Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER

NPI: 1043397292 · CLEVELAND, OH 44106 · General Acute Care Hospital · NPI assigned 11/01/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SCHILLERO, ANTHONY controls 20+ related entities in our dataset. Read more

$156.83M
Total Medicaid Paid
2,733,531
Total Claims
2,007,655
Beneficiaries
805
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSCHILLERO, ANTHONY (DIRECTOR, FP&A)
NPI Enumeration Date11/01/2006

Related Entities

Other providers sharing the same authorized official: SCHILLERO, ANTHONY

ProviderCityStateTotal Paid
UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER CLEVELAND OH $76.72M
EMH REGIONAL MEDICAL CENTER ELYRIA OH $41.46M
UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION CLEVELAND OH $41.07M
ROBINSON HEALTH SYSTEM, INC. RAVENNA OH $26.26M
UH REGIONAL HOSPITALS CHARDON OH $23.17M
UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER, INC BEACHWOOD OH $21.13M
PARMA COMMUNITY GENERAL HOSPITAL ASSOCIATION PARMA OH $15.68M
UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER WESTLAKE OH $11.77M
SAMARITAN REGIONAL HEALTH SYSTEM ASHLAND OH $10.39M
UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER GENEVA OH $9.85M
UNIVERSITY HOSPITALS HOME CARE SERVICES INC WARRENSVILLE HEIGHTS OH $7.63M
UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER CONNEAUT OH $5.65M
UNIVERSITY HOSPITALS HOME CARE SERVICES INC WARRENSVILLE HEIGHTS OH $4.12M
UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER CLEVELAND OH $2.88M
UH REGIONAL HOSPITALS CHARDON OH $2.85M
UNIVERSITY HOSPITALS HOME CARE SERVICES INC WARRENSVILLE HEIGHTS OH $1.36M
UNIVERSITY HOSPITALS CRITICAL CARE TRANSPORT LLC SHAKER HEIGHTS OH $309K
UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER CLEVELAND OH $101K
UNIVERSITY HOSPITALS LABORATORY SERVICES FOUNDATION CLEVELAND OH $58K
UNIVERSITY HOSPITALS ST. JOHN MEDICAL CENTER WESTLAKE OH $49K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 231,001 $11.60M
2019 212,717 $11.47M
2020 165,849 $12.33M
2021 192,447 $12.38M
2022 182,630 $11.71M
2023 990,500 $57.28M
2024 758,387 $40.07M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J9271 Injection, pembrolizumab, 1 mg 1,896 1,185 $14.60M
99283 Emergency department visit for the evaluation and management, moderate severity 89,345 80,982 $13.03M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 98,130 85,631 $12.78M
99284 Emergency department visit for the evaluation and management, high severity 67,712 60,780 $10.43M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 71,776 62,589 $9.24M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 55,703 47,270 $8.09M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 32,383 29,657 $4.54M
96361 Intravenous infusion, hydration; each additional hour 14,788 10,797 $4.27M
70450 Computed tomography, head or brain; without contrast material 13,277 10,826 $3.81M
99215 Prolong outpt/office vis 26,191 20,822 $3.14M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 33,063 13,736 $2.81M
76819 Fetal biophysical profile; without non-stress testing 27,360 21,445 $2.51M
77386 5,947 453 $2.18M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 12,603 12,014 $2.04M
95810 Polysomnography; sleep staging with 4 or more additional parameters 2,540 2,452 $1.78M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 12,464 6,383 $1.75M
59025 Fetal non-stress test 9,830 7,605 $1.74M
D2930 Prefabricated stainless steel crown - primary tooth 3,239 934 $1.70M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 10,081 6,199 $1.58M
41899 Unlisted procedure, dentoalveolar structures 1,468 1,245 $1.45M
76801 9,322 8,708 $1.41M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 5,031 2,773 $1.32M
74177 Computed tomography, abdomen and pelvis; with contrast material 8,130 6,452 $1.31M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12,028 7,136 $1.29M
J9299 Injection, nivolumab, 1 mg 227 107 $1.11M
G0378 Hospital observation service, per hour 17,310 7,437 $1.05M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 3,722 2,575 $853K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 9,430 4,162 $815K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,080 2,609 $808K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 6,267 3,242 $759K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 37,643 27,921 $753K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 5,598 5,218 $749K
92557 9,574 9,184 $718K
80053 Comprehensive metabolic panel 106,546 80,823 $696K
76813 5,605 5,322 $663K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 1,193 500 $656K
71275 Computed tomographic angiography, chest, with contrast material 2,261 1,695 $639K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,953 2,535 $596K
97530 Therapeutic activities, direct patient contact, each 15 minutes 7,822 3,524 $580K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2,078 1,777 $576K
36512 397 274 $574K
J1050 Injection, medroxyprogesterone acetate, 1 mg 6,990 6,457 $551K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 323 277 $538K
95886 1,894 1,707 $519K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 512 426 $509K
J0897 Injection, denosumab, 1 mg 449 323 $505K
71260 Computed tomography, thorax, diagnostic; with contrast material 3,883 3,165 $503K
92587 7,711 7,475 $493K
78815 Positron emission tomography (PET) for limited area imaging 815 697 $492K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,316 3,999 $488K
76820 6,144 3,634 $481K
Q5107 Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg 896 253 $473K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,999 2,566 $472K
95811 698 676 $463K
77300 917 733 $460K
77295 523 430 $428K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 912 637 $425K
92550 5,168 4,938 $414K
77334 1,156 746 $409K
J9144 Injection, daratumumab, 10 mg and hyaluronidase-fihj 82 36 $401K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 676 471 $400K
95806 627 602 $394K
77412 2,731 330 $392K
82805 12,290 7,396 $388K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,495 1,214 $370K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 5,019 4,105 $367K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 572 408 $339K
J9022 Injection, atezolizumab, 10 mg 55 38 $338K
92567 8,564 8,319 $336K
96367 3,457 2,056 $334K
71046 Radiologic examination, chest; 2 views 23,875 20,215 $320K
76770 1,655 1,529 $309K
D7140 Extraction, erupted tooth or exposed root 1,247 508 $307K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,582 2,472 $306K
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg 521 284 $300K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 3,659 3,018 $298K
96416 1,133 530 $298K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,449 2,005 $296K
96415 1,943 1,028 $287K
97161 5,383 4,508 $278K
95782 355 351 $262K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 101 91 $260K
77336 2,378 991 $258K
77063 Screening digital breast tomosynthesis, bilateral 5,173 4,646 $257K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 13,859 10,855 $257K
86850 12,850 9,467 $255K
77290 457 381 $241K
80048 Basic metabolic panel (calcium, ionized) 18,583 15,234 $238K
90853 Group psychotherapy (other than of a multiple-family group) 2,434 395 $233K
P9016 Red blood cells, leukocytes reduced, each unit 1,070 793 $221K
70491 782 626 $215K
88185 5,281 2,217 $215K
45380 Colonoscopy, flexible; with biopsy, single or multiple 487 302 $214K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 8,619 3,726 $213K
76642 2,387 2,050 $212K
36430 1,671 923 $203K
77301 244 201 $199K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 206 166 $195K
J9173 Injection, durvalumab, 10 mg 58 24 $194K
76830 Ultrasound, transvaginal 3,601 3,070 $192K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,035 1,725 $189K
70551 Magnetic resonance imaging, brain; without contrast material 1,013 865 $178K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 9,138 7,269 $177K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 135,133 104,656 $171K
70496 610 496 $167K
93308 709 556 $163K
36556 420 281 $162K
95816 898 860 $158K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 641 583 $155K
73610 4,273 3,408 $151K
71250 1,648 1,467 $149K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 41,590 31,917 $148K
93970 982 818 $147K
84484 31,028 18,127 $146K
J2997 Injection, alteplase recombinant, 1 mg 875 202 $145K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 51,459 40,128 $145K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,124 1,007 $144K
73630 4,056 3,325 $140K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,229 847 $140K
86900 12,985 9,557 $140K
19083 156 121 $137K
76536 1,179 1,091 $135K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,108 618 $135K
97165 1,849 1,410 $132K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 13,871 12,246 $132K
31575 689 609 $127K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 833 498 $122K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 14,380 13,035 $122K
70498 876 699 $117K
74183 531 473 $114K
93971 1,436 1,182 $114K
J0561 Injection, penicillin g benzathine, 100,000 units 410 297 $111K
90937 273 28 $108K
88184 2,719 2,254 $107K
93975 745 629 $107K
0002A 3,126 2,900 $106K
77387 2,171 257 $106K
0001A 3,255 3,005 $105K
92579 3,406 3,314 $103K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 12,477 10,117 $101K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 747 657 $100K
D1351 Sealant - per tooth 234 141 $99K
J9306 Injection, pertuzumab, 1 mg 23 12 $99K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 257 196 $98K
J9305 Injection, pemetrexed, not otherwise specified, 10 mg 415 147 $94K
01922 413 356 $94K
72141 532 465 $92K
80069 9,282 5,043 $91K
D2391 Resin-based composite - one surface, posterior, primary or permanent 189 72 $90K
95924 246 217 $89K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 220 143 $89K
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg 174 91 $88K
71045 Radiologic examination, chest; single view 13,576 10,891 $87K
73030 3,457 2,731 $85K
92585 364 354 $85K
73560 1,911 1,536 $83K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 44,766 37,084 $83K
90651 442 394 $82K
76700 Ultrasound, abdominal, real time with image documentation; complete 414 372 $82K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,532 1,231 $81K
88341 1,523 561 $80K
73130 3,544 2,729 $80K
71271 517 483 $80K
97016 2,029 782 $78K
72197 300 250 $75K
77067 Screening mammography, bilateral, including computer-aided detection 5,194 4,676 $75K
J1756 Injection, iron sucrose, 1 mg 3,090 1,248 $73K
85027 21,435 12,544 $73K
97113 856 383 $72K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 572 451 $71K
J7297 Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg 98 73 $71K
70486 2,081 1,679 $71K
10060 412 337 $70K
74018 1,410 1,132 $69K
82947 35,420 17,070 $69K
73562 1,676 1,388 $69K
73502 2,139 1,785 $68K
97116 1,761 930 $68K
72110 1,207 1,084 $68K
73110 2,412 1,931 $64K
93017 807 653 $64K
36415 Collection of venous blood by venipuncture 67,941 45,367 $64K
73590 2,661 2,090 $64K
97162 1,184 1,020 $63K
77280 552 417 $63K
76982 1,520 1,326 $62K
97535 Self-care/home management training, each 15 minutes 1,687 1,197 $62K
77338 248 202 $61K
P9045 Infusion, albumin (human), 5%, 250 ml 202 104 $60K
90715 4,547 3,606 $59K
94060 591 532 $59K
88307 814 516 $59K
12001 373 319 $59K
90870 123 37 $58K
73564 2,906 2,324 $57K
Q5117 Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg 206 66 $57K
72125 Computed tomography, cervical spine; without contrast material 5,165 4,081 $56K
94618 673 614 $56K
11982 264 228 $56K
83605 21,691 13,743 $54K
80320 2,715 2,157 $51K
75574 191 139 $51K
75561 181 151 $50K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) 398 231 $49K
58558 46 29 $49K
H2019 Therapeutic behavioral services, per 15 minutes 842 340 $49K
99152 3,567 2,650 $49K
20610 384 286 $47K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,951 1,815 $47K
74230 253 234 $47K
96523 1,369 949 $46K
74174 667 507 $46K
76000 427 245 $46K
86901 12,993 9,559 $46K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 3,379 3,189 $45K
88305 Level IV - Surgical pathology, gross and microscopic examination 6,505 3,587 $45K
96376 9,550 4,517 $45K
93296 2,043 1,921 $45K
36591 3,806 2,332 $45K
97802 475 439 $45K
29581 439 150 $44K
96375 Therapeutic injection; each additional sequential IV push 34,440 23,317 $44K
73552 1,799 1,434 $44K
77062 1,023 932 $43K
92626 577 546 $43K
93880 444 379 $43K
82728 7,014 5,868 $42K
58300 430 317 $42K
81025 51,376 45,706 $42K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 14,367 13,026 $41K
72050 692 619 $40K
83735 21,600 12,021 $40K
Q5103 Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg 31 26 $39K
73140 633 560 $38K
12002 263 206 $38K
83021 4,434 3,173 $37K
86920 1,871 821 $37K
77080 588 547 $37K
92526 604 375 $35K
72100 875 757 $35K
73090 1,501 1,175 $34K
70544 232 183 $34K
90791 Psychiatric diagnostic evaluation 181 168 $34K
93242 290 236 $33K
72170 1,811 1,432 $33K
83615 12,345 8,355 $33K
T1002 Rn services, up to 15 minutes 331 142 $33K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,323 6,487 $33K
93325 415 345 $33K
92523 379 342 $32K
72082 529 478 $32K
77061 751 668 $32K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 821 632 $32K
85610 26,517 16,312 $32K
70487 119 86 $32K
94726 612 556 $32K
J3490 Unclassified drugs 10,063 5,033 $31K
93922 451 404 $31K
58301 282 233 $31K
77072 311 283 $31K
87536 1,886 1,652 $31K
92551 283 277 $31K
72131 1,010 808 $31K
92604 836 766 $30K
94729 755 690 $30K
76818 321 250 $30K
57454 91 74 $30K
73700 254 203 $30K
86780 5,653 4,582 $30K
76981 455 401 $30K
95885 91 83 $30K
73221 139 124 $29K
59430 252 235 $29K
87081 2,890 2,503 $29K
95923 233 206 $28K
87086 Culture, bacterial; quantitative colony count, urine 11,031 9,017 $28K
84443 Thyroid stimulating hormone (TSH) 7,753 6,105 $28K
62323 99 85 $28K
12011 185 145 $28K
82330 17,582 11,157 $27K
73080 1,147 929 $26K
86141 2,581 2,189 $26K
J3535 Drug administered through a metered dose inhaler 1,046 474 $26K
38222 58 40 $26K
J1950 Injection, leuprolide acetate (for depot suspension), per 3.75 mg 15 15 $26K
91200 209 177 $25K
99153 Mod sedat endo service >5yrs 2,133 1,544 $25K
11045 73 52 $25K
31579 87 78 $24K
D2934 41 13 $24K
58661 18 12 $24K
77470 46 38 $23K
D2330 49 27 $23K
87800 5,137 4,107 $23K
72128 815 650 $23K
77065 Tomosynthesis, mammo 1,129 977 $22K
81001 31,568 27,326 $22K
73070 520 425 $22K
86922 929 462 $22K
J9070 Cyclophosphamide, 100 mg 201 57 $21K
76882 194 164 $21K
42820 Tonsillectomy and adenoidectomy; younger than age 12 14 12 $21K
99406 1,082 925 $21K
73060 1,104 849 $20K
85007 2,907 1,489 $20K
78816 27 27 $20K
86808 1,036 937 $20K
90686 1,542 1,141 $20K
J1453 Injection, fosaprepitant, 1 mg 1,641 856 $19K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 165 158 $19K
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography 344 282 $19K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 2,319 2,028 $19K
93798 231 52 $19K
76870 361 315 $18K
83036 Hemoglobin; glycosylated (A1C) 3,983 3,317 $18K
43235 65 45 $18K
81003 24,641 20,846 $18K
97166 288 211 $17K
93350 75 68 $17K
94010 535 442 $17K
83880 6,374 4,758 $17K
86902 1,487 657 $17K
J1815 Injection, insulin, per 5 units 1,136 392 $17K
J1750 Injection, iron dextran, 50 mg 120 61 $16K
97010 469 226 $16K
90837 Psychotherapy, 53 minutes with patient 130 79 $16K
85045 9,046 6,077 $16K
84702 5,288 4,090 $16K
72040 316 273 $16K
72190 239 185 $16K
82607 2,082 1,801 $15K
93356 129 106 $15K
92611 192 179 $15K
96116 79 64 $15K
73100 342 290 $15K
80061 Lipid panel 2,695 2,332 $15K
J2469 Injection, palonosetron hcl, 25 mcg 3,861 1,862 $15K
J9395 Injection, fulvestrant, 25 mg 157 116 $15K
77066 Tomosynthesis, mammo 1,183 1,067 $14K
96401 1,308 496 $14K
88360 214 100 $14K
95911 143 123 $14K
0004A 373 372 $13K
00170 Anesthesia for intraoral procedures, including biopsy 2,654 2,283 $13K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 4,975 4,197 $13K
93246 210 195 $13K
96368 747 416 $12K
36561 20 13 $12K
83540 3,526 2,894 $12K
87205 3,760 3,012 $11K
J1170 Injection, hydromorphone, up to 4 mg 12,238 5,115 $11K
86832 287 239 $11K
0072A 283 283 $11K
87631 58 56 $11K
86140 2,047 1,530 $11K
92652 214 209 $11K
J8499 Prescription drug, oral, non chemotherapeutic, nos 5,841 1,665 $11K
74240 57 51 $10K
87210 10,323 9,109 $10K
99385 265 244 $10K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 155 151 $10K
94660 89 39 $10K
93321 222 177 $10K
0012A 502 445 $10K
0071A 259 257 $10K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg 56 40 $10K
J9045 Injection, carboplatin, 50 mg 1,311 577 $10K
85730 6,492 4,653 $10K
C1760 Closure device, vascular (implantable/insertable) 332 244 $10K
71101 411 353 $10K
88342 1,331 883 $10K
83550 3,561 2,925 $10K
31500 38 12 $10K
95910 61 53 $9K
85097 109 56 $9K
70360 123 119 $9K
82435 13,950 9,696 $9K
77073 230 197 $9K
84439 1,879 1,448 $9K
82077 5,584 4,179 $9K
29075 78 61 $8K
80143 5,260 3,914 $8K
0011A 697 507 $8K
72072 195 176 $8K
86870 300 173 $8K
0003A 224 224 $8K
97803 112 105 $8K
82570 2,723 2,149 $8K
J0500 Injection, dicyclomine hcl, up to 20 mg 396 267 $8K
86923 241 132 $8K
85018 10,527 6,800 $8K
80346 516 438 $8K
95913 58 51 $8K
87070 1,655 1,166 $8K
80361 741 612 $8K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 15 14 $8K
72081 108 97 $7K
82533 1,389 1,008 $7K
86833 280 237 $7K
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units 322 120 $7K
72156 43 41 $7K
86803 2,555 2,192 $7K
73000 212 180 $7K
82784 3,285 1,152 $7K
84132 15,208 10,573 $7K
97035 67 33 $7K
99386 103 91 $7K
82024 1,012 770 $6K
83690 11,229 8,890 $6K
J9263 Injection, oxaliplatin, 0.5 mg 1,282 380 $6K
80076 1,060 824 $6K
C1776 Joint device (implantable) 60 42 $6K
58100 43 40 $6K
73521 182 139 $6K
80185 290 257 $6K
86334 794 622 $6K
90999 Unlisted dialysis procedure, inpatient or outpatient 85 14 $6K
92610 88 82 $6K
73620 154 116 $6K
83970 449 326 $6K
82378 1,211 826 $6K
82248 1,758 1,273 $5K
87186 2,542 1,911 $5K
84295 14,127 9,852 $5K
94762 98 58 $5K
J2800 Injection, methocarbamol, up to 10 ml 1,645 1,075 $5K
96402 1,046 734 $5K
87075 2,573 1,532 $5K
88237 77 38 $5K
86706 1,069 861 $5K
81379 14 13 $5K
80197 906 373 $5K
11981 26 13 $5K
77293 49 40 $5K
87340 1,342 1,110 $5K
J7120 Ringers lactate infusion, up to 1000 cc 25,583 17,328 $5K
76937 766 569 $5K
87497 656 328 $5K
82746 1,257 1,059 $5K
72120 138 130 $5K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,038 1,699 $5K
82550 2,196 1,384 $5K
92524 69 61 $5K
J0585 Injection, onabotulinumtoxina, 1 unit 38 15 $5K
J1650 Injection, enoxaparin sodium, 10 mg 5,302 1,642 $5K
95819 27 26 $5K
84153 783 670 $4K
87077 1,555 1,015 $4K
99195 300 246 $4K
74178 14 13 $4K
87040 2,334 907 $4K
99407 126 96 $4K
J9060 Injection, cisplatin, powder or solution, 10 mg 392 131 $4K
84100 4,100 2,849 $4K
29065 40 31 $4K
80349 530 416 $4K
80179 5,214 3,911 $4K
76885 33 28 $4K
81382 30 13 $4K
82962 3,583 2,683 $4K
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) 338 260 $4K
92950 48 28 $4K
86318 447 385 $4K
96158 44 27 $4K
95909 44 38 $4K
J8501 Aprepitant, oral, 5 mg 214 129 $4K
84403 509 420 $4K
84550 2,245 1,422 $4K
87799 830 314 $3K
87535 103 94 $3K
88350 53 28 $3K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 1,037 432 $3K
J2270 Injection, morphine sulfate, up to 10 mg 6,620 4,581 $3K
90677 95 92 $3K
77370 20 14 $3K
J9206 Injection, irinotecan, 20 mg 291 126 $3K
80198 287 254 $3K
0064A 95 95 $3K
73120 83 51 $3K
86704 602 507 $3K
J3260 Injection, tobramycin sulfate, up to 80 mg 171 89 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 30,365 23,711 $3K
86317 258 215 $3K
88304 419 284 $3K
J2704 Injection, propofol, 10 mg 9,712 6,664 $3K
00300 312 219 $3K
97014 68 26 $3K
83883 502 189 $3K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 21 21 $3K
82565 429 356 $3K
76983 69 68 $3K
90656 275 270 $3K
J9201 Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg 233 99 $3K
84165 1,196 910 $2K
88112 309 211 $2K
76942 457 350 $2K
77001 365 251 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 389 377 $2K
96409 450 249 $2K
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units 42 26 $2K
00731 714 541 $2K
84156 1,761 1,381 $2K
J1610 Injection, glucagon hydrochloride, per 1 mg 18 13 $2K
C9113 Injection, pantoprazole sodium, per vial 974 447 $2K
80365 536 422 $2K
A9270 Non-covered item or service 35,494 5,959 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 17,825 14,065 $2K
J1953 Injection, levetiracetam, 10 mg 442 276 $2K
83521 969 705 $2K
85384 1,565 1,054 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 110 109 $2K
76825 35 33 $2K
J1644 Injection, heparin sodium, per 1000 units 5,693 1,573 $2K
83010 695 473 $2K
J0640 Injection, leucovorin calcium, per 50 mg 81 33 $2K
86880 145 107 $2K
70547 13 13 $2K
87529 326 148 $2K
85652 1,886 1,457 $2K
88313 460 244 $2K
73200 13 13 $2K
87632 18 13 $2K
81002 3,156 2,657 $2K
72158 15 15 $2K
88346 42 29 $2K
82948 1,118 802 $2K
73660 30 25 $2K
85014 2,792 2,475 $2K
90662 371 283 $2K
J7030 Infusion, normal saline solution , 1000 cc 11,001 7,220 $2K
87522 Neg quan hep c or qual rna 183 140 $2K
80358 291 232 $2K
76604 14 12 $2K
85660 997 460 $2K
73600 58 38 $2K
84155 1,207 911 $2K
85379 1,640 1,282 $2K
82803 2,812 2,266 $2K
90472 Immunization administration, each additional vaccine (list separately) 456 341 $2K
12013 18 13 $2K
51798 288 251 $2K
86038 222 202 $2K
80354 294 234 $2K
82043 529 481 $2K
90688 119 93 $2K
76827 34 32 $1K
87101 72 71 $1K
86481 75 68 $1K
80373 263 210 $1K
J3411 Injection, thiamine hcl, 100 mg 911 362 $1K
J3475 Injection, magnesium sulfate, per 500 mg 3,972 1,924 $1K
80177 644 455 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $1K
90678 104 103 $1K
99401 15 13 $1K
82247 370 249 $1K
86762 133 95 $1K
J2274 Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg 299 245 $1K
C1769 Guide wire 1,352 964 $1K
96417 2,702 1,399 $1K
83516 41 18 $1K
72146 16 16 $1K
J7999 Compounded drug, not otherwise classified 1,556 1,115 $1K
88312 62 30 $1K
76821 30 12 $1K
96132 26 24 $1K
89240 148 129 $978.34
82977 276 170 $972.79
87102 315 206 $957.76
00840 584 367 $952.94
97022 32 13 $947.29
G0404 Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination 249 185 $928.92
80368 263 210 $923.71
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 71 51 $899.85
82375 622 490 $893.19
86825 35 28 $881.19
80329 705 249 $871.58
91300 6,866 6,102 $861.80
90670 92 91 $858.43
J2360 Injection, orphenadrine citrate, up to 60 mg 1,851 1,383 $825.48
J3370 Injection, vancomycin hcl, 500 mg 1,750 856 $824.80
87467 158 105 $823.09
J9000 Injection, doxorubicin hydrochloride, 10 mg 80 41 $809.67
J2359 Injection, olanzapine, 0.5 mg 268 127 $795.56
83050 599 474 $790.71
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 5,470 2,580 $787.45
J2405 Injection, ondansetron hydrochloride, per 1 mg 24,337 16,297 $783.44
J0131 Injection, acetaminophen, not otherwise specified,10 mg 930 781 $774.95
J0696 Injection, ceftriaxone sodium, per 250 mg 4,072 2,801 $760.59
C1887 Catheter, guiding (may include infusion/perfusion capability) 483 339 $741.39
84460 378 258 $732.60
84450 375 254 $715.78
80074 154 116 $713.52
A9575 Injection, gadoterate meglumine, 0.1 ml 4,025 3,295 $711.53
84075 371 248 $692.14
29125 253 188 $687.41
86592 115 80 $659.91
86301 139 99 $653.96
73523 22 16 $652.94
86364 26 26 $652.89
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,033 734 $648.76
86225 82 70 $628.54
J0360 Injection, hydralazine hcl, up to 20 mg 827 523 $622.26
76776 20 13 $621.96
00142 595 427 $615.65
87506 12 12 $611.68
J8540 Dexamethasone, oral, 0.25 mg 1,412 622 $608.24
0013A 18 18 $585.08
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 519 228 $583.31
J1200 Injection, diphenhydramine hcl, up to 50 mg 5,063 2,835 $578.54
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 14 12 $577.62
86235 84 45 $570.56
84445 19 19 $570.23
88311 176 122 $567.33
74220 13 12 $566.50
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,131 642 $559.83
J0690 Injection, cefazolin sodium, 500 mg 4,046 2,613 $557.43
00120 37 26 $553.71
72157 12 12 $547.17
86787 46 39 $540.53
J0780 Injection, prochlorperazine, up to 10 mg 1,024 656 $539.78
72070 13 12 $536.71
88142 39 31 $528.60
82150 206 151 $519.23
97032 18 12 $512.57
95012 12 12 $501.65
J3010 Injection, fentanyl citrate, 0.1 mg 12,355 8,815 $500.37
J2785 Injection, regadenoson, 0.1 mg 194 140 $494.89
J1100 Injection, dexamethasone sodium phosphate, 1 mg 11,112 7,093 $488.64
86580 14 14 $488.01
84145 59 40 $475.90
G0008 Administration of influenza virus vaccine 391 331 $475.67
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 970 663 $473.61
J2250 Injection, midazolam hydrochloride, per 1 mg 16,490 11,816 $463.39
86431 70 60 $460.65
85347 234 98 $455.81
86735 35 27 $453.25
86765 37 29 $453.25
80164 82 57 $442.27
87634 130 103 $435.32
J3489 Injection, zoledronic acid, 1 mg 79 60 $433.29
J2765 Injection, metoclopramide hcl, up to 10 mg 2,783 2,006 $425.20
J7060 5% dextrose/water (500 ml = 1 unit) 8,706 3,151 $419.81
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 755 535 $414.83
82010 364 255 $401.40
99417 Prolong home eval add 15m 686 579 $398.23
87015 193 112 $369.16
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 24 24 $355.33
82232 51 40 $348.74
89051 167 113 $338.82
83002 32 28 $337.16
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg 1,057 546 $335.72
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 361 239 $334.66
88173 103 64 $330.57
82465 51 48 $328.07
87206 207 97 $326.61
86703 143 115 $323.36
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 720 369 $321.52
J1630 Injection, haloperidol, up to 5 mg 1,459 929 $316.68
90633 31 31 $307.55
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 290 158 $296.09
83001 18 16 $290.22
92555 25 24 $286.78
90732 20 15 $285.97
86308 35 29 $268.44
90698 53 52 $267.43
51702 33 24 $265.05
84146 15 12 $263.59
87185 114 71 $250.75
Q9957 Injection, perflutren lipid microspheres, per ml 1,164 938 $247.93
86300 136 106 $243.69
86304 21 15 $240.91
84540 79 51 $237.91
J9190 Injection, fluorouracil, 500 mg 1,786 676 $233.66
87449 48 39 $230.18
J3590 Unclassified biologics 24 12 $228.17
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 3,928 2,003 $226.90
82668 74 64 $215.81
J2919 Injection, methylprednisolone sodium succinate, 5 mg 560 390 $211.92
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 88 79 $208.48
82810 381 267 $208.10
J1720 Injection, hydrocortisone sodium succinate, up to 100 mg 285 181 $196.38
84300 91 62 $193.21
82670 13 13 $189.47
93290 33 29 $188.29
J3480 Injection, potassium chloride, per 2 meq 1,704 920 $187.24
80202 21 12 $186.27
84133 76 53 $186.19
J1940 Injection, furosemide, up to 20 mg 1,132 565 $174.28
82436 47 37 $162.13
A4217 Sterile water/saline, 500 ml 2,637 1,641 $161.59
C1780 Lens, intraocular (new technology) 327 237 $158.66
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 143 114 $155.59
36600 30 25 $154.84
76376 640 556 $148.88
J7050 Infusion, normal saline solution, 250 cc 10,107 4,324 $145.05
90696 14 14 $132.90
36410 19 13 $123.80
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 1,463 686 $121.40
J1171 Injection, hydromorphone, 0.1 mg 680 364 $116.73
J1805 Injection, esmolol hydrochloride, 10 mg 314 259 $114.36
93299 14 12 $114.02
83935 35 24 $111.58
0753T 368 243 $109.12
J9267 Injection, paclitaxel, 1 mg 1,157 444 $109.10
G0498 Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted living) using a portable pump provided by the office/clinic, includes follow up office/clinic visit at the conclusion of the infusion 44 25 $95.68
J2060 Injection, lorazepam, 2 mg 499 353 $95.25
J1790 Injection, droperidol, up to 5 mg 638 453 $94.42
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 852 580 $92.28
90710 16 15 $91.86
90460 Immunization administration through 18 years of age via any route, first or only component 79 67 $90.17
76377 1,034 819 $89.94
86147 26 13 $86.20
94761 548 376 $85.98
82945 30 25 $81.72
J1920 Injection, labetalol hydrochloride, 5 mg 309 217 $79.25
96411 1,144 677 $73.87
87116 41 25 $73.24
86593 18 13 $71.85
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) 94 14 $66.65
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 278 267 $63.81
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 184 80 $63.65
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 13 13 $59.15
J2175 Injection, meperidine hydrochloride, per 100 mg 607 459 $58.45
J2470 Injection, pantoprazole sodium, 40 mg 89 65 $56.25
83718 45 42 $55.67
J2550 Injection, promethazine hcl, up to 50 mg 285 103 $55.58
J0330 Injection, succinylcholine chloride, up to 20 mg 624 374 $53.05
86146 14 14 $47.67
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,651 948 $47.08
84436 16 14 $46.29
82140 54 40 $45.01
J1030 Injection, methylprednisolone acetate, 40 mg 31 25 $44.46
84157 49 37 $40.85
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 298 248 $39.30
46600 160 125 $38.09
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 821 636 $37.49
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 448 246 $32.80
J0613 Injection, calcium gluconate (wg critical care), not therapeutically equivalent to j0612, 10 mg 72 31 $32.80
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) 129 77 $30.44
A4648 Tissue marker, implantable, any type, each 372 284 $30.09
86705 13 12 $29.62
29515 12 12 $27.03
J2003 Injection, lidocaine hydrochloride, 1 mg 726 666 $26.03
90648 14 14 $21.03
82950 15 13 $17.64
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 779 520 $16.63
J1596 Injection, glycopyrrolate, 0.1 mg 276 255 $14.97
J0173 Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg 289 183 $14.33
J0461 Injection, atropine sulfate, 0.01 mg 207 108 $12.50
00400 177 105 $12.40
J2795 Injection, ropivacaine hydrochloride, 1 mg 149 129 $12.28
J0456 Injection, azithromycin, 500 mg 42 31 $10.37
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 443 244 $10.17
91301 1,240 991 $6.65
91307 624 601 $5.94
J0171 Injection, adrenalin, epinephrine, 0.1 mg 470 343 $4.96
96377 297 156 $3.90
36416 343 301 $3.32
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 22 13 $3.25
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 141 135 $2.83
91305 132 123 $1.22
91306 86 86 $0.77
J0741 Injection, cabotegravir and rilpivirine, 2mg/3mg 24 24 $0.07
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 1,079 752 $0.00
C1788 Port, indwelling (implantable) 20 13 $0.00
D1120 Prophylaxis - child 623 511 $0.00
C1752 Catheter, hemodialysis/peritoneal, short-term 112 62 $0.00
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 494 435 $0.00
00520 221 147 $0.00
J0736 Injection, clindamycin phosphate, 300 mg 20 12 $0.00
15853 43 42 $0.00
00811 91 67 $0.00
Q0508 Miscellaneous supply or accessory for use with an implanted ventricular assist device 17 16 $0.00
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 432 289 $0.00
A4649 Surgical supply; miscellaneous 144 102 $0.00
01810 24 24 $0.00
00145 20 15 $0.00
00140 23 16 $0.00
00940 18 12 $0.00
96159 19 12 $0.00
C1729 Catheter, drainage 28 26 $0.00
77003 19 12 $0.00
96138 13 12 $0.00
96133 13 12 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 63 60 $0.00
00126 218 190 $0.00
80050 General health panel 74 54 $0.00
G0103 Prostate cancer screening; prostate specific antigen test (psa) 12 12 $0.00
D0272 Bitewings - two radiographic images 267 222 $0.00
00790 66 39 $0.00
00160 96 74 $0.00
00952 79 59 $0.00
00320 111 77 $0.00
94760 379 247 $0.00
01480 80 39 $0.00
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml 20 13 $0.00
C1819 Surgical tissue localization and excision device (implantable) 45 38 $0.00
J2305 Injection, nitroglycerin, 5 mg 13 12 $0.00
A9698 Non-radioactive contrast imaging material, not otherwise classified, per study 45 26 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 14 12 $0.00
C1727 Catheter, balloon tissue dissector, non-vascular (insertable) 20 12 $0.00
96139 13 12 $0.00
L8699 Prosthetic implant, not otherwise specified 13 12 $0.00
00813 23 14 $0.00