| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
Emergency room services |
96,679 |
87,575 |
$3.83M |
| Z7502 |
|
34,501 |
33,676 |
$1.29M |
| 70450 |
Computed tomography, head or brain; without contrast material |
9,893 |
9,394 |
$1.08M |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
12,563 |
10,371 |
$1.06M |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
8,438 |
7,996 |
$905K |
| 80053 |
Comprehensive metabolic panel |
54,157 |
50,917 |
$576K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
25,372 |
23,756 |
$543K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
9,713 |
9,202 |
$473K |
| 94642 |
|
3,862 |
3,596 |
$389K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
54,870 |
51,439 |
$389K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14,673 |
13,967 |
$344K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,296 |
4,064 |
$309K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
4,982 |
4,835 |
$293K |
| 71045 |
Radiologic examination, chest; single view |
21,207 |
20,277 |
$269K |
| J3490 |
Unclassified drugs |
40,480 |
20,209 |
$269K |
| Z7610 |
|
21,022 |
18,384 |
$265K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
7,618 |
7,201 |
$255K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
5,202 |
5,116 |
$253K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,400 |
1,345 |
$246K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,933 |
3,685 |
$241K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,011 |
994 |
$215K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
6,966 |
6,570 |
$208K |
| 99199 |
Unlisted special service, procedure or report |
5,948 |
5,516 |
$195K |
| 84484 |
|
19,175 |
17,799 |
$157K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,419 |
1,404 |
$153K |
| 83880 |
|
6,899 |
6,540 |
$148K |
| 83690 |
|
20,777 |
19,787 |
$125K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
2,483 |
2,434 |
$123K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
2,376 |
2,237 |
$96K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,581 |
1,553 |
$85K |
| 80305 |
|
8,796 |
8,401 |
$84K |
| 76801 |
|
1,764 |
1,626 |
$82K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,349 |
2,260 |
$80K |
| 70486 |
|
709 |
701 |
$77K |
| 0250 |
|
20,938 |
19,064 |
$76K |
| 0272 |
|
5,153 |
4,760 |
$75K |
| 0270 |
|
16,593 |
12,867 |
$70K |
| 90715 |
|
2,243 |
2,097 |
$70K |
| 0636 |
|
5,253 |
4,757 |
$64K |
| 87040 |
|
3,632 |
3,529 |
$56K |
| 81001 |
|
18,485 |
17,985 |
$56K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,913 |
2,785 |
$51K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
7,738 |
7,567 |
$50K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
810 |
801 |
$48K |
| 81025 |
|
9,996 |
9,679 |
$46K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
9,534 |
8,641 |
$46K |
| 83605 |
|
4,739 |
4,402 |
$42K |
| 72100 |
|
1,667 |
1,651 |
$40K |
| 73562 |
|
1,893 |
1,848 |
$39K |
| 73130 |
|
1,805 |
1,770 |
$39K |
| 84703 |
|
6,064 |
5,904 |
$39K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
3,351 |
3,194 |
$37K |
| 71046 |
Radiologic examination, chest; 2 views |
1,937 |
1,904 |
$35K |
| 73630 |
|
1,704 |
1,670 |
$35K |
| 76830 |
Ultrasound, transvaginal |
685 |
669 |
$35K |
| 73610 |
|
1,539 |
1,510 |
$34K |
| 85730 |
|
6,971 |
6,734 |
$33K |
| 93970 |
|
224 |
215 |
$33K |
| 81003 |
|
15,272 |
14,735 |
$32K |
| 96368 |
|
1,597 |
1,530 |
$31K |
| 0206 |
|
13 |
13 |
$30K |
| 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 |
470 |
463 |
$29K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,342 |
1,201 |
$29K |
| 84702 |
|
2,399 |
2,225 |
$29K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
850 |
752 |
$26K |
| 0762 |
|
145 |
133 |
$26K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
462 |
424 |
$26K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
5,367 |
4,909 |
$25K |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
2,654 |
2,321 |
$25K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,081 |
5,669 |
$24K |
| 85610 |
|
7,638 |
7,382 |
$24K |
| J7050 |
Infusion, normal saline solution, 250 cc |
5,068 |
4,707 |
$24K |
| 82948 |
|
5,607 |
4,546 |
$23K |
| 74018 |
|
1,389 |
1,367 |
$22K |
| 80320 |
|
4,222 |
3,916 |
$21K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
2,961 |
2,705 |
$21K |
| 87430 |
|
2,535 |
2,485 |
$20K |
| 0360 |
|
171 |
165 |
$19K |
| 87186 |
|
2,587 |
2,531 |
$18K |
| A4649 |
Surgical supply; miscellaneous |
4,124 |
2,447 |
$17K |
| 73110 |
|
740 |
727 |
$17K |
| 94760 |
|
831 |
697 |
$15K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
202 |
200 |
$14K |
| 87077 |
|
2,575 |
2,522 |
$13K |
| 83735 |
|
163 |
132 |
$13K |
| 87807 |
|
1,913 |
1,872 |
$12K |
| 73030 |
|
580 |
568 |
$11K |
| Z7500 |
|
328 |
317 |
$11K |
| 72131 |
|
115 |
115 |
$11K |
| 81002 |
|
1,870 |
1,847 |
$11K |
| 73020 |
|
784 |
772 |
$11K |
| 86328 |
|
335 |
318 |
$10K |
| 74022 |
|
297 |
255 |
$10K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
88 |
86 |
$9K |
| 84443 |
Thyroid stimulating hormone (TSH) |
779 |
750 |
$9K |
| 85007 |
|
3,269 |
3,137 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,323 |
2,298 |
$9K |
| 0271 |
|
617 |
602 |
$9K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
357 |
352 |
$8K |
| 29125 |
|
247 |
242 |
$8K |
| 12001 |
|
408 |
403 |
$8K |
| 85027 |
|
1,592 |
1,523 |
$7K |
| 0761 |
|
296 |
288 |
$7K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
560 |
551 |
$7K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
240 |
227 |
$6K |
| 80329 |
|
1,691 |
1,417 |
$6K |
| 87400 |
|
1,420 |
1,404 |
$6K |
| 86901 |
|
2,164 |
2,069 |
$6K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
143 |
141 |
$5K |
| 73090 |
|
370 |
366 |
$5K |
| 86769 |
|
173 |
167 |
$5K |
| 85379 |
|
789 |
774 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
9,116 |
8,343 |
$5K |
| 73502 |
|
212 |
208 |
$5K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
836 |
803 |
$5K |
| 73600 |
|
304 |
300 |
$5K |
| 0710 |
|
214 |
213 |
$5K |
| J1815 |
Injection, insulin, per 5 units |
496 |
442 |
$5K |
| 73590 |
|
306 |
299 |
$4K |
| 93971 |
|
53 |
51 |
$4K |
| 0760 |
|
193 |
188 |
$4K |
| 73564 |
|
209 |
205 |
$4K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
932 |
874 |
$4K |
| 73080 |
|
184 |
182 |
$4K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
162 |
157 |
$4K |
| 76870 |
|
69 |
69 |
$4K |
| 72050 |
|
134 |
134 |
$4K |
| U0004 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r |
60 |
59 |
$3K |
| 82010 |
|
583 |
557 |
$3K |
| J2470 |
Injection, pantoprazole sodium, 40 mg |
71 |
53 |
$3K |
| 86900 |
|
935 |
903 |
$3K |
| 29515 |
|
45 |
44 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
230 |
221 |
$2K |
| 73060 |
|
48 |
48 |
$2K |
| 71020 |
|
86 |
43 |
$2K |
| 70496 |
|
14 |
14 |
$2K |
| 96376 |
|
229 |
214 |
$2K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
53 |
53 |
$2K |
| 82140 |
|
236 |
230 |
$2K |
| 86850 |
|
484 |
470 |
$2K |
| 73120 |
|
151 |
149 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
13 |
$2K |
| 94799 |
|
138 |
136 |
$2K |
| 70498 |
|
15 |
14 |
$2K |
| 71010 |
|
105 |
105 |
$2K |
| 87420 |
|
497 |
490 |
$2K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
386 |
349 |
$1K |
| 10060 |
|
84 |
78 |
$1K |
| 73140 |
|
107 |
105 |
$1K |
| 73620 |
|
98 |
98 |
$1K |
| 12002 |
|
83 |
82 |
$1K |
| 0451 |
|
62 |
62 |
$1K |
| J2704 |
Injection, propofol, 10 mg |
256 |
255 |
$1K |
| J1953 |
Injection, levetiracetam, 10 mg |
207 |
194 |
$1K |
| 12011 |
|
39 |
39 |
$1K |
| 0324 |
|
85 |
83 |
$1K |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
114 |
94 |
$762.66 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
135 |
113 |
$754.34 |
| 73552 |
|
55 |
53 |
$713.40 |
| J2919 |
Injection, methylprednisolone sodium succinate, 5 mg |
219 |
206 |
$693.18 |
| 80047 |
|
48 |
48 |
$662.20 |
| 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 |
33 |
33 |
$500.81 |
| 82728 |
|
56 |
56 |
$499.43 |
| 99221 |
|
18 |
18 |
$477.40 |
| E0116 |
Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each |
47 |
45 |
$458.69 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
14 |
14 |
$455.70 |
| G0378 |
Hospital observation service, per hour |
18 |
18 |
$445.95 |
| J1644 |
Injection, heparin sodium, per 1000 units |
99 |
55 |
$426.13 |
| 83615 |
|
83 |
83 |
$404.31 |
| 82803 |
|
30 |
26 |
$370.67 |
| 88312 |
|
26 |
26 |
$368.69 |
| 80061 |
Lipid panel |
40 |
37 |
$310.03 |
| J7999 |
Compounded drug, not otherwise classified |
47 |
43 |
$280.16 |
| 71101 |
|
13 |
13 |
$246.19 |
| 82550 |
|
79 |
73 |
$235.65 |
| 99070 |
|
153 |
103 |
$224.32 |
| 73560 |
|
12 |
12 |
$205.61 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
17 |
17 |
$161.46 |
| 0300 |
|
117 |
104 |
$149.51 |
| 73100 |
|
13 |
13 |
$140.46 |
| 70360 |
|
12 |
12 |
$134.61 |
| 72040 |
|
12 |
12 |
$125.85 |
| J1630 |
Injection, haloperidol, up to 5 mg |
26 |
25 |
$122.79 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
28 |
28 |
$118.53 |
| 99406 |
|
12 |
12 |
$114.51 |
| J2920 |
Injection, methylprednisolone sodium succinate, up to 40 mg |
17 |
16 |
$113.97 |
| A6216 |
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
53 |
51 |
$108.60 |
| J0360 |
Injection, hydralazine hcl, up to 20 mg |
17 |
15 |
$92.65 |
| 80076 |
|
15 |
15 |
$68.89 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
13 |
12 |
$67.95 |
| A6451 |
Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard |
95 |
94 |
$45.60 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
54 |
52 |
$44.03 |
| 84100 |
|
14 |
14 |
$43.93 |
| J8540 |
Dexamethasone, oral, 0.25 mg |
28 |
28 |
$40.17 |
| J1940 |
Injection, furosemide, up to 20 mg |
12 |
12 |
$30.09 |
| 87210 |
|
13 |
13 |
$28.62 |
| 85651 |
|
12 |
12 |
$25.96 |
| A6220 |
Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing |
13 |
13 |
$11.55 |
| A6446 |
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard |
14 |
14 |
$0.00 |
| 80354 |
|
67 |
65 |
$0.00 |
| 0730 |
|
12 |
12 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
97 |
75 |
$0.00 |
| 0301 |
|
56 |
53 |
$0.00 |