| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
2,908 |
1,850 |
$347K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,658 |
2,469 |
$152K |
| 80053 |
Comprehensive metabolic panel |
6,160 |
4,554 |
$94K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,868 |
4,006 |
$92K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,131 |
3,204 |
$90K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,930 |
521 |
$67K |
| S0028 |
Injection, famotidine, 20 mg |
1,003 |
786 |
$58K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,814 |
1,450 |
$46K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
1,703 |
193 |
$42K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,038 |
1,944 |
$41K |
| J3490 |
Unclassified drugs |
195 |
79 |
$39K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
3,229 |
2,593 |
$38K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,495 |
1,250 |
$37K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,665 |
1,328 |
$36K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,892 |
2,062 |
$30K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
840 |
648 |
$30K |
| 82962 |
|
3,909 |
1,283 |
$27K |
| 81025 |
|
2,220 |
2,034 |
$22K |
| A9270 |
Non-covered item or service |
3,966 |
1,707 |
$22K |
| G0378 |
Hospital observation service, per hour |
4,411 |
1,537 |
$20K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,247 |
5,920 |
$20K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
793 |
678 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
4,692 |
3,704 |
$17K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,087 |
873 |
$17K |
| 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 |
341 |
295 |
$17K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
437 |
366 |
$14K |
| 81001 |
|
3,391 |
2,767 |
$14K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,543 |
2,481 |
$12K |
| 81003 |
|
2,372 |
1,974 |
$12K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,792 |
1,274 |
$10K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
311 |
104 |
$9K |
| 85610 |
|
4,384 |
3,542 |
$9K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,149 |
961 |
$9K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,250 |
3,859 |
$9K |
| J7050 |
Infusion, normal saline solution, 250 cc |
806 |
582 |
$8K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
4,004 |
3,250 |
$8K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,041 |
853 |
$7K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
798 |
596 |
$7K |
| 84484 |
|
3,918 |
2,554 |
$6K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,105 |
883 |
$6K |
| J2704 |
Injection, propofol, 10 mg |
1,288 |
1,076 |
$6K |
| 85730 |
|
3,842 |
3,118 |
$6K |
| 96376 |
|
1,539 |
781 |
$6K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
3,984 |
2,989 |
$6K |
| 97124 |
|
293 |
58 |
$6K |
| 97162 |
|
413 |
304 |
$5K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
299 |
102 |
$4K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
926 |
742 |
$4K |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
215 |
130 |
$4K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,269 |
904 |
$3K |
| 72131 |
|
309 |
229 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,784 |
865 |
$3K |
| C9113 |
Injection, pantoprazole sodium, per vial |
440 |
247 |
$3K |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
178 |
112 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
550 |
458 |
$3K |
| 87070 |
|
380 |
329 |
$2K |
| 87040 |
|
1,233 |
569 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
352 |
265 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,861 |
2,244 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
1,339 |
1,091 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
3,341 |
2,514 |
$2K |
| J1956 |
Injection, levofloxacin, 250 mg |
121 |
69 |
$2K |
| A4217 |
Sterile water/saline, 500 ml |
381 |
176 |
$2K |
| 94664 |
|
469 |
377 |
$2K |
| 82550 |
|
2,222 |
1,458 |
$2K |
| 83880 |
|
886 |
694 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
45 |
41 |
$1K |
| 86850 |
|
805 |
670 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
254 |
204 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
514 |
410 |
$1K |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
239 |
188 |
$1K |
| 83690 |
|
1,527 |
1,251 |
$1K |
| 86900 |
|
831 |
689 |
$1K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
267 |
192 |
$994.97 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
19 |
13 |
$988.67 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
42 |
40 |
$946.49 |
| 93970 |
|
147 |
109 |
$916.99 |
| 76830 |
Ultrasound, transvaginal |
28 |
25 |
$883.44 |
| 86901 |
|
832 |
689 |
$846.91 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
258 |
222 |
$841.59 |
| 76801 |
|
30 |
24 |
$710.82 |
| 73030 |
|
23 |
17 |
$559.94 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
934 |
662 |
$532.92 |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
88 |
50 |
$526.19 |
| 83605 |
|
670 |
484 |
$498.55 |
| 82805 |
|
102 |
86 |
$493.32 |
| J2060 |
Injection, lorazepam, 2 mg |
180 |
136 |
$451.56 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
44 |
40 |
$408.99 |
| 87186 |
|
422 |
330 |
$304.62 |
| 87077 |
|
408 |
312 |
$304.54 |
| 71250 |
|
87 |
76 |
$283.52 |
| 84702 |
|
251 |
213 |
$279.30 |
| 85379 |
|
462 |
388 |
$276.92 |
| 73630 |
|
20 |
12 |
$173.87 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
28 |
14 |
$172.94 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
554 |
406 |
$141.55 |
| 97166 |
|
16 |
12 |
$122.96 |
| 80076 |
|
137 |
116 |
$119.06 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
97 |
80 |
$115.48 |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
435 |
369 |
$92.37 |
| 84703 |
|
191 |
185 |
$66.59 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
44 |
38 |
$51.96 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
44 |
38 |
$20.41 |
| 80061 |
Lipid panel |
26 |
24 |
$6.80 |
| 87430 |
|
134 |
117 |
$6.11 |
| J1815 |
Injection, insulin, per 5 units |
93 |
40 |
$4.63 |
| 86140 |
|
115 |
94 |
$3.00 |
| 99001 |
|
149 |
142 |
$0.00 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
91 |
49 |
$0.00 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
64 |
43 |
$0.00 |
| J0285 |
Injection, amphotericin b, 50 mg |
15 |
15 |
$0.00 |
| 73562 |
|
19 |
16 |
$0.00 |
| J1580 |
Injection, garamycin, gentamicin, up to 80 mg |
58 |
42 |
$0.00 |
| 90715 |
|
35 |
28 |
$0.00 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
28 |
26 |
$0.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
50 |
35 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
33 |
25 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
17 |
12 |
$0.00 |
| 88304 |
|
43 |
39 |
$0.00 |
| C1781 |
Mesh (implantable) |
17 |
13 |
$0.00 |
| 82150 |
|
36 |
29 |
$0.00 |
| 83735 |
|
23 |
14 |
$0.00 |