| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2019 |
Therapeutic behavioral services, per 15 minutes |
4,627 |
4,616 |
$4.18M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,269 |
4,112 |
$680K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,304 |
4,165 |
$665K |
| G0378 |
Hospital observation service, per hour |
1,665 |
1,610 |
$655K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,799 |
1,796 |
$618K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
2,976 |
2,607 |
$598K |
| H2018 |
Psychosocial rehabilitation services, per diem |
1,026 |
1,024 |
$536K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,779 |
2,673 |
$418K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,319 |
1,276 |
$294K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,103 |
1,078 |
$244K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,302 |
1,261 |
$211K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
330 |
328 |
$195K |
| 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 |
2,475 |
2,345 |
$180K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
1,706 |
1,585 |
$179K |
| 80053 |
Comprehensive metabolic panel |
9,879 |
8,462 |
$165K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
813 |
737 |
$127K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
168 |
166 |
$121K |
| 93975 |
|
252 |
251 |
$87K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
338 |
327 |
$77K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,595 |
1,554 |
$69K |
| 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 |
2,422 |
2,290 |
$57K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,599 |
1,529 |
$55K |
| 36415 |
Collection of venous blood by venipuncture |
12,998 |
9,941 |
$54K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,155 |
1,128 |
$40K |
| J3490 |
Unclassified drugs |
986 |
744 |
$39K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
959 |
935 |
$32K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,806 |
1,640 |
$28K |
| 86850 |
|
1,829 |
1,765 |
$27K |
| 86901 |
|
1,831 |
1,767 |
$23K |
| 86900 |
|
1,836 |
1,773 |
$23K |
| 83880 |
|
910 |
887 |
$23K |
| 85610 |
|
6,194 |
5,699 |
$20K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
48 |
48 |
$20K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
40 |
40 |
$20K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
115 |
111 |
$19K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,279 |
1,054 |
$13K |
| 95806 |
|
77 |
77 |
$12K |
| 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 |
160 |
153 |
$12K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
5,475 |
4,811 |
$11K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
140 |
79 |
$11K |
| M0245 |
Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring |
44 |
35 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,849 |
7,659 |
$9K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
29 |
29 |
$9K |
| 80061 |
Lipid panel |
1,080 |
1,053 |
$9K |
| 85730 |
|
5,705 |
5,250 |
$7K |
| 81025 |
|
2,628 |
2,521 |
$6K |
| 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 |
303 |
278 |
$6K |
| 84702 |
|
1,857 |
1,757 |
$6K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
1,632 |
1,585 |
$6K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
28 |
28 |
$5K |
| 87631 |
|
129 |
129 |
$5K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
13 |
13 |
$4K |
| 80050 |
General health panel |
156 |
153 |
$4K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
1,721 |
1,543 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,690 |
1,545 |
$4K |
| M0222 |
Intravenous injection, bebtelovimab, includes injection and post administration monitoring |
23 |
19 |
$3K |
| 76000 |
|
32 |
31 |
$3K |
| 87088 |
|
3,260 |
3,104 |
$3K |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
1,629 |
1,568 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
949 |
932 |
$3K |
| 59025 |
Fetal non-stress test |
14 |
12 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,181 |
1,133 |
$2K |
| 82947 |
|
3,966 |
1,372 |
$2K |
| 80076 |
|
151 |
151 |
$1K |
| 85027 |
|
1,844 |
1,623 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
313 |
303 |
$1K |
| 83735 |
|
4,764 |
3,849 |
$1K |
| 83605 |
|
1,530 |
1,323 |
$1K |
| J7030 |
Infusion, normal saline solution , 1000 cc |
3,963 |
3,550 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
2,987 |
2,867 |
$1K |
| J0131 |
Injection, acetaminophen, not otherwise specified,10 mg |
1,095 |
1,031 |
$1K |
| 81003 |
|
4,137 |
3,955 |
$983.47 |
| 88304 |
|
126 |
125 |
$945.06 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$724.49 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
29 |
29 |
$665.72 |
| 84100 |
|
3,259 |
2,538 |
$543.55 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
12 |
12 |
$526.16 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
2,008 |
1,933 |
$478.61 |
| 96376 |
|
79 |
56 |
$469.85 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
348 |
317 |
$401.21 |
| 88342 |
|
14 |
14 |
$380.08 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
12 |
12 |
$344.61 |
| 84439 |
|
51 |
51 |
$292.11 |
| J0136 |
Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg |
989 |
849 |
$288.14 |
| 83690 |
|
1,819 |
1,723 |
$284.04 |
| J2704 |
Injection, propofol, 10 mg |
1,805 |
1,408 |
$245.95 |
| 82728 |
|
126 |
126 |
$243.54 |
| 87040 |
|
1,917 |
1,123 |
$243.26 |
| 84484 |
|
3,101 |
2,226 |
$228.26 |
| C1889 |
Implantable/insertable device, not otherwise classified |
25 |
25 |
$223.54 |
| 86141 |
|
316 |
296 |
$217.61 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
750 |
729 |
$194.01 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
168 |
168 |
$187.77 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
2,541 |
2,093 |
$183.30 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
14 |
14 |
$177.43 |
| 86803 |
|
25 |
25 |
$175.53 |
| 87581 |
|
12 |
12 |
$172.26 |
| 87486 |
|
12 |
12 |
$172.26 |
| 85379 |
|
583 |
566 |
$146.54 |
| 82550 |
|
624 |
593 |
$136.42 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
531 |
506 |
$113.90 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
175 |
155 |
$93.36 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,430 |
1,278 |
$69.22 |
| 82077 |
|
944 |
880 |
$63.37 |
| S0028 |
Injection, famotidine, 20 mg |
165 |
157 |
$61.74 |
| J1741 |
Injection, ibuprofen, 100 mg |
38 |
37 |
$50.40 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
173 |
171 |
$45.80 |
| 80143 |
|
637 |
603 |
$36.88 |
| 80179 |
|
610 |
579 |
$33.88 |
| J0665 |
Injection, bupivicaine, not otherwise specified, 0.5 mg |
324 |
258 |
$29.00 |
| 84145 |
|
310 |
292 |
$25.23 |
| 73630 |
|
14 |
13 |
$25.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,092 |
845 |
$23.66 |
| J7050 |
Infusion, normal saline solution, 250 cc |
163 |
149 |
$17.54 |
| 87077 |
|
28 |
28 |
$16.16 |
| J1644 |
Injection, heparin sodium, per 1000 units |
300 |
76 |
$13.51 |
| 84436 |
|
13 |
12 |
$11.26 |
| 85007 |
|
44 |
43 |
$9.31 |
| 87070 |
|
80 |
80 |
$8.15 |
| 87186 |
|
27 |
27 |
$6.59 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
58 |
56 |
$1.13 |
| J1171 |
Injection, hydromorphone, 0.1 mg |
28 |
16 |
$0.90 |
| J2270 |
Injection, morphine sulfate, up to 10 mg |
194 |
159 |
$0.36 |
| J2765 |
Injection, metoclopramide hcl, up to 10 mg |
14 |
13 |
$0.00 |
| J2543 |
Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
17 |
12 |
$0.00 |
| 87276 |
|
18 |
16 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
19 |
13 |
$0.00 |
| 84703 |
|
13 |
13 |
$0.00 |
| 87275 |
|
18 |
16 |
$0.00 |
| J1596 |
Injection, glycopyrrolate, 0.1 mg |
25 |
16 |
$0.00 |