| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
76,922 |
68,904 |
$5.28M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,604 |
3,480 |
$1.08M |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
9,624 |
8,814 |
$809K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,186 |
3,166 |
$513K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,245 |
3,123 |
$469K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
3,017 |
2,966 |
$463K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
7,337 |
6,397 |
$435K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,245 |
3,851 |
$421K |
| 80053 |
Comprehensive metabolic panel |
34,023 |
31,030 |
$392K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12,311 |
11,546 |
$378K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,534 |
2,450 |
$366K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
8,988 |
8,230 |
$365K |
| Z7502 |
|
8,935 |
8,732 |
$332K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,059 |
4,929 |
$303K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
36,533 |
32,888 |
$295K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
3,115 |
2,876 |
$269K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
2,480 |
2,427 |
$224K |
| 97139 |
|
8,077 |
1,300 |
$224K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
2,367 |
1,833 |
$215K |
| 71045 |
Radiologic examination, chest; single view |
12,768 |
12,050 |
$196K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
279 |
276 |
$195K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,048 |
2,001 |
$176K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
4,339 |
3,871 |
$167K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,274 |
1,176 |
$166K |
| 0250 |
|
16,964 |
10,595 |
$164K |
| 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 |
1,988 |
1,951 |
$162K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,038 |
1,028 |
$159K |
| J3490 |
Unclassified drugs |
7,726 |
4,929 |
$149K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
610 |
565 |
$148K |
| 82077 |
|
1,468 |
1,334 |
$147K |
| 71046 |
Radiologic examination, chest; 2 views |
4,654 |
4,436 |
$140K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
461 |
429 |
$134K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
5,273 |
4,685 |
$119K |
| 76830 |
Ultrasound, transvaginal |
1,396 |
1,372 |
$118K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,698 |
2,692 |
$113K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
7,710 |
7,129 |
$111K |
| 84484 |
|
11,130 |
8,763 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
153 |
110 |
$107K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
427 |
414 |
$101K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,045 |
1,000 |
$101K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
783 |
768 |
$99K |
| 83690 |
|
12,997 |
12,165 |
$99K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
10,019 |
5,370 |
$98K |
| 0270 |
|
3,253 |
1,976 |
$96K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
8,920 |
8,344 |
$95K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
309 |
292 |
$93K |
| 83880 |
|
2,711 |
2,544 |
$84K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
2,217 |
2,193 |
$84K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
7,603 |
6,689 |
$83K |
| 0762 |
|
117 |
52 |
$83K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
1,028 |
1,014 |
$83K |
| 99199 |
Unlisted special service, procedure or report |
685 |
615 |
$83K |
| T1999 |
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
5,706 |
3,697 |
$76K |
| 76801 |
|
894 |
784 |
$74K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,827 |
2,607 |
$71K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
312 |
297 |
$69K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
955 |
923 |
$65K |
| 64483 |
|
155 |
154 |
$61K |
| 87040 |
|
5,292 |
3,101 |
$61K |
| 73562 |
|
2,167 |
2,055 |
$61K |
| 73630 |
|
1,980 |
1,895 |
$60K |
| 80143 |
|
671 |
630 |
$59K |
| 73610 |
|
1,646 |
1,590 |
$53K |
| 97799 |
|
1,732 |
235 |
$52K |
| 80179 |
|
615 |
591 |
$52K |
| 81001 |
|
13,248 |
12,446 |
$50K |
| 73030 |
|
1,684 |
1,618 |
$50K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,029 |
1,005 |
$50K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,028 |
1,004 |
$49K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,828 |
1,616 |
$48K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,004 |
959 |
$47K |
| 71250 |
|
334 |
298 |
$43K |
| 76770 |
|
445 |
420 |
$42K |
| 83605 |
|
3,979 |
3,191 |
$41K |
| 85379 |
|
3,575 |
3,434 |
$39K |
| 81025 |
|
7,151 |
6,872 |
$39K |
| 82553 |
|
3,401 |
3,006 |
$38K |
| 72100 |
|
966 |
941 |
$35K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
832 |
393 |
$35K |
| 84702 |
|
2,082 |
1,729 |
$35K |
| 0510 |
|
920 |
412 |
$34K |
| 73130 |
|
975 |
950 |
$32K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,972 |
892 |
$32K |
| 85730 |
|
4,804 |
4,558 |
$31K |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
1,443 |
1,178 |
$31K |
| 87400 |
|
3,551 |
3,360 |
$31K |
| 97750 |
|
490 |
459 |
$29K |
| 0160 |
|
21 |
15 |
$28K |
| 0750 |
|
232 |
232 |
$27K |
| 87430 |
|
2,286 |
2,221 |
$27K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
169 |
163 |
$26K |
| 82550 |
|
3,755 |
3,314 |
$25K |
| 85610 |
|
6,069 |
5,723 |
$25K |
| 87186 |
|
2,155 |
2,014 |
$25K |
| 84703 |
|
3,810 |
3,696 |
$24K |
| 76642 |
|
277 |
268 |
$24K |
| 73110 |
|
639 |
620 |
$24K |
| 0500F |
|
73 |
43 |
$24K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
492 |
447 |
$23K |
| 99070 |
|
738 |
473 |
$23K |
| 72110 |
|
409 |
394 |
$21K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,859 |
1,731 |
$20K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,014 |
981 |
$19K |
| 81003 |
|
7,118 |
6,832 |
$19K |
| 87081 |
|
1,960 |
1,904 |
$19K |
| 99205 |
Prolong outpt/office vis |
133 |
99 |
$18K |
| 87077 |
|
1,800 |
1,639 |
$18K |
| 93971 |
|
156 |
154 |
$18K |
| H1003 |
Prenatal care, at-risk enhanced service; education |
379 |
340 |
$17K |
| 0761 |
|
386 |
165 |
$17K |
| 74018 |
|
533 |
514 |
$16K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
1,414 |
1,269 |
$16K |
| 64484 |
|
49 |
49 |
$14K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
1,033 |
861 |
$12K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,452 |
499 |
$12K |
| 83735 |
|
2,043 |
1,645 |
$12K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
12 |
12 |
$11K |
| 0361 |
|
411 |
395 |
$11K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
1,353 |
1,130 |
$11K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
606 |
596 |
$10K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
1,102 |
1,040 |
$9K |
| Z7610 |
|
940 |
644 |
$9K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
1,833 |
546 |
$9K |
| 70496 |
|
44 |
39 |
$8K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
838 |
812 |
$8K |
| 73140 |
|
349 |
341 |
$7K |
| J2360 |
Injection, orphenadrine citrate, up to 60 mg |
511 |
499 |
$7K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
78 |
74 |
$7K |
| 70498 |
|
38 |
37 |
$7K |
| 82947 |
|
1,305 |
1,195 |
$6K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
17 |
15 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
69 |
61 |
$6K |
| 99401 |
|
277 |
277 |
$6K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
630 |
563 |
$5K |
| 94644 |
|
180 |
172 |
$5K |
| 72131 |
|
29 |
27 |
$5K |
| 86901 |
|
1,197 |
1,054 |
$5K |
| 90715 |
|
88 |
87 |
$5K |
| 76536 |
|
70 |
65 |
$5K |
| 86900 |
|
1,215 |
1,015 |
$5K |
| 87420 |
|
928 |
879 |
$5K |
| 96156 |
|
250 |
249 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
2,225 |
1,920 |
$4K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
42 |
40 |
$4K |
| 97803 |
|
131 |
131 |
$4K |
| 72040 |
|
107 |
107 |
$4K |
| 73221 |
|
15 |
15 |
$4K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
139 |
124 |
$4K |
| 73560 |
|
130 |
126 |
$4K |
| 72141 |
|
16 |
16 |
$4K |
| 86140 |
|
482 |
468 |
$3K |
| 73502 |
|
78 |
78 |
$3K |
| 87088 |
|
320 |
303 |
$3K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
300 |
293 |
$2K |
| 76870 |
|
40 |
38 |
$2K |
| J2060 |
Injection, lorazepam, 2 mg |
246 |
173 |
$2K |
| 71020 |
|
53 |
24 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
57 |
55 |
$2K |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$2K |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
143 |
126 |
$2K |
| 72050 |
|
42 |
41 |
$2K |
| 0324 |
|
29 |
29 |
$2K |
| 70486 |
|
13 |
12 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
143 |
132 |
$2K |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
89 |
82 |
$1K |
| J7050 |
Infusion, normal saline solution, 250 cc |
66 |
51 |
$1K |
| 85651 |
|
473 |
457 |
$1K |
| 71100 |
|
40 |
37 |
$1K |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
18 |
15 |
$975.99 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
61 |
36 |
$878.94 |
| 75571 |
|
13 |
12 |
$855.02 |
| 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 |
26 |
26 |
$805.79 |
| 96151 |
|
53 |
53 |
$793.41 |
| 73590 |
|
31 |
29 |
$783.84 |
| 82803 |
|
46 |
44 |
$666.07 |
| J7611 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg |
288 |
261 |
$636.03 |
| J1815 |
Injection, insulin, per 5 units |
70 |
49 |
$524.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
70 |
67 |
$453.40 |
| 86331 |
|
48 |
47 |
$452.06 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
28 |
26 |
$343.39 |
| 88342 |
|
15 |
15 |
$303.45 |
| 87210 |
|
53 |
53 |
$238.19 |
| 87147 |
|
31 |
28 |
$188.38 |
| 88313 |
|
15 |
15 |
$180.32 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
16 |
14 |
$76.96 |
| J2704 |
Injection, propofol, 10 mg |
26 |
25 |
$67.60 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13 |
12 |
$58.71 |
| 86850 |
|
15 |
13 |
$52.08 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
15 |
12 |
$50.60 |
| 0250R |
|
26 |
25 |
$0.00 |
| Q4051 |
Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) |
41 |
28 |
$0.00 |
| 94729 |
|
13 |
13 |
$0.00 |
| 94726 |
|
13 |
13 |
$0.00 |
| 94060 |
|
13 |
13 |
$0.00 |
| 0272 |
|
12 |
12 |
$0.00 |