |
$6K |
| 85027 |
|
1,353 |
1,314 |
$6K |
| 87077 |
|
1,048 |
1,009 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
861 |
814 |
$5K |
| 90715 |
|
134 |
133 |
$5K |
| 84702 |
|
316 |
291 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
70 |
70 |
$4K |
| 86769 |
|
140 |
139 |
$4K |
| 87430 |
|
546 |
540 |
$3K |
| 0160 |
|
87 |
56 |
$3K |
| 85007 |
|
1,372 |
1,332 |
$3K |
| 88312 |
|
323 |
319 |
$3K |
| 0300 |
|
783 |
712 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
180 |
172 |
$2K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
270 |
241 |
$2K |
| J2704 |
Injection, propofol, 10 mg |
785 |
751 |
$2K |
| V2632 |
Posterior chamber intraocular lens |
12 |
12 |
$2K |
| 86328 |
|
65 |
54 |
$2K |
| 72131 |
|
25 |
24 |
$2K |
| 86901 |
|
933 |
897 |
$2K |
| 81003 |
|
1,188 |
1,159 |
$2K |
| 73562 |
|
101 |
99 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
39 |
38 |
$2K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
27 |
24 |
$2K |
| 87071 |
|
460 |
455 |
$1K |
| 73630 |
|
72 |
71 |
$1K |
| 86900 |
|
589 |
572 |
$1K |
| 86850 |
|
403 |
390 |
$1K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
211 |
207 |
$1K |
| 70486 |
|
13 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,510 |
2,309 |
$964.49 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
112 |
103 |
$912.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
235 |
234 |
$809.79 |
| 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 |
12 |
12 |
$767.40 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
28 |
28 |
$676.02 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
94 |
92 |
$668.33 |
| 87400 |
|
194 |
190 |
$659.02 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
44 |
43 |
$655.86 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
203 |
201 |
$640.98 |
| 73610 |
|
38 |
38 |
$620.30 |
| A4649 |
Surgical supply; miscellaneous |
608 |
422 |
$582.28 |
| 71010 |
|
34 |
34 |
$506.26 |
| 85379 |
|
84 |
81 |
$485.73 |
| 82009 |
|
116 |
113 |
$466.05 |
| 0258 |
|
113 |
107 |
$384.52 |
| 0324 |
|
55 |
54 |
$341.09 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
83 |
75 |
$294.96 |
| 80329 |
|
73 |
72 |
$291.70 |
| 80354 |
|
361 |
352 |
$262.68 |
| 73130 |
|
16 |
16 |
$262.28 |
| J1815 |
Injection, insulin, per 5 units |
55 |
40 |
$245.60 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
50 |
40 |
$216.97 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
78 |
75 |
$199.91 |
| A6451 |
Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard |
36 |
36 |
$191.45 |
| 73110 |
|
13 |
13 |
$163.35 |
| 74018 |
|
12 |
12 |
$158.47 |
| 0370 |
|
84 |
82 |
$146.17 |
| 87420 |
|
34 |
34 |
$143.67 |
| 83735 |
|
28 |
27 |
$95.96 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$87.65 |
| 84512 |
|
14 |
13 |
$75.76 |
| J1953 |
Injection, levetiracetam, 10 mg |
13 |
12 |
$45.47 |
| 81025 |
|
23 |
22 |
$42.18 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
12 |
12 |
$18.80 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
72 |
69 |
$4.43 |
| 0301 |
|
243 |
240 |
$0.00 |