| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
|
44,999 |
38,881 |
$468K |
| 74177 |
|
4,443 |
3,997 |
$373K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
7,751 |
4,761 |
$321K |
| 96374 |
|
12,105 |
10,409 |
$274K |
| G0378 |
Hospital observation service, per hour |
1,096 |
734 |
$249K |
| 0202U |
|
1,288 |
1,259 |
$201K |
| 0241U |
|
4,175 |
3,993 |
$182K |
| 96375 |
|
10,820 |
8,337 |
$157K |
| 93005 |
|
17,870 |
15,672 |
$138K |
| 87635 |
|
7,365 |
6,739 |
$135K |
| 80053 |
|
31,354 |
26,276 |
$127K |
| 74176 |
|
2,592 |
2,359 |
$124K |
| 70450 |
|
4,848 |
4,493 |
$124K |
| 96365 |
|
4,495 |
3,872 |
$103K |
| 85025 |
|
33,945 |
27,222 |
$97K |
| 96361 |
|
9,627 |
7,922 |
$85K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
16,480 |
11,121 |
$79K |
| J3490 |
Unclassified drugs |
26,587 |
10,584 |
$74K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
7,851 |
7,489 |
$72K |
| 71045 |
|
14,466 |
12,997 |
$68K |
| 71275 |
|
742 |
697 |
$65K |
| 96372 |
|
6,204 |
4,554 |
$57K |
| 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 |
1,719 |
1,530 |
$57K |
| 36430 |
|
376 |
211 |
$49K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
3,213 |
2,444 |
$47K |
| 76705 |
|
2,056 |
1,925 |
$46K |
| 96360 |
|
2,557 |
2,323 |
$44K |
| 93971 |
|
829 |
779 |
$43K |
| 84484 |
|
11,593 |
9,911 |
$40K |
| 99199 |
|
1,173 |
1,080 |
$40K |
| 83880 |
|
3,752 |
3,330 |
$37K |
| J7050 |
Infusion, normal saline solution, 250 cc |
11,716 |
6,574 |
$36K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
7,291 |
6,572 |
$35K |
| 76856 |
|
1,257 |
1,188 |
$34K |
| 99285 |
|
4,156 |
3,308 |
$34K |
| 83690 |
|
11,558 |
10,148 |
$31K |
| 99283 |
|
3,525 |
3,267 |
$30K |
| 96376 |
|
4,371 |
2,539 |
$29K |
| Z9725 |
|
915 |
897 |
$27K |
| 84145 |
|
3,035 |
2,678 |
$25K |
| 83605 |
|
5,830 |
5,057 |
$23K |
| 72125 |
|
598 |
582 |
$23K |
| 76830 |
|
829 |
777 |
$22K |
| 93306 |
|
630 |
565 |
$22K |
| 94640 |
|
2,368 |
1,410 |
$17K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
11,605 |
8,243 |
$16K |
| 78452 |
|
446 |
399 |
$15K |
| 36415 |
|
21,882 |
16,184 |
$15K |
| 99284 |
|
2,350 |
2,007 |
$14K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
4,371 |
2,693 |
$13K |
| P9016 |
Red blood cells, leukocytes reduced, each unit |
347 |
201 |
$11K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
6,602 |
3,272 |
$11K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
883 |
845 |
$11K |
| J2785 |
Injection, regadenoson, 0.1 mg |
353 |
307 |
$11K |
| 93970 |
|
211 |
198 |
$11K |
| 81025 |
|
6,203 |
5,598 |
$11K |
| 85379 |
|
2,397 |
2,204 |
$11K |
| 78815 |
|
498 |
491 |
$10K |
| 70551 |
|
372 |
336 |
$10K |
| 87633 |
|
83 |
79 |
$10K |
| 82803 |
|
2,679 |
2,377 |
$10K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,928 |
4,209 |
$10K |
| 71250 |
|
377 |
357 |
$9K |
| 82533 |
|
1,715 |
1,325 |
$9K |
| 80305 |
|
1,508 |
1,387 |
$9K |
| 87086 |
|
3,354 |
2,967 |
$9K |
| 87040 |
|
1,947 |
1,577 |
$9K |
| C1769 |
Guide wire |
79 |
78 |
$9K |
| 36416 |
|
4,201 |
2,631 |
$8K |
| 81003 |
|
10,104 |
9,032 |
$8K |
| 80307 |
|
264 |
258 |
$8K |
| 97140 |
|
883 |
232 |
$8K |
| 80048 |
|
4,468 |
3,089 |
$8K |
| 76700 |
|
344 |
322 |
$8K |
| 73630 |
|
783 |
742 |
$7K |
| 81001 |
|
6,293 |
5,634 |
$7K |
| 70553 |
|
90 |
88 |
$7K |
| 0710 |
|
2,037 |
1,658 |
$7K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,210 |
2,441 |
$7K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
473 |
418 |
$6K |
| 97162 |
|
536 |
446 |
$6K |
| 73030 |
|
717 |
689 |
$6K |
| 73610 |
|
522 |
493 |
$5K |
| 85610 |
|
5,111 |
4,398 |
$5K |
| 90715 |
|
295 |
272 |
$5K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
566 |
547 |
$5K |
| 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 |
173 |
164 |
$5K |
| 71260 |
|
172 |
160 |
$5K |
| 84703 |
|
3,006 |
2,819 |
$5K |
| Z7502 |
|
122 |
115 |
$4K |
| 87804 |
|
1,087 |
1,016 |
$4K |
| 85730 |
|
2,849 |
2,410 |
$4K |
| J2060 |
Injection, lorazepam, 2 mg |
2,074 |
1,521 |
$4K |
| 97110 |
|
1,703 |
526 |
$4K |
| 82947 |
|
8,456 |
3,737 |
$4K |
| 76817 |
|
118 |
101 |
$4K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,506 |
1,359 |
$4K |
| 83735 |
|
2,151 |
1,515 |
$4K |
| 0270 |
|
23,552 |
9,814 |
$4K |
| 73562 |
|
459 |
447 |
$4K |
| 0370 |
|
1,358 |
1,103 |
$4K |
| 76801 |
|
120 |
100 |
$4K |
| 0272 |
|
4,247 |
3,051 |
$4K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
3,017 |
1,717 |
$4K |
| 93017 |
|
517 |
459 |
$3K |
| 73564 |
|
286 |
281 |
$3K |
| 96367 |
|
285 |
247 |
$3K |
| J2704 |
Injection, propofol, 10 mg |
3,635 |
1,998 |
$3K |
| 85027 |
|
2,251 |
1,773 |
$3K |
| 71046 |
|
599 |
577 |
$3K |
| 87186 |
|
1,090 |
939 |
$3K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
525 |
428 |
$3K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
26 |
26 |
$3K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,307 |
897 |
$3K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,625 |
1,195 |
$2K |
| 87880 |
|
597 |
585 |
$2K |
| 84443 |
|
569 |
504 |
$2K |
| 76815 |
|
349 |
189 |
$2K |
| 0160 |
|
1,891 |
790 |
$2K |
| 88305 |
|
474 |
385 |
$2K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,488 |
1,085 |
$2K |
| 83874 |
|
546 |
462 |
$2K |
| 73110 |
|
191 |
182 |
$2K |
| 86923 |
|
340 |
216 |
$2K |
| M0222 |
Intravenous injection, bebtelovimab, includes injection and post administration monitoring |
14 |
13 |
$2K |
| 99282 |
|
229 |
220 |
$2K |
| 86901 |
|
2,546 |
1,782 |
$2K |
| J1815 |
Injection, insulin, per 5 units |
1,555 |
552 |
$2K |
| 86900 |
|
2,553 |
1,782 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,740 |
1,358 |
$2K |
| 84702 |
|
517 |
444 |
$2K |
| 72148 |
|
41 |
39 |
$2K |
| 87088 |
|
688 |
611 |
$2K |
| 73130 |
|
164 |
158 |
$2K |
| 36592 |
|
67 |
37 |
$2K |
| 87077 |
|
640 |
531 |
$2K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
2,931 |
2,356 |
$2K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,989 |
1,311 |
$2K |
| 0250 |
|
20,850 |
5,091 |
$1K |
| 70496 |
|
13 |
12 |
$1K |
| 83036 |
|
690 |
577 |
$1K |
| 96366 |
|
98 |
76 |
$1K |
| J7042 |
5% dextrose/normal saline (500 ml = 1 unit) |
725 |
318 |
$1K |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
829 |
611 |
$1K |
| 77067 |
|
66 |
65 |
$1K |
| 59025 |
|
143 |
38 |
$1K |
| 72131 |
|
36 |
36 |
$1K |
| 87486 |
|
83 |
79 |
$1K |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,210 |
483 |
$1K |
| 90471 |
|
513 |
462 |
$1K |
| 86140 |
|
584 |
532 |
$1K |
| 80143 |
|
115 |
108 |
$1K |
| 87581 |
|
83 |
79 |
$996.76 |
| 80179 |
|
114 |
107 |
$993.73 |
| 87798 |
|
83 |
79 |
$887.20 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,506 |
1,655 |
$885.00 |
| 86850 |
|
1,512 |
1,223 |
$879.90 |
| 84100 |
|
711 |
541 |
$872.24 |
| 71010 |
|
109 |
105 |
$774.28 |
| 82550 |
|
373 |
314 |
$767.00 |
| 0949 |
|
486 |
199 |
$526.23 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
144 |
62 |
$476.36 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
94 |
54 |
$412.59 |
| 76775 |
|
27 |
27 |
$352.73 |
| 80061 |
|
124 |
113 |
$337.01 |
| 76642 |
|
14 |
14 |
$327.08 |
| 87491 |
|
12 |
12 |
$280.53 |
| 87591 |
|
12 |
12 |
$279.63 |
| 85007 |
|
215 |
196 |
$228.00 |
| 72100 |
|
27 |
25 |
$215.74 |
| 72141 |
|
13 |
12 |
$205.07 |
| 85652 |
|
173 |
168 |
$201.99 |
| 0301 |
|
1,042 |
243 |
$191.85 |
| 74018 |
|
27 |
25 |
$167.50 |
| 70486 |
|
13 |
12 |
$164.00 |
| 0360 |
|
260 |
134 |
$149.17 |
| 73080 |
|
14 |
14 |
$148.59 |
| 99281 |
|
312 |
182 |
$133.81 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
38 |
38 |
$123.41 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
49 |
29 |
$99.49 |
| 80047 |
|
42 |
40 |
$98.05 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
70 |
55 |
$96.61 |
| 29515 |
|
16 |
13 |
$84.00 |
| 43239 |
|
14 |
13 |
$78.21 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
12 |
12 |
$69.61 |
| 82728 |
|
41 |
25 |
$68.61 |
| A9573 |
Injection, gadopiclenol, 1 ml |
27 |
26 |
$67.34 |
| 74240 |
|
51 |
51 |
$61.92 |
| 87147 |
|
30 |
25 |
$58.65 |
| G1010 |
Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program |
2,503 |
2,102 |
$54.55 |
| 29125 |
|
14 |
12 |
$44.01 |
| 87205 |
|
29 |
25 |
$43.24 |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
13 |
12 |
$41.65 |
| 0300 |
|
152 |
66 |
$34.10 |
| A4217 |
Sterile water/saline, 500 ml |
31 |
25 |
$32.20 |
| 51702 |
|
22 |
16 |
$30.10 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
13 |
13 |
$27.77 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
38 |
35 |
$25.68 |
| 82565 |
|
28 |
26 |
$24.03 |
| 85014 |
|
57 |
55 |
$22.51 |
| 77063 |
|
16 |
15 |
$22.33 |
| 97530 |
|
18 |
14 |
$10.81 |
| 97116 |
|
14 |
12 |
$7.96 |
| 0351 |
|
33 |
26 |
$0.00 |
| 0302 |
|
79 |
67 |
$0.00 |
| 0760 |
|
236 |
186 |
$0.00 |
| 0320 |
|
99 |
71 |
$0.00 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
49 |
45 |
$0.00 |
| 0402 |
|
89 |
51 |
$0.00 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
26 |
25 |
$0.00 |
| 0762 |
|
20 |
12 |
$0.00 |
| 0306 |
|
247 |
141 |
$0.00 |
| 0636 |
|
401 |
123 |
$0.00 |
| 0305 |
|
456 |
207 |
$0.00 |
| 0720 |
|
40 |
33 |
$0.00 |
| 0352 |
|
133 |
94 |
$0.00 |
| 0307 |
|
78 |
57 |
$0.00 |
| 0258 |
|
58 |
34 |
$0.00 |
| 0324 |
|
151 |
117 |
$0.00 |
| 0379 |
|
57 |
55 |
$0.00 |