| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
54,870 |
50,757 |
$2.28M |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
6,490 |
6,325 |
$808K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,148 |
4,984 |
$525K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
7,809 |
7,020 |
$427K |
| 99199 |
Unlisted special service, procedure or report |
6,364 |
5,731 |
$359K |
| 80053 |
Comprehensive metabolic panel |
15,036 |
14,213 |
$349K |
| Z7502 |
|
8,935 |
8,833 |
$320K |
| J3490 |
Unclassified drugs |
22,652 |
12,616 |
$319K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,485 |
7,175 |
$308K |
| 0360 |
|
2,784 |
2,172 |
$263K |
| 0750 |
|
1,786 |
1,616 |
$248K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13,132 |
12,604 |
$237K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,955 |
1,843 |
$229K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
8,953 |
8,528 |
$210K |
| 0710 |
|
5,132 |
4,910 |
$199K |
| 0270 |
|
15,186 |
9,118 |
$193K |
| 0250 |
|
15,029 |
8,572 |
$189K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,216 |
4,999 |
$166K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,060 |
1,935 |
$150K |
| 71045 |
Radiologic examination, chest; single view |
10,377 |
10,014 |
$149K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18,635 |
17,439 |
$143K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,789 |
1,678 |
$128K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
6,176 |
5,714 |
$122K |
| 81025 |
|
15,461 |
14,812 |
$121K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
3,839 |
3,745 |
$120K |
| A4217 |
Sterile water/saline, 500 ml |
9,274 |
6,254 |
$120K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
1,593 |
1,571 |
$116K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
11,921 |
11,309 |
$112K |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
784 |
742 |
$110K |
| 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 |
2,298 |
2,233 |
$81K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,014 |
3,815 |
$81K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,475 |
1,444 |
$64K |
| Z9725 |
|
1,467 |
1,458 |
$63K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
983 |
969 |
$58K |
| 81001 |
|
13,013 |
12,514 |
$58K |
| 84484 |
|
6,277 |
5,932 |
$56K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,554 |
5,309 |
$54K |
| 88313 |
|
1,595 |
1,585 |
$54K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
7,210 |
6,696 |
$54K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
304 |
297 |
$52K |
| 83690 |
|
7,818 |
7,522 |
$51K |
| 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 |
943 |
904 |
$50K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
5,768 |
5,561 |
$44K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
3,945 |
3,765 |
$43K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
827 |
815 |
$41K |
| 80306 |
|
2,150 |
2,078 |
$37K |
| 0272 |
|
2,472 |
2,287 |
$36K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,287 |
1,239 |
$34K |
| 83880 |
|
1,902 |
1,825 |
$33K |
| 85730 |
|
5,102 |
4,894 |
$33K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,926 |
1,873 |
$32K |
| Z7610 |
|
2,367 |
1,654 |
$29K |
| 88312 |
|
1,564 |
1,554 |
$28K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,880 |
2,811 |
$27K |
| 87040 |
|
1,503 |
1,466 |
$27K |
| 85610 |
|
5,148 |
4,938 |
$26K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,058 |
1,023 |
$25K |
| 94664 |
|
1,838 |
1,752 |
$25K |
| 73562 |
|
1,142 |
1,129 |
$25K |
| 73610 |
|
1,029 |
1,022 |
$23K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
256 |
252 |
$23K |
| 73630 |
|
1,036 |
1,032 |
$22K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
3,099 |
2,744 |
$20K |
| 0258 |
|
840 |
640 |
$20K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
279 |
274 |
$19K |
| 59025 |
Fetal non-stress test |
225 |
178 |
$19K |
| 76830 |
Ultrasound, transvaginal |
324 |
318 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,507 |
1,488 |
$16K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
324 |
317 |
$16K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,101 |
1,025 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
566 |
543 |
$14K |
| 87186 |
|
1,641 |
1,592 |
$14K |
| 82948 |
|
2,287 |
2,017 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
1,789 |
1,562 |
$14K |
| 93971 |
|
172 |
166 |
$13K |
| 83605 |
|
1,276 |
1,224 |
$12K |
| 84702 |
|
853 |
778 |
$11K |
| 83735 |
|
2,148 |
2,025 |
$11K |
| 73030 |
|
554 |
548 |
$11K |
| 0762 |
|
37 |
12 |
$10K |
| 84443 |
Thyroid stimulating hormone (TSH) |
717 |
697 |
$10K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
252 |
239 |
$8K |
| 27502 |
|
16 |
16 |
$7K |
| 82150 |
|
867 |
850 |
$7K |
| 73130 |
|
365 |
364 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
141 |
129 |
$6K |
| 85379 |
|
693 |
677 |
$6K |
| 85027 |
|
1,033 |
999 |
$6K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
578 |
516 |
$6K |
| 94760 |
|
633 |
594 |
$5K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
410 |
400 |
$5K |
| 81002 |
|
1,518 |
1,471 |
$5K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
454 |
432 |
$5K |
| 72131 |
|
55 |
53 |
$5K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,120 |
1,056 |
$5K |
| 86900 |
|
649 |
616 |
$5K |
| 71250 |
|
41 |
39 |
$4K |
| 86901 |
|
884 |
838 |
$4K |
| 85007 |
|
971 |
942 |
$4K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
702 |
675 |
$3K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
663 |
641 |
$3K |
| 0459 |
|
82 |
66 |
$3K |
| 82248 |
|
771 |
766 |
$3K |
| 99000 |
|
694 |
693 |
$3K |
| 0300 |
|
146 |
125 |
$2K |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
34 |
28 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
26 |
26 |
$2K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
70 |
69 |
$2K |
| A4649 |
Surgical supply; miscellaneous |
1,371 |
750 |
$2K |
| J2060 |
Injection, lorazepam, 2 mg |
410 |
383 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
49 |
40 |
$2K |
| 90714 |
|
77 |
76 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
38 |
36 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
28 |
28 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
452 |
450 |
$2K |
| 72110 |
|
52 |
51 |
$1K |
| 84703 |
|
258 |
255 |
$1K |
| 43264 |
|
12 |
12 |
$1K |
| 71010 |
|
84 |
74 |
$1K |
| 72100 |
|
55 |
54 |
$1K |
| 83520 |
|
97 |
96 |
$990.34 |
| 87420 |
|
40 |
40 |
$685.79 |
| 99152 |
|
14 |
12 |
$653.10 |
| 86850 |
|
132 |
123 |
$564.61 |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
16 |
16 |
$534.65 |
| 73080 |
|
38 |
38 |
$492.56 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
95 |
92 |
$476.71 |
| 73110 |
|
25 |
25 |
$466.24 |
| 29799 |
|
12 |
12 |
$437.28 |
| 74018 |
|
36 |
36 |
$419.38 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
42 |
33 |
$417.14 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
80 |
63 |
$393.57 |
| 88304 |
|
48 |
47 |
$383.09 |
| 82805 |
|
12 |
12 |
$336.95 |
| 90715 |
|
12 |
12 |
$324.55 |
| 0320 |
|
68 |
66 |
$320.17 |
| J1644 |
Injection, heparin sodium, per 1000 units |
22 |
12 |
$313.96 |
| 73140 |
|
26 |
26 |
$266.60 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
55 |
52 |
$193.48 |
| 99070 |
|
127 |
73 |
$159.90 |
| 73100 |
|
13 |
13 |
$147.94 |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
43 |
36 |
$130.36 |
| 0279 |
|
14 |
14 |
$115.69 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
13 |
13 |
$85.25 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
14 |
12 |
$82.35 |
| 82550 |
|
13 |
13 |
$63.32 |
| 80076 |
|
15 |
15 |
$56.07 |
| 76818 |
|
56 |
49 |
$0.00 |
| 0760 |
|
12 |
12 |
$0.00 |
| 0636 |
|
30 |
28 |
$0.00 |
| 96376 |
|
13 |
13 |
$0.00 |