| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
77,739 |
68,756 |
$3.16M |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
7,432 |
6,887 |
$1.86M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
6,240 |
5,860 |
$1.20M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
12,627 |
11,692 |
$639K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,833 |
2,736 |
$541K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
6,083 |
5,862 |
$527K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
7,161 |
6,555 |
$487K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,153 |
5,938 |
$481K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,712 |
4,461 |
$464K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
4,308 |
4,099 |
$453K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
39,805 |
35,726 |
$428K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
2,123 |
2,003 |
$386K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
3,240 |
3,028 |
$369K |
| 99199 |
Unlisted special service, procedure or report |
10,519 |
9,287 |
$362K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,792 |
3,566 |
$335K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
17,764 |
16,428 |
$322K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
11,314 |
10,182 |
$322K |
| J3490 |
Unclassified drugs |
19,690 |
11,088 |
$252K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
10,497 |
9,543 |
$245K |
| J0134 |
Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg |
1,384 |
1,334 |
$240K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
43,500 |
38,733 |
$217K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
3,560 |
3,443 |
$212K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
11,039 |
9,963 |
$202K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
3,065 |
2,917 |
$189K |
| 71045 |
Radiologic examination, chest; single view |
15,993 |
14,975 |
$163K |
| 76830 |
Ultrasound, transvaginal |
2,713 |
2,573 |
$141K |
| 71046 |
Radiologic examination, chest; 2 views |
7,356 |
7,009 |
$129K |
| 93971 |
|
1,835 |
1,766 |
$124K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
426 |
408 |
$123K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
8,918 |
8,118 |
$118K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
3,485 |
3,184 |
$113K |
| 87631 |
|
2,878 |
2,769 |
$110K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
4,258 |
3,904 |
$103K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
774 |
752 |
$100K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,844 |
1,770 |
$96K |
| 80076 |
|
16,526 |
15,288 |
$90K |
| 71250 |
|
850 |
840 |
$88K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,823 |
1,720 |
$79K |
| 84484 |
|
11,572 |
10,667 |
$77K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12,285 |
11,510 |
$76K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,799 |
2,586 |
$74K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,925 |
2,799 |
$71K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
392 |
381 |
$68K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
4,574 |
4,103 |
$68K |
| 83880 |
|
3,933 |
3,698 |
$68K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
2,177 |
1,831 |
$68K |
| 93970 |
|
655 |
632 |
$66K |
| 83690 |
|
13,057 |
12,104 |
$63K |
| 81025 |
|
15,820 |
14,715 |
$60K |
| 76801 |
|
1,325 |
1,116 |
$57K |
| 0637 |
|
44,351 |
24,936 |
$53K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,079 |
1,050 |
$53K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,823 |
3,552 |
$47K |
| 0250 |
|
5,793 |
2,547 |
$43K |
| 72100 |
|
1,472 |
1,432 |
$43K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,589 |
4,446 |
$42K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,721 |
1,662 |
$41K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,722 |
1,665 |
$41K |
| 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 |
916 |
524 |
$40K |
| 76770 |
|
707 |
693 |
$40K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,257 |
1,404 |
$39K |
| 0300 |
|
847 |
656 |
$38K |
| 81002 |
|
20,765 |
19,409 |
$37K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
381 |
369 |
$36K |
| 0272 |
|
10,993 |
9,606 |
$36K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
5,340 |
4,497 |
$36K |
| 73030 |
|
1,529 |
1,450 |
$34K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,874 |
1,741 |
$33K |
| 73610 |
|
1,539 |
1,476 |
$33K |
| 73630 |
|
1,596 |
1,506 |
$31K |
| 83605 |
|
4,298 |
4,021 |
$31K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,987 |
888 |
$29K |
| 73562 |
|
1,222 |
1,141 |
$28K |
| 87040 |
|
2,741 |
2,587 |
$27K |
| 0270 |
|
4,892 |
3,541 |
$26K |
| 73560 |
|
1,182 |
1,029 |
$26K |
| 0258 |
|
7,525 |
6,865 |
$25K |
| 80306 |
|
1,994 |
1,860 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
13,736 |
12,266 |
$21K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
115 |
112 |
$21K |
| 85610 |
|
8,352 |
7,866 |
$20K |
| 81001 |
|
8,695 |
8,328 |
$20K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,694 |
3,502 |
$18K |
| 85730 |
|
4,770 |
4,563 |
$18K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,364 |
2,294 |
$17K |
| 84702 |
|
1,811 |
1,564 |
$16K |
| 84145 |
|
1,198 |
1,134 |
$16K |
| 87088 |
|
3,393 |
3,256 |
$15K |
| 73130 |
|
735 |
668 |
$15K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
367 |
338 |
$15K |
| 80053 |
Comprehensive metabolic panel |
3,739 |
3,378 |
$14K |
| 87077 |
|
3,029 |
2,932 |
$14K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
2,145 |
2,003 |
$13K |
| 82947 |
|
3,764 |
3,012 |
$13K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
300 |
280 |
$13K |
| 73110 |
|
456 |
443 |
$12K |
| 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 |
247 |
228 |
$12K |
| 87186 |
|
2,356 |
2,285 |
$12K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
207 |
199 |
$12K |
| 85378 |
|
2,177 |
2,089 |
$12K |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
1,140 |
1,057 |
$11K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
78 |
77 |
$11K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
24 |
24 |
$10K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
684 |
677 |
$10K |
| 0259 |
|
912 |
723 |
$10K |
| 83735 |
|
2,625 |
2,345 |
$9K |
| 72040 |
|
413 |
409 |
$9K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,842 |
1,692 |
$9K |
| 73502 |
|
396 |
384 |
$9K |
| 86140 |
|
2,605 |
2,469 |
$8K |
| 0271 |
|
895 |
823 |
$8K |
| J2060 |
Injection, lorazepam, 2 mg |
1,546 |
1,400 |
$8K |
| 86901 |
|
2,783 |
2,606 |
$7K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
367 |
358 |
$7K |
| 0510 |
|
833 |
758 |
$7K |
| 93296 |
|
1,279 |
1,247 |
$7K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
514 |
279 |
$5K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
70 |
68 |
$5K |
| 86900 |
|
2,100 |
1,968 |
$5K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
384 |
357 |
$5K |
| 82553 |
|
600 |
569 |
$5K |
| 86850 |
|
1,309 |
1,237 |
$5K |
| 80061 |
Lipid panel |
1,280 |
1,248 |
$4K |
| 94664 |
|
610 |
587 |
$4K |
| 82550 |
|
1,125 |
1,070 |
$4K |
| 96367 |
|
164 |
144 |
$4K |
| 90715 |
|
126 |
125 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
72 |
69 |
$3K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
94 |
87 |
$3K |
| G0378 |
Hospital observation service, per hour |
13 |
13 |
$3K |
| 93299 |
|
254 |
254 |
$3K |
| 76642 |
|
95 |
91 |
$3K |
| 97161 |
|
160 |
149 |
$3K |
| 96376 |
|
588 |
502 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
15 |
12 |
$3K |
| 87430 |
|
350 |
336 |
$3K |
| A9270 |
Non-covered item or service |
536 |
218 |
$2K |
| 73140 |
|
176 |
170 |
$2K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
215 |
196 |
$2K |
| 96368 |
|
150 |
145 |
$2K |
| 71100 |
|
142 |
134 |
$2K |
| 76870 |
|
52 |
51 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
996 |
984 |
$2K |
| 70486 |
|
16 |
12 |
$2K |
| 0320 |
|
106 |
102 |
$2K |
| 0636 |
|
241 |
221 |
$2K |
| 85652 |
|
951 |
916 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
360 |
356 |
$2K |
| 83615 |
|
373 |
340 |
$2K |
| 74018 |
|
71 |
62 |
$2K |
| 77080 |
|
97 |
95 |
$2K |
| 80179 |
|
134 |
133 |
$1K |
| 84439 |
|
604 |
581 |
$1K |
| 80143 |
|
125 |
125 |
$1K |
| 72141 |
|
12 |
12 |
$1K |
| 73080 |
|
59 |
59 |
$1K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
64 |
26 |
$1K |
| 76536 |
|
40 |
38 |
$1K |
| G2066 |
Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results |
152 |
152 |
$1K |
| 84100 |
|
713 |
601 |
$1K |
| 85027 |
|
610 |
567 |
$909.00 |
| 82077 |
|
110 |
108 |
$845.54 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
43 |
40 |
$805.73 |
| 0720 |
|
34 |
29 |
$805.13 |
| 71020 |
|
32 |
16 |
$730.38 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
29 |
25 |
$687.26 |
| 73590 |
|
44 |
43 |
$683.77 |
| 87210 |
|
225 |
221 |
$658.88 |
| 97535 |
Self-care/home management training, each 15 minutes |
106 |
72 |
$642.60 |
| 87581 |
|
26 |
25 |
$568.51 |
| 93880 |
|
14 |
14 |
$544.73 |
| J1815 |
Injection, insulin, per 5 units |
87 |
48 |
$530.88 |
| 87486 |
|
26 |
25 |
$524.01 |
| 84550 |
|
478 |
457 |
$521.01 |
| 71010 |
|
35 |
13 |
$506.26 |
| 0710 |
|
53 |
51 |
$449.69 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
154 |
152 |
$437.08 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
13 |
13 |
$419.37 |
| 80320 |
|
173 |
153 |
$414.65 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
119 |
113 |
$311.06 |
| 0370 |
|
26 |
25 |
$292.34 |
| 72070 |
|
14 |
13 |
$279.45 |
| J7050 |
Infusion, normal saline solution, 250 cc |
45 |
36 |
$278.71 |
| 72110 |
|
13 |
13 |
$271.68 |
| Z7610 |
|
18 |
16 |
$265.37 |
| 73660 |
|
12 |
12 |
$190.92 |
| 74019 |
|
12 |
12 |
$161.69 |
| 10060 |
|
13 |
12 |
$134.85 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
20 |
13 |
$132.75 |
| 87070 |
|
28 |
27 |
$131.83 |
| 87205 |
|
44 |
42 |
$119.60 |
| 82728 |
|
187 |
183 |
$103.44 |
| 83550 |
|
166 |
164 |
$100.30 |
| J2704 |
Injection, propofol, 10 mg |
13 |
12 |
$96.60 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
17 |
12 |
$83.10 |
| 87081 |
|
17 |
16 |
$80.04 |
| 83540 |
|
190 |
188 |
$79.71 |
| 82607 |
|
53 |
53 |
$72.75 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
17 |
16 |
$70.96 |
| 0760 |
|
15 |
15 |
$68.20 |
| 82746 |
|
55 |
55 |
$54.67 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
29 |
14 |
$50.78 |
| 82570 |
|
102 |
100 |
$36.94 |
| 84153 |
|
27 |
27 |
$18.02 |
| 82043 |
|
222 |
221 |
$16.40 |
| 84156 |
|
63 |
62 |
$13.78 |
| J1630 |
Injection, haloperidol, up to 5 mg |
28 |
26 |
$12.92 |
| 85045 |
|
85 |
85 |
$7.48 |
| 83970 |
|
52 |
51 |
$0.00 |
| 84481 |
|
14 |
13 |
$0.00 |