Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - WA

NPI: 1144471715 · SPOKANE, WA 99204 · Psychiatric Hospital Unit · NPI assigned 10/01/2008

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

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

$78.83M
Total Medicaid Paid
2,606,659
Total Claims
2,201,339
Beneficiaries
578
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY FOR ENROLLMENT)
NPI Enumeration Date10/01/2008

Related Entities

Other providers sharing the same authorized official: ANDERSON, DONALD

ProviderCityStateTotal Paid
PROVIDENCE HEALTH & SERVICES WASHINGTON ANCHORAGE AK $161.45M
KADLEC REGIONAL MEDICAL CENTER RICHLAND WA $151.60M
SWEDISH EDMONDS EDMONDS WA $30.06M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC EUREKA CA $28.68M
PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA TORRANCE CA $27.29M
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA SAN PEDRO CA $24.26M
PROVIDENCE HEALTH & SERVICES - WASHINGTON TUKWILA WA $21.98M
SWEDISH HEALTH SERVICES SEATTLE WA $21.06M
PROVIDENCE HEALTH & SERVICES WASHINGTON KODIAK AK $11.39M
SWEDISH HEALTH SERVICES SEATTLE WA $11.08M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC FORTUNA CA $8.55M
COLLABRIA CARE NAPA CA $8.20M
PROVIDENCE HEALTH & SERVICES OREGON SEASIDE OR $8.01M
PROVIDENCE HEALTH & SERVICES- WASHINGTON SPOKANE WA $8.01M
HOSPICE OF LUBBOCK INC LUBBOCK TX $6.48M
PROVIDENCE SAINT JOHN'S HEALTH CENTER SANTA MONICA CA $5.52M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.55M
COLLABRIA CARE NAPA CA $4.05M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.01M
METHODIST HOSPITAL PLAINVIEW TEXAS PLAINVIEW TX $4.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 305,158 $11.42M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 81,085 75,055 $10.73M
96361 Intravenous infusion, hydration; each additional hour 29,513 26,406 $9.33M
99284 Emergency department visit for the evaluation and management, high severity 62,205 57,989 $5.84M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 54,547 50,444 $4.32M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 37,564 25,772 $3.77M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 13,145 12,890 $3.35M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 19,236 15,090 $2.10M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 4,526 4,459 $1.90M
70450 Computed tomography, head or brain; without contrast material 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 23,475 21,739 $1.86M
74177 Computed tomography, abdomen and pelvis; with contrast material 10,177 9,872 $1.68M
S9480 Intensive outpatient psychiatric services, per diem 3,393 600 $1.58M
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 6,745 5,050 $1.56M
44970 450 449 $1.54M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 4,095 4,040 $1.53M
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 10,272 9,897 $1.38M
99281 Emergency department visit for the evaluation and management, self-limited or minor 6,668 6,217 $982K
99282 Emergency department visit for the evaluation and management, low to moderate severity 9,597 9,234 $928K
54161 530 527 $699K
74176 Computed tomography, abdomen and pelvis; without contrast material 4,300 4,148 $695K
67311 339 334 $669K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 2,347 2,188 $655K
H2012 Behavioral health day treatment, per hour 1,882 276 $652K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,391 1,372 $646K
93304 1,564 1,533 $622K
93458 671 648 $588K
76705 Ultrasound, abdominal, real time with image documentation; limited 6,092 5,748 $585K
93308 2,003 1,944 $584K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1,630 1,591 $574K
93325 9,113 8,798 $548K
70551 Magnetic resonance imaging, brain; without contrast material 2,740 2,672 $543K
80053 Comprehensive metabolic panel 105,893 89,208 $542K
43235 1,404 1,372 $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 2,356 2,304 $485K
95819 2,182 2,162 $473K
G0378 Hospital observation service, per hour 25,892 11,995 $470K
71275 Computed tomographic angiography, chest, with contrast material 3,219 3,124 $465K
87631 9,149 8,707 $456K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 15,473 14,220 $447K
12011 1,761 1,740 $396K
12001 1,698 1,682 $363K
58571 148 145 $362K
96415 1,280 965 $337K
95816 1,278 1,260 $293K
36430 1,700 1,176 $289K
93017 2,707 2,650 $277K
76770 2,253 2,213 $266K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 3,106 1,971 $259K
93971 2,355 2,252 $198K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 472 460 $186K
80048 Basic metabolic panel (calcium, ionized) 36,255 30,373 $164K
70498 1,510 1,482 $160K
88305 Level IV - Surgical pathology, gross and microscopic examination 14,996 14,627 $158K
J1561 Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg 96 77 $142K
12002 768 757 $137K
95700 741 727 $137K
36415 Collection of venous blood by venipuncture 72,723 59,455 $131K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 122,466 102,184 $128K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,975 2,892 $128K
96367 2,695 2,344 $127K
70496 1,566 1,528 $117K
76830 Ultrasound, transvaginal 1,516 1,479 $115K
93975 1,880 1,829 $111K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,935 1,887 $111K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 13,890 10,066 $108K
84484 25,999 18,306 $105K
78264 284 280 $105K
84443 Thyroid stimulating hormone (TSH) 18,049 17,495 $101K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 3,335 3,241 $97K
83880 11,453 9,998 $97K
96450 232 196 $93K
43244 186 182 $91K
87040 12,250 7,226 $85K
20680 67 63 $83K
87086 Culture, bacterial; quantitative colony count, urine 26,505 25,211 $78K
90870 420 171 $77K
74230 915 886 $77K
77072 1,554 1,547 $75K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 12,732 12,131 $72K
95714 213 176 $69K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 57 48 $69K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 5,063 4,944 $68K
71046 Radiologic examination, chest; 2 views 21,513 20,568 $67K
76937 1,306 1,222 $67K
70491 338 326 $64K
83735 29,403 21,320 $63K
93321 3,988 3,878 $59K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 8,324 8,146 $59K
76870 617 589 $59K
83605 12,764 10,130 $58K
70486 1,608 1,558 $58K
47562 24 24 $53K
88307 2,605 2,484 $53K
J3490 Unclassified drugs 4,346 3,873 $52K
83970 2,646 2,418 $51K
88142 3,766 3,752 $51K
82784 6,307 5,329 $50K
76801 772 734 $49K
86140 20,660 18,631 $47K
74240 461 456 $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 1,951 1,746 $46K
84145 5,505 5,046 $45K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 2,941 2,920 $45K
90715 2,650 2,599 $44K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 41,390 37,465 $44K
97161 1,290 1,245 $43K
80050 General health panel 6,540 6,426 $43K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 988 961 $42K
93320 4,121 4,059 $42K
72125 Computed tomography, cervical spine; without contrast material 4,241 4,084 $42K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,421 1,276 $40K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 3,853 3,586 $40K
29125 223 217 $39K
97162 1,375 1,306 $39K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 39,106 35,817 $37K
87641 3,176 3,110 $36K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,639 3,592 $36K
87186 12,353 11,943 $36K
74018 6,495 6,133 $36K
49083 74 36 $36K
80069 6,227 4,532 $36K
85027 26,916 21,891 $34K
87486 3,363 3,266 $34K
87581 3,362 3,265 $34K
87077 10,116 9,763 $34K
97166 1,222 1,156 $33K
96375 Therapeutic injection; each additional sequential IV push 34,404 28,512 $33K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 4,286 4,190 $31K
80061 Lipid panel 5,260 5,174 $30K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,027 1,979 $29K
43237 123 120 $29K
96409 2,108 1,132 $28K
94729 778 761 $28K
82570 7,780 7,020 $28K
42820 Tonsillectomy and adenoidectomy; younger than age 12 14 14 $28K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,739 1,703 $27K
85379 5,575 5,330 $27K
10060 147 142 $26K
36561 27 27 $25K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 172 168 $25K
84439 6,090 5,919 $25K
71045 Radiologic examination, chest; single view 19,728 18,167 $24K
85652 12,325 11,604 $22K
J9312 Injection, rituximab, 10 mg 17 12 $22K
81001 55,454 50,924 $22K
85610 34,205 23,977 $21K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 5,062 4,945 $21K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 55 55 $20K
76700 Ultrasound, abdominal, real time with image documentation; complete 183 182 $20K
80143 4,947 4,687 $20K
82728 5,487 5,209 $20K
87505 261 251 $19K
83036 Hemoglobin; glycosylated (A1C) 5,548 5,434 $19K
10061 93 93 $19K
76882 217 202 $18K
88342 3,651 3,533 $18K
97165 576 545 $18K
76825 249 231 $18K
59025 Fetal non-stress test 100 96 $17K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 658 629 $17K
84305 1,298 1,287 $17K
85007 4,653 3,557 $17K
80306 15,832 14,881 $16K
84156 6,448 5,649 $16K
84146 1,199 1,174 $16K
83550 3,671 3,532 $16K
P9040 Red blood cells, leukocytes reduced, irradiated, each unit 58 52 $16K
86803 2,705 2,668 $15K
87088 6,683 6,415 $15K
P9047 Infusion, albumin (human), 25%, 50 ml 75 38 $15K
87081 3,441 3,394 $15K
86780 1,497 1,469 $15K
29848 14 13 $15K
86850 9,863 8,838 $15K
83516 2,445 2,080 $15K
82533 1,324 1,102 $15K
84100 10,162 6,878 $14K
80197 2,317 1,379 $14K
93531 12 12 $14K
87070 7,268 6,742 $14K
86923 1,277 1,064 $14K
80164 1,961 1,732 $13K
31624 40 38 $13K
86364 1,978 1,961 $13K
94060 345 334 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12,501 9,480 $12K
43259 44 44 $12K
82962 45,174 25,150 $12K
84403 1,101 1,073 $12K
87205 8,230 7,578 $12K
80076 2,444 2,270 $11K
83690 26,005 24,023 $11K
G0379 Direct admission of patient for hospital observation care 524 514 $11K
95812 29 29 $11K
87075 4,937 4,589 $11K
84702 7,042 6,518 $11K
29105 92 92 $10K
87340 3,283 3,213 $10K
83540 4,077 3,916 $10K
86900 9,978 8,820 $10K
80179 4,688 4,476 $10K
92960 42 38 $10K
88185 288 154 $10K
83001 1,083 1,051 $9K
86901 10,539 9,345 $9K
43752 21 13 $9K
83002 1,019 983 $9K
82607 1,580 1,558 $9K
70487 74 73 $9K
36573 15 13 $9K
71250 225 218 $9K
81025 21,976 20,929 $9K
94660 63 37 $9K
83874 1,958 1,891 $9K
76827 263 242 $8K
94726 268 260 $8K
85014 5,178 4,449 $8K
82105 810 775 $8K
86480 548 538 $8K
51600 24 24 $7K
74019 2,860 2,765 $7K
82670 563 552 $7K
P9016 Red blood cells, leukocytes reduced, each unit 56 50 $7K
95951 37 26 $7K
92611 742 718 $7K
82043 3,334 3,228 $7K
82785 685 656 $6K
86160 1,063 1,010 $6K
82550 4,158 3,406 $6K
25605 13 13 $6K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1,406 1,387 $6K
83520 1,113 968 $6K
49452 12 12 $6K
J1439 Injection, ferric carboxymaltose, 1 mg 16 12 $6K
43242 14 14 $5K
90686 648 638 $5K
82565 2,285 2,091 $5K
85576 550 442 $5K
74174 38 38 $5K
72141 38 38 $5K
80178 670 597 $5K
82077 12,685 11,777 $5K
86762 1,281 1,270 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,187 4,019 $5K
88304 2,283 2,255 $5K
85730 7,665 6,938 $5K
73130 2,508 2,354 $5K
84436 457 450 $5K
96376 14,102 10,571 $5K
94770 78 53 $5K
73562 1,473 1,434 $5K
J2405 Injection, ondansetron hydrochloride, per 1 mg 55,970 45,203 $5K
88313 903 841 $4K
J2704 Injection, propofol, 10 mg 34,911 31,622 $4K
86376 359 355 $4K
84112 616 571 $4K
82248 1,947 1,585 $4K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 332 329 $4K
97535 Self-care/home management training, each 15 minutes 373 253 $4K
99152 3,451 3,248 $4K
88341 1,051 993 $4K
87147 2,071 2,025 $4K
J3010 Injection, fentanyl citrate, 0.1 mg 33,442 26,978 $4K
43762 39 36 $4K
86592 1,078 1,069 $4K
J2250 Injection, midazolam hydrochloride, per 1 mg 20,034 18,696 $4K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 33 33 $4K
43247 12 12 $4K
85018 4,167 3,459 $4K
72100 1,752 1,645 $4K
84550 2,118 1,960 $4K
86704 1,190 1,168 $4K
86361 282 276 $4K
72040 1,194 1,096 $4K
87511 399 396 $4K
C1874 Stent, coated/covered, with delivery system 43 40 $4K
85049 1,286 1,271 $3K
99153 Mod sedat endo service >5yrs 3,269 3,105 $3K
86706 1,055 1,028 $3K
10120 12 12 $3K
93880 74 74 $3K
73630 2,352 2,201 $3K
74328 126 121 $3K
86038 885 867 $3K
87799 399 271 $3K
86003 413 346 $3K
73610 2,592 2,348 $3K
82805 757 661 $3K
84460 1,359 1,212 $3K
88184 581 527 $3K
73030 2,287 2,069 $3K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 25,157 21,791 $3K
82746 744 734 $3K
92585 13 13 $3K
81003 10,412 9,360 $3K
J7120 Ringers lactate infusion, up to 1000 cc 21,804 19,472 $3K
J1170 Injection, hydromorphone, up to 4 mg 25,645 18,230 $3K
84703 7,372 7,096 $3K
85046 2,709 2,072 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 26,557 24,867 $2K
89230 91 89 $2K
83615 2,450 1,881 $2K
95957 34 24 $2K
82247 525 395 $2K
73090 2,076 1,725 $2K
82950 707 706 $2K
86800 138 137 $2K
87184 1,033 1,005 $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 50 49 $2K
82610 260 253 $2K
82977 852 684 $2K
87497 179 128 $2K
93312 13 13 $2K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 16 16 $2K
73502 1,389 1,268 $2K
82803 4,227 3,821 $2K
74455 12 12 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 27,164 23,065 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 23,404 21,852 $2K
73700 42 38 $2K
87899 1,188 615 $2K
J1815 Injection, insulin, per 5 units 10,124 4,014 $2K
87481 418 365 $2K
87046 632 614 $2K
87210 2,192 2,115 $2K
J7030 Infusion, normal saline solution , 1000 cc 24,024 20,657 $2K
73110 1,586 1,464 $2K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 220 146 $2K
0202U Oncology (prostate), multianalyte, gene expression profiling 2,781 2,690 $2K
73552 765 688 $2K
82150 1,085 948 $2K
73590 1,999 1,757 $2K
A9541 Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries 648 640 $2K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 8,351 3,876 $2K
87209 202 200 $2K
87493 399 384 $2K
73560 1,170 1,098 $2K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 2,713 2,370 $2K
89051 1,801 1,500 $2K
82626 107 103 $1K
82947 1,995 1,810 $1K
83519 167 162 $1K
Q0247 Injection, sotrovimab, 500 mg 16 16 $1K
J0690 Injection, cefazolin sodium, 500 mg 15,083 11,552 $1K
82140 836 753 $1K
73140 697 675 $1K
87522 Neg quan hep c or qual rna 75 75 $1K
84295 1,731 1,593 $1K
86231 253 252 $1K
81015 396 387 $1K
J7050 Infusion, normal saline solution, 250 cc 30,204 18,348 $1K
J2370 Injection, phenylephrine hcl, up to 1 ml 7,000 6,675 $1K
99157 89 86 $1K
87116 178 148 $1K
96368 240 134 $1K
87045 617 605 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 8,336 6,286 $1K
88112 240 221 $1K
J2270 Injection, morphine sulfate, up to 10 mg 10,796 8,546 $1K
97802 27 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) 892 867 $1K
73080 949 889 $993.48
86360 70 68 $964.69
C1769 Guide wire 6,798 6,369 $956.74
82951 117 117 $948.05
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 2,267 2,205 $932.31
J9370 Vincristine sulfate, 1 mg 1,271 885 $917.77
93970 13 12 $883.35
Q9957 Injection, perflutren lipid microspheres, per ml 3,249 3,166 $862.45
87177 201 199 $855.76
72126 233 223 $852.95
A9585 Injection, gadobutrol, 0.1 ml 3,220 3,148 $796.79
87634 828 808 $779.96
85384 1,299 1,163 $753.23
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 4,108 3,841 $752.39
99155 46 45 $739.73
82024 41 40 $715.73
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 1,740 1,617 $699.27
82330 529 440 $686.74
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,248 622 $658.23
96417 15 12 $642.00
80175 98 88 $639.55
81002 2,297 1,911 $637.41
84450 394 369 $625.87
C1889 Implantable/insertable device, not otherwise classified 579 544 $614.89
86147 53 40 $604.47
C2617 Stent, non-coronary, temporary, without delivery system 238 227 $571.87
87338 106 106 $570.25
84402 105 104 $567.32
87176 337 317 $563.38
86200 121 120 $562.42
88275 18 12 $562.07
0399T 121 119 $558.29
85670 429 349 $557.56
84132 2,459 2,136 $549.09
84478 281 172 $541.02
86225 184 174 $534.12
84480 94 94 $528.68
89060 233 221 $526.65
86708 199 195 $525.46
82438 67 65 $514.34
J1756 Injection, iron sucrose, 1 mg 65 39 $497.23
J3370 Injection, vancomycin hcl, 500 mg 5,857 3,673 $492.45
D0220 Intraoral - periapical first radiographic image 70 68 $489.14
99156 13 13 $470.72
J0330 Injection, succinylcholine chloride, up to 20 mg 5,663 4,604 $466.40
D1206 Topical application of fluoride varnish 93 90 $457.78
82310 173 146 $454.74
85240 92 82 $453.54
36591 105 90 $450.62
86317 72 41 $440.73
J1644 Injection, heparin sodium, per 1000 units 10,109 5,404 $432.13
82627 62 62 $428.04
82553 57 55 $423.72
84445 15 15 $419.48
86431 142 129 $412.66
88271 12 12 $399.80
A9270 Non-covered item or service 34,314 5,630 $394.42
94668 19 12 $390.72
87206 619 406 $381.32
J1200 Injection, diphenhydramine hcl, up to 50 mg 8,231 7,025 $372.87
86039 62 62 $363.79
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis) 1,218 1,125 $354.85
94010 14 14 $345.65
82010 680 587 $342.20
72170 339 327 $341.25
J7060 5% dextrose/water (500 ml = 1 unit) 1,616 1,092 $340.28
J2795 Injection, ropivacaine hydrochloride, 1 mg 719 578 $336.79
94727 15 14 $335.19
73070 461 389 $330.57
86235 45 36 $328.41
73564 124 118 $325.73
J2310 Injection, naloxone hydrochloride, per 1 mg 41 27 $321.89
83655 26 26 $312.78
84446 28 28 $302.91
88237 12 12 $292.94
D0150 Comprehensive oral evaluation - new or established patient 69 67 $279.68
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 3,846 3,512 $276.02
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 2,238 2,180 $268.10
C1887 Catheter, guiding (may include infusion/perfusion capability) 2,657 2,323 $264.71
J0280 Injection, aminophyllin, up to 250 mg 730 712 $262.91
83993 30 30 $236.45
J9045 Injection, carboplatin, 50 mg 16 13 $236.13
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 23,027 17,958 $233.97
J1650 Injection, enoxaparin sodium, 10 mg 7,176 2,982 $233.15
90670 12 12 $224.33
D0230 Intraoral - periapical each additional radiographic image 59 56 $217.17
80177 42 38 $215.29
84520 976 911 $200.08
80074 39 38 $194.93
87015 230 192 $184.54
J1580 Injection, garamycin, gentamicin, up to 80 mg 975 880 $180.87
84481 16 16 $177.66
84144 25 25 $175.17
73060 211 196 $174.36
83010 13 12 $172.01
88311 137 120 $170.05
88264 12 12 $166.80
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 3,174 2,572 $165.37
84466 41 41 $153.22
80202 16 12 $141.30
J3475 Injection, magnesium sulfate, per 500 mg 4,682 3,237 $140.28
J0780 Injection, prochlorperazine, up to 10 mg 1,673 1,502 $138.72
89055 45 43 $131.15
90656 17 17 $124.34
J2765 Injection, metoclopramide hcl, up to 10 mg 3,093 2,640 $118.61
87806 1,391 1,373 $111.63
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 218 215 $111.32
51798 25 25 $109.37
J2550 Injection, promethazine hcl, up to 50 mg 2,952 2,367 $104.36
84590 13 13 $103.08
70250 12 12 $98.01
C9113 Injection, pantoprazole sodium, per vial 2,938 1,873 $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 9,899 8,967 $91.25
86334 13 13 $77.53
73000 58 54 $70.98
J1245 Injection, dipyridamole, per 10 mg 775 749 $67.58
84165 14 14 $66.24
82435 794 756 $65.92
88300 62 62 $63.19
86258 15 15 $62.86
72072 63 63 $61.02
J9260 Injection, methotrexate sodium, 50 mg 419 292 $58.06
86015 12 12 $52.80
87807 107 107 $51.97
84075 14 13 $50.93
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 272 175 $49.26
J2060 Injection, lorazepam, 2 mg 6,268 5,162 $47.68
86665 25 13 $43.87
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 3,861 1,723 $43.78
J2360 Injection, orphenadrine citrate, up to 60 mg 281 280 $43.09
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 17 17 $41.03
87430 29 29 $39.60
86037 13 12 $38.56
88108 49 48 $38.27
J1940 Injection, furosemide, up to 20 mg 1,669 1,212 $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 973 802 $37.23
87102 52 43 $36.89
J0694 Injection, cefoxitin sodium, 1 gm 146 86 $36.80
36416 308 293 $36.00
J1953 Injection, levetiracetam, 10 mg 419 340 $35.42
86308 67 66 $34.48
87181 13 13 $26.68
81050 15 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 2,635 1,977 $25.97
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 52 52 $25.80
J8540 Dexamethasone, oral, 0.25 mg 1,945 1,669 $25.04
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 1,043 404 $25.00
76010 36 36 $23.34
88312 13 13 $20.77
86664 13 13 $19.53
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 3,378 2,133 $18.93
J1630 Injection, haloperidol, up to 5 mg 881 745 $16.44
J3480 Injection, potassium chloride, per 2 meq 2,142 1,441 $13.02
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 15 12 $13.02
85246 13 12 $11.96
J3411 Injection, thiamine hcl, 100 mg 1,804 1,232 $11.75
84157 28 28 $8.26
82945 38 38 $8.10
J0500 Injection, dicyclomine hcl, up to 20 mg 391 317 $3.44
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) 1,044 861 $3.28
C1766 Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away 229 215 $3.25
J0171 Injection, adrenalin, epinephrine, 0.1 mg 766 706 $2.91
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg 23 13 $2.20
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 87 65 $1.87
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 1,257 1,206 $1.00
J2175 Injection, meperidine hydrochloride, per 100 mg 25 24 $0.90
Q0244 Injection, casirivimab and imdevimab, 1200 mg 13 13 $0.03
J1920 Injection, labetalol hydrochloride, 5 mg 190 160 $0.00
G8987 Self care functional limitation, current status, at therapy episode outset and at reporting intervals 238 223 $0.00
J1790 Injection, droperidol, up to 5 mg 915 856 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 1,722 1,655 $0.00
C1726 Catheter, balloon dilatation, non-vascular 151 146 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 99 96 $0.00
73600 14 13 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 88 66 $0.00
J1836 Injection, metronidazole, 10 mg 353 253 $0.00
S9981 Medical records copying fee, administrative 17 16 $0.00
J0456 Injection, azithromycin, 500 mg 74 58 $0.00
J2305 Injection, nitroglycerin, 5 mg 129 113 $0.00
J7999 Compounded drug, not otherwise classified 166 135 $0.00
96411 39 25 $0.00
G8988 Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 216 203 $0.00
43264 12 12 $0.00
J0360 Injection, hydralazine hcl, up to 20 mg 106 86 $0.00
J2785 Injection, regadenoson, 0.1 mg 15 15 $0.00
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 13 13 $0.00
S9982 Medical records copying fee, per page 28 27 $0.00
72020 61 44 $0.00
J1805 Injection, esmolol hydrochloride, 10 mg 12 12 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 218 180 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 367 342 $0.00
0100U 33 32 $0.00
J2359 Injection, olanzapine, 0.5 mg 123 106 $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 310 295 $0.00
J0134 Injection, acetaminophen (fresenius kabi), not therapeutically equivalent to j0131, 10 mg 457 425 $0.00
93356 671 655 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 329 308 $0.00
J0692 Injection, cefepime hydrochloride, 500 mg 264 121 $0.00
S0080 Injection, pentamidine isethionate, 300 mg 157 140 $0.00
J3415 Injection, pyridoxine hcl, 100 mg 208 176 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 568 490 $0.00
71100 12 12 $0.00
G8989 Self care functional limitation, discharge status, at discharge from therapy or to end reporting 28 27 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 101 100 $0.00
C1758 Catheter, ureteral 12 12 $0.00
J1956 Injection, levofloxacin, 250 mg 55 42 $0.00
J2720 Injection, protamine sulfate, per 10 mg 24 24 $0.00
J0137 Injection, acetaminophen (hikma), not therapeutically equivalent to j0131, 10 mg 13 12 $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 16 16 $0.00
J3371 Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg 38 24 $0.00
C1760 Closure device, vascular (implantable/insertable) 12 12 $0.00
J1171 Injection, hydromorphone, 0.1 mg 299 228 $0.00
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml 13 13 $0.00
J0736 Injection, clindamycin phosphate, 300 mg 16 12 $0.00
51702 16 15 $0.00
C2625 Stent, non-coronary, temporary, with delivery system 13 13 $0.00
C1776 Joint device (implantable) 14 12 $0.00