| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J9299 |
Injection, nivolumab, 1 mg |
1,214 |
513 |
$3.39M |
| J9271 |
Injection, pembrolizumab, 1 mg |
422 |
270 |
$2.47M |
| J0897 |
Injection, denosumab, 1 mg |
883 |
767 |
$1.28M |
| 80053 |
Comprehensive metabolic panel |
17,126 |
11,404 |
$819K |
| J2505 |
Injection, pegfilgrastim, 6 mg |
85 |
67 |
$595K |
| 96413 |
Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance |
5,901 |
3,550 |
$487K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,307 |
2,315 |
$487K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
743 |
701 |
$408K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,519 |
1,435 |
$368K |
| 74178 |
|
606 |
576 |
$341K |
| J0881 |
Injection, darbepoetin alfa, 1 microgram (non-esrd use) |
309 |
220 |
$314K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
14,257 |
11,604 |
$312K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16,025 |
10,457 |
$281K |
| J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg |
214 |
210 |
$278K |
| J9035 |
Injection, bevacizumab, 10 mg |
206 |
79 |
$231K |
| J1626 |
Injection, granisetron hydrochloride, 100 mcg |
2,763 |
1,505 |
$207K |
| J7050 |
Infusion, normal saline solution, 250 cc |
5,272 |
3,261 |
$160K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,331 |
1,628 |
$150K |
| 0510 |
|
3,523 |
3,059 |
$137K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,387 |
2,184 |
$125K |
| 36415 |
Collection of venous blood by venipuncture |
9,743 |
7,566 |
$117K |
| 83735 |
|
6,539 |
3,681 |
$117K |
| 0272 |
|
532 |
380 |
$115K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,108 |
584 |
$108K |
| J1453 |
Injection, fosaprepitant, 1 mg |
153 |
74 |
$106K |
| J0885 |
Injection, epoetin alfa, (for non-esrd use), 1000 units |
352 |
168 |
$102K |
| Z7500 |
|
2,965 |
1,747 |
$101K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,384 |
1,549 |
$86K |
| 96417 |
|
1,407 |
952 |
$86K |
| J0640 |
Injection, leucovorin calcium, per 50 mg |
96 |
53 |
$85K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,420 |
869 |
$75K |
| 96415 |
|
1,506 |
963 |
$72K |
| 77336 |
|
703 |
321 |
$69K |
| 0250 |
|
3,423 |
2,145 |
$69K |
| 0761 |
|
975 |
850 |
$66K |
| 99221 |
|
2,771 |
2,468 |
$59K |
| 77386 |
|
118 |
13 |
$54K |
| 77334 |
|
116 |
91 |
$53K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
687 |
456 |
$52K |
| 80197 |
|
2,113 |
1,079 |
$47K |
| 96367 |
|
1,041 |
716 |
$46K |
| 84100 |
|
4,602 |
2,359 |
$43K |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
2,125 |
1,195 |
$42K |
| 87497 |
|
868 |
472 |
$42K |
| 83615 |
|
6,161 |
3,689 |
$41K |
| 85027 |
|
2,481 |
1,612 |
$33K |
| 99199 |
Unlisted special service, procedure or report |
53 |
47 |
$31K |
| 96411 |
|
385 |
258 |
$27K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,425 |
1,227 |
$27K |
| 82378 |
|
1,630 |
1,375 |
$27K |
| 86850 |
|
1,855 |
1,009 |
$26K |
| J3490 |
Unclassified drugs |
690 |
363 |
$22K |
| 77300 |
|
106 |
94 |
$22K |
| 82728 |
|
1,462 |
997 |
$21K |
| J9201 |
Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg |
44 |
25 |
$21K |
| J9312 |
Injection, rituximab, 10 mg |
19 |
12 |
$20K |
| Q3014 |
Telehealth originating site facility fee |
1,670 |
1,567 |
$19K |
| 85610 |
|
1,345 |
1,112 |
$19K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
141 |
80 |
$17K |
| A9270 |
Non-covered item or service |
1,599 |
953 |
$16K |
| J1642 |
Injection, heparin sodium, (heparin lock flush), per 10 units |
3,452 |
1,589 |
$16K |
| 96416 |
|
127 |
77 |
$15K |
| 86901 |
|
1,990 |
1,194 |
$15K |
| 86900 |
|
1,955 |
1,124 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
687 |
644 |
$14K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
629 |
407 |
$14K |
| 88321 |
|
302 |
293 |
$14K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
541 |
484 |
$13K |
| 77301 |
|
12 |
12 |
$12K |
| J9190 |
Injection, fluorouracil, 500 mg |
99 |
55 |
$12K |
| 81001 |
|
1,308 |
1,163 |
$12K |
| P9040 |
Red blood cells, leukocytes reduced, irradiated, each unit |
82 |
58 |
$12K |
| 82105 |
|
541 |
457 |
$11K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
109 |
104 |
$10K |
| 85730 |
|
830 |
728 |
$10K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
420 |
404 |
$10K |
| J9310 |
Injection, rituximab, 100 mg |
20 |
12 |
$9K |
| 84153 |
|
840 |
801 |
$9K |
| 71250 |
|
68 |
64 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
261 |
241 |
$9K |
| 86301 |
|
549 |
470 |
$9K |
| 36592 |
|
213 |
134 |
$8K |
| 96402 |
|
267 |
259 |
$8K |
| 86141 |
|
756 |
376 |
$7K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
373 |
258 |
$6K |
| 0710 |
|
26 |
24 |
$6K |
| 83520 |
|
284 |
214 |
$5K |
| 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 |
63 |
58 |
$5K |
| 77338 |
|
13 |
12 |
$5K |
| 36430 |
|
78 |
43 |
$4K |
| 84439 |
|
243 |
222 |
$4K |
| 86920 |
|
82 |
56 |
$4K |
| 76642 |
|
13 |
12 |
$3K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
79 |
63 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
190 |
187 |
$3K |
| 84550 |
|
133 |
100 |
$3K |
| 82784 |
|
222 |
139 |
$3K |
| 77066 |
Tomosynthesis, mammo |
66 |
63 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
333 |
315 |
$2K |
| 84165 |
|
324 |
245 |
$2K |
| 0760 |
|
134 |
114 |
$2K |
| 82565 |
|
214 |
201 |
$2K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
283 |
266 |
$2K |
| A4649 |
Surgical supply; miscellaneous |
215 |
147 |
$2K |
| 83540 |
|
352 |
332 |
$2K |
| 86300 |
|
158 |
149 |
$2K |
| 0270 |
|
162 |
118 |
$2K |
| 88108 |
|
29 |
27 |
$2K |
| 0637 |
|
175 |
109 |
$2K |
| 85651 |
|
320 |
174 |
$2K |
| 83550 |
|
346 |
326 |
$1K |
| 80061 |
Lipid panel |
214 |
211 |
$1K |
| 52000 |
|
20 |
17 |
$1K |
| 96409 |
|
43 |
30 |
$1K |
| 96401 |
|
68 |
25 |
$1K |
| 87077 |
|
131 |
128 |
$1K |
| G0378 |
Hospital observation service, per hour |
51 |
44 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
28 |
26 |
$1K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
73 |
67 |
$1K |
| 85045 |
|
192 |
164 |
$1K |
| Z7610 |
|
83 |
13 |
$1K |
| 76641 |
|
12 |
12 |
$849.36 |
| 87799 |
|
15 |
12 |
$728.10 |
| 51798 |
|
38 |
36 |
$649.84 |
| J2704 |
Injection, propofol, 10 mg |
68 |
53 |
$629.97 |
| 84403 |
|
90 |
85 |
$578.88 |
| 87186 |
|
41 |
41 |
$491.85 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
86 |
67 |
$461.85 |
| 90713 |
|
12 |
12 |
$406.00 |
| 84152 |
|
33 |
30 |
$387.98 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
12 |
$385.65 |
| 90715 |
|
12 |
12 |
$385.20 |
| 82607 |
|
50 |
45 |
$380.48 |
| 82746 |
|
26 |
22 |
$272.69 |
| 86140 |
|
142 |
119 |
$271.72 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
15 |
15 |
$244.83 |
| 90648 |
|
12 |
12 |
$208.40 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
16 |
12 |
$200.80 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
27 |
25 |
$108.12 |
| 82668 |
|
13 |
13 |
$104.32 |
| 86803 |
|
13 |
12 |
$80.09 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
12 |
$60.26 |
| 82570 |
|
46 |
43 |
$38.67 |
| 84156 |
|
14 |
13 |
$2.58 |
| 0300 |
|
66 |
15 |
$0.00 |
| 0636 |
|
36 |
12 |
$0.00 |