| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
18,078 |
11,022 |
$675K |
| 74177 |
|
3,920 |
1,851 |
$325K |
| 70450 |
|
5,231 |
2,413 |
$278K |
| 96365 |
|
7,515 |
5,371 |
$272K |
| 99284 |
|
21,052 |
15,710 |
$272K |
| 74176 |
|
3,162 |
1,507 |
$245K |
| 99283 |
|
16,811 |
13,088 |
$194K |
| 93306 |
|
2,488 |
1,216 |
$155K |
| 96361 |
|
5,842 |
4,844 |
$151K |
| 93005 |
|
8,737 |
7,446 |
$118K |
| 71046 |
|
11,939 |
5,510 |
$111K |
| 99282 |
|
11,844 |
10,057 |
$110K |
| 96366 |
|
1,635 |
1,220 |
$96K |
| G0378 |
Hospital observation service, per hour |
676 |
480 |
$95K |
| 80053 |
|
27,892 |
22,767 |
$69K |
| 96375 |
|
5,684 |
4,692 |
$66K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
5,269 |
4,371 |
$62K |
| 71250 |
|
1,132 |
541 |
$61K |
| 96367 |
|
1,408 |
1,184 |
$44K |
| 71045 |
|
9,734 |
4,273 |
$41K |
| 96374 |
|
5,259 |
4,429 |
$40K |
| 73630 |
|
3,320 |
1,580 |
$40K |
| 96372 |
|
3,401 |
2,843 |
$34K |
| 96360 |
|
1,233 |
1,080 |
$32K |
| 85025 |
|
34,414 |
26,705 |
$32K |
| 97110 |
|
4,036 |
1,220 |
$31K |
| 73030 |
|
1,825 |
877 |
$31K |
| J0585 |
Injection, onabotulinumtoxina, 1 unit |
374 |
353 |
$29K |
| 99214 |
|
2,581 |
2,323 |
$29K |
| 71275 |
|
402 |
185 |
$27K |
| 76705 |
|
1,041 |
505 |
$25K |
| 71260 |
|
284 |
141 |
$21K |
| 73502 |
|
1,085 |
519 |
$18K |
| 84443 |
|
7,445 |
7,183 |
$18K |
| 72125 |
|
408 |
196 |
$17K |
| 73610 |
|
1,931 |
927 |
$17K |
| 80048 |
|
8,780 |
6,956 |
$16K |
| 99211 |
|
3,112 |
2,888 |
$16K |
| 96376 |
|
1,357 |
1,132 |
$15K |
| 73564 |
|
972 |
462 |
$14K |
| 88305 |
|
238 |
221 |
$11K |
| 36415 |
|
29,371 |
23,985 |
$9K |
| 83735 |
|
8,061 |
6,830 |
$9K |
| 83036 |
|
6,087 |
5,999 |
$8K |
| 99213 |
|
1,209 |
914 |
$8K |
| 84484 |
|
5,857 |
4,603 |
$8K |
| 99281 |
|
1,138 |
1,068 |
$8K |
| 72148 |
|
165 |
80 |
$6K |
| 82306 |
|
3,093 |
3,013 |
$6K |
| 99291 |
|
448 |
420 |
$6K |
| 11042 |
|
541 |
120 |
$5K |
| 72100 |
|
253 |
127 |
$5K |
| 82607 |
|
3,070 |
3,005 |
$5K |
| 80061 |
|
5,651 |
5,541 |
$5K |
| 84439 |
|
1,834 |
1,775 |
$5K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
3,909 |
2,952 |
$5K |
| 82043 |
|
1,490 |
1,457 |
$4K |
| 87086 |
|
5,933 |
5,161 |
$4K |
| 95886 |
|
160 |
157 |
$4K |
| 82728 |
|
2,645 |
2,530 |
$4K |
| 87631 |
|
3,361 |
3,037 |
$4K |
| 94640 |
|
673 |
458 |
$4K |
| 93010 |
|
7,934 |
6,863 |
$3K |
| 87186 |
|
3,116 |
2,828 |
$3K |
| 87636 |
|
3,636 |
3,342 |
$3K |
| 81001 |
|
7,963 |
6,859 |
$3K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,608 |
2,157 |
$3K |
| 70551 |
|
50 |
26 |
$3K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
67 |
37 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,203 |
1,112 |
$3K |
| 85610 |
|
3,144 |
2,013 |
$3K |
| 86140 |
|
3,085 |
2,737 |
$3K |
| 87040 |
|
2,737 |
2,244 |
$2K |
| 83880 |
|
1,928 |
1,650 |
$2K |
| 99203 |
|
443 |
438 |
$2K |
| 73721 |
|
50 |
26 |
$2K |
| 97140 |
|
340 |
102 |
$2K |
| 77067 |
|
3,717 |
1,858 |
$2K |
| 93971 |
|
95 |
47 |
$2K |
| 93017 |
|
97 |
91 |
$2K |
| 81003 |
|
5,755 |
5,293 |
$2K |
| 80076 |
|
1,405 |
1,292 |
$2K |
| 83605 |
|
3,519 |
2,918 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
4,214 |
3,320 |
$2K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
1,584 |
1,158 |
$2K |
| 97530 |
|
2,499 |
950 |
$2K |
| 76830 |
|
210 |
143 |
$2K |
| 82803 |
|
1,408 |
1,173 |
$2K |
| 73562 |
|
226 |
104 |
$1K |
| 76642 |
|
120 |
60 |
$1K |
| 70498 |
|
23 |
12 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,531 |
2,976 |
$1K |
| 80307 |
|
2,106 |
1,897 |
$1K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,413 |
1,196 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,844 |
1,337 |
$1K |
| 94729 |
|
189 |
98 |
$1K |
| 94726 |
|
191 |
98 |
$1K |
| 83550 |
|
2,136 |
2,054 |
$1K |
| 73110 |
|
111 |
51 |
$1K |
| 83540 |
|
2,217 |
2,130 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
210 |
190 |
$991.51 |
| 74178 |
|
23 |
20 |
$967.68 |
| 85652 |
|
1,538 |
1,423 |
$920.23 |
| 78452 |
|
26 |
13 |
$901.53 |
| 73130 |
|
138 |
67 |
$896.62 |
| 77063 |
|
1,606 |
793 |
$829.84 |
| 97161 |
|
114 |
112 |
$771.39 |
| 87077 |
|
2,899 |
2,643 |
$766.58 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
391 |
315 |
$742.96 |
| 72110 |
|
27 |
12 |
$730.98 |
| 77065 |
Tomosynthesis, mammo |
57 |
29 |
$692.42 |
| 77080 |
|
272 |
135 |
$625.91 |
| 83690 |
|
2,969 |
2,591 |
$622.31 |
| 87070 |
|
1,582 |
1,499 |
$595.26 |
| 85378 |
|
1,120 |
1,054 |
$560.72 |
| 93226 |
|
83 |
79 |
$546.51 |
| 73140 |
|
66 |
29 |
$531.93 |
| 93225 |
|
83 |
79 |
$529.59 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
930 |
614 |
$507.23 |
| 92507 |
|
8,106 |
1,881 |
$496.93 |
| 85651 |
|
1,058 |
993 |
$482.02 |
| 99222 |
|
106 |
102 |
$469.55 |
| 82248 |
|
422 |
312 |
$451.32 |
| 81002 |
|
2,897 |
2,286 |
$447.63 |
| 86850 |
|
994 |
833 |
$420.60 |
| A9270 |
Non-covered item or service |
1,900 |
1,046 |
$402.79 |
| 99212 |
|
129 |
118 |
$400.42 |
| 87635 |
|
2,790 |
2,548 |
$392.92 |
| J7050 |
Infusion, normal saline solution, 250 cc |
435 |
360 |
$380.41 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
523 |
444 |
$379.42 |
| 36600 |
|
34 |
29 |
$352.04 |
| 94200 |
|
71 |
54 |
$321.43 |
| 97162 |
|
28 |
28 |
$317.92 |
| 74018 |
|
98 |
40 |
$270.29 |
| 83921 |
|
95 |
92 |
$226.26 |
| 99239 |
|
41 |
40 |
$220.71 |
| 99070 |
|
429 |
342 |
$219.42 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
470 |
396 |
$198.91 |
| 87205 |
|
1,192 |
1,122 |
$186.54 |
| 82550 |
|
232 |
202 |
$186.06 |
| 87340 |
|
137 |
123 |
$184.75 |
| 84550 |
|
348 |
310 |
$184.61 |
| J2060 |
Injection, lorazepam, 2 mg |
463 |
273 |
$168.61 |
| 86901 |
|
940 |
775 |
$157.84 |
| 86900 |
|
887 |
735 |
$155.30 |
| 87088 |
|
190 |
178 |
$147.72 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
110 |
108 |
$143.85 |
| 87651 |
|
1,372 |
1,320 |
$137.20 |
| 93246 |
|
14 |
14 |
$131.24 |
| 97597 |
|
27 |
12 |
$120.17 |
| 80320 |
|
263 |
236 |
$119.80 |
| 81025 |
|
2,056 |
1,899 |
$113.90 |
| 99219 |
|
17 |
14 |
$107.70 |
| 82784 |
|
13 |
12 |
$94.85 |
| 85027 |
|
104 |
93 |
$93.40 |
| 85018 |
|
174 |
153 |
$90.10 |
| 85014 |
|
103 |
89 |
$85.80 |
| 85730 |
|
68 |
53 |
$83.16 |
| 82746 |
|
87 |
85 |
$79.13 |
| 80047 |
|
35 |
30 |
$74.10 |
| 99217 |
|
37 |
36 |
$74.01 |
| 93016 |
|
73 |
67 |
$71.79 |
| 86038 |
|
102 |
101 |
$70.00 |
| 84156 |
|
125 |
117 |
$65.27 |
| G0103 |
Prostate cancer screening; prostate specific antigen test (psa) |
91 |
91 |
$63.89 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
128 |
109 |
$59.73 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
70 |
62 |
$55.61 |
| 83655 |
|
100 |
98 |
$52.19 |
| 86255 |
|
178 |
121 |
$52.14 |
| 93227 |
|
42 |
41 |
$48.57 |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
15 |
13 |
$47.89 |
| 83970 |
|
55 |
51 |
$45.01 |
| 93018 |
|
72 |
67 |
$44.92 |
| G0481 |
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; 8-14 drug class(es), including metabolite(s) if performed |
155 |
135 |
$39.44 |
| A6449 |
Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard |
55 |
29 |
$31.84 |
| 82570 |
|
12 |
12 |
$28.84 |
| 93248 |
|
13 |
13 |
$27.82 |
| 84100 |
|
44 |
40 |
$27.56 |
| 84481 |
|
12 |
12 |
$26.98 |
| 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 |
971 |
858 |
$26.20 |
| 87220 |
|
143 |
135 |
$24.92 |
| 86803 |
|
48 |
43 |
$23.68 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
17 |
14 |
$22.10 |
| 86618 |
|
12 |
12 |
$20.36 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
27 |
25 |
$19.98 |
| 82565 |
|
123 |
113 |
$16.43 |
| 84703 |
|
310 |
296 |
$16.31 |
| G0432 |
Infectious agent antibody detection by enzyme immunoassay (eia) technique, hiv-1 and/or hiv-2, screening |
97 |
96 |
$10.40 |
| 99202 |
|
12 |
12 |
$9.84 |
| J3480 |
Injection, potassium chloride, per 2 meq |
71 |
53 |
$9.83 |
| 77061 |
|
25 |
13 |
$8.54 |
| 87502 |
|
103 |
97 |
$7.93 |
| 87591 |
|
128 |
124 |
$6.15 |
| 87491 |
|
129 |
125 |
$6.15 |
| 82805 |
|
90 |
72 |
$5.23 |
| 84132 |
|
17 |
14 |
$4.54 |
| 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 |
13 |
12 |
$3.76 |
| 87081 |
|
379 |
368 |
$3.70 |
| 87880 |
|
256 |
243 |
$2.05 |
| 86592 |
|
246 |
228 |
$0.46 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
50 |
25 |
$0.36 |
| 99000 |
|
77 |
76 |
$0.16 |
| 82150 |
|
60 |
48 |
$0.16 |
| 87147 |
|
96 |
95 |
$0.10 |
| 0031A |
|
319 |
292 |
$0.00 |
| J3490 |
Unclassified drugs |
617 |
257 |
$0.00 |
| 0012A |
|
357 |
352 |
$0.00 |
| 91301 |
|
205 |
192 |
$0.00 |
| 86701 |
|
114 |
106 |
$0.00 |
| 0011A |
|
345 |
334 |
$0.00 |
| 99024 |
|
183 |
94 |
$0.00 |
| 76815 |
|
44 |
38 |
$0.00 |
| 0001A |
|
46 |
43 |
$0.00 |
| 76817 |
|
45 |
39 |
$0.00 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
21 |
13 |
$0.00 |
| 91303 |
|
58 |
58 |
$0.00 |
| J1815 |
Injection, insulin, per 5 units |
19 |
14 |
$0.00 |
| 85007 |
|
13 |
12 |
$0.00 |
| 0002A |
|
13 |
13 |
$0.00 |
| 59025 |
|
283 |
179 |
$0.00 |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
52 |
43 |
$0.00 |
| 84520 |
|
27 |
26 |
$0.00 |
| 87653 |
|
12 |
12 |
$0.00 |