| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
10,069 |
8,992 |
$133K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,913 |
1,464 |
$79K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,936 |
1,709 |
$78K |
| 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 |
1,777 |
1,402 |
$65K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,454 |
1,231 |
$35K |
| 80053 |
Comprehensive metabolic panel |
5,171 |
4,591 |
$34K |
| 70450 |
Computed tomography, head or brain; without contrast material |
624 |
576 |
$30K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,252 |
4,611 |
$30K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,195 |
1,971 |
$28K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,639 |
1,426 |
$28K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
320 |
295 |
$26K |
| 99199 |
Unlisted special service, procedure or report |
309 |
297 |
$18K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
847 |
752 |
$17K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,620 |
2,185 |
$17K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,257 |
1,082 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
2,067 |
1,891 |
$15K |
| J3490 |
Unclassified drugs |
3,144 |
2,244 |
$13K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,356 |
2,093 |
$12K |
| 84484 |
|
1,796 |
1,587 |
$11K |
| 83690 |
|
2,279 |
2,039 |
$10K |
| Z7502 |
|
234 |
232 |
$9K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,906 |
1,582 |
$8K |
| 81025 |
|
2,165 |
2,018 |
$5K |
| 81001 |
|
2,703 |
2,471 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
742 |
666 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
428 |
397 |
$4K |
| 87631 |
|
139 |
121 |
$4K |
| 0270 |
|
4,756 |
2,534 |
$3K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
69 |
62 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
262 |
226 |
$2K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
251 |
205 |
$2K |
| 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 |
33 |
26 |
$1K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
203 |
146 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
93 |
81 |
$1K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
68 |
59 |
$939.87 |
| J2704 |
Injection, propofol, 10 mg |
283 |
234 |
$795.32 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
243 |
193 |
$770.86 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
51 |
50 |
$748.07 |
| 85610 |
|
358 |
341 |
$685.05 |
| 85027 |
|
131 |
114 |
$612.51 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
145 |
121 |
$547.30 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
84 |
60 |
$530.04 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
87 |
76 |
$472.74 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
12 |
12 |
$383.10 |
| 83880 |
|
28 |
27 |
$380.70 |
| 83605 |
|
42 |
37 |
$374.52 |
| 82948 |
|
134 |
111 |
$339.34 |
| 82150 |
|
109 |
107 |
$318.53 |
| 90715 |
|
12 |
12 |
$310.23 |
| J7050 |
Infusion, normal saline solution, 250 cc |
73 |
66 |
$287.76 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
72 |
62 |
$281.56 |
| 85730 |
|
92 |
86 |
$249.99 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
32 |
29 |
$244.84 |
| 85380 |
|
61 |
54 |
$206.75 |
| Z7610 |
|
24 |
14 |
$157.97 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
33 |
28 |
$145.12 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
17 |
12 |
$138.73 |
| 82550 |
|
65 |
60 |
$138.03 |
| 0360 |
|
390 |
205 |
$101.90 |
| 82553 |
|
14 |
14 |
$74.58 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$72.43 |
| 0710 |
|
294 |
244 |
$54.66 |
| 0250 |
|
211 |
131 |
$6.48 |
| 0100U |
|
25 |
18 |
$5.71 |
| 36415 |
Collection of venous blood by venipuncture |
577 |
506 |
$2.06 |
| 0352 |
|
13 |
12 |
$0.00 |
| 0324 |
|
13 |
13 |
$0.00 |
| 0636 |
|
35 |
19 |
$0.00 |
| 0300 |
|
312 |
74 |
$0.00 |
| 99001 |
|
76 |
67 |
$0.00 |
| 0260 |
|
25 |
22 |
$0.00 |
| 0320 |
|
20 |
13 |
$0.00 |