| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
55,026 |
48,213 |
$2.41M |
| 99281 |
|
8,244 |
6,818 |
$807K |
| 70450 |
|
3,966 |
3,753 |
$621K |
| Z7502 |
|
15,968 |
15,763 |
$604K |
| 99284 |
|
3,550 |
3,080 |
$486K |
| 99285 |
|
1,983 |
1,814 |
$415K |
| 74177 |
|
2,230 |
2,129 |
$399K |
| 99283 |
|
2,496 |
2,332 |
$314K |
| 93005 |
|
13,995 |
12,661 |
$272K |
| 80053 |
|
20,345 |
18,560 |
$259K |
| 0111 |
|
632 |
572 |
$250K |
| 71046 |
|
13,336 |
12,522 |
$236K |
| 96374 |
|
5,265 |
4,863 |
$209K |
| 85025 |
|
29,986 |
26,929 |
$197K |
| 72125 |
|
1,108 |
1,046 |
$194K |
| 76377 |
|
1,357 |
1,297 |
$173K |
| 0682 |
|
70 |
69 |
$171K |
| 96372 |
|
9,747 |
8,945 |
$168K |
| 74176 |
|
885 |
820 |
$159K |
| Z9725 |
|
3,374 |
3,349 |
$145K |
| 96361 |
|
5,180 |
4,807 |
$141K |
| 93976 |
|
1,240 |
1,163 |
$141K |
| 96360 |
|
2,615 |
2,501 |
$117K |
| 0206 |
|
289 |
261 |
$114K |
| 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 |
2,129 |
1,913 |
$106K |
| 76801 |
|
1,830 |
1,591 |
$106K |
| 99282 |
|
1,357 |
1,269 |
$102K |
| 76856 |
|
1,752 |
1,674 |
$102K |
| 76705 |
|
1,816 |
1,730 |
$97K |
| 76811 |
|
1,210 |
1,170 |
$95K |
| 76815 |
|
1,864 |
1,239 |
$92K |
| 76700 |
|
1,420 |
1,337 |
$86K |
| J3490 |
Unclassified drugs |
34,992 |
18,603 |
$83K |
| 96375 |
|
3,271 |
3,008 |
$83K |
| 96365 |
|
1,749 |
1,611 |
$83K |
| 71260 |
|
433 |
410 |
$82K |
| 71275 |
|
411 |
387 |
$79K |
| 80048 |
|
8,216 |
7,541 |
$74K |
| 0360 |
|
1,905 |
1,193 |
$69K |
| 93971 |
|
759 |
716 |
$62K |
| 87086 |
|
9,093 |
8,543 |
$59K |
| 11043 |
|
1,516 |
600 |
$59K |
| 59025 |
|
2,421 |
1,729 |
$56K |
| 81025 |
|
14,228 |
13,079 |
$56K |
| 87491 |
|
2,337 |
2,220 |
$55K |
| 87591 |
|
2,335 |
2,220 |
$55K |
| 84484 |
|
7,152 |
6,396 |
$52K |
| 0122 |
|
436 |
317 |
$52K |
| 71045 |
|
3,150 |
2,919 |
$49K |
| 84702 |
|
4,500 |
4,035 |
$49K |
| 83690 |
|
8,464 |
7,746 |
$48K |
| 76770 |
|
688 |
644 |
$47K |
| 84443 |
|
3,354 |
3,304 |
$44K |
| Z7610 |
|
7,304 |
4,703 |
$44K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
8,517 |
7,657 |
$44K |
| 76817 |
|
789 |
727 |
$42K |
| 94640 |
|
2,745 |
2,385 |
$42K |
| 80306 |
|
2,490 |
2,326 |
$42K |
| 81001 |
|
12,836 |
12,007 |
$41K |
| 99199 |
|
1,073 |
949 |
$41K |
| 76805 |
|
488 |
456 |
$40K |
| 83789 |
|
2,521 |
2,511 |
$37K |
| 82261 |
|
2,522 |
2,510 |
$37K |
| 83021 |
|
2,518 |
2,515 |
$37K |
| 83498 |
|
2,517 |
2,514 |
$36K |
| 83880 |
|
1,762 |
1,604 |
$35K |
| 76830 |
|
550 |
527 |
$34K |
| 73564 |
|
1,309 |
1,212 |
$32K |
| 90715 |
|
1,036 |
1,003 |
$30K |
| 96366 |
|
776 |
708 |
$29K |
| 73610 |
|
1,364 |
1,310 |
$29K |
| 80307 |
|
540 |
510 |
$29K |
| 0710 |
|
1,582 |
1,471 |
$28K |
| 0250 |
|
13,291 |
8,015 |
$28K |
| 83516 |
|
2,516 |
2,513 |
$26K |
| 73630 |
|
1,234 |
1,155 |
$26K |
| 36415 |
|
5,660 |
4,653 |
$25K |
| 0301 |
|
2,230 |
1,819 |
$24K |
| 82776 |
|
2,520 |
2,510 |
$24K |
| 81002 |
|
14,487 |
13,441 |
$24K |
| 0762 |
|
465 |
342 |
$23K |
| 45378 |
|
427 |
377 |
$23K |
| 87040 |
|
1,817 |
1,620 |
$22K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,895 |
2,616 |
$21K |
| 73130 |
|
924 |
868 |
$20K |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
748 |
712 |
$20K |
| 88305 |
|
1,257 |
1,143 |
$20K |
| 77336 |
|
572 |
210 |
$19K |
| 73030 |
|
1,113 |
1,043 |
$19K |
| 86850 |
|
1,567 |
1,459 |
$18K |
| 93970 |
|
118 |
108 |
$17K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
1,123 |
1,023 |
$17K |
| 0270 |
|
7,567 |
4,759 |
$16K |
| 0300 |
|
2,248 |
1,873 |
$16K |
| 87400 |
|
3,282 |
3,116 |
$16K |
| 73502 |
|
588 |
565 |
$15K |
| 86900 |
|
3,604 |
3,271 |
$15K |
| 73110 |
|
658 |
634 |
$15K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
131 |
121 |
$15K |
| 77067 |
|
274 |
264 |
$14K |
| 86901 |
|
3,562 |
3,273 |
$14K |
| 97110 |
|
1,045 |
317 |
$14K |
| 0370 |
|
608 |
556 |
$13K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,885 |
2,521 |
$13K |
| 87186 |
|
2,035 |
1,905 |
$12K |
| 85730 |
|
3,075 |
2,802 |
$12K |
| 93325 |
|
169 |
160 |
$12K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,472 |
1,287 |
$11K |
| 0761 |
|
917 |
872 |
$11K |
| 12001 |
|
288 |
279 |
$11K |
| 73590 |
|
491 |
467 |
$11K |
| 83605 |
|
1,179 |
1,061 |
$10K |
| 0160 |
|
374 |
315 |
$10K |
| 0760 |
|
741 |
714 |
$10K |
| 76816 |
|
285 |
274 |
$9K |
| 73080 |
|
394 |
384 |
$9K |
| 0510 |
|
1,022 |
913 |
$9K |
| 76870 |
|
108 |
102 |
$9K |
| 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 |
199 |
185 |
$9K |
| 76825 |
|
170 |
164 |
$9K |
| 85610 |
|
3,220 |
2,919 |
$9K |
| 72100 |
|
318 |
308 |
$8K |
| J2704 |
Injection, propofol, 10 mg |
1,072 |
984 |
$8K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
284 |
255 |
$8K |
| 87077 |
|
1,846 |
1,759 |
$8K |
| 70486 |
|
58 |
57 |
$8K |
| 86141 |
|
980 |
927 |
$7K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,551 |
3,251 |
$7K |
| 81000 |
|
3,133 |
2,653 |
$7K |
| 85379 |
|
1,025 |
964 |
$7K |
| 43239 |
|
243 |
225 |
$6K |
| 73140 |
|
468 |
450 |
$6K |
| 87210 |
|
1,742 |
1,655 |
$6K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,163 |
1,882 |
$6K |
| 76827 |
|
170 |
164 |
$6K |
| 0121 |
|
13 |
13 |
$5K |
| 82805 |
|
194 |
182 |
$5K |
| 74018 |
|
336 |
317 |
$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 |
286 |
266 |
$5K |
| 0410 |
|
420 |
397 |
$5K |
| 0272 |
|
1,522 |
1,408 |
$5K |
| 87420 |
|
1,024 |
962 |
$5K |
| 81003 |
|
3,382 |
3,110 |
$5K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,912 |
1,753 |
$5K |
| 82803 |
|
273 |
253 |
$5K |
| 77290 |
|
40 |
38 |
$5K |
| 84145 |
|
332 |
318 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,119 |
2,889 |
$5K |
| G0378 |
Hospital observation service, per hour |
209 |
172 |
$4K |
| 87635 |
|
136 |
125 |
$4K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,243 |
2,065 |
$4K |
| 12011 |
|
158 |
153 |
$4K |
| 0636 |
|
1,156 |
1,032 |
$4K |
| 77417 |
|
203 |
82 |
$4K |
| 0306 |
|
1,299 |
1,209 |
$4K |
| 0305 |
|
1,708 |
1,568 |
$4K |
| 90471 |
|
867 |
841 |
$4K |
| 82962 |
|
2,337 |
1,912 |
$4K |
| 11042 |
|
126 |
63 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,314 |
1,193 |
$4K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,315 |
1,195 |
$4K |
| 71020 |
|
186 |
99 |
$4K |
| 85018 |
|
1,952 |
1,833 |
$3K |
| 73090 |
|
218 |
210 |
$3K |
| 0320 |
|
531 |
501 |
$3K |
| 0171 |
Inj, epinephrine (belcher) |
61 |
56 |
$3K |
| 80185 |
|
152 |
121 |
$3K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,006 |
849 |
$3K |
| A4649 |
Surgical supply; miscellaneous |
1,916 |
1,078 |
$3K |
| 77063 |
|
207 |
201 |
$3K |
| 99152 |
|
59 |
58 |
$3K |
| 77338 |
|
14 |
12 |
$2K |
| 0324 |
|
540 |
524 |
$2K |
| 45380 |
|
54 |
45 |
$2K |
| 73565 |
|
349 |
342 |
$2K |
| J2060 |
Injection, lorazepam, 2 mg |
632 |
553 |
$2K |
| 83735 |
|
443 |
397 |
$2K |
| 76641 |
|
55 |
53 |
$2K |
| 84703 |
|
338 |
312 |
$2K |
| 93017 |
|
56 |
53 |
$2K |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
429 |
368 |
$2K |
| 0258 |
|
1,186 |
1,096 |
$2K |
| 87426 |
|
105 |
99 |
$2K |
| 0730 |
|
533 |
516 |
$2K |
| 29125 |
|
52 |
49 |
$2K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
624 |
569 |
$2K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
18 |
12 |
$2K |
| 36600 |
|
184 |
167 |
$2K |
| 0402 |
|
470 |
449 |
$2K |
| 78452 |
|
12 |
12 |
$2K |
| 0412 |
|
40 |
38 |
$2K |
| 85027 |
|
313 |
295 |
$1K |
| 84439 |
|
270 |
253 |
$1K |
| 87190 |
|
657 |
622 |
$1K |
| 87147 |
|
468 |
458 |
$1K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
206 |
189 |
$1K |
| 96376 |
|
299 |
264 |
$1K |
| 80076 |
|
203 |
190 |
$1K |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
265 |
250 |
$1K |
| G0379 |
Direct admission of patient for hospital observation care |
28 |
25 |
$1K |
| 73060 |
|
27 |
24 |
$1K |
| 73552 |
|
51 |
51 |
$1K |
| 82140 |
|
82 |
81 |
$1K |
| 77300 |
|
32 |
27 |
$1K |
| J1644 |
Injection, heparin sodium, per 1000 units |
64 |
40 |
$1K |
| 74022 |
|
44 |
44 |
$1K |
| 87070 |
|
217 |
202 |
$990.89 |
| 87081 |
|
249 |
231 |
$987.56 |
| 82731 |
|
36 |
33 |
$969.27 |
| 87205 |
|
269 |
252 |
$890.14 |
| 10060 |
|
74 |
71 |
$889.33 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
65 |
58 |
$869.84 |
| J1953 |
Injection, levetiracetam, 10 mg |
56 |
52 |
$824.59 |
| A0425 |
Ground mileage, per statute mile |
237 |
103 |
$803.79 |
| 88304 |
|
301 |
269 |
$734.85 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
379 |
358 |
$710.91 |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
14 |
12 |
$706.93 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
153 |
138 |
$676.68 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
73 |
63 |
$639.19 |
| J7050 |
Infusion, normal saline solution, 250 cc |
126 |
115 |
$598.99 |
| S0077 |
Injection, clindamycin phosphate, 300 mg |
92 |
78 |
$533.70 |
| 72170 |
|
13 |
12 |
$510.30 |
| 82728 |
|
63 |
59 |
$504.12 |
| 0471 |
|
263 |
249 |
$456.45 |
| 94726 |
|
17 |
14 |
$439.06 |
| 80061 |
|
13 |
12 |
$408.97 |
| J2785 |
Injection, regadenoson, 0.1 mg |
12 |
12 |
$379.54 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
251 |
226 |
$367.95 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
168 |
156 |
$366.44 |
| L8699 |
Prosthetic implant, not otherwise specified |
25 |
25 |
$352.80 |
| 82550 |
|
74 |
71 |
$337.01 |
| 72050 |
|
13 |
12 |
$332.67 |
| 87801 |
|
14 |
13 |
$329.80 |
| 0307 |
|
786 |
758 |
$324.88 |
| 99201 |
|
26 |
26 |
$309.01 |
| 94375 |
|
19 |
14 |
$307.06 |
| 85384 |
|
74 |
66 |
$285.26 |
| 83615 |
|
67 |
63 |
$285.01 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
243 |
209 |
$253.68 |
| 0302 |
|
759 |
681 |
$237.17 |
| 29515 |
|
26 |
25 |
$232.42 |
| J1815 |
Injection, insulin, per 5 units |
16 |
12 |
$228.11 |
| 82247 |
|
69 |
63 |
$205.80 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
25 |
25 |
$205.52 |
| 82248 |
|
70 |
66 |
$202.50 |
| K0001 |
Standard wheelchair |
49 |
27 |
$181.83 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
27 |
24 |
$179.76 |
| 84100 |
|
62 |
58 |
$169.43 |
| 87390 |
|
12 |
12 |
$138.60 |
| 84550 |
|
71 |
62 |
$137.80 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
142 |
134 |
$136.30 |
| 12002 |
|
12 |
12 |
$135.00 |
| 85362 |
|
44 |
38 |
$131.40 |
| 29105 |
|
12 |
12 |
$110.60 |
| 94760 |
|
63 |
53 |
$99.44 |
| 20610 |
|
19 |
14 |
$73.79 |
| 99070 |
|
70 |
38 |
$71.79 |
| 0637 |
|
31 |
28 |
$70.80 |
| 73100 |
|
15 |
13 |
$69.05 |
| 85007 |
|
32 |
29 |
$68.70 |
| J1630 |
Injection, haloperidol, up to 5 mg |
14 |
13 |
$68.32 |
| 82150 |
|
14 |
14 |
$61.85 |
| 84112 |
|
93 |
90 |
$58.01 |
| 86140 |
|
16 |
16 |
$54.63 |
| 84460 |
|
13 |
12 |
$44.82 |
| 84450 |
|
13 |
12 |
$43.63 |
| 86592 |
|
13 |
13 |
$41.39 |
| A4615 |
Cannula, nasal |
30 |
30 |
$22.34 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
13 |
13 |
$16.90 |
| 0771 |
|
362 |
302 |
$13.03 |
| 0271 |
|
70 |
69 |
$0.70 |
| 0922 |
|
153 |
148 |
$0.00 |
| 0350 |
|
38 |
38 |
$0.00 |
| 0720 |
|
215 |
211 |
$0.00 |
| 0420 |
|
154 |
142 |
$0.00 |
| 0170 |
|
24 |
24 |
$0.00 |
| 0352 |
|
16 |
16 |
$0.00 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
48 |
40 |
$0.00 |
| Q4051 |
Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) |
40 |
18 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
233 |
149 |
$0.00 |
| 0721 |
|
138 |
134 |
$0.00 |
| 0312 |
|
245 |
237 |
$0.00 |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
104 |
90 |
$0.00 |
| 0430 |
|
14 |
14 |
$0.00 |
| 0483 |
|
15 |
15 |
$0.00 |
| 0489 |
|
16 |
16 |
$0.00 |
| 0351 |
|
14 |
13 |
$0.00 |
| 76818 |
|
40 |
31 |
$0.00 |
| 0750 |
|
13 |
13 |
$0.00 |