| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
15,602 |
13,534 |
$496K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
2,393 |
1,648 |
$100K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,029 |
989 |
$83K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,131 |
1,923 |
$78K |
| 0270 |
|
7,210 |
4,436 |
$67K |
| 0272 |
|
6,266 |
5,668 |
$58K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,625 |
3,306 |
$55K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
616 |
595 |
$48K |
| J3490 |
Unclassified drugs |
4,809 |
3,663 |
$41K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,626 |
2,149 |
$40K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,661 |
1,497 |
$34K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
5,746 |
5,298 |
$34K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,451 |
1,350 |
$34K |
| 71045 |
Radiologic examination, chest; single view |
3,515 |
3,328 |
$31K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,566 |
6,054 |
$31K |
| 80076 |
|
4,667 |
4,348 |
$28K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
121 |
111 |
$27K |
| 99199 |
Unlisted special service, procedure or report |
534 |
491 |
$25K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,290 |
1,190 |
$19K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
552 |
515 |
$18K |
| 0250 |
|
2,497 |
1,623 |
$18K |
| 84484 |
|
2,616 |
2,349 |
$15K |
| 0258 |
|
573 |
508 |
$11K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
261 |
251 |
$11K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
210 |
203 |
$10K |
| 83880 |
|
608 |
592 |
$9K |
| 83690 |
|
1,958 |
1,831 |
$9K |
| 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 |
252 |
232 |
$8K |
| 81001 |
|
2,960 |
2,775 |
$7K |
| 84703 |
|
1,352 |
1,287 |
$7K |
| A9150 |
Non-prescription drugs |
854 |
747 |
$6K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,284 |
1,198 |
$5K |
| Z7502 |
|
140 |
132 |
$5K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
987 |
888 |
$4K |
| 85730 |
|
1,194 |
1,127 |
$4K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,008 |
957 |
$4K |
| 80053 |
Comprehensive metabolic panel |
506 |
498 |
$3K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
778 |
734 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
41 |
37 |
$3K |
| Z7610 |
|
157 |
103 |
$3K |
| 87040 |
|
401 |
355 |
$2K |
| 99406 |
|
328 |
280 |
$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 |
34 |
33 |
$2K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
382 |
274 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
141 |
124 |
$2K |
| 80299 |
|
197 |
186 |
$2K |
| 83605 |
|
319 |
300 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
38 |
38 |
$2K |
| 83735 |
|
288 |
280 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
322 |
295 |
$1K |
| 85379 |
|
213 |
212 |
$1K |
| 84702 |
|
250 |
235 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
41 |
38 |
$800.92 |
| 36415 |
Collection of venous blood by venipuncture |
1,081 |
949 |
$780.80 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
113 |
105 |
$723.36 |
| 81003 |
|
498 |
487 |
$621.94 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
116 |
91 |
$600.52 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
123 |
109 |
$581.45 |
| 87400 |
|
197 |
195 |
$546.43 |
| 87070 |
|
33 |
31 |
$517.66 |
| 84443 |
Thyroid stimulating hormone (TSH) |
45 |
45 |
$504.65 |
| 80320 |
|
80 |
74 |
$402.50 |
| 0320 |
|
24 |
24 |
$365.28 |
| 81000 |
|
183 |
165 |
$290.38 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
58 |
51 |
$244.40 |
| J3590 |
Unclassified biologics |
42 |
40 |
$230.83 |
| A4649 |
Surgical supply; miscellaneous |
870 |
421 |
$179.35 |
| 86403 |
|
33 |
32 |
$172.45 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
27 |
27 |
$169.91 |
| 73630 |
|
13 |
12 |
$157.33 |
| 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 |
12 |
12 |
$103.23 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
14 |
14 |
$80.31 |
| 0636 |
|
27 |
25 |
$61.78 |
| J2060 |
Injection, lorazepam, 2 mg |
15 |
13 |
$53.77 |
| 82550 |
|
12 |
12 |
$45.62 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
15 |
14 |
$41.33 |
| 82962 |
|
16 |
12 |
$9.93 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
341 |
151 |
$0.00 |