| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
|
16,073 |
13,670 |
$2.71M |
| 99284 |
|
9,583 |
7,967 |
$1.55M |
| 99285 |
|
5,594 |
4,658 |
$957K |
| 96361 |
|
1,851 |
1,482 |
$457K |
| 99282 |
|
2,882 |
2,461 |
$455K |
| 97110 |
|
8,245 |
1,851 |
$382K |
| 93306 |
|
1,211 |
1,030 |
$304K |
| 70450 |
|
2,060 |
1,725 |
$300K |
| G0378 |
Hospital observation service, per hour |
1,542 |
960 |
$213K |
| 74177 |
|
1,130 |
972 |
$181K |
| 74176 |
|
1,119 |
950 |
$158K |
| 96365 |
|
1,568 |
1,300 |
$121K |
| 80307 |
|
1,744 |
1,510 |
$97K |
| 94640 |
|
1,701 |
1,223 |
$73K |
| 87635 |
|
1,043 |
914 |
$56K |
| 97162 |
|
363 |
323 |
$49K |
| 96360 |
|
322 |
265 |
$40K |
| 77067 |
|
831 |
773 |
$40K |
| 71046 |
|
2,365 |
2,123 |
$39K |
| 99281 |
|
244 |
233 |
$35K |
| 36415 |
|
9,814 |
7,210 |
$33K |
| 97161 |
|
364 |
317 |
$31K |
| 96374 |
|
5,347 |
4,429 |
$28K |
| 80053 |
|
9,001 |
7,241 |
$24K |
| 96366 |
|
155 |
96 |
$24K |
| 97530 |
|
837 |
346 |
$23K |
| 80048 |
|
6,196 |
4,609 |
$20K |
| 93005 |
|
6,682 |
5,166 |
$19K |
| 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 |
848 |
752 |
$16K |
| 96372 |
|
3,725 |
2,817 |
$14K |
| 71045 |
|
5,132 |
4,243 |
$13K |
| 87880 |
|
2,389 |
2,187 |
$11K |
| 77063 |
|
609 |
563 |
$10K |
| 83880 |
|
1,337 |
1,072 |
$10K |
| 87400 |
|
685 |
594 |
$9K |
| 71275 |
|
69 |
54 |
$9K |
| 73630 |
|
494 |
406 |
$9K |
| 85025 |
|
14,010 |
10,400 |
$8K |
| 43239 |
|
13 |
13 |
$8K |
| 84443 |
|
1,544 |
1,316 |
$7K |
| 73562 |
|
349 |
290 |
$7K |
| 96375 |
|
3,676 |
2,973 |
$7K |
| 80061 |
|
1,483 |
1,292 |
$6K |
| 73610 |
|
201 |
181 |
$6K |
| 82306 |
|
495 |
436 |
$5K |
| 87636 |
|
463 |
418 |
$5K |
| 83690 |
|
3,194 |
2,673 |
$4K |
| 87804 |
|
5,311 |
2,444 |
$4K |
| 84484 |
|
6,654 |
3,865 |
$4K |
| 97112 |
|
169 |
77 |
$4K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
4,199 |
3,546 |
$4K |
| 73130 |
|
178 |
146 |
$3K |
| 81001 |
|
6,528 |
5,438 |
$3K |
| 85379 |
|
1,061 |
921 |
$3K |
| 83735 |
|
3,651 |
2,656 |
$3K |
| 83036 |
|
1,118 |
957 |
$3K |
| 80076 |
|
613 |
534 |
$3K |
| 96376 |
|
1,188 |
742 |
$3K |
| 81025 |
|
3,052 |
2,667 |
$3K |
| 87086 |
|
1,820 |
1,492 |
$3K |
| 73030 |
|
244 |
203 |
$3K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
4,004 |
3,122 |
$3K |
| 97140 |
|
124 |
73 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,201 |
1,889 |
$2K |
| 87807 |
|
455 |
429 |
$2K |
| 82607 |
|
449 |
396 |
$2K |
| 82962 |
|
3,334 |
1,463 |
$2K |
| 87070 |
|
1,843 |
1,653 |
$2K |
| 80050 |
|
181 |
172 |
$2K |
| 85027 |
|
976 |
788 |
$2K |
| J2704 |
Injection, propofol, 10 mg |
1,528 |
1,088 |
$2K |
| 83605 |
|
2,385 |
1,785 |
$2K |
| 87491 |
|
352 |
313 |
$2K |
| 97016 |
|
46 |
12 |
$2K |
| 87040 |
|
564 |
304 |
$1K |
| 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 |
510 |
466 |
$1K |
| 70486 |
|
14 |
12 |
$1K |
| 86756 |
|
52 |
48 |
$1K |
| 81003 |
|
2,044 |
1,757 |
$1K |
| 88305 |
|
175 |
149 |
$1K |
| 76705 |
|
13 |
12 |
$1K |
| 87591 |
|
352 |
313 |
$1K |
| 86803 |
|
123 |
114 |
$1K |
| 82077 |
|
1,137 |
958 |
$834.98 |
| 72125 |
|
101 |
89 |
$818.47 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
3,258 |
2,651 |
$782.11 |
| 84703 |
|
268 |
252 |
$774.62 |
| 85378 |
|
103 |
90 |
$675.39 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
263 |
216 |
$615.33 |
| 80179 |
|
97 |
93 |
$552.60 |
| 72100 |
|
19 |
17 |
$503.85 |
| 90471 |
|
130 |
103 |
$502.66 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
522 |
442 |
$446.31 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
990 |
742 |
$427.64 |
| 87389 |
|
96 |
86 |
$367.99 |
| 99218 |
|
14 |
12 |
$358.24 |
| 73110 |
|
17 |
16 |
$349.81 |
| 80143 |
|
97 |
93 |
$345.40 |
| 85610 |
|
1,131 |
906 |
$341.56 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
42 |
36 |
$314.02 |
| 87661 |
|
13 |
12 |
$302.70 |
| 74018 |
|
16 |
15 |
$301.74 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
681 |
554 |
$288.38 |
| 97116 |
|
30 |
12 |
$285.27 |
| 73502 |
|
50 |
38 |
$268.47 |
| 82553 |
|
250 |
214 |
$262.63 |
| 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 |
281 |
266 |
$244.77 |
| 73560 |
|
35 |
25 |
$234.34 |
| 84145 |
|
38 |
29 |
$168.60 |
| 93356 |
|
177 |
148 |
$150.61 |
| J7050 |
Infusion, normal saline solution, 250 cc |
571 |
412 |
$120.00 |
| 36600 |
|
13 |
12 |
$103.22 |
| J2060 |
Injection, lorazepam, 2 mg |
32 |
27 |
$93.00 |
| 82570 |
|
72 |
52 |
$84.06 |
| 87077 |
|
173 |
137 |
$82.11 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
1,272 |
1,083 |
$70.40 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
673 |
484 |
$63.94 |
| 87186 |
|
195 |
152 |
$62.86 |
| 83540 |
|
27 |
25 |
$55.92 |
| 82550 |
|
394 |
335 |
$51.13 |
| 84466 |
|
13 |
12 |
$33.83 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
447 |
234 |
$28.19 |
| 86850 |
|
12 |
12 |
$21.88 |
| 86900 |
|
43 |
39 |
$20.18 |
| J3490 |
Unclassified drugs |
1,257 |
657 |
$19.82 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
156 |
126 |
$18.53 |
| 82803 |
|
30 |
24 |
$18.03 |
| 84702 |
|
18 |
15 |
$15.58 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
178 |
141 |
$13.99 |
| 87210 |
|
164 |
146 |
$11.90 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
425 |
365 |
$11.41 |
| 86901 |
|
43 |
39 |
$10.09 |
| 83874 |
|
52 |
46 |
$10.04 |
| J3475 |
Injection, magnesium sulfate, per 500 mg |
72 |
58 |
$6.98 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
103 |
83 |
$5.42 |
| 85730 |
|
15 |
14 |
$4.21 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
108 |
85 |
$3.76 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
20 |
19 |
$3.53 |
| 87147 |
|
94 |
65 |
$0.00 |
| 74022 |
|
28 |
25 |
$0.00 |
| 94761 |
|
214 |
93 |
$0.00 |
| 94760 |
|
17 |
12 |
$0.00 |
| 87651 |
|
94 |
94 |
$0.00 |
| Q9969 |
Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose |
12 |
12 |
$0.00 |
| J2274 |
Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg |
144 |
107 |
$0.00 |
| 73140 |
|
13 |
13 |
$0.00 |
| J2272 |
Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg |
86 |
66 |
$0.00 |
| J0780 |
Injection, prochlorperazine, up to 10 mg |
14 |
12 |
$0.00 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
56 |
40 |
$0.00 |
| J0171 |
Injection, adrenalin, epinephrine, 0.1 mg |
26 |
13 |
$0.00 |
| A9576 |
Injection, gadoteridol, (prohance multipack), per ml |
17 |
12 |
$0.00 |