| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J3490 |
Unclassified drugs |
71,856 |
30,515 |
$13.34M |
| 0450 |
Emergency room services |
59,037 |
53,326 |
$2.30M |
| 0121 |
|
245 |
235 |
$2.01M |
| 82803 |
|
1,141 |
1,110 |
$1.38M |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
3,668 |
3,626 |
$1.07M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,824 |
3,753 |
$710K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
10,650 |
9,875 |
$600K |
| 0272 |
|
5,549 |
5,365 |
$565K |
| 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 |
2,821 |
2,665 |
$426K |
| 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 |
5,473 |
5,282 |
$376K |
| 0123 |
|
57 |
51 |
$359K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
268 |
267 |
$348K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,710 |
2,625 |
$341K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
15,855 |
14,812 |
$310K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,849 |
3,771 |
$303K |
| 80053 |
Comprehensive metabolic panel |
25,822 |
23,807 |
$273K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
6,181 |
6,002 |
$264K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
11,413 |
9,565 |
$221K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,485 |
4,359 |
$209K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30,462 |
27,056 |
$209K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
8,693 |
7,685 |
$207K |
| 96376 |
|
2,697 |
1,768 |
$199K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
7,008 |
6,103 |
$196K |
| 0250 |
|
2,008 |
1,343 |
$192K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
3,221 |
3,020 |
$188K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,576 |
1,555 |
$164K |
| 99199 |
Unlisted special service, procedure or report |
3,186 |
2,834 |
$162K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,417 |
1,406 |
$151K |
| 93976 |
|
871 |
855 |
$151K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
3,274 |
3,206 |
$148K |
| 71045 |
Radiologic examination, chest; single view |
10,110 |
9,772 |
$148K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
6,632 |
5,010 |
$147K |
| 0171 |
Inj, epinephrine (belcher) |
108 |
105 |
$145K |
| 71046 |
Radiologic examination, chest; 2 views |
6,662 |
6,562 |
$140K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,543 |
1,496 |
$134K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,080 |
1,077 |
$130K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,428 |
2,395 |
$125K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,662 |
1,447 |
$125K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,397 |
1,397 |
$124K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
9,095 |
3,939 |
$121K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,549 |
1,533 |
$113K |
| 70498 |
|
647 |
644 |
$109K |
| 76830 |
Ultrasound, transvaginal |
1,906 |
1,886 |
$100K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
4,331 |
2,125 |
$96K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,202 |
1,092 |
$94K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,171 |
1,977 |
$91K |
| 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 |
1,233 |
1,164 |
$91K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
4,475 |
2,730 |
$90K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
363 |
363 |
$90K |
| 84484 |
|
10,345 |
8,840 |
$89K |
| 93971 |
|
1,123 |
1,103 |
$87K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
6,482 |
5,970 |
$84K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,111 |
995 |
$81K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
419 |
416 |
$77K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,153 |
2,131 |
$74K |
| 70496 |
|
332 |
331 |
$67K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
5,740 |
5,075 |
$67K |
| 99070 |
|
1,914 |
909 |
$64K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
277 |
277 |
$64K |
| 76801 |
|
977 |
855 |
$63K |
| 83690 |
|
9,636 |
9,052 |
$60K |
| 76770 |
|
1,026 |
1,015 |
$59K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
941 |
936 |
$57K |
| 0720 |
|
2,228 |
1,784 |
$53K |
| 59025 |
Fetal non-stress test |
2,012 |
1,596 |
$52K |
| 0122 |
|
15 |
12 |
$50K |
| 84703 |
|
7,964 |
7,640 |
$49K |
| 80320 |
|
423 |
399 |
$48K |
| 81001 |
|
16,095 |
15,272 |
$48K |
| 76642 |
|
952 |
836 |
$43K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
6,180 |
5,959 |
$42K |
| 99233 |
Prolong inpt eval add15 m |
976 |
396 |
$41K |
| 97161 |
|
831 |
829 |
$39K |
| 77386 |
|
108 |
12 |
$38K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
610 |
545 |
$38K |
| 74018 |
|
2,058 |
2,016 |
$35K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,678 |
5,811 |
$35K |
| 77066 |
Tomosynthesis, mammo |
384 |
384 |
$34K |
| 94664 |
|
2,351 |
2,270 |
$33K |
| 83880 |
|
1,309 |
1,269 |
$33K |
| 97139 |
|
2,016 |
550 |
$33K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,176 |
2,117 |
$32K |
| Z7502 |
|
1,369 |
1,277 |
$31K |
| 73564 |
|
1,393 |
1,383 |
$31K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,353 |
1,353 |
$30K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
3,525 |
2,993 |
$30K |
| 87040 |
|
3,402 |
2,027 |
$29K |
| 84702 |
|
2,307 |
2,114 |
$29K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,042 |
4,718 |
$29K |
| 0510 |
|
1,214 |
1,126 |
$28K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
252 |
68 |
$28K |
| 73630 |
|
1,309 |
1,300 |
$26K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
1,917 |
995 |
$25K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
126 |
126 |
$24K |
| 83605 |
|
3,086 |
2,763 |
$23K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
2,373 |
1,750 |
$21K |
| 80306 |
|
393 |
372 |
$20K |
| 73030 |
|
976 |
970 |
$20K |
| 77301 |
|
26 |
26 |
$19K |
| 76536 |
|
382 |
381 |
$19K |
| 73610 |
|
923 |
920 |
$18K |
| 77065 |
Tomosynthesis, mammo |
257 |
257 |
$18K |
| 82553 |
|
349 |
329 |
$16K |
| 87077 |
|
2,367 |
1,932 |
$15K |
| 71250 |
|
160 |
160 |
$15K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
689 |
674 |
$15K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,996 |
1,736 |
$15K |
| 72100 |
|
643 |
641 |
$14K |
| 0002A |
|
359 |
359 |
$14K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,041 |
886 |
$13K |
| 87186 |
|
1,886 |
1,633 |
$13K |
| 0001A |
|
323 |
323 |
$13K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
339 |
185 |
$12K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
687 |
673 |
$11K |
| 85379 |
|
1,223 |
1,200 |
$11K |
| 77049 |
|
32 |
32 |
$10K |
| 77336 |
|
269 |
137 |
$10K |
| 77300 |
|
106 |
102 |
$10K |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
1,626 |
1,469 |
$10K |
| 77338 |
|
55 |
53 |
$10K |
| 85730 |
|
1,982 |
1,917 |
$10K |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,830 |
1,608 |
$9K |
| 85610 |
|
2,885 |
2,759 |
$9K |
| 83735 |
|
1,558 |
1,351 |
$9K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
360 |
346 |
$9K |
| 73130 |
|
356 |
351 |
$8K |
| 72110 |
|
206 |
206 |
$8K |
| 86901 |
|
3,231 |
3,151 |
$7K |
| 97162 |
|
156 |
156 |
$7K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
230 |
225 |
$7K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,302 |
1,151 |
$7K |
| 86900 |
|
2,921 |
2,863 |
$7K |
| 86850 |
|
2,448 |
2,389 |
$7K |
| 97014 |
|
759 |
327 |
$7K |
| 80047 |
|
1,099 |
1,080 |
$7K |
| 85027 |
|
1,729 |
1,633 |
$7K |
| J2704 |
Injection, propofol, 10 mg |
345 |
282 |
$6K |
| 94729 |
|
123 |
123 |
$6K |
| 0360 |
|
117 |
63 |
$6K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
16 |
16 |
$6K |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
426 |
402 |
$5K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
33 |
26 |
$5K |
| 70486 |
|
52 |
52 |
$5K |
| J2060 |
Injection, lorazepam, 2 mg |
990 |
863 |
$5K |
| 77334 |
|
49 |
43 |
$5K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
988 |
879 |
$4K |
| 73110 |
|
207 |
205 |
$4K |
| 87070 |
|
450 |
443 |
$4K |
| 87507 |
|
12 |
12 |
$4K |
| 73502 |
|
135 |
134 |
$4K |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
345 |
332 |
$4K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
523 |
433 |
$4K |
| 82550 |
|
712 |
636 |
$4K |
| 86140 |
|
797 |
752 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
598 |
584 |
$3K |
| 0420 |
|
298 |
292 |
$3K |
| 0636 |
|
304 |
181 |
$3K |
| 76377 |
|
296 |
285 |
$3K |
| 77062 |
|
338 |
338 |
$3K |
| Z7610 |
|
423 |
360 |
$3K |
| 84145 |
|
153 |
138 |
$3K |
| J8540 |
Dexamethasone, oral, 0.25 mg |
508 |
270 |
$3K |
| 90715 |
|
99 |
99 |
$3K |
| 72040 |
|
126 |
126 |
$2K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
794 |
726 |
$2K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
170 |
94 |
$2K |
| 82150 |
|
952 |
940 |
$2K |
| 73140 |
|
144 |
142 |
$2K |
| 0710 |
|
237 |
199 |
$2K |
| 0762 |
|
492 |
245 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
239 |
237 |
$2K |
| 97165 |
|
29 |
29 |
$2K |
| 97166 |
|
25 |
25 |
$2K |
| 76870 |
|
40 |
40 |
$2K |
| J1815 |
Injection, insulin, per 5 units |
106 |
49 |
$2K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
251 |
231 |
$2K |
| 94726 |
|
39 |
39 |
$1K |
| 85652 |
|
655 |
620 |
$1K |
| J1756 |
Injection, iron sucrose, 1 mg |
22 |
12 |
$1K |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
149 |
66 |
$1K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
229 |
225 |
$1K |
| 73080 |
|
57 |
56 |
$1K |
| 73590 |
|
86 |
83 |
$1K |
| 77061 |
|
135 |
135 |
$1K |
| J1171 |
Injection, hydromorphone, 0.1 mg |
49 |
35 |
$971.21 |
| 84439 |
|
126 |
121 |
$949.82 |
| 85049 |
|
319 |
297 |
$934.37 |
| 85014 |
|
366 |
334 |
$925.90 |
| 36430 |
|
3,222 |
1,399 |
$907.36 |
| 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 |
223 |
199 |
$850.42 |
| 0370 |
|
32 |
32 |
$826.88 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
13 |
12 |
$823.32 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
122 |
119 |
$823.00 |
| 94060 |
|
26 |
26 |
$749.19 |
| 77077 |
|
25 |
25 |
$690.87 |
| 87420 |
|
166 |
165 |
$599.27 |
| 85018 |
|
330 |
303 |
$596.05 |
| 72082 |
|
14 |
14 |
$591.22 |
| 0270 |
|
278 |
143 |
$548.76 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
12 |
12 |
$537.31 |
| 87581 |
|
16 |
16 |
$511.97 |
| 87486 |
|
16 |
16 |
$511.97 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
17 |
17 |
$488.00 |
| 84450 |
|
106 |
105 |
$463.59 |
| 85048 |
|
247 |
246 |
$447.43 |
| 84075 |
|
106 |
105 |
$434.40 |
| 82247 |
|
106 |
105 |
$430.19 |
| 82040 |
|
107 |
106 |
$427.05 |
| 97039 |
|
26 |
12 |
$415.92 |
| 72050 |
|
13 |
13 |
$413.49 |
| 0300 |
|
392 |
375 |
$408.08 |
| 82565 |
|
225 |
219 |
$387.39 |
| J3480 |
Injection, potassium chloride, per 2 meq |
36 |
28 |
$378.85 |
| 0301 |
|
464 |
440 |
$372.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
62 |
62 |
$364.53 |
| 80051 |
|
178 |
178 |
$349.97 |
| 72070 |
|
13 |
13 |
$327.34 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
65 |
62 |
$314.31 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
14 |
13 |
$313.12 |
| 84155 |
|
106 |
105 |
$312.33 |
| 73560 |
|
31 |
31 |
$306.79 |
| 73620 |
|
13 |
13 |
$236.34 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
14 |
13 |
$231.20 |
| 81003 |
|
112 |
111 |
$222.63 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
33 |
26 |
$199.96 |
| 82947 |
|
182 |
182 |
$196.96 |
| S0265 |
Genetic counseling, under physician supervision, each 15 minutes |
13 |
13 |
$195.00 |
| 84520 |
|
192 |
191 |
$192.40 |
| 72170 |
|
14 |
14 |
$169.44 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
14 |
12 |
$164.24 |
| 87210 |
|
41 |
40 |
$153.83 |
| 73070 |
|
12 |
12 |
$117.60 |
| 82570 |
|
24 |
24 |
$110.86 |
| 84550 |
|
29 |
27 |
$105.07 |
| J1644 |
Injection, heparin sodium, per 1000 units |
16 |
14 |
$104.70 |
| 82330 |
|
12 |
12 |
$103.68 |
| 97035 |
|
18 |
12 |
$102.01 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
78 |
73 |
$92.83 |
| 82248 |
|
16 |
12 |
$70.28 |
| 83615 |
|
14 |
14 |
$64.44 |
| 84156 |
|
13 |
12 |
$42.38 |
| 87205 |
|
14 |
13 |
$38.35 |
| 84295 |
|
12 |
12 |
$30.00 |
| 84132 |
|
12 |
12 |
$29.72 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
150 |
120 |
$0.02 |
| 0258 |
|
98 |
94 |
$0.00 |
| 0410 |
|
99 |
96 |
$0.00 |
| 0306 |
|
276 |
267 |
$0.00 |
| 0307 |
|
158 |
154 |
$0.00 |
| 0305 |
|
404 |
387 |
$0.00 |
| 0324 |
|
157 |
151 |
$0.00 |
| 0271 |
|
104 |
103 |
$0.00 |
| 0310 |
|
25 |
25 |
$0.00 |
| 80329 |
|
28 |
13 |
$0.00 |
| 0730 |
|
166 |
162 |
$0.00 |
| 0470 |
|
93 |
90 |
$0.00 |
| 0302 |
|
135 |
131 |
$0.00 |
| 0402 |
|
77 |
75 |
$0.00 |
| 0320 |
|
84 |
81 |
$0.00 |
| 0430 |
|
12 |
12 |
$0.00 |