Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES WASHINGTON

NPI: 1053363119 · ANCHORAGE, AK 99508 · General Acute Care Hospital · NPI assigned 05/17/2006

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

Authorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more

$161.45M
Total Medicaid Paid
2,296,473
Total Claims
1,738,858
Beneficiaries
508
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
NPI Enumeration Date05/17/2006

Related Entities

Other providers sharing the same authorized official: ANDERSON, DONALD

ProviderCityStateTotal Paid
KADLEC REGIONAL MEDICAL CENTER RICHLAND WA $151.60M
SWEDISH EDMONDS EDMONDS WA $30.06M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC EUREKA CA $28.68M
PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA TORRANCE CA $27.29M
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA SAN PEDRO CA $24.26M
PROVIDENCE HEALTH & SERVICES - WASHINGTON TUKWILA WA $21.98M
SWEDISH HEALTH SERVICES SEATTLE WA $21.06M
PROVIDENCE HEALTH & SERVICES WASHINGTON KODIAK AK $11.39M
SWEDISH HEALTH SERVICES SEATTLE WA $11.08M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC FORTUNA CA $8.55M
COLLABRIA CARE NAPA CA $8.20M
PROVIDENCE HEALTH & SERVICES OREGON SEASIDE OR $8.01M
PROVIDENCE HEALTH & SERVICES- WASHINGTON SPOKANE WA $8.01M
HOSPICE OF LUBBOCK INC LUBBOCK TX $6.48M
PROVIDENCE SAINT JOHN'S HEALTH CENTER SANTA MONICA CA $5.52M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.55M
COLLABRIA CARE NAPA CA $4.05M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.01M
METHODIST HOSPITAL PLAINVIEW TEXAS PLAINVIEW TX $4.00M
PROVIDENCE MEDICAL INSTITUTE TORRANCE CA $3.57M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 420,444 $23.87M
2019 396,285 $24.63M
2020 298,876 $19.32M
2021 302,400 $21.95M
2022 306,729 $24.73M
2023 304,072 $25.24M
2024 267,667 $21.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 46,022 39,502 $30.97M
99284 Emergency department visit for the evaluation and management, high severity 56,881 49,082 $22.32M
99283 Emergency department visit for the evaluation and management, moderate severity 68,480 60,469 $16.42M
G0378 Hospital observation service, per hour 13,044 8,467 $9.97M
74177 Computed tomography, abdomen and pelvis; with contrast material 7,396 6,817 $5.99M
41899 Unlisted procedure, dentoalveolar structures 2,217 2,087 $5.03M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 44,491 37,871 $3.14M
70450 Computed tomography, head or brain; without contrast material 8,043 7,360 $3.00M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 34,449 28,150 $2.61M
71045 Radiologic examination, chest; single view 28,781 25,166 $2.42M
96375 Therapeutic injection; each additional sequential IV push 26,497 20,126 $2.39M
74176 Computed tomography, abdomen and pelvis; without contrast material 2,848 2,650 $1.93M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 15,561 11,198 $1.81M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,328 3,195 $1.56M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 38,232 8,237 $1.56M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,225 2,093 $1.50M
99282 Emergency department visit for the evaluation and management, low to moderate severity 10,598 9,848 $1.36M
96361 Intravenous infusion, hydration; each additional hour 26,993 21,418 $1.35M
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 12,356 11,523 $1.32M
97530 Therapeutic activities, direct patient contact, each 15 minutes 23,407 8,291 $1.30M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,210 1,106 $1.29M
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 19,788 14,733 $1.24M
88305 Level IV - Surgical pathology, gross and microscopic examination 7,736 7,124 $1.19M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 8,884 7,823 $1.05M
71046 Radiologic examination, chest; 2 views 9,783 9,056 $1.01M
71275 Computed tomographic angiography, chest, with contrast material 2,545 2,380 $991K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 11,115 3,819 $928K
80053 Comprehensive metabolic panel 105,997 87,524 $848K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 4,407 2,979 $798K
72125 Computed tomography, cervical spine; without contrast material 1,983 1,841 $779K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 7,935 6,323 $752K
J3490 Unclassified drugs 28,324 11,952 $716K
70496 1,484 1,390 $710K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 115,033 93,306 $669K
96376 8,189 6,052 $659K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 263 242 $654K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 13,029 11,289 $651K
97597 7,556 3,650 $650K
70498 1,510 1,418 $634K
70551 Magnetic resonance imaging, brain; without contrast material 1,315 1,204 $631K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 16,752 4,083 $590K
J8499 Prescription drug, oral, non chemotherapeutic, nos 70,969 26,008 $572K
J7030 Infusion, normal saline solution , 1000 cc 12,389 9,929 $542K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 16,210 13,074 $537K
88307 1,368 1,176 $452K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,131 2,921 $401K
36430 1,990 1,230 $400K
71260 Computed tomography, thorax, diagnostic; with contrast material 991 940 $395K
99281 Emergency department visit for the evaluation and management, self-limited or minor 6,258 5,377 $385K
C1769 Guide wire 5,525 4,667 $373K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,417 1,312 $354K
84443 Thyroid stimulating hormone (TSH) 24,937 23,356 $348K
93971 1,781 1,645 $339K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 15,764 10,329 $338K
36902 1,199 1,087 $324K
29581 4,276 1,467 $321K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 427 392 $318K
36591 4,838 2,538 $293K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 5,763 4,012 $292K
45380 Colonoscopy, flexible; with biopsy, single or multiple 554 525 $275K
99153 Mod sedat endo service >5yrs 3,033 2,712 $273K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 8,137 7,625 $272K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 8,188 7,627 $270K
73610 2,163 1,982 $259K
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 12,807 9,302 $258K
88342 2,494 2,289 $254K
97116 8,729 3,179 $251K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 3,106 2,972 $250K
76801 1,092 1,006 $237K
73562 1,982 1,835 $219K
J1885 Injection, ketorolac tromethamine, per 15 mg 23,396 19,662 $218K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 8,736 8,253 $217K
73030 2,277 2,021 $217K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 2,630 2,127 $216K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 17,811 15,960 $216K
J2405 Injection, ondansetron hydrochloride, per 1 mg 30,861 23,647 $212K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 6,079 2,482 $210K
J9271 Injection, pembrolizumab, 1 mg 19 14 $208K
J7120 Ringers lactate infusion, up to 1000 cc 4,454 3,553 $203K
80061 Lipid panel 17,025 16,264 $196K
84484 27,789 20,572 $192K
99152 3,756 3,369 $192K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 5,666 4,665 $183K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,696 2,060 $179K
70486 603 557 $173K
74018 1,846 1,595 $172K
C1887 Catheter, guiding (may include infusion/perfusion capability) 1,926 1,547 $172K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,166 1,077 $172K
73130 1,727 1,532 $171K
J7050 Infusion, normal saline solution, 250 cc 7,391 3,886 $165K
83880 7,949 7,061 $163K
P9016 Red blood cells, leukocytes reduced, each unit 821 613 $159K
97535 Self-care/home management training, each 15 minutes 4,594 2,186 $158K
73630 1,575 1,421 $156K
D2930 Prefabricated stainless steel crown - primary tooth 503 481 $155K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 4,190 3,847 $153K
96415 1,442 1,194 $150K
J2704 Injection, propofol, 10 mg 13,609 11,823 $146K
H0007 Alcohol and/or drug services; crisis intervention (outpatient) 4,204 468 $144K
83036 Hemoglobin; glycosylated (A1C) 17,382 16,624 $142K
76830 Ultrasound, transvaginal 1,101 1,010 $141K
D7140 Extraction, erupted tooth or exposed root 411 392 $135K
J3010 Injection, fentanyl citrate, 0.1 mg 18,623 14,529 $134K
D0150 Comprehensive oral evaluation - new or established patient 443 418 $130K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 6,110 5,780 $129K
80048 Basic metabolic panel (calcium, ionized) 22,561 18,841 $127K
90853 Group psychotherapy (other than of a multiple-family group) 8,416 540 $124K
0240U 1,177 1,130 $123K
10061 720 678 $123K
C1766 Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away 347 317 $123K
D1120 Prophylaxis - child 403 384 $122K
72100 1,242 1,168 $122K
83690 22,906 19,833 $118K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,402 1,158 $116K
C1732 Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping 54 50 $115K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 14,212 12,576 $112K
81001 44,091 39,084 $112K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 471 281 $108K
12001 1,047 1,002 $107K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 86 77 $107K
81025 14,863 13,387 $104K
87510 5,429 5,011 $103K
87480 5,429 5,011 $103K
87660 5,429 5,011 $103K
86480 1,968 1,883 $101K
97162 2,374 2,222 $97K
86920 1,660 1,272 $95K
90715 2,728 2,579 $94K
87040 12,294 6,405 $93K
87086 Culture, bacterial; quantitative colony count, urine 13,894 12,736 $91K
84702 6,647 5,535 $90K
85027 19,082 16,105 $90K
87150 2,959 2,616 $90K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 16,990 13,077 $89K
H0015 Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education 2,993 184 $89K
97129 1,096 339 $87K
77336 830 366 $87K
73590 783 685 $86K
J2270 Injection, morphine sulfate, up to 10 mg 9,194 7,262 $81K
96367 2,936 2,024 $80K
86141 7,618 6,628 $80K
83970 2,516 2,271 $78K
73110 956 886 $77K
93458 25 25 $76K
84439 9,836 9,198 $76K
73502 1,059 966 $75K
87077 11,029 8,102 $74K
97161 1,762 1,654 $74K
J1170 Injection, hydromorphone, up to 4 mg 7,814 5,495 $74K
88341 507 426 $73K
88304 1,606 1,485 $72K
82728 6,360 5,931 $72K
83605 9,558 7,114 $69K
80074 1,824 1,719 $68K
J2250 Injection, midazolam hydrochloride, per 1 mg 10,099 8,872 $68K
D1206 Topical application of fluoride varnish 236 222 $67K
D0220 Intraoral - periapical first radiographic image 270 260 $66K
90791 Psychiatric diagnostic evaluation 811 579 $65K
D0230 Intraoral - periapical each additional radiographic image 263 254 $64K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 471 380 $64K
86780 5,629 5,305 $64K
J2060 Injection, lorazepam, 2 mg 6,620 4,971 $63K
D1351 Sealant - per tooth 212 203 $63K
86803 4,984 4,722 $63K
82077 5,077 4,288 $61K
83735 13,047 9,912 $61K
59025 Fetal non-stress test 649 403 $59K
94726 833 780 $59K
84466 5,317 5,037 $56K
36415 Collection of venous blood by venipuncture 117,264 95,717 $55K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 113 106 $52K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,716 1,634 $52K
82607 4,325 4,107 $51K
12011 523 490 $51K
J1200 Injection, diphenhydramine hcl, up to 50 mg 7,231 4,837 $51K
J1756 Injection, iron sucrose, 1 mg 1,017 428 $51K
J0696 Injection, ceftriaxone sodium, per 250 mg 6,326 5,026 $51K
73560 443 412 $49K
92526 1,000 473 $49K
82962 27,926 13,149 $48K
82803 3,290 2,755 $48K
88108 785 649 $48K
87070 6,850 6,086 $48K
J1644 Injection, heparin sodium, per 1000 units 9,918 5,508 $47K
87186 5,538 5,130 $46K
10060 410 395 $46K
J0561 Injection, penicillin g benzathine, 100,000 units 289 279 $45K
76700 Ultrasound, abdominal, real time with image documentation; complete 289 276 $45K
97130 859 265 $45K
D0240 191 186 $45K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,446 347 $45K
94729 951 893 $44K
J0690 Injection, cefazolin sodium, 500 mg 8,064 6,166 $43K
D0272 Bitewings - two radiographic images 179 171 $43K
86850 6,664 5,675 $42K
93613 26 24 $40K
94060 457 426 $40K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,354 1,102 $39K
85610 15,069 13,162 $39K
76818 200 134 $39K
J1815 Injection, insulin, per 5 units 2,421 1,326 $38K
A9150 Non-prescription drugs 38,498 20,975 $38K
J0330 Injection, succinylcholine chloride, up to 20 mg 4,644 3,653 $38K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 1,515 1,458 $37K
82570 8,292 7,440 $37K
73140 493 463 $36K
36907 90 77 $36K
77334 65 52 $36K
92523 432 394 $35K
A6196 Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing 2,548 1,352 $35K
J2560 Injection, phenobarbital sodium, up to 120 mg 1,258 935 $35K
96409 255 140 $34K
73090 306 267 $34K
D2330 116 107 $34K
80069 5,623 4,205 $34K
85379 4,471 4,164 $33K
93325 182 167 $31K
97166 723 677 $31K
76937 537 452 $31K
84112 349 320 $30K
99215 Prolong outpt/office vis 362 341 $30K
83540 5,648 5,333 $30K
12002 326 305 $30K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 88 85 $29K
93308 157 138 $29K
97542 584 520 $29K
90837 Psychotherapy, 53 minutes with patient 657 237 $29K
93798 752 130 $28K
73080 274 249 $28K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 262 251 $28K
84703 4,432 4,088 $28K
97163 767 732 $28K
82746 2,379 2,258 $28K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,859 1,787 $28K
84145 1,765 1,614 $27K
86140 6,093 5,251 $27K
A9585 Injection, gadobutrol, 0.1 ml 1,566 1,397 $27K
J3475 Injection, magnesium sulfate, per 500 mg 2,376 1,650 $27K
85730 6,902 6,260 $27K
82784 2,334 2,054 $26K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 725 634 $26K
87081 3,748 3,588 $26K
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg 23 12 $26K
87340 3,113 2,906 $25K
D2391 Resin-based composite - one surface, posterior, primary or permanent 90 86 $24K
97165 502 465 $23K
82043 4,577 4,344 $23K
A6207 Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing 4,042 2,022 $23K
J2370 Injection, phenylephrine hcl, up to 1 ml 3,886 3,276 $23K
73620 295 268 $23K
87205 6,720 5,821 $23K
93976 100 94 $22K
96417 265 195 $22K
82075 1,145 960 $22K
C1889 Implantable/insertable device, not otherwise classified 284 228 $22K
J2765 Injection, metoclopramide hcl, up to 10 mg 2,638 2,256 $22K
J8540 Dexamethasone, oral, 0.25 mg 3,448 2,720 $22K
84403 1,046 962 $22K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 562 515 $21K
H2021 Community-based wrap-around services, per 15 minutes 1,378 373 $21K
J0185 Injection, aprepitant, 1 mg 77 49 $21K
J3480 Injection, potassium chloride, per 2 meq 1,114 683 $21K
94010 406 384 $21K
J2550 Injection, promethazine hcl, up to 50 mg 2,498 1,722 $20K
87640 792 732 $20K
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) 448 387 $20K
87641 802 740 $20K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 75 71 $20K
D4355 69 68 $20K
85652 8,764 7,726 $20K
87631 199 183 $20K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 624 600 $19K
76770 140 126 $19K
J1650 Injection, enoxaparin sodium, 10 mg 3,574 1,096 $19K
86900 8,619 6,472 $19K
86901 8,606 6,468 $19K
74174 27 26 $19K
87075 2,594 2,226 $19K
C9113 Injection, pantoprazole sodium, per vial 2,202 1,661 $18K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 39 37 $18K
90832 Psychotherapy, 30 minutes with patient 467 196 $18K
G0515 Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes 392 107 $18K
80076 2,542 2,331 $18K
84100 4,988 3,735 $17K
83516 1,333 1,107 $17K
J1630 Injection, haloperidol, up to 5 mg 1,992 1,470 $17K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 2,125 1,708 $17K
80143 1,245 1,057 $17K
A4648 Tissue marker, implantable, any type, each 135 119 $16K
77295 12 12 $16K
J3370 Injection, vancomycin hcl, 500 mg 1,861 1,205 $16K
C1874 Stent, coated/covered, with delivery system 12 12 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 292 255 $16K
82274 1,250 1,209 $16K
80305 3,352 1,864 $15K
80179 1,093 953 $15K
86038 1,406 1,332 $15K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 3,875 3,007 $15K
72040 163 150 $15K
93312 30 29 $14K
80197 1,376 1,002 $14K
87522 Neg quan hep c or qual rna 355 345 $14K
J3411 Injection, thiamine hcl, 100 mg 1,638 1,124 $14K
J1790 Injection, droperidol, up to 5 mg 1,598 1,345 $13K
84481 903 855 $13K
87653 297 289 $13K
29125 127 113 $13K
86762 873 816 $12K
84156 3,907 3,447 $12K
72170 114 109 $11K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 1,340 1,123 $11K
82550 2,205 1,890 $11K
J0780 Injection, prochlorperazine, up to 10 mg 1,108 1,015 $11K
74230 73 66 $10K
J1940 Injection, furosemide, up to 20 mg 1,856 1,434 $10K
87799 312 180 $10K
84550 2,836 2,574 $10K
J9370 Vincristine sulfate, 1 mg 108 78 $10K
96368 426 260 $10K
86706 1,045 977 $9K
94760 477 379 $9K
77300 14 12 $9K
82140 819 679 $9K
90935 Hemodialysis procedure with single evaluation by a physician 54 25 $9K
73120 99 85 $8K
71101 69 66 $8K
92611 59 52 $8K
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 1,662 986 $8K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 3,944 1,927 $8K
90834 Psychotherapy, 45 minutes with patient 149 63 $8K
86304 574 473 $8K
0042T 14 14 $8K
70491 12 12 $8K
84153 521 492 $7K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 3,257 2,941 $7K
97602 151 90 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,022 2,823 $7K
81003 3,863 3,429 $7K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 141 133 $6K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 69 63 $6K
82310 1,688 1,453 $6K
82977 895 785 $6K
84146 338 319 $6K
73600 47 41 $6K
97127 59 14 $6K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 367 284 $5K
96450 14 13 $5K
82150 945 874 $5K
89051 1,228 1,001 $5K
82657 187 113 $5K
87493 187 169 $5K
87497 180 119 $5K
83615 1,143 884 $5K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 668 518 $5K
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 1,140 874 $5K
C2617 Stent, non-coronary, temporary, without delivery system 26 25 $5K
82248 992 795 $5K
80164 452 384 $4K
82565 1,036 900 $4K
87486 119 111 $4K
87581 119 111 $4K
87807 297 291 $4K
C1730 Catheter, electrophysiology, diagnostic, other than 3d mapping (19 or fewer electrodes) 15 14 $4K
J1453 Injection, fosaprepitant, 1 mg 164 103 $4K
78264 15 12 $4K
71250 12 12 $4K
36901 113 99 $4K
C1750 Catheter, hemodialysis/peritoneal, long-term 34 27 $4K
92610 55 53 $4K
85014 2,393 2,036 $4K
D2332 14 13 $4K
84460 801 733 $4K
85018 2,028 1,729 $4K
C1760 Closure device, vascular (implantable/insertable) 44 43 $4K
86376 302 286 $4K
87427 289 135 $3K
49083 16 12 $3K
82330 448 238 $3K
87147 588 555 $3K
J1836 Injection, metronidazole, 10 mg 180 135 $3K
87015 531 445 $3K
83001 236 215 $3K
82247 552 412 $3K
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 591 353 $3K
C1788 Port, indwelling (implantable) 12 12 $3K
A6457 Tubular dressing with or without elastic, any width, per linear yard 3,483 1,535 $3K
C2623 Catheter, transluminal angioplasty, drug-coated, non-laser 46 39 $3K
82533 211 170 $3K
82105 207 192 $3K
84132 1,199 922 $3K
97605 62 28 $3K
83520 169 163 $3K
83655 230 221 $3K
86431 508 488 $3K
76870 13 13 $3K
73070 37 33 $3K
J1171 Injection, hydromorphone, 0.1 mg 207 160 $2K
86800 184 174 $2K
74019 30 27 $2K
85384 410 273 $2K
83993 118 111 $2K
88173 15 12 $2K
87899 157 141 $2K
A6213 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing 271 179 $2K
83525 193 184 $2K
84305 100 99 $2K
82670 108 99 $2K
J9045 Injection, carboplatin, 50 mg 36 24 $2K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification 13 13 $2K
86200 133 123 $2K
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 2,512 1,954 $2K
87046 169 154 $2K
87045 168 154 $2K
83002 101 96 $2K
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml 161 148 $2K
86160 70 65 $1K
82950 266 259 $1K
A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 352 224 $1K
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 163 160 $1K
87400 84 60 $1K
73552 13 12 $1K
J9260 Injection, methotrexate sodium, 50 mg 23 13 $1K
J7060 5% dextrose/water (500 ml = 1 unit) 33 26 $1K
86704 133 127 $1K
J2175 Injection, meperidine hydrochloride, per 100 mg 126 105 $1K
85045 216 186 $980.23
82785 57 51 $932.02
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 15 12 $924.90
84520 260 232 $788.85
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 75 43 $780.24
80178 135 110 $767.14
87536 12 12 $748.86
83013 13 12 $714.00
84450 166 156 $713.43
H0046 Mental health services, not otherwise specified 621 398 $689.12
84295 213 164 $678.07
J2720 Injection, protamine sulfate, per 10 mg 130 121 $625.73
86308 125 118 $596.14
84402 24 24 $591.76
L1930 Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment 16 14 $544.52
85046 109 95 $541.38
86003 29 16 $508.44
86682 134 112 $489.18
82947 201 171 $485.21
82009 141 103 $482.36
J7042 5% dextrose/normal saline (500 ml = 1 unit) 15 12 $481.03
A6199 Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches 49 39 $456.24
A6234 Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 46 31 $437.52
84134 33 26 $429.38
87116 43 28 $395.08
85347 452 379 $379.51
J0735 Injection, clonidine hydrochloride, 1 mg 15 13 $334.95
87209 28 14 $322.74
L1836 Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf 16 13 $322.65
86255 26 25 $322.44
J1920 Injection, labetalol hydrochloride, 5 mg 37 29 $306.39
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 24 24 $281.16
82010 46 38 $269.61
87102 26 25 $263.40
90686 64 59 $261.92
J7999 Compounded drug, not otherwise classified 752 611 $243.68
J2919 Injection, methylprednisolone sodium succinate, 5 mg 267 205 $215.00
87338 16 12 $205.11
87177 28 14 $159.75
87206 45 28 $149.87
87420 15 13 $139.10
0202U Oncology (prostate), multianalyte, gene expression profiling 302 287 $138.24
84165 17 13 $112.20
89060 15 12 $100.95
J0456 Injection, azithromycin, 500 mg 15 13 $95.48
J0360 Injection, hydralazine hcl, up to 20 mg 29 24 $91.55
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 17 12 $88.70
83014 13 12 $83.34
J0692 Injection, cefepime hydrochloride, 500 mg 23 12 $81.84
J7510 Prednisolone oral, per 5 mg 13 13 $78.36
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 2,149 1,921 $75.98
0353U 2,429 2,194 $70.18
J2470 Injection, pantoprazole sodium, 40 mg 154 117 $70.02
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 13 13 $60.48
82945 12 12 $47.16
84157 12 12 $44.02
84155 18 14 $42.06
87207 14 13 $41.33
A9270 Non-covered item or service 46,511 14,538 $8.01
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 37 29 $3.28
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 12,406 9,096 $0.28
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 139 135 $0.00
86364 718 690 $0.00
0352U 1,763 1,631 $0.00
86258 82 80 $0.00
G0008 Administration of influenza virus vaccine 214 213 $0.00
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 88 64 $0.00
0099U 12 12 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 167 138 $0.00
G8982 Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 73 61 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 141 119 $0.00
0031A 84 69 $0.00
0011A 33 19 $0.00
97802 38 36 $0.00
G8981 Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals 38 32 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 520 449 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 372 343 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 81 79 $0.00
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 49 48 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 470 412 $0.00
86231 97 95 $0.00
80348 80 69 $0.00
90662 87 86 $0.00