| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
|
5,802 |
5,055 |
$1.65M |
| 90834 |
|
20,149 |
11,191 |
$1.19M |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
54,524 |
43,345 |
$1.18M |
| 90837 |
|
8,793 |
4,688 |
$837K |
| 99284 |
|
4,037 |
3,425 |
$737K |
| G0378 |
Hospital observation service, per hour |
1,240 |
1,054 |
$608K |
| 90832 |
|
6,293 |
4,926 |
$321K |
| 99283 |
|
2,481 |
2,126 |
$244K |
| 97110 |
|
4,819 |
1,634 |
$233K |
| 99212 |
|
1,078 |
633 |
$214K |
| 96413 |
|
1,476 |
1,034 |
$213K |
| 93306 |
|
919 |
872 |
$165K |
| 80053 |
|
16,358 |
12,528 |
$164K |
| 99211 |
|
1,829 |
1,201 |
$147K |
| 94010 |
|
529 |
465 |
$108K |
| 99281 |
|
3,376 |
2,398 |
$86K |
| 74177 |
|
1,519 |
1,419 |
$76K |
| 20610 |
|
1,443 |
1,191 |
$73K |
| 71046 |
|
2,989 |
2,630 |
$55K |
| 88305 |
|
1,284 |
1,128 |
$52K |
| 97161 |
|
478 |
412 |
$49K |
| 80048 |
|
5,099 |
3,394 |
$43K |
| 85025 |
|
16,203 |
12,375 |
$43K |
| 71260 |
|
638 |
595 |
$42K |
| 95810 |
|
72 |
66 |
$40K |
| 43239 |
|
109 |
102 |
$40K |
| 71250 |
|
626 |
565 |
$35K |
| 92134 |
|
814 |
749 |
$34K |
| 72125 |
|
1,113 |
1,005 |
$34K |
| 95811 |
|
25 |
12 |
$33K |
| 70450 |
|
2,512 |
2,261 |
$32K |
| 96372 |
|
1,785 |
1,429 |
$29K |
| 80307 |
|
2,381 |
2,146 |
$20K |
| 71045 |
|
1,931 |
1,742 |
$18K |
| 99282 |
|
231 |
212 |
$17K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
4,136 |
2,499 |
$16K |
| 94640 |
|
366 |
185 |
$16K |
| 71275 |
|
146 |
118 |
$16K |
| 36415 |
|
8,092 |
6,505 |
$16K |
| 93922 |
|
66 |
63 |
$13K |
| 97530 |
|
587 |
318 |
$13K |
| J3490 |
Unclassified drugs |
2,718 |
1,635 |
$12K |
| 87086 |
|
1,460 |
1,275 |
$12K |
| 82962 |
|
6,184 |
2,969 |
$11K |
| 97162 |
|
80 |
65 |
$11K |
| 81001 |
|
4,480 |
3,827 |
$10K |
| 87631 |
|
504 |
438 |
$10K |
| 73560 |
|
401 |
359 |
$10K |
| 73030 |
|
149 |
120 |
$9K |
| 90715 |
|
287 |
229 |
$8K |
| 84484 |
|
6,538 |
4,242 |
$8K |
| 87389 |
|
617 |
529 |
$7K |
| 90853 |
|
1,173 |
363 |
$7K |
| 94060 |
|
21 |
12 |
$7K |
| 87070 |
|
69 |
48 |
$7K |
| 85027 |
|
3,086 |
2,471 |
$6K |
| 86850 |
|
1,098 |
847 |
$5K |
| 93971 |
|
43 |
39 |
$5K |
| 73502 |
|
17 |
12 |
$4K |
| 83036 |
|
2,900 |
2,786 |
$4K |
| J2704 |
Injection, propofol, 10 mg |
3,655 |
2,737 |
$4K |
| 80069 |
|
112 |
45 |
$4K |
| A9270 |
Non-covered item or service |
32,466 |
8,479 |
$4K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
4,449 |
3,357 |
$4K |
| 80061 |
|
1,498 |
1,451 |
$4K |
| G2067 |
Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) |
24 |
15 |
$3K |
| 85610 |
|
3,504 |
2,919 |
$3K |
| 73110 |
|
38 |
25 |
$3K |
| 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 |
1,528 |
1,356 |
$3K |
| 73630 |
|
125 |
106 |
$3K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
3,569 |
2,379 |
$3K |
| 97140 |
|
627 |
223 |
$3K |
| 87077 |
|
105 |
78 |
$3K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
3,572 |
3,064 |
$3K |
| 86140 |
|
1,160 |
1,046 |
$3K |
| 82803 |
|
855 |
614 |
$2K |
| 90686 |
|
622 |
571 |
$2K |
| 73610 |
|
85 |
78 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,237 |
1,141 |
$2K |
| 74176 |
|
48 |
41 |
$2K |
| 90677 |
|
29 |
29 |
$2K |
| 85018 |
|
138 |
115 |
$2K |
| 92557 |
|
12 |
12 |
$2K |
| 90662 |
|
637 |
587 |
$2K |
| 96365 |
|
85 |
49 |
$1K |
| 97116 |
|
147 |
37 |
$1K |
| 94727 |
|
397 |
374 |
$1K |
| C1769 |
Guide wire |
213 |
206 |
$1K |
| 82306 |
|
524 |
498 |
$1K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
13 |
12 |
$1K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
648 |
463 |
$1K |
| 73130 |
|
32 |
28 |
$1K |
| 94729 |
|
628 |
599 |
$1K |
| 97165 |
|
37 |
37 |
$1K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,083 |
865 |
$1K |
| G8987 |
Self care functional limitation, current status, at therapy episode outset and at reporting intervals |
61 |
45 |
$1K |
| 92083 |
|
13 |
12 |
$999.60 |
| 83605 |
|
1,989 |
1,474 |
$927.53 |
| G8978 |
Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals |
413 |
342 |
$845.07 |
| 81002 |
|
260 |
181 |
$812.94 |
| 82728 |
|
151 |
143 |
$725.79 |
| J1644 |
Injection, heparin sodium, per 1000 units |
1,167 |
706 |
$720.33 |
| 83880 |
|
2,672 |
2,054 |
$677.94 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,173 |
905 |
$670.37 |
| 97112 |
|
49 |
24 |
$667.79 |
| 96375 |
|
33 |
25 |
$662.40 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,805 |
2,129 |
$626.67 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,541 |
2,028 |
$610.90 |
| 87637 |
|
1,016 |
945 |
$605.67 |
| J3535 |
Drug administered through a metered dose inhaler |
27 |
24 |
$489.38 |
| 86900 |
|
873 |
731 |
$481.10 |
| 83735 |
|
4,834 |
3,526 |
$437.42 |
| J1815 |
Injection, insulin, per 5 units |
340 |
154 |
$428.21 |
| 87502 |
|
14 |
14 |
$425.55 |
| 84439 |
|
702 |
628 |
$424.23 |
| J2370 |
Injection, phenylephrine hcl, up to 1 ml |
177 |
156 |
$408.19 |
| 84443 |
|
2,434 |
2,293 |
$313.10 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,772 |
1,564 |
$295.64 |
| 83690 |
|
1,879 |
1,707 |
$294.82 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
16 |
14 |
$273.66 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
38 |
28 |
$247.12 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
202 |
145 |
$198.15 |
| 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 |
606 |
451 |
$173.58 |
| 70486 |
|
13 |
12 |
$166.49 |
| 84703 |
|
96 |
89 |
$166.43 |
| 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 |
1,780 |
1,499 |
$160.51 |
| 84702 |
|
330 |
308 |
$156.82 |
| 86901 |
|
872 |
731 |
$151.76 |
| 82330 |
|
67 |
63 |
$141.15 |
| 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 |
1,214 |
782 |
$129.58 |
| 85730 |
|
1,315 |
1,180 |
$127.83 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
126 |
94 |
$121.36 |
| 84132 |
|
1,239 |
1,151 |
$117.35 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
941 |
715 |
$101.57 |
| 82947 |
|
69 |
67 |
$96.76 |
| 85651 |
|
526 |
502 |
$94.88 |
| 82607 |
|
26 |
26 |
$93.48 |
| 82077 |
|
213 |
196 |
$88.66 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
509 |
354 |
$84.21 |
| J2060 |
Injection, lorazepam, 2 mg |
109 |
70 |
$78.69 |
| 82043 |
|
228 |
227 |
$76.66 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
110 |
94 |
$74.43 |
| 97535 |
|
18 |
12 |
$67.29 |
| 87635 |
|
507 |
479 |
$64.27 |
| 82565 |
|
302 |
288 |
$60.39 |
| 82150 |
|
57 |
52 |
$56.78 |
| 83540 |
|
288 |
275 |
$38.49 |
| 87491 |
|
27 |
26 |
$38.29 |
| 84466 |
|
314 |
300 |
$31.87 |
| 81025 |
|
14 |
13 |
$28.17 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
74 |
58 |
$25.93 |
| 87591 |
|
25 |
24 |
$19.15 |
| J7050 |
Infusion, normal saline solution, 250 cc |
517 |
425 |
$5.14 |
| 84100 |
|
457 |
341 |
$4.07 |
| 84295 |
|
115 |
112 |
$3.71 |
| 82435 |
|
25 |
25 |
$3.71 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
14 |
12 |
$0.65 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
252 |
230 |
$0.47 |
| G8979 |
Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
350 |
317 |
$0.04 |
| G8990 |
Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals |
15 |
12 |
$0.01 |
| G8991 |
Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
15 |
12 |
$0.01 |
| G1012 |
Clinical decision support mechanism agilemd, as defined by the medicare appropriate use criteria program |
2,385 |
1,549 |
$0.00 |
| 82948 |
|
179 |
108 |
$0.00 |
| 83970 |
|
69 |
67 |
$0.00 |
| 90656 |
|
35 |
35 |
$0.00 |
| 85652 |
|
384 |
361 |
$0.00 |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
697 |
604 |
$0.00 |
| 85379 |
|
216 |
212 |
$0.00 |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
13 |
12 |
$0.00 |
| G8988 |
Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
28 |
28 |
$0.00 |
| 96415 |
|
27 |
25 |
$0.00 |
| J2371 |
Injection, phenylephrine hydrochloride, 20 micrograms |
35 |
29 |
$0.00 |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
22 |
22 |
$0.00 |