| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
Emergency room services |
240,677 |
186,538 |
$1.85M |
| Z7502 |
|
20,284 |
20,087 |
$762K |
| 0300 |
|
93,017 |
86,938 |
$412K |
| 0301 |
|
370,430 |
123,912 |
$410K |
| Z9725 |
|
7,951 |
7,866 |
$340K |
| 0250 |
|
97,918 |
60,314 |
$296K |
| 0402 |
|
19,072 |
15,359 |
$212K |
| 0306 |
|
109,564 |
48,349 |
$160K |
| 0636 |
|
81,339 |
37,265 |
$116K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
10,232 |
10,111 |
$111K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
7,089 |
6,923 |
$101K |
| 0352 |
|
4,579 |
3,790 |
$96K |
| 0305 |
|
112,719 |
84,286 |
$73K |
| 80053 |
Comprehensive metabolic panel |
5,494 |
5,212 |
$67K |
| 0320 |
|
17,046 |
14,219 |
$48K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
359 |
357 |
$47K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,471 |
7,964 |
$42K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,262 |
1,186 |
$40K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
95 |
76 |
$39K |
| 0730 |
|
11,013 |
10,930 |
$38K |
| 0260 |
|
4,478 |
1,855 |
$37K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,414 |
2,330 |
$35K |
| Z7610 |
|
6,427 |
3,669 |
$32K |
| 0310 |
|
5,691 |
5,315 |
$30K |
| 0324 |
|
14,909 |
14,843 |
$29K |
| 0307 |
|
41,512 |
37,543 |
$27K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
270 |
268 |
$23K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,919 |
1,820 |
$17K |
| 0302 |
|
14,036 |
6,157 |
$16K |
| J3490 |
Unclassified drugs |
20,879 |
13,382 |
$15K |
| 0335 |
|
1,529 |
649 |
$14K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
285 |
274 |
$13K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,897 |
2,201 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
2,010 |
1,866 |
$11K |
| Z7500 |
|
292 |
242 |
$10K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
997 |
771 |
$8K |
| 0900 |
|
54 |
53 |
$8K |
| 92650 |
|
285 |
285 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
386 |
371 |
$7K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
913 |
702 |
$7K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
2,865 |
2,728 |
$7K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
374 |
374 |
$7K |
| 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 |
241 |
228 |
$6K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
155 |
137 |
$6K |
| 0001A |
|
168 |
168 |
$6K |
| 0333 |
|
984 |
63 |
$6K |
| 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 |
74 |
72 |
$6K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
334 |
334 |
$6K |
| 0420 |
|
7,487 |
1,465 |
$5K |
| 83690 |
|
1,133 |
1,065 |
$5K |
| 0002A |
|
117 |
117 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,289 |
1,231 |
$5K |
| 0351 |
|
657 |
558 |
$5K |
| 0750 |
|
70 |
67 |
$5K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
216 |
203 |
$4K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
1,294 |
808 |
$4K |
| 81001 |
|
1,808 |
1,756 |
$4K |
| 0359 |
|
756 |
109 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
913 |
896 |
$3K |
| J1756 |
Injection, iron sucrose, 1 mg |
215 |
74 |
$3K |
| 0720 |
|
2,343 |
1,612 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,286 |
852 |
$2K |
| 0309 |
|
3,290 |
1,434 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
53 |
52 |
$2K |
| 0403 |
|
2,634 |
1,321 |
$2K |
| 86780 |
|
331 |
290 |
$2K |
| 84484 |
|
1,069 |
959 |
$2K |
| 87653 |
|
93 |
82 |
$2K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
120 |
113 |
$2K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
1,038 |
969 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,979 |
1,957 |
$2K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
242 |
242 |
$2K |
| 99199 |
Unlisted special service, procedure or report |
32 |
29 |
$2K |
| 0510 |
|
180 |
165 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
380 |
375 |
$1K |
| 86850 |
|
206 |
203 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
681 |
666 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
107 |
107 |
$1K |
| 86803 |
|
100 |
100 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
874 |
828 |
$1K |
| 0311 |
|
1,887 |
1,777 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
133 |
133 |
$1K |
| 84703 |
|
168 |
159 |
$1K |
| 87088 |
|
549 |
531 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
59 |
56 |
$1K |
| 87081 |
|
150 |
149 |
$1K |
| 0370 |
|
250 |
131 |
$1K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
200 |
151 |
$1K |
| 0270 |
|
231 |
126 |
$996.98 |
| 86762 |
|
77 |
77 |
$899.71 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
169 |
156 |
$889.79 |
| 0430 |
|
4,566 |
631 |
$886.43 |
| 81003 |
|
768 |
731 |
$865.74 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
334 |
274 |
$828.41 |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
140 |
108 |
$795.35 |
| 97162 |
|
266 |
265 |
$770.73 |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
53 |
41 |
$750.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
825 |
510 |
$742.08 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,538 |
997 |
$732.85 |
| 87481 |
|
164 |
164 |
$695.78 |
| 86787 |
|
70 |
70 |
$682.86 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
288 |
288 |
$611.68 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
15 |
$524.11 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
15 |
14 |
$418.50 |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
108 |
37 |
$386.90 |
| 0343 |
|
51 |
51 |
$378.87 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
12 |
12 |
$374.28 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,271 |
980 |
$373.46 |
| 0278 |
|
13 |
12 |
$362.23 |
| 0424 |
|
349 |
349 |
$349.49 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,060 |
478 |
$323.20 |
| 96367 |
|
688 |
420 |
$314.96 |
| 73030 |
|
81 |
79 |
$303.47 |
| 86901 |
|
139 |
137 |
$248.45 |
| 0920 |
|
61 |
58 |
$246.82 |
| 86900 |
|
133 |
131 |
$241.53 |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
444 |
211 |
$223.02 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$207.06 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
155 |
146 |
$205.47 |
| 83605 |
|
297 |
281 |
$204.77 |
| 97161 |
|
209 |
209 |
$203.19 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$198.84 |
| 0331 |
|
41 |
26 |
$188.44 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
274 |
200 |
$174.42 |
| 73130 |
|
31 |
30 |
$173.82 |
| 99070 |
|
78 |
37 |
$173.60 |
| 80061 |
Lipid panel |
421 |
421 |
$158.44 |
| 84439 |
|
83 |
83 |
$156.92 |
| 87070 |
|
29 |
29 |
$153.89 |
| 85610 |
|
619 |
591 |
$148.42 |
| 88142 |
|
85 |
85 |
$138.25 |
| 82962 |
|
310 |
270 |
$133.99 |
| 0710 |
|
37 |
37 |
$130.65 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
60 |
60 |
$129.36 |
| 85027 |
|
286 |
283 |
$124.48 |
| 87186 |
|
143 |
137 |
$122.31 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
154 |
150 |
$120.55 |
| 87340 |
|
105 |
105 |
$119.10 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
137 |
105 |
$119.00 |
| 59025 |
Fetal non-stress test |
13 |
12 |
$117.72 |
| 72100 |
|
40 |
39 |
$108.19 |
| 83880 |
|
137 |
134 |
$96.48 |
| 87040 |
|
112 |
98 |
$89.85 |
| 80047 |
|
110 |
109 |
$87.30 |
| 87077 |
|
140 |
133 |
$86.13 |
| A9270 |
Non-covered item or service |
2,946 |
1,948 |
$85.37 |
| 73630 |
|
43 |
42 |
$83.48 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40 |
40 |
$77.88 |
| 93971 |
|
38 |
38 |
$71.03 |
| 83735 |
|
214 |
184 |
$64.64 |
| J2060 |
Injection, lorazepam, 2 mg |
61 |
56 |
$58.36 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
136 |
131 |
$57.87 |
| 86481 |
|
15 |
15 |
$57.78 |
| 80076 |
|
155 |
153 |
$54.92 |
| 73562 |
|
52 |
52 |
$46.92 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
194 |
190 |
$43.94 |
| 0412 |
|
502 |
451 |
$43.35 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
37 |
32 |
$38.63 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
46 |
45 |
$33.97 |
| 82728 |
|
82 |
82 |
$28.22 |
| 85014 |
|
114 |
113 |
$25.32 |
| 85730 |
|
134 |
132 |
$24.11 |
| 85379 |
|
27 |
27 |
$23.59 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
78 |
69 |
$22.56 |
| 0312 |
|
37 |
33 |
$20.04 |
| 83550 |
|
99 |
99 |
$18.10 |
| 80069 |
|
62 |
56 |
$17.96 |
| 83540 |
|
99 |
99 |
$13.40 |
| 83970 |
|
56 |
56 |
$12.00 |
| 82043 |
|
65 |
64 |
$11.96 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
69 |
58 |
$11.18 |
| 82570 |
|
45 |
45 |
$10.72 |
| 82950 |
|
29 |
29 |
$9.28 |
| J2704 |
Injection, propofol, 10 mg |
41 |
39 |
$7.33 |
| J1644 |
Injection, heparin sodium, per 1000 units |
103 |
75 |
$6.41 |
| 84156 |
|
48 |
48 |
$4.86 |
| 96523 |
|
222 |
189 |
$0.00 |
| 0500 |
|
285 |
284 |
$0.00 |
| 76642 |
|
12 |
12 |
$0.00 |
| 0272 |
|
76 |
76 |
$0.00 |
| 0483 |
|
36 |
36 |
$0.00 |
| J0885 |
Injection, epoetin alfa, (for non-esrd use), 1000 units |
85 |
39 |
$0.00 |
| 0637 |
|
16 |
12 |
$0.00 |
| 77080 |
|
15 |
15 |
$0.00 |
| 82310 |
|
13 |
13 |
$0.00 |
| 72110 |
|
24 |
24 |
$0.00 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
13 |
13 |
$0.00 |
| 99152 |
|
26 |
25 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
20 |
20 |
$0.00 |
| 84207 |
|
13 |
13 |
$0.00 |
| 84425 |
|
15 |
15 |
$0.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
49 |
49 |
$0.00 |
| 0401 |
|
22 |
12 |
$0.00 |
| 0434 |
|
107 |
103 |
$0.00 |
| 0440 |
|
233 |
79 |
$0.00 |
| 0471 |
|
1,013 |
1,008 |
$0.00 |
| 96415 |
|
250 |
160 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
41 |
37 |
$0.00 |
| 84480 |
|
24 |
21 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
31 |
31 |
$0.00 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
51 |
51 |
$0.00 |
| 82746 |
|
15 |
15 |
$0.00 |
| 82550 |
|
44 |
44 |
$0.00 |
| 82040 |
|
14 |
14 |
$0.00 |
| 84153 |
|
13 |
13 |
$0.00 |
| 96376 |
|
29 |
25 |
$0.00 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
29 |
29 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
20 |
20 |
$0.00 |
| 73502 |
|
25 |
25 |
$0.00 |
| 84436 |
|
23 |
20 |
$0.00 |
| 76641 |
|
13 |
13 |
$0.00 |
| 82607 |
|
15 |
15 |
$0.00 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
53 |
24 |
$0.00 |
| 99153 |
Mod sedat endo service >5yrs |
14 |
14 |
$0.00 |