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

Beth Israel Medical Center

Beth Israel Medical Center was paid $278.66M by Medicaid between Jan 2018 and Dec 2024, across 757 billing codes. Its largest line is 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) — 16% of everything it billed.

33Billing provider infoBETH ISRAEL MEDICAL CENTER
BROOKLYN, NY 11234
33aNPI1174689665assigned 12/29/2006
28Total paid$278.66M
24GClaims4,403,111
24DCodes billed757
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Psychiatric Hospital Unit providers in New York

Rank by total paid#1 of 33
Median peer was paid$171K
This provider vs. median1,632×

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
201825,893$1.16M
2019453,713$21.39M
20201,000,226$52.59M
2021989,318$53.68M
2022800,687$55.64M
2023682,778$56.28M
2024incomplete450,496$37.91M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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) 16% 189,390 55,992 $43.44M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 12% 989,059 105,151 $33.34M
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 7.7% 186,326 158,191 $21.38M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.6% 136,927 120,503 $15.48M
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 4.6% 118,700 66,747 $12.74M
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 3.4% 10,389 8,753 $9.57M
J9271 Injection, pembrolizumab, 1 mg 3.4% 914 740 $9.50M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.9% 47,880 43,034 $8.05M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 1.8% 31,366 29,087 $5.15M
H0040 Assertive community treatment program, per diem 1.8% 2,758 2,728 $5.08M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.5% 30,109 27,572 $4.22M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 1.5% 24,097 9,545 $4.12M
745 more codes
99285 Emergency room visit (most serious) 1.5% 27,220 $4.12M
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.2% 30,347 $3.40M
99204 Doctor's office visit, new patient (more involved) 1.2% 21,542 $3.35M
G0378 Hospital observation service, per hour 1.1% 3,114 $3.03M
36415 Collection of venous blood by venipuncture 1.0% 348,706 $2.82M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 44,190 $2.64M
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes <1% 17,730 $2.52M
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% 39,944 $2.43M
96361 Intravenous infusion, hydration; each additional hour <1% 12,135 $2.17M
99203 Doctor's office visit, new patient (routine) <1% 14,755 $2.11M
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg <1% 987 $1.73M
J2505 Injection, pegfilgrastim, 6 mg <1% 491 $1.73M
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 9,428 $1.55M
H0004 Behavioral health counseling and therapy, per 15 minutes <1% 29,551 $1.53M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 7,293 $1.52M
J0897 Injection, denosumab, 1 mg <1% 1,051 $1.49M
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 7,042 $1.31M
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% 27,274 $1.24M
70450 Computed tomography, head or brain; without contrast material <1% 6,940 $1.21M
H2001 Rehabilitation program, per 1/2 day <1% 8,254 $1.19M
90853 Group psychotherapy (other than of a multiple-family group) <1% 15,048 $1.16M
80053 Comprehensive metabolic panel <1% 80,186 $1.12M
20611 <1% 7,137 $1.11M
78815 Positron emission tomography (PET) for limited area imaging <1% 1,518 $1.07M
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 7,737 $1.02M
52000 <1% 1,196 $996K
97162 <1% 7,685 $977K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 5,681 $976K
H0005 Alcohol and/or drug services; group counseling by a clinician <1% 13,218 $921K
96415 <1% 3,145 $896K
G0463 Hospital outpatient clinic visit for assessment and management of a patient <1% 19,294 $859K
77067 Screening mammography, bilateral, including computer-aided detection <1% 11,217 $857K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 38,405 $811K
90832 Psychotherapy session, about 30 minutes <1% 5,718 $796K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 5,539 $775K
J2506 Injection, pegfilgrastim, excludes biosimilar, 0.5 mg <1% 344 $774K
80048 Basic metabolic panel (calcium, ionized) <1% 52,188 $764K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 7,106 $750K
99205 Prolong outpt/office vis <1% 4,119 $695K
J9144 Injection, daratumumab, 10 mg and hyaluronidase-fihj <1% 179 $680K
87536 <1% 8,636 $669K
64615 <1% 1,098 $659K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 23,594 $622K
93970 <1% 2,350 $610K
93458 <1% 361 $594K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 3,096 $591K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) <1% 953 $582K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 2,282 $569K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 850 $528K
J2350 Injection, ocrelizumab, 1 mg <1% 13 $519K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 2,014 $518K
31237 <1% 355 $510K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 18,059 $490K
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% 28,409 $474K
77336 <1% 1,887 $452K
77412 <1% 1,473 $437K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 2,312 $437K
H0014 Alcohol and/or drug services; ambulatory detoxification <1% 2,352 $427K
J3380 Injection, vedolizumab, intravenous, 1 mg <1% 85 $417K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 3,128 $406K
J1745 Injection, infliximab, excludes biosimilar, 10 mg <1% 221 $403K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 4,123 $402K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 2,679 $401K
J1950 Injection, leuprolide acetate (for depot suspension), per 3.75 mg <1% 237 $396K
77386 <1% 1,069 $395K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 3,481 $394K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 2,571 $392K
51798 <1% 2,744 $382K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 3,775 $379K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 17,671 $371K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 2,129 $366K
31231 <1% 4,229 $359K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 3,419 $351K
J9355 Injection, trastuzumab, excludes biosimilar, 10 mg <1% 139 $344K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 3,409 $342K
80061 Lipid panel <1% 33,650 $321K
71250 <1% 4,461 $320K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 4,969 $320K
76641 <1% 5,124 $315K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 459 $314K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 19,351 $307K
71275 Computed tomographic angiography, chest, with contrast material <1% 1,679 $307K
H0002 Behavioral health screening to determine eligibility for admission to treatment program <1% 1,441 $299K
93320 <1% 2,488 $298K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 18,001 $290K
96367 <1% 3,704 $288K
87428 <1% 10,932 $286K
10005 <1% 865 $284K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 1,265 $283K
99386 <1% 1,947 $274K
90792 Psychiatric diagnostic evaluation with medical services <1% 1,293 $273K
86361 <1% 9,215 $271K
94375 <1% 2,103 $270K
70486 <1% 2,925 $263K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 8,806 $261K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 2,359 $261K
77063 Screening digital breast tomosynthesis, bilateral <1% 10,884 $256K
93976 <1% 839 $256K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 19,377 $255K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 2,505 $255K
96375 Therapeutic injection; each additional sequential IV push <1% 14,560 $254K
11900 <1% 1,144 $252K
99385 <1% 1,651 $246K
76536 <1% 3,231 $244K
86850 <1% 9,813 $242K
86480 <1% 4,165 $241K
76830 Ultrasound, transvaginal <1% 3,956 $237K
76770 <1% 1,330 $235K
51741 <1% 1,402 $235K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,372 $233K
93880 <1% 1,277 $232K
70551 Magnetic resonance imaging, brain; without contrast material <1% 1,395 $229K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 853 $224K
93975 <1% 668 $214K
96910 <1% 2,275 $214K
70491 <1% 1,346 $210K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 10,891 $210K
70543 <1% 678 $208K
77066 Tomosynthesis, mammo <1% 2,431 $208K
20610 <1% 738 $204K
J1453 Injection, fosaprepitant, 1 mg <1% 1,966 $200K
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% 40,898 $199K
74183 <1% 744 $195K
46600 <1% 1,060 $194K
31575 <1% 1,985 $192K
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% 1,181 $191K
80076 <1% 22,678 $190K
S9485 Crisis intervention mental health services, per diem <1% 163 $188K
77065 Tomosynthesis, mammo <1% 2,942 $188K
17110 <1% 810 $187K
86901 <1% 10,026 $185K
86900 <1% 10,093 $182K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 1,148 $178K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 1,182 $175K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 1,487 $169K
71046 Radiologic examination, chest; 2 views <1% 20,174 $169K
36000 <1% 9,449 $167K
73221 <1% 750 $166K
90677 <1% 1,363 $164K
83970 <1% 5,805 $164K
76998 <1% 1,056 $163K
90686 <1% 9,969 $162K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 50,128 $155K
86703 <1% 13,134 $155K
J9202 Goserelin acetate implant, per 3.6 mg <1% 231 $148K
88307 <1% 1,056 $145K
93017 <1% 2,416 $144K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 14,230 $143K
76642 <1% 2,939 $142K
97165 <1% 1,310 $142K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 87,222 $142K
73564 <1% 6,886 $141K
83880 <1% 7,680 $141K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,767 $140K
97161 <1% 1,365 $140K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,685 $139K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 2,647 $137K
Q5117 Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg <1% 142 $135K
90750 <1% 1,134 $133K
94060 <1% 901 $130K
12011 <1% 372 $127K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 4,469 $121K
93971 <1% 1,911 $119K
90836 <1% 1,144 $116K
87507 <1% 786 $114K
99443 <1% 1,514 $113K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 882 $113K
12001 <1% 356 $111K
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% 7,003 $110K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk <1% 188 $109K
93351 <1% 1,127 $109K
88342 <1% 2,132 $105K
93325 <1% 2,606 $104K
80050 General health panel <1% 4,935 $102K
95800 <1% 889 $98K
96417 <1% 2,519 $98K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 3,373 $96K
10060 <1% 416 $95K
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision <1% 4,282 $95K
0002A <1% 2,662 $95K
H0039 Assertive community treatment, face-to-face, per 15 minutes <1% 57 $94K
72197 <1% 365 $93K
90461 <1% 3,545 $92K
H0033 Oral medication administration, direct observation <1% 2,678 $92K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 1,191 $91K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 1,273 $90K
99051 <1% 8,755 $90K
77080 <1% 2,492 $89K
J0592 Injection, buprenorphine hydrochloride, 0.1 mg <1% 6,206 $89K
83036 Hemoglobin; glycosylated (A1C) <1% 30,073 $87K
77049 <1% 284 $87K
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) <1% 268 $86K
69210 <1% 2,648 $85K
C1769 Guide wire <1% 2,229 $84K
72141 <1% 515 $82K
90715 <1% 4,284 $80K
88185 <1% 1,055 $79K
90651 <1% 1,617 $79K
19083 <1% 67 $78K
0001A <1% 2,684 $78K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,213 $76K
88112 <1% 1,588 $76K
95819 <1% 284 $75K
97803 <1% 2,417 $75K
J2315 Injection, naltrexone, depot form, 1 mg <1% 66 $75K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 9,412 $72K
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% 246 $72K
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) <1% 703 $71K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 153 $71K
70496 <1% 419 $71K
J9217 Leuprolide acetate (for depot suspension), 7.5 mg <1% 148 $71K
87522 Neg quan hep c or qual rna <1% 2,560 $71K
87631 <1% 1,686 $70K
52356 <1% 46 $70K
85610 <1% 24,203 $68K
70480 <1% 605 $67K
J2785 Injection, regadenoson, 0.1 mg <1% 1,194 $66K
84443 Thyroid stimulating hormone (TSH) <1% 20,401 $65K
73130 <1% 4,932 $64K
99442 <1% 1,127 $63K
11102 <1% 169 $63K
99201 <1% 514 $63K
96402 <1% 1,859 $63K
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg <1% 31 $61K
83013 <1% 1,323 $60K
88304 <1% 2,672 $59K
77334 <1% 172 $59K
G0008 Administration of influenza virus vaccine <1% 3,958 $58K
93356 <1% 591 $58K
J0561 Injection, penicillin g benzathine, 100,000 units <1% 285 $57K
95886 <1% 814 $56K
90732 <1% 604 $55K
90870 <1% 179 $55K
91200 <1% 1,336 $55K
90847 Family psychotherapy with the patient present, 50 minutes <1% 225 $55K
73030 <1% 4,063 $55K
A9585 Injection, gadobutrol, 0.1 ml <1% 4,150 $54K
88184 <1% 1,001 $54K
84439 <1% 13,111 $53K
77300 <1% 162 $52K
92557 <1% 1,393 $52K
86803 <1% 15,902 $50K
72125 Computed tomography, cervical spine; without contrast material <1% 2,014 $50K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 1,577 $49K
59820 <1% 62 $49K
92551 <1% 1,123 $49K
J2469 Injection, palonosetron hcl, 25 mcg <1% 2,560 $49K
94726 <1% 791 $49K
90670 <1% 1,893 $48K
73562 <1% 3,313 $48K
76819 Fetal biophysical profile; without non-stress testing <1% 1,150 $46K
74178 <1% 235 $46K
C1889 Implantable/insertable device, not otherwise classified <1% 885 $46K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 1,210 $46K
73630 <1% 4,034 $45K
86003 <1% 3,399 $44K
J1944 Injection, aripiprazole lauroxil, (aristada), 1 mg <1% 24 $44K
71271 <1% 574 $42K
87517 <1% 1,228 $41K
97016 <1% 2,473 $41K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 1,394 $39K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 15,839 $39K
92550 <1% 653 $38K
76801 <1% 707 $37K
87652 <1% 1,736 $35K
93225 <1% 290 $35K
90837 Psychotherapy session, about an hour <1% 219 $34K
86769 <1% 1,133 $34K
87086 Culture, bacterial; quantitative colony count, urine <1% 13,038 $33K
76818 <1% 694 $33K
82607 <1% 5,705 $32K
J9045 Injection, carboplatin, 50 mg <1% 1,317 $32K
G0009 Administration of pneumococcal vaccine <1% 2,112 $32K
92060 <1% 504 $32K
J9267 Injection, paclitaxel, 1 mg <1% 1,223 $32K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 6,917 $31K
81001 <1% 27,633 $31K
90734 <1% 1,560 $30K
72100 <1% 1,731 $30K
Q9957 Injection, perflutren lipid microspheres, per ml <1% 642 $30K
94729 <1% 813 $30K
82784 <1% 5,323 $29K
46607 <1% 49 $29K
82670 <1% 1,979 $29K
82728 <1% 5,956 $29K
76857 <1% 709 $28K
73610 <1% 2,763 $28K
J3490 Unclassified drugs <1% 1,731 $28K
77062 <1% 689 $28K
84153 <1% 4,003 $28K
96401 <1% 604 $27K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 470 $27K
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% 2,649 $26K
95117 <1% 975 $26K
97163 <1% 174 $26K
96920 <1% 118 $26K
93925 <1% 174 $25K
93978 <1% 169 $25K
76937 <1% 195 $25K
73502 <1% 1,827 $25K
0004A <1% 684 $25K
85730 <1% 17,311 $25K
87902 <1% 115 $25K
86780 <1% 8,938 $24K
99244 Office or other outpatient consultation, moderate to high complexity <1% 147 $24K
85027 <1% 12,246 $24K
91320 <1% 318 $24K
88341 <1% 408 $24K
88172 <1% 542 $23K
0124A <1% 628 $23K
87340 <1% 7,762 $22K
97116 <1% 785 $22K
77290 <1% 54 $22K
76775 <1% 488 $22K
96376 <1% 2,623 $22K
76813 <1% 459 $21K
86706 <1% 5,279 $21K
64483 <1% 39 $21K
95911 <1% 255 $21K
92567 <1% 485 $21K
83001 <1% 2,178 $21K
73110 <1% 1,997 $21K
84403 <1% 1,650 $21K
99243 <1% 143 $21K
T2022 Case management, per month <1% 185 $20K
90648 <1% 1,750 $20K
J2704 Injection, propofol, 10 mg <1% 8,945 $20K
83655 <1% 1,654 $20K
54161 <1% 19 $20K
74174 <1% 90 $19K
88173 <1% 694 $19K
86140 <1% 11,321 $19K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 164 $19K
94010 <1% 682 $19K
J1631 Injection, haloperidol decanoate, per 50 mg <1% 1,030 $18K
20550 <1% 102 $18K
86160 <1% 3,684 $18K
H0001 Alcohol and/or drug assessment <1% 100 $17K
82043 <1% 7,606 $17K
86704 <1% 4,266 $17K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser <1% 1,613 $17K
C9600 Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch <1% 14 $17K
77061 <1% 466 $17K
C1887 Catheter, guiding (may include infusion/perfusion capability) <1% 581 $16K
11721 <1% 649 $16K
83002 <1% 1,666 $16K
84484 <1% 18,374 $16K
92134 <1% 255 $16K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 261 $16K
81003 <1% 11,680 $15K
76870 <1% 406 $15K
83735 <1% 10,562 $14K
82962 <1% 10,648 $14K
90723 <1% 1,360 $14K
90661 <1% 604 $14K
71045 Radiologic examination, chest; single view <1% 4,706 $14K
84550 <1% 8,201 $14K
82977 <1% 7,123 $14K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 1,007 $14K
72110 <1% 557 $14K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 231 $14K
83690 <1% 13,204 $14K
99381 <1% 131 $14K
82024 <1% 402 $14K
A9577 Injection, gadobenate dimeglumine (multihance), per ml <1% 1,160 $14K
19081 <1% 13 $14K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 147 $14K
58100 <1% 39 $13K
90680 <1% 1,135 $13K
84146 <1% 1,219 $13K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 6,185 $13K
95012 <1% 1,214 $13K
72170 <1% 915 $13K
95885 <1% 129 $13K
83516 <1% 2,761 $13K
51729 <1% 29 $13K
96377 <1% 645 $13K
84100 <1% 8,830 $12K
87480 <1% 1,776 $12K
96411 <1% 172 $12K
88300 <1% 904 $12K
97802 <1% 177 $12K
87510 <1% 1,771 $12K
82378 <1% 1,433 $12K
C1874 Stent, coated/covered, with delivery system <1% 14 $12K
87660 <1% 1,777 $12K
86360 <1% 347 $12K
93922 <1% 295 $12K
99441 <1% 322 $12K
A4648 Tissue marker, implantable, any type, each <1% 872 $12K
90674 <1% 622 $12K
59841 <1% 14 $11K
72131 <1% 130 $11K
99417 Prolong home eval add 15m <1% 742 $11K
82550 <1% 6,357 $11K
84445 <1% 277 $11K
73080 <1% 696 $11K
86376 <1% 1,450 $11K
73560 <1% 1,180 $11K
84702 <1% 4,774 $11K
76882 <1% 232 $11K
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% 66 $11K
83615 <1% 5,137 $10K
85651 <1% 11,670 $10K
84480 <1% 2,745 $10K
29580 <1% 56 $10K
86334 <1% 1,227 $10K
86431 <1% 4,805 $10K
1036F <1% 36,705 $10K
29125 <1% 71 $10K
99397 <1% 126 $10K
29540 <1% 64 $10K
86300 <1% 920 $10K
70498 <1% 323 $9K
82533 <1% 1,115 $9K
90846 Family psychotherapy without the patient present, 50 minutes <1% 70 $9K
86235 <1% 2,784 $9K
19281 <1% 13 $9K
H2010 Comprehensive medication services, per 15 minutes <1% 153 $9K
0003A <1% 232 $9K
90633 <1% 1,195 $9K
90472 Immunization administration, each additional vaccine (list separately) <1% 831 $9K
93308 <1% 55 $9K
81025 <1% 3,873 $9K
92015 Determination of refractive state <1% 655 $9K
92610 <1% 103 $9K
H0050 Alcohol and/or drug services, brief intervention, per 15 minutes <1% 177 $9K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 20 $8K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 3,079 $8K
72050 <1% 277 $8K
74018 <1% 732 $8K
83520 <1% 1,144 $8K
90739 <1% 115 $8K
86147 <1% 447 $8K
90694 <1% 629 $8K
86800 <1% 1,215 $7K
82785 <1% 1,243 $7K
72040 <1% 404 $7K
95249 <1% 217 $7K
90480 <1% 322 $7K
64616 <1% 12 $7K
86592 <1% 4,835 $7K
82172 <1% 942 $7K
81374 <1% 109 $7K
86141 <1% 1,388 $7K
87040 <1% 4,056 $7K
82105 <1% 2,096 $7K
90662 <1% 537 $7K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 175 $7K
0071A <1% 166 $7K
90620 <1% 561 $7K
51797 <1% 29 $6K
36416 <1% 469 $6K
92558 <1% 195 $6K
87070 <1% 2,279 $6K
73590 <1% 847 $6K
84156 <1% 4,003 $6K
0072A <1% 157 $6K
87186 <1% 3,057 $6K
83010 <1% 1,131 $6K
76942 <1% 53 $6K
96368 <1% 387 $6K
73523 <1% 262 $6K
82570 <1% 2,829 $6K
95912 <1% 50 $6K
86200 <1% 1,053 $6K
83883 <1% 1,131 $6K
99493 <1% 82 $6K
90882 <1% 322 $6K
73140 <1% 581 $6K
82652 <1% 330 $5K
H0038 Self-help/peer services, per 15 minutes <1% 222 $5K
84165 <1% 1,486 $5K
36430 <1% 15 $5K
51600 <1% 16 $5K
99383 <1% 37 $5K
90707 <1% 325 $5K
93226 <1% 74 $5K
57454 <1% 12 $5K
88313 <1% 363 $5K
51702 <1% 27 $4K
99401 <1% 53 $4K
J0690 Injection, cefazolin sodium, 500 mg <1% 4,950 $4K
82627 <1% 320 $4K
92504 <1% 513 $4K
86039 <1% 1,394 $4K
46601 <1% 13 $4K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 232 $4K
86225 <1% 1,466 $4K
C1753 Catheter, intravascular ultrasound <1% 25 $3K
82565 <1% 1,477 $3K
86038 <1% 1,163 $3K
88177 <1% 73 $3K
84432 <1% 295 $3K
85378 <1% 3,191 $3K
90656 <1% 346 $3K
84481 <1% 769 $3K
82746 <1% 642 $3K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 1,991 $3K
86593 <1% 2,599 $3K
80164 <1% 598 $3K
92526 <1% 21 $3K
71100 <1% 284 $3K
73700 <1% 16 $3K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 67 $3K
G0010 Administration of hepatitis b vaccine <1% 182 $3K
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 1,568 $3K
86762 <1% 422 $3K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 90 $3K
74455 <1% 24 $3K
T1013 Sign language or oral interpretive services, per 15 minutes <1% 148 $3K
95250 <1% 16 $3K
73090 <1% 482 $3K
86765 <1% 433 $3K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,100 $2K
99358 Prolong nursin fac eval 15m <1% 27 $2K
88311 <1% 382 $2K
83521 <1% 688 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 14 $2K
77417 <1% 51 $2K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 8,948 $2K
92020 <1% 43 $2K
82247 <1% 1,109 $2K
86682 <1% 1,014 $2K
90746 <1% 66 $2K
90716 <1% 197 $2K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 218 $2K
86618 <1% 261 $2K
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter <1% 37 $2K
83921 <1% 259 $2K
97010 <1% 148 $2K
86256 <1% 218 $2K
93926 <1% 25 $2K
82248 <1% 1,285 $2K
84460 <1% 1,050 $2K
93270 <1% 29 $2K
82947 <1% 4,656 $2K
87075 <1% 654 $2K
72114 <1% 65 $2K
90710 <1% 266 $2K
87205 <1% 1,671 $2K
J3370 Injection, vancomycin hcl, 500 mg <1% 1,070 $2K
81479 Unlisted molecular pathology procedure <1% 35 $2K
99384 <1% 12 $2K
83090 <1% 196 $2K
90700 <1% 182 $2K
86335 <1% 78 $2K
J8540 Dexamethasone, oral, 0.25 mg <1% 938 $2K
83550 <1% 600 $2K
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 661 $1K
83695 <1% 189 $1K
93280 <1% 82 $1K
S0028 Injection, famotidine, 20 mg <1% 3,594 $1K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units <1% 4,396 $1K
84681 <1% 151 $1K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 8,717 $1K
90653 <1% 158 $1K
90696 <1% 184 $1K
73600 <1% 163 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 527 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 13,662 $1K
81002 <1% 1,160 $1K
51784 <1% 31 $1K
82107 <1% 37 $1K
99496 <1% 24 $1K
83930 <1% 706 $1K
73070 <1% 338 $1K
84703 <1% 3,549 $1K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 3,659 $1K
74160 <1% 12 $1K
96523 <1% 42 $1K
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 1,977 $1K
A9581 Injection, gadoxetate disodium, 1 ml <1% 15 $1K
73620 <1% 255 $1K
99153 Mod sedat endo service >5yrs <1% 620 $1K
J1644 Injection, heparin sodium, per 1000 units <1% 2,935 $1K
97804 <1% 39 $1K
87430 <1% 934 $1K
84300 <1% 526 $1K
J1050 Injection, medroxyprogesterone acetate, 1 mg <1% 25 $980.51
80178 <1% 269 $966.91
99152 <1% 771 $962.82
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 29 $950.07
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 7,035 $945.29
84145 <1% 228 $928.28
92133 <1% 12 $922.98
84270 <1% 58 $911.62
S0077 Injection, clindamycin phosphate, 300 mg <1% 220 $899.29
90698 <1% 146 $876.79
J1030 Injection, methylprednisolone acetate, 40 mg <1% 305 $874.21
A9699 Radiopharmaceutical, therapeutic, not otherwise classified <1% 37 $862.56
J1170 Injection, hydromorphone, up to 4 mg <1% 1,149 $861.44
84425 <1% 132 $830.74
J1815 Injection, insulin, per 5 units <1% 829 $803.88
82088 <1% 27 $800.17
90714 <1% 40 $796.94
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,010 $786.15
84402 <1% 50 $785.67
86606 <1% 195 $781.13
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 11,402 $769.89
83993 <1% 143 $733.19
86304 <1% 77 $723.99
83540 <1% 296 $719.98
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 211 $700.00
85612 <1% 200 $673.90
84436 <1% 248 $648.68
86735 <1% 156 $643.77
C1781 Mesh (implantable) <1% 26 $619.34
80346 <1% 25 $617.69
S0109 Methadone, oral, 5 mg <1% 59 $614.95
J9171 Injection, docetaxel, 1 mg <1% 13 $607.76
70220 <1% 32 $593.11
93793 <1% 95 $590.32
C1819 Surgical tissue localization and excision device (implantable) <1% 43 $570.24
72070 <1% 61 $536.09
0042T <1% 12 $522.87
J2270 Injection, morphine sulfate, up to 10 mg <1% 2,448 $503.45
88360 <1% 16 $503.28
90744 <1% 86 $499.80
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 516 $493.06
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 13 $483.04
J3475 Injection, magnesium sulfate, per 500 mg <1% 864 $462.27
87338 <1% 97 $448.92
86580 <1% 29 $447.29
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 106 $447.10
74430 <1% 13 $439.02
4004F <1% 8,453 $436.63
80069 <1% 68 $385.39
73503 <1% 17 $380.03
87109 <1% 94 $375.09
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 12 $372.43
86709 <1% 120 $367.21
83498 <1% 39 $351.40
86705 <1% 132 $346.88
73060 <1% 100 $340.20
82390 <1% 94 $336.98
90681 <1% 51 $323.44
84144 <1% 24 $309.88
82040 <1% 575 $306.71
82157 <1% 31 $292.80
91308 <1% 86 $275.28
36591 <1% 13 $271.49
J3480 Injection, potassium chloride, per 2 meq <1% 334 $271.46
82330 <1% 95 $259.28
J1630 Injection, haloperidol, up to 5 mg <1% 1,950 $255.43
C2617 Stent, non-coronary, temporary, without delivery system <1% 64 $251.57
C1758 Catheter, ureteral <1% 100 $241.24
86787 <1% 54 $230.73
86316 <1% 28 $226.85
87116 <1% 43 $226.80
82010 <1% 212 $223.85
84154 <1% 31 $218.84
G2077 Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code <1% 96 $212.64
84105 <1% 73 $209.61
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml <1% 1,107 $206.27
73522 <1% 13 $200.63
87101 <1% 67 $199.85
88302 <1% 13 $189.48
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 3,483 $186.77
83605 <1% 225 $186.18
87077 <1% 76 $185.86
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 866 $178.53
86301 <1% 40 $177.45
J1650 Injection, enoxaparin sodium, 10 mg <1% 255 $173.34
86328 <1% 18 $172.01
81381 <1% 13 $169.90
77072 <1% 14 $163.96
Q9958 High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml <1% 28 $156.39
J2060 Injection, lorazepam, 2 mg <1% 1,281 $154.84
84133 <1% 75 $144.41
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 342 $139.74
82175 <1% 62 $132.79
82397 <1% 14 $125.67
82436 <1% 60 $121.21
86701 <1% 12 $118.90
85007 <1% 155 $116.29
86708 <1% 14 $111.10
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% 2,325 $96.93
73100 <1% 14 $95.90
82610 <1% 15 $88.46
J1580 Injection, garamycin, gentamicin, up to 80 mg <1% 125 $85.76
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% 3,476 $82.11
84132 <1% 80 $81.94
86162 <1% 15 $81.32
82955 <1% 13 $79.70
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 2,207 $77.10
74019 <1% 14 $73.04
OP250 <1% 66 $69.60
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 2,057 $68.75
85045 <1% 45 $67.59
73552 <1% 13 $62.63
82365 <1% 37 $62.19
85384 <1% 78 $59.60
90611 <1% 109 $55.99
86255 <1% 13 $52.00
91312 <1% 513 $51.10
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg <1% 67 $48.00
83935 <1% 14 $47.50
J1940 Injection, furosemide, up to 20 mg <1% 164 $43.63
80177 <1% 15 $42.73
82140 <1% 15 $37.12
82150 <1% 14 $30.18
91307 <1% 314 $28.74
85347 <1% 86 $24.34
J7120 Ringers lactate infusion, up to 1000 cc <1% 43 $22.69
84520 <1% 14 $22.39
84075 <1% 76 $20.61
J7050 Infusion, normal saline solution, 250 cc <1% 236 $19.83
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% 2,551 $17.84
G9902 Patient screened for tobacco use and identified as a tobacco user <1% 7,972 $17.01
82270 <1% 55 $15.93
91300 <1% 4,140 $14.15
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm <1% 56 $13.14
84155 <1% 54 $12.91
J1596 Injection, glycopyrrolate, 0.1 mg <1% 124 $12.80
J2795 Injection, ropivacaine hydrochloride, 1 mg <1% 93 $10.36
J0692 Injection, cefepime hydrochloride, 500 mg <1% 14 $8.89
J2550 Injection, promethazine hcl, up to 50 mg <1% 163 $7.60
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram <1% 557 $7.48
84450 <1% 56 $6.78
J2370 Injection, phenylephrine hcl, up to 1 ml <1% 68 $6.17
J1598 Injection, glycopyrrolate (fresenius kabi), not therapeutically equivalent to j1596, 0.1 mg <1% 54 $5.82
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg <1% 103 $5.18
J3411 Injection, thiamine hcl, 100 mg <1% 33 $3.53
87449 <1% 15 $3.30
J2004 Injection, lidocaine hcl with epinephrine, 1 mg <1% 39 $0.46
G9687 Hospice services provided to patient any time during the measurement period <1% 92 $0.23
3077F <1% 247 $0.21
3079F <1% 308 $0.18
3078F <1% 328 $0.18
3074F <1% 298 $0.13
3080F <1% 141 $0.13
G9903 Patient screened for tobacco use and identified as a tobacco non-user <1% 15 $0.13
3075F <1% 212 $0.12
1123F <1% 126 $0.01
83050 0% 84 $0.00
G2074 Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) 0% 39 $0.00
J2003 Injection, lidocaine hydrochloride, 1 mg 0% 71 $0.00
3044F 0% 13 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 0% 13 $0.00
99080 0% 3,041 $0.00
J1953 Injection, levetiracetam, 10 mg 0% 28 $0.00
99499 0% 1,527 $0.00
J2210 Injection, methylergonovine maleate, up to 0.2 mg 0% 29 $0.00
82375 0% 84 $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 officialPASTIER, MICHAEL (SR VICE PRESIDENT)