| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
36,650 |
32,747 |
$499K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
6,272 |
5,117 |
$358K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,854 |
6,112 |
$314K |
| Z7502 |
|
7,004 |
6,867 |
$265K |
| 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 |
4,973 |
4,079 |
$217K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,292 |
2,103 |
$209K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,962 |
2,762 |
$174K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
767 |
713 |
$150K |
| 80053 |
Comprehensive metabolic panel |
15,688 |
14,180 |
$121K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,587 |
3,953 |
$119K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17,942 |
16,048 |
$117K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
7,844 |
7,082 |
$114K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
5,724 |
5,046 |
$110K |
| J3490 |
Unclassified drugs |
13,171 |
9,011 |
$77K |
| 99199 |
Unlisted special service, procedure or report |
1,351 |
1,270 |
$74K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,574 |
1,401 |
$71K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,273 |
3,697 |
$68K |
| 71045 |
Radiologic examination, chest; single view |
6,464 |
5,916 |
$55K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,792 |
1,650 |
$49K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
7,714 |
6,549 |
$46K |
| 0360 |
|
2,273 |
1,322 |
$37K |
| 84484 |
|
5,053 |
4,452 |
$36K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
6,856 |
5,972 |
$35K |
| 73630 |
|
1,519 |
1,344 |
$35K |
| 83690 |
|
6,834 |
6,207 |
$34K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
904 |
816 |
$33K |
| 81025 |
|
12,181 |
11,122 |
$33K |
| 83880 |
|
1,386 |
1,252 |
$30K |
| 87631 |
|
800 |
732 |
$25K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,510 |
4,815 |
$24K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
653 |
594 |
$23K |
| 83605 |
|
2,631 |
2,330 |
$21K |
| Z7500 |
|
616 |
505 |
$21K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,203 |
2,042 |
$20K |
| 81001 |
|
9,171 |
8,424 |
$19K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,681 |
2,443 |
$14K |
| 0270 |
|
13,668 |
8,512 |
$14K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,216 |
2,049 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,558 |
1,263 |
$13K |
| 90715 |
|
427 |
405 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
800 |
765 |
$11K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,667 |
1,462 |
$10K |
| 0710 |
|
1,517 |
1,423 |
$10K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,784 |
1,612 |
$10K |
| 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 |
186 |
163 |
$10K |
| Z9725 |
|
217 |
213 |
$9K |
| Z7610 |
|
878 |
720 |
$9K |
| 73610 |
|
578 |
564 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
332 |
291 |
$8K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,084 |
951 |
$7K |
| 83735 |
|
1,426 |
1,291 |
$7K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,153 |
1,059 |
$7K |
| 82948 |
|
2,433 |
2,015 |
$7K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
767 |
691 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
76 |
69 |
$6K |
| 87040 |
|
747 |
612 |
$6K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
128 |
125 |
$6K |
| J2704 |
Injection, propofol, 10 mg |
1,424 |
1,302 |
$6K |
| 85610 |
|
2,287 |
2,098 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
154 |
139 |
$6K |
| 85027 |
|
1,015 |
947 |
$6K |
| 73564 |
|
274 |
263 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
370 |
279 |
$5K |
| 85730 |
|
1,344 |
1,247 |
$5K |
| 82150 |
|
1,146 |
1,078 |
$4K |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,034 |
769 |
$4K |
| 59025 |
Fetal non-stress test |
223 |
53 |
$4K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
382 |
373 |
$4K |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
375 |
368 |
$4K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
872 |
816 |
$4K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
376 |
356 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
903 |
770 |
$3K |
| 87186 |
|
458 |
417 |
$3K |
| 76801 |
|
84 |
77 |
$3K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
716 |
638 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
233 |
225 |
$3K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
289 |
251 |
$3K |
| 84702 |
|
494 |
434 |
$3K |
| 86900 |
|
1,176 |
1,078 |
$3K |
| 87650 |
|
230 |
221 |
$3K |
| 73130 |
|
165 |
160 |
$2K |
| 86901 |
|
1,178 |
1,079 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
66 |
59 |
$2K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
621 |
585 |
$2K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
237 |
230 |
$2K |
| 85380 |
|
512 |
467 |
$2K |
| 80305 |
|
182 |
169 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
24 |
12 |
$2K |
| 84703 |
|
738 |
687 |
$2K |
| 88304 |
|
211 |
200 |
$2K |
| 82550 |
|
445 |
406 |
$2K |
| 94664 |
|
319 |
266 |
$2K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
302 |
266 |
$2K |
| J2060 |
Injection, lorazepam, 2 mg |
326 |
270 |
$1K |
| 0160 |
|
43 |
36 |
$1K |
| 73030 |
|
39 |
39 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
94 |
88 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
26 |
25 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
18 |
13 |
$1K |
| 86850 |
|
361 |
336 |
$949.32 |
| 0250 |
|
703 |
522 |
$929.08 |
| 73110 |
|
69 |
69 |
$843.95 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
17 |
12 |
$711.93 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
16 |
16 |
$671.95 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
133 |
104 |
$619.69 |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
28 |
26 |
$613.86 |
| 93971 |
|
13 |
13 |
$611.28 |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$576.00 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
57 |
39 |
$541.22 |
| 87077 |
|
60 |
54 |
$534.81 |
| 81003 |
|
269 |
261 |
$503.53 |
| 0300 |
|
1,016 |
296 |
$447.65 |
| A4217 |
Sterile water/saline, 500 ml |
66 |
62 |
$375.76 |
| 74018 |
|
38 |
38 |
$358.16 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
75 |
57 |
$312.78 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
88 |
84 |
$298.77 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
34 |
34 |
$258.77 |
| 72100 |
|
13 |
13 |
$250.29 |
| 12001 |
|
32 |
32 |
$216.00 |
| 96376 |
|
15 |
13 |
$182.15 |
| 0762 |
|
246 |
224 |
$175.41 |
| 12011 |
|
14 |
14 |
$144.00 |
| 0100U |
|
97 |
74 |
$137.39 |
| 87070 |
|
17 |
13 |
$134.54 |
| 36415 |
Collection of venous blood by venipuncture |
2,534 |
2,307 |
$77.38 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
12 |
12 |
$69.52 |
| 29125 |
|
37 |
37 |
$65.00 |
| 71010 |
|
12 |
12 |
$59.56 |
| C9113 |
Injection, pantoprazole sodium, per vial |
15 |
13 |
$52.05 |
| 87420 |
|
15 |
13 |
$36.81 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
14 |
13 |
$11.14 |
| 99001 |
|
761 |
701 |
$11.02 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
112 |
102 |
$6.94 |
| 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 |
33 |
33 |
$3.28 |
| 0260 |
|
125 |
92 |
$0.00 |
| 0760 |
|
352 |
249 |
$0.00 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
82 |
46 |
$0.00 |
| 0351 |
|
15 |
14 |
$0.00 |
| 0402 |
|
31 |
27 |
$0.00 |
| 0320 |
|
57 |
43 |
$0.00 |
| 0272 |
|
16 |
14 |
$0.00 |
| 80329 |
|
78 |
72 |
$0.00 |
| 0324 |
|
77 |
72 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
12 |
12 |
$0.00 |
| 0636 |
|
133 |
80 |
$0.00 |
| 0352 |
|
13 |
13 |
$0.00 |