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

Fresno Community Hospital and Medical Center

Fresno Community Hospital and Medical Center was paid $37.97M by Medicaid between Jan 2018 and Dec 2024, across 682 billing codes. Its largest line is 0450, Emergency room services — 18% of everything it billed.

33Billing provider infoFRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER
FRESNO, CA 93721
33aNPI1104906569assigned 10/17/2006
28Total paid$37.97M
24GClaims4,255,231
24DCodes billed682
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Acute Care Hospital providers in California

Rank by total paid#76 of 410
Median peer was paid$6.90M
This provider vs. median5.5×

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$1.0M$2.0M2018201920202021202220232024
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
2018850,024$9.74M
2019695,264$6.20M
2020511,594$3.04M
2021542,213$4.17M
2022546,927$4.40M
2023591,574$5.55M
2024incomplete517,635$4.88M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0450 Emergency room services 18% 294,185 248,579 $6.83M
J3490 Unclassified drugs 12% 200,945 78,920 $4.49M
99199 Unlisted special service, procedure or report 11% 46,111 43,952 $4.12M
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 9.5% 42,665 15,537 $3.62M
80047 6.6% 175,041 159,589 $2.52M
Z7502 2.6% 26,185 25,770 $988K
Z9725 1.7% 15,420 15,334 $663K
0360 1.4% 14,354 12,383 $549K
G0378 Hospital observation service, per hour 1.4% 1,848 894 $538K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 1.3% 5,382 4,619 $502K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1.2% 35,019 33,872 $448K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1.1% 35,008 33,861 $428K
670 more codes
0761 1.1% 39,642 $414K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.1% 47,587 $401K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.0% 170,848 $396K
Z7500 <1% 10,964 $373K
93325 <1% 6,282 $354K
0206 <1% 569 $327K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 267,298 $308K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 38,852 $295K
96112 <1% 1,690 $273K
93320 <1% 5,271 $239K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 39,472 $226K
Z4300 <1% 2,161 $222K
90999 Dialysis (unlisted procedure) <1% 6,139 $206K
0510 <1% 11,900 $192K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 30,006 $190K
J2505 Injection, pegfilgrastim, 6 mg <1% 314 $183K
Z4304 <1% 2,156 $166K
96379 <1% 2,282 $165K
97139 <1% 26,752 $161K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 84,815 $160K
Z7610 <1% 19,653 $160K
J9035 Injection, bevacizumab, 10 mg <1% 531 $148K
86850 <1% 23,794 $136K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 15,313 $121K
86780 <1% 37,921 $114K
71046 Radiologic examination, chest; 2 views <1% 43,823 $114K
70450 Computed tomography, head or brain; without contrast material <1% 17,193 $107K
A4217 Sterile water/saline, 500 ml <1% 3,930 $107K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 6,457 $107K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 1,125 $102K
99283 Emergency room visit (moderate) <1% 5,038 $96K
81001 <1% 106,878 $92K
0160 <1% 18,688 $89K
95911 <1% 4,625 $86K
0710 <1% 8,730 $86K
97750 <1% 10,336 $85K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 34,317 $81K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 6,532 $80K
0270 <1% 290,884 $79K
81025 <1% 15,010 $79K
77067 Screening mammography, bilateral, including computer-aided detection <1% 8,605 $78K
J7030 Infusion, normal saline solution , 1000 cc <1% 37,001 $77K
97799 <1% 9,481 $76K
0760 <1% 29,129 $74K
83036 Hemoglobin; glycosylated (A1C) <1% 51,428 $72K
93975 <1% 4,250 $72K
96113 <1% 988 $71K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 7,491 $70K
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% 506 $64K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 16,938 $63K
73130 <1% 11,088 $59K
73610 <1% 9,682 $59K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 4,108 $58K
71045 Radiologic examination, chest; single view <1% 32,548 $58K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 3,671 $56K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 3,528 $56K
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 2,502 $55K
70551 Magnetic resonance imaging, brain; without contrast material <1% 2,370 $55K
80048 Basic metabolic panel (calcium, ionized) <1% 30,951 $54K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 7,207 $53K
87653 <1% 11,047 $50K
99285 Emergency room visit (most serious) <1% 1,151 $50K
80053 Comprehensive metabolic panel <1% 54,181 $50K
84702 <1% 33,258 $49K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 5,768 $48K
86696 <1% 12,660 $48K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,363 $48K
86900 <1% 27,366 $46K
86762 <1% 11,580 $45K
0250 <1% 6,239 $45K
95886 <1% 5,963 $45K
80076 <1% 68,559 $44K
84443 Thyroid stimulating hormone (TSH) <1% 38,266 $44K
96367 <1% 4,054 $43K
84484 <1% 51,527 $43K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 21,990 $43K
0636 <1% 1,171 $43K
73630 <1% 10,793 $43K
95816 <1% 4,650 $42K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram <1% 570 $42K
87340 <1% 15,694 $42K
73564 <1% 9,329 $39K
96111 <1% 339 $37K
J2704 Injection, propofol, 10 mg <1% 14,286 $37K
76825 <1% 1,327 $36K
73110 <1% 6,850 $35K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 8,549 $35K
76827 <1% 1,219 $34K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,059 $33K
71250 <1% 783 $32K
94729 <1% 6,516 $32K
94060 <1% 6,546 $32K
73030 <1% 7,579 $31K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 853 $31K
36415 Collection of venous blood by venipuncture <1% 9,462 $30K
86480 <1% 1,970 $29K
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg <1% 243 $29K
96375 Therapeutic injection; each additional sequential IV push <1% 23,126 $29K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 4,065 $28K
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% 1,745 $27K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 923 $26K
0324 <1% 777 $26K
Z4302 <1% 2,098 $25K
72141 <1% 628 $25K
J2357 Injection, omalizumab, 5 mg <1% 1,169 $25K
71275 Computed tomographic angiography, chest, with contrast material <1% 3,947 $25K
J9310 Injection, rituximab, 100 mg <1% 61 $24K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 1,918 $24K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 8,759 $24K
59025 Fetal non-stress test <1% 2,073 $23K
86481 <1% 7,281 $22K
76830 Ultrasound, transvaginal <1% 7,165 $22K
J1453 Injection, fosaprepitant, 1 mg <1% 515 $22K
83690 <1% 51,459 $22K
96415 <1% 2,585 $21K
87088 <1% 20,193 $20K
87536 <1% 6,800 $20K
82962 <1% 18,960 $19K
S9460 Diabetic management program, nurse visit <1% 343 $19K
86901 <1% 27,367 $19K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 2,475 $19K
85610 <1% 30,140 $18K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 12,309 $17K
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% 8,398 $17K
76770 <1% 2,755 $17K
85027 <1% 18,731 $17K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 3,418 $17K
97165 <1% 2,236 $17K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 2,618 $16K
J1745 Injection, infliximab, excludes biosimilar, 10 mg <1% 28 $16K
83880 <1% 15,959 $16K
72125 Computed tomography, cervical spine; without contrast material <1% 3,051 $16K
99284 Emergency room visit (serious) <1% 1,567 $16K
94726 <1% 4,315 $15K
73502 <1% 3,334 $15K
74170 <1% 782 $15K
80061 Lipid panel <1% 28,797 $14K
87632 <1% 3,153 $14K
96361 Intravenous infusion, hydration; each additional hour <1% 3,593 $14K
93971 <1% 3,029 $14K
95885 <1% 1,204 $14K
93970 <1% 914 $14K
70486 <1% 2,116 $14K
73080 <1% 3,694 $14K
86592 <1% 7,452 $14K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 22,029 $14K
J7120 Ringers lactate infusion, up to 1000 cc <1% 17,910 $14K
86695 <1% 4,421 $14K
72126 <1% 1,911 $13K
73590 <1% 5,046 $13K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 2,873 $13K
72100 <1% 4,074 $12K
96417 <1% 1,070 $12K
Z4308 <1% 477 $12K
86361 <1% 6,533 $12K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 6,066 $12K
0750 <1% 44 $12K
J7050 Infusion, normal saline solution, 250 cc <1% 11,661 $11K
91200 <1% 2,294 $11K
Z7506 <1% 124 $11K
J0690 Injection, cefazolin sodium, 500 mg <1% 2,700 $11K
0300 <1% 1,044 $11K
70491 <1% 714 $11K
16020 <1% 1,293 $11K
87210 <1% 19,021 $11K
76536 <1% 1,285 $11K
0272 <1% 791 $11K
93458 <1% 332 $11K
73552 <1% 2,585 $11K
73090 <1% 3,676 $10K
83970 <1% 2,580 $10K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 7,329 $10K
94010 <1% 3,312 $10K
93017 <1% 1,569 $10K
72110 <1% 1,541 $10K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 21,062 $9K
J2785 Injection, regadenoson, 0.1 mg <1% 592 $9K
93880 <1% 411 $9K
83735 <1% 17,976 $9K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 736 $9K
Z4301 <1% 267 $9K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 9,350 $9K
Z4307 <1% 329 $9K
90715 <1% 6,800 $9K
72050 <1% 1,772 $8K
36821 <1% 233 $8K
74018 <1% 3,267 $8K
77334 <1% 125 $8K
97166 <1% 236 $8K
82950 <1% 8,701 $8K
94727 <1% 942 $8K
J2778 Injection, ranibizumab, 0.1 mg <1% 38 $8K
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes <1% 1,777 $8K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 7,598 $8K
90686 <1% 1,410 $8K
76642 <1% 535 $8K
90734 <1% 277 $7K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 5,168 $7K
82247 <1% 6,025 $7K
71020 <1% 1,755 $7K
97010 <1% 9,682 $7K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 8,075 $7K
J9070 Cyclophosphamide, 100 mg <1% 123 $7K
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies <1% 81 $7K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 3,589 $7K
94760 <1% 2,679 $7K
99213 Doctor's office visit, returning patient (routine) <1% 866 $7K
J1439 Injection, ferric carboxymaltose, 1 mg <1% 399 $7K
86593 <1% 3,545 $7K
87503 <1% 8,755 $7K
80074 <1% 2,705 $7K
87506 <1% 1,142 $6K
84703 <1% 17,423 $6K
77066 Tomosynthesis, mammo <1% 186 $6K
77336 <1% 374 $6K
70544 <1% 250 $6K
0352 <1% 44 $6K
J0178 Injection, aflibercept, 1 mg <1% 20 $6K
76801 <1% 4,317 $6K
97803 <1% 2,775 $6K
86803 <1% 8,847 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 11,108 $6K
83615 <1% 6,499 $6K
94618 <1% 1,899 $6K
72170 <1% 2,972 $6K
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg <1% 3,187 $6K
82728 <1% 7,311 $6K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,353 $6K
85730 <1% 8,634 $6K
36832 <1% 203 $6K
0403 <1% 94 $6K
73060 <1% 2,048 $6K
86003 <1% 430 $6K
84436 <1% 3,687 $5K
0301 <1% 309 $5K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 4,507 $5K
77065 Tomosynthesis, mammo <1% 227 $5K
77412 <1% 771 $5K
73600 <1% 123 $5K
P9016 Red blood cells, leukocytes reduced, each unit <1% 383 $5K
J0897 Injection, denosumab, 1 mg <1% 55 $5K
87081 <1% 3,275 $5K
Z4311 <1% 429 $5K
72131 <1% 956 $5K
73140 <1% 726 $5K
70496 <1% 834 $5K
82746 <1% 4,827 $5K
84466 <1% 7,979 $5K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 508 $5K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 5,283 $5K
67028 Intravitreal injection of a pharmacologic agent <1% 180 $5K
70498 <1% 877 $5K
83655 <1% 5,658 $5K
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml <1% 1,331 $5K
Q9957 Injection, perflutren lipid microspheres, per ml <1% 557 $5K
90649 <1% 71 $5K
76870 <1% 1,300 $5K
0762 <1% 1,173 $5K
96416 <1% 320 $4K
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units <1% 124 $4K
73562 <1% 1,374 $4K
82607 <1% 8,409 $4K
96411 <1% 472 $4K
82140 <1% 2,762 $4K
72072 <1% 690 $4K
T1014 Telehealth transmission, per minute, professional services bill separately <1% 3,842 $4K
Z4312 <1% 323 $4K
87077 <1% 6,687 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 2,084 $4K
91037 <1% 347 $4K
87522 Neg quan hep c or qual rna <1% 1,457 $4K
70355 <1% 777 $4K
86140 <1% 9,621 $4K
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg <1% 71 $4K
82274 <1% 4,140 $4K
88342 <1% 559 $4K
93308 <1% 386 $4K
87186 <1% 5,924 $3K
72040 <1% 575 $3K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 6,682 $3K
84100 <1% 12,703 $3K
82570 <1% 12,393 $3K
93990 <1% 53 $3K
72190 <1% 303 $3K
Q4081 Injection, epoetin alfa, 100 units (for esrd on dialysis) <1% 1,499 $3K
94664 <1% 3,577 $3K
94644 <1% 2,788 $3K
74240 <1% 356 $3K
0320 <1% 479 $3K
90732 <1% 124 $3K
84550 <1% 6,376 $3K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 1,459 $3K
83605 <1% 9,229 $3K
70487 <1% 132 $3K
99152 <1% 537 $3K
S9470 Nutritional counseling, dietitian visit <1% 44 $3K
84439 <1% 8,306 $3K
82565 <1% 5,533 $3K
86923 <1% 1,114 $3K
J1644 Injection, heparin sodium, per 1000 units <1% 10,128 $3K
J9312 Injection, rituximab, 10 mg <1% 30 $3K
83540 <1% 8,276 $3K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) <1% 219 $3K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 305 $3K
87040 <1% 3,115 $3K
J2560 Injection, phenobarbital sodium, up to 120 mg <1% 2,062 $3K
87430 <1% 3,236 $3K
86235 <1% 1,248 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 1,040 $3K
J7060 5% dextrose/water (500 ml = 1 unit) <1% 1,975 $3K
96368 <1% 364 $3K
82731 <1% 813 $3K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 85 $3K
84460 <1% 4,265 $2K
91010 <1% 347 $2K
77290 <1% 77 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 9,958 $2K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 297 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 613 $2K
82533 <1% 2,337 $2K
90746 <1% 113 $2K
70360 <1% 507 $2K
S9455 Diabetic management program, group session <1% 73 $2K
73700 <1% 286 $2K
97162 <1% 1,343 $2K
J2270 Injection, morphine sulfate, up to 10 mg <1% 10,825 $2K
82784 <1% 1,239 $2K
84450 <1% 4,083 $2K
J9267 Injection, paclitaxel, 1 mg <1% 268 $2K
87070 <1% 2,241 $2K
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 884 $2K
0370 <1% 651 $2K
0410 <1% 53 $2K
84156 <1% 7,770 $2K
94728 <1% 622 $2K
92523 <1% 67 $2K
85379 <1% 5,929 $2K
82951 <1% 2,594 $2K
80069 <1% 1,909 $2K
72070 <1% 687 $2K
82550 <1% 3,326 $2K
82105 <1% 1,640 $2K
0430 <1% 28 $2K
80051 <1% 735 $2K
82670 <1% 1,655 $2K
J1756 Injection, iron sucrose, 1 mg <1% 1,241 $2K
95909 <1% 205 $2K
0401 <1% 16 $2K
J3475 Injection, magnesium sulfate, per 500 mg <1% 1,970 $2K
90677 <1% 106 $1K
89060 <1% 2,299 $1K
81003 <1% 1,328 $1K
92521 <1% 438 $1K
96523 <1% 136 $1K
86038 <1% 2,556 $1K
85651 <1% 9,486 $1K
99221 <1% 144 $1K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 231 $1K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 203 $1K
82803 <1% 770 $1K
J9045 Injection, carboplatin, 50 mg <1% 153 $1K
84153 <1% 650 $1K
J1170 Injection, hydromorphone, up to 4 mg <1% 2,263 $1K
84403 <1% 1,942 $1K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 3,793 $1K
84481 <1% 2,328 $1K
95913 <1% 15 $1K
Z4310 <1% 106 $1K
85018 <1% 420 $1K
77300 <1% 72 $1K
72114 <1% 318 $1K
99214 Doctor's office visit, returning patient (more involved) <1% 471 $1K
J0640 Injection, leucovorin calcium, per 50 mg <1% 235 $1K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 243 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 6,839 $1K
86706 <1% 3,527 $1K
87075 <1% 1,295 $1K
72128 <1% 351 $1K
84402 <1% 1,461 $1K
J0780 Injection, prochlorperazine, up to 10 mg <1% 4,859 $1K
90670 <1% 65 $1K
84146 <1% 2,418 $1K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 738 $1K
J1815 Injection, insulin, per 5 units <1% 8,650 $1K
82248 <1% 2,803 $1K
J9190 Injection, fluorouracil, 500 mg <1% 419 $1K
86635 <1% 656 $1K
93000 <1% 72 $1K
82785 <1% 681 $1K
93041 <1% 248 $1K
82043 <1% 6,432 $1K
86704 <1% 2,363 $1K
96521 <1% 200 $1K
86331 <1% 1,092 $1K
86171 <1% 1,085 $1K
85384 <1% 748 $998.40
49083 <1% 99 $987.90
0391 <1% 26 $977.57
93225 <1% 42 $975.15
87205 <1% 2,504 $969.07
J2060 Injection, lorazepam, 2 mg <1% 6,223 $956.64
J7518 Mycophenolic acid, oral, 180 mg <1% 14 $952.20
82378 <1% 259 $929.56
J1650 Injection, enoxaparin sodium, 10 mg <1% 4,951 $927.23
J2780 Injection, ranitidine hydrochloride, 25 mg <1% 636 $922.03
87177 <1% 182 $898.31
83516 <1% 1,370 $886.28
83883 <1% 168 $882.69
83001 <1% 2,347 $880.16
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml <1% 293 $864.21
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 421 $863.17
70547 <1% 74 $827.34
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 44 $823.76
93976 <1% 25 $815.15
43249 <1% 107 $809.93
S9465 Diabetic management program, dietitian visit <1% 13 $801.58
74221 <1% 29 $782.96
80185 <1% 285 $781.86
85045 <1% 1,811 $781.82
84425 <1% 916 $770.70
95912 <1% 20 $770.20
80164 <1% 248 $767.38
93226 <1% 16 $765.27
74178 <1% 42 $738.77
86225 <1% 1,272 $722.24
Z5406 <1% 58 $710.95
J2359 Injection, olanzapine, 0.5 mg <1% 303 $690.61
86708 <1% 1,990 $685.26
J9217 Leuprolide acetate (for depot suspension), 7.5 mg <1% 29 $682.53
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 115 $678.56
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 2,764 $671.72
86308 <1% 142 $664.86
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose <1% 128 $655.97
Z4303 <1% 14 $645.45
84207 <1% 281 $636.30
88720 <1% 228 $635.21
97161 <1% 1,143 $611.47
86160 <1% 398 $586.63
85460 <1% 233 $577.45
89051 <1% 450 $576.89
73560 <1% 274 $574.43
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) <1% 15 $565.37
20610 <1% 303 $564.29
90619 <1% 98 $563.28
J9263 Injection, oxaliplatin, 0.5 mg <1% 158 $553.21
82150 <1% 398 $552.06
J0689 Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg <1% 524 $535.37
83002 <1% 1,532 $533.61
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% 2,732 $524.71
J3370 Injection, vancomycin hcl, 500 mg <1% 1,050 $520.32
71010 <1% 258 $519.35
0730 <1% 435 $512.63
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 16 $509.96
J1630 Injection, haloperidol, up to 5 mg <1% 4,733 $501.29
86039 <1% 537 $492.39
84165 <1% 416 $489.64
84145 <1% 504 $485.36
88341 <1% 37 $466.67
87338 <1% 1,608 $464.87
93321 <1% 168 $462.39
J7517 Mycophenolate mofetil, oral, 250 mg <1% 20 $461.78
82952 <1% 2,263 $459.99
84520 <1% 1,574 $435.68
86430 <1% 1,367 $426.02
97163 <1% 61 $418.50
J7507 Tacrolimus, immediate release, oral, 1 mg <1% 45 $414.52
87480 <1% 188 $413.64
87510 <1% 188 $413.64
J1750 Injection, iron dextran, 50 mg <1% 88 $413.19
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 664 $409.23
74220 <1% 87 $408.70
0489 <1% 39 $406.26
81050 <1% 1,618 $390.96
94002 <1% 62 $388.08
84155 <1% 948 $386.48
92522 <1% 14 $385.45
72081 <1% 232 $371.42
86141 <1% 190 $364.86
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 280 $363.05
J1270 Injection, doxercalciferol, 1 mcg <1% 740 $357.26
95718 <1% 37 $355.26
94645 <1% 263 $352.81
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 14 $351.64
87660 <1% 188 $349.19
88304 <1% 35 $348.05
96376 <1% 1,993 $346.13
76942 <1% 80 $340.19
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 13 $340.00
82270 <1% 1,165 $339.59
78815 Positron emission tomography (PET) for limited area imaging <1% 29 $334.35
Q0513 Pharmacy dispensing fee for inhalation drug(s); per 30 days <1% 65 $332.50
74000 <1% 69 $326.55
82977 <1% 295 $317.74
87493 <1% 320 $308.99
82947 <1% 787 $306.61
86376 <1% 525 $285.20
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 <1% 539 $282.78
93015 <1% 26 $279.86
94620 <1% 35 $279.77
97802 <1% 55 $276.59
83520 <1% 570 $274.68
82240 <1% 83 $274.35
20611 <1% 139 $270.50
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 36 $267.84
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 706 $267.67
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 182 $261.71
77002 <1% 27 $259.89
99070 <1% 411 $253.73
86334 <1% 27 $252.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 570 $247.12
73000 <1% 42 $243.65
J7626 Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg <1% 18 $242.70
71101 <1% 209 $240.98
86147 <1% 65 $236.25
84134 <1% 47 $233.70
86200 <1% 424 $226.30
J2469 Injection, palonosetron hcl, 25 mcg <1% 17 $224.96
0361 <1% 16 $222.18
86800 <1% 245 $222.08
20553 <1% 77 $205.31
76641 <1% 27 $201.92
J1030 Injection, methylprednisolone acetate, 40 mg <1% 183 $199.57
0306 <1% 50 $196.70
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 382 $196.65
Q0511 Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period <1% 47 $192.00
J3489 Injection, zoledronic acid, 1 mg <1% 46 $185.14
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 74 $184.60
99153 Mod sedat endo service >5yrs <1% 84 $184.25
87581 <1% 73 $183.01
87086 Culture, bacterial; quantitative colony count, urine <1% 92 $180.93
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 32 $176.26
J1940 Injection, furosemide, up to 20 mg <1% 1,024 $173.34
J9000 Injection, doxorubicin hydrochloride, 10 mg <1% 20 $168.97
90656 <1% 113 $168.44
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 568 $166.91
84132 <1% 450 $160.83
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow) <1% 231 $160.32
76881 <1% 12 $148.83
G0008 Administration of influenza virus vaccine <1% 13 $145.50
96402 <1% 29 $144.54
Q0512 Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period <1% 51 $137.60
J1040 Injection, methylprednisolone acetate, 80 mg <1% 73 $135.30
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 288 $127.54
86304 <1% 12 $115.24
95910 <1% 22 $110.09
20552 <1% 19 $109.72
43235 <1% 13 $106.40
87209 <1% 82 $106.37
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm <1% 388 $106.10
70220 <1% 14 $105.76
77280 <1% 31 $104.83
73100 <1% 48 $99.62
92134 <1% 131 $98.70
82810 <1% 29 $97.20
84480 <1% 70 $97.09
83010 <1% 44 $95.52
95819 <1% 14 $93.25
73070 <1% 32 $87.00
J1071 Injection, testosterone cypionate, 1 mg <1% 91 $85.40
86255 <1% 562 $81.58
80177 <1% 70 $81.57
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 14 $74.30
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg <1% 27 $66.53
84300 <1% 116 $66.18
86146 <1% 13 $66.00
99204 Doctor's office visit, new patient (more involved) <1% 25 $62.01
95012 <1% 17 $59.40
73521 <1% 26 $57.56
99215 Doctor's office visit, returning patient (complex) <1% 19 $57.20
99203 Doctor's office visit, new patient (routine) <1% 12 $57.20
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 30 $56.59
90714 <1% 268 $55.19
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) <1% 19 $50.78
82310 <1% 73 $48.23
0420 <1% 191 $46.74
J0360 Injection, hydralazine hcl, up to 20 mg <1% 218 $46.68
85613 <1% 37 $45.87
43450 <1% 15 $45.60
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 217 $43.46
20605 <1% 16 $43.26
87449 <1% 12 $43.02
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 48 $38.43
Q3014 Telehealth originating site facility fee <1% 18 $37.00
90472 Immunization administration, each additional vaccine (list separately) <1% 59 $36.80
J1953 Injection, levetiracetam, 10 mg <1% 401 $36.58
A4657 Syringe, with or without needle, each <1% 346 $34.44
80306 <1% 12 $33.04
82652 <1% 107 $30.00
0255 <1% 62 $29.20
84075 <1% 41 $28.58
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 144 $28.50
96409 <1% 22 $27.30
20550 <1% 40 $24.40
84432 <1% 25 $21.82
0258 <1% 325 $20.28
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram <1% 15 $19.53
82436 <1% 12 $18.76
82010 <1% 155 $15.68
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 42 $13.90
85014 <1% 283 $11.80
83921 <1% 142 $11.62
99000 <1% 149 $10.42
83930 <1% 12 $9.24
77332 <1% 14 $8.54
J2004 Injection, lidocaine hcl with epinephrine, 1 mg <1% 73 $6.67
J7042 5% dextrose/normal saline (500 ml = 1 unit) <1% 109 $6.48
J2470 Injection, pantoprazole sodium, 40 mg <1% 14 $6.39
86880 <1% 14 $5.17
J7999 Compounded drug, not otherwise classified <1% 13 $4.96
81002 <1% 46 $4.30
90744 <1% 1,124 $2.22
A4649 Surgical supply; miscellaneous <1% 672 $2.09
J1171 Injection, hydromorphone, 0.1 mg <1% 26 $0.54
77417 0% 60 $0.00
36416 0% 121 $0.00
0250R 0% 472 $0.00
81000 0% 146 $0.00
1036F 0% 59 $0.00
97535 Self-care/home management training, each 15 minutes 0% 127 $0.00
J8540 Dexamethasone, oral, 0.25 mg 0% 85 $0.00
H2019 Therapeutic behavioral services, billed per 15 minutes 0% 2,742 $0.00
3008F 0% 33 $0.00
82330 0% 25 $0.00
64484 0% 15 $0.00
92250 0% 25 $0.00
72158 0% 13 $0.00
H0049 Alcohol and/or drug screening 0% 35 $0.00
99366 0% 16 $0.00
92551 0% 163 $0.00
64483 0% 33 $0.00
86870 0% 12 $0.00
A9270 Non-covered item or service 0% 49 $0.00
90647 0% 12 $0.00
72146 0% 12 $0.00
82040 0% 16 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 0% 20 $0.00
G0010 Administration of hepatitis b vaccine 0% 66 $0.00
96549 0% 42 $0.00
0370R 0% 195 $0.00
86618 0% 13 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 0% 17 $0.00
S5111 Home care training, family; per session 0% 1,311 $0.00
S0164 Injection, pantoprazole sodium, 40 mg 0% 14 $0.00
87902 0% 539 $0.00
J2310 Injection, naloxone hydrochloride, per 1 mg 0% 12 $0.00
H0046 Mental health services, not otherwise specified 0% 1,669 $0.00
77295 0% 33 $0.00
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 0% 50 $0.00
0272R 0% 330 $0.00
90700 0% 12 $0.00
76999 0% 64 $0.00
92081 0% 154 $0.00
0637 0% 38 $0.00
0710R 0% 30 $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% 44 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 97 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 81 $0.00
0681 0% 25 $0.00
87901 0% 18 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 0% 14 $0.00
4040F 0% 23 $0.00
95713 0% 12 $0.00
97116 0% 30 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 0% 24 $0.00
0302 0% 25 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 67 $0.00
G9500 Radiation exposure indices documented in final report for procedure using fluoroscopy 0% 18 $0.00
96160 0% 36 $0.00
84630 0% 25 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 0% 12 $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 officialWAGONER, CRAIG (CEO)
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