Providence Health & Services - Wa
Providence Health & Services - Wa was paid $78.83M by Medicaid between Jan 2018 and Dec 2024, across 578 billing codes. Its largest line is 99283, emergency room visit (moderate) — 14% of everything it billed.
SPOKANE, WA 99204
Next to other Psychiatric Hospital Unit providers in Washington
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 407,738 | $11.43M | |
| 2019 | 402,219 | $11.25M | |
| 2020 | 356,389 | $9.82M | |
| 2021 | 397,711 | $11.40M | |
| 2022 | 375,226 | $11.86M | |
| 2023 | 362,218 | $11.64M | |
| 2024incomplete | 305,158 | $11.42M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 14% | 81,085 | 75,055 | $10.73M |
| 96361 | Intravenous infusion, hydration; each additional hour | 12% | 29,513 | 26,406 | $9.33M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 7.4% | 62,205 | 57,989 | $5.84M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 5.5% | 54,547 | 50,444 | $4.32M |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 4.8% | 37,564 | 25,772 | $3.77M |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 4.2% | 13,145 | 12,890 | $3.35M |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 2.7% | 19,236 | 15,090 | $2.10M |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 2.4% | 4,526 | 4,459 | $1.90M |
| 70450 | Computed tomography, head or brain; without contrast material | 2.4% | 12,807 | 12,159 | $1.88M |
| 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 | 2.4% | 23,475 | 21,739 | $1.86M |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 2.1% | 10,177 | 9,872 | $1.68M |
| S9480 | Intensive outpatient psychiatric services, per diem | 2.0% | 3,393 | 600 | $1.58M |
566 more codes
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | 2.0% | 6,745 | $1.56M |
| 44970 | 1.9% | 450 | $1.54M | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 1.9% | 4,095 | $1.53M |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | 1.8% | 10,272 | $1.38M |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 1.2% | 6,668 | $982K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.2% | 9,597 | $928K |
| 54161 | <1% | 530 | $699K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 4,300 | $695K |
| 67311 | <1% | 339 | $669K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 2,347 | $655K |
| H2012 | Behavioral health day treatment, per hour | <1% | 1,882 | $652K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 1,391 | $646K |
| 93304 | <1% | 1,564 | $622K | |
| 93458 | <1% | 671 | $588K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 6,092 | $585K |
| 93308 | <1% | 2,003 | $584K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 1,630 | $574K |
| 93325 | <1% | 9,113 | $548K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 2,740 | $543K |
| 80053 | Comprehensive metabolic panel | <1% | 105,893 | $542K |
| 43235 | <1% | 1,404 | $504K | |
| 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% | 2,356 | $485K |
| 95819 | <1% | 2,182 | $473K | |
| G0378 | Hospital observation service, per hour | <1% | 25,892 | $470K |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 3,219 | $465K |
| 87631 | <1% | 9,149 | $456K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 15,473 | $447K |
| 12011 | <1% | 1,761 | $396K | |
| 12001 | <1% | 1,698 | $363K | |
| 58571 | <1% | 148 | $362K | |
| 96415 | <1% | 1,280 | $337K | |
| 95816 | <1% | 1,278 | $293K | |
| 36430 | <1% | 1,700 | $289K | |
| 93017 | <1% | 2,707 | $277K | |
| 76770 | <1% | 2,253 | $266K | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 3,106 | $259K |
| 93971 | <1% | 2,355 | $198K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 472 | $186K |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 36,255 | $164K |
| 70498 | <1% | 1,510 | $160K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 14,996 | $158K |
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | <1% | 96 | $142K |
| 12002 | <1% | 768 | $137K | |
| 95700 | <1% | 741 | $137K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 72,723 | $131K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 122,466 | $128K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 2,975 | $128K |
| 96367 | <1% | 2,695 | $127K | |
| 70496 | <1% | 1,566 | $117K | |
| 76830 | Ultrasound, transvaginal | <1% | 1,516 | $115K |
| 93975 | <1% | 1,880 | $111K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 1,935 | $111K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 13,890 | $108K |
| 84484 | <1% | 25,999 | $105K | |
| 78264 | <1% | 284 | $105K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 18,049 | $101K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | <1% | 3,335 | $97K |
| 83880 | <1% | 11,453 | $97K | |
| 96450 | <1% | 232 | $93K | |
| 43244 | <1% | 186 | $91K | |
| 87040 | <1% | 12,250 | $85K | |
| 20680 | <1% | 67 | $83K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 26,505 | $78K |
| 90870 | <1% | 420 | $77K | |
| 74230 | <1% | 915 | $77K | |
| 77072 | <1% | 1,554 | $75K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 12,732 | $72K |
| 95714 | <1% | 213 | $69K | |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | <1% | 57 | $69K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 5,063 | $68K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 21,513 | $67K |
| 76937 | <1% | 1,306 | $67K | |
| 70491 | <1% | 338 | $64K | |
| 83735 | <1% | 29,403 | $63K | |
| 93321 | <1% | 3,988 | $59K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 8,324 | $59K |
| 76870 | <1% | 617 | $59K | |
| 83605 | <1% | 12,764 | $58K | |
| 70486 | <1% | 1,608 | $58K | |
| 47562 | <1% | 24 | $53K | |
| 88307 | <1% | 2,605 | $53K | |
| J3490 | Unclassified drugs | <1% | 4,346 | $52K |
| 83970 | <1% | 2,646 | $51K | |
| 88142 | <1% | 3,766 | $51K | |
| 82784 | <1% | 6,307 | $50K | |
| 76801 | <1% | 772 | $49K | |
| 86140 | <1% | 20,660 | $47K | |
| 74240 | <1% | 461 | $46K | |
| G0249 | Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests | <1% | 1,951 | $46K |
| 84145 | <1% | 5,505 | $45K | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 2,941 | $45K |
| 90715 | <1% | 2,650 | $44K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 41,390 | $44K |
| 97161 | <1% | 1,290 | $43K | |
| 80050 | General health panel | <1% | 6,540 | $43K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 988 | $42K |
| 93320 | <1% | 4,121 | $42K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 4,241 | $42K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 2,421 | $40K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 3,853 | $40K |
| 29125 | <1% | 223 | $39K | |
| 97162 | <1% | 1,375 | $39K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 39,106 | $37K |
| 87641 | <1% | 3,176 | $36K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 3,639 | $36K |
| 87186 | <1% | 12,353 | $36K | |
| 74018 | <1% | 6,495 | $36K | |
| 49083 | <1% | 74 | $36K | |
| 80069 | <1% | 6,227 | $36K | |
| 85027 | <1% | 26,916 | $34K | |
| 87486 | <1% | 3,363 | $34K | |
| 87581 | <1% | 3,362 | $34K | |
| 87077 | <1% | 10,116 | $34K | |
| 97166 | <1% | 1,222 | $33K | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 34,404 | $33K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 4,286 | $31K |
| 80061 | Lipid panel | <1% | 5,260 | $30K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 2,027 | $29K |
| 43237 | <1% | 123 | $29K | |
| 96409 | <1% | 2,108 | $28K | |
| 94729 | <1% | 778 | $28K | |
| 82570 | <1% | 7,780 | $28K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 14 | $28K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 1,739 | $27K |
| 85379 | <1% | 5,575 | $27K | |
| 10060 | <1% | 147 | $26K | |
| 36561 | <1% | 27 | $25K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 172 | $25K |
| 84439 | <1% | 6,090 | $25K | |
| 71045 | Radiologic examination, chest; single view | <1% | 19,728 | $24K |
| 85652 | <1% | 12,325 | $22K | |
| J9312 | Injection, rituximab, 10 mg | <1% | 17 | $22K |
| 81001 | <1% | 55,454 | $22K | |
| 85610 | <1% | 34,205 | $21K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 5,062 | $21K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 55 | $20K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 183 | $20K |
| 80143 | <1% | 4,947 | $20K | |
| 82728 | <1% | 5,487 | $20K | |
| 87505 | <1% | 261 | $19K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,548 | $19K |
| 10061 | <1% | 93 | $19K | |
| 76882 | <1% | 217 | $18K | |
| 88342 | <1% | 3,651 | $18K | |
| 97165 | <1% | 576 | $18K | |
| 76825 | <1% | 249 | $18K | |
| 59025 | Fetal non-stress test | <1% | 100 | $17K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 658 | $17K |
| 84305 | <1% | 1,298 | $17K | |
| 85007 | <1% | 4,653 | $17K | |
| 80306 | <1% | 15,832 | $16K | |
| 84156 | <1% | 6,448 | $16K | |
| 84146 | <1% | 1,199 | $16K | |
| 83550 | <1% | 3,671 | $16K | |
| P9040 | Red blood cells, leukocytes reduced, irradiated, each unit | <1% | 58 | $16K |
| 86803 | <1% | 2,705 | $15K | |
| 87088 | <1% | 6,683 | $15K | |
| P9047 | Infusion, albumin (human), 25%, 50 ml | <1% | 75 | $15K |
| 87081 | <1% | 3,441 | $15K | |
| 86780 | <1% | 1,497 | $15K | |
| 29848 | <1% | 14 | $15K | |
| 86850 | <1% | 9,863 | $15K | |
| 83516 | <1% | 2,445 | $15K | |
| 82533 | <1% | 1,324 | $15K | |
| 84100 | <1% | 10,162 | $14K | |
| 80197 | <1% | 2,317 | $14K | |
| 93531 | <1% | 12 | $14K | |
| 87070 | <1% | 7,268 | $14K | |
| 86923 | <1% | 1,277 | $14K | |
| 80164 | <1% | 1,961 | $13K | |
| 31624 | <1% | 40 | $13K | |
| 86364 | <1% | 1,978 | $13K | |
| 94060 | <1% | 345 | $12K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12,501 | $12K |
| 43259 | <1% | 44 | $12K | |
| 82962 | <1% | 45,174 | $12K | |
| 84403 | <1% | 1,101 | $12K | |
| 87205 | <1% | 8,230 | $12K | |
| 80076 | <1% | 2,444 | $11K | |
| 83690 | <1% | 26,005 | $11K | |
| G0379 | Direct admission of patient for hospital observation care | <1% | 524 | $11K |
| 95812 | <1% | 29 | $11K | |
| 87075 | <1% | 4,937 | $11K | |
| 84702 | <1% | 7,042 | $11K | |
| 29105 | <1% | 92 | $10K | |
| 87340 | <1% | 3,283 | $10K | |
| 83540 | <1% | 4,077 | $10K | |
| 86900 | <1% | 9,978 | $10K | |
| 80179 | <1% | 4,688 | $10K | |
| 92960 | <1% | 42 | $10K | |
| 88185 | <1% | 288 | $10K | |
| 83001 | <1% | 1,083 | $9K | |
| 86901 | <1% | 10,539 | $9K | |
| 43752 | <1% | 21 | $9K | |
| 83002 | <1% | 1,019 | $9K | |
| 82607 | <1% | 1,580 | $9K | |
| 70487 | <1% | 74 | $9K | |
| 36573 | <1% | 15 | $9K | |
| 71250 | <1% | 225 | $9K | |
| 81025 | <1% | 21,976 | $9K | |
| 94660 | <1% | 63 | $9K | |
| 83874 | <1% | 1,958 | $9K | |
| 76827 | <1% | 263 | $8K | |
| 94726 | <1% | 268 | $8K | |
| 85014 | <1% | 5,178 | $8K | |
| 82105 | <1% | 810 | $8K | |
| 86480 | <1% | 548 | $8K | |
| 51600 | <1% | 24 | $7K | |
| 74019 | <1% | 2,860 | $7K | |
| 82670 | <1% | 563 | $7K | |
| P9016 | Red blood cells, leukocytes reduced, each unit | <1% | 56 | $7K |
| 95951 | <1% | 37 | $7K | |
| 92611 | <1% | 742 | $7K | |
| 82043 | <1% | 3,334 | $7K | |
| 82785 | <1% | 685 | $6K | |
| 86160 | <1% | 1,063 | $6K | |
| 82550 | <1% | 4,158 | $6K | |
| 25605 | <1% | 13 | $6K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 1,406 | $6K |
| 83520 | <1% | 1,113 | $6K | |
| 49452 | <1% | 12 | $6K | |
| J1439 | Injection, ferric carboxymaltose, 1 mg | <1% | 16 | $6K |
| 43242 | <1% | 14 | $5K | |
| 90686 | <1% | 648 | $5K | |
| 82565 | <1% | 2,285 | $5K | |
| 85576 | <1% | 550 | $5K | |
| 74174 | <1% | 38 | $5K | |
| 72141 | <1% | 38 | $5K | |
| 80178 | <1% | 670 | $5K | |
| 82077 | <1% | 12,685 | $5K | |
| 86762 | <1% | 1,281 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,187 | $5K |
| 88304 | <1% | 2,283 | $5K | |
| 85730 | <1% | 7,665 | $5K | |
| 73130 | <1% | 2,508 | $5K | |
| 84436 | <1% | 457 | $5K | |
| 96376 | <1% | 14,102 | $5K | |
| 94770 | <1% | 78 | $5K | |
| 73562 | <1% | 1,473 | $5K | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 55,970 | $5K |
| 88313 | <1% | 903 | $4K | |
| J2704 | Injection, propofol, 10 mg | <1% | 34,911 | $4K |
| 86376 | <1% | 359 | $4K | |
| 84112 | <1% | 616 | $4K | |
| 82248 | <1% | 1,947 | $4K | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 332 | $4K |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 373 | $4K |
| 99152 | <1% | 3,451 | $4K | |
| 88341 | <1% | 1,051 | $4K | |
| 87147 | <1% | 2,071 | $4K | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 33,442 | $4K |
| 43762 | <1% | 39 | $4K | |
| 86592 | <1% | 1,078 | $4K | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 20,034 | $4K |
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | <1% | 33 | $4K |
| 43247 | <1% | 12 | $4K | |
| 85018 | <1% | 4,167 | $4K | |
| 72100 | <1% | 1,752 | $4K | |
| 84550 | <1% | 2,118 | $4K | |
| 86704 | <1% | 1,190 | $4K | |
| 86361 | <1% | 282 | $4K | |
| 72040 | <1% | 1,194 | $4K | |
| 87511 | <1% | 399 | $4K | |
| C1874 | Stent, coated/covered, with delivery system | <1% | 43 | $4K |
| 85049 | <1% | 1,286 | $3K | |
| 99153 | Mod sedat endo service >5yrs | <1% | 3,269 | $3K |
| 86706 | <1% | 1,055 | $3K | |
| 10120 | <1% | 12 | $3K | |
| 93880 | <1% | 74 | $3K | |
| 73630 | <1% | 2,352 | $3K | |
| 74328 | <1% | 126 | $3K | |
| 86038 | <1% | 885 | $3K | |
| 87799 | <1% | 399 | $3K | |
| 86003 | <1% | 413 | $3K | |
| 73610 | <1% | 2,592 | $3K | |
| 82805 | <1% | 757 | $3K | |
| 84460 | <1% | 1,359 | $3K | |
| 88184 | <1% | 581 | $3K | |
| 73030 | <1% | 2,287 | $3K | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 25,157 | $3K |
| 82746 | <1% | 744 | $3K | |
| 92585 | <1% | 13 | $3K | |
| 81003 | <1% | 10,412 | $3K | |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 21,804 | $3K |
| J1170 | Injection, hydromorphone, up to 4 mg | <1% | 25,645 | $3K |
| 84703 | <1% | 7,372 | $3K | |
| 85046 | <1% | 2,709 | $3K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 26,557 | $2K |
| 89230 | <1% | 91 | $2K | |
| 83615 | <1% | 2,450 | $2K | |
| 95957 | <1% | 34 | $2K | |
| 82247 | <1% | 525 | $2K | |
| 73090 | <1% | 2,076 | $2K | |
| 82950 | <1% | 707 | $2K | |
| 86800 | <1% | 138 | $2K | |
| 87184 | <1% | 1,033 | $2K | |
| C8930 | Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision | <1% | 50 | $2K |
| 82610 | <1% | 260 | $2K | |
| 82977 | <1% | 852 | $2K | |
| 87497 | <1% | 179 | $2K | |
| 93312 | <1% | 13 | $2K | |
| M0247 | Intravenous infusion, sotrovimab, includes infusion and post administration monitoring | <1% | 16 | $2K |
| 73502 | <1% | 1,389 | $2K | |
| 82803 | <1% | 4,227 | $2K | |
| 74455 | <1% | 12 | $2K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 27,164 | $2K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 23,404 | $2K |
| 73700 | <1% | 42 | $2K | |
| 87899 | <1% | 1,188 | $2K | |
| J1815 | Injection, insulin, per 5 units | <1% | 10,124 | $2K |
| 87481 | <1% | 418 | $2K | |
| 87046 | <1% | 632 | $2K | |
| 87210 | <1% | 2,192 | $2K | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 24,024 | $2K |
| 73110 | <1% | 1,586 | $2K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 220 | $2K |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | <1% | 2,781 | $2K |
| 73552 | <1% | 765 | $2K | |
| 82150 | <1% | 1,085 | $2K | |
| 73590 | <1% | 1,999 | $2K | |
| A9541 | Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries | <1% | 648 | $2K |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | <1% | 8,351 | $2K |
| 87209 | <1% | 202 | $2K | |
| 87493 | <1% | 399 | $2K | |
| 73560 | <1% | 1,170 | $2K | |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | <1% | 2,713 | $2K |
| 89051 | <1% | 1,801 | $2K | |
| 82626 | <1% | 107 | $1K | |
| 82947 | <1% | 1,995 | $1K | |
| 83519 | <1% | 167 | $1K | |
| Q0247 | Injection, sotrovimab, 500 mg | <1% | 16 | $1K |
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 15,083 | $1K |
| 82140 | <1% | 836 | $1K | |
| 73140 | <1% | 697 | $1K | |
| 87522 | Neg quan hep c or qual rna | <1% | 75 | $1K |
| 84295 | <1% | 1,731 | $1K | |
| 86231 | <1% | 253 | $1K | |
| 81015 | <1% | 396 | $1K | |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 30,204 | $1K |
| J2370 | Injection, phenylephrine hcl, up to 1 ml | <1% | 7,000 | $1K |
| 99157 | <1% | 89 | $1K | |
| 87116 | <1% | 178 | $1K | |
| 96368 | <1% | 240 | $1K | |
| 87045 | <1% | 617 | $1K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 8,336 | $1K |
| 88112 | <1% | 240 | $1K | |
| J2270 | Injection, morphine sulfate, up to 10 mg | <1% | 10,796 | $1K |
| 97802 | <1% | 27 | $1K | |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) | <1% | 892 | $1K |
| 73080 | <1% | 949 | $993.48 | |
| 86360 | <1% | 70 | $964.69 | |
| C1769 | Guide wire | <1% | 6,798 | $956.74 |
| 82951 | <1% | 117 | $948.05 | |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | <1% | 2,267 | $932.31 |
| J9370 | Vincristine sulfate, 1 mg | <1% | 1,271 | $917.77 |
| 93970 | <1% | 13 | $883.35 | |
| Q9957 | Injection, perflutren lipid microspheres, per ml | <1% | 3,249 | $862.45 |
| 87177 | <1% | 201 | $855.76 | |
| 72126 | <1% | 233 | $852.95 | |
| A9585 | Injection, gadobutrol, 0.1 ml | <1% | 3,220 | $796.79 |
| 87634 | <1% | 828 | $779.96 | |
| 85384 | <1% | 1,299 | $753.23 | |
| C1894 | Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser | <1% | 4,108 | $752.39 |
| 99155 | <1% | 46 | $739.73 | |
| 82024 | <1% | 41 | $715.73 | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 1,740 | $699.27 |
| 82330 | <1% | 529 | $686.74 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,248 | $658.23 |
| 96417 | <1% | 15 | $642.00 | |
| 80175 | <1% | 98 | $639.55 | |
| 81002 | <1% | 2,297 | $637.41 | |
| 84450 | <1% | 394 | $625.87 | |
| C1889 | Implantable/insertable device, not otherwise classified | <1% | 579 | $614.89 |
| 86147 | <1% | 53 | $604.47 | |
| C2617 | Stent, non-coronary, temporary, without delivery system | <1% | 238 | $571.87 |
| 87338 | <1% | 106 | $570.25 | |
| 84402 | <1% | 105 | $567.32 | |
| 87176 | <1% | 337 | $563.38 | |
| 86200 | <1% | 121 | $562.42 | |
| 88275 | <1% | 18 | $562.07 | |
| 0399T | <1% | 121 | $558.29 | |
| 85670 | <1% | 429 | $557.56 | |
| 84132 | <1% | 2,459 | $549.09 | |
| 84478 | <1% | 281 | $541.02 | |
| 86225 | <1% | 184 | $534.12 | |
| 84480 | <1% | 94 | $528.68 | |
| 89060 | <1% | 233 | $526.65 | |
| 86708 | <1% | 199 | $525.46 | |
| 82438 | <1% | 67 | $514.34 | |
| J1756 | Injection, iron sucrose, 1 mg | <1% | 65 | $497.23 |
| J3370 | Injection, vancomycin hcl, 500 mg | <1% | 5,857 | $492.45 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 70 | $489.14 |
| 99156 | <1% | 13 | $470.72 | |
| J0330 | Injection, succinylcholine chloride, up to 20 mg | <1% | 5,663 | $466.40 |
| D1206 | Topical application of fluoride varnish | <1% | 93 | $457.78 |
| 82310 | <1% | 173 | $454.74 | |
| 85240 | <1% | 92 | $453.54 | |
| 36591 | <1% | 105 | $450.62 | |
| 86317 | <1% | 72 | $440.73 | |
| J1644 | Injection, heparin sodium, per 1000 units | <1% | 10,109 | $432.13 |
| 82627 | <1% | 62 | $428.04 | |
| 82553 | <1% | 57 | $423.72 | |
| 84445 | <1% | 15 | $419.48 | |
| 86431 | <1% | 142 | $412.66 | |
| 88271 | <1% | 12 | $399.80 | |
| A9270 | Non-covered item or service | <1% | 34,314 | $394.42 |
| 94668 | <1% | 19 | $390.72 | |
| 87206 | <1% | 619 | $381.32 | |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 8,231 | $372.87 |
| 86039 | <1% | 62 | $363.79 | |
| C1751 | Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) | <1% | 1,218 | $354.85 |
| 94010 | <1% | 14 | $345.65 | |
| 82010 | <1% | 680 | $342.20 | |
| 72170 | <1% | 339 | $341.25 | |
| J7060 | 5% dextrose/water (500 ml = 1 unit) | <1% | 1,616 | $340.28 |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | <1% | 719 | $336.79 |
| 94727 | <1% | 15 | $335.19 | |
| 73070 | <1% | 461 | $330.57 | |
| 86235 | <1% | 45 | $328.41 | |
| 73564 | <1% | 124 | $325.73 | |
| J2310 | Injection, naloxone hydrochloride, per 1 mg | <1% | 41 | $321.89 |
| 83655 | <1% | 26 | $312.78 | |
| 84446 | <1% | 28 | $302.91 | |
| 88237 | <1% | 12 | $292.94 | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 69 | $279.68 |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 3,846 | $276.02 |
| J2710 | Injection, neostigmine methylsulfate, up to 0.5 mg | <1% | 2,238 | $268.10 |
| C1887 | Catheter, guiding (may include infusion/perfusion capability) | <1% | 2,657 | $264.71 |
| J0280 | Injection, aminophyllin, up to 250 mg | <1% | 730 | $262.91 |
| 83993 | <1% | 30 | $236.45 | |
| J9045 | Injection, carboplatin, 50 mg | <1% | 16 | $236.13 |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | <1% | 23,027 | $233.97 |
| J1650 | Injection, enoxaparin sodium, 10 mg | <1% | 7,176 | $233.15 |
| 90670 | <1% | 12 | $224.33 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 59 | $217.17 |
| 80177 | <1% | 42 | $215.29 | |
| 84520 | <1% | 976 | $200.08 | |
| 80074 | <1% | 39 | $194.93 | |
| 87015 | <1% | 230 | $184.54 | |
| J1580 | Injection, garamycin, gentamicin, up to 80 mg | <1% | 975 | $180.87 |
| 84481 | <1% | 16 | $177.66 | |
| 84144 | <1% | 25 | $175.17 | |
| 73060 | <1% | 211 | $174.36 | |
| 83010 | <1% | 13 | $172.01 | |
| 88311 | <1% | 137 | $170.05 | |
| 88264 | <1% | 12 | $166.80 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 3,174 | $165.37 |
| 84466 | <1% | 41 | $153.22 | |
| 80202 | <1% | 16 | $141.30 | |
| J3475 | Injection, magnesium sulfate, per 500 mg | <1% | 4,682 | $140.28 |
| J0780 | Injection, prochlorperazine, up to 10 mg | <1% | 1,673 | $138.72 |
| 89055 | <1% | 45 | $131.15 | |
| 90656 | <1% | 17 | $124.34 | |
| J2765 | Injection, metoclopramide hcl, up to 10 mg | <1% | 3,093 | $118.61 |
| 87806 | <1% | 1,391 | $111.63 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 218 | $111.32 |
| 51798 | <1% | 25 | $109.37 | |
| J2550 | Injection, promethazine hcl, up to 50 mg | <1% | 2,952 | $104.36 |
| 84590 | <1% | 13 | $103.08 | |
| 70250 | <1% | 12 | $98.01 | |
| C9113 | Injection, pantoprazole sodium, per vial | <1% | 2,938 | $95.63 |
| 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% | 9,899 | $91.25 |
| 86334 | <1% | 13 | $77.53 | |
| 73000 | <1% | 58 | $70.98 | |
| J1245 | Injection, dipyridamole, per 10 mg | <1% | 775 | $67.58 |
| 84165 | <1% | 14 | $66.24 | |
| 82435 | <1% | 794 | $65.92 | |
| 88300 | <1% | 62 | $63.19 | |
| 86258 | <1% | 15 | $62.86 | |
| 72072 | <1% | 63 | $61.02 | |
| J9260 | Injection, methotrexate sodium, 50 mg | <1% | 419 | $58.06 |
| 86015 | <1% | 12 | $52.80 | |
| 87807 | <1% | 107 | $51.97 | |
| 84075 | <1% | 14 | $50.93 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 272 | $49.26 |
| J2060 | Injection, lorazepam, 2 mg | <1% | 6,268 | $47.68 |
| 86665 | <1% | 25 | $43.87 | |
| J0295 | Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm | <1% | 3,861 | $43.78 |
| J2360 | Injection, orphenadrine citrate, up to 60 mg | <1% | 281 | $43.09 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 17 | $41.03 |
| 87430 | <1% | 29 | $39.60 | |
| 86037 | <1% | 13 | $38.56 | |
| 88108 | <1% | 49 | $38.27 | |
| J1940 | Injection, furosemide, up to 20 mg | <1% | 1,669 | $37.33 |
| 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% | 973 | $37.23 |
| 87102 | <1% | 52 | $36.89 | |
| J0694 | Injection, cefoxitin sodium, 1 gm | <1% | 146 | $36.80 |
| 36416 | <1% | 308 | $36.00 | |
| J1953 | Injection, levetiracetam, 10 mg | <1% | 419 | $35.42 |
| 86308 | <1% | 67 | $34.48 | |
| 87181 | <1% | 13 | $26.68 | |
| 81050 | <1% | 15 | $26.46 | |
| Q0177 | Hydroxyzine pamoate, 25 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% | 2,635 | $25.97 |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 52 | $25.80 |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 1,945 | $25.04 |
| J2543 | Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) | <1% | 1,043 | $25.00 |
| 76010 | <1% | 36 | $23.34 | |
| 88312 | <1% | 13 | $20.77 | |
| 86664 | <1% | 13 | $19.53 | |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | <1% | 3,378 | $18.93 |
| J1630 | Injection, haloperidol, up to 5 mg | <1% | 881 | $16.44 |
| J3480 | Injection, potassium chloride, per 2 meq | <1% | 2,142 | $13.02 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 15 | $13.02 |
| 85246 | <1% | 13 | $11.96 | |
| J3411 | Injection, thiamine hcl, 100 mg | <1% | 1,804 | $11.75 |
| 84157 | <1% | 28 | $8.26 | |
| 82945 | <1% | 38 | $8.10 | |
| J0500 | Injection, dicyclomine hcl, up to 20 mg | <1% | 391 | $3.44 |
| C1725 | Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) | <1% | 1,044 | $3.28 |
| C1766 | Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away | <1% | 229 | $3.25 |
| J0171 | Injection, adrenalin, epinephrine, 0.1 mg | <1% | 766 | $2.91 |
| J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg | <1% | 23 | $2.20 |
| J0744 | Injection, ciprofloxacin for intravenous infusion, 200 mg | <1% | 87 | $1.87 |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | <1% | 1,257 | $1.00 |
| J2175 | Injection, meperidine hydrochloride, per 100 mg | <1% | 25 | $0.90 |
| Q0244 | Injection, casirivimab and imdevimab, 1200 mg | <1% | 13 | $0.03 |
| J1920 | Injection, labetalol hydrochloride, 5 mg | 0% | 190 | $0.00 |
| G8987 | Self care functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 238 | $0.00 |
| J1790 | Injection, droperidol, up to 5 mg | 0% | 915 | $0.00 |
| J2371 | Injection, phenylephrine hydrochloride, 20 micrograms | 0% | 1,722 | $0.00 |
| C1726 | Catheter, balloon dilatation, non-vascular | 0% | 151 | $0.00 |
| S2900 | Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) | 0% | 99 | $0.00 |
| 73600 | 0% | 14 | $0.00 | |
| J2470 | Injection, pantoprazole sodium, 40 mg | 0% | 88 | $0.00 |
| J1836 | Injection, metronidazole, 10 mg | 0% | 353 | $0.00 |
| S9981 | Medical records copying fee, administrative | 0% | 17 | $0.00 |
| J0456 | Injection, azithromycin, 500 mg | 0% | 74 | $0.00 |
| J2305 | Injection, nitroglycerin, 5 mg | 0% | 129 | $0.00 |
| J7999 | Compounded drug, not otherwise classified | 0% | 166 | $0.00 |
| 96411 | 0% | 39 | $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% | 216 | $0.00 |
| 43264 | 0% | 12 | $0.00 | |
| J0360 | Injection, hydralazine hcl, up to 20 mg | 0% | 106 | $0.00 |
| J2785 | Injection, regadenoson, 0.1 mg | 0% | 15 | $0.00 |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 0% | 13 | $0.00 |
| S9982 | Medical records copying fee, per page | 0% | 28 | $0.00 |
| 72020 | 0% | 61 | $0.00 | |
| J1805 | Injection, esmolol hydrochloride, 10 mg | 0% | 12 | $0.00 |
| J2919 | Injection, methylprednisolone sodium succinate, 5 mg | 0% | 218 | $0.00 |
| J1596 | Injection, glycopyrrolate, 0.1 mg | 0% | 367 | $0.00 |
| 0100U | 0% | 33 | $0.00 | |
| J2359 | Injection, olanzapine, 0.5 mg | 0% | 123 | $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% | 310 | $0.00 |
| J0134 | Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg | 0% | 457 | $0.00 |
| 93356 | 0% | 671 | $0.00 | |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 329 | $0.00 |
| J0692 | Injection, cefepime hydrochloride, 500 mg | 0% | 264 | $0.00 |
| S0080 | Injection, pentamidine isethionate, 300 mg | 0% | 157 | $0.00 |
| J3415 | Injection, pyridoxine hcl, 100 mg | 0% | 208 | $0.00 |
| J0688 | Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg | 0% | 568 | $0.00 |
| 71100 | 0% | 12 | $0.00 | |
| G8989 | Self care functional limitation, discharge status, at discharge from therapy or to end reporting | 0% | 28 | $0.00 |
| J2004 | Injection, lidocaine hcl with epinephrine, 1 mg | 0% | 101 | $0.00 |
| C1758 | Catheter, ureteral | 0% | 12 | $0.00 |
| J1956 | Injection, levofloxacin, 250 mg | 0% | 55 | $0.00 |
| J2720 | Injection, protamine sulfate, per 10 mg | 0% | 24 | $0.00 |
| J0137 | Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg | 0% | 13 | $0.00 |
| G2215 | Take-home supply of nasal naloxone; 2-pack of 4mg per 0.1 ml nasal spray (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 0% | 16 | $0.00 |
| J3371 | Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg | 0% | 38 | $0.00 |
| C1760 | Closure device, vascular (implantable/insertable) | 0% | 12 | $0.00 |
| J1171 | Injection, hydromorphone, 0.1 mg | 0% | 299 | $0.00 |
| Q9958 | High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml | 0% | 13 | $0.00 |
| J0736 | Injection, clindamycin phosphate, 300 mg | 0% | 16 | $0.00 |
| 51702 | 0% | 16 | $0.00 | |
| C2625 | Stent, non-coronary, temporary, with delivery system | 0% | 13 | $0.00 |
| C1776 | Joint device (implantable) | 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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.