| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
Emergency room services |
105,589 |
91,533 |
$25.20M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
72,325 |
64,794 |
$20.43M |
| L8699 |
Prosthetic implant, not otherwise specified |
727 |
717 |
$2.83M |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
7,579 |
6,545 |
$1.32M |
| J7030 |
Infusion, normal saline solution , 1000 cc |
23,076 |
20,655 |
$1.24M |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
10,175 |
9,827 |
$839K |
| Z7502 |
|
16,612 |
16,272 |
$627K |
| 99221 |
|
3,873 |
3,841 |
$615K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
16,276 |
15,129 |
$568K |
| 99499 |
|
5,661 |
4,791 |
$435K |
| 0360 |
|
3,602 |
1,977 |
$422K |
| 0750 |
|
2,241 |
2,205 |
$344K |
| 59025 |
Fetal non-stress test |
5,380 |
4,384 |
$303K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
3,681 |
3,336 |
$299K |
| J3490 |
Unclassified drugs |
32,029 |
25,516 |
$229K |
| 70450 |
Computed tomography, head or brain; without contrast material |
9,619 |
9,276 |
$209K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
6,700 |
6,488 |
$200K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,974 |
4,895 |
$176K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
7,405 |
7,225 |
$173K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
2,291 |
2,164 |
$168K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
28,188 |
25,253 |
$164K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,573 |
4,439 |
$150K |
| J2704 |
Injection, propofol, 10 mg |
5,592 |
5,346 |
$147K |
| 0710 |
|
5,011 |
4,816 |
$143K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,698 |
2,534 |
$139K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
16,994 |
15,763 |
$138K |
| J7050 |
Infusion, normal saline solution, 250 cc |
2,775 |
2,382 |
$138K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
66,136 |
59,349 |
$127K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
4,320 |
4,285 |
$123K |
| Z9725 |
|
3,325 |
3,303 |
$120K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,836 |
2,673 |
$108K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
11,935 |
10,904 |
$107K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
2,464 |
2,434 |
$103K |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
225 |
197 |
$101K |
| 99218 |
|
636 |
635 |
$101K |
| 88342 |
|
2,574 |
2,537 |
$98K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
1,638 |
1,618 |
$98K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
4,651 |
4,406 |
$92K |
| J3370 |
Injection, vancomycin hcl, 500 mg |
360 |
334 |
$88K |
| 80053 |
Comprehensive metabolic panel |
36,247 |
33,119 |
$85K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
4,510 |
4,179 |
$84K |
| 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 |
1,719 |
1,703 |
$84K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
2,480 |
2,409 |
$78K |
| 97802 |
|
867 |
539 |
$77K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
5,544 |
5,198 |
$76K |
| 0761 |
|
1,982 |
1,584 |
$73K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
2,255 |
2,193 |
$73K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
12,712 |
11,602 |
$72K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
4,618 |
4,475 |
$66K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
26,415 |
24,791 |
$64K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
14,783 |
13,292 |
$64K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16,129 |
14,651 |
$63K |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
1,507 |
1,220 |
$62K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
9,646 |
9,250 |
$55K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
484 |
483 |
$51K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
6,075 |
5,863 |
$49K |
| 71045 |
Radiologic examination, chest; single view |
20,239 |
19,225 |
$48K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
4,292 |
3,844 |
$48K |
| Z7610 |
|
3,318 |
3,182 |
$45K |
| 88313 |
|
2,237 |
2,224 |
$44K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
8,706 |
8,308 |
$41K |
| 84703 |
|
24,311 |
22,712 |
$41K |
| 90715 |
|
2,729 |
2,638 |
$41K |
| 0272 |
|
1,869 |
1,709 |
$41K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
941 |
937 |
$41K |
| 99070 |
|
36,311 |
30,134 |
$37K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
801 |
797 |
$36K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
24,012 |
16,141 |
$35K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
5,615 |
5,397 |
$33K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
798 |
762 |
$32K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
563 |
537 |
$30K |
| Q4131 |
Epifix or epicord, per square centimeter |
16 |
12 |
$26K |
| 71046 |
Radiologic examination, chest; 2 views |
9,516 |
9,143 |
$25K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
8,927 |
8,495 |
$24K |
| A4217 |
Sterile water/saline, 500 ml |
3,648 |
2,566 |
$23K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
5,871 |
5,097 |
$22K |
| 99217 |
|
751 |
751 |
$21K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
330 |
324 |
$21K |
| 80306 |
|
5,514 |
5,239 |
$20K |
| 76801 |
|
2,946 |
2,698 |
$20K |
| 72131 |
|
961 |
952 |
$19K |
| 70486 |
|
806 |
784 |
$19K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,908 |
1,783 |
$19K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
8,495 |
8,131 |
$18K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
634 |
628 |
$18K |
| 85730 |
|
8,526 |
7,971 |
$17K |
| 82962 |
|
11,275 |
9,037 |
$16K |
| 99403 |
|
202 |
135 |
$16K |
| 83690 |
|
20,476 |
19,043 |
$16K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,578 |
2,503 |
$15K |
| 97803 |
|
577 |
267 |
$15K |
| 88304 |
|
1,253 |
1,205 |
$15K |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
98 |
96 |
$13K |
| 88341 |
|
121 |
121 |
$13K |
| 85610 |
|
9,204 |
8,585 |
$13K |
| 84484 |
|
11,176 |
9,686 |
$13K |
| 99401 |
|
838 |
373 |
$12K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
268 |
266 |
$12K |
| 73130 |
|
2,198 |
2,136 |
$12K |
| 12001 |
|
2,137 |
2,075 |
$12K |
| 81001 |
|
26,166 |
24,540 |
$12K |
| J1953 |
Injection, levetiracetam, 10 mg |
148 |
135 |
$12K |
| 0270 |
|
925 |
666 |
$11K |
| 12011 |
|
1,461 |
1,423 |
$11K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
554 |
506 |
$11K |
| 73610 |
|
2,357 |
2,271 |
$11K |
| 72128 |
|
611 |
606 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,823 |
7,030 |
$10K |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
33 |
32 |
$10K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,098 |
1,004 |
$10K |
| G0378 |
Hospital observation service, per hour |
762 |
399 |
$9K |
| S0077 |
Injection, clindamycin phosphate, 300 mg |
360 |
330 |
$9K |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
1,723 |
1,632 |
$9K |
| 94664 |
|
4,414 |
4,039 |
$9K |
| 73030 |
|
1,964 |
1,862 |
$9K |
| 86886 |
|
3,712 |
3,541 |
$9K |
| 0762 |
|
306 |
158 |
$9K |
| 73630 |
|
2,256 |
2,201 |
$9K |
| 81003 |
|
23,211 |
21,954 |
$8K |
| 73110 |
|
1,477 |
1,432 |
$8K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
7,966 |
7,188 |
$8K |
| 86901 |
|
4,998 |
4,755 |
$8K |
| 74018 |
|
2,360 |
2,283 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,648 |
2,562 |
$7K |
| J1956 |
Injection, levofloxacin, 250 mg |
49 |
48 |
$7K |
| 99404 |
|
94 |
72 |
$7K |
| 76830 |
Ultrasound, transvaginal |
1,111 |
1,091 |
$7K |
| 93971 |
|
663 |
642 |
$6K |
| 84702 |
|
4,578 |
4,085 |
$6K |
| 96376 |
|
617 |
548 |
$6K |
| 73090 |
|
1,314 |
1,256 |
$6K |
| 83880 |
|
2,243 |
2,089 |
$6K |
| 73562 |
|
2,352 |
2,265 |
$6K |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
622 |
590 |
$6K |
| 87186 |
|
2,641 |
2,519 |
$6K |
| 0250 |
|
1,465 |
1,313 |
$6K |
| 87040 |
|
2,811 |
2,284 |
$6K |
| 83735 |
|
7,583 |
7,011 |
$5K |
| 86900 |
|
4,996 |
4,753 |
$5K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
948 |
913 |
$5K |
| J2060 |
Injection, lorazepam, 2 mg |
3,389 |
2,872 |
$5K |
| 83605 |
|
3,269 |
2,968 |
$5K |
| 73080 |
|
938 |
911 |
$5K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
859 |
824 |
$5K |
| J1644 |
Injection, heparin sodium, per 1000 units |
35 |
24 |
$5K |
| 71250 |
|
170 |
168 |
$5K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
159 |
148 |
$5K |
| 72100 |
|
1,264 |
1,231 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,430 |
1,066 |
$4K |
| 47563 |
|
25 |
25 |
$4K |
| 12002 |
|
591 |
579 |
$4K |
| 74246 |
|
64 |
64 |
$4K |
| 29125 |
|
1,016 |
976 |
$4K |
| 88302 |
|
231 |
231 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
247 |
245 |
$3K |
| 70498 |
|
214 |
213 |
$3K |
| 87077 |
|
2,258 |
2,151 |
$3K |
| 99224 |
|
41 |
41 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,188 |
2,127 |
$3K |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
44 |
41 |
$2K |
| 72170 |
|
920 |
905 |
$2K |
| 10060 |
|
505 |
485 |
$2K |
| 82805 |
|
525 |
501 |
$2K |
| 73590 |
|
1,011 |
963 |
$2K |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
149 |
146 |
$2K |
| 70496 |
|
94 |
93 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
40 |
38 |
$2K |
| 80076 |
|
2,748 |
2,689 |
$2K |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
606 |
596 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,076 |
1,056 |
$2K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
858 |
772 |
$2K |
| 73140 |
|
730 |
719 |
$2K |
| 0001A |
|
51 |
51 |
$2K |
| 76870 |
|
281 |
273 |
$2K |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
94 |
90 |
$2K |
| 82550 |
|
1,941 |
1,785 |
$2K |
| J1630 |
Injection, haloperidol, up to 5 mg |
779 |
625 |
$2K |
| A9150 |
Non-prescription drugs |
380 |
315 |
$2K |
| 87420 |
|
2,683 |
2,532 |
$2K |
| Z7500 |
|
44 |
42 |
$2K |
| 58558 |
|
14 |
14 |
$1K |
| J0290 |
Injection, ampicillin sodium, 500 mg |
84 |
77 |
$1K |
| 93017 |
|
50 |
50 |
$1K |
| 0271 |
|
517 |
463 |
$1K |
| 86141 |
|
998 |
955 |
$1K |
| 85379 |
|
1,301 |
1,258 |
$1K |
| 87070 |
|
204 |
195 |
$939.17 |
| 88312 |
|
70 |
70 |
$910.81 |
| 96367 |
|
139 |
132 |
$910.19 |
| 72040 |
|
331 |
323 |
$877.01 |
| 73060 |
|
319 |
313 |
$847.43 |
| 73620 |
|
165 |
145 |
$845.68 |
| 71101 |
|
206 |
195 |
$799.98 |
| 29515 |
|
228 |
212 |
$752.23 |
| 85027 |
|
382 |
353 |
$749.86 |
| V5008 |
Hearing screening |
15 |
15 |
$701.48 |
| J1815 |
Injection, insulin, per 5 units |
806 |
594 |
$689.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
406 |
396 |
$622.46 |
| 96368 |
|
215 |
215 |
$590.28 |
| 70491 |
|
37 |
37 |
$545.30 |
| 84439 |
|
451 |
440 |
$516.26 |
| 84100 |
|
775 |
666 |
$509.78 |
| 0011A |
|
12 |
12 |
$480.00 |
| 73502 |
|
98 |
95 |
$442.66 |
| 71010 |
|
272 |
251 |
$441.75 |
| 29130 |
|
113 |
107 |
$428.58 |
| 94760 |
|
335 |
276 |
$397.82 |
| 88307 |
|
12 |
12 |
$359.47 |
| A9270 |
Non-covered item or service |
2,252 |
1,859 |
$352.56 |
| 74022 |
|
111 |
105 |
$333.63 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
1,881 |
1,715 |
$323.98 |
| 82077 |
|
207 |
203 |
$313.94 |
| 84550 |
|
610 |
561 |
$305.43 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
27 |
25 |
$281.25 |
| 71020 |
|
151 |
143 |
$274.67 |
| 82009 |
|
688 |
656 |
$227.10 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
27 |
26 |
$226.00 |
| 80061 |
Lipid panel |
150 |
148 |
$214.86 |
| 85651 |
|
569 |
548 |
$214.08 |
| 82270 |
|
237 |
230 |
$206.22 |
| 85347 |
|
514 |
485 |
$198.91 |
| 82731 |
|
29 |
29 |
$193.44 |
| 73552 |
|
101 |
96 |
$186.69 |
| 82140 |
|
64 |
61 |
$150.74 |
| 73120 |
|
30 |
26 |
$150.72 |
| 73564 |
|
13 |
13 |
$123.57 |
| 82570 |
|
290 |
259 |
$114.21 |
| 73100 |
|
12 |
12 |
$108.05 |
| 82728 |
|
40 |
40 |
$105.60 |
| 82150 |
|
16 |
13 |
$102.66 |
| 84145 |
|
112 |
109 |
$99.24 |
| 73600 |
|
41 |
39 |
$94.78 |
| 80178 |
|
163 |
158 |
$92.70 |
| J1836 |
Injection, metronidazole, 10 mg |
45 |
40 |
$90.06 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
94 |
87 |
$82.90 |
| 84156 |
|
286 |
256 |
$79.38 |
| J3360 |
Injection, diazepam, up to 5 mg |
45 |
45 |
$64.88 |
| 74019 |
|
35 |
35 |
$60.51 |
| 82248 |
|
50 |
49 |
$48.77 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
45 |
41 |
$47.28 |
| 73660 |
|
25 |
24 |
$44.97 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
69 |
61 |
$44.78 |
| 87210 |
|
85 |
84 |
$35.94 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
16 |
13 |
$34.24 |
| 82746 |
|
25 |
25 |
$33.96 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
131 |
114 |
$33.66 |
| 82607 |
|
25 |
25 |
$20.31 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
17 |
13 |
$19.16 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
427 |
401 |
$15.46 |
| 83540 |
|
13 |
13 |
$9.73 |
| 29505 |
|
16 |
15 |
$6.86 |
| 89060 |
|
75 |
73 |
$1.27 |
| 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 |
18 |
15 |
$0.03 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
298 |
276 |
$0.00 |
| J1940 |
Injection, furosemide, up to 20 mg |
15 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
12 |
$0.00 |
| 96150 |
|
17 |
17 |
$0.00 |
| 84112 |
|
16 |
15 |
$0.00 |
| 85384 |
|
13 |
12 |
$0.00 |
| 74000 |
|
20 |
20 |
$0.00 |
| J0558 |
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units |
15 |
14 |
$0.00 |