| Code | Description | Claims | Beneficiaries | Total Paid |
| 36415 |
Collection of venous blood by venipuncture |
27,390 |
23,637 |
$6.70M |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
12,794 |
1,153 |
$2.38M |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
7,375 |
6,223 |
$1.47M |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
28,670 |
19,585 |
$1.42M |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,462 |
4,027 |
$867K |
| 81003 |
|
15,688 |
14,175 |
$720K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
5,620 |
1,584 |
$704K |
| Q9962 |
High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml |
2,534 |
2,381 |
$697K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,793 |
1,260 |
$605K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,611 |
4,659 |
$577K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,818 |
1,741 |
$555K |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
23,669 |
1,856 |
$549K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
3,322 |
2,987 |
$522K |
| 80053 |
Comprehensive metabolic panel |
14,489 |
12,887 |
$381K |
| J2501 |
Injection, paricalcitol, 1 mcg |
16,933 |
1,400 |
$358K |
| 71046 |
Radiologic examination, chest; 2 views |
3,308 |
3,060 |
$351K |
| J0606 |
Injection, etelcalcetide, 0.1 mg |
2,254 |
213 |
$292K |
| 87070 |
|
2,325 |
2,133 |
$279K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
1,148 |
1,057 |
$274K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,298 |
2,116 |
$248K |
| J1644 |
Injection, heparin sodium, per 1000 units |
3,180 |
496 |
$246K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
22,094 |
15,833 |
$227K |
| 88313 |
|
2,129 |
1,838 |
$208K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
790 |
760 |
$199K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
551 |
508 |
$164K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
22,326 |
19,235 |
$161K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,040 |
935 |
$161K |
| 84703 |
|
2,955 |
2,662 |
$158K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
533 |
526 |
$156K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,725 |
2,071 |
$139K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
3,239 |
3,031 |
$133K |
| G0378 |
Hospital observation service, per hour |
4,162 |
2,196 |
$130K |
| 71045 |
Radiologic examination, chest; single view |
2,157 |
1,924 |
$102K |
| 88142 |
|
1,518 |
1,424 |
$84K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,326 |
1,316 |
$82K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
7,218 |
5,742 |
$80K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,796 |
1,689 |
$71K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,194 |
3,737 |
$63K |
| 82948 |
|
1,062 |
909 |
$54K |
| 87088 |
|
5,741 |
5,153 |
$52K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
2,834 |
2,592 |
$41K |
| 99001 |
|
8,661 |
7,971 |
$38K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,645 |
3,233 |
$38K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
279 |
264 |
$35K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
551 |
518 |
$33K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,516 |
1,164 |
$29K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,911 |
4,355 |
$28K |
| 87177 |
|
1,724 |
1,696 |
$27K |
| 76801 |
|
100 |
94 |
$27K |
| 73030 |
|
148 |
132 |
$24K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,038 |
1,743 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
60 |
$24K |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
82 |
75 |
$23K |
| 80061 |
Lipid panel |
5,564 |
5,294 |
$21K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,176 |
4,361 |
$21K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,340 |
3,053 |
$20K |
| 96376 |
|
246 |
230 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
49 |
49 |
$19K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
4,560 |
4,292 |
$18K |
| 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 |
996 |
805 |
$17K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,586 |
4,269 |
$16K |
| 90656 |
|
101 |
92 |
$16K |
| 29581 |
|
487 |
130 |
$16K |
| 72100 |
|
93 |
88 |
$14K |
| 93000 |
|
426 |
395 |
$14K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
826 |
554 |
$14K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,688 |
2,388 |
$13K |
| 85014 |
|
759 |
681 |
$13K |
| 73630 |
|
106 |
87 |
$13K |
| 86850 |
|
1,199 |
1,022 |
$13K |
| 88141 |
|
215 |
191 |
$12K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,837 |
3,410 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
501 |
426 |
$12K |
| 82485 |
|
2,641 |
2,451 |
$11K |
| 94664 |
|
472 |
390 |
$10K |
| 82310 |
|
1,150 |
1,107 |
$10K |
| 82272 |
|
281 |
276 |
$9K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
2,857 |
2,498 |
$9K |
| 87807 |
|
543 |
493 |
$9K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
44 |
42 |
$9K |
| 87077 |
|
3,119 |
2,857 |
$9K |
| 82553 |
|
1,046 |
972 |
$9K |
| 73562 |
|
65 |
54 |
$9K |
| J2916 |
Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
3,750 |
1,114 |
$9K |
| 84484 |
|
2,609 |
2,334 |
$8K |
| 84702 |
|
932 |
770 |
$8K |
| 73610 |
|
32 |
27 |
$8K |
| 88108 |
|
237 |
236 |
$8K |
| J0735 |
Injection, clonidine hydrochloride, 1 mg |
64 |
44 |
$7K |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
379 |
319 |
$7K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,225 |
1,039 |
$6K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
273 |
250 |
$6K |
| 90837 |
Psychotherapy, 53 minutes with patient |
34 |
12 |
$6K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,331 |
1,174 |
$5K |
| G0008 |
Administration of influenza virus vaccine |
50 |
50 |
$5K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
14 |
14 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
41 |
40 |
$5K |
| 85610 |
|
1,615 |
1,448 |
$5K |
| 87481 |
|
36 |
36 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
28 |
17 |
$5K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,537 |
1,218 |
$4K |
| 82803 |
|
591 |
538 |
$4K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
14 |
13 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
34 |
15 |
$4K |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
680 |
636 |
$4K |
| 87040 |
|
264 |
241 |
$4K |
| 86703 |
|
1,338 |
1,271 |
$3K |
| 84153 |
|
770 |
708 |
$3K |
| 82465 |
|
1,717 |
1,684 |
$3K |
| 84550 |
|
1,665 |
1,498 |
$3K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
279 |
221 |
$3K |
| 97602 |
|
155 |
38 |
$3K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,917 |
1,684 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
100 |
25 |
$3K |
| 83880 |
|
607 |
562 |
$3K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
228 |
196 |
$3K |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
45 |
40 |
$3K |
| 87186 |
|
2,556 |
2,357 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
102 |
94 |
$3K |
| 84439 |
|
1,606 |
1,479 |
$3K |
| 86900 |
|
1,538 |
1,307 |
$3K |
| 90714 |
|
245 |
242 |
$2K |
| 83550 |
|
430 |
367 |
$2K |
| J2060 |
Injection, lorazepam, 2 mg |
133 |
121 |
$2K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
134 |
100 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
42 |
37 |
$2K |
| 83735 |
|
1,260 |
1,133 |
$2K |
| 86592 |
|
1,520 |
1,478 |
$2K |
| 83690 |
|
1,798 |
1,638 |
$2K |
| J2704 |
Injection, propofol, 10 mg |
1,047 |
777 |
$2K |
| 73130 |
|
12 |
12 |
$2K |
| 84132 |
|
2,716 |
2,518 |
$2K |
| J7510 |
Prednisolone oral, per 5 mg |
21 |
12 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$1K |
| 85651 |
|
1,508 |
1,410 |
$1K |
| 85379 |
|
256 |
244 |
$1K |
| 82270 |
|
168 |
149 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,233 |
3,030 |
$1K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
79 |
73 |
$1K |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
250 |
190 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
12 |
$1K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,316 |
2,002 |
$1K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
84 |
52 |
$1K |
| 82570 |
|
331 |
316 |
$918.50 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
50 |
50 |
$901.36 |
| 93017 |
|
14 |
13 |
$764.00 |
| V2632 |
Posterior chamber intraocular lens |
16 |
16 |
$726.00 |
| 84446 |
|
236 |
210 |
$678.38 |
| 83605 |
|
1,452 |
1,324 |
$665.06 |
| 80069 |
|
65 |
52 |
$516.19 |
| 96367 |
|
166 |
157 |
$492.78 |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
15 |
14 |
$466.80 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
448 |
442 |
$450.68 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
1,589 |
1,332 |
$409.29 |
| 81015 |
|
3,191 |
2,737 |
$408.29 |
| 80076 |
|
42 |
42 |
$402.01 |
| J1756 |
Injection, iron sucrose, 1 mg |
36 |
15 |
$402.01 |
| 83021 |
|
973 |
957 |
$402.01 |
| 76000 |
|
30 |
30 |
$385.80 |
| 86901 |
|
992 |
824 |
$380.02 |
| 84295 |
|
2,643 |
2,453 |
$360.38 |
| 82550 |
|
867 |
842 |
$324.89 |
| 85730 |
|
1,172 |
1,087 |
$311.57 |
| 83615 |
|
797 |
778 |
$290.20 |
| 86140 |
|
541 |
499 |
$284.78 |
| 82565 |
|
2,088 |
1,979 |
$205.87 |
| 83874 |
|
1,046 |
972 |
$158.14 |
| 82728 |
|
787 |
709 |
$71.39 |
| 87563 |
|
51 |
51 |
$43.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
84 |
83 |
$43.06 |
| 86141 |
|
108 |
100 |
$42.00 |
| 84100 |
|
752 |
730 |
$40.83 |
| 82607 |
|
101 |
87 |
$37.59 |
| 82746 |
|
101 |
87 |
$37.59 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
79 |
66 |
$26.00 |
| 84481 |
|
30 |
25 |
$23.60 |
| 85018 |
|
58 |
53 |
$22.09 |
| 84479 |
|
72 |
66 |
$18.35 |
| 83921 |
|
13 |
12 |
$17.91 |
| 82150 |
|
13 |
12 |
$17.73 |
| 82043 |
|
37 |
26 |
$13.15 |
| 86803 |
|
46 |
37 |
$12.80 |
| 94760 |
|
13 |
13 |
$12.19 |
| 82947 |
|
2,639 |
2,449 |
$5.39 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
16 |
13 |
$5.00 |
| 87340 |
|
369 |
349 |
$4.80 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
99 |
57 |
$4.15 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
84 |
55 |
$4.00 |
| 83655 |
|
1,202 |
1,178 |
$0.00 |
| S0028 |
Injection, famotidine, 20 mg |
100 |
84 |
$0.00 |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
21 |
16 |
$0.00 |
| 81513 |
|
37 |
37 |
$0.00 |
| 87535 |
|
52 |
52 |
$0.00 |
| 86336 |
|
20 |
20 |
$0.00 |
| 84156 |
|
14 |
14 |
$0.00 |
| 84165 |
|
12 |
12 |
$0.00 |
| 86235 |
|
39 |
39 |
$0.00 |
| 83540 |
|
24 |
24 |
$0.00 |
| S5010 |
5% dextrose and 0.45% normal saline, 1000 ml |
16 |
14 |
$0.00 |
| 84155 |
|
12 |
12 |
$0.00 |
| 84478 |
|
685 |
669 |
$0.00 |
| 86701 |
|
50 |
50 |
$0.00 |
| 85660 |
|
972 |
956 |
$0.00 |
| 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 |
170 |
155 |
$0.00 |
| 85027 |
|
21 |
20 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
12 |
$0.00 |
| 86762 |
|
98 |
96 |
$0.00 |
| 86225 |
|
43 |
43 |
$0.00 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
29 |
28 |
$0.00 |
| 82677 |
|
19 |
19 |
$0.00 |
| 82105 |
|
19 |
19 |
$0.00 |
| 88304 |
|
13 |
12 |
$0.00 |
| 87184 |
|
15 |
13 |
$0.00 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
14 |
13 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
13 |
13 |
$0.00 |