| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
22,812 |
20,819 |
$770K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,713 |
3,622 |
$349K |
| 36415 |
Collection of venous blood by venipuncture |
10,102 |
9,286 |
$337K |
| 0270 |
|
3,729 |
3,349 |
$318K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,440 |
2,357 |
$220K |
| 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 |
5,029 |
4,781 |
$215K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
6,253 |
5,966 |
$201K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
2,165 |
1,890 |
$188K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,837 |
1,740 |
$166K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
786 |
768 |
$154K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
8,159 |
7,563 |
$149K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
3,965 |
3,812 |
$149K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
55,295 |
5,730 |
$113K |
| 80053 |
Comprehensive metabolic panel |
16,506 |
15,407 |
$112K |
| Z7502 |
|
2,964 |
2,795 |
$109K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
2,831 |
2,752 |
$104K |
| 71045 |
Radiologic examination, chest; single view |
9,801 |
9,372 |
$91K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17,622 |
16,332 |
$88K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
3,121 |
2,989 |
$88K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
683 |
676 |
$75K |
| 0120 |
|
691 |
646 |
$72K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,272 |
1,238 |
$66K |
| 0301 |
|
2,413 |
2,274 |
$58K |
| 84443 |
Thyroid stimulating hormone (TSH) |
4,347 |
4,138 |
$56K |
| 84484 |
|
7,075 |
6,784 |
$44K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
3,103 |
2,990 |
$43K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
635 |
609 |
$42K |
| 0259 |
|
6,638 |
6,269 |
$41K |
| 99199 |
Unlisted special service, procedure or report |
1,228 |
1,128 |
$40K |
| 72131 |
|
372 |
366 |
$39K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,019 |
1,971 |
$38K |
| 0214 |
|
362 |
333 |
$35K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
4,401 |
4,120 |
$31K |
| 87040 |
|
2,658 |
2,583 |
$30K |
| 90840 |
|
13 |
13 |
$28K |
| 0002A |
|
730 |
730 |
$27K |
| 70486 |
|
282 |
278 |
$26K |
| J3490 |
Unclassified drugs |
3,768 |
2,526 |
$24K |
| 0001A |
|
692 |
692 |
$24K |
| 0121 |
|
80 |
77 |
$23K |
| 83605 |
|
2,610 |
2,529 |
$21K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
5,144 |
4,920 |
$18K |
| 81001 |
|
9,024 |
8,669 |
$17K |
| 85730 |
|
4,707 |
4,509 |
$16K |
| 83690 |
|
3,991 |
3,823 |
$16K |
| Q3014 |
Telehealth originating site facility fee |
15,667 |
1,981 |
$16K |
| 83520 |
|
2,180 |
2,122 |
$14K |
| 90714 |
|
609 |
602 |
$14K |
| 71250 |
|
112 |
108 |
$13K |
| 80143 |
|
1,264 |
1,189 |
$13K |
| Z7610 |
|
1,000 |
936 |
$13K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
62 |
58 |
$13K |
| 81025 |
|
3,377 |
3,258 |
$12K |
| 85610 |
|
5,022 |
4,794 |
$12K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
247 |
243 |
$12K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
2,583 |
2,527 |
$11K |
| 80179 |
|
1,122 |
1,055 |
$11K |
| 0300 |
|
1,344 |
1,253 |
$11K |
| 96379 |
|
2,426 |
2,118 |
$10K |
| 90839 |
|
48 |
45 |
$9K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
598 |
565 |
$9K |
| 84703 |
|
1,369 |
1,308 |
$6K |
| 0278 |
|
460 |
447 |
$6K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,983 |
2,861 |
$6K |
| 83735 |
|
1,318 |
1,273 |
$5K |
| 82803 |
|
482 |
464 |
$5K |
| 85379 |
|
877 |
852 |
$5K |
| 93970 |
|
38 |
38 |
$5K |
| 86328 |
|
206 |
197 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
795 |
773 |
$4K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,071 |
1,016 |
$4K |
| 87400 |
|
1,165 |
1,147 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
2,015 |
1,405 |
$4K |
| 80061 |
Lipid panel |
478 |
465 |
$4K |
| 87186 |
|
647 |
641 |
$4K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,065 |
1,041 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
709 |
699 |
$3K |
| 74178 |
|
30 |
29 |
$3K |
| 0250 |
|
2,019 |
1,898 |
$3K |
| 73562 |
|
197 |
178 |
$3K |
| 73130 |
|
133 |
127 |
$3K |
| 0004A |
|
63 |
63 |
$3K |
| 84436 |
|
607 |
595 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
546 |
502 |
$2K |
| 0636 |
|
1,142 |
1,099 |
$2K |
| 82140 |
|
252 |
248 |
$2K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
508 |
483 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
27 |
26 |
$2K |
| 73030 |
|
99 |
93 |
$1K |
| 73630 |
|
91 |
85 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
62 |
61 |
$1K |
| 73610 |
|
67 |
65 |
$1K |
| 94761 |
|
545 |
523 |
$1K |
| J7050 |
Infusion, normal saline solution, 250 cc |
290 |
250 |
$1K |
| 80197 |
|
101 |
99 |
$1K |
| 0258 |
|
1,683 |
1,582 |
$782.43 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
272 |
264 |
$772.22 |
| 90832 |
Psychotherapy, 30 minutes with patient |
1,970 |
1,138 |
$697.54 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
637 |
622 |
$631.81 |
| 94645 |
|
54 |
48 |
$613.40 |
| 83615 |
|
162 |
157 |
$602.77 |
| 0324 |
|
496 |
463 |
$551.01 |
| 87420 |
|
127 |
125 |
$498.89 |
| 71046 |
Radiologic examination, chest; 2 views |
28 |
28 |
$458.88 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
306 |
294 |
$453.92 |
| 96368 |
|
26 |
25 |
$416.24 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
112 |
105 |
$394.18 |
| 73110 |
|
15 |
15 |
$384.81 |
| J2060 |
Injection, lorazepam, 2 mg |
114 |
112 |
$355.31 |
| 0305 |
|
1,287 |
1,204 |
$336.33 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
78 |
74 |
$297.24 |
| 86141 |
|
48 |
45 |
$294.78 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
13 |
13 |
$289.66 |
| 0306 |
|
743 |
702 |
$252.10 |
| 82550 |
|
79 |
79 |
$245.91 |
| 87806 |
|
13 |
13 |
$209.68 |
| 80320 |
|
109 |
106 |
$194.25 |
| 82553 |
|
30 |
29 |
$193.75 |
| 82150 |
|
67 |
64 |
$187.19 |
| C9113 |
Injection, pantoprazole sodium, per vial |
83 |
82 |
$159.05 |
| J0290 |
Injection, ampicillin sodium, 500 mg |
276 |
270 |
$149.13 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
29 |
28 |
$143.56 |
| A4649 |
Surgical supply; miscellaneous |
145 |
121 |
$127.84 |
| 83874 |
|
14 |
14 |
$120.21 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
28 |
28 |
$104.94 |
| 82728 |
|
13 |
13 |
$95.94 |
| 86803 |
|
13 |
13 |
$95.62 |
| 87070 |
|
39 |
38 |
$75.00 |
| 74018 |
|
12 |
12 |
$67.00 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
72 |
70 |
$64.09 |
| J1630 |
Injection, haloperidol, up to 5 mg |
12 |
12 |
$63.72 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
37 |
36 |
$50.90 |
| 0307 |
|
343 |
326 |
$41.08 |
| 86592 |
|
15 |
15 |
$28.46 |
| 0710 |
|
895 |
862 |
$26.13 |
| 96376 |
|
28 |
28 |
$16.91 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
13 |
13 |
$16.40 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
12 |
12 |
$11.65 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
269 |
264 |
$6.08 |
| 0272 |
|
239 |
232 |
$0.00 |
| 0480 |
|
89 |
85 |
$0.00 |
| C7901 |
Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 30-60 minutes, provided remotely by hospital staff who are licensed to provided mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service |
3,573 |
459 |
$0.00 |
| 0252 |
|
22 |
20 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
70 |
50 |
$0.00 |
| 0360 |
|
588 |
463 |
$0.00 |
| 0730 |
|
308 |
289 |
$0.00 |
| 90863 |
|
212 |
87 |
$0.00 |
| 0320 |
|
107 |
104 |
$0.00 |
| 0402 |
|
103 |
97 |
$0.00 |
| 0424 |
|
193 |
186 |
$0.00 |
| 0302 |
|
155 |
150 |
$0.00 |
| 0921 |
|
47 |
45 |
$0.00 |
| G0177 |
Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) |
60 |
25 |
$0.00 |
| 0410 |
|
125 |
118 |
$0.00 |
| 0370 |
|
696 |
576 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
164 |
128 |
$0.00 |
| 0915R |
|
219 |
27 |
$0.00 |
| 0352 |
|
45 |
43 |
$0.00 |
| 94760 |
|
14 |
14 |
$0.00 |