| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
61,726 |
54,112 |
$7.81M |
| 99199 |
Unlisted special service, procedure or report |
24,676 |
21,102 |
$1.31M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,753 |
4,494 |
$511K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13,449 |
12,446 |
$469K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,310 |
5,012 |
$425K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
4,811 |
4,697 |
$375K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
7,349 |
7,062 |
$331K |
| 80053 |
Comprehensive metabolic panel |
30,172 |
27,462 |
$265K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
7,610 |
7,019 |
$251K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
7,358 |
7,067 |
$246K |
| 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 |
4,358 |
4,248 |
$220K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,874 |
2,712 |
$208K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13,863 |
12,770 |
$196K |
| 71046 |
Radiologic examination, chest; 2 views |
16,214 |
15,273 |
$190K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
34,946 |
31,665 |
$188K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
6,426 |
5,827 |
$187K |
| 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 |
5,391 |
4,728 |
$175K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,189 |
5,035 |
$149K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,139 |
2,908 |
$131K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
2,774 |
2,686 |
$130K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
5,905 |
5,359 |
$124K |
| 0360 |
|
750 |
652 |
$119K |
| 80306 |
|
9,752 |
9,330 |
$117K |
| J3490 |
Unclassified drugs |
24,806 |
15,726 |
$105K |
| 99070 |
|
14,836 |
8,335 |
$102K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,815 |
2,708 |
$97K |
| 71045 |
Radiologic examination, chest; single view |
12,284 |
11,032 |
$95K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,714 |
2,603 |
$85K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,285 |
1,228 |
$79K |
| 81001 |
|
26,347 |
24,610 |
$78K |
| Z7502 |
|
2,715 |
2,606 |
$76K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
757 |
716 |
$75K |
| 84484 |
|
11,299 |
9,827 |
$74K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,195 |
2,060 |
$71K |
| 0270 |
|
27,861 |
16,381 |
$70K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
621 |
590 |
$62K |
| 83880 |
|
3,745 |
3,536 |
$59K |
| 83690 |
|
12,874 |
12,068 |
$59K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
8,241 |
7,479 |
$59K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,412 |
2,363 |
$57K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,057 |
1,002 |
$57K |
| 76801 |
|
1,710 |
1,516 |
$49K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
9,666 |
9,180 |
$48K |
| 76830 |
Ultrasound, transvaginal |
1,301 |
1,254 |
$45K |
| 83605 |
|
6,133 |
5,329 |
$44K |
| 81025 |
|
10,374 |
9,929 |
$41K |
| 93971 |
|
722 |
685 |
$39K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
781 |
727 |
$39K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,631 |
2,408 |
$38K |
| 0402 |
|
400 |
364 |
$37K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
9,340 |
8,762 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,626 |
1,793 |
$31K |
| 73130 |
|
1,651 |
1,524 |
$31K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
607 |
570 |
$28K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
293 |
289 |
$28K |
| 73610 |
|
1,491 |
1,400 |
$28K |
| 73630 |
|
1,631 |
1,497 |
$27K |
| 0710 |
|
1,166 |
1,138 |
$27K |
| Q9962 |
High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml |
2,908 |
2,826 |
$26K |
| 90715 |
|
1,184 |
1,178 |
$25K |
| 87040 |
|
2,935 |
1,834 |
$24K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
5,917 |
5,461 |
$24K |
| 0250 |
|
4,720 |
4,091 |
$23K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
4,886 |
4,543 |
$23K |
| 73562 |
|
1,341 |
1,245 |
$23K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,565 |
3,378 |
$22K |
| 73030 |
|
1,237 |
1,147 |
$22K |
| J8499 |
Prescription drug, oral, non chemotherapeutic, nos |
3,871 |
3,104 |
$22K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
4,309 |
2,793 |
$21K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
601 |
509 |
$20K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,967 |
1,934 |
$19K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
3,967 |
3,549 |
$19K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,431 |
2,382 |
$19K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
4,179 |
4,037 |
$18K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,617 |
4,997 |
$18K |
| 76770 |
|
487 |
470 |
$18K |
| 70486 |
|
231 |
223 |
$18K |
| 82805 |
|
971 |
902 |
$18K |
| 74018 |
|
1,461 |
1,368 |
$17K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
525 |
456 |
$16K |
| 84702 |
|
2,589 |
2,279 |
$16K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
4,044 |
3,662 |
$15K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
750 |
733 |
$15K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,256 |
3,162 |
$14K |
| J2704 |
Injection, propofol, 10 mg |
1,681 |
1,619 |
$14K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
736 |
720 |
$14K |
| 73110 |
|
811 |
761 |
$14K |
| 0300 |
|
1,625 |
735 |
$13K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
544 |
537 |
$12K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
1,646 |
1,195 |
$12K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
60 |
60 |
$11K |
| 83735 |
|
2,419 |
2,274 |
$11K |
| 59025 |
Fetal non-stress test |
967 |
702 |
$11K |
| 0320 |
|
470 |
413 |
$11K |
| 74019 |
|
608 |
571 |
$11K |
| 93970 |
|
130 |
127 |
$9K |
| 76857 |
|
482 |
451 |
$9K |
| 85610 |
|
3,616 |
3,466 |
$9K |
| 76641 |
|
340 |
330 |
$9K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,450 |
2,266 |
$9K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
134 |
128 |
$9K |
| 72100 |
|
499 |
487 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
803 |
789 |
$8K |
| 85379 |
|
982 |
956 |
$7K |
| 86901 |
|
2,773 |
2,531 |
$7K |
| 73090 |
|
375 |
346 |
$7K |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
667 |
642 |
$7K |
| 0351 |
|
109 |
97 |
$7K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
257 |
252 |
$7K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
142 |
141 |
$7K |
| 0760 |
|
230 |
200 |
$7K |
| 86900 |
|
2,764 |
2,522 |
$7K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
57 |
56 |
$6K |
| Z7610 |
|
623 |
322 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,282 |
1,224 |
$6K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
972 |
817 |
$6K |
| 76000 |
|
426 |
398 |
$6K |
| 86140 |
|
1,389 |
1,360 |
$6K |
| 0301 |
|
1,706 |
743 |
$6K |
| 29125 |
|
156 |
153 |
$6K |
| 47562 |
|
38 |
38 |
$5K |
| 84703 |
|
2,051 |
2,012 |
$5K |
| 0352 |
|
181 |
170 |
$5K |
| 76536 |
|
195 |
193 |
$5K |
| 76870 |
|
187 |
180 |
$5K |
| 12001 |
|
89 |
89 |
$5K |
| 86850 |
|
878 |
848 |
$5K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,312 |
1,242 |
$5K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,259 |
1,211 |
$5K |
| 94760 |
|
941 |
866 |
$5K |
| 0720 |
|
43 |
31 |
$5K |
| 73590 |
|
318 |
296 |
$4K |
| 85730 |
|
1,293 |
1,256 |
$4K |
| 0403 |
|
26 |
26 |
$4K |
| 73502 |
|
153 |
150 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
347 |
343 |
$4K |
| 94664 |
|
1,018 |
943 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
831 |
822 |
$4K |
| 73221 |
|
40 |
40 |
$4K |
| 73080 |
|
254 |
236 |
$4K |
| 80179 |
|
496 |
475 |
$4K |
| 82962 |
|
1,537 |
1,376 |
$4K |
| S0119 |
Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) |
2,932 |
2,823 |
$4K |
| 0259 |
|
814 |
500 |
$4K |
| 26145 |
|
36 |
36 |
$3K |
| 87420 |
|
337 |
331 |
$3K |
| 80143 |
|
299 |
289 |
$3K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,170 |
1,119 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
25 |
25 |
$3K |
| 87081 |
|
465 |
459 |
$3K |
| 72040 |
|
158 |
155 |
$2K |
| 96376 |
|
652 |
599 |
$2K |
| 82077 |
|
570 |
531 |
$2K |
| 82550 |
|
558 |
531 |
$2K |
| 84145 |
|
284 |
278 |
$2K |
| 0305 |
|
803 |
686 |
$2K |
| J7050 |
Infusion, normal saline solution, 250 cc |
604 |
483 |
$2K |
| 72131 |
|
29 |
28 |
$2K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
361 |
345 |
$2K |
| 84439 |
|
462 |
457 |
$2K |
| 87186 |
|
1,138 |
1,075 |
$2K |
| 73564 |
|
142 |
125 |
$2K |
| 64721 |
|
39 |
39 |
$2K |
| P9016 |
Red blood cells, leukocytes reduced, each unit |
15 |
14 |
$2K |
| 80061 |
Lipid panel |
442 |
435 |
$2K |
| 87070 |
|
220 |
216 |
$2K |
| 80305 |
|
126 |
124 |
$2K |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
283 |
275 |
$2K |
| 0324 |
|
330 |
324 |
$2K |
| 0307 |
|
828 |
645 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
176 |
159 |
$2K |
| 71250 |
|
28 |
28 |
$2K |
| J2060 |
Injection, lorazepam, 2 mg |
455 |
409 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,810 |
1,607 |
$1K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
16 |
16 |
$1K |
| 87077 |
|
1,154 |
1,089 |
$1K |
| J2003 |
Injection, lidocaine hydrochloride, 1 mg |
132 |
120 |
$1K |
| 0306 |
|
278 |
254 |
$1K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
131 |
127 |
$1K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
415 |
400 |
$1K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
80 |
79 |
$1K |
| 12002 |
|
26 |
26 |
$1K |
| 29515 |
|
36 |
36 |
$1K |
| 72070 |
|
45 |
43 |
$1K |
| 84100 |
|
479 |
429 |
$986.17 |
| 12011 |
|
20 |
20 |
$890.03 |
| 0302 |
|
199 |
118 |
$783.71 |
| 82248 |
|
256 |
251 |
$741.22 |
| 82553 |
|
92 |
85 |
$676.02 |
| 85651 |
|
248 |
241 |
$640.18 |
| 85652 |
|
367 |
360 |
$604.34 |
| 77066 |
Tomosynthesis, mammo |
13 |
12 |
$545.56 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
98 |
89 |
$467.61 |
| 88304 |
|
18 |
18 |
$447.94 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
21 |
20 |
$444.53 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
94 |
91 |
$429.51 |
| 87205 |
|
117 |
102 |
$393.88 |
| 86920 |
|
14 |
13 |
$391.55 |
| 73140 |
|
26 |
26 |
$369.40 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
65 |
65 |
$367.91 |
| 80076 |
|
82 |
82 |
$354.53 |
| 0730 |
|
12 |
12 |
$345.60 |
| J1815 |
Injection, insulin, per 5 units |
101 |
94 |
$332.14 |
| 82140 |
|
53 |
52 |
$321.74 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
27 |
24 |
$311.67 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
54 |
49 |
$311.06 |
| 84481 |
|
27 |
27 |
$286.85 |
| 86780 |
|
39 |
37 |
$269.44 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
17 |
$265.19 |
| 87210 |
|
86 |
85 |
$258.75 |
| 87220 |
|
81 |
80 |
$256.47 |
| 82803 |
|
16 |
12 |
$232.71 |
| 86703 |
|
26 |
25 |
$212.39 |
| 94644 |
|
25 |
25 |
$177.68 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
313 |
294 |
$167.00 |
| 0410 |
|
15 |
14 |
$166.24 |
| J1953 |
Injection, levetiracetam, 10 mg |
29 |
26 |
$154.95 |
| 73552 |
|
13 |
13 |
$143.29 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
12 |
12 |
$136.48 |
| 93356 |
|
16 |
16 |
$117.41 |
| 87899 |
|
14 |
13 |
$102.24 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
200 |
192 |
$96.46 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
14 |
14 |
$91.68 |
| 84436 |
|
12 |
12 |
$85.87 |
| J0736 |
Injection, clindamycin phosphate, 300 mg |
13 |
12 |
$84.30 |
| 72170 |
|
14 |
14 |
$82.47 |
| 83540 |
|
29 |
29 |
$62.50 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
26 |
25 |
$50.33 |
| J1630 |
Injection, haloperidol, up to 5 mg |
173 |
160 |
$43.40 |
| 86592 |
|
16 |
14 |
$37.71 |
| 0771 |
|
15 |
15 |
$25.67 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
237 |
233 |
$2.41 |
| A4649 |
Surgical supply; miscellaneous |
53 |
26 |
$0.00 |
| G0328 |
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous |
14 |
14 |
$0.00 |