Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Maricopa County Special Health Care District

Maricopa County Special Health Care District was paid $251.46M by Medicaid between Jan 2018 and Dec 2024, across 723 billing codes. Its largest line is 99283, emergency room visit (moderate) — 18% of everything it billed.

33Billing provider infoMARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT
PHOENIX, AZ 85008
33aNPI1073576740assigned 04/11/2006
28Total paid$251.46M
24GClaims4,606,950
24DCodes billed723
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Arizona

Rank by total paid#1 of 129
Median peer was paid$2.64M
This provider vs. median95×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$2.0M$4.0M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018564,776$30.48M
2019674,219$37.79M
2020567,765$30.50M
2021669,225$35.01M
2022746,189$39.82M
2023770,231$42.93M
2024incomplete614,545$34.93M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 18% 131,735 123,270 $45.60M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 12% 49,116 45,181 $29.87M
74177 Computed tomography, abdomen and pelvis; with contrast material 12% 29,526 28,163 $29.41M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 9.1% 48,941 46,423 $23.00M
99282 Emergency department visit for the evaluation and management, low to moderate severity 7.4% 89,820 85,313 $18.59M
70450 Computed tomography, head or brain; without contrast material 4.3% 26,651 24,906 $10.74M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.6% 3,283 3,194 $3.98M
72125 Computed tomography, cervical spine; without contrast material 1.6% 8,761 8,299 $3.93M
93975 1.5% 12,512 11,913 $3.69M
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 1.4% 14,304 10,326 $3.56M
G0378 Hospital observation service, per hour 1.4% 37,065 17,592 $3.51M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.2% 7,853 7,566 $3.09M
711 more codes
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1.1% 40,468 $2.87M
74176 Computed tomography, abdomen and pelvis; without contrast material 1.1% 3,728 $2.66M
44970 1.0% 394 $2.61M
T1016 Case management, each 15 minutes <1% 24,778 $2.15M
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 15,376 $2.15M
71275 Computed tomographic angiography, chest, with contrast material <1% 5,964 $2.11M
80053 Comprehensive metabolic panel <1% 192,044 $2.02M
99214 Doctor's office visit, returning patient (more involved) <1% 114,299 $1.95M
16020 <1% 13,543 $1.82M
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 2,346 $1.77M
99213 Doctor's office visit, returning patient (routine) <1% 126,215 $1.72M
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 1,610 $1.61M
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 2,699 $1.55M
47562 <1% 218 $1.47M
92587 <1% 2,954 $1.41M
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 98,703 $1.24M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 663 $1.08M
74174 <1% 879 $1.05M
20610 <1% 3,370 $1.00M
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 23,706 $946K
72131 <1% 4,615 $935K
12001 <1% 2,517 $899K
70498 <1% 2,344 $869K
77067 Screening mammography, bilateral, including computer-aided detection <1% 11,736 $818K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 16,384 $766K
94060 <1% 2,145 $761K
93970 <1% 3,519 $754K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,750 $723K
93976 <1% 16,635 $718K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 535 $675K
73110 <1% 8,053 $671K
70491 <1% 1,275 $619K
99215 Doctor's office visit, returning patient (complex) <1% 19,592 $596K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 1,296 $568K
76642 <1% 4,490 $565K
12002 <1% 1,817 $555K
73130 <1% 10,912 $541K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 4,507 $536K
87536 <1% 5,495 $517K
73630 <1% 11,959 $516K
72141 <1% 1,082 $511K
73610 <1% 8,999 $484K
71046 Radiologic examination, chest; 2 views <1% 50,402 $484K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 849 $465K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 107,759 $456K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 438 $447K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 2,625 $443K
12011 <1% 1,727 $439K
10060 <1% 2,405 $439K
67028 Intravitreal injection of a pharmacologic agent <1% 1,856 $435K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 17,415 $401K
20611 <1% 2,018 $394K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 10,738 $384K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r <1% 30,591 $380K
70551 Magnetic resonance imaging, brain; without contrast material <1% 2,006 $377K
29125 <1% 1,427 $364K
76830 Ultrasound, transvaginal <1% 8,832 $342K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 2,852 $341K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 1,383 $336K
74183 <1% 721 $319K
H0031 Mental health assessment, by non-physician <1% 619 $315K
92557 <1% 3,352 $315K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 2,216 $299K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,702 $297K
76536 <1% 2,846 $297K
80074 <1% 5,452 $287K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 6,438 $285K
97602 <1% 2,155 $280K
96375 Therapeutic injection; each additional sequential IV push <1% 54,001 $277K
94010 <1% 1,480 $274K
73030 <1% 8,066 $257K
97165 <1% 11,103 $255K
73564 <1% 2,217 $250K
73080 <1% 4,090 $247K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 15,762 $243K
73700 <1% 785 $242K
76770 <1% 2,756 $240K
97597 <1% 1,679 $235K
73562 <1% 9,111 $235K
73140 <1% 4,364 $230K
71250 <1% 2,157 $229K
80048 Basic metabolic panel (calcium, ionized) <1% 33,959 $226K
H0038 Self-help/peer services, per 15 minutes <1% 1,870 $223K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 146 $215K
70486 <1% 3,952 $185K
H2014 Skills training and development, per 15 minutes <1% 852 $183K
93971 <1% 4,597 $181K
H2027 Psychoeducational service, per 15 minutes <1% 1,142 $179K
94726 <1% 1,441 $169K
73590 <1% 4,837 $169K
92083 <1% 1,654 $168K
99464 <1% 3,000 $168K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 15,419 $149K
76882 <1% 3,078 $142K
73090 <1% 4,233 $141K
19083 <1% 111 $139K
77080 <1% 1,710 $139K
93226 <1% 713 $138K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 1,226 $137K
72100 <1% 2,302 $130K
C1769 Guide wire <1% 1,213 $127K
29515 <1% 515 $125K
73560 <1% 2,372 $118K
J2778 Injection, ranibizumab, 0.1 mg <1% 108 $118K
86480 <1% 4,374 $117K
97161 <1% 9,893 $116K
81599 <1% 771 $113K
74018 <1% 4,894 $112K
86003 <1% 763 $109K
77066 Tomosynthesis, mammo <1% 2,814 $106K
92250 <1% 1,281 $106K
84443 Thyroid stimulating hormone (TSH) <1% 31,221 $105K
87522 Neg quan hep c or qual rna <1% 3,396 $104K
73221 <1% 462 $102K
11721 <1% 2,788 $102K
70496 <1% 2,078 $100K
87902 <1% 212 $98K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 193,625 $97K
71271 <1% 1,170 $92K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 399 $92K
16025 <1% 584 $89K
72110 <1% 955 $88K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 72,622 $85K
70487 <1% 156 $83K
73502 <1% 3,687 $78K
74220 <1% 395 $77K
93017 <1% 1,325 $75K
80061 Lipid panel <1% 33,657 $74K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 3,395 $73K
73701 <1% 110 $72K
97168 <1% 1,924 $69K
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg <1% 41 $68K
59025 Fetal non-stress test <1% 3,162 $68K
11055 <1% 506 $64K
74160 <1% 195 $64K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 4,932 $64K
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 <1% 552 $63K
73552 <1% 2,166 $63K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 47,213 $61K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 10,563 $60K
73070 <1% 895 $58K
72050 <1% 372 $58K
95908 <1% 177 $57K
73060 <1% 1,885 $56K
J2469 Injection, palonosetron hcl, 25 mcg <1% 629 $55K
77065 Tomosynthesis, mammo <1% 2,302 $54K
99203 Doctor's office visit, new patient (routine) <1% 2,665 $49K
87507 <1% 528 $49K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 1,797 $49K
J1650 Injection, enoxaparin sodium, 10 mg <1% 8,658 $48K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 31,258 $48K
11056 <1% 442 $47K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 66 $46K
97760 <1% 4,833 $45K
80076 <1% 2,576 $44K
36430 <1% 952 $44K
74230 <1% 270 $44K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 2,743 $44K
99204 Doctor's office visit, new patient (more involved) <1% 1,935 $41K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 14,371 $41K
93308 <1% 1,188 $39K
72128 <1% 3,565 $39K
82274 <1% 7,324 $37K
11100 <1% 108 $36K
A6198 Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing <1% 3,358 $35K
92228 <1% 937 $35K
76775 <1% 700 $33K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 513 $32K
96361 Intravenous infusion, hydration; each additional hour <1% 73,534 $31K
T1002 Rn services, up to 15 minutes <1% 3,914 $31K
72040 <1% 770 $31K
71045 Radiologic examination, chest; single view <1% 27,849 $30K
73000 <1% 454 $30K
92136 <1% 317 $29K
86235 <1% 745 $29K
72114 <1% 264 $28K
90677 <1% 579 $28K
84702 <1% 10,429 $27K
76801 <1% 4,516 $27K
80320 <1% 22,835 $26K
76942 <1% 262 $26K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 51,984 $25K
84403 <1% 1,471 $25K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 22,246 $25K
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml <1% 1,366 $25K
96367 <1% 3,234 $23K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 1,245 $22K
82746 <1% 3,714 $22K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk <1% 42 $22K
93923 <1% 312 $22K
51702 <1% 1,769 $22K
90670 <1% 1,652 $21K
81513 <1% 306 $20K
29075 <1% 165 $20K
16030 <1% 50 $20K
90746 <1% 417 $20K
J1756 Injection, iron sucrose, 1 mg <1% 665 $19K
95819 <1% 82 $19K
29065 <1% 616 $19K
92579 <1% 642 $18K
86803 <1% 16,397 $18K
87631 <1% 6,824 $18K
74019 <1% 1,806 $17K
12013 <1% 76 $17K
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 126 $17K
96523 <1% 292 $17K
95909 <1% 51 $17K
49083 <1% 19 $16K
93880 <1% 185 $16K
73200 <1% 52 $16K
82607 <1% 6,408 $16K
51798 <1% 712 $16K
72170 <1% 490 $16K
11750 <1% 85 $16K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 14,727 $16K
Q9956 Injection, octafluoropropane microspheres, per ml <1% 4,015 $16K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 17,703 $14K
87338 <1% 2,671 $14K
86850 <1% 9,903 $14K
76870 <1% 2,153 $14K
J0897 Injection, denosumab, 1 mg <1% 26 $14K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 11,380 $14K
73521 <1% 451 $14K
29085 <1% 56 $13K
85027 <1% 22,095 $13K
97802 <1% 332 $12K
C9257 Injection, bevacizumab, 0.25 mg <1% 1,030 $12K
87070 <1% 3,878 $12K
29105 <1% 39 $12K
92002 <1% 88 $11K
92585 <1% 44 $11K
A4648 Tissue marker, implantable, any type, each <1% 203 $11K
83036 Hemoglobin; glycosylated (A1C) <1% 44,390 $10K
88341 <1% 586 $10K
73660 <1% 620 $10K
99153 Mod sedat endo service >5yrs <1% 1,074 $10K
P9016 Red blood cells, leukocytes reduced, each unit <1% 772 $9K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 43,161 $9K
72070 <1% 580 $9K
90715 <1% 10,134 $9K
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg <1% 31 $9K
76885 <1% 88 $9K
10022 <1% 12 $8K
84165 <1% 634 $8K
83970 <1% 1,349 $8K
95860 <1% 68 $8K
73100 <1% 81 $8K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 8,971 $8K
92134 <1% 4,148 $7K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 14,479 $7K
J2785 Injection, regadenoson, 0.1 mg <1% 326 $7K
87186 <1% 12,794 $7K
83880 <1% 9,756 $7K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 1,168 $6K
82550 <1% 15,919 $6K
80164 <1% 975 $6K
83516 <1% 2,759 $6K
11730 <1% 26 $6K
91322 <1% 350 $6K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring <1% 109 $6K
97803 <1% 237 $6K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,694 $6K
94761 <1% 2,111 $5K
82247 <1% 1,812 $5K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 2,258 $5K
95816 <1% 27 $5K
92567 <1% 5,317 $5K
84153 <1% 1,859 $5K
97535 Self-care/home management training, each 15 minutes <1% 2,609 $5K
95910 <1% 12 $5K
86635 <1% 2,009 $5K
92523 <1% 117 $5K
11102 <1% 16 $4K
17250 <1% 15 $4K
87801 Infectious agent detection by nucleic acid; amplified probe, multiple organisms <1% 1,009 $4K
88312 <1% 3,680 $4K
A9270 Non-covered item or service <1% 9,979 $4K
31500 <1% 40 $4K
82728 <1% 5,655 $4K
92950 <1% 45 $4K
97162 <1% 559 $4K
81001 <1% 99,646 $4K
A9585 Injection, gadobutrol, 0.1 ml <1% 7,511 $4K
88304 <1% 3,316 $4K
84445 <1% 82 $4K
90686 <1% 2,772 $4K
84146 <1% 645 $4K
87086 Culture, bacterial; quantitative colony count, urine <1% 39,868 $4K
94618 <1% 214 $4K
73120 <1% 45 $3K
G0127 Trimming of dystrophic nails, any number <1% 284 $3K
99442 <1% 302 $3K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 9,121 $3K
99223 Prolong inpt eval add15 m <1% 42 $3K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 521 $3K
64400 <1% 59 $3K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 140 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 17,702 $3K
72190 <1% 18 $3K
82533 <1% 105 $3K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 1,414 $3K
A6223 Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing <1% 8,018 $3K
76604 <1% 113 $3K
99360 <1% 2,541 $3K
73600 <1% 28 $3K
36591 <1% 959 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 4,206 $3K
0450 Emergency room services <1% 64 $3K
85730 <1% 6,487 $3K
88342 <1% 1,641 $3K
A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 1,902 $3K
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose <1% 761 $3K
82803 <1% 2,668 $2K
86704 <1% 1,847 $2K
90739 <1% 13 $2K
87045 <1% 380 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 14,929 $2K
83690 <1% 50,993 $2K
82570 <1% 14,126 $2K
84484 <1% 46,561 $2K
85610 <1% 52,614 $2K
76512 <1% 27 $2K
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% 1,500 $2K
69210 <1% 72 $2K
90736 <1% 108 $2K
86331 <1% 926 $2K
11057 <1% 14 $2K
84030 <1% 355 $2K
83001 <1% 408 $2K
72146 <1% 13 $2K
84703 <1% 37,402 $2K
86708 <1% 1,570 $2K
62270 <1% 25 $2K
90662 <1% 1,712 $2K
T1019 Help at home with bathing, dressing and eating, billed per 15 minutes <1% 587 $2K
86360 <1% 5,632 $2K
81025 <1% 26,483 $2K
70480 <1% 12 $2K
88112 <1% 1,508 $2K
73565 <1% 26 $2K
82950 <1% 989 $2K
90732 <1% 1,784 $2K
J7120 Ringers lactate infusion, up to 1000 cc <1% 61,003 $2K
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm <1% 1,715 $2K
95861 <1% 14 $1K
J3475 Injection, magnesium sulfate, per 500 mg <1% 3,353 $1K
29405 <1% 16 $1K
96376 <1% 17,030 $1K
77073 <1% 14 $1K
86141 <1% 9,699 $1K
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) <1% 3,667 $1K
96368 <1% 651 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 360 $1K
82784 <1% 1,295 $1K
83655 <1% 587 $1K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 66,502 $1K
93242 <1% 20 $1K
73620 <1% 53 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 46,652 $1K
86592 <1% 9,758 $1K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 652 $1K
36415 Collection of venous blood by venipuncture <1% 270,718 $1K
71101 <1% 43 $1K
70360 <1% 79 $978.74
0064A <1% 297 $935.03
83735 <1% 19,515 $869.91
0134A <1% 221 $867.14
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 20 $828.81
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 38 $822.80
86923 <1% 576 $811.73
90832 Psychotherapy session, about 30 minutes <1% 16 $806.65
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 49,255 $795.70
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 23,302 $770.87
90837 Psychotherapy session, about an hour <1% 23 $753.98
0004A <1% 22 $751.22
95885 <1% 176 $733.94
87102 <1% 819 $733.93
84156 <1% 3,825 $728.04
86225 <1% 1,426 $719.29
J3370 Injection, vancomycin hcl, 500 mg <1% 2,320 $718.44
86706 <1% 2,483 $708.74
J2704 Injection, propofol, 10 mg <1% 18,038 $708.12
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 225 $702.58
99205 Prolong outpt/office vis <1% 13 $696.66
86703 <1% 46 $647.74
82105 <1% 1,177 $623.18
J2560 Injection, phenobarbital sodium, up to 120 mg <1% 18 $613.72
93280 <1% 18 $608.05
86780 <1% 4,907 $603.23
97763 <1% 43 $599.02
83550 <1% 5,608 $577.02
J2270 Injection, morphine sulfate, up to 10 mg <1% 24,863 $576.43
86255 <1% 177 $565.80
S5110 Home care training, family; per 15 minutes <1% 60 $563.40
85379 <1% 6,188 $557.80
87077 <1% 12,782 $553.03
11720 <1% 15 $546.66
87486 <1% 1,317 $496.14
99441 <1% 98 $494.05
87040 <1% 14,370 $479.07
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing <1% 1,605 $477.36
99443 <1% 57 $465.75
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 2,110 $458.35
84439 <1% 7,776 $458.21
92133 <1% 1,522 $448.60
90750 <1% 284 $436.87
83605 <1% 14,874 $425.83
87210 <1% 9,938 $404.41
82150 <1% 396 $385.87
97164 <1% 205 $382.03
86039 <1% 88 $372.36
82140 <1% 2,307 $365.14
86901 <1% 13,479 $354.09
A6211 Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing <1% 13 $349.31
95012 <1% 155 $341.13
87177 <1% 60 $334.21
87517 <1% 100 $327.47
82652 <1% 100 $323.08
82565 <1% 1,653 $316.04
90834 Psychotherapy session, about 45 minutes <1% 18 $311.22
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 202 $307.62
94644 <1% 2,099 $300.16
86900 <1% 13,480 $274.45
85055 <1% 4,899 $263.96
87116 <1% 572 $253.22
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 17,060 $253.05
83615 <1% 2,640 $253.00
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 53 $252.97
83921 <1% 120 $249.98
J1953 Injection, levetiracetam, 10 mg <1% 1,091 $248.00
85007 <1% 21,665 $244.66
83993 <1% 27 $244.46
90656 <1% 225 $241.08
80069 <1% 44 $238.33
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 25 $217.07
86762 <1% 786 $214.41
88173 <1% 85 $208.52
J7030 Infusion, normal saline solution , 1000 cc <1% 14,628 $207.50
G0008 Administration of influenza virus vaccine <1% 8,795 $205.20
87449 <1% 2,148 $189.98
87430 <1% 3,929 $186.66
81003 <1% 9,807 $185.52
87150 <1% 402 $174.68
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 2,283 $174.08
87340 <1% 3,707 $170.38
83021 <1% 52 $169.32
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 480 $165.98
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 270 $153.89
J1020 Injection, methylprednisolone acetate, 20 mg <1% 32 $151.70
82010 <1% 1,541 $148.52
86431 <1% 1,711 $139.84
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) <1% 991 $137.91
86769 <1% 25 $134.83
92526 <1% 216 $132.98
80179 <1% 3,747 $131.77
80143 <1% 3,823 $131.77
84145 <1% 924 $131.02
87581 <1% 1,316 $130.00
82330 <1% 677 $128.48
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 14,910 $122.77
82962 <1% 8,214 $117.12
84466 <1% 56 $117.09
87205 <1% 5,624 $115.77
97018 <1% 1,079 $114.77
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 <1% 12 $113.37
84550 <1% 2,486 $112.08
J0780 Injection, prochlorperazine, up to 10 mg <1% 3,089 $110.00
84480 <1% 1,846 $109.38
J3010 Injection, fentanyl citrate, 0.1 mg <1% 26,592 $109.38
87081 <1% 3,056 $100.80
80178 <1% 145 $95.60
88108 <1% 27 $93.42
L0172 Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf <1% 1,133 $90.81
97166 <1% 51 $87.48
93325 <1% 37 $87.21
82378 <1% 25 $86.19
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 <1% 18,939 $85.91
87075 <1% 270 $85.38
A6258 Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing <1% 13,355 $85.22
86038 <1% 3,049 $83.98
87481 <1% 306 $80.72
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 10,453 $78.90
84460 <1% 879 $78.82
A4649 Surgical supply; miscellaneous <1% 215 $76.95
87653 <1% 155 $76.67
J2060 Injection, lorazepam, 2 mg <1% 7,556 $76.41
84100 <1% 9,638 $76.00
84481 <1% 977 $73.35
86160 <1% 1,761 $71.33
J1790 Injection, droperidol, up to 5 mg <1% 1,836 $70.18
85652 <1% 10,069 $65.08
A6206 Contact layer, sterile, 16 sq. in. or less, each dressing <1% 109 $62.73
83540 <1% 6,003 $62.57
84132 <1% 414 $62.14
97016 <1% 7,158 $61.95
J1815 Injection, insulin, per 5 units <1% 7,392 $60.12
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 14,917 $57.78
86709 <1% 592 $55.45
J1630 Injection, haloperidol, up to 5 mg <1% 4,644 $51.06
82670 <1% 283 $50.44
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 307 $49.42
77063 Screening digital breast tomosynthesis, bilateral <1% 8,452 $47.52
82785 <1% 616 $45.05
Q0114 Fern test <1% 1,780 $43.78
88300 <1% 562 $38.08
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 8,090 $37.18
85014 <1% 2,419 $34.27
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 7,905 $32.75
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 4,592 $32.50
J1940 Injection, furosemide, up to 20 mg <1% 2,438 $31.38
82248 <1% 2,080 $30.88
94645 <1% 55 $30.80
82103 <1% 415 $30.63
82947 <1% 343 $28.27
J3480 Injection, potassium chloride, per 2 meq <1% 1,958 $27.91
J1170 Injection, hydromorphone, up to 4 mg <1% 4,009 $26.47
P9612 Catheterization for collection of specimen, single patient, all places of service <1% 3,224 $26.45
80047 <1% 1,062 $25.90
82043 <1% 11,497 $25.39
84295 <1% 106 $23.94
90472 Immunization administration, each additional vaccine (list separately) <1% 1,026 $23.66
94760 <1% 802 $23.26
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 1,715 $21.50
J1644 Injection, heparin sodium, per 1000 units <1% 5,164 $21.23
C1729 Catheter, drainage <1% 512 $20.12
G0379 Direct admission of patient for hospital observation care <1% 516 $19.66
86359 <1% 5,632 $19.21
83002 <1% 188 $19.17
J7042 5% dextrose/normal saline (500 ml = 1 unit) <1% 1,130 $18.96
36600 <1% 136 $18.16
A6257 Transparent film, sterile, 16 sq. in. or less, each dressing <1% 10,516 $17.93
76937 <1% 249 $16.89
86256 <1% 125 $15.39
J0690 Injection, cefazolin sodium, 500 mg <1% 7,225 $14.84
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 4,313 $14.67
82390 <1% 367 $14.08
85384 <1% 136 $12.66
82977 <1% 610 $12.65
88740 <1% 446 $12.62
J0456 Injection, azithromycin, 500 mg <1% 687 $11.96
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 1,386 $11.59
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% 5,608 $11.25
G0009 Administration of pneumococcal vaccine <1% 3,447 $11.19
90480 <1% 374 $11.02
J3411 Injection, thiamine hcl, 100 mg <1% 1,510 $10.72
A6234 Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 286 $10.50
85046 <1% 643 $9.15
85018 <1% 194 $7.87
86593 <1% 1,513 $7.37
86308 <1% 98 $7.17
J3360 Injection, diazepam, up to 5 mg <1% 366 $6.80
C9113 Injection, pantoprazole sodium, per vial <1% 1,710 $6.77
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 313 $6.75
99152 <1% 1,458 $6.56
J0360 Injection, hydralazine hcl, up to 20 mg <1% 702 $6.46
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 622 $6.15
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 559 $5.99
90653 <1% 1,115 $5.45
84270 <1% 1,116 $5.12
J8540 Dexamethasone, oral, 0.25 mg <1% 127 $5.12
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 <1% 1,420 $4.97
84300 <1% 562 $4.52
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram <1% 4,086 $3.16
86200 <1% 1,339 $2.71
89050 <1% 213 $1.52
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 177 $0.93
J2020 Injection, linezolid, 200 mg 0% 133 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 0% 464 $0.00
87206 0% 434 $0.00
83930 0% 400 $0.00
J3535 Drug administered through a metered dose inhaler 0% 188 $0.00
J7060 5% dextrose/water (500 ml = 1 unit) 0% 1,842 $0.00
82104 0% 139 $0.00
D0230 Intraoral - periapical each additional radiographic image 0% 296 $0.00
90674 0% 672 $0.00
96415 0% 786 $0.00
88307 0% 653 $0.00
G8983 Changing & maintaining body position functional limitation, discharge status, at discharge from therapy or to end reporting 0% 178 $0.00
76819 Fetal biophysical profile; without non-stress testing 0% 15 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 0% 95 $0.00
89060 0% 387 $0.00
G8986 Carrying, moving & handling objects functional limitation, discharge status, at discharge from therapy or to end reporting 0% 2,384 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 472 $0.00
86376 0% 457 $0.00
G8998 Swallowing functional limitation, discharge status, at discharge from therapy or to end reporting 0% 44 $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 0% 698 $0.00
J1920 Injection, labetalol hydrochloride, 5 mg 0% 60 $0.00
D0120 Dental checkup, returning patient 0% 127 $0.00
V2632 Posterior chamber intraocular lens 0% 554 $0.00
G8981 Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals 0% 683 $0.00
J1817 Insulin for administration through dme (i.e., insulin pump) per 50 units 0% 502 $0.00
80329 0% 6,349 $0.00
G8980 Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting 0% 426 $0.00
Q0222 Injection, bebtelovimab, 175 mg 0% 39 $0.00
90474 0% 168 $0.00
90697 0% 48 $0.00
A7521 Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each 0% 577 $0.00
J2175 Injection, meperidine hydrochloride, per 100 mg 0% 227 $0.00
90680 0% 160 $0.00
0346T 0% 371 $0.00
86364 0% 12 $0.00
L4350 Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf 0% 80 $0.00
97014 0% 623 $0.00
87593 0% 13 $0.00
84154 0% 12 $0.00
D0140 Limited oral evaluation - problem focused 0% 16 $0.00
D1206 Topical application of fluoride varnish 0% 188 $0.00
J7050 Infusion, normal saline solution, 250 cc 0% 287 $0.00
87046 0% 42 $0.00
82945 0% 38 $0.00
0012A 0% 63 $0.00
87015 0% 314 $0.00
82553 0% 341 $0.00
0011A 0% 71 $0.00
C1781 Mesh (implantable) 0% 28 $0.00
84157 0% 51 $0.00
J2370 Injection, phenylephrine hcl, up to 1 ml 0% 26 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 28 $0.00
80051 0% 92 $0.00
J1836 Injection, metronidazole, 10 mg 0% 441 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 604 $0.00
99406 0% 42 $0.00
0031A 0% 27 $0.00
87529 0% 29 $0.00
83935 0% 29 $0.00
29130 0% 12 $0.00
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 0% 42 $0.00
J0500 Injection, dicyclomine hcl, up to 20 mg 0% 15 $0.00
90723 0% 26 $0.00
86701 0% 13 $0.00
J0461 Injection, atropine sulfate, 0.01 mg 0% 59 $0.00
J1030 Injection, methylprednisolone acetate, 40 mg 0% 30 $0.00
93320 0% 12 $0.00
90632 0% 14 $0.00
80177 0% 13 $0.00
J1010 Injection, methylprednisolone acetate, 1 mg 0% 23 $0.00
Q0247 Injection, sotrovimab, 500 mg 0% 113 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 0% 12 $0.00
86702 0% 13 $0.00
82436 0% 14 $0.00
G0010 Administration of hepatitis b vaccine 0% 15 $0.00
97116 0% 861 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 0% 1,397 $0.00
77061 0% 1,446 $0.00
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 0% 200 $0.00
Q0244 Injection, casirivimab and imdevimab, 1200 mg 0% 52 $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 0% 1,630 $0.00
76514 0% 44 $0.00
A4565 Slings 0% 2,593 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 0% 279 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 1,570 $0.00
89051 0% 834 $0.00
J2550 Injection, promethazine hcl, up to 50 mg 0% 1,535 $0.00
84450 0% 860 $0.00
77062 0% 2,331 $0.00
93225 0% 712 $0.00
76981 0% 2,299 $0.00
84155 0% 287 $0.00
D1120 Dental cleaning, child 0% 213 $0.00
G8989 Self care functional limitation, discharge status, at discharge from therapy or to end reporting 0% 128 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 0% 298 $0.00
G8984 Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals 0% 1,886 $0.00
92025 0% 39 $0.00
A0110 Non-emergency transportation and bus, intra or inter state carrier 0% 105 $0.00
J7510 Prednisolone oral, per 5 mg 0% 375 $0.00
94729 0% 1,504 $0.00
88313 0% 50 $0.00
84520 0% 361 $0.00
D0220 Intraoral - periapical first radiographic image 0% 727 $0.00
86705 0% 105 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 2,261 $0.00
J3372 Injection, vancomycin hcl (xellia), not therapeutically equivalent to j3370, 500 mg 0% 111 $0.00
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 0% 251 $0.00
92611 0% 251 $0.00
J1643 Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units 0% 252 $0.00
G8985 Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 1,909 $0.00
85460 0% 57 $0.00
J7070 Infusion, d5w, 1000 cc 0% 217 $0.00
L1830 Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf 0% 76 $0.00
96417 0% 365 $0.00
G8997 Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 0% 128 $0.00
86765 0% 47 $0.00
94770 0% 537 $0.00
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 0% 52 $0.00
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 0% 39 $0.00
90633 0% 39 $0.00
86015 0% 118 $0.00
J1956 Injection, levofloxacin, 250 mg 0% 16 $0.00
G8996 Swallowing functional limitation, current status at therapy episode outset and at reporting intervals 0% 129 $0.00
J0692 Injection, cefepime hydrochloride, 500 mg 0% 14 $0.00
A0160 Non-emergency transportation: per mile - case worker or social worker 0% 69 $0.00
87324 0% 105 $0.00
T2003 Non-emergency transportation, per trip 0% 63 $0.00
71100 0% 13 $0.00
J1171 Injection, hydromorphone, 0.1 mg 0% 58 $0.00
86787 0% 31 $0.00
90648 0% 35 $0.00
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 0% 34 $0.00
Q0243 Injection, casirivimab and imdevimab, 2400 mg 0% 27 $0.00
J2310 Injection, naloxone hydrochloride, per 1 mg 0% 47 $0.00
84133 0% 43 $0.00
J3486 Injection, ziprasidone mesylate, 10 mg 0% 82 $0.00
86147 0% 12 $0.00
Q0169 Promethazine hydrochloride, 12.5 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 0% 21 $0.00
90682 0% 44 $0.00
Q0239 Injection, bamlanivimab-xxxx, 700 mg 0% 40 $0.00
Q0245 Injection, bamlanivimab and etesevimab, 2100 mg 0% 58 $0.00
J0612 Injection, calcium gluconate, not otherwise specified, 10 mg 0% 15 $0.00
86735 0% 15 $0.00
M0245 Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring 0% 39 $0.00
85060 0% 14 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

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Authorized officialFOWLER, PAMELA (SYSTEM DIRECTOR OF REIMBURSEMENT)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.