| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
16,970 |
14,888 |
$1.31M |
| 99281 |
|
11,888 |
10,733 |
$968K |
| 97110 |
|
6,105 |
2,045 |
$245K |
| 96374 |
|
2,581 |
2,446 |
$203K |
| 97140 |
|
3,315 |
1,201 |
$190K |
| 77067 |
|
801 |
799 |
$142K |
| 74177 |
|
418 |
412 |
$140K |
| 87636 |
|
1,290 |
1,252 |
$121K |
| 93005 |
|
3,130 |
2,849 |
$114K |
| 96375 |
|
2,072 |
1,904 |
$110K |
| 80053 |
|
11,913 |
10,824 |
$91K |
| 96372 |
|
2,092 |
1,909 |
$76K |
| 70450 |
|
403 |
397 |
$75K |
| 85025 |
|
12,590 |
11,490 |
$70K |
| 71046 |
|
1,766 |
1,730 |
$65K |
| 71045 |
|
2,137 |
2,074 |
$51K |
| 99201 |
|
245 |
145 |
$51K |
| 84443 |
|
4,319 |
4,210 |
$50K |
| 96365 |
|
332 |
280 |
$33K |
| 76705 |
|
346 |
342 |
$29K |
| 97112 |
|
960 |
373 |
$28K |
| 80061 |
|
3,000 |
2,982 |
$27K |
| 93010 |
|
1,989 |
1,840 |
$27K |
| J3490 |
Unclassified drugs |
2,294 |
1,771 |
$25K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,231 |
1,209 |
$21K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,375 |
2,185 |
$20K |
| 99284 |
|
257 |
245 |
$19K |
| 87631 |
|
333 |
319 |
$18K |
| 96361 |
|
398 |
371 |
$18K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,068 |
1,863 |
$17K |
| 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 |
258 |
245 |
$16K |
| 82306 |
|
749 |
741 |
$15K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,199 |
2,055 |
$14K |
| 76805 |
|
103 |
103 |
$14K |
| 83036 |
|
2,066 |
2,045 |
$14K |
| 84484 |
|
1,687 |
1,433 |
$13K |
| 83690 |
|
2,516 |
2,341 |
$13K |
| J2704 |
Injection, propofol, 10 mg |
633 |
620 |
$12K |
| 97530 |
|
444 |
210 |
$12K |
| 87086 |
|
1,971 |
1,889 |
$12K |
| 84439 |
|
1,845 |
1,826 |
$11K |
| 80305 |
|
841 |
793 |
$11K |
| 81001 |
|
3,735 |
3,502 |
$10K |
| 73030 |
|
275 |
262 |
$10K |
| 72100 |
|
195 |
194 |
$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 |
116 |
111 |
$8K |
| 76856 |
|
77 |
77 |
$8K |
| 94640 |
|
259 |
209 |
$8K |
| 73610 |
|
174 |
162 |
$7K |
| 81025 |
|
2,334 |
2,227 |
$7K |
| 73630 |
|
166 |
160 |
$7K |
| 76815 |
|
71 |
49 |
$6K |
| 73110 |
|
151 |
140 |
$6K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
680 |
610 |
$6K |
| 96360 |
|
59 |
59 |
$5K |
| 85027 |
|
1,068 |
962 |
$5K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
187 |
179 |
$5K |
| 85610 |
|
1,714 |
1,399 |
$5K |
| 0450 |
|
49 |
43 |
$4K |
| 86769 |
|
147 |
140 |
$4K |
| 80048 |
|
586 |
561 |
$4K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
486 |
460 |
$4K |
| 87400 |
|
473 |
447 |
$3K |
| 87502 |
|
43 |
43 |
$3K |
| 73130 |
|
79 |
78 |
$3K |
| 81003 |
|
1,621 |
1,564 |
$3K |
| 93306 |
|
13 |
13 |
$3K |
| 87651 |
|
113 |
113 |
$3K |
| 83605 |
|
365 |
328 |
$3K |
| 87635 |
|
61 |
60 |
$3K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
542 |
483 |
$3K |
| 99282 |
|
102 |
98 |
$3K |
| 76816 |
|
40 |
39 |
$3K |
| 82947 |
|
669 |
519 |
$3K |
| 87081 |
|
525 |
521 |
$2K |
| 87430 |
|
292 |
292 |
$2K |
| 86140 |
|
561 |
531 |
$2K |
| 87186 |
|
309 |
297 |
$2K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
251 |
243 |
$2K |
| 74176 |
|
12 |
12 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
126 |
123 |
$1K |
| 76830 |
|
13 |
13 |
$1K |
| 83735 |
|
289 |
260 |
$1K |
| 73562 |
|
37 |
37 |
$1K |
| 99212 |
|
32 |
26 |
$1K |
| 77063 |
|
37 |
37 |
$982.83 |
| 87807 |
|
112 |
110 |
$929.90 |
| 87389 |
|
50 |
50 |
$656.16 |
| 99070 |
|
18 |
12 |
$639.00 |
| 85652 |
|
338 |
323 |
$634.25 |
| 82746 |
|
54 |
54 |
$536.55 |
| 86901 |
|
272 |
264 |
$524.06 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
119 |
107 |
$489.64 |
| 86850 |
|
246 |
240 |
$489.04 |
| 85730 |
|
90 |
80 |
$487.59 |
| 86900 |
|
247 |
242 |
$458.98 |
| 87040 |
|
62 |
53 |
$450.00 |
| 87491 |
|
15 |
13 |
$386.56 |
| 87591 |
|
15 |
13 |
$385.32 |
| 83880 |
|
15 |
13 |
$373.86 |
| 86803 |
|
38 |
37 |
$285.08 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
24 |
24 |
$255.54 |
| 83540 |
|
41 |
40 |
$184.34 |
| 87077 |
|
31 |
30 |
$172.86 |
| 83550 |
|
26 |
26 |
$143.26 |
| 86592 |
|
52 |
52 |
$133.26 |
| 84481 |
|
13 |
12 |
$98.52 |
| 84436 |
|
13 |
13 |
$62.66 |
| 86038 |
|
12 |
12 |
$55.15 |
| 84100 |
|
12 |
12 |
$37.07 |
| 87340 |
|
13 |
13 |
$24.09 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
14 |
13 |
$15.04 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
13 |
13 |
$0.24 |