| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
Emergency room services |
8,644 |
7,657 |
$1.20M |
| 0112 |
|
66 |
64 |
$586K |
| 0121 |
|
31 |
30 |
$447K |
| 0762 |
|
531 |
326 |
$297K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
1,715 |
1,182 |
$130K |
| 0206 |
|
20 |
18 |
$100K |
| 0171 |
Inj, epinephrine (belcher) |
235 |
230 |
$98K |
| 0278 |
|
14 |
14 |
$96K |
| 80053 |
Comprehensive metabolic panel |
9,458 |
8,667 |
$93K |
| 0360 |
|
573 |
521 |
$91K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
140 |
138 |
$79K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,210 |
1,090 |
$78K |
| 0200 |
|
15 |
12 |
$70K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,042 |
948 |
$66K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
972 |
881 |
$65K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,018 |
851 |
$63K |
| G0378 |
Hospital observation service, per hour |
1,478 |
1,249 |
$54K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,857 |
3,788 |
$52K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,024 |
985 |
$49K |
| 59425 |
|
677 |
463 |
$44K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,389 |
8,565 |
$43K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,762 |
1,742 |
$43K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
268 |
262 |
$41K |
| 80061 |
Lipid panel |
3,413 |
3,398 |
$39K |
| 95811 |
|
249 |
243 |
$36K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
439 |
438 |
$35K |
| J2704 |
Injection, propofol, 10 mg |
310 |
296 |
$35K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
942 |
892 |
$32K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
58 |
58 |
$31K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,575 |
2,554 |
$22K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
391 |
336 |
$21K |
| 95886 |
|
479 |
427 |
$21K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,683 |
2,360 |
$20K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
464 |
460 |
$20K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
361 |
356 |
$19K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
307 |
294 |
$18K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
641 |
635 |
$17K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
289 |
281 |
$16K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
640 |
634 |
$16K |
| 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 |
552 |
523 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
1,358 |
1,309 |
$16K |
| 76830 |
Ultrasound, transvaginal |
348 |
345 |
$15K |
| 70450 |
Computed tomography, head or brain; without contrast material |
392 |
382 |
$14K |
| 87631 |
|
340 |
331 |
$14K |
| 72110 |
|
336 |
327 |
$13K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
210 |
198 |
$13K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,487 |
1,413 |
$12K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,304 |
1,170 |
$12K |
| 87081 |
|
913 |
899 |
$12K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
145 |
95 |
$11K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
538 |
520 |
$11K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
44 |
43 |
$10K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,477 |
1,380 |
$10K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
154 |
53 |
$10K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
493 |
416 |
$10K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
694 |
687 |
$10K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
484 |
478 |
$9K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
429 |
427 |
$9K |
| 73562 |
|
463 |
451 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
139 |
138 |
$9K |
| 84439 |
|
1,108 |
1,091 |
$9K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
25 |
25 |
$8K |
| 72050 |
|
211 |
209 |
$8K |
| 84484 |
|
914 |
818 |
$8K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
171 |
155 |
$7K |
| 73630 |
|
321 |
308 |
$7K |
| 73610 |
|
311 |
295 |
$7K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
85 |
63 |
$7K |
| 73030 |
|
397 |
388 |
$7K |
| J3490 |
Unclassified drugs |
551 |
336 |
$7K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
195 |
190 |
$6K |
| 87522 |
Neg quan hep c or qual rna |
207 |
203 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
440 |
430 |
$6K |
| 80306 |
|
679 |
653 |
$6K |
| 83970 |
|
209 |
206 |
$6K |
| 84153 |
|
348 |
347 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
155 |
154 |
$5K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
793 |
674 |
$5K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
224 |
181 |
$5K |
| J2060 |
Injection, lorazepam, 2 mg |
188 |
170 |
$5K |
| 84481 |
|
345 |
343 |
$5K |
| 85027 |
|
868 |
783 |
$5K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
154 |
136 |
$5K |
| 0710 |
|
237 |
222 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
211 |
92 |
$5K |
| 81001 |
|
2,759 |
2,577 |
$5K |
| 93226 |
|
117 |
116 |
$5K |
| 0270 |
|
3,656 |
2,580 |
$5K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
242 |
199 |
$4K |
| 82728 |
|
385 |
362 |
$4K |
| 87070 |
|
463 |
458 |
$4K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
17 |
17 |
$4K |
| 86803 |
|
354 |
351 |
$4K |
| 73110 |
|
196 |
184 |
$4K |
| 87340 |
|
433 |
427 |
$4K |
| 73130 |
|
173 |
168 |
$4K |
| 86901 |
|
461 |
422 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
165 |
161 |
$4K |
| 74022 |
|
469 |
445 |
$4K |
| 90715 |
|
96 |
96 |
$4K |
| 59025 |
Fetal non-stress test |
183 |
91 |
$4K |
| 83735 |
|
1,078 |
952 |
$4K |
| 87186 |
|
641 |
621 |
$4K |
| 82607 |
|
380 |
378 |
$4K |
| 81025 |
|
602 |
581 |
$3K |
| 84403 |
|
161 |
154 |
$3K |
| 93225 |
|
117 |
116 |
$3K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
172 |
150 |
$3K |
| 83880 |
|
528 |
497 |
$3K |
| 86140 |
|
840 |
754 |
$3K |
| 72100 |
|
223 |
222 |
$3K |
| 95816 |
|
122 |
105 |
$3K |
| 76801 |
|
128 |
124 |
$3K |
| 86038 |
|
333 |
327 |
$3K |
| 82746 |
|
239 |
239 |
$3K |
| 94729 |
|
224 |
142 |
$3K |
| 73502 |
|
158 |
152 |
$3K |
| 94726 |
|
218 |
140 |
$3K |
| 86762 |
|
236 |
234 |
$3K |
| 83690 |
|
1,360 |
1,249 |
$3K |
| 76642 |
|
68 |
63 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
605 |
594 |
$3K |
| 95911 |
|
33 |
31 |
$3K |
| Z7502 |
|
75 |
73 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
439 |
413 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$3K |
| 85610 |
|
1,154 |
1,079 |
$3K |
| 81003 |
|
1,206 |
1,162 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
543 |
530 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
458 |
426 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
137 |
130 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
73 |
70 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
164 |
158 |
$2K |
| 82107 |
|
44 |
42 |
$2K |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
74 |
68 |
$2K |
| 86900 |
|
426 |
390 |
$2K |
| 94375 |
|
249 |
158 |
$2K |
| 87077 |
|
638 |
613 |
$2K |
| 72072 |
|
69 |
68 |
$2K |
| 82043 |
|
423 |
419 |
$2K |
| 77065 |
Tomosynthesis, mammo |
25 |
25 |
$2K |
| 82274 |
|
219 |
211 |
$2K |
| 82805 |
|
91 |
87 |
$2K |
| 70486 |
|
26 |
26 |
$2K |
| 83540 |
|
316 |
310 |
$2K |
| 84100 |
|
467 |
410 |
$2K |
| 72040 |
|
104 |
104 |
$2K |
| 74018 |
|
120 |
116 |
$2K |
| 86850 |
|
391 |
358 |
$2K |
| 86592 |
|
400 |
391 |
$2K |
| 87641 |
|
100 |
98 |
$2K |
| 80074 |
|
42 |
42 |
$2K |
| 85652 |
|
716 |
662 |
$2K |
| 96367 |
|
27 |
24 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,216 |
391 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
19 |
$1K |
| 83550 |
|
210 |
207 |
$1K |
| 84550 |
|
452 |
429 |
$1K |
| 94200 |
|
232 |
148 |
$1K |
| 73080 |
|
46 |
43 |
$1K |
| 85730 |
|
539 |
523 |
$1K |
| 83605 |
|
825 |
758 |
$1K |
| 0250 |
|
612 |
508 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
52 |
51 |
$1K |
| 87040 |
|
598 |
494 |
$1K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
186 |
172 |
$1K |
| Z7500 |
|
36 |
28 |
$1K |
| 83516 |
|
114 |
93 |
$1K |
| 82150 |
|
409 |
397 |
$1K |
| 93017 |
|
27 |
27 |
$1K |
| 76770 |
|
38 |
36 |
$1K |
| 74019 |
|
107 |
107 |
$1K |
| 83520 |
|
32 |
28 |
$1K |
| 84702 |
|
217 |
188 |
$1K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
17 |
13 |
$1K |
| 92557 |
|
28 |
26 |
$1K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
75 |
72 |
$1K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
174 |
157 |
$997.87 |
| 71045 |
Radiologic examination, chest; single view |
424 |
403 |
$935.23 |
| 36415 |
Collection of venous blood by venipuncture |
164 |
154 |
$919.54 |
| 85007 |
|
333 |
261 |
$815.97 |
| 86430 |
|
171 |
170 |
$798.08 |
| 86480 |
|
15 |
15 |
$722.19 |
| 93016 |
|
58 |
58 |
$699.59 |
| 82950 |
|
140 |
140 |
$662.05 |
| 95909 |
|
14 |
12 |
$660.60 |
| 76536 |
|
21 |
20 |
$624.59 |
| 87045 |
|
94 |
93 |
$622.71 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
93 |
89 |
$596.72 |
| 80076 |
|
105 |
103 |
$587.85 |
| 82550 |
|
339 |
312 |
$567.89 |
| 87493 |
|
51 |
51 |
$549.37 |
| 82553 |
|
257 |
247 |
$521.79 |
| 76813 |
|
13 |
12 |
$519.95 |
| 82248 |
|
107 |
106 |
$507.39 |
| 71020 |
|
21 |
19 |
$494.28 |
| 87328 |
|
58 |
57 |
$475.59 |
| 82951 |
|
26 |
25 |
$471.69 |
| 87205 |
|
219 |
215 |
$470.29 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
403 |
160 |
$470.10 |
| 84703 |
|
269 |
261 |
$460.16 |
| J7050 |
Infusion, normal saline solution, 250 cc |
42 |
32 |
$441.63 |
| 93018 |
|
58 |
58 |
$435.27 |
| 86317 |
|
35 |
34 |
$425.78 |
| 73523 |
|
13 |
13 |
$406.54 |
| 87427 |
|
79 |
79 |
$393.18 |
| 82785 |
|
26 |
25 |
$368.93 |
| 85379 |
|
141 |
138 |
$357.80 |
| 83615 |
|
81 |
68 |
$341.90 |
| 87899 |
|
81 |
81 |
$327.54 |
| 36600 |
|
49 |
48 |
$312.19 |
| 73140 |
|
12 |
12 |
$287.27 |
| 80178 |
|
17 |
13 |
$266.48 |
| 87329 |
|
45 |
45 |
$252.69 |
| 82948 |
|
128 |
103 |
$247.32 |
| 82977 |
|
35 |
34 |
$242.54 |
| 83883 |
|
14 |
14 |
$230.53 |
| 82784 |
|
26 |
25 |
$228.36 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
17 |
13 |
$223.02 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
60 |
55 |
$219.08 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
32 |
31 |
$204.00 |
| 73560 |
|
14 |
14 |
$202.40 |
| 86704 |
|
24 |
24 |
$196.27 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
43 |
40 |
$187.69 |
| 83001 |
|
14 |
14 |
$186.39 |
| 86141 |
|
25 |
25 |
$177.29 |
| 90686 |
|
13 |
13 |
$175.29 |
| 86800 |
|
15 |
14 |
$169.32 |
| 84146 |
|
12 |
12 |
$151.20 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
13 |
13 |
$132.62 |
| 86780 |
|
13 |
13 |
$132.57 |
| 86376 |
|
13 |
13 |
$129.70 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
13 |
13 |
$121.53 |
| 86200 |
|
30 |
30 |
$121.00 |
| 86308 |
|
63 |
61 |
$120.36 |
| 86039 |
|
12 |
12 |
$99.35 |
| 0259 |
|
21 |
18 |
$87.76 |
| 83525 |
|
12 |
12 |
$81.51 |
| 86431 |
|
14 |
14 |
$50.30 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
28 |
26 |
$49.60 |
| 82947 |
|
14 |
14 |
$45.57 |
| 0510 |
|
308 |
261 |
$38.53 |
| 87503 |
|
18 |
18 |
$38.34 |
| 84156 |
|
20 |
15 |
$14.35 |
| 0302 |
|
70 |
69 |
$0.00 |
| 0300 |
|
432 |
370 |
$0.00 |
| 0320 |
|
26 |
26 |
$0.00 |
| 0730 |
|
77 |
72 |
$0.00 |
| 0489 |
|
18 |
18 |
$0.00 |
| 0471 |
|
232 |
228 |
$0.00 |
| 0324 |
|
143 |
139 |
$0.00 |
| 0258 |
|
274 |
263 |
$0.00 |
| 0259R |
|
32 |
24 |
$0.00 |
| 0301 |
|
438 |
399 |
$0.00 |
| 0305 |
|
372 |
335 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
466 |
441 |
$0.00 |
| 0306 |
|
243 |
232 |
$0.00 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
92 |
26 |
$0.00 |
| 97139 |
|
649 |
149 |
$0.00 |
| 0410 |
|
19 |
17 |
$0.00 |
| 0721 |
|
52 |
51 |
$0.00 |
| 97010 |
|
70 |
29 |
$0.00 |
| 0307 |
|
85 |
85 |
$0.00 |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
17 |
16 |
$0.00 |
| 97750 |
|
56 |
53 |
$0.00 |
| 0720 |
|
57 |
55 |
$0.00 |
| 0420 |
|
13 |
12 |
$0.00 |