| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
11,395 |
10,960 |
$1.82M |
| 99283 |
|
9,000 |
8,788 |
$1.16M |
| 99284 |
|
7,271 |
7,087 |
$1.04M |
| G0378 |
Hospital observation service, per hour |
673 |
625 |
$602K |
| 87637 |
|
1,496 |
1,481 |
$103K |
| 80053 |
|
14,315 |
13,240 |
$98K |
| 74177 |
|
846 |
825 |
$97K |
| 0241U |
|
1,413 |
1,398 |
$95K |
| 96374 |
|
5,795 |
5,520 |
$95K |
| 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 |
1,306 |
1,167 |
$72K |
| 85025 |
|
17,891 |
16,055 |
$61K |
| 80307 |
|
1,538 |
1,441 |
$59K |
| 99282 |
|
412 |
405 |
$42K |
| 93005 |
|
7,205 |
6,839 |
$41K |
| 71275 |
|
295 |
286 |
$36K |
| 96375 |
|
3,160 |
2,987 |
$34K |
| 70450 |
|
812 |
771 |
$31K |
| 80050 |
|
632 |
618 |
$28K |
| 84484 |
|
3,949 |
3,540 |
$24K |
| 77067 |
|
234 |
234 |
$23K |
| 80061 |
|
1,589 |
1,557 |
$23K |
| 84443 |
|
1,017 |
972 |
$23K |
| 71045 |
|
4,239 |
4,003 |
$20K |
| 74176 |
|
339 |
325 |
$19K |
| 87502 |
|
314 |
306 |
$18K |
| T1015 |
Clinic visit/encounter, all-inclusive |
452 |
161 |
$17K |
| 93976 |
|
281 |
267 |
$16K |
| 80048 |
|
2,762 |
2,273 |
$15K |
| 96361 |
|
1,438 |
1,337 |
$14K |
| 96365 |
|
732 |
678 |
$13K |
| 87636 |
|
196 |
194 |
$13K |
| 93306 |
|
240 |
234 |
$12K |
| 83880 |
|
612 |
560 |
$11K |
| 84703 |
|
1,527 |
1,478 |
$10K |
| 82306 |
|
244 |
241 |
$9K |
| 71260 |
|
115 |
113 |
$9K |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
613 |
556 |
$9K |
| 43239 |
|
59 |
59 |
$8K |
| 93971 |
|
161 |
153 |
$8K |
| 72125 |
|
207 |
196 |
$8K |
| 83735 |
|
1,482 |
1,201 |
$8K |
| 81001 |
|
4,495 |
4,329 |
$7K |
| 82805 |
|
313 |
274 |
$7K |
| 0100U |
|
190 |
179 |
$7K |
| 71046 |
|
634 |
624 |
$7K |
| 83036 |
|
975 |
948 |
$7K |
| 76830 |
|
161 |
157 |
$7K |
| 96372 |
|
1,020 |
835 |
$7K |
| 83690 |
|
2,286 |
2,180 |
$7K |
| 87491 |
|
323 |
321 |
$7K |
| 0002A |
|
123 |
122 |
$6K |
| 87591 |
|
321 |
319 |
$6K |
| 0225U |
|
33 |
33 |
$6K |
| 84702 |
|
490 |
434 |
$6K |
| 84439 |
|
582 |
556 |
$5K |
| 0001A |
|
124 |
124 |
$5K |
| 80299 |
|
243 |
232 |
$5K |
| 76856 |
|
100 |
98 |
$5K |
| 70498 |
|
60 |
57 |
$5K |
| 88175 |
|
120 |
120 |
$5K |
| 70496 |
|
60 |
57 |
$5K |
| 87086 |
|
841 |
783 |
$4K |
| 36415 |
|
5,144 |
4,427 |
$4K |
| 71250 |
|
83 |
80 |
$4K |
| 96366 |
|
263 |
208 |
$4K |
| 84466 |
|
221 |
214 |
$4K |
| 12001 |
|
28 |
26 |
$4K |
| 85379 |
|
541 |
515 |
$3K |
| 96360 |
|
214 |
204 |
$3K |
| 87633 |
|
21 |
20 |
$3K |
| 82607 |
|
247 |
241 |
$3K |
| 87040 |
|
246 |
231 |
$3K |
| 83605 |
|
656 |
556 |
$3K |
| 84999 |
|
1,278 |
1,094 |
$3K |
| 85610 |
|
1,128 |
863 |
$3K |
| 84145 |
|
268 |
242 |
$3K |
| 85027 |
|
551 |
487 |
$3K |
| 76705 |
|
87 |
83 |
$3K |
| 82728 |
|
213 |
203 |
$3K |
| 96376 |
|
401 |
327 |
$2K |
| 73610 |
|
219 |
205 |
$2K |
| 84153 |
|
76 |
75 |
$2K |
| 0202U |
|
14 |
12 |
$2K |
| 80076 |
|
239 |
227 |
$2K |
| 88305 |
|
295 |
268 |
$2K |
| 83540 |
|
228 |
223 |
$2K |
| 85730 |
|
505 |
466 |
$2K |
| 82043 |
|
211 |
205 |
$2K |
| 87631 |
|
16 |
16 |
$2K |
| 82570 |
|
234 |
226 |
$2K |
| 73030 |
|
188 |
172 |
$2K |
| 73630 |
|
268 |
253 |
$2K |
| 72100 |
|
95 |
92 |
$2K |
| 87186 |
|
315 |
296 |
$2K |
| 86850 |
|
294 |
278 |
$2K |
| 73130 |
|
214 |
201 |
$2K |
| 81003 |
|
839 |
792 |
$2K |
| 77063 |
|
55 |
55 |
$2K |
| 82550 |
|
378 |
336 |
$2K |
| 73502 |
|
117 |
111 |
$1K |
| 73562 |
|
135 |
129 |
$1K |
| 76642 |
|
39 |
31 |
$1K |
| 87389 |
|
38 |
37 |
$1K |
| 80320 |
|
171 |
159 |
$1K |
| 86803 |
|
53 |
53 |
$1K |
| 77065 |
Tomosynthesis, mammo |
17 |
15 |
$1K |
| 88342 |
|
54 |
51 |
$1K |
| 87481 |
|
27 |
26 |
$1K |
| 81025 |
|
462 |
454 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
5,851 |
4,358 |
$1K |
| 86618 |
|
43 |
43 |
$995.91 |
| 93017 |
|
28 |
27 |
$877.69 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$824.18 |
| 86140 |
|
319 |
297 |
$819.23 |
| 86900 |
|
301 |
283 |
$796.93 |
| 86901 |
|
299 |
281 |
$787.84 |
| 87081 |
|
194 |
190 |
$778.67 |
| 87077 |
|
237 |
224 |
$773.48 |
| 84100 |
|
153 |
114 |
$734.29 |
| 82962 |
|
584 |
424 |
$713.12 |
| 85652 |
|
281 |
263 |
$701.68 |
| 96367 |
|
58 |
51 |
$698.04 |
| 73110 |
|
92 |
87 |
$662.24 |
| 82553 |
|
183 |
178 |
$660.53 |
| 87798 |
|
35 |
34 |
$651.37 |
| 70486 |
|
14 |
14 |
$591.72 |
| J2704 |
Injection, propofol, 10 mg |
1,774 |
1,391 |
$482.67 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,398 |
951 |
$479.65 |
| 87661 |
|
13 |
13 |
$475.65 |
| J3490 |
Unclassified drugs |
1,944 |
1,342 |
$432.77 |
| 82565 |
|
65 |
60 |
$419.59 |
| 80349 |
|
49 |
48 |
$399.40 |
| 76870 |
|
15 |
13 |
$355.96 |
| 82746 |
|
33 |
33 |
$340.13 |
| 87486 |
|
21 |
20 |
$310.60 |
| 84550 |
|
46 |
40 |
$274.58 |
| 80329 |
|
61 |
58 |
$264.21 |
| 74018 |
|
18 |
15 |
$234.02 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,089 |
2,357 |
$225.64 |
| 87205 |
|
57 |
55 |
$223.36 |
| 90715 |
|
82 |
82 |
$213.32 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,853 |
1,346 |
$191.13 |
| 87880 |
|
65 |
63 |
$173.05 |
| 87070 |
|
27 |
26 |
$171.58 |
| 73560 |
|
18 |
17 |
$161.78 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
528 |
339 |
$153.87 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
195 |
130 |
$142.84 |
| 87147 |
|
58 |
56 |
$135.97 |
| 84436 |
|
12 |
12 |
$134.08 |
| 87088 |
|
26 |
25 |
$120.48 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,592 |
2,656 |
$114.99 |
| 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 |
12 |
12 |
$110.41 |
| 90471 |
|
44 |
40 |
$106.35 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
1,583 |
1,131 |
$101.62 |
| 73590 |
|
14 |
13 |
$99.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
336 |
239 |
$74.23 |
| 82248 |
|
13 |
12 |
$71.43 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,017 |
827 |
$70.92 |
| 87581 |
|
18 |
17 |
$62.04 |
| 82947 |
|
13 |
13 |
$55.86 |
| 97162 |
|
14 |
13 |
$38.00 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
19 |
12 |
$35.54 |
| J1815 |
Injection, insulin, per 5 units |
139 |
40 |
$33.46 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
934 |
753 |
$30.66 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
147 |
105 |
$29.11 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
526 |
418 |
$24.58 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
45 |
28 |
$16.71 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
72 |
36 |
$12.79 |
| A9270 |
Non-covered item or service |
17,829 |
8,557 |
$9.09 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
42 |
37 |
$6.50 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
76 |
51 |
$5.24 |
| J2060 |
Injection, lorazepam, 2 mg |
19 |
13 |
$4.59 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
16 |
12 |
$4.23 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
118 |
98 |
$0.47 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
1,571 |
1,359 |
$0.10 |
| J7999 |
Compounded drug, not otherwise classified |
29 |
12 |
$0.00 |
| 94640 |
|
14 |
13 |
$0.00 |
| 90686 |
|
13 |
12 |
$0.00 |