| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
74,219 |
64,103 |
$3.76M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
45,239 |
40,220 |
$2.84M |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
4,803 |
4,695 |
$1.77M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
6,952 |
6,723 |
$1.49M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
19,887 |
18,409 |
$1.31M |
| 70450 |
Computed tomography, head or brain; without contrast material |
8,026 |
7,738 |
$1.29M |
| 80053 |
Comprehensive metabolic panel |
39,271 |
34,596 |
$731K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
23,062 |
21,123 |
$723K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
44,568 |
38,450 |
$590K |
| 93976 |
|
2,890 |
2,781 |
$573K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
13,400 |
12,397 |
$503K |
| 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 |
6,652 |
6,014 |
$477K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
4,157 |
4,028 |
$434K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,979 |
1,940 |
$428K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
5,296 |
5,030 |
$415K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13,668 |
12,836 |
$372K |
| Z7502 |
|
8,998 |
8,788 |
$333K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,907 |
4,725 |
$265K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,719 |
1,627 |
$257K |
| 99070 |
|
48,749 |
28,034 |
$246K |
| 84484 |
|
13,358 |
10,837 |
$239K |
| 71045 |
Radiologic examination, chest; single view |
19,652 |
18,378 |
$233K |
| 82553 |
|
12,444 |
10,695 |
$212K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
6,860 |
6,552 |
$212K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,196 |
1,167 |
$210K |
| 83690 |
|
16,089 |
14,823 |
$187K |
| 99499 |
|
3,001 |
2,557 |
$173K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,953 |
2,877 |
$169K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
2,384 |
2,334 |
$158K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,747 |
1,638 |
$156K |
| 71046 |
Radiologic examination, chest; 2 views |
6,764 |
6,521 |
$154K |
| 0762 |
|
2,551 |
1,786 |
$149K |
| 81001 |
|
24,135 |
22,450 |
$145K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,472 |
1,463 |
$140K |
| 87088 |
|
16,146 |
15,063 |
$133K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
10,217 |
1,221 |
$131K |
| 83880 |
|
4,961 |
4,514 |
$124K |
| 87076 |
|
4,365 |
4,209 |
$124K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,866 |
1,824 |
$120K |
| J3490 |
Unclassified drugs |
25,694 |
17,585 |
$116K |
| 93971 |
|
857 |
833 |
$109K |
| G0378 |
Hospital observation service, per hour |
1,828 |
1,049 |
$107K |
| 81025 |
|
13,089 |
11,946 |
$104K |
| 85730 |
|
11,708 |
10,975 |
$104K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,105 |
2,042 |
$102K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
4,211 |
3,628 |
$100K |
| 82550 |
|
9,642 |
8,158 |
$91K |
| 83605 |
|
4,566 |
3,888 |
$82K |
| 84703 |
|
6,080 |
5,794 |
$80K |
| 87040 |
|
4,628 |
3,034 |
$79K |
| 87186 |
|
4,848 |
4,569 |
$79K |
| 85610 |
|
12,063 |
11,228 |
$70K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,370 |
2,266 |
$66K |
| 90715 |
|
1,931 |
1,905 |
$65K |
| 76801 |
|
1,042 |
915 |
$63K |
| 72100 |
|
2,038 |
2,005 |
$60K |
| 73030 |
|
2,219 |
2,157 |
$59K |
| 70486 |
|
321 |
318 |
$58K |
| 73562 |
|
2,417 |
2,364 |
$56K |
| 73610 |
|
2,042 |
1,985 |
$54K |
| 87430 |
|
2,943 |
2,897 |
$53K |
| 73130 |
|
1,967 |
1,916 |
$52K |
| 84702 |
|
2,637 |
2,246 |
$50K |
| 73630 |
|
2,012 |
1,958 |
$49K |
| 84145 |
|
2,436 |
2,160 |
$48K |
| 72131 |
|
257 |
256 |
$46K |
| 0710 |
|
1,122 |
1,089 |
$42K |
| 82962 |
|
6,521 |
5,416 |
$40K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
774 |
759 |
$39K |
| 73110 |
|
1,376 |
1,332 |
$37K |
| 83735 |
|
3,654 |
2,882 |
$37K |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
2,967 |
2,638 |
$36K |
| 80305 |
|
2,961 |
2,758 |
$34K |
| Z7610 |
|
2,357 |
1,642 |
$34K |
| 82803 |
|
974 |
865 |
$33K |
| 85379 |
|
2,008 |
1,955 |
$33K |
| 59025 |
Fetal non-stress test |
1,222 |
778 |
$32K |
| 80047 |
|
4,136 |
3,691 |
$31K |
| 87335 |
|
2,272 |
2,202 |
$30K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
383 |
340 |
$30K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
16,419 |
15,388 |
$29K |
| 81002 |
|
6,493 |
6,241 |
$27K |
| 84481 |
|
1,151 |
1,119 |
$27K |
| 84439 |
|
1,657 |
1,602 |
$26K |
| 87070 |
|
1,933 |
1,824 |
$25K |
| 74018 |
|
1,135 |
1,092 |
$22K |
| 70496 |
|
118 |
115 |
$21K |
| 93970 |
|
95 |
93 |
$19K |
| 0370 |
|
121 |
120 |
$19K |
| 86901 |
|
2,391 |
1,998 |
$16K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
7,463 |
7,190 |
$16K |
| 84100 |
|
2,678 |
2,074 |
$16K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
426 |
401 |
$16K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
745 |
725 |
$16K |
| 72040 |
|
568 |
554 |
$14K |
| 70498 |
|
131 |
128 |
$14K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
5,570 |
5,190 |
$14K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
11,775 |
10,773 |
$14K |
| 73080 |
|
496 |
486 |
$13K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
827 |
798 |
$13K |
| 99221 |
|
67 |
67 |
$13K |
| 73590 |
|
618 |
601 |
$13K |
| 73090 |
|
599 |
576 |
$12K |
| 96367 |
|
281 |
275 |
$12K |
| 0270 |
|
451 |
300 |
$12K |
| 86900 |
|
2,012 |
1,876 |
$11K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,347 |
1,286 |
$11K |
| 71250 |
|
50 |
50 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
301 |
288 |
$10K |
| 12001 |
|
601 |
588 |
$10K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,832 |
2,484 |
$10K |
| 82010 |
|
705 |
637 |
$10K |
| 86140 |
|
1,274 |
1,232 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,961 |
1,925 |
$10K |
| 72070 |
|
332 |
329 |
$10K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
217 |
207 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
4,871 |
4,079 |
$10K |
| 73620 |
|
519 |
513 |
$10K |
| 82140 |
|
480 |
452 |
$9K |
| 86850 |
|
712 |
676 |
$9K |
| 71101 |
|
193 |
192 |
$8K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
62 |
62 |
$8K |
| P9016 |
Red blood cells, leukocytes reduced, each unit |
25 |
12 |
$8K |
| 87652 |
|
485 |
473 |
$7K |
| 87210 |
|
862 |
831 |
$7K |
| 73502 |
|
250 |
243 |
$7K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
1,053 |
968 |
$7K |
| 85651 |
|
1,274 |
1,236 |
$6K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
7,548 |
7,264 |
$6K |
| 76770 |
|
92 |
92 |
$6K |
| 87400 |
|
1,102 |
1,084 |
$6K |
| 87075 |
|
313 |
311 |
$6K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
384 |
370 |
$6K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
335 |
194 |
$6K |
| 73560 |
|
295 |
292 |
$6K |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
816 |
696 |
$6K |
| 73600 |
|
273 |
270 |
$6K |
| 76870 |
|
91 |
86 |
$6K |
| 73120 |
|
298 |
293 |
$5K |
| 73140 |
|
320 |
307 |
$5K |
| 0259 |
|
2,107 |
1,422 |
$5K |
| 86904 |
|
672 |
628 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
108 |
107 |
$5K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,015 |
846 |
$5K |
| 80061 |
Lipid panel |
250 |
244 |
$4K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
172 |
164 |
$4K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,874 |
1,439 |
$4K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
2,523 |
2,351 |
$4K |
| 82728 |
|
192 |
184 |
$3K |
| 81015 |
|
851 |
806 |
$3K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
803 |
695 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
254 |
243 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
39 |
39 |
$3K |
| J2060 |
Injection, lorazepam, 2 mg |
2,161 |
1,880 |
$3K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,067 |
1,908 |
$3K |
| 70491 |
|
13 |
13 |
$3K |
| 99219 |
|
26 |
19 |
$3K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,170 |
2,027 |
$2K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,705 |
1,621 |
$2K |
| C9113 |
Injection, pantoprazole sodium, per vial |
342 |
305 |
$2K |
| 87420 |
|
124 |
123 |
$2K |
| 96376 |
|
144 |
138 |
$2K |
| 99217 |
|
65 |
61 |
$2K |
| 10060 |
|
107 |
105 |
$2K |
| 72128 |
|
12 |
12 |
$2K |
| 29125 |
|
215 |
203 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
112 |
59 |
$2K |
| 83615 |
|
201 |
191 |
$2K |
| J1940 |
Injection, furosemide, up to 20 mg |
547 |
369 |
$1K |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
311 |
252 |
$1K |
| 82947 |
|
284 |
269 |
$1K |
| 96368 |
|
56 |
56 |
$1K |
| 74022 |
|
31 |
31 |
$1K |
| 87449 |
|
116 |
114 |
$1K |
| Z9725 |
|
33 |
33 |
$1K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
565 |
542 |
$1K |
| J3370 |
Injection, vancomycin hcl, 500 mg |
169 |
139 |
$1K |
| 76641 |
|
14 |
13 |
$1K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,725 |
1,643 |
$1K |
| 12011 |
|
55 |
55 |
$1K |
| 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 |
1,568 |
1,544 |
$987.24 |
| 12002 |
|
12 |
12 |
$963.09 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
482 |
317 |
$921.07 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
260 |
254 |
$916.62 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
167 |
152 |
$826.47 |
| J1644 |
Injection, heparin sodium, per 1000 units |
300 |
152 |
$792.63 |
| 94760 |
|
153 |
94 |
$742.71 |
| 72170 |
|
46 |
46 |
$710.06 |
| 97116 |
|
68 |
41 |
$686.87 |
| 71020 |
|
28 |
27 |
$674.19 |
| J1815 |
Injection, insulin, per 5 units |
80 |
72 |
$656.00 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
112 |
88 |
$522.35 |
| 29515 |
|
71 |
69 |
$478.97 |
| J0735 |
Injection, clonidine hydrochloride, 1 mg |
28 |
24 |
$463.34 |
| 73100 |
|
26 |
25 |
$463.32 |
| 84597 |
|
20 |
20 |
$436.80 |
| 82247 |
|
62 |
37 |
$434.11 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
105 |
97 |
$425.99 |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
63 |
62 |
$399.77 |
| 0258 |
|
229 |
208 |
$340.35 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
113 |
104 |
$302.31 |
| Q0163 |
Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen |
837 |
805 |
$280.00 |
| 73060 |
|
14 |
14 |
$254.73 |
| 73070 |
|
13 |
12 |
$241.68 |
| S0077 |
Injection, clindamycin phosphate, 300 mg |
21 |
13 |
$225.47 |
| 85007 |
|
69 |
62 |
$205.21 |
| 87185 |
|
107 |
102 |
$162.21 |
| 87592 |
|
13 |
13 |
$153.60 |
| J0456 |
Injection, azithromycin, 500 mg |
72 |
70 |
$133.10 |
| J3480 |
Injection, potassium chloride, per 2 meq |
46 |
38 |
$122.52 |
| 87147 |
|
26 |
25 |
$120.45 |
| J1630 |
Injection, haloperidol, up to 5 mg |
53 |
38 |
$84.88 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
167 |
150 |
$76.25 |
| J2300 |
Injection, nalbuphine hydrochloride, per 10 mg |
21 |
20 |
$58.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
75 |
69 |
$44.90 |
| 90834 |
Psychotherapy, 45 minutes with patient |
253 |
52 |
$30.45 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
26 |
26 |
$25.30 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
18 |
16 |
$1.53 |
| 90832 |
Psychotherapy, 30 minutes with patient |
85 |
27 |
$0.00 |
| Q4051 |
Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) |
27 |
17 |
$0.00 |
| 0250 |
|
16 |
12 |
$0.00 |