| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Z7500 |
|
87,917 |
78,162 |
$2.99M |
| Z4300 |
|
17,992 |
17,858 |
$1.86M |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
968 |
507 |
$1.22M |
| 0760 |
|
34,272 |
30,976 |
$957K |
| Z4306 |
|
12,922 |
12,800 |
$923K |
| 0949 |
|
26,158 |
24,068 |
$900K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
5,395 |
3,291 |
$834K |
| Z4301 |
|
28,563 |
26,709 |
$763K |
| 90378 |
|
218 |
174 |
$589K |
| Z4307 |
|
19,867 |
19,624 |
$541K |
| Z9725 |
|
11,181 |
10,977 |
$481K |
| Z4304 |
|
4,653 |
4,648 |
$360K |
| 0450 |
Emergency room services |
7,034 |
6,520 |
$326K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
6,354 |
4,159 |
$306K |
| 0720 |
|
6,500 |
5,298 |
$305K |
| X4303 |
|
4,588 |
1,812 |
$297K |
| 0360 |
|
2,208 |
1,726 |
$288K |
| Z4303 |
|
4,921 |
4,856 |
$274K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
5,608 |
2,171 |
$240K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
10,447 |
2,987 |
$238K |
| 99199 |
Unlisted special service, procedure or report |
10,462 |
9,445 |
$232K |
| Z4311 |
|
18,760 |
18,661 |
$227K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
22,011 |
18,014 |
$219K |
| X3920 |
|
4,202 |
4,180 |
$212K |
| Q3014 |
Telehealth originating site facility fee |
9,143 |
8,922 |
$203K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
1,164 |
1,147 |
$191K |
| 93325 |
|
1,494 |
1,466 |
$190K |
| 96112 |
|
1,220 |
1,219 |
$190K |
| 0761 |
|
7,737 |
7,318 |
$186K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
401 |
400 |
$182K |
| J0586 |
Injection, abobotulinumtoxina, 5 units |
235 |
173 |
$180K |
| 0515 |
|
9,729 |
9,242 |
$172K |
| Z4302 |
|
11,688 |
11,369 |
$163K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,873 |
2,078 |
$142K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
759 |
757 |
$137K |
| J2357 |
Injection, omalizumab, 5 mg |
58 |
37 |
$124K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,507 |
4,423 |
$113K |
| Z4312 |
|
8,627 |
8,562 |
$104K |
| X3908 |
|
3,372 |
1,408 |
$103K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
7,698 |
7,654 |
$102K |
| Z4308 |
|
4,104 |
4,074 |
$100K |
| 97010 |
|
2,393 |
1,045 |
$100K |
| Z4310 |
|
7,226 |
7,136 |
$100K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,275 |
1,266 |
$93K |
| 0710 |
|
1,924 |
1,874 |
$93K |
| 93320 |
|
1,176 |
1,159 |
$91K |
| Z4309 |
|
3,359 |
3,330 |
$83K |
| 80053 |
Comprehensive metabolic panel |
4,779 |
4,544 |
$82K |
| 96113 |
|
1,098 |
1,097 |
$78K |
| 97139 |
|
4,913 |
1,122 |
$76K |
| 59025 |
Fetal non-stress test |
5,940 |
1,936 |
$75K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,026 |
959 |
$75K |
| 0700 |
|
1,993 |
1,660 |
$71K |
| 94010 |
|
3,890 |
3,856 |
$71K |
| 71046 |
Radiologic examination, chest; 2 views |
1,793 |
1,759 |
$67K |
| X3910 |
|
3,242 |
1,367 |
$61K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
78 |
73 |
$60K |
| 76770 |
|
813 |
810 |
$58K |
| Z7610 |
|
5,084 |
4,023 |
$58K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,012 |
971 |
$54K |
| 97750 |
|
427 |
314 |
$48K |
| 0430 |
|
1,562 |
371 |
$47K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,247 |
1,210 |
$44K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
153 |
147 |
$43K |
| X4110 |
|
1,406 |
569 |
$43K |
| 97799 |
|
2,733 |
593 |
$41K |
| 86003 |
|
396 |
361 |
$41K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,386 |
1,219 |
$37K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
386 |
370 |
$36K |
| 0270 |
|
8,385 |
5,636 |
$34K |
| 99215 |
Prolong outpt/office vis |
224 |
192 |
$34K |
| 76775 |
|
745 |
714 |
$33K |
| Z7506 |
|
252 |
233 |
$32K |
| 72082 |
|
563 |
562 |
$32K |
| 97802 |
|
405 |
401 |
$31K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
1,152 |
1,034 |
$31K |
| Z4314 |
|
1,408 |
1,329 |
$31K |
| 85027 |
|
4,374 |
3,799 |
$30K |
| 0250 |
|
2,011 |
1,379 |
$29K |
| H1000 |
Prenatal care, at-risk assessment |
253 |
252 |
$28K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
563 |
494 |
$28K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
28 |
28 |
$27K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
599 |
354 |
$27K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,867 |
1,789 |
$27K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
1,227 |
1,191 |
$26K |
| 82948 |
|
5,713 |
5,709 |
$26K |
| 96111 |
|
236 |
235 |
$25K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
638 |
628 |
$25K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
895 |
893 |
$25K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
550 |
532 |
$24K |
| X4112 |
|
1,219 |
491 |
$23K |
| X3922 |
|
248 |
245 |
$23K |
| 81001 |
|
3,723 |
3,554 |
$22K |
| X4100 |
|
426 |
423 |
$21K |
| 73610 |
|
535 |
505 |
$19K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
419 |
315 |
$19K |
| Z1034 |
|
238 |
197 |
$18K |
| 86923 |
|
428 |
332 |
$17K |
| 73630 |
|
491 |
469 |
$15K |
| Z5406 |
|
881 |
881 |
$15K |
| 84443 |
Thyroid stimulating hormone (TSH) |
892 |
882 |
$14K |
| 90715 |
|
282 |
279 |
$13K |
| J0475 |
Injection, baclofen, 10 mg |
16 |
12 |
$12K |
| J3490 |
Unclassified drugs |
6,226 |
4,055 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
3,479 |
3,097 |
$12K |
| 81002 |
|
3,728 |
3,676 |
$11K |
| 83690 |
|
961 |
929 |
$11K |
| J2704 |
Injection, propofol, 10 mg |
1,230 |
1,128 |
$11K |
| 94664 |
|
681 |
653 |
$10K |
| 92567 |
|
363 |
362 |
$10K |
| 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 |
181 |
175 |
$10K |
| 73110 |
|
343 |
313 |
$10K |
| 84703 |
|
403 |
380 |
$9K |
| 97165 |
|
75 |
63 |
$9K |
| 90678 |
|
22 |
21 |
$9K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
298 |
252 |
$8K |
| 0420 |
|
137 |
50 |
$8K |
| 97803 |
|
274 |
208 |
$8K |
| 59430 |
|
164 |
163 |
$8K |
| 85007 |
|
2,256 |
1,866 |
$8K |
| 82947 |
|
1,371 |
1,160 |
$8K |
| 70360 |
|
495 |
495 |
$8K |
| 73100 |
|
426 |
340 |
$8K |
| 87808 |
|
658 |
636 |
$8K |
| G0378 |
Hospital observation service, per hour |
557 |
511 |
$8K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
159 |
154 |
$8K |
| 36416 |
|
3,146 |
2,990 |
$7K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
196 |
137 |
$7K |
| 73080 |
|
177 |
158 |
$7K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,297 |
1,258 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
123 |
122 |
$7K |
| 85044 |
|
1,446 |
1,381 |
$6K |
| 86140 |
|
1,049 |
1,023 |
$6K |
| 87486 |
|
78 |
73 |
$6K |
| 84439 |
|
643 |
636 |
$6K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,970 |
1,816 |
$6K |
| 87581 |
|
78 |
73 |
$5K |
| 84460 |
|
867 |
743 |
$5K |
| 99201 |
|
129 |
114 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
59 |
52 |
$5K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
79 |
73 |
$5K |
| 73140 |
|
280 |
248 |
$5K |
| 82248 |
|
821 |
635 |
$5K |
| 64642 |
|
293 |
293 |
$5K |
| 82785 |
|
296 |
295 |
$4K |
| 82247 |
|
754 |
578 |
$4K |
| J7070 |
Infusion, d5w, 1000 cc |
592 |
563 |
$4K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
692 |
575 |
$4K |
| 27500 |
|
368 |
361 |
$4K |
| 87210 |
|
757 |
731 |
$4K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
39 |
36 |
$4K |
| 0272 |
|
526 |
507 |
$4K |
| 73562 |
|
111 |
103 |
$4K |
| 77072 |
|
204 |
202 |
$4K |
| 84450 |
|
640 |
551 |
$4K |
| 84156 |
|
935 |
857 |
$4K |
| 96409 |
|
140 |
113 |
$3K |
| Z1032 |
|
27 |
27 |
$3K |
| 85652 |
|
980 |
959 |
$3K |
| 77073 |
|
68 |
68 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
741 |
722 |
$3K |
| 81003 |
|
1,642 |
1,389 |
$3K |
| 80061 |
Lipid panel |
269 |
268 |
$3K |
| 86901 |
|
449 |
391 |
$3K |
| 90686 |
|
203 |
203 |
$3K |
| 86900 |
|
430 |
377 |
$3K |
| X4102 |
|
80 |
80 |
$3K |
| 73521 |
|
96 |
96 |
$3K |
| 76536 |
|
52 |
51 |
$3K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
854 |
655 |
$2K |
| 81000 |
|
1,131 |
789 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
300 |
273 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
32 |
27 |
$2K |
| 64643 |
|
148 |
148 |
$2K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
708 |
527 |
$2K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
480 |
457 |
$2K |
| 82565 |
|
384 |
331 |
$2K |
| 0160 |
|
107 |
97 |
$2K |
| Z7504 |
|
38 |
25 |
$2K |
| 0471 |
|
19 |
13 |
$2K |
| G1010 |
Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program |
283 |
269 |
$2K |
| 93975 |
|
13 |
13 |
$2K |
| 85730 |
|
191 |
185 |
$2K |
| J7050 |
Infusion, normal saline solution, 250 cc |
317 |
265 |
$2K |
| 73130 |
|
80 |
69 |
$2K |
| 85610 |
|
262 |
252 |
$1K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
154 |
119 |
$1K |
| 86850 |
|
199 |
196 |
$1K |
| 86160 |
|
38 |
37 |
$1K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
15 |
14 |
$1K |
| 82570 |
|
184 |
173 |
$1K |
| A4217 |
Sterile water/saline, 500 ml |
89 |
83 |
$1K |
| 93304 |
|
12 |
12 |
$1K |
| 81025 |
|
269 |
259 |
$1K |
| 82784 |
|
166 |
165 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
197 |
189 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
106 |
105 |
$1K |
| 83516 |
|
78 |
77 |
$1K |
| J9370 |
Vincristine sulfate, 1 mg |
75 |
39 |
$973.41 |
| 99234 |
|
183 |
178 |
$954.80 |
| 90656 |
|
63 |
63 |
$950.34 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
29 |
25 |
$940.36 |
| 74019 |
|
25 |
25 |
$924.59 |
| 90791 |
Psychiatric diagnostic evaluation |
12 |
12 |
$896.56 |
| 74455 |
|
12 |
12 |
$844.80 |
| 83993 |
|
49 |
48 |
$837.99 |
| 0636 |
|
119 |
108 |
$835.49 |
| 0514 |
|
216 |
167 |
$830.64 |
| 84100 |
|
126 |
95 |
$809.89 |
| 87070 |
|
62 |
62 |
$737.38 |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
12 |
12 |
$734.25 |
| 99001 |
|
909 |
877 |
$690.29 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
348 |
331 |
$689.85 |
| 76870 |
|
12 |
12 |
$666.82 |
| 72081 |
|
16 |
16 |
$662.75 |
| Z9727 |
|
14 |
14 |
$602.42 |
| 93356 |
|
26 |
26 |
$587.04 |
| 84305 |
|
56 |
56 |
$585.00 |
| 93321 |
|
12 |
12 |
$557.41 |
| 76818 |
|
89 |
70 |
$528.29 |
| 87116 |
|
37 |
37 |
$525.52 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
21 |
15 |
$483.54 |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
12 |
12 |
$479.28 |
| 86592 |
|
131 |
131 |
$471.14 |
| 84484 |
|
76 |
70 |
$465.62 |
| 87102 |
|
38 |
38 |
$455.12 |
| 87340 |
|
56 |
56 |
$449.22 |
| 73560 |
|
13 |
13 |
$419.42 |
| 83735 |
|
44 |
26 |
$417.02 |
| 87205 |
|
63 |
63 |
$381.48 |
| 0301 |
|
31 |
27 |
$379.00 |
| 87206 |
|
49 |
49 |
$374.88 |
| 99000 |
|
118 |
112 |
$355.00 |
| 87015 |
|
37 |
37 |
$352.18 |
| 95861 |
|
14 |
14 |
$344.91 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
103 |
102 |
$344.46 |
| 82728 |
|
36 |
36 |
$321.69 |
| 73564 |
|
12 |
12 |
$294.60 |
| 80305 |
|
37 |
36 |
$278.86 |
| J9260 |
Injection, methotrexate sodium, 50 mg |
42 |
24 |
$264.62 |
| 87186 |
|
39 |
37 |
$263.91 |
| 86225 |
|
13 |
13 |
$252.85 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
15 |
$250.00 |
| 73590 |
|
25 |
24 |
$231.44 |
| 84478 |
|
22 |
12 |
$179.30 |
| 88300 |
|
69 |
65 |
$166.73 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
54 |
41 |
$161.76 |
| 73070 |
|
13 |
12 |
$136.33 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
15 |
15 |
$109.31 |
| 89051 |
|
13 |
12 |
$101.40 |
| 71020 |
|
37 |
22 |
$99.88 |
| 82945 |
|
13 |
12 |
$44.19 |
| 84157 |
|
13 |
12 |
$40.19 |
| 87088 |
|
14 |
14 |
$21.89 |
| 0300 |
|
26 |
25 |
$0.00 |
| 0324 |
|
49 |
48 |
$0.00 |