| Code | Description | Claims | Beneficiaries | Total Paid |
| 0450 |
Emergency room services |
88,030 |
77,341 |
$2.90M |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
6,772 |
6,590 |
$509K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,339 |
6,161 |
$443K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
22,969 |
20,759 |
$376K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,374 |
2,314 |
$337K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,164 |
2,002 |
$318K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
8,906 |
8,274 |
$300K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
20,114 |
18,202 |
$299K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
6,448 |
5,521 |
$290K |
| 99199 |
Unlisted special service, procedure or report |
9,442 |
8,190 |
$263K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,963 |
3,671 |
$238K |
| 80053 |
Comprehensive metabolic panel |
42,343 |
38,668 |
$226K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
6,391 |
5,558 |
$183K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
3,934 |
3,669 |
$179K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
48,193 |
43,439 |
$176K |
| 71045 |
Radiologic examination, chest; single view |
19,793 |
18,817 |
$170K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,346 |
4,207 |
$152K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
9,231 |
7,685 |
$137K |
| 0112 |
|
190 |
188 |
$133K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
3,620 |
3,525 |
$125K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
7,250 |
6,413 |
$123K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,997 |
2,931 |
$118K |
| J3490 |
Unclassified drugs |
30,204 |
16,346 |
$106K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
870 |
857 |
$105K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,140 |
1,079 |
$94K |
| 0270 |
|
27,067 |
16,447 |
$92K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
2,422 |
2,339 |
$91K |
| 93971 |
|
1,353 |
1,331 |
$88K |
| 0510 |
|
4,951 |
3,989 |
$85K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
907 |
891 |
$79K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
6,585 |
6,025 |
$78K |
| 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 |
1,276 |
1,145 |
$75K |
| 84484 |
|
13,924 |
12,435 |
$75K |
| Z7502 |
|
1,943 |
1,889 |
$72K |
| 0762 |
|
2,529 |
2,100 |
$70K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
387 |
379 |
$64K |
| 76830 |
Ultrasound, transvaginal |
1,694 |
1,651 |
$62K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13,919 |
11,604 |
$62K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
469 |
463 |
$60K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
10,597 |
8,781 |
$57K |
| 0360 |
|
2,152 |
1,594 |
$55K |
| 0250 |
|
19,428 |
11,993 |
$53K |
| 83690 |
|
12,809 |
11,931 |
$52K |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
6,651 |
5,781 |
$49K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,383 |
2,033 |
$48K |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
7,932 |
5,971 |
$47K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,683 |
1,503 |
$45K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
6,163 |
4,768 |
$44K |
| 83880 |
|
2,931 |
2,798 |
$44K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,056 |
1,011 |
$43K |
| 82803 |
|
3,981 |
3,707 |
$42K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
4,454 |
4,138 |
$42K |
| 0301 |
|
2,784 |
2,400 |
$42K |
| 0160 |
|
1,701 |
1,370 |
$41K |
| 0171 |
Inj, epinephrine (belcher) |
339 |
336 |
$40K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,852 |
1,800 |
$40K |
| 84443 |
Thyroid stimulating hormone (TSH) |
10,100 |
9,693 |
$40K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,637 |
2,408 |
$37K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
11,582 |
10,994 |
$35K |
| 87040 |
|
3,832 |
2,567 |
$35K |
| 90715 |
|
1,481 |
1,466 |
$34K |
| 99221 |
|
993 |
722 |
$30K |
| 81001 |
|
19,121 |
17,910 |
$30K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,188 |
1,153 |
$29K |
| 73564 |
|
1,681 |
1,647 |
$28K |
| 93970 |
|
302 |
296 |
$28K |
| 73630 |
|
1,963 |
1,919 |
$28K |
| 81025 |
|
8,807 |
8,251 |
$26K |
| 73610 |
|
1,793 |
1,728 |
$25K |
| 73030 |
|
1,551 |
1,502 |
$22K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
4,636 |
4,329 |
$20K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
810 |
656 |
$20K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,601 |
2,491 |
$20K |
| 73130 |
|
1,208 |
1,176 |
$19K |
| 0637 |
|
5,154 |
3,145 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
1,759 |
1,718 |
$16K |
| 83735 |
|
4,072 |
3,824 |
$15K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
2,270 |
2,165 |
$15K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
3,742 |
3,234 |
$14K |
| 81003 |
|
11,730 |
11,223 |
$14K |
| 85730 |
|
4,530 |
4,262 |
$14K |
| 83605 |
|
2,104 |
1,909 |
$13K |
| 85610 |
|
6,078 |
5,622 |
$13K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
143 |
138 |
$13K |
| 84702 |
|
2,237 |
1,982 |
$13K |
| 87186 |
|
3,078 |
2,966 |
$12K |
| 82550 |
|
3,234 |
3,067 |
$11K |
| 85379 |
|
1,855 |
1,828 |
$11K |
| 73110 |
|
815 |
797 |
$11K |
| J1815 |
Injection, insulin, per 5 units |
476 |
270 |
$10K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
652 |
178 |
$10K |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
2,751 |
2,472 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
30,662 |
27,409 |
$10K |
| 0272 |
|
4,129 |
2,605 |
$10K |
| 70486 |
|
124 |
122 |
$9K |
| 59025 |
Fetal non-stress test |
1,233 |
1,028 |
$9K |
| 72131 |
|
128 |
125 |
$9K |
| 84439 |
|
3,315 |
3,185 |
$8K |
| 96376 |
|
1,044 |
844 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,905 |
1,860 |
$7K |
| J2060 |
Injection, lorazepam, 2 mg |
1,743 |
1,428 |
$7K |
| 0710 |
|
1,544 |
1,499 |
$7K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
587 |
387 |
$7K |
| J2704 |
Injection, propofol, 10 mg |
1,112 |
847 |
$7K |
| 72100 |
|
412 |
409 |
$7K |
| 87276 |
|
1,698 |
1,647 |
$6K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
170 |
163 |
$6K |
| 93798 |
|
262 |
52 |
$6K |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,114 |
1,796 |
$6K |
| A4649 |
Surgical supply; miscellaneous |
1,855 |
820 |
$6K |
| 99070 |
|
1,696 |
976 |
$6K |
| 80051 |
|
1,712 |
1,653 |
$6K |
| 73590 |
|
430 |
425 |
$6K |
| 84703 |
|
1,925 |
1,856 |
$5K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
3,078 |
2,487 |
$5K |
| J7060 |
5% dextrose/water (500 ml = 1 unit) |
2,172 |
1,853 |
$5K |
| 87275 |
|
1,698 |
1,645 |
$5K |
| 71250 |
|
100 |
100 |
$5K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
2,002 |
1,602 |
$5K |
| 73562 |
|
349 |
344 |
$5K |
| 97116 |
|
505 |
125 |
$5K |
| 86900 |
|
3,480 |
3,294 |
$5K |
| 76801 |
|
224 |
203 |
$4K |
| 86850 |
|
1,923 |
1,844 |
$4K |
| G0109 |
Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes |
186 |
157 |
$4K |
| 99499 |
|
312 |
114 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,653 |
1,631 |
$4K |
| 87070 |
|
2,090 |
1,971 |
$4K |
| 73502 |
|
246 |
238 |
$4K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
198 |
185 |
$4K |
| 80061 |
Lipid panel |
7,080 |
6,823 |
$4K |
| 0121 |
|
105 |
97 |
$4K |
| 0760 |
|
6,905 |
5,726 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
686 |
680 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
29 |
29 |
$3K |
| 73080 |
|
187 |
185 |
$3K |
| J1644 |
Injection, heparin sodium, per 1000 units |
460 |
240 |
$3K |
| 97139 |
|
419 |
73 |
$3K |
| 96367 |
|
112 |
102 |
$3K |
| 87084 |
|
727 |
710 |
$3K |
| 0278 |
|
282 |
260 |
$3K |
| J0690 |
Injection, cefazolin sodium, 500 mg |
986 |
841 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,680 |
2,584 |
$3K |
| J7050 |
Infusion, normal saline solution, 250 cc |
1,947 |
1,613 |
$3K |
| 82962 |
|
2,619 |
1,933 |
$3K |
| J1170 |
Injection, hydromorphone, up to 4 mg |
529 |
355 |
$3K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
133 |
105 |
$3K |
| 73090 |
|
217 |
215 |
$3K |
| 87430 |
|
516 |
509 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
5,170 |
4,970 |
$2K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
453 |
427 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
57 |
57 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
450 |
443 |
$2K |
| 70491 |
|
13 |
13 |
$2K |
| 76870 |
|
79 |
75 |
$2K |
| 85018 |
|
1,725 |
1,665 |
$2K |
| 74018 |
|
188 |
176 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
303 |
198 |
$2K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
132 |
54 |
$2K |
| 86140 |
|
1,129 |
1,085 |
$2K |
| 71101 |
|
87 |
86 |
$2K |
| 82553 |
|
210 |
197 |
$1K |
| 0324 |
|
505 |
483 |
$1K |
| G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
855 |
847 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
37 |
37 |
$1K |
| 99153 |
Mod sedat endo service >5yrs |
381 |
371 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
51 |
$1K |
| 76641 |
|
114 |
113 |
$976.67 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
27 |
14 |
$971.60 |
| 0370 |
|
904 |
851 |
$960.76 |
| Z7610 |
|
258 |
151 |
$930.78 |
| 76642 |
|
103 |
103 |
$904.27 |
| 85652 |
|
1,450 |
1,376 |
$876.14 |
| 87205 |
|
568 |
531 |
$852.61 |
| A9270 |
Non-covered item or service |
1,078 |
891 |
$797.38 |
| 71010 |
|
51 |
29 |
$767.46 |
| J2930 |
Injection, methylprednisolone sodium succinate, up to 125 mg |
107 |
105 |
$744.22 |
| 88313 |
|
299 |
292 |
$698.55 |
| 86703 |
|
1,080 |
1,051 |
$689.32 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
115 |
115 |
$668.97 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
42 |
$642.72 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,850 |
1,809 |
$606.97 |
| 86901 |
|
491 |
466 |
$592.68 |
| 87420 |
|
284 |
268 |
$586.62 |
| 81000 |
|
409 |
402 |
$584.32 |
| 82607 |
|
914 |
881 |
$580.37 |
| 0636 |
|
2,357 |
1,947 |
$566.05 |
| 99152 |
|
27 |
27 |
$554.82 |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
223 |
220 |
$552.12 |
| 97799 |
|
105 |
33 |
$551.22 |
| 82043 |
|
1,641 |
1,567 |
$518.63 |
| 12001 |
|
50 |
50 |
$511.72 |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
37 |
37 |
$509.27 |
| 86592 |
|
1,342 |
1,300 |
$488.19 |
| 80076 |
|
122 |
116 |
$467.06 |
| 0420 |
|
140 |
131 |
$451.28 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
142 |
131 |
$402.80 |
| 82728 |
|
657 |
632 |
$398.35 |
| 73060 |
|
30 |
30 |
$376.16 |
| 72110 |
|
37 |
37 |
$362.34 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
84 |
78 |
$350.08 |
| 82746 |
|
486 |
475 |
$335.99 |
| J2175 |
Injection, meperidine hydrochloride, per 100 mg |
701 |
615 |
$300.24 |
| 88312 |
|
252 |
246 |
$271.25 |
| 80074 |
|
71 |
71 |
$242.81 |
| 87081 |
|
544 |
531 |
$242.02 |
| 73120 |
|
24 |
24 |
$224.82 |
| 29125 |
|
65 |
63 |
$223.67 |
| J1630 |
Injection, haloperidol, up to 5 mg |
68 |
61 |
$222.00 |
| 83540 |
|
529 |
508 |
$217.59 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
18 |
16 |
$207.89 |
| 73620 |
|
24 |
24 |
$206.76 |
| 84100 |
|
135 |
122 |
$186.32 |
| 82140 |
|
42 |
39 |
$181.85 |
| J3370 |
Injection, vancomycin hcl, 500 mg |
19 |
17 |
$168.53 |
| 77066 |
Tomosynthesis, mammo |
26 |
26 |
$164.27 |
| 94664 |
|
13 |
12 |
$155.92 |
| 82010 |
|
36 |
36 |
$145.70 |
| 88304 |
|
67 |
64 |
$141.28 |
| 87210 |
|
55 |
54 |
$141.12 |
| J1940 |
Injection, furosemide, up to 20 mg |
13 |
12 |
$133.71 |
| 84550 |
|
617 |
599 |
$127.00 |
| 84153 |
|
571 |
552 |
$124.32 |
| 73560 |
|
12 |
12 |
$124.09 |
| 73140 |
|
12 |
12 |
$115.46 |
| 83550 |
|
505 |
492 |
$109.96 |
| S0164 |
Injection, pantoprazole sodium, 40 mg |
14 |
12 |
$101.34 |
| 0258 |
|
399 |
366 |
$100.10 |
| 0300 |
|
2,333 |
1,924 |
$95.66 |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
112 |
111 |
$82.50 |
| 20610 |
|
16 |
15 |
$70.70 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
56 |
52 |
$61.24 |
| 87807 |
|
12 |
12 |
$59.91 |
| J2710 |
Injection, neostigmine methylsulfate, up to 0.5 mg |
27 |
25 |
$58.26 |
| 0730 |
|
342 |
328 |
$49.60 |
| 0307 |
|
993 |
956 |
$48.41 |
| 87339 |
|
95 |
93 |
$44.97 |
| 82731 |
|
13 |
13 |
$44.95 |
| 87340 |
|
172 |
171 |
$40.32 |
| 86803 |
|
123 |
123 |
$39.26 |
| 96127 |
|
73 |
73 |
$38.48 |
| 82570 |
|
82 |
80 |
$34.23 |
| 87481 |
|
173 |
161 |
$32.64 |
| 0305 |
|
1,741 |
1,634 |
$27.00 |
| 86038 |
|
57 |
57 |
$21.75 |
| 90677 |
|
91 |
91 |
$9.00 |
| 90681 |
|
16 |
14 |
$9.00 |
| 82270 |
|
189 |
184 |
$6.28 |
| 84436 |
|
197 |
183 |
$5.33 |
| 77080 |
|
57 |
57 |
$5.11 |
| 83655 |
|
84 |
84 |
$5.00 |
| 94150 |
|
39 |
39 |
$4.79 |
| 86225 |
|
29 |
25 |
$2.52 |
| G0009 |
Administration of pneumococcal vaccine |
51 |
51 |
$0.00 |
| 0306 |
|
1,228 |
1,162 |
$0.00 |
| 90723 |
|
44 |
42 |
$0.00 |
| 84480 |
|
216 |
193 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
2,123 |
1,116 |
$0.00 |
| 0352 |
|
98 |
96 |
$0.00 |
| 90697 |
|
53 |
53 |
$0.00 |
| 0471 |
|
33 |
32 |
$0.00 |
| 0720 |
|
26 |
26 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$0.00 |
| 90686 |
|
72 |
71 |
$0.00 |
| 0310 |
|
27 |
27 |
$0.00 |
| 86706 |
|
122 |
122 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
73 |
70 |
$0.00 |
| 0214 |
|
70 |
67 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
836 |
804 |
$0.00 |
| 0320 |
|
42 |
37 |
$0.00 |
| 0390 |
|
1,353 |
1,036 |
$0.00 |
| 0302 |
|
1,073 |
888 |
$0.00 |
| 0460 |
|
182 |
174 |
$0.00 |
| 96160 |
|
127 |
127 |
$0.00 |
| 90461 |
|
507 |
502 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
13 |
$0.00 |
| 99173 |
|
26 |
26 |
$0.00 |
| 0402 |
|
150 |
145 |
$0.00 |
| 0424 |
|
13 |
12 |
$0.00 |
| 90670 |
|
173 |
171 |
$0.00 |
| 90633 |
|
26 |
26 |
$0.00 |
| 90671 |
|
26 |
26 |
$0.00 |
| 90648 |
|
61 |
60 |
$0.00 |
| 0483 |
|
13 |
13 |
$0.00 |
| 77062 |
|
13 |
13 |
$0.00 |
| 84112 |
|
17 |
13 |
$0.00 |
| 0312 |
|
12 |
12 |
$0.00 |