| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
31,125 |
27,921 |
$1.54M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
18,231 |
16,876 |
$944K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
10,136 |
9,521 |
$620K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,043 |
3,947 |
$505K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,402 |
7,010 |
$473K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,753 |
1,708 |
$386K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,636 |
2,565 |
$280K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,837 |
8,197 |
$279K |
| 99070 |
|
22,895 |
12,141 |
$250K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
5,052 |
4,692 |
$245K |
| 80053 |
Comprehensive metabolic panel |
18,284 |
16,920 |
$237K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,782 |
2,677 |
$218K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,202 |
4,624 |
$210K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
20,279 |
18,563 |
$190K |
| 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 |
2,033 |
1,931 |
$160K |
| 84484 |
|
9,656 |
8,663 |
$132K |
| 99499 |
|
2,141 |
1,951 |
$129K |
| 0360 |
|
1,113 |
545 |
$116K |
| Z7502 |
|
3,212 |
3,106 |
$107K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
631 |
624 |
$102K |
| 71045 |
Radiologic examination, chest; single view |
8,536 |
8,197 |
$95K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,091 |
992 |
$91K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,090 |
1,078 |
$73K |
| 81001 |
|
15,841 |
15,023 |
$71K |
| J3490 |
Unclassified drugs |
22,444 |
10,741 |
$71K |
| 82330 |
|
3,155 |
3,038 |
$71K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,317 |
1,278 |
$70K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
2,468 |
2,363 |
$66K |
| 83690 |
|
7,053 |
6,634 |
$62K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
989 |
951 |
$55K |
| 71046 |
Radiologic examination, chest; 2 views |
2,318 |
2,255 |
$55K |
| 83880 |
|
2,459 |
2,355 |
$52K |
| 83605 |
|
2,858 |
2,505 |
$45K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
620 |
594 |
$44K |
| 85730 |
|
6,060 |
5,806 |
$40K |
| 87040 |
|
1,757 |
1,623 |
$39K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
372 |
362 |
$39K |
| 81025 |
|
5,458 |
5,222 |
$38K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
9,071 |
7,954 |
$34K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,553 |
1,399 |
$33K |
| 82947 |
|
4,497 |
4,106 |
$33K |
| 85610 |
|
6,906 |
6,595 |
$29K |
| 87088 |
|
4,210 |
4,014 |
$28K |
| 87070 |
|
1,700 |
1,611 |
$22K |
| 84703 |
|
1,730 |
1,689 |
$21K |
| 82565 |
|
3,027 |
2,914 |
$20K |
| 87186 |
|
1,790 |
1,723 |
$20K |
| 84132 |
|
3,060 |
2,940 |
$20K |
| 84295 |
|
3,025 |
2,909 |
$20K |
| 82435 |
|
3,027 |
2,914 |
$19K |
| 83735 |
|
2,528 |
2,391 |
$19K |
| 84520 |
|
3,031 |
2,917 |
$18K |
| 71250 |
|
97 |
97 |
$17K |
| 73610 |
|
649 |
628 |
$16K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,657 |
1,560 |
$16K |
| 73630 |
|
629 |
616 |
$15K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
222 |
220 |
$14K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
7,317 |
6,931 |
$14K |
| 73130 |
|
524 |
507 |
$14K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,695 |
1,630 |
$13K |
| 87077 |
|
2,100 |
2,021 |
$13K |
| 74178 |
|
50 |
46 |
$11K |
| 84702 |
|
657 |
597 |
$10K |
| 0710 |
|
371 |
361 |
$10K |
| 85014 |
|
2,995 |
2,883 |
$10K |
| Z7610 |
|
1,223 |
583 |
$10K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,816 |
3,576 |
$9K |
| 82150 |
|
1,041 |
991 |
$9K |
| 72131 |
|
65 |
65 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,055 |
1,023 |
$8K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
237 |
229 |
$8K |
| 73564 |
|
300 |
293 |
$8K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
246 |
237 |
$8K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
1,184 |
1,117 |
$7K |
| 76830 |
Ultrasound, transvaginal |
105 |
104 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
351 |
345 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
538 |
530 |
$6K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
16 |
16 |
$6K |
| 73110 |
|
208 |
204 |
$6K |
| 81003 |
|
2,040 |
1,911 |
$6K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,466 |
1,223 |
$6K |
| 73030 |
|
252 |
241 |
$6K |
| 93971 |
|
57 |
50 |
$6K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,091 |
721 |
$5K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,024 |
4,601 |
$5K |
| 76801 |
|
62 |
54 |
$4K |
| 90715 |
|
97 |
96 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
26 |
24 |
$3K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
664 |
488 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,772 |
1,678 |
$3K |
| 86756 |
|
160 |
157 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
14 |
$3K |
| 72100 |
|
87 |
87 |
$2K |
| 85379 |
|
170 |
169 |
$2K |
| 93970 |
|
12 |
12 |
$2K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
282 |
256 |
$2K |
| 70486 |
|
12 |
12 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
417 |
414 |
$2K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
772 |
515 |
$2K |
| J2060 |
Injection, lorazepam, 2 mg |
870 |
720 |
$2K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,007 |
905 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,913 |
1,795 |
$2K |
| 74018 |
|
76 |
76 |
$1K |
| 82550 |
|
170 |
165 |
$1K |
| 82140 |
|
96 |
96 |
$1K |
| 29125 |
|
89 |
88 |
$1K |
| J7050 |
Infusion, normal saline solution, 250 cc |
742 |
588 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,870 |
2,527 |
$996.79 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
636 |
513 |
$909.71 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,123 |
1,009 |
$898.74 |
| 59025 |
Fetal non-stress test |
50 |
38 |
$748.50 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
388 |
363 |
$670.31 |
| 0250 |
|
1,033 |
355 |
$621.76 |
| 73090 |
|
27 |
26 |
$570.72 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
394 |
379 |
$565.64 |
| 74022 |
|
13 |
13 |
$499.59 |
| 80076 |
|
82 |
82 |
$468.12 |
| 12001 |
|
14 |
14 |
$457.17 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
65 |
64 |
$407.47 |
| 82803 |
|
31 |
30 |
$369.07 |
| 29515 |
|
26 |
26 |
$367.58 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
532 |
506 |
$361.94 |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
16 |
15 |
$347.20 |
| 0270 |
|
241 |
132 |
$336.05 |
| 86901 |
|
87 |
80 |
$318.34 |
| 71020 |
|
12 |
12 |
$289.67 |
| J2704 |
Injection, propofol, 10 mg |
435 |
408 |
$288.36 |
| 71010 |
|
13 |
12 |
$266.70 |
| 86900 |
|
88 |
80 |
$258.93 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
131 |
124 |
$253.07 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
26 |
24 |
$202.78 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
121 |
118 |
$182.66 |
| S0077 |
Injection, clindamycin phosphate, 300 mg |
25 |
25 |
$126.84 |
| 80320 |
|
172 |
161 |
$121.68 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
12 |
12 |
$108.40 |
| J1630 |
Injection, haloperidol, up to 5 mg |
71 |
63 |
$105.53 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
23 |
22 |
$92.87 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
29 |
29 |
$81.69 |
| 86850 |
|
15 |
14 |
$40.56 |
| 85651 |
|
14 |
14 |
$28.40 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
16 |
15 |
$0.98 |
| 96376 |
|
67 |
52 |
$0.00 |
| 80329 |
|
38 |
35 |
$0.00 |