| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
Emergency room services |
77,641 |
68,835 |
$3.94M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
47,961 |
43,185 |
$2.77M |
| 70450 |
Computed tomography, head or brain; without contrast material |
10,140 |
9,828 |
$1.49M |
| 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 |
17,287 |
14,401 |
$1.26M |
| 0360 |
|
8,682 |
5,087 |
$1.02M |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27,106 |
24,661 |
$896K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
7,233 |
7,047 |
$875K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,748 |
3,638 |
$849K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
11,952 |
11,305 |
$802K |
| 80053 |
Comprehensive metabolic panel |
45,949 |
42,219 |
$788K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
53,778 |
48,690 |
$685K |
| 99221 |
|
2,760 |
2,729 |
$473K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
15,942 |
15,010 |
$471K |
| 99070 |
|
68,765 |
29,221 |
$403K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
2,009 |
1,976 |
$378K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
6,302 |
5,991 |
$355K |
| Z7502 |
|
9,285 |
9,044 |
$336K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
7,548 |
6,769 |
$324K |
| 49322 |
|
1,522 |
1,492 |
$309K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,753 |
2,679 |
$257K |
| 0762 |
|
4,169 |
2,911 |
$242K |
| 58558 |
|
3,058 |
2,990 |
$234K |
| G0378 |
Hospital observation service, per hour |
3,577 |
1,937 |
$227K |
| 70486 |
|
1,380 |
1,360 |
$223K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
3,646 |
3,550 |
$220K |
| 84484 |
|
12,633 |
11,702 |
$211K |
| L8699 |
Prosthetic implant, not otherwise specified |
42 |
38 |
$186K |
| 71045 |
Radiologic examination, chest; single view |
15,808 |
15,225 |
$185K |
| 99499 |
|
4,797 |
4,095 |
$181K |
| 0710 |
|
5,712 |
4,820 |
$174K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,940 |
2,868 |
$170K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,516 |
2,464 |
$168K |
| J3490 |
Unclassified drugs |
44,568 |
22,546 |
$164K |
| 76801 |
|
2,678 |
2,443 |
$158K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,812 |
2,451 |
$157K |
| 83690 |
|
13,886 |
13,094 |
$154K |
| 93971 |
|
1,380 |
1,356 |
$148K |
| 83880 |
|
4,827 |
4,594 |
$144K |
| 81025 |
|
20,215 |
19,177 |
$141K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,840 |
1,795 |
$133K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
1,570 |
1,515 |
$131K |
| 59025 |
Fetal non-stress test |
5,512 |
3,920 |
$125K |
| 81015 |
|
23,385 |
21,979 |
$123K |
| 84702 |
|
5,900 |
5,360 |
$119K |
| 71046 |
Radiologic examination, chest; 2 views |
5,788 |
5,544 |
$117K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
1,680 |
1,666 |
$115K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
502 |
499 |
$115K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,068 |
1,669 |
$111K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
4,022 |
3,909 |
$106K |
| 84703 |
|
8,009 |
7,699 |
$105K |
| 72131 |
|
624 |
616 |
$100K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
4,588 |
3,828 |
$100K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,918 |
2,875 |
$96K |
| 58662 |
|
463 |
455 |
$95K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,051 |
1,036 |
$82K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,203 |
1,148 |
$81K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
5,426 |
5,141 |
$78K |
| 87088 |
|
9,028 |
8,556 |
$77K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,507 |
1,411 |
$75K |
| 82553 |
|
4,102 |
3,910 |
$74K |
| 85730 |
|
7,490 |
7,206 |
$74K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,150 |
2,114 |
$73K |
| 83605 |
|
4,116 |
3,922 |
$72K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,719 |
4,227 |
$69K |
| 49329 |
|
271 |
265 |
$63K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
725 |
686 |
$59K |
| 99218 |
|
276 |
276 |
$56K |
| 73130 |
|
2,020 |
1,968 |
$54K |
| 76770 |
|
697 |
683 |
$53K |
| 73610 |
|
2,004 |
1,961 |
$53K |
| 81003 |
|
15,900 |
15,171 |
$53K |
| 73030 |
|
1,967 |
1,905 |
$53K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
13,225 |
11,874 |
$51K |
| 73630 |
|
2,043 |
1,995 |
$50K |
| 58563 |
|
580 |
568 |
$48K |
| 85610 |
|
7,769 |
7,474 |
$47K |
| 87040 |
|
1,782 |
1,694 |
$47K |
| 73562 |
|
1,947 |
1,898 |
$47K |
| Z9725 |
|
1,249 |
1,245 |
$47K |
| A4217 |
Sterile water/saline, 500 ml |
2,892 |
2,705 |
$46K |
| 90715 |
|
1,364 |
1,331 |
$46K |
| 87077 |
|
5,588 |
5,415 |
$45K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,555 |
1,515 |
$45K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,474 |
2,427 |
$39K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
856 |
842 |
$38K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
434 |
402 |
$38K |
| 58670 |
|
168 |
167 |
$34K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
21,755 |
19,671 |
$32K |
| 72100 |
|
1,043 |
1,024 |
$31K |
| 82150 |
|
2,947 |
2,851 |
$31K |
| 85378 |
|
2,479 |
2,374 |
$30K |
| 73110 |
|
1,106 |
1,073 |
$29K |
| 74018 |
|
1,248 |
1,221 |
$27K |
| 83735 |
|
2,527 |
2,423 |
$27K |
| 86850 |
|
2,149 |
2,077 |
$25K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,974 |
3,751 |
$22K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
4,239 |
3,801 |
$22K |
| 58300 |
|
583 |
572 |
$22K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
3,141 |
2,996 |
$22K |
| 76999 |
|
77 |
76 |
$21K |
| Z7610 |
|
1,703 |
1,124 |
$21K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,870 |
2,418 |
$20K |
| 87420 |
|
1,521 |
1,500 |
$20K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14,703 |
10,833 |
$19K |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
1,765 |
1,704 |
$19K |
| 49320 |
|
97 |
94 |
$19K |
| 58671 |
|
112 |
100 |
$19K |
| Q4100 |
Skin substitute, not otherwise specified |
12 |
12 |
$18K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
4,623 |
4,211 |
$17K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
246 |
244 |
$16K |
| 93970 |
|
78 |
78 |
$16K |
| 85027 |
|
1,637 |
1,566 |
$15K |
| 86901 |
|
2,179 |
2,102 |
$14K |
| 0100U |
|
419 |
400 |
$13K |
| J0330 |
Injection, succinylcholine chloride, up to 20 mg |
5,379 |
5,240 |
$13K |
| 72040 |
|
505 |
494 |
$13K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
6,835 |
6,562 |
$13K |
| 99224 |
|
140 |
140 |
$11K |
| 87181 |
|
4,604 |
4,075 |
$10K |
| 99217 |
|
280 |
277 |
$10K |
| 73090 |
|
459 |
440 |
$10K |
| 86900 |
|
2,149 |
2,069 |
$10K |
| 73080 |
|
358 |
351 |
$10K |
| 87070 |
|
984 |
911 |
$9K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
107 |
99 |
$8K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
384 |
376 |
$8K |
| 73590 |
|
381 |
369 |
$8K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
7,702 |
7,375 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,331 |
1,305 |
$7K |
| 87631 |
|
108 |
105 |
$7K |
| 80321 |
|
429 |
394 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
375 |
369 |
$6K |
| 73502 |
|
206 |
190 |
$6K |
| J7050 |
Infusion, normal saline solution, 250 cc |
3,866 |
3,300 |
$5K |
| 88304 |
|
264 |
258 |
$5K |
| 0750 |
|
49 |
41 |
$5K |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
2,761 |
2,732 |
$5K |
| 82803 |
|
154 |
124 |
$5K |
| 0370 |
|
29 |
29 |
$4K |
| 12001 |
|
295 |
291 |
$4K |
| 71250 |
|
25 |
25 |
$4K |
| 82550 |
|
360 |
344 |
$4K |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
428 |
393 |
$4K |
| 0270 |
|
1,717 |
1,140 |
$4K |
| J2060 |
Injection, lorazepam, 2 mg |
2,562 |
2,217 |
$4K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
189 |
186 |
$4K |
| 0250 |
|
2,177 |
1,458 |
$4K |
| 86780 |
|
258 |
249 |
$4K |
| 73140 |
|
190 |
178 |
$3K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,716 |
1,566 |
$3K |
| 73700 |
|
15 |
15 |
$3K |
| 71101 |
|
91 |
83 |
$3K |
| 86140 |
|
354 |
351 |
$3K |
| 29125 |
|
519 |
511 |
$3K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
14 |
13 |
$3K |
| 71020 |
|
128 |
110 |
$3K |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
511 |
490 |
$3K |
| 80305 |
|
288 |
279 |
$3K |
| 81305 |
|
21 |
20 |
$3K |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
572 |
547 |
$3K |
| 29515 |
|
315 |
310 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
36 |
$2K |
| 12002 |
|
142 |
138 |
$2K |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
374 |
348 |
$2K |
| J0500 |
Injection, dicyclomine hcl, up to 20 mg |
57 |
56 |
$2K |
| 12011 |
|
111 |
107 |
$2K |
| 76870 |
|
37 |
37 |
$2K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
947 |
911 |
$2K |
| Q0144 |
Azithromycin dihydrate, oral, capsules/powder, 1 gram |
80 |
78 |
$2K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
2,959 |
2,910 |
$1K |
| 96376 |
|
26 |
15 |
$1K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,214 |
1,186 |
$1K |
| 71010 |
|
88 |
84 |
$1K |
| 72128 |
|
13 |
13 |
$1K |
| J1630 |
Injection, haloperidol, up to 5 mg |
453 |
356 |
$1K |
| 58301 |
|
41 |
41 |
$1K |
| 99152 |
|
30 |
25 |
$1K |
| 99199 |
Unlisted special service, procedure or report |
26 |
24 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47 |
47 |
$1K |
| 87210 |
|
161 |
158 |
$1K |
| 96368 |
|
40 |
38 |
$1K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
16 |
14 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,723 |
1,675 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
4,121 |
3,920 |
$994.36 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
422 |
397 |
$971.93 |
| J2310 |
Injection, naloxone hydrochloride, per 1 mg |
48 |
41 |
$882.96 |
| 72110 |
|
14 |
14 |
$801.64 |
| S0077 |
Injection, clindamycin phosphate, 300 mg |
86 |
65 |
$731.94 |
| J1953 |
Injection, levetiracetam, 10 mg |
786 |
714 |
$719.72 |
| 73552 |
|
26 |
26 |
$716.16 |
| J1815 |
Injection, insulin, per 5 units |
438 |
362 |
$654.06 |
| 86631 |
|
38 |
37 |
$624.31 |
| 76937 |
|
27 |
27 |
$596.02 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,698 |
2,490 |
$526.56 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13 |
13 |
$512.70 |
| 82140 |
|
29 |
26 |
$503.40 |
| 73060 |
|
20 |
14 |
$426.36 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
2,100 |
1,911 |
$416.05 |
| 86592 |
|
67 |
66 |
$357.96 |
| C9113 |
Injection, pantoprazole sodium, per vial |
43 |
42 |
$326.81 |
| 72072 |
|
13 |
13 |
$317.22 |
| 84550 |
|
47 |
40 |
$315.27 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
346 |
323 |
$256.37 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
59 |
57 |
$241.63 |
| 83874 |
|
13 |
13 |
$225.54 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$224.82 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
27 |
27 |
$220.17 |
| 85652 |
|
41 |
41 |
$199.70 |
| 88300 |
|
70 |
69 |
$195.78 |
| 99153 |
Mod sedat endo service >5yrs |
16 |
12 |
$138.86 |
| 88302 |
|
13 |
13 |
$138.18 |
| 29505 |
|
14 |
14 |
$122.16 |
| 85384 |
|
14 |
12 |
$118.37 |
| 0272 |
|
218 |
187 |
$116.49 |
| J0461 |
Injection, atropine sulfate, 0.01 mg |
427 |
426 |
$110.49 |
| J3105 |
Injection, terbutaline sulfate, up to 1 mg |
60 |
52 |
$94.69 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
12 |
12 |
$83.51 |
| 82009 |
|
12 |
12 |
$80.45 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
66 |
40 |
$77.87 |
| 82728 |
|
13 |
13 |
$61.26 |
| J0456 |
Injection, azithromycin, 500 mg |
15 |
15 |
$60.45 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
44 |
37 |
$56.54 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
27 |
26 |
$33.99 |
| J7644 |
Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram |
42 |
41 |
$13.56 |
| J1644 |
Injection, heparin sodium, per 1000 units |
33 |
27 |
$12.33 |
| 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 |
29 |
29 |
$11.39 |
| J7510 |
Prednisolone oral, per 5 mg |
74 |
73 |
$8.34 |
| Q9963 |
High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml |
13 |
13 |
$3.28 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
28 |
21 |
$3.00 |
| 80329 |
|
32 |
28 |
$0.00 |
| Q4051 |
Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) |
29 |
20 |
$0.00 |