Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › New York › NPI 1104982917
Agency

ST Lukes Roosevelt Hospital Center

ST Lukes Roosevelt Hospital Center was paid $190.49M by Medicaid between Jan 2018 and Dec 2024, across 676 billing codes. Its largest line is G9005, Coordinated care fee, risk adjusted maintenance — 9.4% of everything it billed.

33Billing provider infoST LUKES ROOSEVELT HOSPITAL CENTER
NEW YORK, NY 10019
33aNPI1104982917assigned 12/28/2006
33bProvider typeCase Management Agency
28Total paid$190.49M
24GClaims2,823,800
24DCodes billed676
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Case Management Agency providers in New York

Rank by total paid#10 of 180
Median peer was paid$1.76M
This provider vs. median108×

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$4.0M$6.0M2018201920202021202220232024
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
201844,309$2.16M
2019238,306$17.05M
2020518,735$44.13M
2021588,236$36.17M
2022565,119$36.06M
2023503,138$31.79M
2024incomplete365,957$23.14M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G9005 Coordinated care fee, risk adjusted maintenance 9.4% 61,622 61,595 $17.92M
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7.4% 117,017 99,383 $14.12M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 6.7% 77,952 71,323 $12.67M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.9% 92,633 78,112 $11.14M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 5.0% 58,289 52,820 $9.53M
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 4.7% 11,203 9,273 $8.92M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 4.7% 52,727 22,188 $8.92M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 2.9% 38,156 36,142 $5.61M
H0004 Behavioral health counseling and therapy, per 15 minutes 2.7% 33,330 6,844 $5.10M
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 2.7% 39,920 21,375 $5.08M
90853 Group psychotherapy (other than of a multiple-family group) 2.6% 65,113 9,129 $4.88M
96361 Intravenous infusion, hydration; each additional hour 1.7% 19,960 18,534 $3.26M
664 more codes
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 1.5% 1,461 $2.84M
99215 Doctor's office visit, returning patient (complex) 1.2% 17,368 $2.36M
H2036 Alcohol and/or other drug treatment program, per diem 1.2% 15,215 $2.34M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1.1% 3,287 $2.03M
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 2,686 $1.85M
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) <1% 8,461 $1.80M
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 9,896 $1.69M
70450 Computed tomography, head or brain; without contrast material <1% 11,280 $1.69M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 8,039 $1.57M
93458 <1% 949 $1.49M
H0005 Alcohol and/or drug services; group counseling by a clinician <1% 16,542 $1.44M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 12,209 $1.32M
90847 Family psychotherapy with the patient present, 50 minutes <1% 5,199 $1.30M
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 1,810 $1.28M
G0378 Hospital observation service, per hour <1% 1,999 $1.26M
87536 <1% 15,686 $1.18M
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r <1% 24,042 $1.16M
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 6,850 $1.16M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 10,928 $1.11M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) <1% 36,323 $1.10M
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes <1% 5,804 $1.06M
T2022 Case management, per month <1% 3,051 $996K
G0382 Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 6,118 $965K
80048 Basic metabolic panel (calcium, ionized) <1% 68,764 $932K
H0036 Community psychiatric support and treatment, per 15 minutes <1% 9,636 $894K
90846 Family psychotherapy without the patient present, 50 minutes <1% 6,948 $888K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 13,713 $867K
99203 Doctor's office visit, new patient (routine) <1% 6,287 $865K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,814 $831K
99204 Doctor's office visit, new patient (more involved) <1% 5,420 $782K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 27,226 $779K
80053 Comprehensive metabolic panel <1% 49,234 $775K
G9001 Coordinated care fee, initial rate <1% 9,840 $738K
H0038 Self-help/peer services, per 15 minutes <1% 10,179 $662K
36415 Collection of venous blood by venipuncture <1% 101,854 $660K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 7,989 $637K
H2001 Rehabilitation program, per 1/2 day <1% 4,526 $618K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 973 $616K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 4,277 $615K
G2068 Medication assisted treatment, buprenorphine (oral); weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) <1% 2,246 $600K
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes <1% 4,932 $595K
87428 <1% 23,143 $590K
41899 Unlisted procedure, dentoalveolar structures <1% 424 $565K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 1,186 $564K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 1,614 $553K
96415 <1% 1,585 $550K
G0383 Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 3,157 $501K
59025 Fetal non-stress test <1% 3,454 $485K
93976 <1% 1,494 $482K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 13,033 $480K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 27,210 $477K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 13,874 $435K
90792 Psychiatric diagnostic evaluation with medical services <1% 1,980 $413K
93975 <1% 1,391 $411K
86361 <1% 12,710 $403K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 6,965 $403K
94060 <1% 3,434 $398K
71275 Computed tomographic angiography, chest, with contrast material <1% 2,627 $388K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 4,357 $386K
86850 <1% 18,268 $375K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 1,384 $374K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 3,557 $369K
75574 <1% 2,624 $365K
93351 <1% 2,255 $363K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 31,587 $338K
12001 <1% 1,166 $334K
86901 <1% 18,718 $328K
90836 <1% 3,114 $325K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 2,167 $324K
93970 <1% 1,539 $318K
50081 <1% 187 $316K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 1,908 $308K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,901 $306K
12011 <1% 1,053 $303K
19318 <1% 92 $299K
86900 <1% 18,711 $297K
87631 <1% 7,694 $279K
93320 <1% 2,647 $277K
88307 <1% 2,026 $276K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 1,885 $271K
70551 Magnetic resonance imaging, brain; without contrast material <1% 1,531 $268K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 1,106 $267K
76770 <1% 1,538 $263K
80076 <1% 33,460 $262K
86480 <1% 4,166 $253K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 2,301 $252K
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% 18,060 $238K
99205 Prolong outpt/office vis <1% 1,554 $237K
C1889 Implantable/insertable device, not otherwise classified <1% 2,926 $236K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 3,097 $225K
77067 Screening mammography, bilateral, including computer-aided detection <1% 3,032 $225K
J0401 Injection, aripiprazole (abilify maintena), 1 mg <1% 172 $220K
10060 <1% 940 $215K
76819 Fetal biophysical profile; without non-stress testing <1% 3,557 $213K
76818 <1% 3,015 $212K
88342 <1% 4,410 $208K
80061 Lipid panel <1% 18,654 $206K
72197 <1% 839 $205K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 57,796 $200K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,202 $200K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 2,430 $197K
96375 Therapeutic injection; each additional sequential IV push <1% 16,143 $194K
71250 <1% 2,154 $192K
G0384 Level 5 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 1,234 $192K
58558 <1% 177 $191K
90651 <1% 809 $190K
Q9957 Injection, perflutren lipid microspheres, per ml <1% 4,515 $190K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 20,728 $190K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) <1% 1,132 $187K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 7,730 $183K
C1769 Guide wire <1% 4,301 $180K
94726 <1% 2,614 $170K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 91,404 $166K
93017 <1% 2,457 $164K
H0033 Oral medication administration, direct observation <1% 6,462 $164K
83880 <1% 8,777 $162K
70496 <1% 1,073 $160K
H2010 Comprehensive medication services, per 15 minutes <1% 2,066 $153K
93880 <1% 792 $152K
12002 <1% 485 $147K
36000 <1% 9,151 $146K
74183 <1% 560 $145K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 3,734 $144K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 3,232 $140K
H2011 Crisis intervention service, per 15 minutes <1% 811 $140K
76937 <1% 1,209 $140K
S9485 Crisis intervention mental health services, per diem <1% 152 $139K
72141 <1% 795 $136K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 911 $132K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 1,035 $127K
H0002 Behavioral health screening to determine eligibility for admission to treatment program <1% 589 $127K
75561 <1% 436 $124K
90715 <1% 5,954 $121K
76801 <1% 1,624 $119K
86703 <1% 9,842 $119K
70486 <1% 2,260 $118K
46607 <1% 139 $113K
J0592 Injection, buprenorphine hydrochloride, 0.1 mg <1% 5,901 $113K
71046 Radiologic examination, chest; 2 views <1% 25,462 $112K
72125 Computed tomography, cervical spine; without contrast material <1% 4,047 $111K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,278 $110K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 806 $109K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 951 $108K
C1760 Closure device, vascular (implantable/insertable) <1% 517 $107K
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% 6,268 $107K
77336 <1% 467 $107K
90837 Psychotherapy session, about an hour <1% 579 $104K
78431 <1% 116 $104K
76830 Ultrasound, transvaginal <1% 3,129 $102K
94729 <1% 2,980 $101K
92083 <1% 1,434 $97K
G2079 Take-home supply of buprenorphine (oral); up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure <1% 1,378 $93K
96367 <1% 1,517 $93K
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% 31,364 $93K
92133 <1% 1,292 $92K
83036 Hemoglobin; glycosylated (A1C) <1% 14,988 $91K
90677 <1% 686 $89K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit <1% 286 $89K
74174 <1% 570 $88K
93971 <1% 1,736 $88K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment <1% 364 $88K
95812 <1% 511 $86K
0002A <1% 2,383 $86K
S9480 Intensive outpatient psychiatric services, per diem <1% 363 $84K
76641 <1% 1,303 $77K
36430 <1% 356 $77K
C1874 Stent, coated/covered, with delivery system <1% 108 $77K
J2785 Injection, regadenoson, 0.1 mg <1% 1,191 $73K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 301 $73K
G0381 Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 454 $72K
76998 <1% 413 $72K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,872 $72K
47562 <1% 52 $71K
88112 <1% 1,427 $71K
0001A <1% 2,417 $71K
D1110 Prophylaxis - adult <1% 1,648 $71K
90686 <1% 2,826 $70K
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% 158 $69K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 8,737 $67K
93325 <1% 2,485 $66K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk <1% 87 $65K
J0583 Injection, bivalirudin, 1 mg <1% 231 $64K
43235 <1% 109 $63K
93308 <1% 355 $63K
73700 <1% 561 $63K
90750 <1% 505 $61K
G0008 Administration of influenza virus vaccine <1% 4,217 $58K
A9585 Injection, gadobutrol, 0.1 ml <1% 4,181 $57K
J1439 Injection, ferric carboxymaltose, 1 mg <1% 82 $57K
51798 <1% 228 $56K
96416 <1% 276 $56K
76536 <1% 844 $56K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 2,321 $56K
74420 <1% 338 $55K
93925 <1% 332 $55K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 23,229 $55K
G2078 Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure <1% 1,964 $54K
72131 <1% 990 $54K
D9222 <1% 381 $54K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision <1% 2,359 $54K
76813 <1% 1,155 $53K
99243 <1% 366 $53K
87522 Neg quan hep c or qual rna <1% 1,907 $52K
D0120 Dental checkup, returning patient <1% 2,062 $52K
73562 <1% 4,406 $51K
74246 <1% 457 $50K
86803 <1% 9,552 $49K
81025 <1% 25,413 $49K
80050 General health panel <1% 1,986 $49K
99051 <1% 3,204 $48K
33285 <1% 14 $48K
85610 <1% 18,620 $47K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) <1% 140 $47K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 2,567 $47K
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 1,678 $45K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 3,045 $45K
88304 <1% 2,418 $45K
20610 <1% 211 $44K
73630 <1% 4,473 $43K
86780 <1% 13,431 $43K
C1753 Catheter, intravascular ultrasound <1% 140 $43K
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries <1% 313 $42K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 1,242 $42K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 3,445 $42K
88341 <1% 574 $41K
90674 <1% 1,441 $40K
D0274 Bitewings - four radiographic images <1% 1,793 $40K
77412 <1% 148 $39K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 300 $39K
73030 <1% 3,889 $39K
74178 <1% 257 $39K
J2469 Injection, palonosetron hcl, 25 mcg <1% 1,888 $38K
72100 <1% 1,687 $38K
84443 Thyroid stimulating hormone (TSH) <1% 9,238 $38K
81003 <1% 30,892 $37K
96417 <1% 1,275 $37K
99443 <1% 717 $37K
70491 <1% 220 $37K
70498 <1% 1,010 $36K
93356 <1% 329 $35K
95819 <1% 167 $35K
82607 <1% 5,928 $34K
73610 <1% 4,132 $34K
D0220 Intraoral - periapical first radiographic image <1% 2,473 $34K
J7297 Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg <1% 44 $34K
82728 <1% 5,423 $33K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 1,026 $33K
77066 Tomosynthesis, mammo <1% 411 $33K
76642 <1% 656 $32K
88184 <1% 479 $31K
83970 <1% 1,237 $31K
90732 <1% 296 $31K
84484 <1% 27,720 $30K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 9,755 $30K
87517 <1% 932 $30K
71045 Radiologic examination, chest; single view <1% 7,258 $29K
73130 <1% 3,699 $29K
52332 <1% 59 $27K
95800 <1% 191 $27K
87652 <1% 2,081 $25K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 599 $25K
78306 <1% 160 $25K
91320 <1% 380 $25K
88300 <1% 2,014 $25K
81001 <1% 18,460 $25K
A0427 Emergency ambulance ride, advanced life support <1% 231 $24K
C9600 Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch <1% 16 $24K
A0429 Emergency ambulance ride, basic life support <1% 266 $24K
94010 <1% 352 $24K
H0001 Alcohol and/or drug assessment <1% 116 $24K
87086 Culture, bacterial; quantitative colony count, urine <1% 11,051 $23K
J1453 Injection, fosaprepitant, 1 mg <1% 236 $23K
J2704 Injection, propofol, 10 mg <1% 24,301 $23K
73560 <1% 1,358 $22K
J1631 Injection, haloperidol decanoate, per 50 mg <1% 253 $22K
99442 <1% 448 $22K
A9555 Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries <1% 75 $22K
76870 <1% 602 $22K
77001 <1% 87 $21K
77065 Tomosynthesis, mammo <1% 343 $21K
73502 <1% 1,789 $21K
93923 <1% 190 $20K
45190 <1% 12 $20K
73110 <1% 2,634 $20K
87340 <1% 6,160 $19K
76775 <1% 452 $19K
91200 <1% 351 $19K
84153 <1% 2,359 $19K
J1756 Injection, iron sucrose, 1 mg <1% 615 $19K
77080 <1% 570 $19K
88313 <1% 1,071 $19K
84439 <1% 4,180 $18K
73221 <1% 83 $18K
78264 <1% 85 $18K
J0640 Injection, leucovorin calcium, per 50 mg <1% 633 $17K
93289 <1% 410 $17K
85730 <1% 13,369 $17K
86769 <1% 569 $17K
96368 <1% 1,366 $17K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 14,601 $17K
72128 <1% 464 $16K
96376 <1% 2,617 $16K
86706 <1% 3,632 $16K
96402 <1% 444 $16K
82107 <1% 410 $16K
D0230 Intraoral - periapical each additional radiographic image <1% 1,345 $16K
73590 <1% 2,222 $15K
82803 <1% 1,404 $14K
83655 <1% 1,248 $14K
78434 <1% 117 $14K
83690 <1% 18,209 $14K
59840 <1% 16 $14K
90849 <1% 223 $14K
96523 <1% 288 $14K
90746 <1% 364 $14K
J3490 Unclassified drugs <1% 1,900 $13K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg <1% 68 $13K
82378 <1% 1,787 $13K
36561 <1% 12 $13K
82784 <1% 2,328 $13K
96411 <1% 278 $12K
86592 <1% 8,310 $12K
86140 <1% 5,644 $12K
97161 <1% 261 $12K
J9263 Injection, oxaliplatin, 0.5 mg <1% 363 $12K
G0009 Administration of pneumococcal vaccine <1% 873 $12K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 35 $12K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 816 $12K
77334 <1% 47 $12K
J9190 Injection, fluorouracil, 500 mg <1% 632 $12K
59820 <1% 13 $11K
99401 <1% 124 $11K
Q9956 Injection, octafluoropropane microspheres, per ml <1% 774 $11K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 4,974 $11K
86704 <1% 2,505 $11K
93288 <1% 371 $11K
85027 <1% 6,201 $11K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 13,012 $10K
10061 <1% 44 $10K
82043 <1% 2,340 $10K
C2617 Stent, non-coronary, temporary, without delivery system <1% 405 $10K
82962 <1% 17,102 $10K
90480 <1% 373 $10K
84702 <1% 5,362 $10K
73080 <1% 1,396 $10K
83020 <1% 1,328 $10K
87480 <1% 1,270 $9K
93246 <1% 107 $9K
87510 <1% 1,267 $9K
92015 Determination of refractive state <1% 246 $9K
93291 <1% 170 $8K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 476 $8K
87660 <1% 1,148 $8K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 235 $8K
86765 <1% 1,345 $8K
0004A <1% 244 $8K
72040 <1% 443 $8K
86762 <1% 1,343 $8K
90670 <1% 60 $8K
83735 <1% 6,758 $8K
J0741 Injection, cabotegravir and rilpivirine, 2mg/3mg <1% 55 $8K
97802 <1% 263 $8K
90678 <1% 65 $8K
J0690 Injection, cefazolin sodium, 500 mg <1% 6,571 $8K
J1170 Injection, hydromorphone, up to 4 mg <1% 7,378 $7K
85651 <1% 6,064 $7K
83615 <1% 3,432 $7K
92978 <1% 25 $7K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 14,792 $7K
77300 <1% 26 $7K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 16,978 $7K
86593 <1% 4,787 $7K
73564 <1% 313 $6K
82570 <1% 2,494 $6K
0124A <1% 210 $6K
93242 <1% 83 $6K
73090 <1% 1,486 $6K
G0435 Infectious agent antibody detection by rapid antibody test, hiv-1 and/or hiv-2, screening <1% 768 $6K
86141 <1% 1,422 $6K
71271 <1% 81 $6K
92134 <1% 122 $6K
82670 <1% 613 $6K
76857 <1% 245 $6K
84100 <1% 5,074 $6K
C1773 Retrieval device, insertable (used to retrieve fractured medical devices) <1% 319 $6K
73060 <1% 875 $6K
70544 <1% 26 $6K
75580 <1% 13 $6K
84156 <1% 4,734 $6K
93922 <1% 139 $6K
90734 <1% 68 $6K
90661 <1% 189 $5K
72110 <1% 234 $5K
73200 <1% 27 $5K
74240 <1% 49 $5K
Q9950 Injection, sulfur hexafluoride lipid microspheres, per ml <1% 301 $5K
86787 <1% 1,231 $5K
82746 <1% 931 $5K
95012 <1% 410 $5K
52346 <1% 52 $5K
82550 <1% 2,329 $5K
G0010 Administration of hepatitis b vaccine <1% 302 $5K
88312 <1% 205 $5K
94760 <1% 2,851 $5K
74247 <1% 37 $4K
99244 Office or other outpatient consultation, moderate to high complexity <1% 28 $4K
0003A <1% 148 $4K
82105 <1% 849 $4K
86334 <1% 536 $4K
87186 <1% 2,495 $4K
82947 <1% 7,161 $4K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 72 $4K
93571 <1% 65 $4K
12013 <1% 13 $4K
87040 <1% 4,075 $4K
99201 <1% 27 $4K
83516 <1% 961 $4K
86160 <1% 753 $4K
99441 <1% 103 $4K
84550 <1% 1,851 $4K
90472 Immunization administration, each additional vaccine (list separately) <1% 488 $4K
82950 <1% 1,416 $4K
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) <1% 154 $4K
72050 <1% 149 $4K
0503T <1% 26 $4K
90656 <1% 248 $4K
71100 <1% 864 $4K
87070 <1% 1,640 $4K
73552 <1% 535 $4K
83605 <1% 1,611 $3K
87081 <1% 1,247 $3K
86923 <1% 188 $3K
84238 <1% 128 $3K
76882 <1% 40 $3K
0042T <1% 60 $3K
83521 <1% 777 $3K
73140 <1% 792 $3K
50433 <1% 13 $3K
84165 <1% 945 $3K
11043 <1% 26 $3K
76812 <1% 110 $3K
C1730 Catheter, electrophysiology, diagnostic, other than 3d mapping (19 or fewer electrodes) <1% 12 $3K
74018 <1% 412 $3K
87653 <1% 132 $3K
93799 <1% 379 $3K
82248 <1% 536 $3K
85378 <1% 4,018 $3K
73620 <1% 390 $3K
J9206 Injection, irinotecan, 20 mg <1% 74 $3K
90694 <1% 203 $3K
G0380 Level 1 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name, posted signs, advertising, or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489.24 is being made, based on a representative sample of patient visits that occurred during that calendar year, it provides at least one-third of all of its outpatient visits for the treatment of emergency medical conditions on an urgent basis without requiring a previously scheduled appointment) <1% 15 $3K
D0150 Comprehensive oral evaluation - new or established patient <1% 97 $2K
87593 <1% 94 $2K
S0028 Injection, famotidine, 20 mg <1% 10,742 $2K
0502T <1% 38 $2K
J1644 Injection, heparin sodium, per 1000 units <1% 5,782 $2K
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) <1% 95 $2K
86431 <1% 674 $2K
95816 <1% 16 $2K
83550 <1% 616 $2K
84403 <1% 187 $2K
58300 <1% 12 $2K
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) <1% 76 $2K
87507 <1% 13 $2K
A0425 Ground mileage, per statute mile <1% 544 $2K
59430 <1% 15 $2K
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes <1% 25 $2K
C9290 Injection, bupivacaine liposome, 1 mg <1% 38 $2K
73600 <1% 319 $2K
83001 <1% 187 $2K
90739 <1% 40 $2K
86335 <1% 83 $2K
82533 <1% 238 $2K
C1781 Mesh (implantable) <1% 28 $2K
J3370 Injection, vancomycin hcl, 500 mg <1% 1,355 $2K
92020 <1% 42 $2K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 3,220 $2K
J8540 Dexamethasone, oral, 0.25 mg <1% 3,265 $2K
99242 <1% 13 $2K
97162 <1% 43 $2K
86870 <1% 52 $2K
83695 <1% 247 $2K
86301 <1% 295 $2K
99386 <1% 12 $2K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 51 $1K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 928 $1K
93225 <1% 12 $1K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 682 $1K
99152 <1% 1,524 $1K
OP250 <1% 881 $1K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 1,005 $1K
84146 <1% 129 $1K
94660 <1% 26 $1K
86038 <1% 367 $1K
J1250 Injection, dobutamine hydrochloride, per 250 mg <1% 300 $1K
87205 <1% 1,213 $1K
J0571 Buprenorphine, oral, 1 mg <1% 1,500 $1K
80164 <1% 327 $1K
80346 <1% 68 $1K
82977 <1% 508 $1K
99406 <1% 29 $1K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 1,211 $1K
84481 <1% 274 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 21,194 $1K
99153 Mod sedat endo service >5yrs <1% 1,195 $1K
J1815 Injection, insulin, per 5 units <1% 1,215 $1K
72170 <1% 127 $1K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 13 $1K
C1729 Catheter, drainage <1% 25 $1K
73120 <1% 93 $996.40
97116 <1% 82 $986.93
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 236 $980.74
82010 <1% 919 $940.23
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 3,328 $897.28
82172 <1% 106 $873.47
81243 <1% 25 $808.32
86200 <1% 115 $803.74
84480 <1% 240 $802.15
86003 <1% 218 $789.41
84132 <1% 1,014 $777.57
J2270 Injection, morphine sulfate, up to 10 mg <1% 5,010 $772.92
86147 <1% 43 $758.08
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 1,468 $707.05
93270 <1% 16 $694.19
82330 <1% 915 $677.58
93990 <1% 12 $661.00
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 17,831 $612.85
95860 <1% 13 $606.84
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 2,807 $591.69
84145 <1% 108 $556.31
90662 <1% 62 $540.39
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) <1% 254 $533.20
86225 <1% 187 $517.37
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 1,476 $505.53
76820 <1% 30 $505.37
87075 <1% 294 $487.84
83010 <1% 123 $486.19
90460 Immunization administration through 18 years of age via any route, first or only component <1% 47 $470.54
86905 <1% 47 $452.83
81479 Unlisted molecular pathology procedure <1% 44 $418.60
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 13 $408.12
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 519 $399.09
81002 <1% 298 $395.86
86735 <1% 124 $395.81
99417 Prolong home eval add 15m <1% 140 $394.90
87430 <1% 1,966 $381.84
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries <1% 36 $376.72
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 889 $374.52
83921 <1% 30 $365.88
36591 <1% 13 $362.16
83520 <1% 45 $332.21
J0461 Injection, atropine sulfate, 0.01 mg <1% 287 $325.76
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% 7,771 $324.15
J1630 Injection, haloperidol, up to 5 mg <1% 3,432 $323.14
82565 <1% 100 $316.40
86039 <1% 166 $314.08
86618 <1% 38 $312.13
90611 <1% 123 $309.48
J1650 Injection, enoxaparin sodium, 10 mg <1% 932 $300.13
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% 8,029 $293.38
J2371 Injection, phenylephrine hydrochloride, 20 micrograms <1% 1,111 $290.57
80178 <1% 108 $280.58
80177 <1% 55 $279.33
11721 <1% 14 $278.90
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 4,463 $260.10
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 244 $250.81
85384 <1% 126 $241.89
86235 <1% 73 $234.00
82365 <1% 468 $226.41
88311 <1% 40 $222.55
86328 <1% 17 $217.24
J2060 Injection, lorazepam, 2 mg <1% 1,468 $214.59
S0077 Injection, clindamycin phosphate, 300 mg <1% 117 $204.88
72070 <1% 12 $202.56
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 3,739 $199.48
82785 <1% 37 $198.97
1036F <1% 11,365 $187.93
82951 <1% 27 $175.66
G9902 Patient screened for tobacco use and identified as a tobacco user <1% 3,077 $174.47
C1758 Catheter, ureteral <1% 24 $165.65
73100 <1% 61 $165.12
84425 <1% 25 $157.37
D0180 <1% 13 $156.70
84703 <1% 25 $152.65
C1755 Catheter, intraspinal <1% 100 $151.32
J3475 Injection, magnesium sulfate, per 500 mg <1% 281 $145.83
75571 <1% 36 $145.44
84436 <1% 12 $126.89
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 106 $126.16
86701 <1% 12 $113.09
76377 <1% 13 $110.99
J1171 Injection, hydromorphone, 0.1 mg <1% 87 $100.15
84295 <1% 535 $98.89
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 2,440 $92.83
84166 <1% 12 $78.75
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 477 $78.58
83002 <1% 15 $74.08
73070 <1% 69 $61.44
J1940 Injection, furosemide, up to 20 mg <1% 229 $58.55
87338 <1% 14 $58.00
82435 <1% 534 $57.01
J1596 Injection, glycopyrrolate, 0.1 mg <1% 200 $56.92
90885 <1% 207 $55.17
J1953 Injection, levetiracetam, 10 mg <1% 13 $54.45
86705 <1% 55 $51.35
70360 <1% 38 $49.51
J3411 Injection, thiamine hcl, 100 mg <1% 57 $48.66
S0030 Injection, metronidazole, 500 mg <1% 140 $43.29
86606 <1% 12 $40.15
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg <1% 74 $39.02
87077 <1% 70 $37.14
J3480 Injection, potassium chloride, per 2 meq <1% 51 $34.63
85612 <1% 12 $31.28
82952 <1% 25 $31.20
J1836 Injection, metronidazole, 10 mg <1% 135 $30.54
73000 <1% 12 $27.23
J0692 Injection, cefepime hydrochloride, 500 mg <1% 44 $26.26
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 163 $24.50
J1920 Injection, labetalol hydrochloride, 5 mg <1% 173 $22.33
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% 5,238 $20.40
91312 <1% 143 $14.11
84300 <1% 13 $13.32
83930 <1% 12 $12.08
99499 <1% 1,341 $12.00
82120 <1% 13 $12.00
J2003 Injection, lidocaine hydrochloride, 1 mg <1% 310 $11.64
J0360 Injection, hydralazine hcl, up to 20 mg <1% 24 $11.35
91300 <1% 3,120 $10.45
J1598 Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg <1% 68 $8.07
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm <1% 83 $7.91
G9903 Patient screened for tobacco use and identified as a tobacco non-user <1% 632 $5.72
J0290 Injection, ampicillin sodium, 500 mg <1% 114 $1.80
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram <1% 16 $1.02
G8421 Bmi not documented and no reason is given <1% 439 $0.83
4004F <1% 3,620 $0.73
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) <1% 46 $0.35
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given <1% 308 $0.24
3074F <1% 215 $0.21
3079F <1% 203 $0.18
G8420 Bmi is documented within normal parameters and no follow-up plan is required <1% 93 $0.16
3078F <1% 218 $0.15
3077F <1% 120 $0.07
3075F <1% 110 $0.06
3080F <1% 66 $0.05
J2004 Injection, lidocaine hcl with epinephrine, 1 mg <1% 28 $0.04
G9740 Hospice services given to patient any time during the measurement period <1% 298 $0.02
G9687 Hospice services provided to patient any time during the measurement period <1% 65 $0.01
G8752 Most recent systolic blood pressure < 140 mmhg <1% 172 $0.01
G8754 Most recent diastolic blood pressure < 90 mmhg <1% 205 $0.01
J2550 Injection, promethazine hcl, up to 50 mg 0% 23 $0.00
99080 0% 5,800 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 50 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 101 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 0% 86 $0.00
G8938 Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible 0% 17 $0.00
C2628 Catheter, occlusion 0% 12 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 0% 12 $0.00
G8756 No documentation of blood pressure measurement, reason not given 0% 355 $0.00
99429 0% 223 $0.00
86308 0% 12 $0.00
1123F 0% 80 $0.00
G9910 Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period 0% 13 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 0% 54 $0.00
J1790 Injection, droperidol, up to 5 mg 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.

From NPPES

Who's on the registration

Authorized officialBARRITT, KENNETH (SR VICE PRESIDENT)
Same official

Other billing entities under BARRITT, KENNETH

Full network →
ProviderLocationPaid
Beth Israel Medical CenterBrooklyn, NY$9.23M
Beth Israel Medical CenterNew York, NY$1.61M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.