| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,820 |
2,430 |
$342K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
3,661 |
3,019 |
$340K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,143 |
3,522 |
$296K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
621 |
502 |
$144K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,619 |
2,141 |
$133K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18,970 |
14,493 |
$132K |
| 80053 |
Comprehensive metabolic panel |
12,737 |
10,445 |
$106K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
971 |
871 |
$100K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
10,116 |
8,047 |
$85K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,856 |
2,256 |
$65K |
| 71046 |
Radiologic examination, chest; 2 views |
4,214 |
3,594 |
$63K |
| 84484 |
|
6,915 |
5,188 |
$59K |
| 83880 |
|
2,418 |
1,988 |
$55K |
| 81025 |
|
6,127 |
5,254 |
$51K |
| 36415 |
Collection of venous blood by venipuncture |
6,842 |
5,447 |
$50K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
8,093 |
5,866 |
$49K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
813 |
708 |
$47K |
| 83690 |
|
5,195 |
4,398 |
$43K |
| 71045 |
Radiologic examination, chest; single view |
5,483 |
4,518 |
$40K |
| 80305 |
|
3,278 |
2,732 |
$36K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
222 |
202 |
$35K |
| 81001 |
|
7,174 |
6,091 |
$34K |
| 83735 |
|
4,730 |
3,605 |
$34K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
774 |
705 |
$32K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
775 |
706 |
$32K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,833 |
3,051 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,798 |
1,354 |
$30K |
| 87430 |
|
2,638 |
2,329 |
$29K |
| 83605 |
|
2,473 |
1,933 |
$25K |
| 82550 |
|
2,215 |
1,777 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,600 |
1,195 |
$22K |
| 70496 |
|
242 |
205 |
$22K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,555 |
4,321 |
$19K |
| 81003 |
|
5,458 |
4,570 |
$19K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,530 |
2,837 |
$18K |
| 87081 |
|
1,931 |
1,697 |
$16K |
| 70498 |
|
146 |
124 |
$15K |
| A9576 |
Injection, gadoteridol, (prohance multipack), per ml |
975 |
796 |
$14K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,283 |
1,923 |
$13K |
| 85379 |
|
1,596 |
1,333 |
$13K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,102 |
1,711 |
$13K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,657 |
2,102 |
$12K |
| 87077 |
|
876 |
761 |
$11K |
| 87040 |
|
1,448 |
710 |
$11K |
| 72131 |
|
95 |
79 |
$11K |
| 80076 |
|
835 |
658 |
$10K |
| 82962 |
|
2,623 |
1,309 |
$10K |
| 85610 |
|
3,967 |
3,131 |
$9K |
| 84145 |
|
635 |
540 |
$9K |
| 73564 |
|
318 |
266 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,563 |
1,325 |
$8K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,231 |
1,049 |
$8K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,388 |
3,661 |
$8K |
| 80320 |
|
688 |
614 |
$8K |
| 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 |
675 |
528 |
$8K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
65 |
51 |
$8K |
| 85027 |
|
1,285 |
1,034 |
$7K |
| 82565 |
|
569 |
447 |
$7K |
| 82553 |
|
1,007 |
799 |
$7K |
| 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 |
145 |
127 |
$7K |
| 85730 |
|
2,074 |
1,674 |
$7K |
| 86901 |
|
418 |
338 |
$7K |
| 73630 |
|
328 |
289 |
$7K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
2,197 |
1,671 |
$5K |
| 87210 |
|
931 |
831 |
$5K |
| 73610 |
|
229 |
200 |
$5K |
| 84703 |
|
434 |
378 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,438 |
1,242 |
$4K |
| 73030 |
|
202 |
179 |
$4K |
| 73130 |
|
119 |
109 |
$3K |
| 80050 |
General health panel |
53 |
52 |
$2K |
| 87428 |
|
63 |
62 |
$2K |
| 80061 |
Lipid panel |
425 |
378 |
$2K |
| 72110 |
|
84 |
77 |
$2K |
| 86900 |
|
418 |
338 |
$2K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
769 |
591 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
16 |
13 |
$1K |
| 82803 |
|
80 |
52 |
$1K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
717 |
585 |
$1K |
| 84439 |
|
357 |
322 |
$990.32 |
| 84702 |
|
87 |
78 |
$941.46 |
| 90715 |
|
61 |
55 |
$900.58 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
158 |
145 |
$899.08 |
| 87186 |
|
176 |
160 |
$886.89 |
| 87420 |
|
73 |
70 |
$874.63 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
3,702 |
2,764 |
$729.52 |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
13 |
12 |
$691.68 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
14 |
13 |
$679.20 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
41 |
37 |
$555.52 |
| 72100 |
|
33 |
24 |
$553.65 |
| J2060 |
Injection, lorazepam, 2 mg |
896 |
754 |
$535.59 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
255 |
164 |
$473.30 |
| 82607 |
|
95 |
85 |
$419.99 |
| 84481 |
|
95 |
86 |
$419.31 |
| 72040 |
|
33 |
24 |
$407.05 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,157 |
931 |
$349.80 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
519 |
379 |
$335.74 |
| 73110 |
|
17 |
12 |
$326.93 |
| 82746 |
|
68 |
60 |
$266.82 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,643 |
2,131 |
$235.36 |
| 73502 |
|
14 |
14 |
$230.24 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
15 |
13 |
$204.13 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
927 |
651 |
$198.05 |
| A9270 |
Non-covered item or service |
4,096 |
2,629 |
$192.97 |
| 86850 |
|
76 |
65 |
$189.05 |
| 96376 |
|
58 |
38 |
$168.55 |
| 82009 |
|
35 |
24 |
$139.64 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
53 |
53 |
$138.70 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
430 |
342 |
$129.63 |
| 82270 |
|
29 |
27 |
$125.16 |
| 80329 |
|
14 |
13 |
$118.58 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,122 |
709 |
$106.66 |
| 84132 |
|
16 |
13 |
$73.82 |
| J1644 |
Injection, heparin sodium, per 1000 units |
140 |
78 |
$52.66 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
131 |
96 |
$38.08 |
| 81015 |
|
190 |
164 |
$33.89 |
| J0692 |
Injection, cefepime hydrochloride, 500 mg |
18 |
12 |
$29.12 |
| 83721 |
|
59 |
54 |
$27.24 |
| J1790 |
Injection, droperidol, up to 5 mg |
12 |
12 |
$7.60 |
| J2704 |
Injection, propofol, 10 mg |
66 |
37 |
$6.48 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
20 |
13 |
$5.40 |
| 36416 |
|
28 |
27 |
$0.00 |
| 36600 |
|
62 |
40 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
133 |
116 |
$0.00 |