| Code | Description | Claims | Beneficiaries | Total Paid |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,896 |
2,660 |
$342K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,665 |
1,521 |
$269K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,648 |
2,352 |
$260K |
| 80053 |
Comprehensive metabolic panel |
10,653 |
8,954 |
$240K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,546 |
1,387 |
$240K |
| 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 |
1,691 |
1,496 |
$164K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
10,904 |
9,009 |
$80K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,516 |
1,275 |
$62K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
732 |
668 |
$54K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
4,606 |
3,782 |
$54K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
2,734 |
2,282 |
$49K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
419 |
407 |
$48K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,541 |
2,921 |
$44K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,111 |
1,732 |
$43K |
| 71045 |
Radiologic examination, chest; single view |
4,606 |
3,976 |
$40K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
304 |
280 |
$38K |
| 84484 |
|
4,100 |
3,056 |
$32K |
| 83880 |
|
1,483 |
1,249 |
$32K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
739 |
689 |
$30K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
2,668 |
2,382 |
$28K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
552 |
517 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,013 |
1,822 |
$24K |
| 87040 |
|
2,119 |
1,313 |
$23K |
| 81025 |
|
2,315 |
2,080 |
$21K |
| 82550 |
|
3,880 |
2,964 |
$21K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
1,166 |
882 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
6,979 |
5,960 |
$19K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
554 |
409 |
$18K |
| 87088 |
|
2,101 |
1,815 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
912 |
815 |
$17K |
| 85027 |
|
2,683 |
2,305 |
$16K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
5,084 |
4,568 |
$16K |
| 83605 |
|
1,692 |
1,363 |
$15K |
| 83690 |
|
1,963 |
1,767 |
$15K |
| 80305 |
|
1,014 |
928 |
$15K |
| 81001 |
|
4,742 |
4,149 |
$14K |
| 80061 |
Lipid panel |
1,071 |
959 |
$14K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,529 |
1,320 |
$13K |
| 73560 |
|
494 |
443 |
$12K |
| 87631 |
|
135 |
123 |
$12K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
60 |
51 |
$11K |
| 82150 |
|
1,165 |
1,066 |
$9K |
| 82077 |
|
451 |
404 |
$9K |
| 87077 |
|
987 |
857 |
$9K |
| 80050 |
General health panel |
189 |
164 |
$7K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
190 |
156 |
$7K |
| 81003 |
|
2,789 |
2,496 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,299 |
1,070 |
$7K |
| 83735 |
|
1,227 |
985 |
$7K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
848 |
732 |
$6K |
| 84443 |
Thyroid stimulating hormone (TSH) |
392 |
352 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
114 |
112 |
$6K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,580 |
1,290 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
861 |
779 |
$5K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,460 |
2,071 |
$5K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
2,822 |
2,425 |
$5K |
| 87186 |
|
921 |
801 |
$5K |
| 82962 |
|
883 |
410 |
$5K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
689 |
619 |
$4K |
| 73130 |
|
110 |
97 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
27 |
18 |
$4K |
| 73610 |
|
180 |
172 |
$4K |
| 73030 |
|
162 |
136 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
343 |
332 |
$4K |
| 80076 |
|
254 |
238 |
$3K |
| 87807 |
|
274 |
249 |
$3K |
| 82803 |
|
142 |
113 |
$3K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
203 |
176 |
$3K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
437 |
396 |
$2K |
| 85610 |
|
704 |
606 |
$2K |
| 97001 |
|
71 |
52 |
$2K |
| 80320 |
|
153 |
126 |
$2K |
| 85379 |
|
224 |
209 |
$2K |
| 72100 |
|
79 |
66 |
$2K |
| 71020 |
|
133 |
120 |
$2K |
| 71010 |
|
294 |
256 |
$2K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
15 |
15 |
$2K |
| 97161 |
|
14 |
14 |
$1K |
| 82375 |
|
120 |
96 |
$1K |
| 73630 |
|
53 |
49 |
$1K |
| 90715 |
|
73 |
66 |
$1K |
| 96376 |
|
90 |
57 |
$1K |
| J1815 |
Injection, insulin, per 5 units |
56 |
25 |
$989.82 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
36 |
31 |
$896.64 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
852 |
728 |
$761.84 |
| 80306 |
|
52 |
47 |
$676.67 |
| 74018 |
|
25 |
24 |
$556.64 |
| 85730 |
|
128 |
119 |
$524.95 |
| 87420 |
|
30 |
27 |
$434.58 |
| J1650 |
Injection, enoxaparin sodium, 10 mg |
44 |
26 |
$428.79 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
210 |
177 |
$410.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
98 |
89 |
$407.93 |
| 86901 |
|
13 |
12 |
$350.00 |
| 84703 |
|
33 |
30 |
$348.82 |
| J7050 |
Infusion, normal saline solution, 250 cc |
2,584 |
1,601 |
$333.44 |
| 80143 |
|
14 |
13 |
$264.48 |
| 82947 |
|
55 |
28 |
$258.12 |
| 36600 |
|
148 |
124 |
$246.00 |
| 80179 |
|
13 |
12 |
$245.84 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
647 |
510 |
$151.08 |
| 83540 |
|
28 |
25 |
$142.29 |
| 83550 |
|
28 |
26 |
$142.06 |
| 82248 |
|
32 |
31 |
$124.76 |
| 84436 |
|
15 |
14 |
$121.52 |
| 81015 |
|
48 |
45 |
$102.33 |
| 85007 |
|
46 |
37 |
$93.48 |
| 84100 |
|
14 |
13 |
$49.29 |
| J2704 |
Injection, propofol, 10 mg |
31 |
24 |
$46.64 |
| 86900 |
|
13 |
12 |
$42.60 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
132 |
110 |
$36.47 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
16 |
14 |
$15.90 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
320 |
258 |
$3.06 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
1,898 |
1,545 |
$0.19 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
101 |
67 |
$0.16 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
12 |
12 |
$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 |
659 |
625 |
$0.00 |
| A9270 |
Non-covered item or service |
1,797 |
464 |
$0.00 |
| 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 |
89 |
78 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
31 |
28 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
20 |
16 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
34 |
26 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
25 |
18 |
$0.00 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
13 |
12 |
$0.00 |