| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
83,846 |
72,631 |
$4.43M |
| 99283 |
|
52,641 |
46,460 |
$3.08M |
| 74177 |
|
6,165 |
5,952 |
$2.01M |
| 96374 |
|
20,118 |
18,114 |
$1.79M |
| L8699 |
Prosthetic implant, not otherwise specified |
925 |
833 |
$1.44M |
| 93975 |
|
3,881 |
3,672 |
$1.26M |
| 70450 |
|
9,616 |
9,259 |
$1.11M |
| 74176 |
|
6,463 |
6,246 |
$1.07M |
| 90832 |
|
19,308 |
2,703 |
$1.01M |
| 93005 |
|
29,508 |
26,229 |
$887K |
| 96372 |
|
21,653 |
19,732 |
$885K |
| 96375 |
|
14,064 |
12,350 |
$848K |
| 80053 |
|
58,977 |
52,277 |
$721K |
| 80307 |
|
7,450 |
6,406 |
$613K |
| Z7502 |
|
16,000 |
15,790 |
$607K |
| 99499 |
|
5,141 |
4,447 |
$576K |
| 85025 |
|
66,217 |
58,145 |
$556K |
| 71045 |
|
29,878 |
28,059 |
$505K |
| 96365 |
|
4,319 |
3,934 |
$447K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
13,131 |
12,515 |
$440K |
| 71275 |
|
1,471 |
1,425 |
$411K |
| 99285 |
|
2,822 |
2,709 |
$381K |
| 90853 |
|
13,120 |
1,198 |
$380K |
| 76705 |
|
4,756 |
4,550 |
$330K |
| 72125 |
|
2,097 |
2,050 |
$328K |
| 0710 |
|
3,756 |
3,265 |
$317K |
| 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 |
2,920 |
2,824 |
$306K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
4,234 |
4,012 |
$293K |
| 84484 |
|
25,416 |
17,082 |
$278K |
| 87426 |
|
4,608 |
4,474 |
$256K |
| 99221 |
|
1,337 |
1,320 |
$245K |
| 93971 |
|
1,838 |
1,775 |
$245K |
| 76856 |
|
2,760 |
2,655 |
$236K |
| 99284 |
|
2,576 |
2,427 |
$230K |
| 76801 |
|
2,557 |
2,173 |
$220K |
| 0762 |
|
943 |
849 |
$186K |
| 93307 |
|
1,210 |
1,168 |
$182K |
| 96361 |
|
4,620 |
4,226 |
$180K |
| 83880 |
|
5,551 |
5,237 |
$176K |
| 0241U |
|
940 |
918 |
$163K |
| 96360 |
|
1,706 |
1,663 |
$161K |
| 83690 |
|
20,581 |
18,919 |
$159K |
| 71046 |
|
5,258 |
5,016 |
$147K |
| 88305 |
|
5,843 |
3,823 |
$137K |
| 99070 |
|
60,955 |
31,970 |
$131K |
| 76830 |
|
1,604 |
1,546 |
$129K |
| 87276 |
|
13,268 |
12,570 |
$120K |
| 84703 |
|
12,891 |
12,216 |
$113K |
| 87086 |
|
12,221 |
11,501 |
$105K |
| 59425 |
|
1,631 |
1,371 |
$104K |
| 87275 |
|
13,271 |
12,572 |
$100K |
| J3490 |
Unclassified drugs |
42,923 |
21,628 |
$100K |
| 94640 |
|
4,390 |
4,030 |
$99K |
| 99238 |
|
2,947 |
2,670 |
$98K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
8,703 |
8,338 |
$98K |
| 81001 |
|
24,350 |
22,739 |
$88K |
| 73130 |
|
2,636 |
2,553 |
$83K |
| 73630 |
|
2,883 |
2,807 |
$82K |
| 76817 |
|
949 |
833 |
$82K |
| 87641 |
|
2,902 |
2,777 |
$82K |
| 73610 |
|
2,660 |
2,586 |
$81K |
| 96366 |
|
1,042 |
808 |
$81K |
| 84702 |
|
4,536 |
3,904 |
$78K |
| 43239 |
|
1,774 |
1,739 |
$76K |
| 36415 |
|
12,355 |
10,155 |
$75K |
| 93970 |
|
312 |
302 |
$74K |
| 0510 |
|
2,602 |
1,799 |
$72K |
| 73562 |
|
2,572 |
2,508 |
$71K |
| 73030 |
|
2,298 |
2,232 |
$68K |
| 90715 |
|
2,010 |
1,969 |
$67K |
| 80048 |
|
7,218 |
6,752 |
$67K |
| 82962 |
|
13,679 |
5,048 |
$65K |
| 83605 |
|
5,648 |
4,792 |
$62K |
| 87040 |
|
5,691 |
3,183 |
$61K |
| 73110 |
|
1,906 |
1,836 |
$61K |
| 84443 |
|
3,586 |
3,463 |
$60K |
| 87635 |
|
1,300 |
1,252 |
$60K |
| 72100 |
|
1,694 |
1,661 |
$56K |
| 88341 |
|
933 |
597 |
$54K |
| 59025 |
|
3,352 |
2,250 |
$52K |
| 87430 |
|
4,382 |
4,244 |
$50K |
| 11042 |
|
2,707 |
1,213 |
$49K |
| 81025 |
|
8,718 |
8,349 |
$49K |
| Z7610 |
|
4,087 |
2,497 |
$48K |
| 88342 |
|
1,639 |
1,384 |
$47K |
| 85730 |
|
7,481 |
6,843 |
$45K |
| 87186 |
|
4,570 |
3,970 |
$45K |
| 81003 |
|
17,175 |
15,915 |
$44K |
| 85610 |
|
10,712 |
9,747 |
$43K |
| 85379 |
|
3,344 |
3,207 |
$39K |
| 87077 |
|
4,783 |
4,046 |
$38K |
| 0353U |
|
409 |
406 |
$38K |
| 76700 |
|
407 |
400 |
$37K |
| 87070 |
|
3,142 |
2,943 |
$37K |
| 70496 |
|
132 |
128 |
$37K |
| 93976 |
|
128 |
125 |
$37K |
| 0272 |
|
347 |
324 |
$37K |
| 73080 |
|
1,150 |
1,114 |
$36K |
| 83735 |
|
5,205 |
4,473 |
$35K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
8,079 |
6,841 |
$33K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
20,662 |
19,318 |
$33K |
| 74018 |
|
1,151 |
1,106 |
$32K |
| 77067 |
|
131 |
127 |
$31K |
| J2704 |
Injection, propofol, 10 mg |
7,670 |
7,395 |
$30K |
| G0378 |
Hospital observation service, per hour |
432 |
426 |
$28K |
| 12001 |
|
1,052 |
1,033 |
$27K |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
522 |
507 |
$26K |
| 70486 |
|
208 |
205 |
$26K |
| 87420 |
|
4,930 |
4,669 |
$26K |
| 0250 |
|
3,721 |
2,192 |
$25K |
| 87591 |
|
772 |
754 |
$22K |
| 87491 |
|
763 |
745 |
$22K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
614 |
602 |
$21K |
| 45385 |
|
433 |
427 |
$21K |
| 72131 |
|
145 |
144 |
$20K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
4,682 |
3,935 |
$20K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
1,104 |
990 |
$20K |
| 12011 |
|
556 |
536 |
$19K |
| 70498 |
|
121 |
118 |
$19K |
| 73502 |
|
465 |
459 |
$19K |
| 73590 |
|
778 |
755 |
$18K |
| 86901 |
|
4,692 |
4,362 |
$18K |
| 76819 |
|
412 |
222 |
$18K |
| 99231 |
|
238 |
230 |
$18K |
| 73090 |
|
707 |
683 |
$17K |
| 86850 |
|
2,818 |
2,666 |
$17K |
| 87081 |
|
2,173 |
2,125 |
$17K |
| 72040 |
|
597 |
580 |
$17K |
| 84439 |
|
1,720 |
1,674 |
$16K |
| 45380 |
|
388 |
383 |
$16K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
14,146 |
12,958 |
$16K |
| 86900 |
|
4,692 |
4,359 |
$15K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
4,151 |
4,026 |
$15K |
| 88312 |
|
1,361 |
1,077 |
$15K |
| 76805 |
|
153 |
140 |
$15K |
| 76870 |
|
226 |
215 |
$14K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
551 |
381 |
$13K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
547 |
440 |
$13K |
| 86140 |
|
2,278 |
2,161 |
$13K |
| 90471 |
|
2,080 |
2,005 |
$13K |
| 90834 |
|
233 |
28 |
$12K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
3,251 |
2,851 |
$11K |
| 99282 |
|
278 |
264 |
$11K |
| 85027 |
|
1,554 |
1,444 |
$11K |
| 71020 |
|
281 |
252 |
$11K |
| 76815 |
|
182 |
166 |
$10K |
| 83036 |
|
1,201 |
1,133 |
$10K |
| 99199 |
|
228 |
207 |
$10K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
5,717 |
5,460 |
$10K |
| 82550 |
|
1,359 |
1,192 |
$10K |
| 70491 |
|
39 |
39 |
$9K |
| 99281 |
|
84 |
70 |
$9K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
87 |
61 |
$8K |
| 82803 |
|
497 |
257 |
$8K |
| 99217 |
|
266 |
230 |
$8K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,035 |
2,711 |
$8K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
4,036 |
3,806 |
$8K |
| 80061 |
|
774 |
725 |
$7K |
| 99218 |
|
45 |
45 |
$7K |
| 96367 |
|
108 |
105 |
$7K |
| 29125 |
|
376 |
367 |
$7K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
1,126 |
1,057 |
$7K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
4,173 |
3,876 |
$6K |
| 96376 |
|
284 |
207 |
$6K |
| 0270 |
|
3,749 |
2,091 |
$6K |
| 97597 |
|
161 |
99 |
$6K |
| 45378 |
|
105 |
99 |
$6K |
| 87205 |
|
1,159 |
846 |
$6K |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
135 |
127 |
$6K |
| 86677 |
|
296 |
276 |
$5K |
| 84145 |
|
243 |
215 |
$5K |
| 76642 |
|
86 |
86 |
$5K |
| 71101 |
|
153 |
151 |
$5K |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
189 |
178 |
$5K |
| 85652 |
|
1,647 |
1,559 |
$5K |
| 71260 |
|
24 |
24 |
$5K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
5,311 |
5,143 |
$4K |
| 84100 |
|
1,054 |
834 |
$4K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
3,917 |
3,749 |
$4K |
| 87899 |
|
471 |
342 |
$4K |
| J2060 |
Injection, lorazepam, 2 mg |
2,918 |
2,505 |
$4K |
| 10060 |
|
166 |
158 |
$4K |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
665 |
643 |
$4K |
| C1769 |
Guide wire |
38 |
37 |
$3K |
| 81002 |
|
1,078 |
1,007 |
$3K |
| J3360 |
Injection, diazepam, up to 5 mg |
227 |
198 |
$3K |
| G0410 |
Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes |
168 |
16 |
$3K |
| 88313 |
|
241 |
213 |
$3K |
| 12002 |
|
80 |
78 |
$3K |
| 29515 |
|
217 |
201 |
$3K |
| 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 |
727 |
695 |
$3K |
| 76775 |
|
44 |
37 |
$2K |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,905 |
1,193 |
$2K |
| 70360 |
|
97 |
97 |
$2K |
| 47562 |
|
13 |
13 |
$2K |
| J2785 |
Injection, regadenoson, 0.1 mg |
17 |
12 |
$2K |
| 0360 |
|
19 |
12 |
$2K |
| 71010 |
|
86 |
79 |
$2K |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
170 |
166 |
$2K |
| 74022 |
|
45 |
45 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 82140 |
|
126 |
114 |
$2K |
| 86703 |
|
101 |
100 |
$2K |
| 80076 |
|
190 |
188 |
$2K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
1,598 |
1,523 |
$1K |
| 77066 |
Tomosynthesis, mammo |
16 |
16 |
$1K |
| 73140 |
|
84 |
79 |
$1K |
| 59430 |
|
25 |
25 |
$1K |
| 82150 |
|
184 |
172 |
$1K |
| 87075 |
|
131 |
111 |
$1K |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
443 |
408 |
$1K |
| 93017 |
|
29 |
25 |
$1K |
| 88304 |
|
101 |
92 |
$1K |
| 87210 |
|
255 |
244 |
$1K |
| 0370 |
|
34 |
33 |
$1K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
29 |
29 |
$1K |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
317 |
290 |
$1K |
| 97530 |
|
55 |
38 |
$1K |
| J1953 |
Injection, levetiracetam, 10 mg |
61 |
54 |
$963.88 |
| 72072 |
|
25 |
25 |
$880.21 |
| A9270 |
Non-covered item or service |
2,119 |
786 |
$854.98 |
| J1630 |
Injection, haloperidol, up to 5 mg |
590 |
511 |
$820.34 |
| 77001 |
|
13 |
13 |
$818.97 |
| 99224 |
|
12 |
12 |
$771.72 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
159 |
156 |
$702.60 |
| J0500 |
Injection, dicyclomine hcl, up to 20 mg |
15 |
12 |
$696.50 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
99 |
94 |
$692.64 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
28 |
27 |
$626.40 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
78 |
69 |
$619.84 |
| 82375 |
|
41 |
40 |
$557.10 |
| 77063 |
|
13 |
13 |
$461.61 |
| 73060 |
|
16 |
16 |
$426.92 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
72 |
58 |
$408.88 |
| 82274 |
|
27 |
27 |
$387.75 |
| 87320 |
|
27 |
27 |
$353.50 |
| 83050 |
|
42 |
41 |
$350.15 |
| 73552 |
|
15 |
15 |
$338.08 |
| 74000 |
|
13 |
13 |
$335.45 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
130 |
121 |
$329.56 |
| J7050 |
Infusion, normal saline solution, 250 cc |
355 |
332 |
$327.98 |
| 86592 |
|
69 |
67 |
$314.56 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
28 |
28 |
$289.27 |
| 82810 |
|
27 |
26 |
$281.06 |
| 73620 |
|
14 |
14 |
$265.51 |
| 82553 |
|
21 |
13 |
$263.78 |
| 82010 |
|
26 |
26 |
$235.75 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
13 |
13 |
$221.85 |
| 82728 |
|
13 |
13 |
$215.13 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
73 |
69 |
$193.68 |
| 90686 |
|
18 |
17 |
$175.73 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
52 |
49 |
$166.21 |
| 76937 |
|
12 |
12 |
$159.35 |
| 86308 |
|
27 |
26 |
$153.01 |
| J7510 |
Prednisolone oral, per 5 mg |
113 |
106 |
$98.07 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
18 |
14 |
$85.13 |
| 84550 |
|
12 |
12 |
$66.93 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
64 |
63 |
$55.61 |
| J1940 |
Injection, furosemide, up to 20 mg |
55 |
39 |
$53.39 |
| 36600 |
|
13 |
13 |
$47.39 |
| 85007 |
|
13 |
13 |
$39.98 |
| J2004 |
Injection, lidocaine hcl with epinephrine, 1 mg |
14 |
14 |
$36.00 |